2017-06-15T13:19:41-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 1966 GREENSPRING DRIVE SUITE 300 TIMONIUM MD 210934161 990 2016-01-01 237124261 AMERICAN KIDNEY FUND INC AMER 3018813052 11921 ROCKVILLE PIKE NO 300 ROCKVILLE MD 20852 LAVARNE A BURTON PRESIDENT & CHIEF EXECUTIVE OFFICER 3018813052 2017-06-13 1 DAVID TRIMNER CPA P00444822 4104530900 67.137.57.251 2017-06-13 09:09:03 ED P FB809BF69FD49E5118F598E5E4BE62E9D135A20D A1F046B953991414D17544BCF233C1AB5D570FBA 2016 2021-01-29 14:40:06Z LAVARNE A BURTON 11921 ROCKVILLE PIKE NO 300 ROCKVILLE MD 20852 317842298 0 X WWW.KIDNEYFUND.ORG X 1971 DC WE HELP PEOPLE FIGHT KIDNEY DISEASE AND LIVE HEALTHIER LIVES. 22 22 86 500 17813 -4361 265281614 309848418 3206 1463 112439 387410 -119551 -105777 265277708 310131514 251193896 285525417 0 0 7506974 8467630 187962 216213 4097529 7086216 10009382 265975048 304218642 -697340 5912872 27362019 34144657 2287786 2898087 25074233 31246570 X WE HELP PEOPLE FIGHT KIDNEY DISEASE AND LIVE HEALTHIER LIVES. WE ACHIEVE OUR MISSION BY PROVIDING FINANCIAL SUPPORT TO PATIENTS IN NEED, AND BY DELIVERING PROGRAMS THAT EDUCATE, BUILD AWARENESS, AND DRIVE ADVOCACY, RESULTING IN GREATER PUBLIC UNDERSTANDING AND ULTIMATELY THE PREVENTION OF KIDNEY DISEASE. 0 0 289639306 285292557 PATIENT ASSISTANCE: IN 2016, AMERICAN KIDNEY FUND, INC. (AKF) PROVIDED DIRECT, TREATMENT-RELATED FINANCIAL ASSISTANCE TO OVER 98,000 DIALYSIS PATIENTS IN ALL 50 STATES AND US TERRITORIES. PATIENTS ARE ELIGIBLE FOR ASSISTANCE FROM AKF AFTER THEY HAVE DEMONSTRATED FINANCIAL ELIGIBILITY THROUGH COMPLETION OF A GRANT APPLICATION. AKF'S DIRECT FINANCIAL ASSISTANCE HELPS DIALYSIS PATIENTS MAINTAIN THEIR HEALTH INSURANCE COVERAGE, AS WELL AS TO PAY OTHER TREATMENT-RELATED EXPENSES THAT ARE NOT COVERED BY MEDICARE OR OTHER HEALTH INSURANCE, SUCH AS TRANSPORTATION TO DIALYSIS, PRESCRIPTION MEDICATION, NUTRITIONAL PRODUCTS, DONATED MEDICATIONS AND EMERGENCY ASSISTANCE IN THE WAKE OF NATURAL DISASTER. 6388332 PUBLIC EDUCATION AND PREVENTION ACTIVITIES:THE AMERICAN KIDNEY FUND PROVIDES NUMEROUS SERVICES TO INCREASE PUBLIC UNDERSTANDING OF KIDNEY HEALTH. THE TOLL-FREE HELPLINE (ENGLISH/SPANISH) PROVIDES CALLERS WITH INFORMATION ABOUT KIDNEY HEALTH, AND FINANCIAL ASSISTANCE. THE BROCHURE, TOOLKIT AND FACT SHEET SERIES INCLUDES OVER 30 PRODUCTS ADDRESSING KIDNEY HEALTH AND RELATED TOPICS. ONE KEY PIECE OF LITERATURE IS THE GUIDE FOR LIVING WELL ON DIALYSIS, A TOOLKIT FOR HELPING DIALYSIS PATIENTS AND THEIR CAREGIVERS TO UNDERSTAND THEIR OPTIONS AND MANAGE THEIR TREATMENTS. MORE THAN 54,000 OF THESE GUIDES WERE DISTRIBUTED IN 2016. 