2014-02-06T09:08:06-06:00 2013-08-31 201766527 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS SUITE 150 COLORADO SPRINGS CO 80907 990 2012-09-01 742553720 USA HOCKEY FOUNDATION USAH 7195768724 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 DAVE OGREAN 7195768724 2014-01-22 1 JILL J GOODWIN CPA P00450838 7195909777 2012 2015-11-30 17:44:51Z RON DEGREGORIO 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 11879007 0 X N/A X 1989 CO THE USA HOCKEY FOUNDATION IS A CHARITABLE AND EDUCATIONAL NON-PROFIT CORPORATION THAT PROVIDES LONG-RANGE FINANCIAL SUPPORT FOR USA HOCKEY, INC. AND PROMOTES THE GROWTH OF AMATUER HOCKEY IN THE UNITED STATES OF AMERICA. THE FOUNDATION'S PRIMARY GOALS ARE TO ENHANCE USA HOCKEY'S MISSION AND ACTIVITIES; TO PROVIDE FUNDING FOR EDUCATION AND TRAINING OF HIGH PERFORMANCE ATHLETES, AND TO PROVIDE OPPORTUNITIES FOR GREATER PARTICIPATION THROUGHOUT THE COUNTRY. 19 17 2 19 0 0 8543821 8956950 24690 20945 819320 1475778 273948 281078 9661779 10734751 8880650 8612354 0 0 216555 142157 0 0 348597 402653 491830 9499858 9246341 161921 1488410 29318058 29548541 5746332 3572419 23571726 25976122 TO RAISE FUNDS AND ACQUIRE ASSETS FOR USA HOCKEY, INC. (AN EXEMPT ORG.) AND TO ENCOURAGE, IMPROVE AND PROMOTE AMATEUR ICE HOCKEY IN THE UNITED STATES. 0 0 8612354 8612354 SUPPORT FOR USA HOCKEY, INC. IN THE FORM OF BLOCK GRANTS TO AFFILIATED 501 (C)(3) ENTITIES. 27559 20945 PATTY KAZMAIER MEMORIAL DINNER. 20147 ALUMNI PROGRAM 5505 5505 8660060 1 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AR SC WI X THE FOUNDATION 7195768724 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 WALTER L BUSH JR 2.00 X X 0 0 0 RON DEGREGORIO 2.00 X X 0 0 0 PAUL GEORGE 2.00 X X 0 0 0 JIM SMITH 2.00 X X 0 0 0 PETER LINDBERG 2.00 X X 0 0 0 JOHN BEADLE 2.00 X 0 0 0 JOHN FLEMING 2.00 X 0 0 0 BILL HALL 2.00 X 0 0 0 PETER KARMANOS JR 2.00 X 0 0 0 DAVE KLASNICK 2.00 X 0 0 0 NICK LOPARDO 2.00 X 0 0 0 LOU NANNE 2.00 X 0 0 0 JACK NORQUAL 2.00 X 0 0 0 LARRY REID 2.00 X 0 0 0 TONY ROSSI 2.00 X 0 0 0 JOHN VANBIESBROUCK 2.00 X 0 0 0 JAMES F WHITE JR 2.00 X 0 0 0 DAVE OGREAN 2.00 X 0 374017 58055 ROBERT WELDON 2.00 X 0 189860 41034 PAT KELLEHER 40.00 X 0 171473 34814 0 735350 133903 0 0 1 0 0 8956950 8956950 PATTY KAZMAIER MEMORIAL 900099 20945 20945 20945 534254 534254 367500 91927 275573 275573 275573 1932375 61436 1052287 0 880088 61436 941524 941524 1982 42 1940 1940 MISCELLANEOUS INCOME 900099 3565 3565 3565 10734751 26450 0 1751351 8612354 8612354 102479 102479 9909 9909 18000 18000 11769 11769 63631 63631 108806 194 108612 125110 2430 89441 33239 306 306 31833 4389 8120 19324 54420 23196 21076 10148 2219 2219 12456 9896 2560 BAD DEBT 67965 67965 MISCELLANEOUS 9185 6824 263 2098 TROPHIES & AWARDS 8333 3513 4820 EQUIPMENT/FACILITIES RE 6854 6854 712 276 436 9246341 8660060 237684 348597 193862 2699471 1203277 3651608 2030358 171483 175522 3128862 1018917 2172709 2109945 19172259 22234484 1004349 1114951 446179 486142 29318058 29548541 43380 40197 3904598 1903147 1745000 1595000 53354 34075 5746332 