2016-05-02T15:17:59-05:00 2015-12-31 390758449 WIPFLI LLP PO BOX 8700 MADISON WI 537088700 990 2015-01-01 262449481 GIVE BACK FOUNDATION GIVE 6083162415 PO BOX 8692 MADISON WI 53708 JENNIFER ZISSER BOARD SECRETARY 6083162415 2016-04-27 1 JEAN CHRISTENSEN P00368719 6082741980 2016-04-27 2015 2016-09-27 15:27:22Z JENNIFER ZISSER PO BOX 8692 MADISON WI 53708 1566581 0 X WWW.GIVEBACK.ORG X 2008 DE TO ENABLE CHARITABLE GIVING. 3 3 0 3 0 0 795636 1566581 0 0 0 0 0 0 795636 1566581 555834 1399604 0 0 0 0 0 0 0 12288 19885 568122 1419489 227514 147092 467548 614640 24000 24000 443548 590640 THE MISSION OF GIVE BACK FOUNDATION IS TO EMPOWER MORE PEOPLE AND MORE ORGANIZATIONS TO GIVE MORE MONEY, MORE OFTEN, TO MORE CHARITIES. 0 0 1399604 1399604 0 DURING 2015, AN ADDITIONAL 1,000 INDIVIDUALS SIGNED UP FOR GIVEBACK ACCOUNTS THROUGH EMPLOYEE GIVING PROGRAMS STARTED BY THEIR COMPANIES USING THE GIVEBACK PLATFORM. JUST UNDER $1.4 MILLION WAS DONATED TO OVER 2,000 CHARITIES IN 2015. 1399604 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 0 1 0 0 1 1 1 0 0 0 0 0 WI X JENNIFER ZISSER 6083162415 2302 INTERNATIONAL LANE MADISON WI 53704 X PAMELA TERRY DIRECTOR 1.00 X 0 0 0 STEPHEN PALETTA BOARD PRESIDENT 5.00 X X 0 0 0 MICHAEL STOETZEL BOARD TREASURER 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 1566581 1566581 1566581 0 0 0 1399604 1399604 19885 19885 1419489 1399604 19885 0 397507 459586 51724 145782 18317 9272 467548 614640 24000 24000 24000 24000 X 443548 590640 443548 590640 467548 614640 147092 0 X 0 1 X 0 0 X 668631 357461 451600 795636 1566581 3839909 668631 357461 451600 795636 1566581 3839909 41854 3798055 50 73 10 133 3840042 64414 0.98910 0.95580 X 4365 1566581 1419489 590640 1 1 0 PREFUNDED DONATION AGREEMENTS 24000 24000 X 1566581 0 1566581 0 1566581 1419489 0 1419489 0 1419489 PART X, LINE 2: THE ORGANIZATION IS REQUIRED TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS DETERMINED THERE ARE NO AMOUNTS TO RECORD AS ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. 0 INOVA HEALTH SYSTEM FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541071867 501(C)(3) 107237 0 PROGRAM SUPPORT UNITED WAY OF CENTRAL AND NORTHEASTERN CONNECTICUT 30 LAUREL STREET HARTFORD CT 06106 060646653 501(C)(3) 94520 0 COMMUNITY INVESTMENT, EDUCATION & BASIC NEEDS PROGRAM SUPPORT UNITED WAY OF CENTRAL INDIANA INC PO BOX 88409 INDIANAPOLIS IN 46208 351007590 501(C)(3) 75373 0 COMMUNITY FUND PROGRAM SUPPORT MAKE-A-WISH FOUNDATION OF THE MID-ATLANTIC INC 5272 RIVER ROAD SUITE 700 BETHESDA MD 20816 521306075 501(C)(3) 31466 0 PROGRAM SUPPORT WORLD VISION FOUNDATION PO BOX 9716 FEDERAL WAY WA 98063 481265565 501(C)(3) 27528 0 PROGRAM SUPPORT AMERICAN NATIONAL RED CROSS 2025 E STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 21464 0 PROGRAM SUPPORT EPOCH INC PO BOX 231 MADISON NJ 07940 222006583 501(C)(3) 19700 0 PROGRAM SUPPORT THE UNITED WAY OF CENTRAL MARYLAND INC 100 S CHARLES STREET 5TH FLOOR BALTIMORE MD 21201 520591543 501(C)(3) 18289 0 COMMUNITY FUND PROGRAM SUPPORT YOUNG LIFE FOUNDATION 420 N CASCADE AVENUE COLORADO SPRINGS CO 80903 846041371 501(C)(3) 17500 0 PROGRAM SUPPORT ST JUDE CHILDREN'S RESEARCH HOSPITAL