Вы находитесь на странице: 1из 52

MUHLENBERG FOUNDATION

Additional Data
Software ID: Software Version: EIN: 51-0212678 Name: MUHLENBERG FOUNDATION INC

Form 990, Part VZZ - Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
(A) Name and Title (B) Average hours per week
(F)

Position (check all that apply)

Reportable compensation from the organization (W2/1099-HI5C)

Reportable compensation from related organizations

(W- 2/1099MISC)

Estimated amount of other compensation from the organization and related organizations

PETER A POGANY RP CHAIRMAN MURRAY BEVAN ESQ VICE CHAIRMAN JOSEPH ACUIFO SECRETARY TREASURER ELAINE GERM IN SKY BOARD MEMBER ROBERTJGOELLNER BOARD MEMBER MARK A GREEN6ERGER BOARD MEMBER M QUIWTIN3ARRETT BOARD MEMBER ANTHONY 3 MARCHETTA ES BOARD MEMBER ETH MCQUILLAN BOARD MEMBER EVELYN C NULL BOARD MEMBER GREGORY OLIVER MD BOARD MEMBER WENDALL O SCOTT MD BOARD MEMBER CAROLYN SIEGELMAN BOARD MEMBER KENNETH WILLIAM TURNBULL BOARD MEMBER JOSEPH WILLIAM YEWAISIS BOARD MEMBER RICHARD ZAHN BOARD MEMBER RON ALOE WEST EX-QFFICIO 10HNMCGEE EX-OFRCZO JOHN NOLAN EX-OFFICIO MICHAEL A KLEIMAN DMD EX-OFFICIO 5ALVATORE BADALAMENT! BOARD MEMBER D OLIVER ANDERSON BOARD MEMBER SEAN PATRICK MURPHY ESQ ASSISTANT SECRETARY RAYMOND FREDERICKS EVP&COO RICHARD C SMITH SVP&CFO

000 000 000 000 000 0 00 000 000 000 000 000 0 00 0 00 000 000 0 00 000

0 o 0 o 0 o
0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

a o o o o a o o o
697,09? 169,619
Q 0 0

-o
0

4000 4OOO
000 000 000

34,456 17,645
0 0 0

4000 4OOO 4000

322,463

53,156 63,352

318,450

57,108

Form 990 (20Q8)

zsc.

51-0212678

Page?

Ifiart VIM Compensation of Officers, Directors. Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Section A. Officers. DfrectofB. Trustees. Key Employees, and Highest Compensated Employees 1 1 a Complete this table for afl persons required to be (rated. Use Schedule J-2 if additional space ts needed. Ust all of the organization's current officers, directors, trustees (whether mdnnduats or organizations}, regardless of amount of compensation, and current key employees Enter -0- m columns (Of, (E), and (F) rt no compensation was patd. list the organization's, toa can-em highest compensated etaplayees (other ttian an officer, dirert^ repcrtabte compensation {Box 5 of Form W and/or Box 7 of Form 1G99-MISC) of more than S100.000 from tha organization and any related organizations. List aH of the organization's fanner officers, key employees, and highest compensated ernpkiyeesiMiorecetved more than Si QQ.OQO of reportable compensation from the organization and any related organizations. Ust atl of tha organization's former directors or trustees that received, m the capaci^ as a fornierdirecJof ortousteecfthe organization, more than $10,000 of reportabla compensation from the organization and any related organizations. Ust persons m the following order individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. I i Cheek this box if tha organization did not compensateanyofficer.director, trustee, or key errotoyee.

(A}
Name and Title

(B)
Average hours

(C)
ttQheslcompenukt}
Position {check all that apply) Reportabla compensation

per
vreek

is 2 I 1
0. OLIYRR AHDERSOB CHAIR

from tha

wxrtow. . . .

tI

organization (W-2/1093-MISC)

Reportable compensation fromrefeted organizations (W-2/1Q99-MISQ

Estimated amount of other compensation from the organization and related organizations

0.00

0. 0.
0.

0 0. 0 0.
0. 0. 0. 0. 0.
0. 0.

0.
0.

PETER A. poawre, RP
VICE CHAIR JOSEPH A.COIFO SECRETARY TREASURER SALVATOP.E BABALAKENTZ BOARD HEHBER KPRRAY SEVAH, ESQ. BOARD KBSBER ELAINE (3ERKIHSKY BOARD HEHBER ROBERT J. GOELtHBR BOARD HBKBKK HARK A. GREEHBERSER BOARD HEHBER M. QOX8TXH JARRETT BOARD HEHBER

0.00 X Q.OO X

0. 0.
0. 0. 0. Q. 0.

0.00 X
Q.OO
X

0. 0.
0. 0. 0.

0.00

0.00 X 0.00 X Q.OO


X

0.
0. 0. 0.

ROBERT L. HALATESTA, KB. BOARD HBHBER


AKTHOSY J. HARCHETTA, ES BOARD HBMBEH SETH HCQUILLAH BOARD HEHBER EVELYN C. SOLL BOARD HEKBER

0.00 X Q.OO X
Q.QO X

0.
0.

0. 0.
0.

0. 0.
0.

O.OQ X O.QO
X

0.
0. 0. 0.

GREGORY OLIVER, HD BOARD MEMBER


KENDALL O. SCOTT, HD. BOARD KSK8ER CAROLS SZEGELHAH BOARD HHKBER BARRY H. 70WBIH BOARD HBHBER
832007 12-18-08

0.00 X Q.OO
X

0. 0.
C.

0.
0.

0.00 X

0.

0.
form 390 (2008)

08111113 721252 0164233.N

2003.05000 KUHT.KNRRRa FOtftffiWPTOttE

Form 990 (2008)

HOHLEHBHaQ FOOJ5DATKI , INC.

51-0212678

PaqeS

I Part Vil| Section A. Officers. Directors. Trustees. KevEmotovees, and Hicrtest e^wnpensated Emotoirera /confinueol (C] fAl (BJ (OJ Reportabte Position Reportabte Average Name and title compensation compensation (check an that apply} hours from rotated from per organizations week the (W-2/1099-MISQ organization

| !, ,
a

Estimated amount of other compensation from the organtzatton and related organizations

HtOtftin/tM

KSSBETH WIM.XAK OTHMBO&I. BOARD KEHSER JOSEPH W1IA1AK YEWAISIS BOARD HEKBER RXCHA5D ZAHK BOARD KBKBER
JJiKH J3njQinEnnHE3i*v

0.00

X
X

0. 0.

0. 0.
0. 0. 0.
0.

0.
0.

e.oo o.eo

0. 8. 0.
0.

0. 0.
0.

EX-OFFICIO NAHCY FIASEEHSO EX-OFPXCXO BARBARA HCCAEE EX-OFPICIO JOHN NO&AH BX-OPPICIO RQKAI.D E. WEST JOHN iSTCSEE PRESIDENT CEO RAYMOND FEBBERZCKS
EVP fc COO

Q.QO X 0.00 X

0.00

0. 0.
0.

0.00 X 0.00 X

0. 0.
X X

0. 0.

40.00 X 40.00

0.
0.

672.403. 403.365. 1.985.526.

112.661. Z27.873. 485.662.


Yes No

1b Total Total number of individuals {mdudmgthosem la) who received mora than $100,000 mreportabte comoensafton from the omanization 3

0.

Did the organization ftst any former officer, director or trustee, key employee, or highest compensated employes on line 1a? If "Yes," complete Sche&tta Jforst/cftmdiwdtra/ 3 4 FOT any indwduaJl^ed en fine 1a, is the sum c^reportabte compensation and othw and related orgamzatons greater than $150QQ^ If "Vfes," compfete Scfteefute J for such fnrf)wdi/af 4 X 5 Did any person listed on line la receive or accrue compensationfromany unrelated organraaHon for service rendered to the organization'' tf "Yes,* complete Schedt/fejforsucft person ^_______^_^ S Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contraetore that received more than $100,000 of compensation from the organization. NOH2
Name and business address

(B) Description of services

(C) Compensation

Total number of independent contractors (including those m 1} who received more than $100,000 m compensation from the organization ^ 0 SBS SCHHOn&E J-2 FOR PART VX, SECTIOH A COKTIiTOATIOB

Form 990 {2008}

E3S30S J3-1S-C3

0811A113 721252 0164233.N

2008.05000

TKtr .

* - *

SOLARIS
H E ALT H-\ S Y S T E M

ISM

2607 OFFICERS AMD BOARD MEMBERS

MUHLENBERG FOUNDATION. INC.