1509677 OUTREACH AND SCREENING ACTIVITIES:THE AMERICAN KIDNEY FUND'S SCREENING AND EDUCATION PROGRAMS PARTNER WITH GOVERNMENT AGENCIES, COMMUNITY GROUPS AND FAITH-BASED ORGANIZATIONS TO PROVIDE FREE HEALTH EDUCATION, KIDNEY SCREENINGS, FOLLOW-UP SERVICES AND/OR REFERRALS FOR PEOPLE WHO ARE AT HIGH RISK FOR CHRONIC KIDNEY DISEASE. AKF PROVIDED THESE SERVICES IN 23 CITIES THROUGHOUT THE US IN 2016. AKF'S SCREENINGS ARE FREE OF CHARGE. PARTICIPANTS RECEIVE SCREENINGS TO PRELIMINARILY TEST FOR HYPERTENSION, DIABETES AND KIDNEY DISEASE. ALL PARTICIPANTS RECEIVE RESULTS AND RECOMMENDATIONS FOR APPROPRIATE ACTION. HIGH-RISK PARTICIPANTS-THOSE FOUND TO HAVE INDICATORS OF KIDNEY DAMAGE-RECEIVE TELEPHONE CONTACT, A FOLLOW-UP SURVEY, QUESTIONS TO ASK THEIR DOCTOR AND A RESOURCE LIST OF MEDICAL CARE IN THE COMMUNITY. IN 2016, AKF SCREENED MORE THAN 10,000 INDIVIDUALS. 283016 PROFESSIONAL EDUCATION:THE ONLINE PROFESSIONAL EDUCATION PROGRAM PROVIDES CONTINUING EDUCATION OPPORTUNITIES FOR PROFESSIONALS WHO TREAT KIDNEY PATIENTS. OUR COURSES HAVE BEEN FULLY COMPLETED BY PROFESSIONALS 5,908 TIMES IN 2016. IN ADDITION, AKF HOSTS FREE, MONTHLY EDUCATIONAL WEBINARS TO HELP PROFESSIONALS, PATIENTS AND THEIR LOVED ONES LEARN MORE ABOUT LIVING WELL WITH KIDNEY DISEASE. THESE LIVE WEBINARS ARE LED BY KIDNEY DISEASE EXPERTS, AND FEATURE A DISCUSSION ABOUT A DIFFERENT TOPIC EACH MONTH. ALL WEBINARS ARE RECORDED AND POSTED TO AKF'S WEBSITE. 281742 232860 CLINICAL SCIENTIST IN NEPHROLOGY (CSN) PROGRAM:THE CSN PROGRAM BEGAN IN 1989. SINCE THEN, AKF HAS SPONSORED 43 ADDITIONAL FELLOWS. THE GOAL OF THE CSN PROGRAM IS TO IMPROVE THE QUALITY OF CARE PROVIDED TO KIDNEY PATIENTS BY GIVING PROMISING YOUNG SCHOLARS THE OPPORTUNITY TO MERGE CLASSICAL CLINICAL TRAINING IN NEPHROLOGY WITH EXPERIENCE IN CONDUCTING PREVENTION AND OUTCOMES RESEARCH. 67553 1463 KIDNEY KIDS ART CONTEST:AKF RUNS AN ANNUAL NATIONWIDE ART CONTEST FOR CHILDREN WHO ARE LIVING WITH KIDNEY DISEASE. THE WINNERS HAVE THEIR DRAWINGS PUBLISHED IN AKF'S WALL CALENDAR AND THE CALENDAR IS DISTRIBUTED TO FRIENDS AND THE GENERAL PUBLIC. IN 2016, AKF RAN AN ONLINE CONTEST TO CHOOSE THE COVER ART, AND MORE THAN 4,500 PEOPLE VOTED. THE COVER WINNER AND THEIR FAMILY RECEIVE A TRIP TO WASHINGTON, DC, TO BE RECOGNIZED AT AKF'S ANNUAL GALA, THE HOPE AFFAIR. 632311 232860 1463 298169626 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 47 0 86 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 22 22 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 AK AL AR AZ CA CO CT FL GA IL IN KS KY MA MD ME MI MS NC ND NH NJ NM NY OH OK OR PA RI SC TN UT VA WA WI WV X X SR DIRECTOR OF FINANCE AND ADMINIS 3018813052 11921 ROCKVILLE PIKE SUITE 300 ROCKVILLE MD 20852 GAIL S WICK MHSA BSN RN CNNE CHAIR 5.00 X X 0 0 0 ORLANDO M GUTIERREZ MD MMSC CHAIR, MEDICAL AFFAIRS 2.00 X X 0 0 0 ROBERT M TAROLA CPA CHAIR-ELECT 2.00 X X 