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      <ActivityOrMissionDescription>THE MISSION OF THE AMERICAN LUNG ASSOCIATION IS TO SAVE LIVES BY IMPROVING LUNG HEALTH AND PREVENTING LUNG DISEASE.</ActivityOrMissionDescription>
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      <MissionDescription>The American Lung Association's mission is to save lives by improving lung health and preventing lung disease, with the ultimate vision of a world free of lung disease. The National Headquarters of the American Lung Association fights lung disease through its own activities and by servicing, supporting, and leading its local Lung Associations. Among its varied responsibilities, the National Headquarters:*Funds research into the causes, prevention, and cures of lung disease. *Advocates at the national level for policies that protect lung health, including fighting for healthy air. *Provides a broad array of health educational programs and services to support smoking cessation, help prevent lung disease and to assist people with lung disease in better managing their condition.*Supports local Lung Associations' implementation of health educational programs and dissemination of educational material.[SEE CONTINUATION OF MISSION STATEMENT ON PAGE 57 OF THE RETURN ON SCHEDULE O]</MissionDescription>
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      <Description>PUBLIC HEALTH EDUCATIONEvery year, the American Lung Association helps people manage their lung disease, overcome their nicotine addiction, and live healthier lives. The two key components of the National Headquarters' work are supporting our network of local Lung Associations and developing lung health education materials for the public. Local Lung Associations rely on us to develop health programs and provide expert training, guidance and materials to support their mission outreach. We are also a trusted resource where the public can find information on myriad lung diseases, make treatment decisions, and get support and tools to manage their conditions or care for a loved one. This past year we provided a wide array of services to help prevent and treat lung disease.In 2009-10 we substantially advanced this mission, touching lives from coast to coast.Lung Disease:Connected Patient and Families with Expert Advice:- In all of our programs and health education materials, people with questions about lung health are referred to the American Lung Association's Lung HelpLine at 1-800-LUNG-USA. In 2010, the nurses and respiratory therapists who staff the Lung HelpLine answered almost 100,000 calls on topics ranging from clean air to helping a family member quit smoking.Matched Lung Cancer Patients with Help:- The Lung Cancer Clinical Trials Matching Service is specifically designed for lung cancer patients and their families and is being conducted in collaboration with twelve lung cancer advocacy organizations. This service provides personalized education and helps to identify clinical trial options based on a person's specific diagnosis, stage and treatment history. Each person is also assigned a specially trained Clinical Trials Navigator who serves as a guide though the process.Provided Easy Way to Assist Lung Disease Patients:-The American Lung Association provides "My Fighting for Air Community" (http://lungusa.lotsahelpinghands.com/caregiving/home/), a free and easy way for people with lung disease and their families to receive support from those that care about them. Users can create private, secure web pages to post updates on medical matters and other aspects of their lives. They can also use a "care coordination calendar" to post a list of items for which they need help, like transportation, meals or household chores. Friends and family members can then sign up to assist the patient with those tasks.Highlighted Disparities in Lung Health:-This year, we introduced a new series of reports that spotlight groups disproportionately affected by lung disease in our society. Too Many Cases, Too Many Deaths focused on the elevated rate of lung cancer in the African American population. Smoking Out a Deadly Threat, our lung disparity report investigated the possible causes of and solutions to the high rate of tobacco use in lesbian, gay, bisexual and transgender (LGBT) communities. Tobacco:Helped Thousands of Smokers to Quit:- The American Lung Association's "Freedom From Smoking(R)" and "Not-On-Tobacco(R)" (N-O-T) have helped hundreds of thousands of teen and adult smokers quit. Each program guides the smokers through the quitting process, helping them to determine their smoking pattern, create an individualized quit plan and navigate the first few weeks as a nonsmoker. In FY2010, the two programs helped around 25,000 smokers end their addiction to nicotine and transition to a new, smokefree lifestyle.Extended Our Online Reach:- We unveiled a "Freedom From Smoking(R)" Online in October 2009. The updated site features expanded social networking capabilities, downloadable relaxation exercises and improved navigation. It also provides members with a space to blog about their experiences, ask questions, and give support to one another as they go through the process of quitting smoking. The site includes resources for pregnant and postpartum women.</Description>
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        <Description>FIELD FUNDRAISINGThe American Lung Association's Planned Giving team focuses its work on assisting with field development by providing support to the ALA chartered regional associations. This support includes training local staff to be effective planned giving fundraisers; helping develop annual regional work plans; being informed on local follow up activities pertaining to requests from donors for planned giving information; reviewing quarterly reports on planned giving income and bequest notifications; sending reports to regional CEOs on the planned giving work in their geographic areas.A variety of National staff provide Special Events support to the ALA chartered regional associations. This support is designed to assist in the development, marketing and implementation of events and promotions strategies. Among the assistance provided are planning (goal setting, strategic review, development of template material, feasibility studies); training (monthly conference calls, best practice staff training, listserv based materials, staff training calls, etc.); implementation (sponsorship calls, recruitment, event attendance/participation); coaching (staff, leadership, volunteers); coordination of collateral; providing a national incentive program; solicit national sponsors/teams; facilitate and integrate e-commerce platforms; and evaluation of new events. The primary focus is to increase the Chartered Associations net revenue and fully integrate best practice strategies into the overall work plan.The Major Gifts team works with the ALA chartered regional associations on joint funding prospects and provides one-on-one assistance when requested. Among the support activities are compilation of research lists and development of research profiles; evaluation of funding proposals; strategic advice regarding funding initiatives and prospects; providing training at staff meetings and conference calls.The Direct Response team develops and implements campaign plans for all direct mail appeals, telemarketing campaigns and the residential program in conjunction with our direct response consulting agency. All funds generated are deposited directly into local association accounts on a regular (weekly or bi-weekly) basis with detailed reports by campaign for the current period and YTD. Local associations are billed monthly for direct response expenses and quarterly for a 30% share of the net income generated by the programs. Associations are provided with a budget for each program along with cash flow and billing schedules, as well as quarterly updates on actual performance. Billed expenses are reconciled to actual costs at the end of the fiscal year. Images of all rollout mailing packages are posted on LungNet for reference by local associations. Monthly direct response calls or meetings are conducted to which all local CEOs are invited to participate for updates on the program and any issues or questions that arise.</Description>
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        <Description>RESEARCHFunding research has been a cornerstone of the Lung Association's fight against lung disease for more than a century. In 2009-10, our donors again made it possible to fund high quality researchers seeking treatments and cures for an array of lung diseases from asthma to lung cancer. Our Nationwide Research Awards and Grants Program fosters laboratory and patient-centered and social behavior research to prevent, treat and hopefully find a cure for all lung diseases. In 2009-10, our program funded 55 grants to further promising, cutting-edge research. Additional support in funding this year's research program came from partnerships with Alpha-1 Foundation, LUNGevity Foundation, the CHEST Foundation, NTM Info and the National Sleep Foundation. The Lung Association's Asthma Clinical Research Centers Network (ACRC) continues to contribute major improvements to asthma treatments through a network of 18 clinical centers throughout the country. In 2009-10, ongoing ACRC research centered on two major questions: what is the interaction between acid reflux and asthma in children, is methacholine challenge still a sensitive test in the diagnosis and/or confirmation of asthma. Two ACRC manuscripts, TAPE and SIRNA were published in the Journal of Allergy and Immunology and CHEST, respectively. The TAPE trial found that neither the presence of a placebo nor enhancing patients expectancy about the effectiveness of a drug had an effect on lung function. However, study participants in the placebo with enhanced messages group reported an improvement in their asthma symptoms despite no improvement in lung function. The SIRNA trial developed a simple and reliable five-item questionnaire that could accurately screen for sinonasal disease, reducing the need for expensive CT scans and invasive endoscopy.</Description>
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        <Description>AdvocacyEvery year, the American Lung Association fights for public policies to protect your right to breathe healthy air, free of air pollution or tobacco smoke. In FY 2010, our advocacy efforts again yielded important victories.Healthy Air:-The Lung Association won a crucial victory in January when the EPA set stronger emissions standards for nitrogen dioxide, which will protect communities along major roads and highways. Lung Association volunteers testified in Arlington, VA, Houston, and Sacramento in February to support the EPA's proposal to lower the nation's limit on ozone pollution. For those living near major seaports, the Lung Association advocated for EPA's new rules, enacted in April, for ocean-going vessels to use cleaner fuel and emissions control technology. The EPA's new sulfur dioxide standard, enacted in June, will provide additional public health protection near industrial facilities. Our State of the Air 2010 report acknowledged progress against air pollution in many areas, but found that nearly six out of ten Americans live in areas where air pollution levels endanger lives. This eleventh annual report also found that nearly every major city was still burdened by air pollution, although most of the cities with the highest ozone and short-term particle levels reduced their pollution levels. The State of the Air report (www.stateoftheair.org) included a national air quality "report card" that assigned A-F grades to communities across the country. It also ranks cities and counties most affected by the most widespread types of pollution, ozone and particle pollution, and details trends for the most polluted cities over the past decade.Health Care:-The American Lung Association fought for expanded access to quit-smoking treatments under the landmark Patient Protection and Affordable Care Act (PPACA). The law extends health insurance coverage to millions of Americans who are currently uninsured -- including those with lung disease. The law puts a major emphasis on prevention and management of chronic diseases including COPD and asthma. Asthma:-The American Lung Association hosted a day-long workshop in June to develop strategies for national opportunities for improving healthy housing, including the adoption of smokefree public housing to help improve the asthma of especially vulnerable people. Tobacco Control:The American Lung helped ensure that FDA is moving forward with the new law that gives the U.S. Food and Drug Administration (FDA) effective authority to regulate tobacco products' manufacture, distribution, and sale to protect the public