CITIZEN CPR FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CITIZEN CPR FOUNDATION INC (EIN 51-0312256)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349304308
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T12:50:09-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TATE AND TRYONBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12021 L STREET NW SUITE 400AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510312256EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CITIZEN CPR FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCITINameControl
Phone7035330251Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 PARK WASHINGTON COURTAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22046ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAULA LANKName
TitleSECRETARY/TREASURERTitle
Phone7035330251Phone
Date Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID M DURENName
Phone2022932200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR TOM P AUFDERHEIDENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 PARK WASHINGTON COURTAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22046ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1272064GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW,CITIZENCPR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionTO SAVE LIVES FROM SUDDEN DEATH BY STIMULATING CITIZEN AND COMMUNITY ACTION.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY1271837ProgramServiceRevenueCY
Investment Income Prior Year1807InvestmentIncomePriorYear
Investment Income Current Year163InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year64OtherRevenueCurrentYear
Total Revenue Prior Year1807TotalRevenuePriorYear
Total Revenue Current Year1272064TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year34000SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year197434OtherExpensePriorYear
Other Expenses Current Year645947OtherExpensesCurrentYear
Total Expenses Prior Year197434TotalExpensesPriorYear
Total Expenses Current Year679947TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-195627RevenuesLessExpensesPriorYear
Revenues Less Expenses CY592117RevenuesLessExpensesCY
Total Assets BOY183638TotalAssetsBOY
Total Assets EOY775755TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY183638NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY775755NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE CITIZEN CPR FOUNDATION IS TO SAVE LIVES FROM SUDDEN DEATH BY STIMULATING CITIZEN AND COMMUNITY ACTION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense550223Expense
Revenue1241237Revenue
DescriptionEDUCATIONAL CONFERENCE: ECCU (EMERGENCY CARDIOVASCULAR CARE UPDATE), CONDUCTED EVERY 2 YEARS, BRINGS TOGETHER HIGHLY MOTIVATED CPR INSTRUCTORS, NURSES, PHYSICIANS, EMTS, PARAMEDICS AND OTHERS INVOLVED IN THE INSTRUCTION AND PRACTICE OF RESUSCIATION. ALSO EDUCATES THE GENERAL PUBLIC ON ISSUES RELATED TO CPR AND PROVIDES CONTINUING EDUCATION TO EMT'S, NURSES, AND PARAMEDICS. ECCU 2010 ATTENDEES TOTALED 2,000.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense71577Expense
Revenue30600Revenue
DescriptionSURVIVOR DINNER: SEPARATE EVENT CONDUCTED AT ECCU TO HONOR AND ACKNOWLEDGE SUDDEN CARDIAC ARREST VICTIMS AND THEIR RESCUERS.Description
FieldValueIRS element (for citing)
Total Program Service Expense621800TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ASMIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7035330251TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 PARK WASHINGTON COURTAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22046ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
TOM P AUFDERHEIDE MD
PRESIDENT4.00XX000
MARY FRAN HAZINSKI RN MSN
VICE PRESIDENT4.00XX000
PAULA LANK RN BSN
TREASURER4.00XX000
EDWARD STAPLETON EMT-P
IMMEDIATE PAST PRESIDENT2.00X000
WILLIAM H MONTGOMERY MD
EMERITUS MEMBER2.00X000
VINAY M NADKARNI MD
ECCU PROGRAM CHAIR2.00X000
JOHN C AMATO
DIRECTOR2.00X000
THOMAS A BARNES EDD RTT
DIRECTOR2.00X000
MARC GAY BA EMT-P
DIRECTOR2.00X000
WARD HAMILTON
DIRECTOR2.00X000
TORE LAERDAL
DIRECTOR2.00X000
DONALD VARDELL MS
DIRECTOR2.00X000
MERRILEE SWEET
DIRECTOR2.00X000
BRAD HOLLAND
DIRECTOR2.00X000
STUART BERGER MD
DIRECTOR2.00X000
LOUIS GONZALES BS LP
DIRECTOR2.00X000
CRAIG A PETERSON
DIRECTOR2.00X000
TONY TITUS
DIRECTOR2.00X000
SHERRIE C WILSON
DIRECTOR2.00X000
SANDRA E CLARKE
ASSOCIATE DIRECTOR15.00X3400000
FieldValueIRS element (for citing)
Total Reportable Comp From Org34000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONFERENCE REGISTRATIO900099698997698997
WORKSHOP REGISTRATION900099246440246440
CONF EXHIBITS & BADGES900099148300148300
CONFERENCE SPONSORSHIP900099147500147500
SURVIVOR DINNER9000093060030600
FieldValueIRS element (for citing)
Total Program Service Revenue1271837TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column163TotalRevenueColumn
