2013-01-15T14:24:31-06:00 2012-08-31 201766527 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS SUITE 150 COLORADO SPRINGS CO 80907 990 2011-09-01 742553720 USA HOCKEY FOUNDATION USAH 7195768724 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 DAVE OGREAN 7195768724 2013-01-11 1 JILL J GOODWIN P00450838 7195909777 2011 2016-02-25 16:41:14Z RON DEGREGORIO 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 11754229 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. 18 18 2 19 0 0 8199352 8543821 6178384 24690 728432 819320 268231 273948 15374399 9661779 8472823 8880650 0 0 343242 216555 0 0 324445 265718 402653 9081783 9499858 6292616 161921 26700014 29318058 4085592 5746332 22614422 23571726 X 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 8880650 8880650 SUPPORT FOR USA HOCKEY, INC. IN THE FORM OF BLOCK GRANTS TO AFFILIATED 501 (C)(3) ENTITIES. 31028 22190 PATTY KAZMAIER MEMORIAL DINNER. 7186 2500 LESTER PATRICK AWARD LUNCHEON. 36 B. BURKE INTERNSHIP 36 8918900 1 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 0 1 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 0 1 2 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AL AR CA CO CT DE 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 AZ OR PA RI SC SD TN TX UT VT VA WA WV WI WY AK 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 PHIL VERCHOTA 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 GEORGE GUND III 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 JAMES F WHITE JR 2.00 X 0 0 0 DAVE OGREAN 2.00 X 0 332286 48630 KEITH GIZZI 40.00 X 117364 0 22296 ROBERT WELDON 2.00 X 0 201399 36198 PAT KELLEHER 40.00 X 0 154075 33248 117364 687760 140372 1 0 1 0 0 8543821 10345 8543821 PATTY KAZMAIER MEMORIA 900099 22190 22190 LESTER PATRICK AWARD L 900099 2500 2500 24690 449488 449488 367500 94324 273176 273176 273176 2360000 7939 1998107 0 361893 7939 369832 369832 791 19 772 772 9661779 25462 0 1092496 8780650 8780650 100000 100000 53704 53704 121360 121360 8342 8342 21772 9521 12251 11377 11377 105885 200 103182 2503 186377 1000 108575 76802 1666 867 799 20840 3387 3461 13992 40038 18273 16572 5193 TROPHIES & AWARDS 14853 10386 4467 MISCELLANEOUS 12583 10547 2036 EQUIPMENT RENTAL & SMAL 12489 2925 48 9516 PRINTING 6434 902 4313 1219 1488 310 294 884 9499858 8918900 256513 324445 2329559 2699471 1953627 3651608 2869 171483 3132284 959575 2234116 2172709 18784490 19172259 944137 1004349 451216 446179 26700014 29318058 14793 43380 2094659 3904598 1885000 1745000 91140 53354 4085592 5746332 X 21303909 22278060 1167637 1148790 142876 144876 22614422 23571726 26700014 29318058 X 161921 795383 X X 0 1 1 X 0 X X 0 0 0 USA HOCKEY INC 510204742 9 0 1 1 8405608 1 8405608 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 400000 0 3108127 936724 2171403 24157 22851 1306 2172709 DUE TO USA HOCKEY, INC. 53354 53354 9661779 9499858 161921 795383 795383 957304 10457162 795383 795383 9661779 0 9661779 9499858 0 9499858 0 9499858 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 UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS BECAUSE THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED FASB ASC 740, "INCOME TAXES", WHICH CLARIFIES THE ACCOUNTING AND RECOGNITION FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE FOUNDATION'S INCOME TAX RETURNS. THE FOUNDATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE FOUNDATION'S OPEN AUDIT PERIODS ARE 2008 TO 2011. THE FOUNDATION BELIEVES THAT ITS OPERATIONS HAVE BEEN CONDUCTED IN ACCORDANCE WITH ITS TAX-EXEMPT STATUS. 