2011-08-08T15:51:20-05:00 2010-12-31 STANISLAWSKI & HARRISON CPAS 301 N LAKE AVE SUITE 900 PASADENA CA 91101 990 2010-01-01 237162017 ALISA ANN RUCH BURN FOUNDATION ALIS 8188480223 2501 W BURBANK BLVD NO 201 BURBANK CA 91505 SCOTT VANDRICK 8188480223 2011-08-03 1 BARED DILACAR 6267933600 2011-08-03 2010 2016-02-24 21:20:13Z SCOTT VANDRICK 2501 W BURBANK BLVD NO 201 BURBANK CA 91505 1372296 0 X WWW.AARBF.ORG X 1971 CA TO ENHANCE THE QUALITY OF LIFE FOR BURN SURVIVORS AND TO PROMOTE BURN PREVENTION EDUCATION. 11 11 10 580 0 0 638968 1087358 0 0 900 6199 171249 230875 811117 1324432 0 21656 0 0 381424 449988 0 0 196543 401456 347661 782880 819305 28237 505127 376114 881249 19671 19679 356443 861570 X THE ALISA ANN RUCH BURN FOUNDATION ("FOUNDATION") WAS FOUNDED IN 1971 AND DERIVES ITS NAME AND INSPIRATION FROM AN EIGHT-YEAR-OLD CHILD, ALISA ANN, WHO WAS FATALLY BURNED IN A BACKYARD BARBEQUE ACCIDENT. THE FOUNDATION'S MISSION IS TO ENHANCE THE QUALITY OF LIFE FOR BURN SURVIVORS AND TO PROMOTE BURN PREVENTION EDUCATION. THE FOUNDATION WORKS IN PARTNERSHIP WITH FIREFIGHTERS, EDUCATORS, BURN CARE PROFESSIONALS AND COMMUNITY MEMBERS TO DEVELOP AND IMPLEMENT PROGRAMS AND SERVICES. THE FOUNDATION IS GOVERNED BY AN EXECUTIVE BOARD OF DIRECTORS AND IS AIDED BY A SMALL TEAM OF STAFF LOCATED IN BURBANK, FRESNO AND SAN FRANCISCO. 0 0 366394 21656 BURN SURVIVOR SERVICES: THE ALISA ANN RUCH BURN FOUNDATION PROVIDED EMOTIONAL, FINANCIAL AND RECREATIONAL RESOURCES TO OVER 1,000 BURN SURVIVORS AND THEIR LOVED ONES THROUGHOUT CALIFORNIA. 119445 SUMMER CAMP: THE ALISA ANN RUCH BURN FOUNDATION HOSTED 128 BURN INJURED KIDS AT CHAMP CAMP, A SUMMER CAMP FOR BURN INJURED KIDS. 106834 BURN PREVENTION EDUCATION: THE ALISA ANN RUCH BURN FOUNDATION PROVIDED PREVENTION EDUCATION TO 9,850 SCHOOL CHILDREN IN ELEMENTARY SCHOOL AND OVER 1,000 PEOPLE AT DOZENS OF COMMUNITY HEALTH FAIRS AND OUTREACH EVENTS. 592673 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 10 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 0 1 1 0 CA X X SCOTT VANDRICK 8188480223 2501 W BURBANK BLVD SUITE 201 BURBANK CA 91505 KAREN MILLER 10.00 X X 0 0 0 CARMELA ARGANBRIGHT 10.00 X X 0 0 0 JUAN AZCARATE 10.00 X X 0 0 0 MICHAEL GONZALEZ 10.00 X X 0 0 0 ED DIEDEN 5.00 X 0 0 0 GINO RINALDI 5.00 X 0 0 0 JON JOHNSTON 5.00 X 0 0 0 CINDY MUTOZA 5.00 X 0 0 0 CHRIS BRIDGER 5.00 X 0 0 0 MARCELLE MCCULLOUGH 5.00 X 0 0 0 PATRICIA MIESZALA 5.00 X 0 0 0 SCOTT VANDRICK 40.00 X 84678 0 3408 84678 0 3408 0 0 0 0 0 1087358 1087358 6199 6199 271626 47864 223762 223762 1649 1649 1649 MISCELLANEOUS INCOME 900099 5464 5464 5464 1324432 0 0 237074 21656 21656 84678 63508 10585 10585 290780 176590 8000 106190 6205 4810 495 900 34913 22454 1451 11008 33412 21977 1452 9983 799 494 20 285 55590 34432 2228 18930 2637 1923 152 562 60742 40090 2429 18223 31068 23993 616 6459 2075 1888 22 165 1520 988 63 469 9260 7246 237 1777 SURVIVOR SERVICE PROGRA 135882 135882 CONTRACT SERVICES 38273 26736 1255 10282 PREVENTION MATERIALS 7972 7947 25 MISCELLANEOUS 1843 59 1084 700 819305 592673 30089 196543 68512 115176 230137 179674 10000 511150 3283 9058 102406 101967 1959 439 50000 