Chair Vice Chair Secretary/Treasurer Assistant Secretary Salvatorc Badalamenti Murray Bevan, Esq. KimberlyA-Evanyo Elaine Gctminsky Robert I. Goeltner Mark A, Grcenberger Noreen E. Haveron M.QuintinJamstt Robert L. Malatcsta, MD Dennis M. Manion Anthony L Marchetta, Esq

O.Oliver Anderson PcterA.Pogany.RP

Joseph A. Cuifo Sean Patrick Murpby, Esq. SethMcQufllan Evelyn C. Null Gregory Oliver, MD Angela UPenin, Esq. Wendell O. Scott, MD Carolyn B. Sicgelman Barry M. Towbin Kome&W.TumbuH Nina Weil Joseph William Yewaisis Richard Zafea Ex-o5cio: Jean BadaJaiaeati JofenP.McGee John Nolan Carolyn EL SiegeJman Thomas E. Sharp Ronald E. West

MUHLENBERG FOUNDATION. INC. Chair Vice Chair Secretary/Treasurer Assistant Secretary Saivatore Badalamenti Murray Bevan, Esq. Kimberly A. Evanyo Elaine Germinsky Robert J. Goelkier Mark A. Greenberger Noreen E. Haveron M. Quintin Jarrett Garrett M. Keating, MD Robert t. Malatesta, MD Dennis M. Manion Anthony J. Marchetta, Esq. Seth McQuillan O. Oliver Anderson Joseph A. Cuifo Sean Patrick Murphy, Esq. Ex-offiicio: Harry Ailster John L. Koiaya, PE Diane Mahoney John P. MeGee John Nolan Thomas fi. Sharp

Evelyn C. Null Gregory Oliver, MD Kathleen Hayes On ieai Angela L. Perun, Esq. Peter A. Pogany.RP Wendell O. Scott, MD Carolyn B. Siegelman Kenneth W. Turnbull Nina Weil Joseph William Yewaisis Richard Zahn

MUHLENBERG HOSPITAL FOUNDATION, INC. FORM 990, PART V-A - CURRENT OFFICERS, DIRECTORS, AND TRUSTEES

51-0212678

NAME i-JJ

Seth McQuillan

ChanVice Chair Secretary/Treasurer Assistant Secretary Salvatorc Badalamenti Murray Bevan, Esq. Ktmberly A. Evanyo Elaine Germinsky Robert J.Goellner Mark A. Greenberger M. Qumlin Jarrett Garrett M. Keating, MD Robert L. Malatesta, MD Dennis M. Mamon Amaony J. Marchetta, Esq.

O, Oliver Anderson
Joseph A. Cuifo Sean Patrick Murphy, Esq. Gregory Oliver, MD Kathleen Hayes Onieal Angela L. Perun, Esq. Peter A. Pogany, RP Wendell 0. Scott, MD Carolyn B. Siegelman Kenneth W. Tumbutl Nina Weil Joseph William Yewaisis Richard Zahn Ex-officio: Harry Ailster John L. Kolaya, PE Diane Mahoney John P. McGee John Nolan Thomas E. Sharp

L979 11/06/2006 09:51:13 V05-5.4

30

STATEMENT

.1

8/28/03

MUHLENBERG FOUNDATION, INC.


BOARD OF TRUSTEES - 2002

ANDERSON. O. Oliver

President
Anderson Publishing, Ltd.

1301 West Park Avenue


Ocean, NJ 07712 Phone: 732-695-4)600

Spouse: Brenda (10/97) Koine: 972 Kensington Avenue PlamSeld,NJ 07060 Phone:908-754-6264

Fax:

732-695-9501
Spouse: Jean Phone: 908-754-1945 Fax: 908-754-0386 Secretary and Treasurer Spouse: Ronnie Home: 1333 Tilton Road Bridgewater.NJ 08S07 Phone: 908-725-3788 (2/01)

BADALAMKNi'i. Sal vatore J. 15 Pheasant Lane Scotch Plains, NJ 07076 SEVAN. Murray. ESQ. Partner
Courter, Robert, Laufer & Cohen, P. A.

(10/98)

1001 Route 517 Hackettstown, NJ 07840


Phone: 90S-S52-26QO

Fax:

908-852-8225
Spouse: Claudia 284 Hancock Avenue Bridgewater, NJ 08807 Phone: 908-526-0230 (10/99)

CII3FO. Joseph A.

Vice President
PNC Bank, N. A. One Garret Mountain Plaza

West Paterson, NJ 07424


Phone: 973-881-5718 Fax: 973-881-5711 EASTWOOD. Charlene Ortho-McNeil Pharmaceutical 1000 Route 202, P.O. Box 300 Raritan,NJ 08869 Phone: 908-218-7368 GERMINSKY. Elaine Wood Laae/PO Box 7233 Watchung, NJ 07060 Spouse: Garry (2/03) Home: 28 Covered Bridge Road Neshame Station, NJ 08853 Phone: 908-369-4102 Fax: 908-369-5897 Spouse: Emanucl (10/93) Phone: 9Q&-322-2S78 Owner, Germinsky Electric

*Mail should be sent to home address.

GOELLNER. Robert J. Common Interests, Inc. 61 Pearl Street Metuchen,NJ 08840 Phone: 732-906-3300 Fax: 732-906-3302 GREENBERGER. Marc A. Magnum Marketing

(5/01) Spouse: Barbara Home: 263 Cedar Street NonhPlainfield.NJ 07060 Phone: 908-561-3346

40 Lake Shore Drive West Windsor, NJ 08550


Phone: 609-658-3260 (cell & business) or 917-327-0511 (cell) KEATING, Ganett M., MJX 238 Ridge Road Watchung,NJ 07060 MALATESTA. Robert L., MD. 83 Ebersohl Circle Whitehousc Station, NJ 08889 MANION. Dennis M. Director, Corporate Communications Corporate Affairs Pfizer, Inc. 235 E. 42nd Street New York, NY 10017-5755 Phone: 212-733-8010 Fax: 212-338-1928 MARCMJKTl'A, Anthony J., Esq. Pitney, Hardin, Kipp & Szuch P.O. Box 1945 Morristown,NJ 07962-1945 Phone: 973-966-8032 Fax: 973-966-1550

Spouse: Nancy (4/95) Home: 40 Lake Shore Drive West Windsor, NJ 08550 Phone: 609-799-3843 Fax: 609-799-1631 Phone: 908-757-6789 Fax: 908-756-9548 Immediate Fast Chair Spouse: Barbara Phone: 908-534-1064 (1977)

(12/94)

Spouse: Colleen J. 1264 Poplar Avenue Mountainside, NJ 07092 Phone: 908-317-5895

(7/03)

Spouse: Carole Home: 3 Elliott Farm Lane Califon,NJ 07830 Phone: 908-832-9752

(11/97)

MCQUILLAN, seth
President, Datatrade foe. 950 Hillside Avenue Plainfield,NJ 07060 Phone: 908-769-5555 Fax: 908-769-5558

Spouse: Paula (4/94) Home: 950 Hillside Avenue


Plaiafield,NJ 07060 Phone: 908-753-1361 Chairman

*Mail should be sent to home address.

MURPHY, Sean, Esq. Corporate General Counsel & Sr. Vice PEES. Legal Affaire, Solaris Health System
80 James Street Edison, NJ 08820 NOLAN. John G.. Jr. Sr. Vice President/Solaris Foundations Park Avenue & Randolph Road Plain0eld,NJ 07061 Phone: 908-668-3137 Fax: 908-226-4574 NULL, Evelyn C. 614 Rockvicw Avenue North Plainfield, NJ 07063 OLIVER. Gregory, MJX 3900 Park Avenue Edison, NJ 08820 Phone: 732-494-6640 Fax: 732-549-8204 QNIEAL. Kathleen H.

Phone: 732-632-1533 Fax: 732-205-1497 Assistant Secretary

(2/03)

Spouse: Kathleen

(1996)

Home: 31 Broad Avenue Edison, NJ 08820 Phone: 732-548-0505 Senior Vice President
Spouse: Robert H., M.D. Phone: 908-753-8219 Fax:908-226-8219 (4/94)

Spouse: Ellen (2/93) Home: 45 Old Cannon Road Berkeley Heights, NJ 07922 Phone: 908-665-6484

'Vice President, Marketing


Novartis

One Health Plaza


East Hanover, NJ 07936-1080 Phone: 862-778-4142 PALUMBQ. Marie 50 Westgate Drive Edison, NJ 08820-1154 POGANY. Peter A., R.P. Rapps Pharmacy 611 Park Avenue Plainfield,NJ 07060 Phone:908-756-0008 Fax: 908-668-8630 PREHODKA. Theodore 6380 Longwood Drive Murrells Inlet, SC 29576

Spouse: Christopher (7/02) Home: 1332 Prospect Avenue Plainfield,NJ 07060 Phone: 908-561-8003

Phone: 908-753-2380 Vice President, Muhlenberg Auxiliary Spouse: Ruth

(2/03)

(10/95)

*Home: 23 Boston Post Road East Brunswick, NJ 08816 Phone: 732-390-7529

Spouse: Patricia Phone: 843-650-2887 or 800-536-1325 Fax: 843-650-2756

(3/92)

*Mail should be sent to home address.

