2011-03-18T09:35:19-05:00 2010-08-31 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS SUITE 150 COLORADO SPRINGS CO 80907 990 2009-09-01 742553720 USA Hockey Foundation USAH 7195768724 1775 Bob Johnson Drive Colorado Springs CO 80906 Dave Ogrean 7195768724 2011-03-17 1 Jill J Goodwin 7195909777 2009 2016-02-24 21:20:13Z DAVE OGREAN 1775 Bob Johnson Drive Colorado Springs CO 80906 8061711 0 X N/A X 1989 CO TO RAISE FUNDS AND ACQUIRE ASSETS FOR USA HOCKEY, INC. (AN EXEMPT ORGANIZATiON) AND TO ENCOURAGE, IMPROVE AND PROMOTE AMATEUR ICE HOCKEY IN THE UNITED STATES. 19 19 2 19 0 0 912032 7089799 68105 40210 184739 505239 239698 319089 1404574 7954337 780144 6974907 0 288510 333483 0 493405 233759 315474 1302413 7623864 102161 330473 17383546 18997637 2737275 3577828 14646271 15419809 TO RAISE FUNDS AND ACQUIRE ASSETS FOR USA HOCKEY, INC. (AN EXEMPT ORGANIZATiON) AND TO ENCOURAGE, IMPROVE AND PROMOTE AMATEUR ICE HOCKEY IN THE UNITED STATES. TO PROVIDE LONG RANGE FINANCIAL SUPPORT FOR USA HOCKEY AND PROMOTE THE GROWTH OF HOCKEY IN THE UNITED STATES; 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. 0 0 6974907 6974907 Support for USA Hockey, Inc. in the form of grants in support of Hockey programs, as well as block grants to affiliated 501 (c)(3) entities. 21091 21800 Patty Kazmaier Memorial Dinner. 17315 18410 Lester Patrick Award Luncheon. 6152 Alumni Program 512 B. Burke Internship Program 6664 7019977 1 1 0 0 0 0 1 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 1 0 0 1 2 1 0 0 0 0 0 0 0 0 0 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AZ AR CA CT UT FL GA IL KS KY ME MD MA MI MN MS NH NJ NM NY NC ND OH OK OR PA RI SC TN VA WA WV WI DE HI ID IN IA LA MO MT NE NV SD TX VT WY CO X The Organization 7195768724 1775 Bob Johnson Drive 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 149234 0 28354 Bob Weldon 2.00 X 0 162577 38579 Dave Ogrean 2.00 X 0 285367 50076 149234 447944 117009 1 0 1 0 0 7089799 7089799 Patty Kazmaier memoria 900099 21800 21800 Lester Patrick award l 900099 18410 18410 40210 340600 340600 367500 106819 260681 260681 260681 164639 164639 164639 164639 1005 555 450 450 Miscellaneous income 900099 57958 57958 57958 7954337 263257 0 601281 6874907 6874907 100000 100000 167120 167120 99446 99446 14332 14332 36499 10066 26433 16086 16086 68726 68726 54826 1379 8757 44690 2206 1254 290 662 64238 34159 9917 20162 Trophies & awards 34523 3307 31216 Equipment rental 30258 1500 28758 Postage & shipping 20914 1037 2191 17686 Printing 19281 2108 5070 12103 Grants 10000 10000 10502 326 5465 4711 7623864 7019977 110482 493405 361280 391468 557875 1912012 5233 4410 3135088 838531 2358579 2296557 12862386 13110056 776903 826881 461290 456253 17383546 18997637 3013 34052 398928 1498698 2150000 2020000 185334 25078 2737275 3577828 X 12910781 14063600 1735490 1215333 140876 14646271 15419809 17383546 18997637 X 0 1 1 X 0 X X 0 0 0 USA Hockey Inc 510204742 9 1 1 1 6974907 1 6974907 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 400000 0 0 140876 140876 1.00000 0 0 3108127 750489 2357638 26961 88042 -61081 2296557 Due to USA Hockey, Inc. 17991 Accrued liabilities 7087 25078 7954337 7623864 330473 443065 443065 773538 8397402 443065 443065 7954337 0 7954337 7623864 0 7623864 0 7623864 Part III, Line 4: The collection consists of two oil paintings valued at $400,000 that were donated with a restriction that the Foundation could not sell them until 2010. 0 0 0 0 Canada Grant - One Goal 100000 Check 1 Schedule F, Part IV Other Information The Grantee is required to report to the Foundation the outcomes of the funded program at the completion of the project. 