[efile GRAPHIC print - DO NoT process [As Filed Data- J LN: 9349328801286) 990 Return of Organization Exempt From Income Tax ~ Under section 501(), 527, oF 4947(a)(1) of the Intemal Revenue Code (except private Caer foundations) Department of the > Do not enter social security numbers on this form as it may be made public Treasury pores > Information about Form 990 and its instructions 1s at www [RS gov/formo90 Internal Revenue Service ‘A For the 2014 calendar year, or tax year beginning 42-03-2014 _, and ending 1-30-2015, «CENTRAL MESISSIOP! CIVIC IMPROVEMENT ASSOCIATION INC P Employer 1B Chock if appleable jentiication number r adres change Ss 64-0506107 Dong buses as E Telephone number Tamiber and street (or PO box draw not dalvered to eet fame change POBox 3837 (601) 364-5182 ry Cay or town, tate or province, county, and ZIP or foreign postal code tna etum Jackson, MS_ 39207 G Gross cepts $ 24,716,968 ry retum/terminated S amended return - ‘epbeaton pensing F_Name and address of principal ofcer H(a) 15 this 2 group return for Techandra Mayes ne ve 3502 West Northside Drive Sera Tres Wo Jackson,MS 39213 () are atlsub Ate all subordinates Pres no included? 1 Tovcevempt statis Fy s0ucey) [- s0ite)( ) deen no) [-4367(ayin) or [527 If°Wo," attach a ist (see instructions) 3. Website: wow hche org Hc) Group exemption number ® Krom ofeaanzaton [¥ cororaton | Tust [Aasoonton 1 Year of frmavon_1970_[M Sate of egal domle_ WS Siher Ea Senay 1 Briefly describe the organzation’s mssion or most significant activites The mission s to provide quality, comprehensive primary and preventative healthcare and soctal services to the communities we serve We are committed to serving the uninsured and the under insured 2 g 3 | 2 check this box » [-srthe arganization éiscontinued its operations or disposed of more than 25% of ts net assets & > | 3 number of voting members of the governing body (Part VI, hne 12) 3 1 3 | 4 number of independent voting members of the governing body (Part VI, ne 1b) 4 14 B | 5 otal number of individuals employed in calendar year 2014 (Part V, line 28) 5 308 & | 6 Total number of volunteers (estimate ifnecessary) 6 B Ta Total unrelates business revenue from Part VILL, column (C),lme12- . - . ee 7a a b Net unrelated business taxable mcome from Form 990-T,line 34. + + + + + 7 B Prior Year current Year 8 Contnbutions and grants (Part VIIL,lmeth) 2. ee ee 6,856,963 8.157277 9 Program service revenue (Part VIII, line 29) ss sw sw ee 13,850,011 15,945,530 § [20 investment income (Part VIII, column (A), lines 3, 4, and 74 ) 2,112 4,290 © Ja otherrevenue (Part VIII, column (A), lines 5, 64, 8c, 9c, 10¢, and 11¢) 230,133} 203,281 42. Total evenue—add ines 8 through 11 (must equal Part VITE, column (A), tine 12). Sale Sal 24,390,378 43 Grants and similar amounts paid (Part IX, column (A),lines 1-3). - | 2 44 Beneiits paid to or for members (Part IX, column(A},line 4). 5. o| 2 a. [35 Steps: ster compensation, employes bens Part clan (A, nes a vss76248 $ [asa protessionaltundravsing fees (Part 1X, column (R),lme tte)... | 0 & |b Torlfuncrsing expenses (Pare eslumn (0), tne 25) BO 47 Otherexpenses (Part IX, column (A), lines 11a-114,11-24e) ©. 290,994] 5,450,456 48 Totol expenses Addlines 13-17 {must equal Part IX, column (A), ne 25) 19,421,978 19 Revenue less expenses Subtract ine 18 fromiine 12. «+ + + 1519241 3,255,674 38 Beginning of Current endo Year rf Year Bq [20 Total assets (PatX,line 16)... . Se 19,241,266] 21,171,885 £9 [2 Totatabiives Part x, ne 26) 3,735,914 3,597,420 Zz |22 _Netassets or fund balances Subtract line 21 from line 20 14,505,352 37,574,465 nature Block Under penalties of penury, 1 declare that I have examined this retum, including accompanying schedules and statements, and to the best oF my knowiedge and belief, its true, correct, and complete Declaration of preparer (other than officer) s based on all information of which preparer has any knowledge Here pis Mayes Chief Finanoal Officer am ais Preparer one oe — For Paperwork Reduction Act Notice, see the separate Instructions. Cat No 112827 Form 990 (2014)rm 990 (2014) Page 2 Statement of Program Service Accomplishments Check sf Schedule © contains a response ornote toanyline inthis Patil . . + + + + + + + ee Cr 1 Briefly describe the organization's mission The mission 1s to provide quality, comprehensive primary and preventive healthcare and