55998 12223 9754 376114 881249 19671 19679 19671 19679 X 316147 278958 40296 582612 356443 861570 376114 881249 505127 0 X X 0 1 1 X 0 X 361928 591193 568587 638968 550869 2711545 6574 4282 2704 671 1649 15880 453033 476869 421542 205909 271626 1828979 821535 1072344 992833 845548 824144 4556404 94294 209485 156671 240723 166894 868067 9000 11500 9000 11250 9282 50032 103294 220985 165671 251973 176176 918099 3638305 10015 1131 4132 900 6199 22377 10015 1131 4132 900 6199 22377 6072 12379 5082 2230 5464 31227 837622 1085854 1002047 848678 835807 4610008 0.78920 0.52060 0.00490 0.00380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 50000 5998 55998 50000 50000 1.00000 1 0 13234 13234 0 89172 88733 439 439 EAST BAY COMMUNITY - INTERMEDIATE-TERM INVESTMENT POOL 55998 F 55998 1324432 819305 505127 0 505127 1324432 0 1324432 0 1324432 819305 0 819305 0 819305 GOLF TOURNAMENTS 78309 78309 15366 HOOK AND LADDER 39366 39366 24332 6 153951 153951 8166 271626 271626 47864 47864 223762 1 STIPENDS FOR BURN SURVIVOR'S URGENT NEEDS. 4 21656 OTHER INFORMATION: PART IV: A BURN SURVIVOR URGENT NEED IS IDENTIFIED THROUGH THE CASE MANAGEMENT PROCESS; THE STAFF USE A WRITTEN BURN SURVIVOR STIPEND PROCEDURE TO ENSURE ELIGIBILITY; AN APPLICATION IS COMPLETED AND APPROVED BY THE DIRECTOR OF PROGRAMS; AND FUNDS ARE RELEASED TO PURCHASE TANGIBLE GOODS FOR QUALIFIED BURN SURVIVORS. RECEIPTS AND OTHER PAPERWORK IS THAN GATHERED NO MORE THAN 10 DAYS AFTER THE PURCHASE OF THE URGENT NEED ITEM (FOR EXAMPLE PRESSURE GARMENTS, WIGS, A WHEELCHAIR, ETC.) AND SUBMITTED WITH A TALLY SHEET IDENTIFYING THE CLIENT, ITEM AND PAPERWORK. AT THE END OF THE PROCESS, A REPORT IS WRITTEN FOR THE CLIENT'S FILES DETAILING THE NEED AND THE STEPS TO PROVIDE A STIPEND FOR RELIEVING THE ISSUE. FORM 990, PART VI, SECTION B, LINE 11 THE ANNUAL FORM 990 IS REVIEWED AND APPROVED BY ALL BOARD MEMBERS AT BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 12C AT THE ANNUAL MEETING OF THE ALISA ANN RUCH BURN FOUNDATION'S EXECUTIVE BOARD OF DIRECTORS, BOARD MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY, ARE ENCOURAGED TO DISCLOSE CONFLICTS AND THEN EACH SIGN AN ACKNOWLEDGEMENT KEPT ON FILE AT THE ORGANIZATION'S HEADQUARTERED OFFICES IN BURBANK, CALIFORNIA. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, AN AD HOC HUMAN RESOURCE COMMITTEE OF THE EXECUTIVE BOARD OF DIRECTORS, WHICH INCLUDES THE EXECUTIVE DIRECTOR, REVIEW COMPARABILITY DATA IN THE FORM OF THE SALARY AND BENEFIT SURVEY DISTRIBUTED BY THE CENTER FOR NONPROFIT MANAGEMENT. WEIGHING BUDGET SIZE, GEOGRAPHIC REGION AND MARKET, SALARIES AND BENEFITS, INCLUDING THE EXECUTIVE DIRECTOR'S, ARE SET ACCORDINGLY. FORM 990, PART VI, SECTION C, LINE 19 THE ALISA ANN RUCH BURN FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW UPON REQUEST. PART VI, SECTION B, LINE 14 THE ALISA ANN RUCH BURN FOUNDATION'S BOARD OF DIRECTORS IS CURRENTLY DRAFTING A COMPREHENSIVE DOCUMENT RETENTION AND DESTRUCTION POLICY WHICH WILL BE ADOPTED WITHIN THE NEXT CALENDAR YEAR. THIS POLICY WILL BECOME PART OF THE ORGANZATION'S CURRENT ADMINISTRATIVE POLICIES. PART XII, LINE 2C NO CHANGE TO PROCESS.