1 USA Hockey Inc 1775 Bob Johnson Drive Colorado Springs CO 80906 510204742 501(c)(3) 6425602 NHL Grant USA Hockey Inc 1775 Bob Johnson Drive Colorado Springs CO 80906 510204742 501(c)(3) 40000 Sled Hockey USA Hockey Inc 1775 Bob Johnson Drive Colorado Springs CO 80906 510204742 501(c)(3) 68211 Strelow Goal Mentorship Michigan Amateur Hockey Association 819 Park Street Lincoln Park MI 48416 382556088 501(c)(3) 24066 Affiliate Grant to support amateur hockey programs Mobility Sports 11212 Ransom Court Fort Wayne IN 46465 205073795 N/A 12118 Disabled - Sled Lending Massachusetts Hockey Association 20 Gregory Lane West Springfield MA 10189 043130566 501(c)(3) 18290 Affiliate Grant to support amateur hockey programs Amateur Hockey Association Illinois 2744 Whispering Oaks Drive Buffalo Grove IL 60089 362883831 501(c)(3) 10181 Affiliate Grant to support amateur hockey programs Amateur Hockey Association Illinois 2744 Whispering Oaks Drive Buffalo Grove IL 60089 362883831 501(c)(3) 7000 Diversity grant Columbus Ice Hockey Club 240 W Oakland Avenue COLUMBUS OH 43201 311653367 501(c)(3) 5000 Diversity Grant Evanston Youth Ice Hockey Assoc 1536 W Hood Chicago IL 60660 237380547 501(c)(3) 5000 Diversity Grant Fort Dupont Ice Hockey 1328 Aspen Street NW Washington DC 20012 522123478 501(c)(3) 6000 Diversity Grant Detroit Hockey Association 19370 Wyoming Street Detroit MI 48221 710965782 501(c)(3) 5000 Diversity Grant Dino Mights 3400 Park Avenue South Minneapolis MN 55407 411831084 4947(a)(1) 5000 Diversity Grant Mayo Clinic Sports Medicine center 200 First St SW Rochester MN 55905 416011702 501(c)(3) 6000 Grant - SPEC Statewide Amateur Hockey Florida 2324 NE 20th Avenue Wilton Manors FL 33305 593417365 501(c)(3) 5056 Affiliate Grant to support amateur hockey programs Atlantic Amateur Hockey Association PO Box 213 Lafayette Hill PA 19444 237375622 501(c)(3) 16221 Affiliate Grant to support amateur hockey programs Missouri Hockey Inc 539 Southern Hills Drive Eureka MO 63025 431602178 501(c)(3) 8734 Affiliate Grant to support amateur hockey programs Colorado Amateur Hockey Association 1416 Garfield CT Louisville CO 80027 841303384 501(c)(3) 6404 Affiliate Grant to support amateur hockey programs Mid-american Hockey Association 1127 Country Club Road Monongahela PA 15063 351964943 501(c)(3) 13651 Affiliate Grant to support amateur hockey programs Minnesota Hockey Association 15510 199th NW Elk River MN 55330 411878475 501(c)(3) 22223 Affiliate Grant to support amateur hockey programs New England District Hockey 200 Kimball St Littleton NH 03561 020495890 501(c)(3) 14655 Affiliate Grant to support amateur hockey programs New York State Amateur Hockey Association 57 Countrygate Lane Tonwanda NY 14150 161184849 501(c)(3) 20183 Affiliate Grant to support amateur hockey programs Pacific District 815 Dunbarton Circle Sacramento CA 98825 330907666 501(c)(3) 18118 Affiliate Grant to support amateur hockey programs Potomac Valley Amateur Hockey 214 Lawton Street Fall Church VA 22046 522139421 501(c)(3) 6747 Affiliate Grant to support amateur hockey programs Texas Amateur Hockey Association 22214 Treesdale Lane Katy TX 77450 731458493 501(c)(3) 5859 Affiliate Grant to support amateur hockey programs Wisconsin Amateur Hockey Association 1118 Easton Avenue Beloit WI 53511 391929213 501(c)(3) 7492 Affiliate Grant to support amateur hockey programs The Gardens Ice House 13800 Old Gunpowder Rd Laurel MD 20707 521943492 N/A 25000 Disabled - Ice Time Rental 22 3 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 149234 0 0 0 0 0 13431 0 14923 0 177588 0 0 0 Bob Weldon 0 162577 0 0 0 0 0 14632 0 23947 0 201156 0 0 Dave Ogrean 0 285367 0 0 0 0 0 25683 0 24393 0 335443 0 0 Form 990, Part VI, Section B, line 11 The Form 990 is first reviewed by the audit committee. A copy of the return is then provided to board members for their review. The return is signed by the Executive Director or Treasurer before filing with the IRS. 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 B, line 15 The executive Direcor's compensation is reviewed and approved by a compensation committee. Other key employee's compensation is determined by the Executive Director and reviewed by the compensation committee. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. The review procedure for the audited financial statements 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 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 USA Hockey Inc C 6583813 USA Hockey Inc I 367500 USA Hockey Inc M 0 USA Hockey Inc N 60019