2021-01-22T16:16:41-06:00 2020-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2019-10-01 471846222 AMERISOURCEBERGEN FOUNDATION AMER 6105763832 1300 MORRIS DRIVE CHESTERBROOK PA 19087 JF QUINN TREASURER 6105763832 2021-01-22 1 PATRICIA J MAYER P00188643 4159561500 2019 2022-09-23 18:48:47Z GINA CLARK 1300 MORRIS DRIVE CHESTERBROOK PA 19087 13090034 0 X N/A X 2014 DE TO SUPPORT THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND. 5 3 0 14 0 0 5798256 2002000 0 0 1226937 545282 0 0 7025193 2547282 7008285 10251815 0 0 0 0 0 0 0 164297 35890 7172582 10287705 -147389 -7740423 34731784 29070475 11288 531401 34720496 28539074 X THE SPECIFIC AND PRIMARY PURPOSE OF THIS CORPORATION IS TO ENGAGE IN CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND THE TREASURY REGULATIONS PROMULGATED THEREUNDER, PER THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW (THE "CODE"), FOR THE BENEFIT OF, OR TO CONDUCT OR CARRY OUT THE PURPOSES OF THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND, A NONPROFIT, CHARITABLE AND EDUCATIONAL ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE AND WHICH IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) (THE SUPPORTED TAX-EXEMPT ORGANIZATION). 0 0 10251815 10251815 0 THE AMERISOURCEBERGEN FOUNDATION WAS ESTABLISHED AS A DELAWARE NONSTOCK CORPORATION ON SEPTEMBER 15, 2014. THE FOUNDATION MAKES GRANTS TO ORGANIZATIONS FOCUSING ON HEALTH, EDUCATION, AND COMMUNITY. THE FOUNDATION MAY ALSO PROVIDE CHARITABLE RELIEF BY PROVIDING GOODS AND SERVICES SUCH AS PALLIATIVE CARE PACKAGES TO INDIVIDUALS SUFFERING FROM CANCER OR OTHER DISEASES AND SAFE PHARMACEUTICAL DISPOSAL PACKAGES TO COMMUNITY MEMBERS. 10251815 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X KOUROSH PIROUZ 6107277000 1300 MORRIS DRIVE CHESTERBROOK PA 19087 X GINA K CLARK PRESIDENT & DIRECTOR 1.00 41.00 X X 0 0 0 KEVIN DOW DIRECTOR 1.00 X 0 0 0 ESPERANZA NEU DIRECTOR 1.00 X 0 0 0 JAIME PLUDO DIRECTOR 1.00 X 0 0 0 CRYSTAL THOMPSON DIRECTOR 1.00 41.00 X 0 0 0 JF QUINN TREASURER 1.00 41.00 X 0 0 0 JAMES T RIZOL ASSISTANT TREASURER 1.00 41.00 X 0 0 0 KOUROSH Q PIROUZ SECRETARY 1.00 41.00 X 0 0 0 SUSAN L COLDREN ASSISTANT SECRETARY 1.00 41.00 X 0 0 0 CAROLYN B TRACZYKIEWICZ ASSISTANT SECRETARY 1.00 41.00 X 0 0 0 MELISSA GREENBAUM ASSISTANT SECRETARY 1.00 41.00 X 0 0 0 SUSAN LORENZ-FISHER PROGRAM OFFICER 1.00 41.00 X 0 0 0 KATE LAEPPLE HERTZOG GRANT ADMINSTRATOR 1.00 41.00 X 0 0 0 NICOLE GORDON PROGRAM OFFICER 1.00 41.00 X 0 0 0 0 0 0 0 0 0 0 0 2000000 2000 2002000 588034 588034 10500000 10542752 -42752 -42752 -42752 2547282 0 0 545282 10074854 10074854 176961 176961 35590 35590 300 300 10287705 10251815 35890 0 1329487 2816535 5750000 2000000 27652297 