ROETTGER, Andrew F. Senior Vice President Morgan Stanley Dean Witter 4 Headquarters Plaza North Tower, 10th Floor Momstovm,NJ 07962-1903 Phone: 800-977-3913 Fax: 973-993-3993 SCOTT. Wendell P., MD. 1907 Paric Avenue South Plainficld, NJ 07080 Phone: 908-561-3400 Fax: 908-561-7582 TOWBIN. Barry M. 1922 Plainfield Avenue South Plainfield, NJ 07080 TURNBULL. Kenneth W. P.O. Box 4372 Warren, &J 07059 WEIL. Nina P. Co-chairman of the Board Alpine Aromatics International 51 West Ethel Road Piscataway, NJ 08854 Phone: 908-572-5600 ZAHN. Richard - President Sehering.Laborataries 2000 Galloping Hill Road KeniiwortkNJ 07033 Phone:908-298-4191 Fax: 908-298-5379

Spouse: Tzaey (12/99) Home: 42 Old Farmstead Road Chester, NJ 07930 Phone: 908-87^)862

Spouse: Patricia C. (10/95) Home: 700 Mountain Avenue


Phone: 908-232-2728 (10/97)

Spouse: Laura Phone: 908-753-9139 Vice Chair, Foundation Phone: 908-755-0076

(1982)

Spouse: William P. *Home: 1061 Rahway Road Plainfield, NJ 07060 Phone: 908-756-3718 Fax: 908-754-3S88

(5/90)

Spouse: Julie Home: P.O. Box 388 15 Round Top Road Oldwiefc,NJ 08858 Phone: 908-439-3989

(6/9S)

EX-OFFICIO MEMBERS: John P. McGee, President and CEO, Solaris Health System Douglas Nordstrom, Chaiiman, Boatd of Diicctuis, Muhfcnbcrg Regional Medical Ccntci Nancy Fiantingo, Senior VP & Chief Operating Officer, Muhlenberg Regional Medical Center Carolyn Siegelmao. 2004 President, Muhlenberg Auxiliary Mane Palumbo, 2004 V ice President, Ongoing Services, Muhlenfaerg Auxiliary

STATEMENT 13

LIFE TRUSTEE;
Warren H. Simmons, Jr. 508 Terhunc Road Princeton, NJ QS540 Phone; 609-921-1330 (1977) Spouse: Nancy Second Home: 3 Sabre Cay Naples, FL 33940 Phone: 813-262-6706 Florida dates 11/1 to 5/1

HONORARY TRUSTEE: Raymond J. Leavee Bretton Woods 2703 Wcniworth Circle Pinehurst,NC 28374 ASSOCIATE TRUSTEES: Frank H. Blatz, Jr., Esq. 970 Nepawin Laos Scotch Plains, NJ 07076

Spouse: Evelyn Phone: 919-295-4094

George F. HetSetd, Jr., Esq. iO-A Riverhiil New Hope, PA 18938

STATEMEPfT 13

12/31/03

MUHLENBERG FOUNDATION, INC.


BOARD OF TRUSTEES - 2003

ANDERSON. O. Oliver President' Anderson Publishing. Ltd. ISO Glenside Avenue Scotch Plains, NJ Q7076 Phone: 908-301-1995 Fax: 908-301-199? BAPALAMENTI. Salvatoze J. 15 Pheasant Lane Scotch Plains, NJ 07076

Spouse: Brenda (10/97) Home: 972 Kensington Avenue Plainfield.NJ 07060 Phone: 908-754-6264 Fax: 908-754-5603

Spouse: Jean Phoae: 908-754-1945 Fax: 908-754-0386 Secretary and Treasurer Spouse: Ronnie Home: 1333 Tiltoa Road Bridgewater,NJ 0880? Phone: 908-725-3788

(2/01)

SEVAN; Munay, Esq. Partner Courter,' Kobert, Laufer & Cohen, P.A. 1001 Route 51? Haekettsitown, NJ 07840 Phone: $08-852-2600 Fax: 908-852-8225 CIUFO: Joseph A. Vice President PNC Bank, N. A. 454 Route 28 Bridgewater, NJ OSS07-OOIO Phone: 908-429-2377 Fax: '908-707-8389 EASTWOOD. Charfene Ortho-McNeil Pharmaceutical 1000 Route 202, P.O. Box 300 Raritai^NJ 08S69 Phone: 908-218-7368 GERMINSKY. Elaine Wood Lane/PG Box 7233 Watchung,NJ 07060

(10/98)

Spouse: Claudia 284 Hancock Avenue Bridgewater, NJ 08807 Phone: 908-526-0230

(10/99)

Spouse: Garry (2/03) 284 Hancock Avenue Neshanic Station, NJ OS853 Phone: 908-369-4102 Fax: 908-369-5897 Spouse: Emanuel (10/93) Phone: 908-322-2878 Owner, Germinsky Electric

STATEMENT 13

/"""S

GOELLNER. Robert J. Common Interests, Inc. 61 Pearl Street Metuchen,NJ 08840 Phone: 732-9G6-33QO fax: 732-906-3302 i CREENBERCER. Marc A. Magnum Marketing 40 Lake Shore Drive West Windsor, NJ 08550 Phone: 609-658-3260 (ceil & business) or 917-327-0511 (eel!) KEATING. Garrett M., M.D. 238 Ridge Road Watchiing, NJ 07060 MALATESTA. Robert L.. M.D. 83 Ebersohl Circle Whitehouse Station, NJ 08889 MANION. Dennis M. Director, Corporate Communications Pfizer,'Inc. 235 E. 42nd Street New York, NY 10017-5755 Phone: 212-733-8010 Fax: 212-338-1928 MARCHETTA. Anthony J., Esq. Pitney, Hardia, Kipp & Szuch P.O. 3oxl945 Momstown,NJ 07962-1945 Phoaei 973-966-8032 Fax: '973-966-1550 McOUtLLAN. Seth USA Iron, LLC 590BeileviileTurapike Keamy.NJ 07032 Phone1: 201-955-2811 Fax: ' 201-955-2814

Spouse: Barbara (5/01) Home: 263 Cedar Street North Piainfield,NJ 07060 Phone: 90S-56!-3346

Spouse- Nancy (4/95) Home: 40 Lake Shore Drive West Windsor, NJ 08550 Phone: 609-799-3843 Fax: 609-799-1631

Phone: 908-757-6789 Fax: 908-756-9548 Immediate Past Chair Spouse: Barbara Phone:908-534-1064

(1977)

(12/94)

Spouse: Colleen J. 9 Madison Avenue Summit, NJ 07901 Phone: 908-918-1115

(7/03)

Spouse: Carole Home: 3 Elliott Farm Lane CaUfon,NJ 07830 Phone: 908-832-9752

(11/97)

Spouse: Paula (4/94) *IIome: 950 Hillside Avenue Plainfieid,NJ 07060 Phone:908-753-1361 Chairman

STATEMENT 13

MURPHV. Sean, Esq. Corporate General Counsel & Sr. Vice Pres. Legal ASairs, Solaris Heaith System 30 James Street Edison, NJ OS820
j

Phone: 732-632-1533 Fax: 732-205-1497 Assistant Secretary

(2/03)

NOLAN,' John G., Jr. Sr. Vice President/Solaris Foundations Park Avenue & Randolph Road Plainfield,NJ 07061 Phone:908-668-3137 Fax: 908-226-4574 NULk Evelyn C. 614 Rockview Avenue North Plainfietd, NJ 07063 OLIVER. Gregory, M.D. 3900 Park Avenue Edison, NJ 08820 Phone: 732-494-6640 Fax: 732-549-8204 * Kathleen R Vice President, Marketing Novards One Heaith Plaza East Hanover, NJ 07936-1080 Phone: 862-778-4142 Fax: 973-781-3235 POGANY.PeterA..R.P. Rapps Phannacy 61 1 Parfc Avenue P!ainfield,NJ 07060 Phone: 908-756-0008 x214 Fax: 908-668-8630 1 PREHODKA. Theodore 6380 Longwood Drive Murrells Inlet, SC 29576