social services to the communities we serve We are committed to serving the uninsured and the under insured 2 Did the organization undertake any significant program services during the year which were not listed on prior Form 990 or 990 rn [yes no If "Yes," describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? ves no IF*Yes," describe these changes on Schedule 0 4 Describe the organization's program service accomplishments for each of ts three largest program services, as measured by expenses Section 502(c)(3) ang 501(c)(4) organizations are required to report the amount af grants and allocations to ath the total expenses, and revenue, ifany, for each program service reported aa 16,906,487 ducing grants of § ) (Revenue §| 16,233,101) provided pnmary, preventative, and comprehensive services tothe uninsured and the undar sured ‘ab (Code 1 ceapenses# cluding rants of § ) (Revenue y ae (Code » (expenses # cluding grants of § ) (Revenue y “4d Other program services (Describe in Schedule O ) (Expenses $ © _including grants of $ 2) (Revenue $ 0) “4e___ Total program service expenses > 16,966,467 Form 990(2014)Form 990 (2014) ‘Checklist of Required Schedules 1 a 16 ” 19 20a > Page 3 1s the organization described in section $04(6(2) oF 4947/a)(1) othe than a prvate foundation? 1F "ee, complete Schedule AM) . 2 6 we . . we . woe Ts the organization required to complete Schedule 8 Schedule of Contributors: (see instructions)? ee Da the organzation engage in director indirect politcal campaign activities on behalf ofr m opposition to candidates for public office? 1f "Yes," complete ScheduleG Parts. 2 + ee eee Section 504(c)(3) organizations, Oi the organzaton engage in lobbying activities, or have a section 501(H) election mn effect during the tax year? If "Yes," complete Schedule G Part Il... 1 the organization a section 501 (c)(4), 501 (c)(5), oF $01 (c)(6) organization that receives membership dues, assessments, o similar amounts as defined n Revenue Procedure 98-197 1f "es," complete Schedule Partin... Doe toe ce Did the organization maintain any donor advised funds or any similar funds of accounts for which donors have the ‘ht to provide advice an the distbution or investment af amounts in such funds or accounts? If "es," complete ScheduleD, Parts. toe Doe ee Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part 1. «+ Dd the organization maintam cllections of works of art, hstoncal easures, or other similar assets? I Ye," complete Schedule D, Part IIT... oe . Did the organzation report an amount m Part x, Ine 21 for escrow or custodial account abit, serve as a Custochan for amounts not usted in Part X, or pfavide credit counseling, debt management, credit repa, of debt negotiation services? If "Yes," complete Schedule D, Part IV. 2 6 2 2 ee te et Did the organization, directly or through a related organization, hold assets in temporanly restricted endowments | permanent endowments, or quasi-endowments? If "Yes," complete Schedule, PartV. . . + + Ifthe organization's answer to any of the following questions 1s "Yes," then complete Schedule D, Parts VI, VII, VITT, TX, oF X as applicable Did the organization report an amount for land, butidings, and equipment in Part X, ine 107 IF "Yes,"complete Schedule D, Part VID... ee ee ee id the organization report an amount for investments —other secunties in Part X, line 12 that 1s 59% or more of Its total assets reported in Part X, line 167 IF "Yes," complete Schedule D, Part VII. s+ vs 4 Did the organization report an amount for investments —program related in Part X, line 13 that 1s 5% or more of \ts total assets reported in Part X, line 16? IF "Yes," complete Schedule O, Part VII... Did the organization report an amount for other assets in Part X, line 15 that 1s 5% or more of ts total assets reported in Part X, line 167 IF "Yes," complete Schedule D, Part IX. + se ve ee ee Did the organvzation report an amount for other habiities in Part X, line 25? ZF "Yes," complete Schedule, Part X Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's lability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete ScheduleD,PatX eee Did the organization obtain separate, independent audited financial statements for the tax year? IE "Yes," complete Schedule D, Parts XI and XT. ee Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and ifthe organization answered "No" to line 12a, then completing Schedule O, Pa'ts XI and XII 1s optional’ Is the organization a school described in section 170(b)(1)(A (un)? IF "Yes," complete ScheduleE . . - Did the organization maintain an office, employees, or agents outside of the United States? .. Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, mvestment, and program service actvtes outside the United States, or aggregate foregn investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts TandIV. 2. = + Did the organvzation report on Part 1X, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If "Yes,” complete Schedule F, Parts IT and TV Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? 11 "Yes, "complete Schedule F, Parts IIT and IV... Did the organization report a total of more than $1 5,000 of expenses for professional fundraising services on Part 1X, column (A), ines 6 and 1167 If "Yes,"complete Schedule G, Part I(see instructions). - + Did the organization report more than $15,000 total of fundraising event gross income and contnibutions on Part VIII, lines 1¢ and 8a7 If "Yes," complete ScheduleG, Pat IT. ss se ee ew id the organization report mare than $15,000 of goss income fom gaming activities on Part VII, ne 947 /F "Yes," complete Schedule G, Part IIs ee ee ee Did the organvzation operate one or more hospital facilities? If "Yes," complete Schedule... IF*Yes" to line 20a, did the organization attach a copy of ts audited financial statements to this return? Yes [No Yes 2 | ves No 3 No 4 5 No A No Di No a No a No 10 No tia | Yes 11b No tte No 11d a) tte No ar No 32a | Yes 42b No 3 No aaa No 4b No a No fa No m7 No a No i No eal No 20b Form 990(2014)Form 990 (2014) aa 2 23 24a 25a 26 7 28 29 30 at 32 33 34 35a 36 37 38 Page 4 [AEig Checklist of Required Schedules (continued) Did the organization report more than $5,000 of grants or other assistance to any domestic organization or 2 No domestic gavernment on Part IX, column (A), line 1? If "Yes,” complete Schedule I, Parts I and I1 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part | 9 h 1%, column (A), line 2? If "Yes," complete Schedule I, Parts I and 111 : D Did the organization answer *Yes* to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "¥ 23 complete Schedule}. : Dlolplo toe — era ees Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 a5 of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 240 through 24d " and complete Schedule K If "No, gotoline 25a. ce ao zs 24a D Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds” : re oar : - 24 Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? baa Section 501(c)(3), 501(c)(4), and 501(c)(28) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule t, Part F 25a No Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-E2? If | 25b No "Yes," complete Schedule L, Part I Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current ‘or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? | 26 No If "Yes," complete Schedule L, Part IT Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, @ grant selection committee member, or to a 35% controlled entity or family 7 No member of any of these persons? If "Yes," complete Schedule L, Part IT! Was the organization a party to a Dusiness transaction with one of the following parties (see Schedule L, Part IV nstructions for applicable filing thresholds, conditvons, and exceptions) ‘A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part a 28a No ‘A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV. : : ore : a aa 29b uo ‘An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV 28c ne Did the organization receive more than $25,000 in non-cash contributions? If Yes," complete Schedule M . 29 No Did the organization receive contributions of ar, historical treasures, of other similar assets, oF qualiied 7 conservation contributions? If "Yes," complete Schedule M : a 30 2 Did the organization liquidate, terminate, or dissolve and cease operation? 