2011-11-10T16:58:22-06:00 2010-12-31 Capin Crouse LLP 972 Emerson Parkway Ste A Greenwood IN 46143 990 2010-01-01 841543484 Samaritan Aviation SAMA 9702494341 PO Box 492 Montrose CO 814019606 Gary Bustin 9702494341 2011-11-10 1 Todd Ensign 3178852620 2010 2016-03-07 17:11:31Z Gary Bustin PO Box 492 Montrose CO 814019606 631716 0 X www.samaritanaviation.com X 1999 CO To promote the gospel by providing mission, medical, and aviation services. 10 7 7 15 0 0 492311 577402 0 30028 39065 87 -7901 1392 523475 608909 57944 11055 0 0 158326 133987 0 0 104901 271488 359349 487758 504391 35717 104518 1045238 1155949 86180 92373 959058 1063576 X Samaritan Aviation's mission is to care for people in need by providing medical and aviation services with the goal of helping them find ultimate healing. 0 0 230753 11055 30028 Samaritan Aviation provided medical, mission and aviation support in Papua New Guinea. In 2010 we air evacuated over 50 critically ill or injured individuals, almost half of these were mother's in distressed. Our float plane delivered lifesaving medicine to two villages with cholera outbreaks. We also supplied over 15 thousand pounds of medical supplies to more than 20 village aid posts.Samaritan Aviation provided Mercy Flights for 5 individuals, some more than once during 2010 that were too ill to travel by road or commercial airline. In several of the flights we were able to fly the patients to medical appointments which allowed them to return to the comfort of their own home in the same day. We also follow-up with flight patients & their families to offer our continuous support through our organization. 230753 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 7 1 0 1 PP 0 0 0 1 1 1 1 0 0 1 0 X 10 7 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 X The Organization 9702494341 PO Box 492 Montrose CO 814019606 Gary Bustin 40.00 X X 16665 0 35000 Stephen Mark Palm 40.00 X X 15148 0 38603 Matthew Palm 5.00 X X 0 0 0 Patrick Clowes 1.00 X 0 0 0 Jacob Carroll 8.00 X 0 0 0 Dr Dan Cranston 1.00 X 0 0 0 Scott Friedman 2.00 X 0 0 0 Joey Burns 5.00 X 0 0 0 Cameron Nevins 2.00 X 0 0 0 Dr David Brown 1.00 X 0 0 0 31813 0 73603 0 0 0 0 0 20430 556972 119615 577402 PNG Mercy flights 900099 15064 15064 Young Samaritan Thrift 453310 14964 14964 30028 87 87 24199 20430 22807 1392 1392 608909 30028 0 1479 9629 9629 500 500 926 926 105417 42167 31625 31625 26411 8282 18129 2159 826 815 518 3705 3705 4936 4936 23814 9113 8988 5713 57052 21834 21531 13687 4042 1547 1525 970 30776 11778 11615 7383 108866 41662 41088 26116 5485 2099 2070 1316 69806 26714 26346 16746 2713 1038 1024 651 Aircraft maintenance 40409 40409 Program shipping 6034 6034 Projects 979 979 Miscellaneous 732 280 276 176 504391 230753 168737 104901 41020 118751 60768 44519 10000 720263 202584 458450 517679 475000 475000 1045238 1155949 12742 23562 73438 68811 86180 92373 X 932814 1018952 26244 44624 959058 1063576 1045238 1155949 104518 0 X 0 0 0 X 913862 688240 488418 492311 577402 3160233 913862 688240 488418 492311 577402 3160233 661872 2498361 12 27 1654 4931 87 6711 35210 24199 59409 3226353 31672 0.77440 0.86660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6593 6593 148316 5133 143183 560944 193898 367046 4410 3553 857 517679 Deposit on kodiak airplane 475000 475000 1 East Asia and the Pacific 1 1 Program service expense Medical, mission and aviation support in the region. 234543 1 0 1 234543 0 234543 0 0 0 0 0 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: The organization transports medical supplies to and patients from remotely located hospitals and aid ports located in the jungle. During the delivery of the supplies, personnel will perform site visits and then the board of directors assesses their needs based on those site visits. Method Used to Acccount for Expenditures: Schedule F, Part I, Line 3: Expenses are accounted for based on the accrual method of accounting. Expenses consist of program expenses and travel to and around region. Dinner/Auction 44629 20430 24199 2053 6023 14731 44629 20430 24199 2053 6023 14731 22807 1392 1 Project CURE Inc 10377 Geddes Ave Ste 200 Centennial CO 80112 841568566 501 (c) 3 9129 To provide medication and medical supplies for people in need. 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are given to other organizations with similar ministry purpose, in order to minister and provide medication to patients in PNG hospitals and remote areas more efficiently. X 1 111115 Fair market value X Auction items 56 8500 Fair market value 1 0 0 0 Method for Determining Number of Contributors: Part I, Column (b): Number of items contributed Form 990, Part VI, Section A, line 2 Board members Mark Palm and Matthew Palm are brothers. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by an independent CPA firm, reviewed by the executive and finance teams, and then made available to the board prior to being filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The conflict of interest policy is enforced through oversight by the Board of Directors and Executive Committee. Form 990, Part VI, Section B, line 15a Independent members of Samaritan Aviation's Board of Directors decides on the salary of top management and bases it on what they see as fair compensation using management and aviation industry experience. The process and voting is documented in the board minutes. Form 990, Part VI, Section C, line 19 These documents are available upon request.