INC 262 DANNY THOMAS PLACE MEMPHIS TN 38105 620646012 501(C)(3) 14051 0 PROGRAM SUPPORT MEDECINS SANS FRONTIERES USA INC 333 SEVENTH AVENUE 2ND FLOOR NEW YORK NY 10001 133433452 501(C)(3) 13256 0 PROGRAM SUPPORT THE AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS 424 EAST 92ND STREET NEW YORK NY 10128 131623829 501(C)(3) 13018 0 PROGRAM SUPPORT LOUISANA FRATERNAL ORDER OF POLICE FOUNDATION 200 LAUREL STREET BATON ROUGE LA 70801 203484575 501(C)(3) 12693 0 PROGRAM SUPPORT NATIONAL CHRISTIAN FOUNDATION INC 11625 RAINWATER DRIVE SUITE 500 ALPHARETTA GA 30009 300209280 501(C)(3) 12683 0 PROGRAM SUPPORT ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION GREATER INDIANA CHAPT 6324 CONSTITUTION DRIVE FORT WAYNE IN 46804 351747836 501(C)(3) 12100 0 PROGRAM SUPPORT BELIEVE IN TOMORROW NATIONAL CHILDREN'S FOUNDATION INC 6601 FREDERICK ROAD BALTIMORE MD 21228 521332737 501(C)(3) 10616 0 PROGRAM SUPPORT WAVERLY-SHELL ROCK AREA UNITED WAY INC PO BOX 271 WAVERLY IA 50677 421098807 501(C)(3) 10230 0 PROGRAM SUPPORT CALVERT HALL COLLEGE OF BALTIMORE CITY 8102 LA SALLE ROAD TOWSON MD 21286 520607966 501(C)(3) 10000 0 PROGRAM SUPPORT LITTLE SMILES INC 1325 NORTH CONGRESS AVENUE WEST PALM BEACH FL 33401 650963754 501(C)(3) 10000 0 PROGRAM SUPPORT TULSA AREA UNITED WAY 1430 SOUTH BOULDER TULSA OK 74119 730580283 501(C)(3) 9887 0 PROGRAM SUPPORT WOUNDED WARRIOR PROJECT INC 4899 BELFORT ROAD SUITE 300 JACKSONVILLE FL 32256 202370934 501(C)(3) 9779 0 PROGRAM SUPPORT SUSAN G KOMEN BREAST CANCER FOUNDATION INC 5005 LBJ FREEWAY DALLAS TX 75244 751835298 501(C)(3) 9637 0 PROGRAM SUPPORT WATCHTOWER BIBLE AND TRACT SOCIETY OF NEW YORK INC 2236 NW 20TH STREET OKLAHOMA CITY OK 73107 731476262 501(C)(3) 8995 0 PROGRAM SUPPORT THE IBC NETWORK FOUNDATION 803 MEADOW LARK AVENUE FRIENDSWOOD TX 77546 383850833 501(C)(3) 8000 0 PROGRAM SUPPORT UNITED WAY OF STANLY COUNTY INC PO BOX 1178 ALBEMARLE NC 28002 560841588 501(C)(3) 7698 0 PROGRAM SUPPORT HARTFORD CITY MISSION INC PO BOX 320397 HARTFORD CT 06132 201051758 501(C)(3) 7650 0 PROGRAM SUPPORT NORTHERN VIRGINIA FAMILY SERVICE 10455 WHITE GRANITE DRIVE NO 100 OAKTON VA 22124 540791977 501(C)(3) 7260 0 PROGRAM SUPPORT HEIFER PROJECT INTERNATIONAL INC 1 WORLD AVENUE LITTLE ROCK AR 72202 351019477 501(C)(3) 7118 0 PROGRAM SUPPORT AUTISM SPEAKS INC 1 EAST 33RD STREET 4TH FLOOR NEW YORK NY 10016 202329938 501(C)(3) 7094 0 PROGRAM SUPPORT ASIA'S HOPE 343 WEST MILLTOWN ROAD PMB 185 WOOSTER OH 44691 341971847 501(C)(3) 6370 0 PROGRAM SUPPORT UNITED WAY OF THE BLUEGRASS INC 100 MIDLAND DRIVE LEXINGTON KY 40508 610444679 501(C)(3) 6144 0 PROGRAM SUPPORT GREATER TWIN CITIES UNITED WAY 404 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 411973442 501(C)(3) 5996 0 PROGRAM SUPPORT UNITED WAY OF HOPKINSVILLE AND CHRISTIAN COUNTY INC PO BOX 587 HOPKINSVILLE KY 42241 610567661 501(C)(3) 5772 0 PROGRAM SUPPORT THE HORACE BUSHNELL MEMORIAL HALL CORPORATION 166 CAPITOL AVENUE HARTFORD CT 06106 060662112 501(C)(3) 5700 0 PROGRAM SUPPORT CHILDREN'S IMPACT NETWORK INC PO BOX 541900 LAKE WORTH FL 33454 650230590 501(C)(3) 5500 0 PROGRAM SUPPORT UNITED WAY OF RHODE ISLAND INC 50 VALLEY STREET PROVIDENCE