2013-11-27T09:15:03-06:00 2013-03-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2012-04-01 363667121 NATIONAL SOCIETY TO PREVENT BLINDNESS NATI 3123636001 211 W WACKER DR NO 1700 CHICAGO IL 60606 JEROME D DESSERICH 3123636001 2013-11-22 1 DAVID LOWENTHAL P00378651 3122071040 2013-11-22 2012 2015-11-30 17:44:51Z PREVENT BLINDNESS AMERICA HUGH R PARRY 211 W WACKER DR NO 1700 CHICAGO IL 60606 4306343 0 X PREVENTBLINDNESS.ORG X 1908 IL WE SERVE THE PUBLIC TO PREVENT BLINDNESS AND PRESERVE SIGHT THROUGH EDUCATION, CERTIFIED VISION SCREENING AND TRAINING, COMMUNITY AND PATIENT SERVICE PROGRAMS, ADVOCACY, AND SUPPORT OF VISION RESEARCH. 24 24 160 250 0 0 3791100 2270711 870406 813300 228643 273597 24837 48383 4914986 3405991 586068 194453 0 0 2555223 2309517 79460 73007 302495 1377409 1352980 4598160 3929957 316826 -523966 12513873 12709812 1703871 1634641 10810002 11075171 X THIS VOLUNTARY HEALTH ORGANIZATION SERVES THE PUBLIC TO PREVENT BLINDNESS AND PRESERVE SIGHT THROUGH EDUCATION, ADVOCACY, CERTIFIED VISION SCREENING AND TRAINING, COMMUNITY AND PATIENT SERVICE PROGRAMS AND SUPPORT OF VISION RESEARCH. 0 0 1058232 50073 283940 PUBLIC EDUCATION- INFORMING THE GENERAL PUBLIC ABOUT THE BASIC FACTS OF EYE CARE, HEALTH, AND SAFETY, AND MOTIVATING THEM TO APPROPRIATE ACTION; CONDUCTED THROUGH MASS MEDIA SUCH AS TV, RADIO, NEWSPAPERS, MAGAZINES AND FILMS, THROUGH THE DISTRIBUTION OF PUBLICATIONS AND THROUGH RESPONSES TO INQUIRIES FROM THE PUBLIC. SERVED OVER 2 MILLION PEOPLE NATIONWIDE. 687680 44133 131250 PROFESSIONAL EDUCATION & TRAINING- SERVING AS AN AUTHORITATIVE SOURCE OF INFORMATION ON THE LATEST DEVELOPMENTS IN VISION AND EYE CARE SO THAT EYE CARE PROFESSIONALS, NURSES, TEACHERS, SOCIAL WORKERS, AND OTHERS IN THE FIELD OF BLINDNESS PREVENTION CAN BETTER SERVE THEIR RESPECTIVE CLIENTS. SERVED OVER 9 THOUSAND PROFESSIONALS NATIONWIDE. 605651 34443 387500 COMMUNITY SERVICE- SPONSORING AND PROMOTING SCREENING PROGRAMS FOR THE EARLY DETECTION OF SIGNS OF EYE TROUBLE AMONG CHILDREN AND ADULTS. SCREENED 2.2 MILLION PATIENTS NATIONWIDE. PROMOTING EYE SAFETY, INCLUDING OCCUPATIONAL, SCHOOL AND HOME SAFETY PROGRAMS; PROVIDING INDUSTRY WITH AN APPROVED EYE SAFETY INCENTIVE PROGRAM BASED ON THE USE OF SAFETY EYEWEAR. 409080 65804 10610 RESEARCH- SUPPORT BASIC AND CLINICAL VISION RESEARCH INTO AREAS BEARING ON THE PREVENTION OF BLINDNESS AND CONSERVATION OF VISION. 