health. A new Center for Tobacco Products at FDA in September 2009 banned the sale of candy and fruit flavored cigarettes that targeted children and teens. In June, the FDA forbid companies from using misleading descriptors in the names of their cigarettes, such as light, low and mild. Also in June, new restrictions took effect that eliminated cigarette vending machines, tobacco branded products like t-shirts and hats and banned free cigarette samples as part of a suite of requirements to block the sale, marketing and promotion of tobacco products to children. In November 2009, we issued our 2nd annual comprehensive look at state coverage of tobacco cessation treatment, Helping Smokers Quit: State Cessation Coverage. The report showed states are missing a big opportunity to help smokers quit and to save themselves money by covering comprehensive tobacco treatments. State of Tobacco Control 2009 graded the strength of state and federal laws to protect citizens from tobacco-caused illnesses at the heart of Americas chronic disease crisis. The report found that the federal government and most states failed to enact critical policy measures to protect people from deadly tobacco products. No state received all A's and six states received all F's. Our 2009 State Legislated Actions on Tobacco Issues report and online database provided the data that underpins the State of Tobacco Control report.Kansas and Michigan met our Smokefree Air Challenge, making the total 27 states as well as the District of Columbia with comprehensive laws protecting people from exposure to deadly secondhand smoke. Eight additional states have strong, but not fully comprehensive laws.</Description>
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        <Description>SUPPORT OF AMERICAN LUNG ASSOCIATION CHARTERED ASSOCIATIONSThe American Lung Association national headquarters supports its 10 chartered associations through coaching, training, consultation and technical assistance. American Lung Association staff and volunteers throughout the country are provided skill-building and other learning opportunities to help them successfully deliver the American Lung Association's mission. Through implementation of these staff learning and volunteer development offerings, chartered associations are kept current on best practices in lung health programs and delivery, advocacy, financial management, fundraising, leadership development and volunteer management. One-on-one coaching and consultation by national headquarters staff is offered as needed or requested. Individual discipline groups (e.g. chief executive officers, chief financial officers, chief development officers, program managers, etc.) meet regularly with national headquarters peers to share ideas, problem-solve, and network.The American Lung Association conducts a nationwide volunteer and staff recognition program. Volunteers and staff are recognized on an ongoing basis for outstanding performance. An annual recognition ceremony is held at a meeting of the American Lung Association Board of Directors and Nationwide Assembly where awards for highest achievement are given in specific categories.The American Lung Association Board of Directors provides strategic direction for the national headquarters and its chartered associations. Coordination and monitoring of national and chartered association strategic alignment is provided through a Board-approved metric-based performance management system.The American Lung Association Board of Directors is responsible for oversight of chartered association compliance to policies and performance standards. Assistance is provided by the national headquarters to those chartered associations that do not meet requirements and/or standards.</Description>
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        <NamePerson>Arthur A Cerullo JD</NamePerson>
        <Title>assembly Speaker</Title>
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        <NamePerson>John F Emanuel JD</NamePerson>
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        <NamePerson>KathRYN A FORBES CPA</NamePerson>
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        <NamePerson>Michael A Gardner</NamePerson>
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        <NamePerson>Adam S Goldberg Esq</NamePerson>
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        <NamePerson>H James Gooden</NamePerson>
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        <NamePerson>VirGINIA L HALL</NamePerson>
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        <NamePerson>Ross P Lanzafame</NamePerson>
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        <NamePerson>Edward Miller</NamePerson>
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        <NamePerson>Leslie M Newman JD</NamePerson>
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        <NamePerson>Stephen J Nolan Esq</NamePerson>
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        <NamePerson>Shola Oyewole</NamePerson>
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        <NamePerson>Mary H Partridge</NamePerson>
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        <NamePerson>Albert A Rizzo MD</NamePerson>
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        <NamePerson>Frank Scott Rotruck</NamePerson>
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        <NamePerson>E Neil Schachter</NamePerson>
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        <NamePerson>Dean A Zerbe JD LL</NamePerson>
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        <NamePerson>James L McDaniel</NamePerson>
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        <NamePerson>Charles D CONNOR</NamePerson>
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          <BusinessNameLine1>Ala of California</BusinessNameLine1>
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        <EINOfRecipient>940362650</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>52962</AmountOfCashGrant>
        <PurposeOfGrant>Federal Grants &amp; Program Site Grants (4720, 4880, 4920, 4950, 4980)</PurposeOfGrant>
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          <AddressLine1>2625 Third Avenue</AddressLine1>
          <City>Seattle</City>
          <State>WA</State>
