2014-02-13T11:02:38-06:00 2013-06-30 113266576 GRASSI & CO CPA'S PC 50 JERICHO QUADRANGLE JERICHO NY 11753 990 2012-07-01 133277408 ALZHEIMER'S ASSOCIATION NEW YORK CITY CHAPTER ALZH 6467442900 360 LEXINGTON AVENUE 4TH FL NEW YORK NY 10017 LOU-ELLEN BARKAN 6467442900 2014-02-11 1 DAVID ROTTKAMP P01303468 5162563500 2012 2015-11-30 17:44:51Z LOU-ELLEN BARKAN 360 LEXINGTON AVE 4TH FL NEW YORK NY 10017 12933729 0 X HTTP://WWW.ALZ.ORG/NYC/ X 1985 NY THE MISSION OF THE ALZHEIMER'S ASSOCIATION, NEW YORK CITY CHAPTER IS TO ELIMINATE ALZHEIMER'S DISEASE THROUGH THE ADVANCEMENT OF RESEARCH; TO PROVIDE AND ENHANCE CARE AND SUPPORT FOR ALL AFFECTED; AND TO REDUCE THE RISK OF DEMENTIA THROUGH THE PROMOTION OF BRAIN HEALTH. 22 22 61 4018 54250 34367 7905719 6103017 98370 223588 118994 252051 -994939 -75384 7128144 6503272 295799 343601 0 0 4034479 4381916 36000 36000 1214703 3095776 3846285 7462054 8607802 -333910 -2104530 14712544 12909242 2713108 3080190 11999436 9829052 X THE MISSION OF THE ALZHEIMER'S ASSOCIATION, NEW YORK CITY CHAPTER IS TO ELIMINATE ALZHEIMER'S DISEASE THROUGH THE ADVANCEMENT OF RESEARCH; TO PROVIDE AND ENHANCE CARE AND SUPPORT FOR ALL AFFECTED; AND TO REDUCE THE RISK OF DEMENTIA THROUGH THE PROMOTION OF BRAIN HEALTH. 1 0 919186 93670 98338 WORKSHOPS/CONFERENCES/SEMINARS - PROVIDES A VARIETY OF EDUCATIONAL SEMINARS OFFERED IN COMMUNITIES. 496809 INFORMATION AND REFERRAL: PROVIDES SUPPORT AND INFORMATION ABOUT ALZHEIMER'S DISEASE AND RELATED DEMENTIAS, PROGRAMS AND SERVICES PROVIDED BY THE ASSOCIATION, AND COMMUNITY RESOURCES AS THEY RELATE TO ALZHEIMER'S DISEASE AND RELATED DISORDERS THROUGH A 24/7 TOLL FREE HELPLINE AS WELL AS THE WEBSITE. 667717 3500 41623 CARE CONSULTATION: IMPROVES THE AFFECTED INDIVIDUAL AND THEIR CAREGIVER'S QUALITY OF LIFE AND DECREASES THE STRESSFUL IMPACT OF ALZHEIMER'S AND DEMENTIA. CARE CONSULTANTS IDENTIFY AREAS OF NEED AND PROVIDE ASSISTANCE AND PSYCHOSOCIAL SUPPORT THROUGH EDUCATION ABOUT THE DISEASE AND SYMPTOM MANAGEMENT, PROBLEM SOLVING, PLANNING FOR FUTURE NEEDS, AND LINKAGES WITH RESOURCES, PARTICULARLY DURING TRANSITIONAL OR CRISIS SITUATIONS. 4213442 246431 83627 1)SUPPORT GROUPS: PROVIDES SUPPORT GROUPS FOR CAREGIVERS AND PERSONS WITH THE DISEASE OFFERED IN A VARIETY OF LOCATIONS TO MEET THE NEEDS OF DIVERSE COMMUNITIES.2)SAFETY SERVICES: PROVIDES NATIONWIDE PROGRAMS, SUCH AS ALZHEIMER'S ASSOCIATION MEDIC ALERT AND SAFE RETURN AND ALZHEIMER'S ASSOCIATION COMFORT ZONE, WHICH ADDRESS THE SAFETY NEEDS OF PERSONS WITH THE DISEASE AND THEIR CAREGIVERS.3)EARLY STAGE PROGRAMMING: ADDRESSES THE UNIQUE NEEDS OF INDIVIDUALS IN THE EARLY STAGES OF ALZHEIMER'S OR A RELATED DEMENTIA. CHAPTER'S ADDRESS EARLY STAGE NEEDS THROUGH EDUCATION PROGRAMS, SUPPORT