409080 65804 10610 2760643 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 1 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 160 0 0 0 0 0 0 1 1 0 0 0 0 X 24 24 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 AL AR AZ CA DC IL KS KY LA ME MA MD MI MN MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY FL GA X X X JEROME DESSERICH 3123636001 211 W WACKER DR STE 1700 CHICAGO IL 60606 JAMES E ANDERSON 2.00 X X 0 0 0 STEVE CORMAN 2.00 X X 0 0 0 PAUL G HOWES 2.00 X X 0 0 0 MARGE AXELRAD 1.00 X 0 0 0 SANDRA S BLOCK OD MED 1.00 X 0 0 0 SALLY ATHERTON PHD 1.00 X 0 0 0 GARY DAVIS 1.00 X 0 0 0 TRACY DIETERICH 1.00 X 0 0 0 RICK ELIAS 1.00 X 0 0 0 JULIAN GANGOLLI 1.00 X 0 0 0 BRAD MCCORKLE 1.00 X 0 0 0 JEFF CASTILLO 1.00 X 0 0 0 JAMES ROBINSON LYNCH 1.00 X 0 0 0 BRETTE MCCLELLAN 1.00 X 0 0 0 KATHY MCGINNIS 1.00 X 0 0 0 RICHARD P MILLS MD MPH 1.00 X 0 0 0 PATRICIA L DAVIS MD 1.00 X 0 0 0 CYNTHIA OWSLEY PHD MSPH 1.00 X 0 0 0 MICHAEL R PENDER JR CPA 1.00 X 0 0 0 JAMES SHYER 1.00 X 0 0 0 MARY BLANKENSHIP POINTER 1.00 X 0 0 0 RICHARD SANCHEZ 1.00 X 0 0 0 J JAMES THIMONS OD 1.00 X 0 0 0 KURT ZOLLER 1.00 X 0 0 0 HUGH R PARRY 40.00 X 218532 0 25403 JEFFREY P TODD 40.00 X 138848 0 19609 JEROME D DESSERICH 40.00 X 130583 0 18832 KATHY NELSON 40.00 X 119376 0 18058 607339 0 81902 4 0 1 0 DRINKER BIDDLE & REATH LLP 1500 K ST NW SUITE 1100 WASHINGTON DC DC 20005 GOVERNMENT RELATIONS CONSULTING 140250 PLANTE MORAN 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 AUDIT AND ACCOUNTING SERVICES 101200 2 29674 203215 384663 1653159 2270711 AFFILIATE SUPPORT 900099 757837 757837 PUBLICATION SALES 900099 51284 51284 SCREENING MATERIAL SALES 900099 4179 4179 813300 82042 82042 1007322 815767 191555 191555 191555 87890 203215 84585 3305 3305 OTHER REVENUE 900099 45078 45078 45078 3405991 813300 0 321980 184453 184453 10000 10000 551807 387525 135382 28900 1348481 946660 329651 72170 88834 62566 22393 3875 161476 113729 40704 7043 158919 104578 46704 7637 2877 835 2013 29 117766 46281 69337 2148 90000 88035 1965 73007 73007 27464 27464 376536 322855 45536 8145 121529 58842 58243 4444 169421 50342 117298 1781 119605 100538 5560 13507 189910 164231 17095 8584 48785 38540 7806 2439 19565 15290 3076 1199 FUNDRAISING EXPENSES 61496 0 0 61496 PROGRAM RELATED PRINTIN 38834 38834 0 0 -30808 26509 -61443 4126 3929957 2760643 866819 302495 X 116548 23310 0 93238 604567 486785 192329 168277 1035332 814215 62380 65802 2020549 644938 1406305 1375611 4036937 3879452 388542 407206 4787481 5512464 12513873 12709812 406747 360659 36750 35000 74500 81000 1185874 1157982 1703871 1634641 X 2972210 2908739 1796208 1399865 6041584 6766567 10810002 11075171 12513873 12709812 X -523966 64152 724983 X 0 1 X 1 1 1 X 5604809 4262738 3642289 3791100 2270711 19571647 5604809 4262738 3642289 3791100 2270711 19571647 3418340 16153307 