1, conplte Sette Part I. a : : aa . a a a : 3a cD Did the organization sell, exchange, “dispose of, or transfer more than 25% ofits net assets? If "Yes," complete h Schedule N, Part 11 . perenne : : eee 32 D Did the organization own 100% of an entity disregarded as separate from the organization under Regulations. h sections 301 7701-2 and 301 7701-3? If "Yes," complete Schedule R, Part I : bilo : 33 2 Was the organization related to any tax-exempt or taxable entity? If "Ys," complete Schedule R Fat 1, 1, ar 1, and Part V, line 1 acre 50 ec : 34 ue Did the organization have a controlled entity within the meaning of section §12(b)(13) neal na If Yes'to line 35a, did the organization receive any payment from or engage in any transaction with 2 controlled entity within the meaning of section 51.2(b)(1 3)? JF "Yes," complete Schedule R, Part V, line 2 =) ‘Section 501(c)(3) organizations. Dic the organization make any transfers to an exempt non-chanitable related " ‘organization? If "Yes," complete Schedule R, Part V, line 2 Sid a blo : 36 2 Did the organization conduct mare than 5% of its activities through an entity that 1s not a related organization 7 and that 1s treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI 37 2 Did the organization complete Schedule © and provide explanations in Schedule O for Part VI, lines 11b and 19? y Note. Ali Form 990 filers are required to complete Schedule 0 Pare oa 38 | ves Form 990 (2014)Form 990 (2014) ‘Statements Regarding Other IRS Filings and Tax Compliance Page 5 ‘Check if Schedule O contains a response or note toanylineinthisPartV 2... 2 Yes | No 4a Enter the number reported in Box 3 of Farm 1096 Enter -0- ifnot applicable . «| ta 37 b Enter the number of Forms W-2G included in line 1a Enter -0- if not applicable ab ol € Did the organtzation comply wath backup wthholding rules fr reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . oe ee eee || cs 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered bythisretum se ee ee ee 2a 304] b [fat least one 1s reported on line 2a, did the organization file all required federal employment tax returns? aw | y. Note, If the sum of lines 1a and 2a 1s greater than 250, you may be required to e-file (See instructions) ss. 3a Did the organization have unrelated business gross income of $1,000 or more during the year?» ss 3a No b If"¥es,"has it fled a Form 990-T for this year? If "No" to line 3b, provide an explanation n Schedule O . 3b ‘4a Atany time during the calendar year, did the organization have an interest in, of a signature or other authority over, a financial account in @ foreign country (such as a bank account, securities account, or other financial fac ea eo aa No b If*Yes,* enter the name ofthe foreign country ‘See instructions for filing requirements for FinC EN Form 114, Report of Foreign Bank and Financial Accounts (FBAR) Sa. Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . 5a No b Did any taxable party notify the organization that it was or 's a party to a prohubited tax shelter transaction? 5 No ¢ If*¥es," to line $a or Sb, did the organization file Form 8886-T? . . ee ee ee ee 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the 6a No ‘organization solicit any contributions that were not tax deductible as charitable contributions?» . b If*¥es," did the organization include with every solicitation an express statement that such contributions or aifts| were not tax deductible? . ss ewe cio eer meme eee [ACD] 7. Organizations that may recelve deductible contributions under section 270(c). 2% id the organization receive a payment mexcess of $75 made partly as a contribution and party for goods and | 7a services provided tothe payor?» . . 1 1 ee en eri bb 1F*¥es," did the organization notily the donor of the value ofthe goods or services provided? .. .. . [M Did the organization sell, exchange, ar otherwise dispose of tangible personal property for which it was required to| file Form 8282? 6 eee ee ee tw ew ee ee of FE _If*¥es," indicate the number of Forms 8282 filed dunng the year... 7a © Did the organization recewe any funds, directly or méirecty, to pay premiums on a personal benefit contract? ss Go io aor a . [ze {Did the ergamation, dung the year, pay premiums, directly or indwectiy.on a personal benent contract? . . [7 4g Ifthe organization received a contribution of qualified intellectual property, did the organization file Form 8899 as| Cri Dello one |olloN ol Glia) (Nb Tal ON DNDECGl GeitlicloMiallolic ol) lon! Li] fh Ifthe organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a [orm 090=c ea rr i ee ee a rn re 7h 8 Sponsoring organizations maintaining donor advised funds. Did @ donor advised fund maintained by the sponsoring organization have excess business holdings at any time durmgthe year? ee ee ee 8 9a Did the sponsoring organization make any taxable distnbutions under section 4966? . . oa b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?» . 