GROUPS AND ENGAGEMENT OPPORTUNITIES DESIGNED TO HELP INDIVIDUALS AND FAMILIES COPE WITH THE DIAGNOSIS AND EMPOWER THEM TO MAKE DECISIONS REGARDING THEIR FUTURE AND MAKE THE MOST OF LIFE FOLLOWING THEIR DIAGNOSIS.4)RESEARCH5)ALL OTHER PROGRAM SERVICES: A)PHYSICIAN OUTREACH; MARKETING & COMMUNICATION B)RESIDENTIAL CARE; PALLIATIVE CARE C)VOLUNTEER & LEADERSHIP; PUBLIC POLICY D)SPECIAL ASSISTANCE FUND 4213442 246431 83627 6297154 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 76 0 1 61 1 1 1 0 0 0 0 1 1 0 0 0 0 X 22 22 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X STEPHEN MAGGIO 6467442903 360 LEXINGTON AVENUE 4TH FL NEW YORK NY 10017 JEFFREY N JONES 1.50 X 0 0 0 BEN JENKINS 1.00 X 0 0 0 STEPHEN CASPER 0.40 X 0 0 0 PAULINE YEUNG-HA 0.40 X 0 0 0 ARI F COHEN 0.40 X 0 0 0 WILLIAM M BRACHFELD 1.20 X 0 0 0 JAMES CRAIGE 0.40 X 0 0 0 DAN FINKE 0.30 X 0 0 0 MARIANNE DZIUBA FIORE 0.60 X 0 0 0 LORI OSCHER FRIEDMAN 0.80 X 0 0 0 MATTHEW FURMAN 0.80 X 0 0 0 DAVID GEITHNER 0.30 X 0 0 0 JOHN H GERNON 0.30 X 0 0 0 NATHAN HALEGUA 0.30 X 0 0 0 SIMON KOOYMAN 0.20 X 0 0 0 JOHN LATHAM 1.00 X 0 0 0 J FRANCIS LAVELLE 0.30 X 0 0 0 ELVERA BISIGNANO MCGUIRE 0.30 X 0 0 0 ABRAHAM PODOLSKY 0.20 X 0 0 0 ELAINE THOMAS 0.60 X 0 0 0 MARK ZURACK 0.40 X 0 0 0 LINDA LAGORGA 0.20 X 0 0 0 LOU-ELLEN BARKAN 44.90 X 253016 0 26369 STEPHEN A MAGGIO 42.30 X 138187 0 5526 JED A LEVINE 47.00 X 161422 0 19169 CAROL BERNE 45.00 X 174238 0 19589 726863 0 70653 4 0 1 0 0 1868012 4235005 49880 6103017 WORKSHOPS/CONFERENCES/SEMINARS 624100 98338 98338 CARE CONSULTATION 624100 41623 41623 SAFETY SERVICES 624100 31365 31365 SUPPORT GROUPS 624100 26997 26997 EARLY STAGE PROGRAMMING 624100 1355 1355 23910 23910 223588 191547 191547 6211716 6151212 60504 60504 60504 323065 1868012 279245 43820 43820 REVENUE EARNED ON SHARED FUNDRAIS 900099 1489941 1489941 LESS: NATIONAL'S PORTION OF SHARE 900099 -1688095 -1688095 78950 54250 24700 -119204 6503272 223588 54250 122417 11770 11770 331831 331831 861775 392552 281616 187607 2587854 1820794 354604 412456 142750 91590 26328 24832 507264 325468 93556 88240 282273 181111 52060 49102 34150 34150 36000 36000 471922 432321 29001 10600 723039 513336 29602 180101 1283171 1102071 103690 77410 126034 90992 22303 12739 268346 250517 8768 9061 300919 224841 42336 33742 26477 17255 5009 4213 RESEARCH PAYMENTS TO NA 432908 432908 MISCELLANEOUS 120101 38969 8247 72885 STAFF DEVELOPMENT 29804 24414 4675 715 BAD DEBT 15000 15000 14414 14414 8607802 6297154 1095945 1214703 X 986853 349930 0 636923 500 500 1515377 1301586 404761 398713 33521 36689 50492 42213 1215895 181506 5068417 1463828 742257 3604589 6655184 4227978 3838160 2836325 256397 279143 14712544 12909242 263340 405219 1700 72000 2448068 