64718 95184 91488 81412 82042 414844 88714 159996 162657 34469 45079 490915 20477406 3249446 0.78880 0.82610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1489 1489 142154 204347 143643 205836 3758850 8931778 3902493 9137614 345125 606881 86281 151720 0 0 0 0 717886 733579 671189 606881 2729535 4094303 543843 363438 289965 205836 1403082 179472 183395 167797 151720 682384 1023576 750 55636 20459 1489 78334 6041584 724983 6766567 6097574 4425 60415 6041584 5751637 345937 6097574 4778501 973136 5751637 6220557 -1442056 4778501 0.00000 1.00000 0.00000 1 0 322148 322148 1300890 269254 1031636 397511 375684 21827 1375611 INTEREST IN TRUSTS 5512464 5512464 X 4167662 64152 724983 789135 3378527 27464 27464 3405991 3902493 0 3902493 27464 27464 3929957 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME TO BE USED TO SUPPORT ORGANIZATION'S PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PREVENT BLINDNESS AMERICA'S APPLICATION OF GAAPUSA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THEY HAVE NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. PREVENT BLINDNESS AMERICA WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. PREVENT BLINDNESS AMERICA IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR PERIODS BEFORE 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF BENEFICIAL INTERESTS IN TRUSTS 724,983. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENTS INVESTMENT IN FOREIGN HEDGE FUND 407206 0 0 0 0 0 0 407206 0 407206 0 0 0 0 0 0 X X X X X X 1 MAGNET DIRECT 321 MANLEY ST WEST BRIDGEWATER MA 02379 DIRECT MAIL CONSULTING 0 44596 25470 19126 MARANVILLE & ASSOC PO BOX 5293 MORTON IL 61550 CONSULTING ON PLANNED GIVING 0 0 42000 -42000 44596 67470 -22874 AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY GOLF 116990 85520 31470 25008 0 DINNER 174115 117695 56420 59577 0 291105 203215 87890 84585 84585 3305 1 WILLS EYE INSTITUTE 840 WALNUT ST PHILADELPHIA PA 19107 236000204 501 (C)(3) 30000 VISION RESEARCH FIGHT FOR SIGHT 381 PARK AV NEW YORK NY 10016 237085732 501 (C)(3) 10000 VISION RESEARCH PREVENT BLINDNESS NORTHERN CALIFORNIA 1388 SUTTER ST SAN FRANCISCO CA 94109 946139663 501 (C)(3) 36000 VISION EDUCATION PREVENT BLINDNESS TEXAS 2202 WAUGH DR HOUSTON TX 77006 746075105 501 (C)(3) 15000 VISION EDUCATION PREVENT BLINDNESS GEORGIA 739 W PEACHTREE ATLANTA GA 30308 586050305 501 (C)(3) 28400 VISION RESEARCH PREVENT BLINDNESS NORTH CAROLINA 4011 WESTCHASE RALEIGH NC 27607 566088141 501 (C)(3) 25000 VISION RESEARCH PREVENT BLINDNESS OHIO 1500 W 3RD AV COLUMBUS OH 43212 316063433 501 (C)(3) 25000 VISION RESEARCH PREVENT BLINDNESS IOWA 1111 NINTH