9b 10 Section 501(c)(7) organizations. Enter {a Initiation fees and capital contributions included on Part VIII, ime 12... | a0a b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club | 10b facilities 411. Section 501(c)(12) organizations. Enter ‘@ Gross income from members or shareholders... 6 ee eee ata 'b Gross income from other sources (Do not net amounts due or paid to other sources, agaist amounts due orreceived fromthem) . . . s+ + + + + + [48d 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 10417 42a & f*¥es," enter the amount of tax-exempt mterest recenved or accrued dunng the years. ee a 12b 13. Section 501(c)(28) qualtied nonprofit health insurance issuers. a Is the organization licensed to Issue qualified health plans 1n more than one state? 438 Note. See the instructions for additional information the organization must report on Schedule 0 b Enter the amount of reserves the organization 1s requited to maintain by the states: in which the organization 1s licensed to issue qualified health plans... | 43B © Enter the amount ofreservesonhand » . . ee eee ee ee [ate 14a Did the organization receive any payments for indoor tanning services during the tax year?. . 14a No b_If"Yes,” has it fled a Form 720 to report these payments? If "No," provide an explanation in Schedule. 14b Form 990(2014)rm 990 (2014) Page 6 Governance, Management, and Disclosure For each "Yes" response to ies 2 trough 7 below, and for a "No" response to lines 8a, 8b, or 10 below, describe the circumstances, processes, or changes in schedule O. See mstruchons Check sf Schedule O contains a response ornotetoanylineinthisPartVI_. . . . . + +. es v Section A. Governing Body and Management Yes | No 4 Enter the numberof voting members ofthe governing body athe endortte tax | yg ta Ifthere are material differences in voting rights among members of the governing body, or f the governing body delegated broad authontty to an executive committee or similar committee, explain in Schedule O b Enter the number of voting members included in line La, above, who are independent.» 2. + Doe ~ [a 14 2. Did any oficer, director, trustee, or Key employee have a fannly relationship ora business relationship wth any other officer, director, trustee, arkeyemployee?. se ee ee ee LR No 3. Did the organization delegate control over management duties customarily performed by or under the direct 3 No Supervision of officers, directors or trustees, or key employees to 2 management company or other person? 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was fled? ee 4 No 5 Did the organization become aware during the year of a significant diversion of the organization's assets? - 5 No. 6 Didthe organization have members or stockholders?» . . 1 es ee ee ee ee es LB No. 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? 7a No. b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,| 7b No fr persons other than the governing body? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following a The governing body? 82 b Each committee with authonty to act on behalf ofthe governing body?» - . + ee ee ee | 8D 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the| organization's mailing address? If "Yes," provide the names and addresses in ScheduleO .« 2 No Section B. Policies (This Sechon 8 requests formation about policies not required by the Internal Revenue Code.) Yes | No 40a Did the organization have local chapters, branches, or affiates? 302 No. b If*Yes," did the organization have written policies and procedures governing the activities of such chapters, afflates, and branches to ensure their operations are consistent with the organization's exempt purposes? 0b 148 tas the organization provided a complete copy of ts Form 990 to all members ofits governing body before Sing i fora r a ao ata | ves b Describe in Schedule O the process, iF any, used by the organization to review this Form 990 42a__Did the organization have a wnitten conflict of interest policy? If "No," gotoline13. - 6. 6 ia b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give asetoconficts? ve ee 42b © Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe im Schedule O how this was done see et ee ef BRE 413. Did the organization have a wnitten whistleblower policy? . 