RI 02909 050276059 501(C)(3) 5490 0 PROGRAM SUPPORT AUTHENTIC CHURCH INC PO BOX 8323 WHITE PLAINS NY 10602 263259560 501(C)(3) 5488 0 PROGRAM SUPPORT HILL-STEAD MUSEUM 35 MOUNTAIN ROAD FARMINGTON CT 06032 060646673 501(C)(3) 5400 0 PROGRAM SUPPORT TEEN MISSIONS INTERNATIONAL INC 885 EAST HALL ROAD MERRITT ISLAND FL 32953 237125177 501(C)(3) 5297 0 PROGRAM SUPPORT VALLEY CRISIS PREGNANCY CENTER INC 5776 STONERIDGE MALL ROAD PLEASANTON CA 94588 943071754 501(C)(3) 5200 0 PROGRAM SUPPORT FOUNDATION FOR LUTHERAN CHILD AND FAMILY SERVICES OF INDIANA INC 1525 N RITTER AVENUE INDIANAPOLIS IN 46219 351784910 501(C)(3) 5145 0 PROGRAM SUPPORT LEE'S SUMMIT EDUCATIONAL FOUNDATION INC 301 NE TUDOR LEES SUMMIT MO 64086 431615117 501(C)(3) 5000 0 PROGRAM SUPPORT ROCHESTER YOUTH FOR CHRIST INC PO BOX 30069 ROCHESTER NY 14603 160821835 501(C)(3) 5000 0 PROGRAM SUPPORT FILTER OF HOPE INC 1226 W LAKEWALK CIRCLE PANAMA CITY BEACH FL 32413 371751688 501(C)(3) 5000 0 PROGRAM SUPPORT 44 0 FORM 990, PART VI, SECTION A, LINE 3 TOTAL ADMINISTRATIVE SERVICES CORPORATION (TASC) PERFORMS A PACKAGE OF CONSULTING, MANAGEMENT AND INFORMATION TECHNOLOGY SERVICES. SERVICES PROVIDED TO GIVE BACK FOUNDATION THROUGH TASC INCLUDE: FULL ACCESS TO THE GIVE BACK ADMINISTRATION PLATFORM; A LICENSE TO BE THE EXCLUSIVE FOUNDATION FOR FUNDS RAISED WITHIN THE GIVE BACK PLATFORM; FACILITATION OF THE FOUNDATION'S ABILITY TO COLLECT DONATIONS AND COMMUNICATE WITH DONORS AND PROSPECTIVE DONORS THROUGH THE GIVE BACK PLATFORM; MANAGEMENT AND DEVELOPMENT OF THE PROCESS FOR DISBURSING FUNDS TO CHARITIES IDENTIFIED BY FOUNDATION MEMBERS; DATABASE MANAGEMENT; COORDINATION OF THE FOUNDATION'S ACCOUNTING, TAX AND AUDITING REQUIREMENTS; COORDINATION OF THE FOUNDATION'S REGISTRATION STATUS AT A STATE AND FEDERAL LEVEL; CONTROL OF ALL RECORDS RELATED TO THE FOUNDATION. GIVE BACK FOUNDATION'S BOARD PRESIDENT, STEPHEN PALETTA IS COMPENSATED BY TASC. A PORTION OF STEPHEN PALETTA'S TIME IS FOR SERVICES TO GIVE BACK FOUNDATION. THE ORGANIZATION ESTIMATES THAT APPROXIMATELY $14,000 OF STEPHEN PALETTA'S ANNUAL SALARY IS FOR SERVICES RENDERED TO GIVE BACK FOUNDATION. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AS PREPARED WAS REVIEWED BY THE ORGANIZATION'S BOARD TREASURER, MICHAEL STOETZEL AND JOHN SCHANEN, CORPORATE CONTROLLER OF TASC, THE ORGANIZATION'S MANAGEMENT COMPANY, IN CONSULTATION WITH OUTSIDE LEGAL COUNSEL ENGAGED BY THE ORGANIZATION BEFORE ITS FILING WITH THE INTERNAL REVENUE SERVICE. THAT REVIEW INCLUDED COMMUNICATIONS WITH THE FIRM ENGAGED TO PREPARE THE RETURN AND THE ORGANIZATION'S BOARD CHAIRMAN AND CORPORATE SECRETARY. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD OF DIRECTORS DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ANY DIRECTOR WITH A PERCEIVED OR ACTUAL CONFLICT OF INTEREST IS RECUSED FROM DISCUSSION AND VOTING ON THE TOPIC TO WHICH THE CONFLICT RELATES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VI, SECTION A, LINE 9 THERE ARE TWO DIRECTORS WHO CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS: PAMELA TERRY 15 HAWK FEATHER CIRCLE MADISON, WI 53717 MICHAEL STOETZEL 8215 GREENWAY BOULEVARD, SUITE 600 MIDDLETON, WI 53562