24253940 34731784 29070475 11288 531401 11288 531401 X 13979748 17529796 20740748 11009278 34720496 28539074 34731784 29070475 -7740423 1559001 0 X 0 1 X 1 0 X X X 1 AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND 900918856 7 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND AND THE AMERISOURCEBERGEN FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE AND THE LAWS OF THE STATES IN WHICH THEY OPERATE. THE FUND HAD NO UNRECOGNIZED TAX BENEFITS WHICH WOULD REQUIRE AN ADJUSTMENT TO THE BEGINNING BALANCES OF NET ASSETS AND HAD NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2020 AND 2019. THE FUND FILES AN EXEMPT ORGANIZATION RETURN IN THE U.S. FEDERAL JURISDICTION AND THE NECESSARY FORMS WITH THE APPROPRIATE AUTHORITIES IN THE STATES IN WHICH IT OPERATES. THE FUND IS NOT AWARE OF ANY TRANSACTIONS THAT WOULD AFFECT ITS TAX-EXEMPT STATUS. 1 504HEALTHNET 2701 AIRLINE DR STE K 140 METAIRIE LA 70001 262831459 501(C)(3) 100000 GENERAL SUPPORT ADDICTION POLICY PARTNERSHIP 11810 GRAND PARK AVE SUITE 500 NORTH BETHESDA MD 20852 473010585 501(C)(3) 70000 GENERAL SUPPORT ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4000 AMBASSADOR DR ANCHORAGE AK 99508 920162721 501(C)(3) 50000 GENERAL SUPPORT AMERICAN CANCER SOCIETY-GLOBAL HEADQUARTERS 250 WILLIAMS ST NW ATLANTA GA 30303 131788491 501(C)(3) 60000 GENERAL SUPPORT AMERICAN CANCER SOCIETY-PENNSYLVANIA 1818 MARKET ST STE 2820 PHILADELPHIA PA 19103 820837813 501(C)(3) 50000 GENERAL SUPPORT AMERICAN PHARMACISTS ASSOCIATION FOUNDATION 2215 CONSTITUTION AVE NW WASHINGTON DC 20037 526039142 501(C)(3) 30800 GENERAL SUPPORT AMERICAN RED CROSS OF SOUTHEASTERN PENNSYLVANIA 2221 CHESTNUT STREET PHILIDELPHIA PA 19103 530196605 501(C)(3) 73000 GENERAL SUPPORT AMERICARES 88 HAMILTON AVE STAMFORD CT 06902 061008595 501(C)(3) 865996 GENERAL SUPPORT AMISTADES INC 5501 N ORACLE ROAD SUITE 125 TUCSON AZ 85704 205274049 501(C)(3) 75000 GENERAL SUPPORT ANDY TALLEY BONE MARROW FOUNDATION 237 W LANCASTER AVE SUITE 201 DEVON PA 19333 273566826 501(C)(3) 35000 GENERAL SUPPORT ANGEL FLIGHT EAST 1501 NARCISSA ROAD BLUE BELL PA 19422 232705595 501(C)(3) 90000 GENERAL SUPPORT BIG BROTHERS BIG SISTERS INDEPENDENCE REGION 123 S BROAD ST STE 1050 PHILADELPHIA PA 19109 231352034 501(C)(3) 10000 GENERAL SUPPORT BOYS GIRLS CLUBS OF AMERICA 1275 PEACHTREE STREET NW ATLANTA GA 30309 135562976 501(C)(3) 250000 GENERAL SUPPORT BOYS GIRLS CLUBS IN TENNESSEE 967 IRWIN ST KNOXVILLE TN 37917 264568046 501(C)(3) 100000 GENERAL SUPPORT CALIFORNIA FIRE FOUNDATION 1780 CREEKSIDE OAKS DR SACRAMENTO CA 95833 680118991 501(C)(3) 15000 GENERAL SUPPORT CAMDEN COALITION OF HEALTHCARE PROVIDERS 800 COOPER ST 7TH FLOOR CAMDEN NJ 08102 320332843 501(C)(3) 