2012-03-23T17:16:25-05:00 2011-08-31 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS SUITE 150 COLORADO SPRINGS CO 80907 990 2010-09-01 742553720 USA HOCKEY FOUNDATION USAH 7195768724 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 DAVE OGREAN EXECUTIVE DIRECTOR 7195768724 2011-12-15 1 JILL J GOODWIN 7195909777 2010 2016-02-24 21:20:13Z DAVE OGREAN 1755 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 15474479 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. 19 19 2 19 0 0 7095605 8199352 40210 6178384 505239 728432 319089 268231 7960143 15374399 6974907 8472823 0 0 333483 343242 0 0 450166 515474 265718 7823864 9081783 136279 6292616 18803443 26700014 3577828 4085592 15225615 22614422 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 8472823 8472823 7429662 SUPPORT FOR USA HOCKEY, INC. IN THE FORM OF BLOCK GRANTS TO AFFILIATED 501 (C)(3) ENTITIES. 32982 71861 PATTY KAZMAIER MEMORIAL DINNER. 7882 5000 LESTER PATRICK AWARD LUNCHEON. 40 B. BURKE INTERNSHIP 40 8513727 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 3 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 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 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 DAN ESDALE 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 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 NICK LOPARDO 2.00 X 0 0 0 LOU NANNE 2.00 X 0 0 0 KEITH GIZZI 40.00 X 152906 0 32808 ROBERT WELDON 2.00 X 0 161654 38496 DAVE OGREAN 2.00 X 0 316444 52873 152906 478098 124177 1 0 1 0 0 8199352 8199352 JUNIOR WORLD CHAMPIONS 711300 6101523 6101523 PATTY KAZMAIER MEMORIA 900099 71861 71861 LESTER PATRICK AWARD L 900099 5000 5000 6178384 385531 385531 367500 100062 267438 267438 267438 194330 148571 194330 148571 342901 342901 719 18 701 701 MISCELLANEOUS INCOME 900099 92 92 92 15374399 6179177 0 995870 8372823 8372823 100000 100000 180156 180156 105017 105017 21285 21285 21167 9656 11511 15617 15617 1800 1800 312 312 8068 6295 1773 84473 139 83810 524 41239 662 40577 4758 1522 3236 25233 3654 3031 18548 45401 21241 8115 16045 TROPHIES & AWARDS 29294 8043 21251 PRINTING 20024 1596 4546 13882 EQUIPMENT 4939 4047 228 664 MISCELLANEOUS 177 97 80 9081783 8513727 117890 450166 737243 2329559 1717818 1953627 4410 2869 3132981 898865 2296557 2234116 12764281 18784490 826881 944137 456253 451216 18803443 26700014 34052 6671 1498698 2094659 2020000 1885000 25078 99262 3577828 4085592 X 14063600 21303909 1021139 1167637 140876 142876 15225615 22614422 18803443 26700014 X 6292616 1096191 X X 0 1 1 X 0 X X 0 0 0 USA HOCKEY INC 510204742 9 0 1 1 8372823 1 8372823 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 400000 0 3108127 874646 2233481 24854 24219 635 2234116 DUE TO USA HOCKEY, INC. 91140 ACCRUED LIABILITIES 8122 99262 15374399 9081783 6292616 1096191 1096191 7388807 16470590 1096191 1096191 15374399 0 15374399 9081783 0 9081783 0 9081783 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 2007 - 2010. THE FOUNDATION BELIEVES THAT ITS OPERATIONS HAVE BEEN CONDUCTED IN ACCORDANCE WITH ITS TAX-EXEMPT STATUS. 0 0 0 0 0 0 CANADA SUPPORT GROWTH OF HOCKEY IN 8 AND UNDER PLAYERS. 