2011-11-14T14:10:29-06:00 2010-12-31 JONES AND KOLB 3475 PIEDMONT ROAD SUITE 1500 ATLANTA GA 30305 990 2010-01-01 581692997 ARBY'S FOUNDATION INC ARBY 6785145163 1155 PERIMETER CENTER WEST NO 1200 ATLANTA GA 30338 JOHN GRAY 6785145158 2011-11-10 1 G BLISS JONES 4042627920 2010 2016-03-07 17:11:31Z HALA MODDELMOG 1155 PERIMETER CENTER WEST SUITE 1200 ATLANTA GA 30338 11520330 0 X N/A X 1986 GA NON-PROFIT, NON-SECTARIAN GRANT GIVING ORGANIZATION DEDICATED TO THE SUPPORT AND NURTURING OF FAMILIES IN NEED AND THEIR CHILDREN. 12 0 14 454 193458 0 5820185 5195730 0 0 -106154 640342 -201380 -152116 5512651 5683956 3155625 2716913 0 0 1374633 1241928 0 0 627354 525214 2392016 5055472 6350857 457179 -666901 12960851 12860950 305690 526005 12655161 12334945 MAKING A DIFFERENCE ONE CHILD AT A TIME. 0 0 2716913 2716913 CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. 2716913 1 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 14 1 1 1 1 CA 0 0 0 1 1 0 0 X 12 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 GA SC X COLBY LINDSAY 6785145163 1155 PERIMETER CENTER WEST STE 1200 ATLANTA GA 30338 X HALA MODDELMOG 2.00 X 0 0 0 JOHN GRAY 1.00 X 0 0 0 SHARRON BARTON 1.00 X 0 0 0 DAN COLLINS 1.00 X 0 0 0 STEVE DAVIS 1.00 X 0 0 0 DAVID COX 1.00 X 0 0 0 MATT JOHNSON 1.00 X 0 0 0 BRETT PRATT 1.00 X 0 0 0 WADE KINGSLEY 1.00 X 0 0 0 DAVID JORDAN 1.00 X 0 0 0 BRIAN WORDSWORTH 1.00 X 0 0 0 CHUCK SLIKER 1.00 X 0 0 0 JAMES TAYLOR 40.00 X 11102 145186 1646 COLBY LINDSAY 40.00 X 116264 0 8543 JONATHAN DEW 40.00 X 115971 0 11279 243337 145186 21468 2 0 1 0 0 2140302 3055428 50750 5195730 327980 327980 5113214 4800852 312362 312362 312362 671256 2140302 1016830 -345574 -345574 38150 18692 19458 19458 FUNDRAISING MGT FEE 541610 174000 174000 174000 5683956 312362 193458 -17594 2716913 2716913 127367 67724 59643 910683 484229 426454 24947 13265 11682 96964 51558 45406 81967 43584 38383 35000 35000 84546 84546 97417 51631 45786 26079 26079 85291 85291 IMPAIRMENT OF GOODWILL 1845832 1845832 ADMINISTRATIVE 217851 217851 6350857 2716913 3006590 627354 1142282 1167387 203777 103431 50323 36599 31449 23568 553052 190493 80965 362559 7382271 8935566 4069784 2231840 12960851 12860950 255097 198088 1868 1991 48725 330 0 325596 305690 526005 X 12655161 12334945 12655161 12334945 12960851 12860950 X -666901 346685 X 0 1 1 X 0 X 5075959 6185201 6187192 5820185 5195730 28464267 5075959 6185201 6187192 5820185 5195730 28464267 28464267 290731 269106 268209 281003 327980 1437029 245147 112294 163675 206568 193458 921142 30822438 0.92350 0.93310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7203978 1000000 987027 400000 5207 84546 8701252 6031484 950000 961353 675000 3597 60262 7203978 7126522 738036 -1160797 600000 2403 69874 6031484 1.00000 0.00000 0.00000 0 0 553052 190493 362559 362559 GOODWILL 2219297 ACCRUED INTEREST INCOME 12543 2231840 LEASE OBLIGATION 325596 325596 5683956 6350857 -666901 346685 346685 -320216 7066163 346685 1035522 1382207 5683956 0 5683956 7386379 1035522 1035522 6350857 0 6350857 PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 1,016,830. COST OF APPAREL SOLD 18,692. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 1,016,830. COST OF APPAREL SOLD 18,692. 0 0 0 0 0 0 0 X NORTH AMERICA CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. 7031 CHECK 0 FMV NORTH AMERICA CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. 