3572419 X 22278060 24452952 1148790 1376294 144876 146876 23571726 25976122 29318058 29548541 1488410 915986 0 X X 0 1 X 1 0 X X 0 0 0 USA HOCKEY INC 510204742 9 0 1 1 8108134 1 8108134 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 400000 0 145809 2000 225 148034 143580 2000 229 145809 141234 2000 346 143580 140876 2000 142876 0 140876 140876 1.00000 0 0 3108127 998804 2109323 20735 20113 622 2109945 DUE TO USA HOCKEY, INC. 34075 34075 X 11650737 915986 915986 10734751 0 10734751 9246341 0 9246341 0 9246341 PART III, LINE 4: THE COLLECTION CONSISTS OF TWO OIL PAINTINGS VALUED AT $400,000 THAT WERE DONATED WITH A RESTRICTION THE FOUNDATION COULD NOT SELL THEM UNTIL 2010. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THESE ENDOWMENT FUNDS ARE DESIGNATED TO SUPPORT THE BRIAN FISHMAN MEMORIAL FUND. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, IS NOT SUBJECT TO FEDERAL INCOME TAX. ACCORDINGLY, NO INCOME TAX PROVISION HAS BEEN RECORDED. THE FOUNDATION'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDED 2010 TO 2013 IS SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE DATE FILED. MANAGEMENT OF THE FOUNDATION BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. 1 AMATEUR HOCKEY ASSOCIATION OF ILLINOIS 2 S 713 GROVE WARRENVILLE IL 60555 362883831 501 ( C ) (3) 11868 AFFILIATE BLOCK GRANT AMATEUR HOCKEY ASSOCIATION OF ILLINOIS 225 HATLEN STREET MT PROSPECT IL 60056 362883831 501 ( C ) (3) 10000 HIFE GRANT ATLANTIC AMATEUR HOCKEY ASSOCIATION PO BOX 213 LAFAYETTE HILL PA 19444 237375622 501 ( C ) (3) 17143 AFFILIATE BLOCK GRANT CLARK PARK COALITION HOCKEY 1130 CLARK STREET DETROIT MI 48209 383462192 501 ( C ) (3) 7500 HIFE GRANT COLORADO AMATEUR HOCKEY ASSOCIATION 3860 BALSAM STREET WHEATRIDGE CO 80033 841303384 501 ( C ) (3) 6692 AFFILIATE BLOCK GRANT COLUMBUS ICE HOCKEY CLUB 1189 DENNISON AVE COLUMBUS OH 43201 311653367 501 ( C ) (3) 9000 HIFE GRANT DINO MIGHTS 3400 PARK AVE SOUTH MINNEAPOLIS MN 55407 411831084 4947(A)(1) 7000 HIFE GRANT DOMINIK HASEK YOUTH HOCKEY LEAGUE INC 2607 NIAGARA STREET BUFFALO NY 14207 161605422 10000 HIFE GRANT DUBUQUE FIGHTING SAINTS 1800 ADMIRAL SHEEHY DRIVE DUBUQUE IA 52001 271316015 25000 INTERNATIONAL FUND GRANT ED SNIDER YOUTH HOCKEY FOUNDATION 3601 S BROAD ST PHILADELPHIA PA 19148 202885113 170(B)(1)(A)(VI) 10000 HIFE GRANT EVANSTON YOUTH HOCKEY ASSOCIATION 1536 WEST HOOD AVE CHICAGO IL 60660 237380547 501 ( C ) (3) 6000 HIFE GRANT FORT DUPONT ICE HOCKEY 1328 ASPEN ST NW WASHINGTON DC 20012 522123478 501 ( C ) (3) 10000 HIFE GRANT ICE HOCKEY IN HARLEM 1460 BROADWAY ROOM 04-06 NEW YORK NY 10036 133577519 6500 HIFE GRANT ICE LINE 700 LAWRENCE DRIVE WEST CHESTER PA 19380 232749272 25000 DISABLED GRANT LAS VEGAS FIREFIGHTERS FOR YOUTH HOCKEY 8905 CONDOTTI CT LAS VEGAS NV 89117 453936173 8000 HIFE GRANT MASSACHUSETTS HOCKEY ASSOCIATION 75 BELCHER DRIVE WHITMAN MA 02382 043130566 501 ( C ) (3) 19042 AFFILIATE BLOCK GRANT MAYO CLINIC SPORTS MEDICINE CENTER 200 FIRST ST SW ROCHESTER MN 55905 416011702 501 ( C ) (3) 51817 SPEC GRANT MICHIGAN