Exclusion$163ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column64TotalRevenueColumn
Exclusion$64ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue64TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1272064TotalRevenueColumn
Related Or Exempt Function Income1271837RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$227ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total34000Total
Management And General34000ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total141000Total
Program Services141000ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total180Total
Management And General180ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5321Total
Program Services5321ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total403902Total
Program Services403902ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3594Total
Management And General3594ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SURVIVOR DINNER EXPENSE7157771577
BOARD OF DIRECTORS EXPS1384913849
FUTURE MEETING PLANNING25032503
TELEPHONE/FAX22872287
WEB SITE MAINTENANCE12091209

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total525Total
Management And General525ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total679947Total
Program Services621800ProgramServices
Management And General58147ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY183638BOY
EOY775755EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY183638BOY
EOY775755EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY183638BOY
EOY775755EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY183638BOY
EOY775755EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY183638BOY
EOY775755EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses592117ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76250CurrentTaxYearMinus2Years
Current Tax Year157500CurrentTaxYear
Total315500Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85752CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64528CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years668683CurrentTaxYearMinus2Years
Current Tax Year1114337CurrentTaxYear
Total1933300Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years121252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years110778CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years744933CurrentTaxYearMinus2Years
Current Tax Year1271837CurrentTaxYear
Total2248800Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year20000CurrentTaxYear
Total20000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years75000CurrentTaxYearMinus2Years
Current Tax Year49900CurrentTaxYear
Total124900Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years75000CurrentTaxYearMinus2Years
Current Tax Year69900CurrentTaxYear
Total144900Total
FieldValueIRS element (for citing)
Public Support Total5092103900PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1807CurrentTaxYearMinus1Year
Current Tax Year163CurrentTaxYear
Total20877Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7320CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1807CurrentTaxYearMinus1Year
Current Tax Year163CurrentTaxYear
Total20877Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year24CurrentTaxYear
Total24Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years128572CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114777CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years752521CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1807CurrentTaxYearMinus1Year
Current Tax Year1272024CurrentTaxYear
Total2269701Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92700PublicSupportPercentage509
Prior Year Support Percentage0.94190PriorYearSupportPercentage
Investment Income Percentage0.00920InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01400PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SERVICES PERFORMED OUTSIDE THE U.S.FORM 990, PART IV, LINE 14A:ASSOCIATE DIRECTOR, SANDRA E. CLARKE, RESIDES IN CANADA. HER SERVICES INVOLVE COORDINATION BETWEEN THE EXECUTIVE COMMITTEE AND THE FOUNDATION'S VARIOUS OTHER COMMITTEES.
FORM 990, PART VI, SECTION A, LINE 3RED FLASH GROUP PROVIDED MARKETING, PRODUCTION, AND OTHER SERVICES RELATED TO THE ECCU. ASSOCIATION AND SOCIETY MANAGEMENT INTERNATIONAL PROVIDED CONFERENCE AND MEETING MANAGEMENT, FINANCIAL REPORTING, AND OTHER ADMINISTRATIVE SERVICES. NEITHER RECEIVED FEES IN EXCESS OF $100,000.
FORM 990, PART VI, SECTION B, LINE 11TREASURER RECEIVES AN ADVANCE DRAFT OF THE 990 FOR REVIEW AND ACTION AS APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 12CTHE FOUNDATION HAS ESTABLISHED A CONFLICT OF INTEREST COMMITTEE, WHICH REVIEWS THE ANNUAL DISCLOSURES AND REQUIRED UPDATES. DIFFICULT ISSUES THAT CANNOT BE HANDLED BY THE COMMITTEE ARE TO BE BROUGHT TO THE FULL BOARD FOR DISCUSSION AND RESOLUTION.
FORM 990, PART VI, SECTION C, LINE 19MADE AVAILABLE UPON REQUEST.

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