100000 CHECK FMV 1 0 0 0 0 0 0 1 AMATEUR HOCKEY ASSOCIATION OF ILLINOIS 2744 WHISPERING OAKS DR BUFFALO GROVE IL 60089 362883831 501(C)(3) 10781 AFFILIATE AMATEUR HOCKEY ASSOCIATION OF ILLINOIS 2744 WHISPERING OAKS DR BUFFALO GROVE IL 60089 362883831 501(C)(3) 10000 HIFE GRANT AMERICAN HEARING IMPAIRED HOCKEY ASSOC 559 DONOFRIO DR MADISON WI 53719 237380537 501(C)(3) 40000 GRANT ATLANTIC AMATEUR HOCKEY ASSOCIATION PO BOX 213 LAFAYETTE HILL PA 19444 237375622 501(C)(3) 16275 AFFILIATE COLORADO AMATEUR HOCKEY ASSOCIATION 1416 GARFIELD CT LOUISVILLE CO 80027 841303384 501(C)(3) 6294 AFFILIATE COLUMBUS ICE HOCKEY CLUB 240 W OAKLAND AVE COLUMBUS OH 43201 311653367 501(C)(3) 6000 HIFE GRANT DETROIT HOCKEY ASSOCIATION 19370 WYOMING ST DETROIT MI 48221 710965782 501(C)(3) 8000 HIFE GRANT DINO MIGHTS 3400 PARK AVE SOUTH MINNEAPOLIS MN 55407 411831084 4947(A)(1) 6000 HIFE GRANT FORT DUPONT ICE HOCKEY 1328 ASPEN ST NW WASHINGTON DC 20012 522123478 501(C)(3) 8000 HIFE GRANT GONZAGA UNIVERSITY 502 EAST BOONE AVENUE SPOKANE WA 99258 910236600 501(C)(3) 5000 DISABLED GRANT HASEK'S HEROES 2607 NIAGRA ST BUFFALO NY 14207 161605422 501(C)(3) 5000 HIFE GRANT MASSACHUSETTS HOCKEY ASSOCIATION 20 GREGORY LN WEST SPRINGFIELD MA 10189 043130566 501(C)(3) 18467 AFFILIATE MAYO CLINIC SPORTS MEDICINE CENTER 200 FIRST ST SW ROCHESTER MN 55905 416011702 501(C)(3) 72000 SPEC GRANT MICHIGAN AMATEUR HOCKEY ASSOCIATION 819 PARK ST LINCOLN PARK MI 48416 382556088 501(C)(3) 23687 AFFILIATE MID-AMERICAN HOCKEY ASSOCIATION 1127 COUNTRY CLUB RD MONONGAHELA PA 15063 351964943 501(C)(3) 14254 AFFILIATE MOBILITY SPORTS 11212 RANSOM CT FORT WAYNE IN 46465 205073795 N/A 36021 DISABLED - SLED LENDING NEW ENGLAND DISTRICT HOCKEY 200 KIMBALL ST LITTLETON NH 03561 020495890 501(C)(3) 14347 AFFILIATE NEW YORK STATE AMATEUR HOCKEY ASSOCIATION 57 COUNTRYGATE LN TONWANDA NY 14150 161184849 501(C)(3) 20548 AFFILIATE OPERATION COMFORT 4900 BROADWAY SUITE 400 SAN ANTONIO TX 78209 861123065 501(C)(3) 5000 WOUNDED WARRIORS GRANT PACIFIC DISTRICT 815 DUMBARTON CIR SACRAMENTO CA 98825 330907666 501(C)(3) 18087 AFFILIATE POTOMAC VALLEY AMATEUR HOCKEY 214 LAWTON ST FALL CHURCH VA 22046 522139421 501(C)(3) 7145 AFFILIATE SCHWAN'S SUPER RINK 1700 105TH AVE NE BLAINE MN 55449 411646516 501(C)(3) 23553 DISABLED GRANT STATEWIDE AMATEUR HOCKEY FLORIDA 2324 NE 20TH AVE WILTON MANORS FL 33305 593417365 501(C)(3) 5156 AFFILIATE TEXAS AMATEUR HOCKEY ASSOCIATION 22214 TREESDALE LN KATY TX 77450 731458493 501(C)(3) 5804 AFFILIATE USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501(C)(3) 7320662 GRANT - NHL USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501(C)(3) 4928 LIBRARY GRANT USA HOCKEY INC 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 510204742 501(C)(3) 92005 STRELOW GOAL MNTRSHP GRANT USA WARRIORS ICE HOCKEY PROGRAM 1436 PUTTY HILL AVE TOWSON MD 212868225 263110186 501(C)(3) 5000 DISABLED GRANT WISCONSIN AMATEUR HOCKEY ASSOCIATION 1118 EASTON AVE BELOIT WI 53511 391929213 501(C)(3) 7507 AFFILIATE MINNESOTA HOCKEY ASSOCIATION 15510 199TH NW ELK RIVER MN 55330 411878475 501(C)(3) 5000 AFFILIATE 27 2 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 KEITH GIZZI 152906 0 0 0 0 0 17885 0 14923 0 185714 0 0 0 ROBERT WELDON 0 161654 0 0 0 0 0 14549 0 23947 0 200150 0 0 DAVE OGREAN 0 316444 0 0 0 0 0 28480 0 24393 0 369317 0 0 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: 1,096,191. 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 AND INLINE 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 7908593 CASH USA HOCKEY INC M 0 CASH USA HOCKEY INC N 65047 CASH