2017-03-21T10:57:35-05:00 2016-10-01 461497033 EKS&H LLLP 7979 E TUFTS AVENUE SUITE 400 DENVER CO 802372521 990EZ 2016-10-01 941294935 NATIONAL MULTIPLE SCLEROSIS SOCIETY NORTHERN CALIFORNIA NATI 4152306678 1700 OWENS STREET NO 190 SAN FRANCISCO CA 94158 JANELLE DEL CARLO CHAPTER PRESIDENT 4152306678 2017-03-20 1 DORI J EGGETT P00645252 3037409400 208.42.238.132 2017-03-21 10:56:20 MD P B8244C4FA2BCF6E0F5B8452164FD067F234A1B83 4D7219D1452441062C513A13E39A5E42DAB0668F 2016 2021-01-29 14:40:06Z X 1048 X X WWW.NATIONALMSSOCIETY.ORG/CAN X X 0 X 0 0 0 0 0 0 2462384 -2462384 0 X 1138607 0 1889036 0 3027643 0 565259 0 2462384 0 X PEOPLE AFFECTED BY MS CAN LIVE THEIR BEST LIVES AS WE STOP MS IN ITS TRACKS, RESTORE WHAT HAS BEEN LOST AND END MS FOREVER. PEOPLE AFFECTED BY MS CAN LIVE THEIR BEST LIVES AS WE STOP MS IN ITS TRACKS, RESTORE WHAT HAS BEEN LOST AND END MS FOREVER. 0 0 0 X ROBERT G WELLNER TRUSTEE 2.00 0 0 0 ANGELA E LAI TRUSTEE 2.00 0 0 0 WILL BRYANT TRUSTEE 2.00 0 0 0 NANCY N BYL PT PHD TRUSTEE 2.00 0 0 0 JONAH R CHAN PHD TRUSTEE 2.00 0 0 0 C BUDD COLBY PHD TRUSTEE 2.00 0 0 0 ELIZABETH CRABTREE-HARTMAN MD TRUSTEE 2.00 0 0 0 MICHELLE DENNEDY TRUSTEE 2.00 0 0 0 HEATHER FARGO TRUSTEE 2.00 0 0 0 MATT FRINZI TRUSTEE 2.00 0 0 0 DOUGLAS S GOODIN MD TRUSTEE 2.00 0 0 0 DAVID R HULTMAN TRUSTEE 2.00 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 CA ALTHEA SAMUELS CONTROLLER 733 THIRD AVENUE NEW YORK NY 10017 2124760401 0 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 5496608 8812191 5322844 6966020 26597663 5496608 8812191 5322844 6966020 26597663 1418340 25179323 140 13301 47065 42971 103477 27873 7747 35620 26736760 22454 0.94170 0.95810 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2013 AMOUNT: $ 27,873. 2014 AMOUNT: $ 7,747. PART II, COL E THE ORGANIZATION TRANSITIONED TO A SINGLE SOCIETY ENTITY, WHICH WILL PERFORM ONE AUDIT AND FILE A SINGLE IRS FORM 990 UNDER ONE FEDERAL EMPLOYER'S IDENTIFICATION NUMBER (EIN) EFFECTIVE OCTOBER 1, 2016. CONSEQUENTLY, COLUMN (E) OF PART II INCLUDES ONLY AMOUNTS APPLICABLE TO THE SHORT PERIOD ENDED OCTOBER 1, 2016. CASH 2016-10-01 1138607 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) CONTRIBUTIONS RECEIVABLE 2016-10-01 240251 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) PREPAID EXPENSES 2016-10-01 51383 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) PROPERTY, PLANT & EQUIPMENT, NET 2016-10-01 8973 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) INTEREST IN NMSS POOLED INVESTMENT FUND 2016-10-01 1568424 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) DUE FROM OTHER CHAPTERS 2016-10-01 10752 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) SECURITY DEPOSITS 2016-10-01 5750 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) DUE FROM HOME OFFICE 2016-10-01 3503 BOOK VALUE 135661935 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 501(C)(3) 0 1 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: JANELLE DEL CARLO PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: JANELLE DEL CARLO, THE NORTHERN CALIFORNIA CHAPTER PRESIDENT, IS EMPLOYED BY THE TRANSFEREE ORGANIZATION, EFFECTIVE OCTOBER 1, 2016. SCHEDULE N, PART I THE ORGANIZATION TRANSITIONED TO A SINGLE SOCIETY ENTITY, WHICH WILL PERFORM ONE AUDIT AND FILE A SINGLE IRS FORM 990 UNDER ONE FEDERAL EMPLOYER'S IDENTIFICATION NUMBER (EIN) EFFECTIVE OCTOBER 1, 2016. THE TRANSITION BETTER ALIGNS SOCIETY RESOURCES SO THAT THE ORGANIZATION CAN MAXIMIZE ITS IMPACT. FOR ACCOUNTING PURPOSES, THE TRANSITION IS TREATED AS AN ACQUISITION OF 100% OF THE ASSETS AND LIABILITIES OF THE UPPER MIDWEST CHAPTER BY THE SOCIETY. NO CONSIDERATION WAS GIVEN IN EXCHANGE FOR THE INTERESTS.THE ASSETS AND LIABILITIES OF THE UPPER MIDWEST CHAPTER WERE RECORDED AT FAIR VALUES AS OF OCTOBER 1, 2016, WHICH WERE ESTIMATED TO APPROXIMATE BOOK VALUE AS RECORDED ON THE CHAPTER'S BOOKS. FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: LIQUIDATING TRANSFER TO CONSOLIDATED ORGANIZATION. AMOUNT: -2,462,384. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: CONTRIBUTIONS RECEIVABLE. BEG. OF YEAR AMOUNT: 240,251. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 51,383. END OF YEAR AMOUNT: 0. DESCRIPTION: INTEREST IN NMSS POOLED FUND. BEG. OF YEAR AMOUNT: 1,568,424. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE FROM OTHEER CHAPTERS. BEG. OF YEAR AMOUNT: 10,752. END OF YEAR AMOUNT: 0. DESCRIPTION: SECURITY DEPOSITS. BEG. OF YEAR AMOUNT: 5,750. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE FROM HOME OFFICE. BEG. OF YEAR AMOUNT: 3,503. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 8,973. END OF YEAR AMOUNT: 0. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCOUNTS PAYABLE & ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 338,888. END OF YEAR AMOUNT: 0. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 156,855. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO OTHER CHAPTERS. BEG. OF YEAR AMOUNT: 2,931. END OF YEAR AMOUNT: 0. DESCRIPTION: DEFERRED RENT. BEG. OF YEAR AMOUNT: 66,585. END OF YEAR AMOUNT: 0.