102232 GENERAL SUPPORT CAPACITY BUILDERS INC 418 W BROADWAY FARMINGTON NM 87401 261077416 501(C)(3) 75000 GENERAL SUPPORT CARE DIMENSIONS (HOSPICE OF THE NORTH SHORE GREATER BOSTON) 75 SYLVAN STREET SUITE B-102 DANVERS MA 01923 222873792 501(C)(3) 71385 GENERAL SUPPORT CH PENNSYLVANIA UNDER - 21 31 E ARMAT ST PHILADELPHIA PA 19144 233003176 501(C)(3) 10000 GENERAL SUPPORT CHARITABLE PHARMACY OF CENTRAL OHIO 200 EAST LIVINGSTON AVE COLUMBUS OH 43215 270147099 501(C)(3) 48855 GENERAL SUPPORT CHESTNUT HEALTH SYSTEMS INC 1003 MARTIN LUTHER KING DR BLOOMINGTON IL 61701 370964629 501(C)(3) 100000 GENERAL SUPPORT CHRIS ATWOOD FOUNDATION INC PO BOX 9282 RESTON VA 20195 462749211 501(C)(3) 100000 GENERAL SUPPORT CLEAR PATH FOR VETERANS NEW ENGLAND INC 27 JACKSON ROAD DEVENS MA 01434 820681735 501(C)(3) 63074 GENERAL SUPPORT COASTAL COMMUNITY FOUNDATION OF SOUTH CAROLINA INC 635 RUTLEDGE AVE STE 201 CHARLESTON SC 29403 237390313 501(C)(3) 25000 GENERAL SUPPORT COMMUNITY ANTI-DRUG COALITIONS OF AMERICA 625 SLATERS LANE SUITE 300 ALEXANDRIA VA 22315 541610317 501(C)(3) 100000 GENERAL SUPPORT COMMUNITY FOUNDATION OF SOUTHWEST LOUISIANA 1155 RYAN STREET SUITE 212 LAKE CHARLES LA 70601 721508036 501(C)(3) 20000 GENERAL SUPPORT CONGRESO DE LATINOS UNIDOS INC 216 W SOMERSET ST PHILADELPHIA PA 19133 232051143 501(C)(3) 20000 GENERAL SUPPORT DIRECT RELIEF 6100 WALLACE BECKNELL RD GOLETA CA 93117 951831116 501(C)(3) 600000 GENERAL SUPPORT DOUBLE HARVEST INC 55 S MAIN ST OBERLIN OH 44074 237444744 501(C)(3) 88880 GENERAL SUPPORT ELUNA 1617 JFK BLVD SUITE 935 PHILADELPHIA PA 19103 912065051 501(C)(3) 480393 GENERAL SUPPORT EQUAL JUSTICE INITIATIVE 122 COMMERCE ST MONTGOMERY AL 36104 631135091 501(C)(3) 35000 GENERAL SUPPORT FAMILY REACH FOUNDATION 142 BERKELEY ST STE 4 BOSTON MA 02116 912192211 501(C)(3) 280000 GENERAL SUPPORT FLORIDA COALITION ALLIANCE INC 2815 E HENRY AVE STE B1 TAMPA FL 33610 263339245 501(C)(3) 125000 GENERAL SUPPORT FOUNDATION FOR PUERTO RICO INC PO BOX 364029 SAN JUAN PR 00936 660776227 501(C)(3) 10000 GENERAL SUPPORT GREATERGOODORG'S SAFE HAVEN ONE UNION SQUARE 600 UNIVERSITY STREET SUITE 1000 SEATTLE WA 98101 204846675 501(C)(3) 15000 GENERAL SUPPORT HEALTHCARE READY 1325 G ST NW STE 500 WASHINGTON DC 20005 463134601 501(C)(3) 185000 GENERAL SUPPORT I HAVE A DREAM FOUNDATION 322 EIGHTH AVENUE SUITE 202 NEW YORK NY 10001 133355315 501(C)(3) 25000 GENERAL SUPPORT IDAHO COMMUNITY FOUNDATION INC 210 W STATE ST BOISE ID 83702 820425063 501(C)(3) 25000 GENERAL SUPPORT INITIATIVE FOR A COMPETITIVE INNER CITY INC 56 WARREN ST 3RD FLOOR ROXBURY MA 02119 133772904 501(C)(3) 85000 GENERAL SUPPORT INSTEDD 100 S MURPHY AVE STE 200 SUNNYVALE CA 94086 204895174 501(C)(3) 