INDIANA IMMUNIZATION COALITION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: INDIANA IMMUNIZATION COALITION INC (EIN 20-0484362)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-31
IRS object ID: 201341519349300139
Schema version: 2012v2.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-31T08:26:30-00:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	200484362	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Indiana Immunization Coalition Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	INDI	NameControl
Phone	3176287116	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2344 Broadway Street	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46205	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Sarah Strawbridge	Name
Title	Executive Director	Title
Phone	3176287116	Phone
Date Signed	2013-05-31	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Peggy Jackson	Name
Phone	7655324194	Phone
Date Prepared	2013-05-31	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Indiana Immunization Coalition Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Sarah Strawbridge	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2344 Broadway Street	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46205	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	821869	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	http://www.vaccinateindiana.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	The Indiana Immunization Coalition IIC exists to reduce the spread of vaccine-preventable disease through immunization education, advocacy, promotion, and statewide collaboration. In 2012, the IIC received grants to develop and implement a statewide billing program for Indianas local health departments.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	148788	ContributionsGrantsPriorYear
Contributions Grants Current Year	821869	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1819	ProgramServiceRevenuePriorYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	150607	TotalRevenuePriorYear
Total Revenue Current Year	821869	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	98966	SalariesEtcPriorYear
Salaries Etc Current Year	98950	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	46874	OtherExpensePriorYear
Other Expenses Current Year	722444	OtherExpensesCurrentYear
Total Expenses Prior Year	145840	TotalExpensesPriorYear
Total Expenses Current Year	821394	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4767	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	475	RevenuesLessExpensesCY
Total Assets BOY	45338	TotalAssetsBOY
Total Assets EOY	502766	TotalAssetsEOY
Total Liabilities EOY	374742	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	45338	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	128024	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The Indiana Immunization Coalitions mission is to reduce the spread of vaccine-preventable disease by means of immunization education, advocacy, promotion, and statewide collaborations.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	162494	Expense
Grants	162494	Grants
Description	The Coalitions immunization program served the citizens of the State of Indiana by working to increase the immunization rates and decrease vaccine-preventable disease rates throughout the state. The Coalition provided professional development opportunities for immunization practitioners throughout the state by coordinating quarterly, regional meetings sponsoring an immunization summit collaborating on conferences to provide continuing education credits and presenting at professional meetings and conferences. The Coalition also engaged the public through a school-based educational campaign and implemented a social marketing campaign to inform and educate the public about immunizations via PSAs, a website, email marketing, and educational materials.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	546200	Expense
Grants	546200	Grants
Description	In 2012, the Coalition started work on a grant for a statewide billing program. This billing project began with an assessment of current practices, barriers, and level of interest, followed by a survey of local health departments to address the results of the assements that were taken. A toolkit was developed for Indianas local health departments to sustain a billing program, and the billing process was piloted in several health departments.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	11844	Expense
Grants	11844	Grants
Description	The Coalition received a grant to improve adult immunization rates in Indiana through targeted education to healthcare and social service providers serving rural Indiana communities. The Coalition held lectures throughout Indiana to educate practitioners, as well as provided a web-based learning system to replicate the lectures content. The Coalition collaborated to create a model training experience used to empower providers and assist in identifying what is needed in order to improve adult vaccination rates within their practice setting.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	720538	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	true	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Peggy Jackson	NamePerson
Telephone Number	7655324194	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1827 Abbotsbury Way	AddressLine1
City	Lafayette	City
State	IN	State
ZIP Code	47909	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee
Donella Carter
Chair	002.00	X	0	0	0
Barb Baker
Vice Chair	002.00	X	0	0	0
Carolyn Snyder
Secretary	001.00	X	0	0	0
Tina Elliot
Treasurer	002.00	X	0	0	0
Karen Long
Board Member At-Large	001.00	X	0	0	0
Jolene Bracale
Board Member At-Large	001.00	X	0	0	0
Melissa McMasters
Board Member At-Large	001.00	X	0	0	0
Sarah Strawbridge
Executive Director	040.00		50000	0	0	X
Kristopher Kirby
Operations Coordinator	040.00		40000	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	90000	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Related Organizations	13394	RelatedOrganizations
Government Grants	808000	GovernmentGrants
All Other Contributions	475	AllOtherContributions
Total Contributions	821869	TotalContributions

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	821869	TotalRevenueColumn

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	90000	Total
Program Services	81000	ProgramServices
Management And General	9000	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8950	Total
Program Services	8950	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	77	Total
Program Services	20	ProgramServices
Management And General	57	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	8608	Total
Management And General	8608	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	250288	Total
Program Services	250288	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	28036	Total
Program Services	28036	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4562	Total
Program Services	4106	ProgramServices
Management And General	456	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5579	Total
Program Services	5579	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	10469	Total
Program Services	9946	ProgramServices
Management And General	523	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	52882	Total
Program Services	52882	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Training manuals, handouts, educational materials	20577	20577
Grant administration fees	82212		82212
Medical billing equipment	63690	63690
Medical billing software subscriptions	195464	195464