0 0 0 JOHN P BUTLER IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 JOHN F WEIDENBRUCH ESQ TREASURER 2.00 X X 0 0 0 JERRY D KLEPNER SECRETARY 2.00 X X 0 0 0 AKHTAR ASHFAQ MD FACP FASN TRUSTEE 2.00 X 0 0 0 ALAN B LEICHTMAN MD TRUSTEE 2.00 X 0 0 0 ARTHUR BUDDY METCALF II CPA ABV TRUSTEE 2.00 X 0 0 0 FRANK D PELLICCIONE TRUSTEE 2.00 X 0 0 0 JOHN B MORIARTY JR ESQ TRUSTEE 2.00 X 0 0 0 LARRY H WARREN TRUSTEE 2.00 X 0 0 0 M CRAIG SHEPHERD TRUSTEE 2.00 X 0 0 0 MARIA A GRASSO TRUSTEE 2.00 X 0 0 0 MATTHEW G POFFENROTH MD MBA TRUSTEE 2.00 X 0 0 0 RAHSAAN W THOMPSON ESQ TRUSTEE 2.00 X 0 0 0 ROBERT B LEWIS III TRUSTEE 2.00 X 0 0 0 WILLIAM J SCHUYLER TRUSTEE 2.00 X 0 0 0 YOSHIO N HALL MD MS TRUSTEE 2.00 X 0 0 0 STEPHEN M GANSLER TRUSTEE 2.00 X 0 0 0 ANDREA M ZULBERTI TRUSTEE (01/01-11/05/16) 2.00 X 0 0 0 DOUGLAS A ASOFSKY TRUSTEE (01/01-07/28/16) 2.00 X 0 0 0 JENNIFER E ROBINSON TRUSTEE (01/01-05/31/16) 2.00 X 0 0 0 STEVEN G ELLIOT PHD TRUSTEE (01/01-05/31/16) 2.00 X 0 0 0 WAYNE A EVANCOE TRUSTEE (01/01-07/31/16) 2.00 X 0 0 0 MAUREEN NUGENT FRANCO TRUSTEE 2.00 X 0 0 0 ANTHONY J MESSANA TRUSTEE (01/01-10/27/16) 2.00 X 0 0 0 LAVARNE A BURTON PRESIDENT & CHIEF EXECUTIVE OFFICER 50.00 X 549631 0 30916 DONALD J ROY JR CPA EVP, COO, AND CFO 50.00 X 309708 0 22591 JULIE PUZZO VP DEVELOPMENT & FIELD OPERATIONS 50.00 X 250299 0 23132 TAMARA RUGGIERO VP COMMUNICATIONS & MARKET 50.00 X 203099 0 21456 MICHAEL SPIGLER VP PATIENT SERV. & KIDNEY DISEASE EDUCATION 50.00 X 179558 0 30777 GWENDOLYN DEWBERRY SR. DIRECTOR OF PATIENT SERVICES 50.00 X 127545 0 21492 SHANE SERRANT DIRECTOR OF IT 50.00 X 126406 0 26406 1746246 0 176770 14 0 1 0 ROPES & GRAY 800 BOYLSTON STREET BOSTON MA 021993600 LEGAL SERVICES 1132095 ICF INCORPORATED LLC PO BOX 536259 PITTSBURGH PA 15253 SOFTWARE DEVELOPER 388922 ROBBINSKERSTEN DIRECT 201 SUMMER STREET HOLLISTON MA 01746 DIRECT MAIL SERVICES 288000 BLACKBAUD INC PO BOX 903256 ATLANTA GA 31193 FUNDRAISING SOFTWARE AND SERVICES 241540 ERNST & YOUNG PO BOX 604382 PITTSBURGH PA 15264 GOVERNMENT RELATIONS SUPPORT 217422 13 186533 832445 308829440 10526381 309848418 BROCHURES & CALENDARS 511140 1463 1463 1463 323836 323836 48853 48853 7316080 130520 7189790 193236 126290 -62716 63574 63574 155315 832445 327758 -172443 -172443 ADVERTISING IN NEWSLETTERS 541800 17813 17813 17813 310131514 1463 17813 263820 285525417 285525417 912847 378151 353333 181363 6101472 4264342 690233 1146897 299790 196722 46288 56780 723399 406543 147219 169637 430122 282246 66411 81465 1384995 1056996 132906 195093 47275 32189 6113 8973 407570 407570 216213 216213 69398 69398 1139090 996859 15886 126345 148541 127728 267 20546 2436406 1445626 41481 949299 1641096 1150795 169643 320658 960154 653211 118724 188219 304670 233468 