Spouse: Ka&leen Home: 31 Broad Avenue Edison, NJ 08820 Phone: 732-548-0505 Senior Vice President

(1996)

Spouse: Robert R, M.D. Phoae: 908-753-8219 Fax:908-226-8219

(4/94)

Spouse: Ellen (2/93) Home: 45 Old Cannon Road Berkeley Heights, NJ 07922 Phoae: 908-665-6484

Spouse: Christopher (7/Q2) Home: 1332 Prospect Avenue Ptainfieid,NJ 07Q60 Phone: 908-561-8003

Spouse: Ruth (10/95) *Home: 23 Boston Post Road East Brunswick, NJ 08816 Phone: 732-390-7529

Spouse: Patricia (3/92) Phone. 843-65Q-2SS7/SG&-S36-132S Fax: 843-650-2756

STATEMENT 13

ROETTGEBU Andrew F. Senior Vice President Morgan Stanley Dean Witter 4 Headquarters Plaza North Tower, 10th Floor Morristown,NJ 07962-1903 Phone: 800-977-3913 Fax: 973-993-3993 SCOTT. Wendell O..M.D. i907ParfcAvenue South Plainficid, NJ 07080 Phone: 908-561-3400 Fax: 908-561-7582 TOWBIN. Barry M 1922 Plainfield Avenue South Plainfield,NJ 070SO TURNBiJLL. Kenneth W. P.O. Box 4372 Warren, ^07059 WEIL. Nina P. Co-Cbairrnan of the Board Alpine Aromatics International 51 West Ethel Road Piseataway, NJ 08854 Phone: 908-572-5600 ZAHN. Richard - President Scheriug.Laboratories 2000 Galloping Hill Road KenilwoitfuNJ 07033 Phone: 908-298-4191 Fax: 908-298-5379

Spouse: Tracy (12799) Home: 42 Old Farmstead Road Chester, NJ 07930 Phone: 908-879-0862

Spouse: Patricia C. (10/95) Home: 700 Mountain Avenue Westfie!d,NJ 07090 Phone:908-232-2728

Spouse: Laura Phone: 908-753-9139 Vice Chair, Foundation Phone: 908-755-0076

(10/97)

(1982)

Spouse: William P. *Home: 1061 RahwayRoad PIainfield,NJ07G60 Phone: 908-756-3718 Fax: 908-754-3888 Spouse: Julie Home: P.O. Box 388 15 Round Top Road Oldwick.NJ 08358 Phone: 908-439-3989

(5/90)

(6/98)

EX-OFFICIO MEMBERS: John P. MeGce, President and CEO, Solaris Health System Douglas Nordstrom, Chan man, Boaid of Diicctuis, Muhicnbcrg Regional Medical Cento Nancy Fiamingo, Senior VP St. Chief Operating Officer, Muhlenberg Regional Medical Center Carolyn SiegeJman, 2004 President, Muhlenberg Auxiliary Mane Palumbo, 2UW4 Vice President, Ongoing Services, Muhlenberg Auxiliary

STATEMENT 13

LIFE TRUSTEE:
Warren H. Simmons, Jr. 508 Terhune Road Princeton, NJ 08540 Phone: 609-921-1330 Spouse: Nancy Second Home: 3 Sabre Cay Naples, FL 33940 Phone: 813-262-6706 Florida dates 11/1 to 5/1 (1977)

HONORARY TRUSTEE:
Raymond J. Leavee Bretton Woods 2703 Wcntworth Circle Pinehurst, NC 28374 Spouse: Evelyn Phone: 919-295-4094

ASSOCIATE TRUSTEES:
Frank H. Blatz, Jr., Esq. 970 Nepawin Lane Scotch Plains, NJ 07076 George F. Hetfield, Jr., Esq. 10-A RtverhiH New Hope, PA 18938

STATEMENT 13

MUHLENBERG FOUNDATION, INC. EIN: 51-0212678 For the Year Ended 12/31/20Q2

BOARD OF TRUSTEES - 2002

ANDERSON. Q Oliver President Anderson Publishing, Ltd 1301 West Parfc Avenue Ocean, NJ 07712 Phone- 732-695-0600 Fax 732-695-9501 BADALAMENT1. Salvaf ore J 15 Pheasant Lane

Scotch Plains, NJ 07076


BEVAN, Murray, Esq Partner

Secretary and Treasurer

Couiterft Kobert, Laufer & Cohen, P A


1001 Route 517

Hackettstown,NJ 07S40
Phone 908-852-2600 Fax 908-852-8225 ClUPa Joseph A Vies President PNC Bank, N A. One Garret Mountain Plaza

WestPaterson,NJ 07424
Phone. 973-881-5718 Fax 973-881-5711 EASTWOOD, Chariene Ortho-McNeil Pharmaceutical 10QO Route 202, PO Box 300 Rantan,NJ 08869 Phone- 908-218-7368

Statement

MUHLENBERO FOUNDATION, INC. EIN: 51-0212673 For the Year Ended 12/31/2002

GERMINSKY. Elaine Wood Lane/PO Box 7233 Phone 908-322-2878 Watcbung,NJ 07060 Owner, Geraaansky Elcctnc GOELLNER, Robert j Common Interests, Inc 61 Pearl Street Metuchen,NJ 08840 Phone 732-906-3300 Fax 732-906-3302 GREENBERGER. Marc A Magnum Marketing 40 Lake Shore Dnve West Windsor, NJ 08550 Phone 609-658-3260 (ceil & business) or 917-327-0511 (cell) KEATING, Gairett M , M.D. 238 Ridge Road Watehung, NJ 07060

Immediate Past Chair

i
|
:

MALATESTA. Room L , M D
83 Ebersohl Qrcie Whitehousc Station, NJ 08889 Phone. 908-534-1064 MAMON, Dennis M. Director, Corporate Communications Corporate Affairs Pfizer, Inc 235 E. 42nd Street NewYoiKNY 10017-5755 Phone 212-733-8010 Fax 212-338-1928

Statement

MUHLENBERG FOUNDATION, INC. EIN: 51-0212678 For the Year Ended 12/31/2002

MARCHETTA, Anthony J , Esq Pitney, Hardm, Kipp & Szuch FO Box 1945 Momstown,NJ 07962-1945 Phone 973-966-8032 Fax 973-966-1550

MCQUILLAN. Seth
President, Datatrade Inc 950 Hillside Avenue P!amfield,NJ 07060 Phone 908-769-5555 Fax 908-769-5558 MURPHY, Sean. Esq Chairman

Corporate General Counsel & Sr Vice Pres Legal Affairs, Solans Health System
SO James Street Edison, NJ 08820 NOLAN. John G.Jr Sr Vice President/Solans Foundations Park Avenue & Randolph Road Plainfield,NJ 07061 Phone 908-668-3137 Fax: 908-226-4574 NULL, Evelyn C 614 Rockview Avenue North PlainSeld, NJ 07063 OLIVER Gregory, MD. 3900 Park Avenue Edison, NJ 08820 Phone 732-494-6640 Fax: 732-549-8204

Assistant Secretary

Senior Vice President -Foundations

Statement

MUHLENBERG FOUNDATION, INC. EIN: 51-0212678 For the Year Ended 12/31/2002 ONIEAL, Kathleen H Vice President, Marketing Novattis

One Health Plaza


East Hanover, NJ 07936-1080 Phone 862-778-4142 PALUMBQ. Mane 50 Westgate Dnve Edtson,NJ 08820-1154 PQGANY,PeterA,RP Rapps Pharmacy 611 Parft Avenue Plarafield, NJ 07060 Phone 908-756-0008 Fax 908-668-8630 PREHQDKA, Theodore 6380 Longwood Dnve MurreHs Inlet, SC 29576 ROETTGER, Andrew F. Senior Vice President Morgan Stanley Dean Witter 4 Headquarters Plaza North Tower, 10* Floor Momstown.NJ 07962-1903 Phone- 800-977-3913 Fax. 973-993-3993 SCOTT, Wendell O, M.D. 1907 Paric Avenue South Plainfield, NJ 07080 Phone. 908-561-3400 Fax 908-561-7582 SIEGELMAJN, Carolyn 1430 Highland Avenue Plainfield,NJ 07060 President, Muhieoberg Auxiliary

Vice President, Muhtenberg Auxiliary

Statement

MUHLENBERG FOUNDATION, INC. EIN: 51-0212678 For the Year Ended 12/31/2002

TOWBIN. Barry M 1922 Plainfieid Avenue

South Plamfield, NJ 07080


TURNBULL, Kenneth W PO Box 4372 Warren, NJ 07059

Vice Chair, Foundation

WEflUNmaP
Co-Chair of the Board

Alpine Aromattcs International, Inc


51 West Ethel Road Piscataway, NJ 08854 Phone 908-572-5600 ZAHN. Richard - President Schcnng Laboratories 2000 Galloping Hill Road Keialworth,NJ 07033 Phone 908-298-4191 Fax. 908-298-5379 EX-QFF1CIO MEMBERS; John P McGee, President and CEO, Sotens Health System Douglas A. Nordstrom, Chairman, Board of Directors, Muhlenberg Regional Medical Center Nancy Flamingo, VP and Site Administrator, Muhlenberg Regional Medical Center LIFE TRUSTEE: Warren H. Simmons, Jr. 508 Terhune Road Princeton, NJ 08540 Phone 609-921-1330

HONORARY TRUSTEE; Raymond J. Leavec Bretton Woods


2703 Wentworth Circle Pinehurst,NC 28374

Statement /3

MUHLENBERG FOUNDATION, INC.