60000 GENERAL SUPPORT K9 PARTNERS FOR PATRIOTS INC 15322 AVIATION LOOP DR BROOKSVILLE FL 34604 471871810 501(C)(3) 90000 GENERAL SUPPORT LAHC- LEADERS ADVANCING AND HELPING COMMUNITIES 5275 KENILWORTH STREET DEARBORN MI 48126 383081799 501(C)(3) 100000 GENERAL SUPPORT LIVING BEYOND BREAST CANCER 40 MONUMENT RD STE 104 BALA CYNWYD PA 19004 232734689 501(C)(3) 50000 GENERAL SUPPORT MARINE CORPS SCHOLARSHIP FOUNDATION INC 909 N WASHINGTON ST STE 400 ALEXANDRIA VA 22314 221905062 501(C)(3) 20000 GENERAL SUPPORT MATFORCE THE YAVAPAI COUNTY SUBSTANCE ABUSE COALITION 8056 E VALLEY RD STE B PRESCOTT VALLEY AZ 86314 860900106 501(C)(3) 62209 GENERAL SUPPORT MEDASSIST OF MECKLENBURG 4428 TAGGART CREEK RD STE 101 CHARLOTTE NC 28208 562018957 501(C)(3) 25000 GENERAL SUPPORT MERCHANTS FUND 1528 WALNUT STREET STE 1004 PHILADELPHIA PA 19102 231584975 501(C)(3) 50000 GENERAL SUPPORT MHP SALUD 2111 GOLFSIDE SUITE 2B YPSILANTI MI 48197 383092194 501(C)(3) 74807 GENERAL SUPPORT MID SHORE MENTAL HEALTH SYSTEMS INC 28578 MARYS CT STE 1 EASTON MD 21601 521815293 501(C)(3) 75000 GENERAL SUPPORT MONTGOMERY AIDS OUTREACH INC 2900 MCGEHEE RD MONTGOMERY AL 36111 630959628 501(C)(3) 50000 GENERAL SUPPORT MONTGOMERY COUNTY FOUNDATION 4 SENTRY PARKWAY EAST SUITE 302 BLUE BELL PA 19422 236298550 501(C)(3) 50000 GENERAL SUPPORT NATIONAL ASSOCIATION OF DRUG DIVERSION INVESTIGATORS INC 1810 YORK RD LUTHERVILLE TIMONIUM MD 21093 521660752 501(C)(3) 100000 GENERAL SUPPORT NATIONAL COMMUNITY PHARMACISTS ASSOCIATION FOUNDATION INC 100 DAINGERFIELD RD ALEXANDRIA VA 22314 900633086 501(C)(3) 85000 GENERAL SUPPORT NATIONAL DISASTER SEARCH DOG FOUNDATION INC 6800 WHEELER CANYON ROAD SANTA PAULA CA 93060 770412509 501(C)(3) 85000 GENERAL SUPPORT NATIONAL FFA FOUNDATION INC PO BOX 68960 INDIANAPOLIS IN 46268 546044662 501(C)(3) 50000 GENERAL SUPPORT NATIONAL RECREATION PARK ASSOCIATION 22377 BELMONT RIDGE RD ASHBURN VA 20148 135563001 501(C)(3) 100000 GENERAL SUPPORT NORTH CAROLINA DENTAL SOCIETY FOUNDATION 1600 EVANS ROAD CARY NC 27513 820880561 501(C)(3) 50000 GENERAL SUPPORT NORTHERN VIRGINIA THERAPEUTIC RIDING PROGRAM INC 6429 CLIFTON RD CLIFTON VA 20124 541897241 501(C)(3) 22000 GENERAL SUPPORT NURSE-FAMILY PARTNERSHIP 1900 GRANT ST 4TH FLOOR DENVER CO 80203 200234163 501(C)(3) 99500 GENERAL SUPPORT OREGON COMMUNITY FOUNDATION 1221 SW YAMHILL ST SUITE 100 PORTLAND OR 97205 237315673 501(C)(3) 35000 GENERAL SUPPORT OREGON VETERINARY MEDICAL FOUNDATION INC 1880 LANCASTER DR NE SALEM OR 97305 930832026 501(C)(3) 15000 GENERAL SUPPORT OVERDOSE-LIFELINE INC 7331 LAKESIDE DR INDIANAPOLIS IN 46278 471333720 501(C)(3) 99000 GENERAL SUPPORT PARENTS OF ADDICTED LOVED ONES 11225 N 28TH DRIVE SUITE B102 PHOENIX