8154 63048 79524 60940 2128 16456 568513 387094 73243 108176 FAIRS AND EXHIBITS 372738 371722 1016 DATA PROCESSING 266823 83822 2089 180912 DUES AND SUBSCRIPTIONS 116871 85369 7971 23531 MAILING LIST RENTAL 65718 22816 42902 304218642 298169626 1951487 4097529 X 1881479 649487 0 1231992 4685645 17277841 6907858 416464 1672387 1757797 937476 863100 5395740 3975151 1522284 1420589 11636369 12408866 27362019 34144657 1397348 1990560 55000 30000 835438 877527 2287786 2898087 X 21727644 28196844 3171572 2874709 175017 175017 25074233 31246570 27362019 34144657 5912872 259465 0 X 0 1 X 1 0 X 39441893 42843072 48286076 58459114 67662127 256692282 39441893 42843072 48286076 58459114 67662127 256692282 146257349 110434933 519260 413501 367591 367773 372689 2040814 0 258733096 15787 0.42680 0.43760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40915 560128 601043 303613976 304215019 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 33643 75187 207218 601043 917091 250000 250000 250000 250000 1000000 1500000 16842 27805 29451 40915 115013 183273 3020 2157 184136 182408 3030 2165 183273 181428 3434 2454 182408 183082 2959 4613 181428 195003 3425 15346 183082 0.95500 0.04500 0 0 121959 53349 68610 5273781 3921802 1351979 1420589 GIFT ANNUITY PAYABLE 345871 DEFERRED RENT 531656 877527 X 310826296 259465 450004 -32038 677431 310148865 69398 -86749 -17351 310131514 304653959 450004 86749 536753 304117206 69398 32038 101436 304218642 PART V, LINE 4: INTEREST EARNED OFF ENDOWMENTS ARE TO SUPPORT RESEARCH AND PATIENT SERVICES PROGRAMS. PART X, LINE 2: AMERICAN KIDNEY FUND, INC. (AKF) FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. AKF EVALUATED ITS TAX POSITIONS AND DETERMINED THAT THEY ARE MORE-LIKELY-THAN-NOT TO BE SUSTAINED ON EXAMINATION. AKF'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2012 THROUGH DECEMBER 31, 2016 ARE OPEN TO EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES NETTED OUT OF CAR CONTRIBUTION ON FINANCIAL STATEMENTS -32,038. PART XI, LINE 4B - OTHER ADJUSTMENTS: ADDITIONAL SPECIAL EVENT EXPENSES -86,749. PART XII, LINE 2D - OTHER ADJUSTMENTS: ADDITIONAL SPECIAL EVENT EXPENSES 86,749. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES NETTED OUT OF CAR CONTRIBUTION ON FINANCIAL STATEMENTS 32,038. X X X X X X 1 ROBBINSKERSTENDIRECT 201 SUMMER STREET HOLLISTON MA 01746 DIRECT MAIL COUNSEL 0 2469416 288000 2181416 AUTOMOTIVE RECOVERY SERVICES DBA CAR PROGRAM LLC 3755 OMEC CIRCLE SUITE 4 RANCHO CORDOVA CA 95742 VEHICLE ADMINISTRATOR 1 129888 17451 112437 BARGAIN HUNTERS 7820 ALBEMARLE ROAD CHARLOTTE NC 28227 THRIFT STORE OPERATOR 1 32400 2400 30000 2631704 307851 2323853 AK AL AR AZ CA CO CT DC FL GA HI IL IN KS KY MA MD ME MI MN MS NC ND NH NJ NM NY OH OK OR PA RI SC TN