E!N: 51-0212678 For the Year Ended 12/31/2002

ASSOCIATE TRUSTEES
FrankH BlateJr.Esq 970 Nepawm Lane Scotch Plains, NJ 07076 George F HetficUUr, Esq

10-ARmafHll
New Hope, PA 18938

Associate Trustees/Diabetes Center Advisory Board Members; Muuay Bevan. Esq William Mehl Gail Rosen, CPA

AlanBraun,MD Chadene Eastwood


GanrettM Keating,MO

Peter Pogany, R.Ph, Kafae Roggenbutg

Barry Towbm Lenyn Zenker

Honorary Members;
William Hennebery Robert Van Buren WilhamB Wigton

Foundation Contacts
Richard Hugg

Joan Knlesavage, RN William Peek, Esq

Danielle Reid, Esq Gary Walker, Esq

Diabetes Center of New Jersey Contacts; Paul DeLisle Linda Schmitt Robert Lee Robert Smgley
Joseph Pieroni Ronald Umphenour

Statement

m.xa <*

tJ062^t3^S73

MIH-ENBERG PDUWDATIO

PA^

82

1/15/02

MUHLENBER3 FOUNDATION, INC.


BOARD OF TRUSTEES - 2QOJ

AJVPERSQN, O. Oliver President

Anderson Publishing, Ltd. 1301 West Part Avenue Ocean, NJ 07712 Phone: 732-695-0600 Fax: 732-695-9501
BADAJLAMENTL Saivatore J 15 Pheasant Lane Scotch Plains, NJ 07076 Murray, EsqPaitner Conner , Kobcrr, Laufer & Cohen, P_A. 1QQ1 Route SI?

Hackettstown, NJ 07S40
Phone: 908-852-2600 Fax: 908-852-8225 BOMNLMan 960 Cede? Brook Road Plaincid,NJ 07060 908-756-9164 BOWERS. AlaaJ. mt ifr CEO

QSS12-

CARTER. Nonnaa M., Jr., Esq. Carter, Van Renssclaer & Caldwell 120 Depot Park Phone: 90S-756-S2GQ Fax: 908-756-8204 BcroardsviUe Phone; 908-766-6616

Secretary & V-P.

*Mail should be seat to home address

98547" 05654

MUHLENBERS FQUNDATXO

23

t Joseph A. Vice President PNC Bank, NLA. Two Tower Ccnte^ 22"* Floor East Brunswick, NJ 08816 Phone: 732-220-3118 Fax: 732-220-3054 GERM1NSKY. Elaine Wood Laoe/PO Box 7233 Watching, NJG7060 GOEIXSfER. Robert J. Common Interests, Inc. 495 Main Street, Suite 26 Metucfacn,NJ 08840 Phoae: 732-744-0515 CREESBKRCEft, Mam A. Magatinz Marketing 40 Lake Shore Drive West Windsor, NJ 08SSO Phone; 09-658-3260 (ccfi & business) or9I7-327.05U(cc!I) JA^^, Bruce A. President Hall's Warehouse Corporation P.O. Box 37S/501 Kcntiic Road South Plaiafield, NJ 07QSO Phone: 90S-756-6242 Ext 3Q9# Fax: 908-757-2667

238 Ridge Road Watchung, NJ 07060

Chairman, Foundation

13 Robin Road WancoNJ070S9 MARCHETTA. Anthony J., Esq. Pitney, Hardin, Kjcpp & Szuch P.O. Box 1945 Monistown,NJ 07962-1945 Phoac: 973-966-8032 Fax:973-966-1550 *Mail should be sent to home address

'" '

KUHLENBERS FDUNDATID

PAGE

04

President, Dstatrade Inc. 950 HUlside Aveaae Piafefield,NJ 07060 Phone: 908-769-5555 Fax:908-769-5558 NOLAN. JoimG.. Jr. Sr. Vice President/Solaris Foundations Park Avenue & Randolph Road

Second Vice Chair & Treasurer, Foundation

Kwaie: 908-668-3137
Fax: 908-755-2001 KORPSTROM. Consaaee 20 Norman Place 07016 624 Rodcview Avenue North Plainfield, NJ 67063 OHVE&. Gregory, MJ> 3900 Park Avenue Edison, NJQ8S20 Phone: 732-494^640 Fax- 732-549-8204 POGAMYT Peter A^'RJP. Rapps Phanaacy 611 Fade Avenue Flainfidd,NJ 07060 Phone; 908-7S6-OOQ8 Fax:908-668-8630 PREHQDKA. Theadorg President, MR. Group, Inc. 1068 Oakland Avenue cld,NJ 07060

Senior Vice President & Assistant Secretary, Fonndations

President - Mubloaberg Auxiliary

ROETTGER, Scnior Vice Presidecrt: Mozgen Stanley Dean Witter 4 Headquarters Plaza North Tower, !0* Floor Morristown,NJ 07962-1903 Phoae- 800^977-3913 Fax: 973-993-3^3 *MaiI should be sent to home address.

MUHUENBERS FOJNDATIQ

PAGE

05

President, Gail Rpssa CPA, PC 2032 Washington Valley Rood Martmsville,NJ OS836 Phone:732-469-4202 SCOTT. WeoddB O^ MJ). 1907 Park Avenue South Plazofield, KJ 07080 Phone: 903-561-3400 Fax: 903-561-7582 ] 922 PlainfieM Avenue South Plainficid,NJ 07080 TURNBULL. Kenaetfa W. P.O. Box 4372 Wancn,NI 07059 Co-Cbairmau of the Board Alpine Aromatics International 51 West Ethel Road Piscataway, NJ 08854 Phone; 903-572-5600 Richard - Presidem Schering Laboratories 2000 Galloping HiU Road Kcmlworth, NJ 07033 Phone: 908-298-41 91 Fax: 908-398-5379

Immediate Past Chairman, Foundation

First Vice Chair, Foundation

Joiin P. McGec, President and CEO, Solaris Health System Nancy Fiaaango, Vice President

*Mail should be sent to home address.

tWLZHSEKG FOUNDATION, IMC.


BOARD OF TRUSTEES-2000 ^

ANBERSON. O. Aadereon Publishing, LK2. 1301 West Pack Avezaae Oce^NJ 07712 Phocc: 732-695-0600 Fax: 732-695-0501 BEMTO. Simon X 967 Lawieace Av&aze' 07090 Phone: 908-232-2202 Fax: 90S-232-091S

Coarwr , Kobcrt, Lsafer & Cohen, P^. 2801 Rcxse 517 Fax: 908-352-8225 960 Cedar Brook Road PIaine!d,NJ 0706090S-756-9164 BOWERS. Alan J. President & CEO MaeicetSouroe Coipoisnoa Craciaay,NJ OS512 . Second Vice Chair,

Scotch Plains, NJ 07076 Phone: 902-322-7000 Fax: 90^322*6997

48338, Ncnasa M, ic, SsqCartcr.VosRen J20 Depot Pane

Phase: 90$-7S6-S200 Fax: 903-756-3204

00

V.P^ Foundation

w
CIUFO. Joseph A. Vice President

PNC Bank, N.A,


Tw Tow Ceoecr, 22f Fteo?