2602971 2713108 3080190 X 10347124 8302351 1391366 1265711 260946 260990 11999436 9829052 14712544 12909242 -2104530 -65854 0 X X 0 1 X 1 0 X 3629348 3763909 11773793 7905719 6103017 33175786 3629348 3763909 11773793 7905719 6103017 33175786 33175786 189923 152440 114363 117734 191547 766007 44700 54250 98950 323460 337433 347765 1008658 35049401 1082713 0.94650 0.95630 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SPECIAL EVENT REVENUE - 2010 AMOUNT: $ 323,460. 2011 AMOUNT: $ 306,446. 2012 AMOUNT: $ 323,065. OTHER INCOME - 2011 AMOUNT: $ 30,987. 2012 AMOUNT: $ 24,700. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 3107 0 0 1 159353 0 1 1010 163470 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PAID LOBBYIST APPROACHES VARIOUS NYC COUNCILMEMBERS AND PARTICIPATES IN STATE LOBBYING. EACH YEAR, CHAPTER'S STAFF AND VOLUNTEERS ATTEND PUBLIC POLICY FORUM IN WASHINGTON AND ON LOBBY DAY, A TEAM OF CHAPTER'S STAFF AND VOLUNTEERS GO TO ALBANY TO LOBBY ON BEHALF OF THE ALZHEIMER'S ASSOCIATION. IN ADDITION, THE CHAPTER IS A MEMBER OF THE COALITION OF NYS ALZHEIMER'S CHAPTERS, INC., WHO CONDUCTS PUBLIC POLICY AND GRANT ACTIVITIES WITHIN NEW YORK STATE. 260946 44 260990 260808 138 260946 260545 263 260808 260267 278 260545 1.00000 0 0 4123839 1027306 3096533 944578 436522 508056 3604589 CERTIFICATES OF DEPOSIT 2836325 F 2836325 DUE TO ALZHEIMER'S ASSOCIATION- NATIONAL OFFICE 712994 ANNUITY PAYMENT OBLIGATIONS 29773 DEFERRED RENT 1860204 2602971 X 6437418 -65854 -65854 6503272 0 6503272 8607802 0 8607802 0 8607802 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE CHAPTER'S ENDOWMENT CONSISTS OF FOUR INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS ESTABLISHED TO CREATE AND PROMOTE COMPREHENSIVE AND HUMANE CARE AND TREATMENT FOR PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DISORDERS, AND TO PROVIDE SUPPORT FOR THEIR FAMILIES AND PROFESSIONAL CAREGIVERS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION ADOPTED PROVISIONS PERTAINING TO UNCERTAIN TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X X X X X 1 KLO EVENTS LLC 1910 FOX HOLLOW LANE EASTON PA 18040 ALL FUND RAISING SERVICES-OCTOBER 2012 & 2013 WALK 0 1128993 36000 1092993 1128993 36000 1092993 NY GALA 1323651 1035402 288249 165000 MARATHON 351008 349478 1530 36875 12 516418 483132 33286 77370 2191077 1868012 323065 279245 279245 43820 EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) PAYMENTS TO KLO EVENTS WERE FOR PROFESSIONAL FUNDRAISING SERVICES ONLY AND DID NOT INCLUDE PAYMENT OF OTHER FUNDRAISING EXPENSES. 