ST DES MOINES IA 50314 426083207 501 (C)(3) 16934 VISION PROGRAMS 8 SCHOLARSHIP TO CONTEST WINNER 1 10000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PREVENT BLINDNESS AMERICA HAS A PROCESS IN PLACE FOR MONITORING THE USE OF GRANTS WE PROVIDE. WE REQUIRE MONTHLY, MID-YEAR AND FINAL FINANCIAL AND PROGRAM REPORTS. WE RESERVE THE RIGHT TO HOLD PAYMENTS, PENDING RECEIPT AND APPROVAL OF THE APPROPRIATE REPORTS. FURTHER, WE REGULARLY MEET WITH OUR GRANTEES TO ENSURE THEY ARE MAKING PROGRESS IN THEIR ACTIVITES. X X 0 0 0 0 0 0 0 0 0 HUGH R PARRY 218532 0 0 0 0 0 15658 0 9745 0 243935 0 0 0 JEFFREY P TODD 138848 0 0 0 0 0 10020 0 9589 0 158457 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY INCLUDES ANNUAL REVIEW AND DISCLOSURE BY ALL KEY VOLUNTEERS AND STAFF. THE BOARD OF DIRECTORS THEN REVIEW FOR ANY POTENTIAL CONFLICTS. THE PRESIDENT/CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED BY THE BOARD CHAIR. IN THE YEARS WHERE AN INCREASE TO COMPENSATION IS MERITED, THE BOARD CHAIR AND 2-3 EXECUTIVE COMMITTEE MEMBERS WOULD REVIEW THE COMPENSATION AND DEBATE ON AN APPROPRIATE INCREASE TO THE COMPENSATION. ANY ADJUSTMENTS ARE APPROVED IN WRITING BY THE BOARD CHAIR AND THE OTHER BOARD MEMBERS. THIS DOCUMENTATION IS MAINTAINED IN THE HUMAN RESOURCES FILE OF THE ORGANIZATION. FOR SENIOR MANAGEMENT TEAM MEMBERS, A SALARY COMPARISON STUDY WAS UTILIZED AT THE TIME OF HIRE TO ESTABLISH REASONABLE COMPENSATION FOR THE THREE MOST RECENT HIRES. THE ORGANIZATION HAS A PROCESS IN PLACE TO FORMALLY REVIEW AND DOCUMENT THE CEO'S COMPENSATION. THIS PROCESS INCLUDES COMPARABLE COMPENSATION DATA OF SIMILAR ORGANIZATIONS. THIS DATA IS REVIEWED AND DISCUSSED BY THE FINANCE COMMITTEE. THIS COMMITTEE WOULD APPROVE THE APPROPRIATENESS OF THE COMPENSATION AND PRESENT TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED MEETING. THIS PROCESS IS TO BE COMPLETED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 OUR ANNUAL REPORT AND FORM 990 ARE AVAILABLE ON OUR WEBSITE. THESE, ALONG WITH OTHER DOCUMENTS, SUCH AS GOVERNING DOCUMENTS AND POLICIES, ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS 724,983. FORM 990, PART I, LINE 5 AND PART V, LINE 2A: TOTAL NUMBER OF EMPLOYEES THE ORGANIZATION ACTS AS A COMMON PAYMASTER FOR THE NATIONAL SOCIETY TO PREVENT BLINDNESS AFFILIATES AND ISSUED A TOTAL OF 160 W-2S FOR ALL AFFILIATED ORGANIZATIONS. OF THE TOTAL 160 W-2S, 29 WERE ISSUED FOR EMPLOYEES OF THE NATIONAL SOCIETY TO PREVENT BLINDNESS. NSPB TRI-STATE AFFILIATE 101 WHITNEY AVE NEW HAVEN CT 06510 060706741 PREVENT BLINDNESS PROGRAMS CT 501(C)(3) LINE 7 N/A 0 NSPB MID-ATLANTIC AFFILIATE 