East Brunswick, NJ CSS36


Fax:732-220-3094 Wood Lasc/PO Box 7233 . NT 07050

Owscr, Gcnaicsicy Electric

Msgauin Mazketiog
40 Lake Sboro Drive WesW^isar.NJ 03550 Pfeocc: 917-679-7357 (ccU & business)

Paasideat Hall's Warehouse P.O. Box 373/501 Somh Pbiafieid, NJ 07080 Phoce: 90^-756-6242
i . &JP. ^

238 Ridge Road .NJ 07050 Senior Vice Presides* Clinics) Services, Soiaris Midjlenbe^s Regional Medics! Center J 07061 Pboae:908-66S-224C Fax: 908-668^517

at L., M-ZX

13 Robin R^ad Wacrca,NJ 07059 I'A. Anthoay J-, Esq. Pimey. Hardia, Kipp & P.O. Box 1945 Monistown.NJ 07962-1945 Ptew: 973-^6^032 Fax: 973-966-1550 . Seth Presideot, Data^adc Inc. 950 Hillside Avenue : 908-7^-5555 Treaaarer, Foandation

MELVRXE.

-, MJD.

Muhlenbceg Regional Medics! Cecter maisfield, NJ 07061 Pboae: Wairea Gf: Seaioar Vice President Solaris FoundaJioiis Part; Avenue & Randolph Read KW 07061 Fax: 908*755-2001 NORDSTROM. Coasteace 20 Nonzan Place 07016

Senior Vice PrcsisSenS & Assiszaat Secretary,

Mwhlcabcrg A President

614 Rocfcview Avonae NorJ3 PlainSeid, NJ 07063

MJD.
3900 Park Avcawe
Pfeoas: 73494-*64Q Fax: 732-5494204 *

Bridgeware; NJ 08807
Pharmacy 611 Pari: Avenue NJ 07060 -756-0008

Presidcni, M.R. Gro^>, lac. 1068 Oaklssd Avcscc id,NJ 07060 Manager, Franchise Development Pepsi Cola Nonh America 2200 New Brunswick Avoase Piscataway.NJ OS8S4 Hose Office: 90g^633-6S33 ROETTGER. Andrew F. Senior Vice President Morgan Stanley Eteazs W&sr 4 HeadquazGCEs Plaza North Tower, 10* Floor Moiristowa. NJ 07962-1903 Kw: 800^77-3913 Fax:973-993-3993

President, Gail RasenCPA, PC 2032 Wa$Mngton Va^ey Rosd Mamnsvilte.MJ QS836 Phone:732-469-4202 Fax:732-4694291

Wendell <X,M3X 1907 Park Aveauc


Phase: $08-561-3400

Fax:908-561-7582
TQWBIR Barry M-

1922 Ptainfield Avcouc Scstfh PlaiaScM, N5 07080

P.O. Box 4372 IsssGS^sts Past Chairman,

51 West Ethel Road PiscsJaway,NJOS54 Pbone: 9(^-572-5600

First Vkc Cbaa?.

obontfoncs
2000 GaHopiag KU Rosd 07033

38 Segjstor Stood, PiBcy Point

Pnaccton,K) Q8S4G Pbooc; 609-921-1330

HONORARY TRUSTEES:
c: 9CS-75M826 606 Crescent Avenue PlafcSdd, NJ 07060 Raymond J. Leaves Bieaon Woods 2703
. Pbonc: 919^295^094 rK

ASSOCIATE TRUSTEES:
F3EaBkH.Btetz,J^Esq. Scotch Pbias,NJ 0707$ Whltdsouse Staa-sn , NJ OSS70

Esq.

Associate
MunayEevan.Esq. Kaae Roggenburg Maggie FiisuccJo.lLN. MajyAacsKcyes,ILN. Gsal Rosso, CPA, Co-Chaite&an Barry Towbin Robert Van Burea

Josa Kutesavagc,RK WiHisaiPo^Esq. Daaictfe Reid, Esq.

Ols&ogss Center ctffl&* J&ssy Contacts;


PaulDeLisle WUliam Henocbery Robert Lee JoscjA Picronz UndaSchmitl Robot Singley RoaaldUmpfcccour

MUHLENBERG HOSPITAL FOUNDATION, ING.

51-0212678

FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE EXPENSE ACCT AND OTHER ALLOWANCES NONE

NAME AND ADDRESS JOHN NOLAN JR 2401 TIMBER OAKS RD EDISON, NJ 08820 JOHN R. KOPICKI 105 HOLLY STREET CRANFQRD, NJ 07016 RAYMOND FREDERICKS 80 JAMES STREET EDISON, NJ OS820 OLIVER ANDERSON ANDERSON PUBLISHING LTD 1301 WEST PARK AVENUE OCEAN NJ 07712 SIMON X BENITO 967 LAWRENCE AVENUE WESTFIELD NJ 07090 MURRAY SEVAN, ESQ C/0 COURTER, KOBER, LAUFER SCOHEN

TITLE AND TIME DEVOTED TO POSITION SENIOR VP 37.S HRS EXECUTIVE 37.5 CFO PART TIME DIRECTOR AS REQ

COMPENSATION NONE

NONE

NONE

NONE

1,257.

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ DIRECTOR AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

1001 ROUTE 517


HACKETTSTOWN, NJ 07840 MARI BONIHI 960 CEDAR BROOK ROAD PLAINETELD, NJ 07060 ALAN BOWERS VICE-PRESIDENT AS REQ SECOND VICE CHAIR AS REQ NONE NONE NONE

NONE

NONS

NONE

9SPSLN 2 0 0 .3

JV4738 1534 11/09/2000 12:56:41 V9.0B.01

28

STATEMENT

MUHLENBERG HOSPITAL FOUNDATION, INC. FORM 990, PART V LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

51-0212678

NAME AND ADDRESS C/0 MARKET SOURCE CORPORATION 10 ABEEL ROAD CRANBURY NJ 08512 JON M BRAMNICK, ESQ 1827 EAST 2ND STREET SCOTCH PLAINS, NJ 07076 NORMAN M CARTER JR. , ESQ CARTER, VAN RENSSEL&ER CALDWELL 120 DEPOT PARK PL&INFIELD, NJ 07060 JOSEPH A CIUFO C/0 PNC BANK NA TWO TOWER CENTER EAST BRUNSWICK, NJ 08816 ELAINE GERMINSKY P 0 BOX 7233 W&TCKUNG, NJ 07060 MARC A GREENBERGER C/0 MAGNUM MARKETING 40 LAKE SHORE DRIVE WEST WINDSOR, NJ 08550 BRUCE A JAYNE C/0 HALL'S WAREHOUSE CORPORATION P 0 BOX 378 SOUTH PLAINFIELD, NJ 07080

TITLE AND TIME DEVOTED TO POSITION

COMPENSATION

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS

EXPENSE ACCT AND OTHER ALLOWANCES

DIRECTOR AS REQ SECRETARY, VP AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

DIRECTOR AS REQ DIRECTOR AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

9SPSLN 2.QDO

JV4738 1534 11/09/2000 12:56:41 V9.08.01

STATEMENT

MUHLENBE&G HOSPITAL FOUNDATION, INC.

51-0212678

FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS WOKE

NAME AND ADDRESS G&RRE2T M KEATING &D 238 RIDGE ROAD WATCHUNG, NJ 07060 ROBERT L MALATESTA MD 13 ROSIN ROAD WARREN, NJ 07QS9 ANTHONY J MARCEEETTA, ESQ C/0 PITNEY, HARDIN, KIPP SZUCH P 0 BOX 1945 HORRXSIQWN, NJ 07362 SETH MCQUILLAN C/0 D&TATR&DE, INC 950 HILLSIDE AVENUE PLAINFIELD NJ 07060 GORDON E MELVILLE,MD ASSOCIATED RADIOLOGISTS MUELENBERG REGIONAL MEDICAL CENTER PLAINFIELD, NJ 07061 CONSTANCE NORDSTOM 20 NORMAN PLACED CRANEORD, NJ 07016 EVELYN C NULL 614 ROCKVIEW AVENUE NORTH PLAINFIELD, NJ 07063

TITLE AND TIME DEVOTED TO POSITION DIRECTOR AS REQ DIRECTOR AS REQ DIRECTOR AS REQ

COMPENSATION NONE

EXPENSE ACCT AND OTHER ALLOWANCES WOKE

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

DIRECTOR AS REQ DIRECTOR AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

SSPELN 0 0 .0

JV4738 1534 11/09/2000 12:56:41 V9.08.01

30

STATEMENT B

MUELENBERG HOSPITAL FOUNDATION, INC. FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

