2013-10-31T10:46:38-05:00 2012-12-31 363990892 Capin Crouse LLP 2435 Research Parkway Ste 200 Colorado Springs CO 80920 990 2012-01-01 841543484 Samaritan Aviation SAMA 9702494341 PO Box 492 Montrose CO 814019606 Bryan Yeager 9702494341 2013-10-31 1 David C Moja P00747006 7195286225 2012 2016-02-25 16:41:14Z Steven Mark Palm PO Box 492 Montrose CO 814019606 677134 0 X www.samaritanaviation.com X 1999 CO To promote the gospel by providing mission, medical, and aviation services. 10 7 8 15 0 0 581620 513332 120409 120163 84 -87262 -8645 -2419 693468 543814 20339 23924 0 0 201786 225866 0 0 117775 479648 434288 701773 684078 -8305 -140264 1148331 503945 99592 61174 1048739 442771 X Samaritan Aviation's (S.A.) mission is to fly emergency evacuation flights and supply medical aid to the 200,000 people who live in remote villages along the Sepik river in Papua New Guinea. S.A. also coordinates Community Health Evangelism efforts to the same villages promoting physical health and sharing God's love. 0 0 358628 23924 32872 Samaritan Aviation provided medical, mission and aviation support in Papua New Guinea (PNG). In 2012 we: performed 51 medicine delivery and community health related flights;delivered 7200 Kilograms of medicine and vaccine;flew 79 emergency evacuations via our amphibious plane, saving 75 lives;and with over 257 flight hours we impacted over 120,000 people along the Sepik River in PNG. 358628 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 1 8 1 0 1 PP 0 0 0 0 1 2 0 0 1 0 X 10 7 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Gina Dardis 9702494341 PO Box 492 Montrose CO 814019606 Joseph Burns 5.00 X X 0 0 0 Gary Bustin 40.00 X X 30503 0 19913 Steven Mark Palm 40.00 X X 32678 0 36705 Matthew Palm 5.00 X 0 0 0 Jacob Carroll 8.00 X 0 0 0 Dr Dan Cranston 1.00 X 0 0 0 Scott Friedman 2.00 X 0 0 0 Patrick Clowes 1.00 X 0 0 0 Cameron Nevins 2.00 X 0 0 0 Dr David Brown 1.00 X 0 0 0 63181 0 56618 0 0 0 0 0 513332 32500 513332 Young Samaritan Thrift 453310 86745 86745 PNGTF Reimbursments 900099 33418 33418 120163 29 29 9610 12029 -2419 -2419 -2419 34000 121291 -87291 -87291 -87291 543814 32872 0 -2390 14292 14292 7356 7356 2276 2276 119799 47919 35940 35940 99100 41622 39640 17838 6967 2926 2787 1254 6494 6494 27199 11423 10880 4896 49832 20930 19933 8969 2028 852 811 365 43262 18170 17305 7787 45313 18125 13594 13594 7665 3219 3066 1380 4422 1857 1769 796 97859 41101 39143 17615 40783 17129 16313 7341 Fuel costs 51375 51375 Aircraft maintenance 30350 30350 Projects 27706 27706 684078 358628 207675 117775 81187 82225 16672 62492 730287 371059 575472 359228 475000 0 1148331 503945 26092 2839 63500 58335 10000 99592 61174 X 1048739 442771 1048739 442771 1148331 503945 X -140264 -465512 -192 X 0 0 0 X 488418 492311 577402 507381 288489 2354001 488418 492311 577402 507381 288489 2354001 478743 1875258 1654 4931 87 13594 9639 29905 35210 24199 18395 77804 2461710 497086 0.76180 0.79860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6593 6593 723694 371059 352635 359228 1 East Asia and the Pacific 1 1 Program Services Medical, mission and aviation support in the region. 263601 East Asia and the Pacific 1 1 Grants 2276 2 2 0 0 2 2 265877 0 265877 0 0 0 0 0 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: Medical supplies and medications are given to hospitals and aid ports located in the jungle and sometimes cach is granted to NGO's to be used for similar purposes. The organization receiving goods delivers the goods to the remote locations and performs site visits. Organizations receiving cash grants use the grant funds for the designated purpose of the grant. The board of directors assesses their needs based on those site visits. Samaritan Aviation-USA (SA-USA) finance committee tracks and monitors Samaritan Aviation - Papau New Guinea with a budget that is compared to their actual expenses. Method Used to Acccount for Expenditures: Schedule F, Part I, Line 3: Expenses are accounted for based on the accrual method of accounting using expense reports, grant feedback and other appropriate documentation. Expenses consist of program expenses and travel to and around region. 1 Raising Hope Thrift Store 618 Ash Mesa Rd Delta CO 81416 460801442 501 (c) 3 11000 To support the mission of Raising Hope; which, provides quality goods to the local community at reduced prices, timely and consistent benevolent support to those in need, and is a mechanism for the community to raise hope through giving and sharing. 1 Mercy Flights for individuals with advanced medical situations. 5 7356 Actual Cost Mercy Flight recipients are those needing non-emergency, specialized medical attention and treatments. Often our passengers are battling cancer; some are transplant candidates that cannot travel long distance & need air transportation. Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are given to other organizations with similar ministry purpose. X 1 3237 Online auto value websit X 1 30000 Appraisal FMV 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): Number of contributors was used Form 990, Part VI, Section A, line 2 Board members Steven Mark Palm and Matthew Palm are brothers. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by an independent CPA firm, reviewed by the executive and finance teams, and then provided to the board prior to being filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The conflict of interest policy is enforced through oversight by the Board of Directors and Executive Committee. Form 990, Part VI, Section B, line 15a Independent members of Samaritan Aviation's Board of Directors decides on the salary of top management and bases it on what they see as fair compensation using management and aviation industry experience. The process and voting is documented in the board minutes. Form 990, Part VI, Section C, line 19 These documents are available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Exchange rate -192.