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	821394	Total
Program Services	720538	ProgramServices
Management And General	100856	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	22124	BOY
EOY	5651	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	23214	BOY
EOY	497115	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	663	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	663	LandBldgEquipmentAccumDeprec

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	45338	BOY
EOY	502766	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
EOY	170838	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	203904	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	374742	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	45338	BOY
EOY	128024	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	45338	BOY
EOY	128024	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	45338	BOY
EOY	502766	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	475	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	86887	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	80003	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	126444	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	148788	CurrentTaxYearMinus1Year
Current Tax Year	821394	CurrentTaxYear
Total	1263516	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	86887	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	80003	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	126444	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	148788	CurrentTaxYearMinus1Year
Current Tax Year	821394	CurrentTaxYear
Total	1263516	Total

Field	Value	IRS element (for citing)
Public Support Total170	1263516	PublicSupportTotal170
Total Support	1263516	TotalSupport
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	663	OtherCostOrOtherBasis
Depreciation	663	Depreciation

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Federal income taxes	Description

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part VI	B 15 a and b	Compensation for the Executive Director and other key employees is reviewed annually by the Board of Directors. The Board votes on the compensation that will be given to said employees at an annual meeting where the upcoming budget is reviewed.
Form 990 Part IX	11 g	Other fees for services paid to non-employees of 250,288 is comprised of expenses related to the statewide billing project grant. These fees were paid to medical billing and accounting service companies and include the cost of the following creating manuals training local health departments designing software and graphics billing project managment meetings and training workshops.
Form 990 Part IX	24 b	Grant administration fees of 82,212 are overhead and indirect costs incurred to manage the grants of the Indiana Immunization Coalition. Such costs include administrative time and resources office expenses grant managment and billing and fund accounting.
Form 990 Part IX	24 d	Medical billing software and subscriptions of 195,464 are expenses incurred under the statewide billing project grant. The software, associated licenses, and subscriptions were purchased and implemented at local health departments throughout the state of Indiana.
Form 990 Part VI	B 12 c	The Coalition provides a copy of its Conflict of Interest policy to its Board of Directors, officers, and staff. On an annual basis, the Board must sign and complete an acknowledgement form, disclosing any potential conflicts. In addition, disclosure is required throughout the year whenever a conflict arises. Disinterested members of the Executive Committee which is comprised of select Board members make a determination as to whether a conflict exists and what subsequent action is appropriate. The Executive Committee reports such determinations and actions to the Board of Directors.
Form 990 Part III	2	The Coalition undertook a significant program service in 2012 that was not on its 2011 Form 990-EZ. In 2012, the Coalition was awarded a grant to develop and implement a statewide billing program for Indianas local health departments.
Form 990 Part VI	A 9	Officers and Members unable to be reached at the Coalitions mailing address are as follows Donella Carter, Tippecanoe County Health Dept., 629 N 6th St., Ste. A, Lafayette, IN 47901 Barb Baker, St. Joseph County Health Department, 227 W Jefferson Blvd., South Bend, IN 46601 Carolyn Snyder, Indiana Association of School Nurses, 611 S. Water St., Crawfordsville, IN 47933 Tina Elliot, Indiana Rural Health Association, 2901 Ohio Blvd., Suite 110, Terre Haute, IN 47803 Karen Long, Howard County Health Department, 120 East Mulberry, Room 206, Kokomo, IN 46901 Jolene Bracale, Indiana Department of Education, 115 W. Washington Street, South Tower, Suite 600, Indianapolis, IN 46204 Melissa McMasters, Marion County Public Health Dept., 3838 North Rural Street, Indianapolis, IN 46205 Kristopher Kirby, 1004 East State Road 28, Attica, IN 47918
Form 990 Part VI	B 11 a	The Coalitions current Executive Committee which includes select members of the Board of Directors received a copy of the completed Form 990 to review prior to its filing. The Executive Committee discussed the Form 990 and posed questions to the Coalitions Accountant who is also the tax preparer for this Form 990. Once all questions were answered and changes made to their satisfaction, the Form 990 was filed.
Form 990 Part VI	C 19	The Coalitions Articles of Incorporation have been filed with the Indiana Secretary of State SOS and are available online at the SOSs website for viewing. Governing documents, a conflict of interest policy, and financial statements are available to the public upon request. The Coalition can be reached by the public in several ways, including phone, website, mail, and e-mail.