11618 BUSY ST RICHMOND VA 23236 237033230 PREVENT BLINDNESS PROGRAMS VA 501(C)(3) LINE 7 N/A 0 NSPB OHIO AFFILIATE 1500 W THIRD ST COLUMBUS OH 43212 316063433 PREVENT BLINDNESS PROGRAMS OH 501(C)(3) LINE 7 N/A 0 NSPB INDIANA AFFILIATE 70 E 91ST INDIANAPOLIS IN 46240 356040676 PREVENT BLINDNESS PROGRAMS IN 501(C)(3) LINE 7 N/A 0 NSPB WISCONSIN AFFILIATE 759 N MILWAUKEE ST MILWAUKEE WI 53202 396096227 PREVENT BLINDNESS PROGRAMS WI 501(C)(3) LINE 7 N/A 0 NSPB IOWA AFFILIATE 1111 NINTH ST DES MOINES IA 50314 426083207 PREVENT BLINDNESS PROGRAMS IA 501(C)(3) LINE 7 N/A 0 NSPB NEBRASKA AFFILIATE 6818 GROVER STE 102 OMAHA NE 68106 470539539 PREVENT BLINDNESS PROGRAMS NE 501(C)(3) LINE 7 N/A 0 NSPB TENNESSEE AFFILIATE 95 WHITE BRIDGE RD NASHVILLE TN 37205 510240507 PREVENT BLINDNESS PROGRAMS TN 501(C)(3) LINE 7 N/A 0 NSPB NORTH CAROLINA AFFILIATE 4011 WESTCHASE BLVD RALEIGH NC 27607 566088141 PREVENT BLINDNESS PROGRAMS NC 501(C)(3) LINE 7 N/A 0 NSPB GEORGIA AFFILIATE 739 WEST PEACHTREE ST NW ATLANTA GA 30308 586050305 PREVENT BLINDNESS PROGRAMS GA 501(C)(3) LINE 7 N/A 0 NSPB FLORIDA AFFILIATE 8401 BENJAMIN ROAD STE G TAMPA FL 33634 596181662 PREVENT BLINDNESS PROGRAMS FL 501(C)(3) LINE 7 N/A 0 NSPB OKLAHOMA AFFILIATE 6 NE 63RD ST OKLAHOMA CITY OK 73105 736108998 PREVENT BLINDNESS PROGRAMS OK 501(C)(3) LINE 7 N/A 0 NSPB TEXAS AFFILIATE 2202 WAUGH DR HOUSTON TX 77006 746075105 PREVENT BLINDNESS PROGRAMS TX 501(C)(3) LINE 7 N/A 0 NSPB NORTHERN CALIFORNIA AFFILIATE 1388 SUTTER ST SAN FRANCISCO CA 94109 946139663 PREVENT BLINDNESS PROGRAMS CA 501(C)(3) LINE 7 N/A 0 NSPB TRI-STATE AFFILIATE (NJ) 101 WHITNEY AVE NEW HAVEN CT 06510 222693493 PREVENT BLINDNESS PROGRAMS NJ 501(C)(3) LINE 7 N/A 0 0 1 0 0 0 0 1 0 0 0 0 1 0 1 0 1 1 1 1 NATIONAL SOCIETY TO PREVENT BLINDNESS 211 W WACKER DRIVE 1700 CHICAGO IL 60606 363667121 X 1489 142154 143643 3758850 3902493 345125 86281 0 0 0 PREVENT BLINDNESS OHIO 1500 W 3RD AVE COLUMBUS OH 43212 316063433 X 0 27050 27050 1651125 1678175 233909 58477 0 0 0 PREVENT BLINDNESS MID-ATLANTIC 11618 BUSY ST RICHMOND VA 23236 237033230 X 0 12000 12000 670835 682835 127425 31856 0 0 0 PREVENT BLINDNESS FLORIDA 8401 BENJAMIN ROAD STE G TAMPA FL 33634 596181662 X 0 0 0 605279 605279 115792 28948 0 0 0 PREVENT BLINDNESS IOWA 1111 NINTH ST DES MOINES IA 50314 426083207 X 0 8500 8500 207456 215956 43191 10798 0 0 0 PREVENT BLINDNESS NORTH CAROLINA 4011 WESTCHASE BLVD RALEIGH NC 27607 566088141 X 0 14002 14002 1222152 1236154 198615 49654 0 0 0 PREVENT BLINDNESS GEORGIA 739 WEST PEACHTREE ST NW STE 200 ATLANTA GA 30308 586050305 X 0 641 641 816081 816722 147508 36877 0 0 0