AZ 85029 473131409 501(C)(3) 79500 GENERAL SUPPORT PARTNERS IN HEALTH A NONPROFIT CORPORATION 800 BOYLSTON ST STE 300 BOSTON MA 02199 043567502 501(C)(3) 387360 GENERAL SUPPORT PENNSYLVANIA ECONOMY LEAGUE INC 230 SOUTH BROAD STREET SUITE 403 PHILADELPHIA PA 19102 231352264 501(C)(3) 25000 GENERAL SUPPORT PHYSICIAN ASSISTANT FOUNDATION OF THE AMERICAN ACADEMY OF PHYSICIAN 2318 MILL ROAD SUITE 1300 ALEXANDRIA VA 22314 541071370 501(C)(3) 75955 GENERAL SUPPORT POWER OF PUTNAM INC 25 W BROAD ST STE 9 COOKEVILLE TN 38501 263283746 501(C)(3) 59950 GENERAL SUPPORT PREVENTION ACTION ALLIANCE 6171 HUNTLEY ROAD SUITE G COLUMBUS OH 43229 341584277 501(C)(3) 135825 GENERAL SUPPORT PREVENTION POINT PHILADELPHIA INCORPORATED PO BOX 60990 PHILADELPHIA PA 19133 232663699 501(C)(3) 50000 GENERAL SUPPORT PROJECT HOME 1515 FAIRMOUNT AVE PHILADELPHIA PA 19130 232555950 501(C)(3) 75000 GENERAL SUPPORT PUBLIC HEALTH MANAGEMENT CORPORATION 1500 MARKET ST - CENTRE SQUARE EAST PHILADELPHIA PA 19102 237221025 501(C)(3) 150000 GENERAL SUPPORT RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS OF WISCONSIN 88385 PIKE ROAD HIGHWAY 13 BAYFIELD WI 54814 GOVT 74588 GENERAL SUPPORT RETIRED RACEHORSE PROJECT 2976 SOLOMONS ISLAND RD EDGEWATER MD 21037 271622725 501(C)(3) 7500 GENERAL SUPPORT RIZE MASSACHUSETTS FOUNDATION INC 101 HUNTINGTON AVE BOSTON MA 21997 830989395 501(C)(3) 50000 GENERAL SUPPORT SCHOLARSHIP AMERICA INC 7900 INTERNATIONAL DR STE 500 MINNEAPOLIS MN 55425 042296967 501(C)(3) 66250 GENERAL SUPPORT SERVICES ADVOCACY FOR GAY LESBIAN BISEXUAL TRANSGENDER ELDERS INC (SAGE) 305 7TH AVE FL 6 NEW YORK NY 10001 132947657 501(C)(3) 10000 GENERAL SUPPORT SHARE FOOD PROGRAM INC 2901 W HUNTING PARK AVENUE PHILADELPHIA PA 19129 232360819 501(C)(3) 20000 GENERAL SUPPORT SKAGGS FOUNDATION 101 SKAGGS RD SUITE 404 BRANSON MO 65616 300107007 501(C)(3) 102000 GENERAL SUPPORT SOCIAL IMPACT CENTER 600 HAVERFORD ROAD SUITE 101 HAVERFORD PA 19041 813367199 501(C)(3) 15000 GENERAL SUPPORT SOUTHEASTERN GUIDE DOGS INC 4210 77TH ST E PALMETTO FL 34221 592252352 501(C)(3) 53000 GENERAL SUPPORT TEXAS CHRISTIAN UNIVERSITY TCU BOX 297044 FORT WORTH TX 76129 750827465 501(C)(3) 10000 GENERAL SUPPORT THE ALS ASSOCIATION GREATER PHILADELPHIA CHAPTER 321 NORRISTOWN RD AMBLER PA 19002 232387205 501(C)(3) 10000 GENERAL SUPPORT THE FREE LIBRARY OF PHILADELPHIA 1901 VINE ST RM 400 PHILADELPHIA PA 19103 521173474 501(C)(3) 10000 GENERAL SUPPORT THE HEALTH CARE IMPROVEMENT FOUNDATION INC 1801 MARKET STREET SUITE 710 PHILADELPHIA PA 19103 232152039 501(C)(3) 150110 GENERAL SUPPORT THE MEMORIAL FOUNDATION 633 PENNSYLVANIA AVE NW FL3 WASHINGTON DC 20004 460758941 501(C)(3) 10000 GENERAL SUPPORT THE QUELL FOUNDATION