UT VA WI WV THE HOPE AFFAIR 679245 612915 66330 67207 68672 1250 102715 NY GOLF EVENT 138539 85804 52735 30800 36183 2 169976 133726 36250 3000 11224 6707 987760 832445 155315 101007 79896 1250 145605 327758 -172443 SCHEDULE G, PART I, LINE 2B: THE BARGAIN HUNTERS AGREEMENT RELATES TO THRIFT STORE SOLICITATIONS IN THE STATE OF NORTH CAROLINA ONLY. 1 KIDNEY PATIENT ASSISTANCE GRANTS 98000 274999196 10293361 FAIR MARKET VALUE MEDICATION EDUCATIONAL STIPENDS 3 232860 PART I, LINE 2: 1) AMERICAN KIDNEY FUND, INC. (AKF) PROVIDES GRANTS THAT HELP KIDNEY PATIENTS WHO DEMONSTRATE FINANCIAL NEED. PATIENTS DEMONSTRATE NEED BY WORKING WITH THEIR SOCIAL WORKER AND RENAL PROFESSIONALS TO COMPLETE AN APPLICATION FOR FINANCIAL AID. GRANTS FROM AKF ARE USED FOR TRANSPORTATION, MEDICATION, HEALTH INSURANCE OR NUTRITIONAL PRODUCTS RELATED TO PATIENTS' KIDNEY DISEASE. AKF REQUIRES PROOF THE PATIENT HAS A CURRENT HEALTH INSURANCE PLAN IN PLACE; INVOICES FOR REIMBURSED TRANSPORTATION REPAIRS; AND DOCTOR PRESCRIPTIONS FOR MEDICATION. THE PATIENT'S TEAM OF SOCIAL WORKERS AND DOCTORS ENSURE THE MONEY OR PRODUCT IS USED FOR KIDNEY RELATED NEEDS OR HEALTH INSURANCE PREMIUMS. 2) AKF GRANTS THE CLINICAL SCIENTIST IN NEPHROLOGY FELLOWSHIP YEARLY. THE MAXIMUM DURATION OF EACH FELLOWSHIP IS TWO YEARS. THE MAXIMUM LEVEL OF FUNDING IS $80,000 PER YEAR AND SHALL BE USED PRINCIPALLY TO SUPPORT THE CANDIDATE AND HIS/HER CAREER DEVELOPMENT. THIS SUM IS EXPECTED TO COVER THE INDIVIDUAL FELLOW'S SALARY (WHICH WILL FOLLOW NIH GUIDELINES ACCORDING TO THE POST-GRADUATE YEAR PLUS COMPARABLE FRINGE BENEFITS AT THE INSTITUTION, NOT TO EXCEED $50,000) AS WELL AS TRAINING-RELATED EXPENSES. AKF MAKES PAYMENTS TO THE EDUCATIONAL INSTITUTIONS WHERE THE CANDIDATE IS COMPLETING HIS/HER STUDIES AND AKF RECEIVES REPORTS ON THE CANDIDATE'S STUDIES DURING HIS/HER SUPPORTED PERIOD. X X X X X X 0 0 0 0 0 0 0 0 0 LAVARNE A BURTON PRESIDENT & CHIEF EXECUTIVE OFFICER 447240 0 98200 0 4191 0 18550 0 12366 0 580547 0 0 0 DONALD J ROY JR CPA EVP, COO, AND CFO 269498 0 39400 0 810 0 18550 0 4041 0 332299 0 0 0 JULIE PUZZO VP DEVELOPMENT & FIELD OPERATIONS 223829 0 26200 0 270 0 12556 0 10576 0 273431 0 0 0 TAMARA RUGGIERO VP COMMUNICATIONS & MARKET 179647 0 22925 0 527 0 8332 0 13124 0 224555 0 0 0 MICHAEL SPIGLER VP PATIENT SERV. & KIDNEY DISEASE ED 167578 0 11800 0 180 0 13165 0 17612 0 210335 0 0 0 SHANE SERRANT DIRECTOR OF IT 119951 0 6275 0 180 0 9462 0 16944 0 152812 0 0 0 X 274 94753 FAIR MARKET VALUE X 3 15587 FAIR MARKET VALUE X 1 10378771 FAIR MARKET VALUE X EVENT SUPPLIES 1 22820 FAIR MARKET VALUE X PRINTING 1 14450 FAIR MARKET VALUE 2 0 1 1 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS PART I, LINE 32B: AMERICAN KIDNEY FUND, INC. (AKF) HAS A