10000 CHECK 0 FMV 0 0 0 0 0 0 ARBY'S CHARITY TOUR 2811558 2140302 671256 26479 235424 140350 614577 2811558 2140302 671256 26479 235424 140350 614577 1016830 -345574 1 ALLIANCE FOR CHOICE IN EDUCATION 1201 E COLFAX AVE SUITE 302 DENVER CO 80218 841531066 501 (C)(3) 333017 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF METRO ATLANTA 100 EDGEWOOD AVENUE ATLANTA GA 30303 580861895 501 (C)(3) 140141 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER CHARLOTTE 2424 N DAVIDSON STREET SUITE 110 CHARLOTTE NC 28205 562264009 501 (C)(3) 134795 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. MADONNA SCHOOL THE 6402 N 71ST PLAZA OMAHA NE 68122 470491332 501 (C)(3) 129689 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BOYS & GIRLS CLUB OF GREATER CINCINNATI 600 DALTON AVE CINCINNATTI OH 45203 310536965 501 (C)(3) 125261 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE GREATER TWIN CITIES 2550 UNIVERSITY AVE STE 410N ST PAUL MN 55114 320017737 501 (C)(3) 104258 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF KENTUCKIANA 322 W BROADWAY STE 600 LOUSIVILLE KY 40202 616057856 501 (C)(3) 80661 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE TRIANGLE 001 NAVAHO DR STE GL-150 RALEIGH NC 27609 562109717 501 (C)(3) 74810 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. INDIANA YOUTH INSTITUTE 603 E WASHINGTON ST SUITE 800 INDIANAPOLIS IN 46204 311251680 501 (C)(3) 75456 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER CLEVELAND 1422 EUCLID AVENUE SUITE 552 CLEVELAND OH 44115 341039700 501 (C)(3) 53504 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER BIRMINGHAM 216 AQUARIUS DRIVE SUITE 315 BIRMINGHAM AL 35209 630647080 501 (C)(3) 62192 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE LEHIGH VALLEY 878 MINESITE ROAD ALLENTOWN PA 18103 231746895 501 (C)(3) 45528 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF MIDDLE TENNESSEE 1704 CHARLOTTE AVE STE 130 NASHVILLE TN 37203 237056024 501 (C)(3) 54258 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF METROPOLITAN DETROIT 23077 GREENFIELD RD 430 SOUTHFIELD MI 48075 386112533 501 (C)(3) 58438 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF UTAH 151 EAST 5600 SO STE 200 SALT LAKE CITY UT 84107 870336168 501 (C)(3) 36453 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF CENTRAL FLORIDA 807 S ORLANDO AVE SUITE L WINTER PARK FL 32789 596555007 501 (C)(3) 34592 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHWESTERN OHIO 1 STRANAHAN SQUARE STE 252 TOLEDO OH 43604 341396251 501 (C)(3) 38424 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTH TEXAS 1400 CRESCENT STREET DENTON TX 76201 750800632 501 (C)(3) 33133 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF CENTRAL MINNESOTA 15 SIXTH AVENUE N ST CLOUD MN 56303 410972056 501 (C)(3) 20404 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE GREATER MIAMI VALLEY INC 184 SALEM AVE DAYTON OH 45406 310641306 501 (C)(3) 18916 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHEAST INDIANA INC 2439 FAIRFIELD AV FORT WAYNE IN 46807 351271943 501 (C)(3) 18187 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHEAST FLORIDA 3100 UNIVERSITY BOVD - 120 JACKSONVILLE FL 32216 590683256 501 (C)(3) 17365 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF CENTRAL OHIO 1855 E DUBLIN-GRANVILLE ROAD COLUMBUS OH 43229 314379429 501 (C)(3) 16178 