PO BOX 1924 NORTH FALMOUTH MA 02556 475127883 501(C)(3) 148341 GENERAL SUPPORT THE TREVOR PROJECT INC 8704 SANTA MONICA BLVD SUITE 200 WEST HOLLYWOOD CA 90069 954681287 501(C)(3) 100000 GENERAL SUPPORT TREK MEDICS INTERNATIONAL INC 1726 17TH ST NW 404 WASHINGTON DC 20009 274188010 501(C)(3) 151200 GENERAL SUPPORT UNITED NATIONS FOUNDATION INC 1750 PENNSYLVANIA AVE NW STE 300 WASHINGTON DC 20006 582368165 501(C)(3) 60000 GENERAL SUPPORT UNITED WAY OF CENTRAL CAROLINAS INC PO BOX 890685 CHARLOTTE NC 28289 560529948 501(C)(3) 25000 GENERAL SUPPORT UNITED WAY OF GREATER PHILADELPHIA AND SOUTHERN NEW JERSEY PO BOX 15760 PHILADELPHIA PA 19103 231556045 501(C)(3) 150000 GENERAL SUPPORT UNITED WAY OF LONG ISLAND INC 819 GRAND BLVD DEER PARK NY 11729 116042392 501(C)(3) 25000 GENERAL SUPPORT UNITED WAY OF METROPOLITAN DALLAS INC 1800 N LAMAR ST DALLAS TX 75202 756005352 501(C)(3) 25000 GENERAL SUPPORT UNITED WAY OF THE DUTCHESS-ORANGE REGION INC 75 MARKET ST POUGHKEEPSIE NY 12601 061045698 501(C)(3) 50000 GENERAL SUPPORT UNITED WAYS OF TENNESSEE 209 GOTHIC CT STE 107 FRANKLIN TN 37067 621773407 501(C)(3) 105000 GENERAL SUPPORT UNIVERSITY OF ILLINOIS AT CHICAGO 28395 NETWORK PLACE CHICAGO IL 60673 376000511 501(C)(3) 14000 GENERAL SUPPORT UNIVERSITY OF THE SCIENCES IN PHILADELPHIA 600 S 43RD ST PHILADELPHIA PA 19104 231352668 501(C)(3) 69257 GENERAL SUPPORT URBAN AFFAIRS COALITION 1207 CHESTNUT STREET PHILADELPHIA PA 19107 237046393 501(C)(3) 66000 GENERAL SUPPORT US CHAMBER OF COMMERCE FOUNDATION 1615 H ST NW WASHINGTON DC 20062 461561597 501(C)(3) 282000 GENERAL SUPPORT WAYNE STATE UNIVERSITY 46 WEST WARREN DETROIT MI 48202 386028429 501(C)(3) 85000 GENERAL SUPPORT WORLD VETS 9711 MOLLER DR NW GIG HARBOR WA 98332 204637447 501(C)(3) 15000 GENERAL SUPPORT WORLD WILDLIFE FUND INC 1250 24TH ST NW WASHINGTON DC 20037 521693387 501(C)(3) 35000 GENERAL SUPPORT YOUNG PEOPLE IN RECOVERY 1415 PARK AVENUE WEST DENVER CO 80205 464109067 501(C)(3) 75000 GENERAL SUPPORT YOUTH FIRST INC 111 SE 3RD ST STE 405 EVANSVILLE IN 47708 352050168 501(C)(3) 100000 GENERAL SUPPORT YOUTH SERVICE AMERICA 1050 CONNECTICUT AVE NW 65525 WASHINGTON DC 20035 521500870 501(C)(3) 25000 GENERAL SUPPORT 105 SAFE PHARMACEUTICAL DISPOSAL FOR INDIVIDUALS 100000 176961 PURCHASE PRICE OF DISPOSAL KITS SAFE PHARAMACEUTICAL DISPOSAL PACKAGES TO COMMUNITY MEMBERS PART I, LINE 2: GRANTS ARE APPROVED BY THE GRANT MAKING COMMITTEE AND REPORTED TO THE BOARD OF DIRECTORS. GRANTS ARE PROCESSED THROUGH THE ACCOUNTING DEPARTMENT. FORM 990, PART VI, SECTION A, LINE 2 THE OFFICERS OF AMERISOURCEBERGEN FOUNDATION ARE ALSO OFFICERS AND EMPLOYEES OF AMERISOURCEBERGEN CORPORATION. IN ADDITION, A MAJORITY OF THE OFFICERS OF