AMATEUR HOCKEY ASSOCIATION 17809 LOST POND LANE SPRING LAKE MI 49456 382556088 501 ( C ) (3) 24857 AFFILIATE BLOCK GRANT MID-AMERICAN HOCKEY ASSOCIATION 1127 COUNTRY CLUB RD MONONGAHELA PA 15063 351964943 501 ( C ) (3) 15491 AFFILIATE BLOCK GRANT MOBILITY SPORTS 11212 RANSOM CT FORT WAYNE IN 46845 205073795 N/A 27104 DISABLED - SLED LENDING NEW ENGLAND DISTRICT HOCKEY 226 OLD MILL ROAD MIDDLETON CT 06457 020495890 501 ( C ) (3) 14347 AFFILIATE BLOCK GRANT NEW YORK STATE AMATEUR HOCKEY ASSOCIATION 57 COUNTRYGATE LN TONWANDA NY 14150 161184849 501 ( C ) (3) 21340 AFFILIATE BLOCK GRANT PACIFIC DISTRICT 2956 E BLACK HORSE DRIVE SACRAMENTO CA 98825 330907666 501 ( C ) (3) 19296 AFFILIATE BLOCK GRANT POTOMAC VALLEY AMATEUR HOCKEY 214 LAWTON ST FALL CHURCH VA 22046 522139421 501 ( C ) (3) 8019 AFFILIATE BLOCK GRANT STATEWIDE AMATEUR HOCKEY FLORIDA 2400 SW 145 AVENUE STE 300 MIRAMAR FL 33027 593417365 501 ( C ) (3) 5517 AFFILIATE BLOCK GRANT TEXAS AMATEUR HOCKEY ASSOCIATION 22214 TREESDALE LN KATY TX 77450 731458493 501 ( C ) (3) 6174 AFFILIATE BLOCK GRANT TOTAL HOCKEY INC 3120 RIVERPORT TECH CENTER DR MARYLAND HEIGHTS MO 63043 431844010 13000 SPECIAL HOCKEY GROW GRANT US HOCKEY HALL OF FAME MUSEUM 801 HAT TRICK AVE PO BOX 679 EVELETH MN 55734 237024870 501 ( C ) (3) 30000 USHHF MUSEUM GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 8000000 GRANT - NHL USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 3370 LIBRARY GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 15000 SLED NATIONAL TEAM GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 89764 STRELOW GOAL MNTRSHP GRANT WESTCHESTER HOCKEY ORGANIZATION INC 44 LEROY AVE VALHALLA NY 10595 263346644 501 ( C ) (3) 7800 HIFE GRANT WISCONSIN AMATEUR HOCKEY ASSOCIATION 1118 EASTON AVE BELOIT WI 53511 391929213 501 ( C ) (3) 7660 AFFILIATE BLOCK GRANT MINNESOTA HOCKEY ASSOCIATION 6806 FORESTVIEW LANE N MAPLE GROVE MN 55369 411878475 501 ( C ) (3) 22913 AFFILIATE BLOCK GRANT 26 9 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANT RECIPIENTS ARE REQUIRED TO PERIODICALLY REPORT TO THE FOUNDATION REGARDING THE USE OF FUNDS. X 0 0 0 0 0 0 0 0 0 DAVE OGREAN 0 374017 0 0 0 0 0 33662 0 24393 0 432072 0 0 ROBERT WELDON 0 189860 0 0 0 0 0 17087 0 23947 0 230894 0 0 PAT KELLEHER 0 171473 0 0 0 0 0 15433 0 19381 0 206287 0 0 FORM 990, PART VI, SECTION A, LINE 7A USA HOCKEY, INC. VICE PRESIDENTS SERVE AS FOUNDATION DIRECTORS FOR THE LENGTH OF THEIR TERM ON THE USA HOCKEY, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF THE FORM 990 IS GIVEN TO THE EXECUTIVE COMMITTEE FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST ANNUALLY SIGN AND RETURN THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AN ANNUAL REPORT IS PUBLISHED AND AVAILABLE ON THE FOUNDATION'S WEBSITE. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 TO PROMOTE THE SPORT OF AMATEUR ICE HOCKEY CO 501(C)(3) 9 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 USA HOCKEY INC J 367500 CASH USA HOCKEY INC B 8108134 CASH USA HOCKEY INC N 1800 CASH USA HOCKEY INC O 63631 CASH