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER COLUMBIA INC 4300 NORTH MAIN STREET COLUMBIA SC 29203 570570422 501 (C)(3) 15683 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER PITTSBURGH INC 5989 PENN CIRCLE SOUTH PITTSBURGH PA 152063828 256074707 501 (C)(3) 15523 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS COLUMBIA NORTHWEST 1827 NE 44TH AVENUE SUITE 100 PORTLAND OR 97213 931303640 501 (C)(3) 15324 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF WESTERN NORTH CAROLINA INC 50 SOUTH FRENCH BROAD AVENUE ROOM 213 ASHEVILLE NC 28801 581505917 501 (C)(3) 15200 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHEAST ALABAMA 801 EAST BROAD STREET GADSEN AL 35903 630847018 501 (C)(3) 12735 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF CAROLINA YOUTH DEVELOPMENT CENTER 5055 LACKAWANNA BOULEVARD NORTH CAROLINA SC 29405 570669877 501 (C)(3) 12155 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF PUGET SOUND 1600 SOUTH GRAHAM STREET SEATLE WA 981082821 910673185 501 (C)(3) 11615 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHWEST GEORGIA MOUNTAINS INC PO BOX 417 DALTON GA 307220417 581079202 501 (C)(3) 10757 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE BLUEGRASS 1122 OAK HILL DRIVE LEXINGTON KY 40505 610523288 501 (C)(3) 10532 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER GRAND RAPIDS 805 LEONARD STREET GRAND RAPIDS MI 495031198 381358163 501 (C)(3) 10331 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF YORK COUNTY INC 227 WEST MARKET STREET YORK PA 17401 232580603 501 (C)(3) 10097 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF CENTRAL MARYLAND 3600 CLIPPER MILL RD 250 BALTIMORE MD 21211 520631265 501 (C)(3) 10025 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF METROPOLITAN CHICAGO 560 W LAKE STREET 5TH FLOOR CHICAGO IL 60661 362681212 501 (C)(3) 9921 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF EAST TENNESSEE 4928 HOMBERG DRIVE SUITE B1-3 KNOXVILLE TN 379195100 620842531 501 (C)(3) 14870 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF TAMPA BAY INC 711 DALE MABRY AVE STE 300 TAMPA FL 33609 592173085 501 (C)(3) 9774 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF SUMMIT & MEDINA COUNTIES 780 EAST EXCHANGE STREET AKRON OH 44306 341104356 501 (C)(3) 9686 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. GREATER WYOMING BBBS 518 ORD LARAMIE WY 82070 510188774 501 (C)(3) 9547 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTH ALABAMA 3322 SOUTH MEMORIAL PARKWAY SUITE 617 HUNTSVILLE AL 35801 630833364 501 (C)(3) 9441 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF SOUTHERN MINNESOTA 545 DUNNELL DRIVE OWATONNA MN 55060 363501479 501 (C)(3) 9324 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER LOS ANGELES 1055 WILSHIRE BLVD STE 1950 LOS ANGELES CA 90017 951904857 501 (C)(3) 9274 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE OHIO VALLEY INC 101 PLAZA EAST BOULEVARD SUITE 315 EVANSVILLE IN 47715 351305578 501 (C)(3) 9168 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF PINELLAS COUNTY 918 WEST BAY DRIVE LARGO FL 33770 591197491 501 (C)(3) 9161 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS - A COMMUNITY OF CARING 3501 COVINGTON RD KALAMAZOO MI 490011876 381720832 501 (C)(3) 8679 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE LAKESHORE INC 4265 GRAND HAVEN ROAD STE 201 MUSKEGON