0 0 0 0 0 0 0 0 0 0 X CANADA SUPPORT GROWTH OF HOCKEY IN 8 AND UNDER PLAYERS. 100000 CHECK FMV 0 0 0 0 0 0 1 AMATEUR HOCKEY ASSOCIATION OF ILLINOIS 2744 WHISPERING OAKS DR BUFFALO GROVE IL 60089 362883831 501 ( C ) (3) 10000 HIFE GRANT AMERICAN AMPUTEE HOCKEY ASSOCIATION 125 NASHUA ST BOSTON MA 02114 043530307 501 ( C ) (3) 10000 STANDING/AMPUTEE GRANT CHUBBUCK POCATELLO HOCKEY ASSOCIATION 215 N 9TH AVE SUITE A POCATELLO ID 83201 300080144 501 ( C ) (3) 5000 HIFE GRANT CLARK PARK COALITION HOCKEY 1130 CLARK STREET DETROIT MI 48209 383462192 501 ( C ) (3) 5000 HIFE GRANT COLUMBUS ICE HOCKEY CLUB 1189 DENNISON AVE COLUMBUS OH 43201 311653367 501 ( C ) (3) 8000 HIFE GRANT DINO MIGHTS 3400 PARK AVE SOUTH MINNEAPOLIS MN 55407 411831084 4947(A)(1) 6000 HIFE GRANT DR PEPPER STAR CENTERDSE HOCKEY CLUB LP 1400 S PIPELINE RD EULESS TX 76040 453194319 23000 DISABLED GRANT - ICE TIME 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) 5000 HIFE GRANT FORT DUPONT ICE HOCKEY 1328 ASPEN ST NW WASHINGTON DC 20012 522123478 501 ( C ) (3) 7000 HIFE GRANT GREATER SANTA BARBARA ICE SKATING ASSOC PO BOX 478 SANTA BARBARA CA 93302 450508885 30000 SLED HOCKEY GRANT HASEK'S HEROES 2607 NIAGRA ST BUFFALO NY 14207 161605422 501 ( C ) (3) 5000 HIFE GRANT ICE HOCKEY IN HARLEM PO BOX 978 NEW YORK NY 10029 133577519 6250 HIFE GRANT LAS VEGAS FIREFIGHTER YOUTH HOCKEY 8905 CONDOTTI CT LAS VEGAS NV 89117 5250 HIFE GRANT MAYO CLINIC SPORTS MEDICINE CENTER 200 FIRST ST SW ROCHESTER MN 55905 416011702 501 ( C ) (3) 42500 SPEC GRANT MICHIGAN AMATEUR HOCKEY ASSOCIATION 17809 LOST POND LANE SPRING LAKE MI 49456 382556088 501 ( C ) (3) 5898 AFFILIATE MINNESOTA WARRIORS ICE HOCKEY 1490 COUNTY ROAD EAST VADNAIS HEIGHTS MN 55110 320331684 501 ( C ) (3) 5000 WOUNDED WARRIORS GRANT MOBILITY SPORTS 11212 RANSOM CT FORT WAYNE IN 46465 205073795 N/A 46005 DISABLED - SLED LENDING NEW YORK STATE AMATEUR HOCKEY ASSOCIATION 57 COUNTRYGATE LN TONWANDA NY 14150 161184849 501 ( C ) (3) 5165 AFFILIATE SLED HOCKEY AMERICA 908 BAKER DRIVE NORRISTOWN PA 19403 550871635 501 ( C ) (3) 25000 DISABLED 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) 1930 LIBRARY GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 10500 SLED NATIONAL TEAM GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 91178 STRELOW GOAL MNTRSHP GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501 ( C ) (3) 302000 INTERNATIONAL FUND GRANT WATERLOO BLACK HAWKS PO BOX 2222 WATERLOO IA 50701 25000 INTERNATIONAL EVENT GRANT WESTCHESTER HOCKEY ORGANIZATION INC 44 LEROY AVE VALHALLA NY 10595 263346644 501 ( C ) (3) 7500 HIFE GRANT MINNESOTA HOCKEY ASSOCIATION 15510 199TH NW ELK RIVER MN 55330 411878475 501 ( C ) (3) 5649 AFFILIATE 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 332286 0 0 0 0 0 28617 0 20013 0 380916 0 0 ROBERT WELDON 0 201399 0 0 0 0 0 16631 0 19567 0 237597 0 0 PAT KELLEHER 0 154075 0 0 0 0 0 13867 0 19381 0 187323 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 795,383. 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 1 0 0 0 1 1 0 0 0 0 USA HOCKEY INC I 367500 CASH USA HOCKEY INC B 8405608 CASH USA HOCKEY INC M 0 CASH USA HOCKEY INC N 60580 CASH