AMERISOURCEBERGEN FOUNDATION ARE ALSO OFFICERS OF THE AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND (THE SUPPORTED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND, A 501(C)(3) ORGANIZATION CLASSIFIED AS A PUBLIC CHARITY UNDER SECTION 509(A)(1) OF THE CODE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS INITIALLY PREPARED BY MOSS ADAMS. IT IS THEN REVIEWED FOR ACCURACY BY THE ASSISTANT CONTROLLER FOR AMERISOURCEBERGEN CORPORATION. CORRECTIONS, IF ANY, ARE MADE AND A FINAL DRAFT IS PROVIDED ELECTRONICALLY TO EACH MEMBER OF THE GOVERNING BODY. QUESTIONS/COMMENTS FROM THE BOARD ARE ADDRESSED AT THE JANUARY MEETING AND ANY CHANGES NECESSARY ARE MADE PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY ("POLICY") OF AMERISOURCEBERGEN FOUNDATION (THE ORGANIZATION") IS APPLICABLE TO ALL CURRENT OFFICERS AND DIRECTORS ("COVERED PERSONS"). THE POLICY APPLIES TO TRANSACTIONS OR OTHER ARRANGEMENTS IN WHICH THE PERSONAL OR FINANCIAL INTERESTS OF A COVERED PERSON MAY APPEAR TO BE ADVANCED BY AN ACTION OF THE ORGANIZATION, OR OTHERWISE WHENEVER A COVERED PERSON'S PERSONAL OR FINANCIAL INTERESTS COULD BE REASONABLY VIEWED AS AFFECTING HIS OR HER OBJECTIVITY OR INDEPENDENCE IN FULFILLING HIS OR HER DUTIES TO THE ORGANIZATION. WHEN A COVERED PERSON BECOMES AWARE OF A POSSIBLE COVERED TRANSACTION, HE OR SHE SHALL HAVE A DUTY TO TAKE THE FOLLOWING ACTIONS: (A) IMMEDIATELY DISCLOSE THE EXISTENCE AND ALL MATERIAL FACTS OF THE POSSIBLE COVERED TRANSACTION TO THE CHAIR OF THE BOARD OF DIRECTORS (IN THE CASE OF DIRECTORS OR THE PRESIDENT) OR THE PRESIDENT (IN THE CASE OF OFFICERS); (B) REFRAIN FROM USING HIS OR HER PERSONAL INFLUENCE TO ENCOURAGE ENTERING INTO THE COVERED TRANSACTION; AND (C) PHYSICALLY EXCUSE HIMSELF OR HERSELF FROM PARTICIPATION IN ANY DISCUSSION REGARDING THE COVERED TRANSACTION WITH OFFICERS, DIRESTORS, AND EMPLOYEES OF THE ORGANIZATION, EXCEPT TO RESPOND TO REQUESTS FOR INFORMATION. IN ORDER TO ASSIST THE ORGANIZATION IN IDENTIFYING POTENTIAL COVERED TRANSACTIONS, EACH COVERED PERSON WHO CURRENTLY SERVES AS AN OFFICER, DIRECTOR OR KEY EMPLOYEE ANNUALLY SHALL COMPLETE AND SIGN A CONFLICT OF INTEREST DECLARATION PROVIDED BY THE ORGANIZATION AND SHALL UPDATE SUCH DECLARATION AS NECCESSARY TO REFLECT CHANGES DURING THE COURSE OF THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. AMERISOURCEBERGEN ASSOCIATE ASSISTANCE FUND 1300 MORRIS DRIVE CHESTERBROOK PA 19087 900918856 ASSISTANCE DURING NATURAL OR CIVIL DISASTERS DE 501(C)(3) LINE 7 AMERISOURCEBERGEN CORPORATION 1 AMERISOURCEBERGEN CORPORATION 1300 MORRIS DR CHESTERBROOK PA 19087 233079390 PHARMACEUTICAL SOURCING AND DISTRIBUTION DE N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0