MI 49441 381918631 501 (C)(3) 8145 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHWESTERN WISCONSIN INC 312 S BARSTOW STREET STE 1 EAU CLAIRE WI 54701 237311200 501 (C)(3) 8139 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE UPSTATE 620 N MAIN 102 GREENVILLE SC 29601 204243553 501 (C)(3) 18061 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE VILLAGE FAMILY SERVICE CENTER 1201 25TH STREET SOUTH FARGO ND 58106 450226423 501 (C)(3) 7821 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF SAN DIEGO COUNTY 8515 ARJONS DRIVE SUITE A SAN DIEGO CA 92126 952151526 501 (C)(3) 7345 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS PROGRAM AGENCY 5100 PEACH STREET ERIE PA 165092418 250987225 501 (C)(3) 7333 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER FLINT 410 E SECOND STREET FLINT MI 48503 382259541 501 (C)(3) 7090 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF ONONDAGA COUNTY 1085 EAST GENESEE STREET 2ND FLOOR SYRACUSE NY 13210 166095039 501 (C)(3) 7085 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE CAPITAL REGION 1500 N 2ND STREET - SUITE H HARRISBURG PA 171022529 232260248 501 (C)(3) 6872 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF GREATER MEMPHIS 81 TILLMAN STREET MEMPHIS TN 38111 237113070 501 (C)(3) 6830 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHEAST OHIO 8 NORTH STATE STREET SUITE 360 PAINESVILLE OH 44077 341753916 501 (C)(3) 6719 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF SOUTH CENTRAL ALABAMA 1284 PERRY HILL ROAD MONTGOMERY AL 36109 630400591 501 (C)(3) 6698 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF JACKSON & PERRY COUNTIES 604 E COLLEGE CARBONDALE IL 62901 370795898 501 (C)(3) 6603 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. SOUTH CENTRAL OHIO BBBS ASSN INC 173 WEST SECOND STREET CHILLICOTHE OH 45601 310968026 501 (C)(3) 6551 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. NUTMEG BBBS INC 30 LAUREL STREET STE 3 HARTFORD CT 061061377 060850378 501 (C)(3) 6348 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS SERVICES INC 107 WESTDALE AVE WINSTONSALEM NC 27101 561161118 501 (C)(3) 6251 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE SHOALS INC PO BOX 652 300 INDUSTRY STREET FLORENCE AL 35630 630966321 501 (C)(3) 6226 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF SOUTHWEST IDAHO INC 2404 W BANK DRIVE SUITE 302 BOISE ID 83705 820349401 501 (C)(3) 6211 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE TRI-STATE SOMERVILLE BUILDING SUITE 3501 FIFTH AVE HUNTINGTON WV 25701 550559711 501 (C)(3) 6189 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS SOUTHEASTERN PENNSYLVANIA 123 SOUTH BROAD STREET STE 2180 PHILADELPHIA PA 19109 231352034 501 (C)(3) 5771 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE LAUREL REGION INC 106 NORTH MAIN STREET GREENSBURG PA 15601 251368402 501 (C)(3) 5675 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF MAHONING VALLEY INC 325 NORTH STATE STREET GIRAD OH 44420 341139677 501 (C)(3) 5601 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF MID FLORIDA 1155 NW 13TH ST GAINESVILLE FL 32601 591643115 501 (C)(3) 5586 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE NORTHWOODS INC 170 N 4TH AVENUE PO BOX 142 PARK FALLS WI 54552 391434354 501 (C)(3) 5561 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE 7 RIVERS REGION 1707 MAIN STREET - 