2. ee eee ee ee La 14 Did the organization have a written document retention and destruction policy? 14 45 Did the process for determining compensation ofthe follovang persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official. - . ee ee eee | BBA b Other oficers orkey employees ofthe organization - - . 2 2 2 ee ee ee ee [a If*Yes" to line 15a or 15b, descnbe the process in Schedule © (see instructions) 162_Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ee vet ee ee et ee | AB No b If*Yes," did the organization follow a written po oF procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status wath respect to such arrangements? . . ss + es 7 es + | a6 Section C. Disclosure 47 List the States with which a copy ofthis Form 990 1s required to be filed> MS 1B Section 6104 requires an organization to make its Form 1023 (or 1024 sf applicable), 990, and 990-T (501 (c) (2)s only) availaale for public inspection Inaicate how you made these available Check all that apply Townwebsite [~ Another's website [¥ Upon request [~ Other (explain in Schedule 0) 19 Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year 20. State the name, address, and telephone number of the person who possesses the organization's books and records Central Mississippi Civic Improvement Association Inc 3502 West Northside Drive Jackson, MS 39213 (601) 362-5321 Form 990 (2014)Page? rm 990 (2014) [RIEU Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line mn this Part VI Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 4a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organization's tax year © List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation Enter -0- in columns (0), (E), and (F) Fo compensation was paid ‘© List all ofthe organization’s current key employees, ifany See mstructions for definition of “key employee " List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC} of more than $100,000 from the organization and any related organizations ‘© List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations ‘# List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations institutional trustees, officers, key employees, highest on Ist persons in the following order individual trustees or directors compensated employees, and former such persons I check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (A) (B) (c) (0D) (E) (F) craanetons [2 3] 3 |S reited below 22 2 organizations dotted line) a f enw ene UT saaaue Ty Spou (e08 eTrm 990 (2014) Page 8 PEERED Section A. officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) «™ (8) © ©) © Name and Title Average | Position (do not check Reportable Reportable nours per | more than ene box, uniess | compensation | compensation week (list | "persons both an officer from the from related any hours | ‘andadirectoritrustee) | organization (W- | organizations (W- forrelated = Paaed 2/1099-MIsc) | 2/1099-MISC) owanwatins [23 3 2 ]2 SS beow [22 13/2 fe FE dotted tiney [RE “iB ize a 2 lRg 2 ¢ | 2 £ z g (Fy Estimated amount of other compensation from the organization and related organizations 1b Sub-Total. ~ > Total from continuation sheets to Part VIE, Section A. > Total (add lines 16 and 16) » 3,007 A23| 7 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 25 Yes [No 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on ine La? If "Yes," complete Schedule for such individual + + + + + + + eee te ee |g 5 4 For any individual listed on line 1, 15 the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule} for such mdvidul see si Palirest 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule Jfor such person» + + + + + + «| g 5 ‘Section B. Independent Contractors. 4 Complete this table for your five highest compensated independent contractors that received more than $100,000 of Compensation from the organization Report compensation for the calendar year ending with or within the organrzation’s tax year ® oy 1 Name ané business address Desenpton of services Compensation SCimeawonks We Patent Management Syszom 285,92, Boston, MA 022847950 Heney Schein Ine Hedieal Sopplas & Eaupment ase Depe cH 10281 Palatine, Ik 600550241 Protel Ine [cai Service Center Tae PO Box 54322 Pear MS 39288 Po Box 978740 * Dallas, Tx. 753978740 ‘Bbcorp of Amenca Heldnas ab Services Te8,385 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization PS Form 990 (2014)