1 FINANCIAL ASSISTANCE PROVIDED TO FAMILIES AND OTHER CAREGIVERS (I.E. MEDICAL BILLS, RENTS, UTILITIES) 1910 331831 FAIR MARKET VALUE ALL "SPECIAL ASSISTANCE FUNDS" ARE REVIEWED ON A REGULAR BASIS. PAYMENTS ARE REVIEWED AND APPROVED BY THE RESPONSIBLE MANAGER(S) TO ENSURE PROPER JUSTIFICATION. THERE ARE NO INDIVIDUAL GRANTS OVER $5,000. X X X X 0 0 0 0 0 0 0 0 0 LOU-ELLEN BARKAN 253016 0 0 0 0 0 13500 0 12869 0 279385 0 0 0 JED A LEVINE 161422 0 0 0 0 0 8456 0 10713 0 180591 0 0 0 CAROL BERNE 159238 0 15000 0 0 0 7982 0 11607 0 193827 0 0 0 X 5 49880 AVG STK PRICE TRF DATE 0 0 1 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 PALLIATIVE CARE ADDRESSES THE NEED FOR IMPROVING THE QUALITY-OF-LIFE AND CARE PROVIDED BY SELECTED NYC AREA NURSING FACILITIES AND HOSPICE PROGRAMS FOR THOSE RESIDENTS DIAGNOSED WITH ADVANCED DEMENTIA. FORM 990, PART VI, SECTION A, LINE 2 ARI COHEN (DIRECTOR) AND JOHN LATHAM (DIRECTOR) HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF FORM 990 IS DISTRIBUTED TO THE AUDIT COMMITTEE APPROXIMATELY 14 DAYS PRIOR TO THE FILING DATE FOR THEIR REVIEW AND COMMENT. THE AMENDED DRAFT IS THEN SENT TO THE FULL BOARD APPROXIMATELY 7 DAYS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBER PROSPECTS MUST SIGN THE CONFLICT OF INTEREST POLICY, BEFORE THEY ARE INVITED TO JOIN THE BOARD. ADDITIONALLY, ALL CURRENT OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN THE POLICY EACH YEAR. THEY ARE ALSO REQUIRED TO DISCLOSE IMMEDIATELY ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS, SHOULD THESE OCCUR DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 BOARD MEMBERS ARE ASKED TO PROVIDE WRITTEN COMMENT ON THE CEO'S PERFORMANCE. THE BOARD'S COMPENSATION COMMITTEE AND THE BOARD'S CO-CHAIRS REVIEW THE RESULTS AND ALSO REVIEW THE DATA RELATING TO SALARIES OF CEO'S OF OTHER SIMILARLY SITUATED NON-PROFIT ORGANIZATIONS. BASED ON THE FEEDBACK AND MARKET DATA, THE COMPENSATION COMMITTEE AND BOARD CO-CHAIRS DECIDE ON A RECOMMENDED COMPENSATION AMOUNT FOR THE CEO FOR THE UPCOMING FISCAL YEAR. THE FULL BOARD ADOPTED THE RECOMMENDATION AFTER DISCUSSION IN AN EXECUTIVE SESSION OF THE BOARD ON JUNE 26. THE SALARIES OF KEY MANAGEMENT EMPLOYEES WERE DETERMINED THROUGH DISCUSSIONS AMONG THE CEO, THE BOARD'S CO-CHAIRS AND THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE CHAPTER'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON THE CHAPTER'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC 225 NORTH MICHIGAN AVE 17TH FL CHICAGO IL 60601 133039601 UTILIZE SERVICES OF THE NATIONAL ORGANIZATION IL 501(C)(3) LINE 9 NO 0 COALITION OF NEW YORK STATE ALZHEIMER'S CHAPTERS INC 435 E HENRIETTA RD ROCHESTER NY 14620 134076596 PUBLIC POLICY ACTIVITIES NY 501(C)(3) LINE 7 NO 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC L 1688095 FAIR MARKET VALUE ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION INC M 1489941 FAIR MARKET VALUE