438 LA CROSSE WI 54601 391762460 501 (C)(3) 5533 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. YMCA BBBS OF THE CANTON AREA 408 NINTH STREET NW CANTON OH 44702 340714392 501 (C)(3) 5482 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF OKLAHOMA INC 3015 EAST SKELLY DRIVE SUITE 211 TULSA OK 741056364 731226237 501 (C)(3) 5421 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF RICHLAND COUNTY (IL) 801 S WEST STREET SUITE 117 PO DRAWER D OLNEY IL 62450 371294422 501 (C)(3) 5276 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF THE OZARKS INC 3372 W BATTLEFIELD SPRINGFIELD MO 65807 430971303 501 (C)(3) 5251 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF WEST ALABAMA 2720 6TH STREET 100 TUSCALOOSA AL 35401 630859454 501 (C)(3) 5192 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHWEST FLORIDA 1149 CREIGHTON ROAD SUITE 1 PENSACOLA FL 32504 592996893 501 (C)(3) 5175 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF BURLINGTON CAMDEN & GLOUCESTER 100 DOBBS LANE SUITE 202 CHERRY HILL NJ 08034 226096913 501 (C)(3) 5079 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTERS OF NORTHCENTRAL WISCONSIN 2600 STEWART AVENUE SUITE 262 WAUSAU WI 54401 391274696 501 (C)(3) 5009 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTER OF AMERICA 230 NORTH 13TH STREET PHILADELPHIA PA 19107 231365190 501 (C)(3) 200000 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTER OF EASTERN MISSOURI INC 501 N GRAND BLVD SUITE 100 ST LOUIS MO 63103 430669085 501 (C)(3) 13083 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. BIG BROTHERS BIG SISTER OF NORTHWEST WASHINGTON 4204 MERIDIAN STREET SUITE 101 BELLINGHAM WA 98226 910977422 501 (C)(3) 5410 FMV CONTRIBUTED FUNDS TO LOCAL CHARITIES FOCUSING ON FAMILIES AT RISK. 79 0 X X X 0 0 0 0 0 1 0 0 0 JAMES TAYLOR 9561 145186 1541 0 0 0 574 0 1072 0 12748 145186 0 0 PART I, LINE 6 THE FOUNDATION HAS ESTABLISHED A BONUS INCENTIVE PLAN WHERE EMPLOYEES RECEIVE A BONUS BASED ON ADJUSTED EBITDAR TARGET BASED ON THE ANNUAL BUDGET AND APPROVED BY THE BOARD. THE BUDGET INCLUDES SPECIFIC TARGETS FOR FUNDRAISING ACTIVITIES AND TOURNAMENT EXPENSE CONTROL. ADJUSTED EBITDAR IS DEFINED AS THE FOUNDATION'S INCREASE IN NET ASSETS FOR THE FISCAL YEAR BEFORE INTEREST, TAXES, DEPRECIATION, AMORTIZATION AND RENT EXCLUDING NON-RECURRING AND SPECIAL EXPENSES APPROVED BY THE BOARD. SUCH INCREASE IN NET ASSETS ARE UTILIZED TO FUND THE ENDOWMENT AND ANNUAL GRANT CHARITABLE DONATIONS AS SET FORTH IN THE FOUNDATIONS STRATEGIC PLAN. X AUCTION 5 7500 FAIR MARKET VALUE X HOLE IN ONE 9 10250 FAIR MARKET VALUE X ADVERTISING 2 8000 FAIR MARKET VALUE X OTHER 1 25000 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DIRECTORS HAVE BUSINESS RELATIONSHIPS WITH ALL OTHER DIRECTORS FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE COMMITTEE REVIEWED AND APPROVED A DRAFT OF THE RETURN BEFORE IT WAS FILED FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION COMMITTEE CONDUCTS A SURVEY/STUDY AND THE FINAL AMOUNT IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 PUBLIC INSPECTION COPY OF THE ORGANIZATION'S TAX RETURN IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS ARE CONSIDERED ON AN INDIVIDUAL BASIS. FORM 990, PART VII, SECTION A COMPENSATION FROM RELATED ORGANIZATIONS FOR SIX BOARD MEMEBERS WAS NOT MADE AVAILABLE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 346,685.