51-0212678

NAME AND ADDRESS GREGORY OLIVER, MD 3900 PARK AVENUE EDISON, NJ 08820 LAWRENCE PERLOW, MD 1384 PLYMOTH ROAD BRIDGEWATER, NJ 08807 PETER P06ANY R.P C/0 RAPPS PHARMACY 611 PARK AVENUE PLAINFISLD, NJ 07060 THEODORE PREHODKA 1068 OAKLAND AVENUE PLAXNFIELD, NJ 07060 WILLIAM REIHER C/0 PEPSI COLA NA 2200 NEW BRUNSWICK AVENUE PISCATAWAY, NJ 08854 ANDREW F ROETTGER C/0 MORGAN STANLEY DEAN WITTER 4 HEADQUARTERS PLAZA MORRISTQWN, NJ 07962 GAIL ROSEN, CPA 2032 WASHINGTON VALLEY ROAD MARTINSVILLE, NJ 08836

TITLE AND TIME DEVOTED TO POSITION DIRECTOR AS REQ DIRECTOR AS REQ DIRECTOR AS REQ

COMPENSATION NONE

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE

EXPENSE ACCT AND OTHER ALLOWANCES NONE

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ DIRECTOR AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

DIRECTOR AS RSQ

NONE

NONE

NONE

9SP6LN ZODQ

JV4738 1534 11/09/2000 12:56:41 V9.08.01

31

STATEMENT

MUKLEN&ERG HOSPITAL FOUNDATION, INC. FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

Sl-0212678

NAME AND ADDRESS GREGORY OLIVER, MD 3900 PARK AVENUE EDISON, NJ 08820 LAWRENCE PERLOW, MD 1384 PLYMQTH ROAD BRIDGEWATER, NJ 03807 PETER POGANY R.P C/0 RAPPS PHARMACY 611 PARK AVENUE PLAINEIELD, NJ 07060 THEODORE PREHODKA 1068 OAKLAND AVENUE PLAINFIELD, NJ 07060 WILLIAM REIHER C/0 PEPSI COLA NA 2200 NEW BRUNSWICK AVENUE PISCATAWAY, NJ 08854 ANDREW ff ROETTGER C/0 MORGAN STANLEY DEAN WITTER 4 HEADQUARTERS PLAZA MORRISTOWN, NJ 07962 GAIL ROSEN, CPA 2032 WASHINGTON VALLEY ROAD HARTINSVILLE, NJ OS836

TITLE AND TIME DEVOTED TO POSITION DIRECTOR AS REQ DIRECTOR AS REQ DIRECTOR AS REQ

COMPENSATION NONE

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE

EXPENSE ACCT AND OTHER ALLOWANCES . NONE

NONE

NONE

NONE

NONE

HONE

NONE

DIRECTOR AS REQ DIRECTOR AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

9SPSLN 2.QDQ

JV4738 1534 11/09/2000 12:56:41 V9.08.01

31

STATEMENT

MUHLENBERG HOSPITAL FOUNDATION, INC. FORM 390, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

51-0212676

NAME AND ADDRESS WENDELL SCOTT, MD 1907 PARK AVENUE SOUTE PLAINFIELD, NJ

TITLE AND TIME DEVOTED TO POSITION DIRECTOR AS REQ 07080 DIRECTOR AS REQ DIRECTOR. AS REQ PAST CHAIRMAN AS FIRST VICE CHAIR AS REQ

COMPENSATION NONE

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS NONE

EXPENSE ACCT AND OTHER ALLOWANCES * NONE

BARRY M T OWE IN 1922 PLAINETELD AVENUE SOUTH PLAINFIELD, NJ 07080 JESS N TOBIN 1720 WICKFQRD ROAD SOUTH PLAINFIELD, NJ 07080 KENNETH W TURNBULL P 0 BOX 4372 WARREN, NJ 07053 NINA P WEIL C/0 ALPINE AROMATICS INTERNATIONAL 51 WEST ETHEL ROAD PISCATAWAY, NJ 08854 RICHARD ZAHN C/0 SCHERRING LABS 2000 GALLOPING HILL ROAD KENILWORTH, NJ 07033 EDWARD DAILEY JR 38 REGISTER ROAD MARION, MA 02738 WARREN SIMMONS

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

DIRECTOR AS REQ

NONE

NONE

NONE

LIFE TRUSTEE AS REQ LIFE TRUSTEE AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

SSPSLN 000

JV4738 1534 11/09/2000 12:56:41 V9.08.01

32

STATEMENT

.KOHLENBERG HOSPITAL FOUNDATION,

INC.

51-0212678

FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

NAME AND ADDRESS SOS TERHUNE ROAD PRINCETON, NJ 08540 GEORGE F HETFIELD SR. ESQ 606 CRESCENT AVENUE PLAINFXELD, NJ 07060 RAYMOND J LEAVBE 2703 WENTWORTH CIRCLE NC 28374 FRANK BLATZ, JR. 970 NEPAWIN LANE SCOTCH PLAINS, NJ 07076 GEORGE F. HETFIELD, JR. ESQ 2 FEDERAL LANE WHITEHOUSE STATION READINGTON, NJ 0887 0 JOHN MCGEE C/0 MUHLENBERG HOSPITAL FOUNDATION 93 JAMES STREET EDISON, NY 08820

TITLE AND TIME DEVOTED TO POSITION

COMPENSATION

CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS

EXPENSE ACCT AND OTHER ALLOWANCES.

HONORARY TRUSTEE AS REQ HONORARY TRUSTEE AS REQ ASSOCIATE TRUSTEE AS REQ ASSOCIATE TRUSTEE AS REQ

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

NONE

PRESIDENT/CEO AS REQ

9,184.

NONE

NONE

GRAND TOTALS

10,441.

NONE
5SSSSS S= IS ET S! !S Sf

NONE

9SPSLH aOOQ

JV4738 1534 11/09/2000 12:56:41 V9.08.01

33

STATEMENT

:c

n/98
MUHLENBERG FOUNDATION, INC.
BOARD OF TRUSTEES

ANPEUSON.O.OUver
President

Anderson Publishing, Ltd. 1301 West Park Avenue


Ocean, NJ 07712 Phone:732-695-0600 Fax:732-695-9501 SEVAN. Murray, Esq. Partner ..Courter, Kobert, Laufer & Cohen, PA. 1001 Route 517 HaekettstGwn, NJ Phone:908-852-2600 Fax: 908-852-8335 BOWERS. Alan J. President & CEO

MEL Life Assurance Corporation


520 Broad Street Newark, NJ 07102-3 Hi Phone:973-481-8747 Fax:973-268-4319 BRAMNICK. Jon M., Esq. 1827 East 2nd Street Scotch Plains, NJ 07076 Phone: 908-322-7000 Fax:908-322-6997 CARTER, Norman M, Jr., Esq. Carter, Van Rensselaer & Caldwell 120 Depot Park PlainfieldsNJ 07060 Phone: 908-756-8200 Fax: 908-756-8204 DZURENDA. Rev. Thomas J. St. Mary's Stony Hill Church 225 Mountain Boulevard Watchung,NJ 07060 *MaiI should be sent to home address. \r F

FOX. John, R. Executive Vice President PNC Bank, NA.

Two Tower Center


East Brunswick, NJ 08816 Phone:732-220-3060 Fax:732-220-3838 GERMINSKY, Elaine Wood Lane/PO Box 7233 Watchung,NJ 07060 GREENBERGER. Marc A. Milton Merl & Associates, inc. 12 West End Avenue NewYork,NYlQQ23 Phone:.8S8-663-4636or direct at 212-634-9270 Fax:212-634-9252 JAYNE. Brace A. President Hall's Warehouse Corporation P.O. Box 378/501 Keniile Road South Piainfield, NJ 07080 Phone: 908-756-6242 Ext 3Q9# Fax: 908-757-2667 JOHNSON. Kevin P. President Walsh Lowe & Associates, Inc. 47 Newark Street Hoboke0,NJ 07030 Phone: 201-216-1100 Fax:201-216-1305 KEATING. Garrett M., M.D. 238 Ridge Road Watchung,NJ 07060 KILDUFF. Susan 1620 Forest Hill Plainfield,NJ 07062-2425

*Mail should be sent lo home address.

saanr

KOPICJCUohaR. Executive Vice President MuMenberg Regional Medical Center Park Avenue & Randolph Road Phone: 908-668-2240 Fax:908-668-3149 MALATESTA. Robert L., M.D. 13 Robin Road Warren, NJ 07059 MARCHETTA. Anthony J.s Esq. Pitney, Hardia, Kipp & Szuch P.O. Box 1945 Morristown,NJ 07962-1945 Phone: 973-966-8032 Fax; 973-9664550

MCQUILLAN, seth
President, Datatrade Inc. 120 West 7th Street Piainfiei^NJ 07060 Phone: 908-769-5555 Fax: 908-769-5558 MELVILLE. Gordon E., M.D. Associated Radiologists Muhlenberg Regional Medical Center PIainSeld,NJ 07061 Phone:908-668-2180 Fax: 908-668-2581

Senior Vice President Muhlenberg Fotzndatioo, Inc. Park Avenue & Randolph Road Plainfie!d,NJ 07061 Phone:908-668-3137 Fax: 908-755-2001 MJLLBvelynC. 614 Rockview Avenue North Plainfield,NJ 07063

*Mail should be sent to home address.