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        <EINOfRecipient>264010540</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Federal Grants &amp; Program Site Grants (4920)</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALA of Mid-Atlantic</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3001 Old Gettyburg Road</AddressLine1>
          <City>Camp Hill</City>
          <State>PA</State>
          <ZIPCode>17011</ZIPCode>
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        <EINOfRecipient>251825116</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <PurposeOfGrant>Federal Grants &amp; Program Site Grants (4730, 4920, 4980)</PurposeOfGrant>
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          <BusinessNameLine1>ALA of Mountain Pacific</BusinessNameLine1>
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          <AddressLine1>7420 SW Bridgeport Road</AddressLine1>
          <City>Tigard</City>
          <State>OR</State>
          <ZIPCode>97224</ZIPCode>
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        <EINOfRecipient>930386887</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50688</AmountOfCashGrant>
        <PurposeOfGrant>Federal Grants &amp; Program Site Grants (4720, 4890,4920, 4980)</PurposeOfGrant>
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          <BusinessNameLine1>ALA of New York</BusinessNameLine1>
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          <AddressLine1>116 John Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
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          <State>TX</State>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The American Lung Association prepares its Form 990 and then submits it to an outside accounting firm for review and it has also established the following review process to ensure that the information reported is complete and accurate. Then the Form 990 has been prepared, reviewed by management and the accounting firm, and is ready to be filed with the Internal Revenue Service, it is submitted electronically to members of the organization's governing body, the Finance Committee, for any comments prior to its submission. These members of the governing body then has 10 days to review the form, they then meet by conference call, to review any comments by the group and agree to any changes that may need to be made to the form prior to its submission to the Internal Revenue Service. Each of these comments are documented, addressed and finalized before the submission.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>ALA currently has in place a conflict of interest policy which it annually monitors and enforces. The board currently mandates that all members of management, the governing body, and staffs annually sign a conflict of interest policy and disclose any potential or actual conflicts that may exist. The signed conflict of interest policy is submitted to the governance committee. These statements are reviewed for potential or actual conflicts. If a potential or actual conflict of interest exists, the committee will notify members of management about such conflict and investigate the conflict. If management establishes that an actual conflict exists, a member of management will be notified immediately and will not be allowed to vote or be a part of any decisions about any such transactions that have to do with the conflict until such time there is no longer a conflict.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The American Lung Association has established a compensation policy for their leadership committee to follow in establishing the compensation for their CEO, top management official, other officers or key employees. The policy mandates that executive compensation be periodically reviewed by the committee and that the committee should be free of conflicts of interest. In addition, the approving committee needs to review appropriate and adequate data to determine the reasonableness of the compensation being considered. The committee may use a variety of information and studies that are available to determine that the appropriate level of compensation is being paid to its executives. The committee's decision on the amount of compensation paid is documented in a contemporaneously written format and should document the date of the decision, the members present during the meeting and those who voted on it, the details of the transaction that was approved and the comparable date used and relied upon to make the decision. The compensation review process for the CEO and other officer or key employees was last undertaken on October 28, 2009.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>Forms available to the public The three most recent years of Form 990 and Annual Reports are available on American Lung Association's website www.lungusa.org. Governing documents and conflict of interest policy are available to the public per request. Our website also provides the names of our Board of Directors and our Ethics Policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PAGE 12, PART XI, LINE 2C:</Identifier>
        <ReturnReference>Finance/Audit Committee</ReturnReference>
        <Explanation>The joint Finance/Audit Committee of the Board has the fiduciary responsibility for hiring of the audit firm, the review of the risk issues for the association and the final audit review and package that is accepted by the Board. The Committee meets with the audit firm independently from staff during the audit review process and recommends to the Board the acceptance of the Audit and its findings.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PAGE 3, PART III, LINE 1: MISSION STATEMENT CONTINUED FROM PAGE 5</Identifier>
        <Explanation>*Provides an array of learning opportunities and tools to develop nationwide volunteer and staff leaders. *Provides epidemiological data, medical and scientific advice and counsel to Lung Associations and the public. *Provides the public with the latest information on lung disease, and national and local Lung Association activities through the American Lung Association web site, www.lungusa.org. *Ensures that all programs and services are culturally sensitive and that they respond to the lung health needs of all communities. The Program Services of the American Lung Association National Headquarters can be broken down into four broad categories: Research, Advocacy, Public Health Education and Field Support.</Explanation>
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