OLIVER. Gregory, M.D. 1010 Park Avenue Plaiafield,NJ 07060 Phone: 908-756-011 i Fax: 908-549-8204 PERLOW. Lawrence, M.D. Vice President, Marketing Parke-Davis 201 Tabor Road Morris Plains, NJ 07950 Phone: 973-S40-3455 Fax:973-540-4891 POGANY. Peter A., RJP. Rapps Pharmacy 611 Park Avenue Plabfield,NJQ7Q60 Phone: 908-756-0008 Fax:908-668-8630 PREHODKA. Theodore 1068 Oakland Avenue Plainfield,NJ 07060 REIHER. William C. Manager, Franchise Development Pepsi Cola North America 2200 New Brunswick Avenue Piscataway, NJ 08854 Phone:908-424-3133 RQSEGaU,CPA President, Gail Rosen CPA, PC 2032 Washington Valley Road Martinsville,NJ 08836 Phone:732469-4202 Fax:732-469-6291 SAWHNEY. Ora P., M.D. 1550 Park Avenue South Plainfield, NJ 07080 Phone: 908-757-0666 Fax: 908-756-4750

'Mail should be sent to home address.

4 F

SCOTT. Wendell Q., MD. 1907 Paric Avenue South Plainfield, NJ 07080 Phone: 908-561-3400 Fax:908-561-7582 SIMPSON, Karin L_, CHE Park Avenue Surgical Associates 1511 Park Avenue South Plainfield, NJ 07080 Phone:908-561-9710 Fax: 908-561-7162 THOMPSON, Bonnie 336"Sidge Road Watchun&NJ 07060-5432 TOWBIN-BasryM. 1922 Plainfield Avenue South Plainfield9NJ 07080 TOWBIN,JessN. 1729 Wickford Road South PlainSeld, NJ 07080 TURNBULL. Kenneth W. P.O. Box 4372 Wanen,NJ 07059

WARREN. Wiiliam Business Unit Manager Pepsi-Cola Company 2200 New Brunswick Avenue Piscataway, NJ 08854 Phone:908-424-3130 Fax:908~242-li20

*Mail should be sent to home address.

. 5

WEIL. Nina P. Co-Chairmaa of the Board Alpine Aromatics International 51 West Ethel Road Piseataway.NJ 08854 Phone: 908-572-5600

President
Sobering Laboratories

2000 Galloping Hill Road


Kenirwonh,NJ 07033 Phone:908-298-419i Fax:908-298-5379

LIFE TRUSTEES: SIMMONS. Wanen H., Jr. 508 Terhune Road Princeton, HF 08540 Phone: 609-921-1330 PAILEY. Edward J.. Jr. 38 Register Road, Piney Point Marion, MA 02738

'Mail should be sent to home address.

6
S3SH3!

HONORARY TRUSTEES:
George F. Hetfield, Sr., Esq. 606 Crescent Avenue Plainfield,NJ 07060 Raymond J. Leavee Bretton Woods 2703 Wentworth Circle Pinehurst,NC 28374

ASSOCIATE TRUTEES:
Frank H. Btatz, Jr., Esq. 970 Nepawin Lane Scotch Plains, NJ 07076 George F. Hetfield, Jr., Esq. #2 Federal Lane Whitehouse Station Readmgton,NJ 08870 Associate Trustees/Diabetes Center Advisory Board Members Murray Bevan, Esq. William Mehls Co-Chairman Alan Braun; M.D. Joseph Pieroni Richard T. Charles, CPA Andrew F, RoeUger Maria Corbet Gail Rosen, CPA, Co-Criairmaa Paul DeListe Linda C. Schmitt Patricia Gawdun Robert Vaa Buren Wjliiam Hennebery Mliiam B. Wigton Robert W. Lee

*Mail should be sent to home address.

7
STfcEF

r-"
Bomni,Mari[ 960 Cedaibrook Road Plaiafiel&NJ 07060

BOAR0 OF TRUSTEES - 1997 MUHLENBERG FQWBATJON

Bowers, Alan J. President & C.E.O. MBL Life Assurance Corp. 520 Broad Street Newark, NJ 07102-3111 Carter, Norman M. Jr., Esq. Carter, Van Reasselaer & Caidwell 120 Depot Park Piaiageld, NJ 07060 Bailey, Edward J. Jr., Piney Point Marioa, Massachusetts 02738 Doherty, John B. 6 Colonial Drive Green Brook, NJ 08812 Dzurenda, Rev. Thomas J. St. Mary*s Stony Hill Caurcii 225 Mountain Boulevard Watchun&NJ 07060

Genniasky, Haine PO Box 1366 PiaMeld, W 07061

Goldmarat, Anker P. 169 Pershing Boulevard Lava!lette,NJ 08735

Greenberger., Marc A. MUton Merf & Associates^ Inc. 12 West End Avenue New York, NY 10023

Jayne, Bruce A. President Hall's Warehouse Corporation. PO Box 378/501 KentUe Road South P!ainSe!d,HJ 070SO

Johfison, Kevin P. President Walsh Lowe & Associates, lac. 47 Newark Street Hoboken^NJ 07030

Keating, Garrett Ms M.D. 233 Ridge Road Watcbun& NJ 07060

Kolaya, John L.s P.E. 1081 Oakland Avenue Plainfieid,NJ 07060-3431

Kopicki, John R. Mublenberg Regional Med. Ctr. Plaindd,NJ 07061 Maiatesta., Robert L.3 M.0. 13 Robin Road Warrea, NJ 07059

McQuillan, Seth President, Datatrade Inc. 120 West 7* Street Plainfield,NJ 07060

MelvHle, Gordon E., M.D. Associated Radiologists MuMecberg Reg'l. Medical Center Plainfieid,NJ 07061

Nolan, John G,, Jr. Senior Vice President Muhlenberg Foundation, lac. Park Avenue & Randolph Road Plainfieid, NJ 07061

Null, Evelyn C. 614 Rockview Avenue North PIaMe!d,NJ 07063

Oliver, Gregory, M.D. 1010 Park Avenue Plainfiel4 NJ 07060

Pogany, Peter A., R.P. Rapps Pharmacy 611 Park Avenue PIaiafield,NJ 07060

Prehodka, Theodore 1068 Oakland Avenue PIainSeld,KF Q7060

Rfiiher, TOliam C. Manager, Franchise Development Pepsi Cola North America 2200 New Brunswick Avenue Piscstaway, NJ 08854

Richard, M, John Senior Vice President of Development and PubHc A0airs New Jersey Perfonaiag Arts Center One Newark Center - 16th Floor Newark, NT 07102

Sawhney, OM P., M.D. 1550 Park Avenue South Piainfieid, NJ 07080

Scott, Wendell O., MD. 1038 Edgewood Avenue PlamSeld, NJ 07060

Simpson, Karin L., Che 1 1 A Ferguson Road Warren, NJ 07059-6907

Towbin, Jess N. 1729 Wtckford Road South PlainSeld, NJ 070SO

Turnbuli, Kenneth W. PO Box 4372 Warren, NJ 07059

Weil,NiaaP. 1061 Ralrway Road Plainfield, NJ 07060

Life Trustee: Simmons, Warrea H., Jr. 508 Terhaas Road Princeton, NJ 08540 Honorary Trastees: George F. Hetgdd, Sr., Esq. 102 North Avenue Plainfield,NJ 07060 Mr. Raymond J. Leavee 2703 Wentwoith Circle Bretton Woods Pinehurst, North Carolina 28374 Mrs. Albert L. Sebotnp? Jr. 31 Giggteswitek Way Edison, NJ QS820 Associate Trustees: Frank H. Blatz, Jr., Esq. 970 Nepawin Laae Scotch Plains, NJ 07076 George F. HetEled, Jr., Esq. ^2 Federal Lane Whitehouse Station ReadingtOB, NJ 08870 Associate Tmstees as Diabetes Center Advisory Board Members Murray Beva% Esq. AlanBraan, M.D. Paul DeLisle Patrida Gawdun William Henoebery Robert W. Lee TOliamMebl Gail Roses, C.P. A. Linda Schmht Robert Van Buren . v^gton, Jr.

Вам также может понравиться