CONTRACT WITH AUTOMOTIVE RECOVERY SERVICES (THE CAR PROGRAM, LLC). THE CAR PROGRAM, LLC PROVIDES THE ADMINISTRATIVE SERVICES ASSOCIATED WITH VEHICLE PICK UP REQUESTS, COORDINATES TOWING AND DISPOSAL OF VEHICLES. THE PROGRAM IS RUN THROUGHOUT THE YEAR. THE CAR PROGRAM, LLC MAINTAINS A WEBSITE THAT LISTS AKF AS ONE OF MANY CHARITIES ELIGIBLE FOR CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF AMERICAN KIDNEY FUND, INC. (AKF) BOARD OF TRUSTEE MEMBERS. THE COMPOSITION INCLUDES CHAIR, CHAIR-ELECT, IMMEDIATE PAST CHAIR, SECRETARY, TREASURER, CHAIR OF MEDICAL AFFAIRS AND TWO AT-LARGE AKF BOARD OF TRUSTEE MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL POWERS AND DUTIES OF THE BOARD EXCEPT AS SPECIFICALLY RESERVED BY LAW OR BY THE BOARD THROUGH A CONTINUING RESOLUTION. THE EXECUTIVE COMMITTEE MEETING MINUTES ARE PROVIDED TO THE FULL BOARD FOR REVIEW AND APPROVAL AT EACH BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 11B AMERICAN KIDNEY FUND, INC. (AKF)'S MANAGEMENT PREPARES THE INFORMATION FOR THE 990 ENSURING ALL COMMUNICATIONS AND PROGRAMMATIC STAFF ARE INCLUDED IN THE PREPARATION AND REVIEW OF THE 990. THE AKF TRUSTEES HAVE TASKED THE AKF AUDIT COMMITTEE WITH THE DETAILED REVIEW OF THE FORM 990 PRIOR TO ITS FILING. THE AKF AUDIT COMMITTEE THEN PROVIDES PROVISIONAL APPROVAL TO THE 990. THE AUDIT COMMITTEE REVIEWED 990 IS THEN PROVIDED TO THE FULL BOARD FOR FINAL REVIEW BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE AMERICAN KIDNEY FUND, INC. (AKF) TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AT THE AKF SPRING BOARD MEETING. THE CONFLICT OF INTEREST FORM REQUIRES THE TRUSTEE TO ACKNOWLEDGE READING AND UNDERSTANDING AKF'S CONFLICT OF INTEREST STATEMENT AND MUST AFFIRMATIVELY NOTE ON FOUR SPECIFIC QUESTIONS REGARDING POTENTIAL CONFLICTS OF INTEREST. IF NONE EXIST, THE FORM MUST STILL BE COMPLETED AND NOTES MADE THAT NO CONFLICTS OF INTEREST EXIST. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) COUNTER-SIGN THE FORM AND THE SPECIAL PROJECT ASSISTANT TO THE CEO TABULATES THE FORMS AND IF ANY CONFLICTS OF INTEREST ARE NOTED ON THE FORMS, FURTHER ACTIONS WOULD BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 THE AMERICAN KIDNEY FUND, INC. (AKF) TRUSTEES HAVE A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT TRUSTEES THAT ARE TASKED WITH REVIEW OF PERFORMANCE, EXECUTIVE COMPENSATION, AND INCENTIVE PLANS OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO). ON A BI-ANNUAL BASIS, AKF HIRES AN INDEPENDENT SALARY CONSULTING FIRM TO CONDUCT A SURVEY OF THE NON-PROFIT COMMUNITY TO ENSURE AKF'S COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEVEL (PRESIDENT AND CEO ALONG WITH THE VICE PRESIDENTS) ARE WITHIN INDUSTRY NORMS AND BEST PRACTICES. AKF COMPLETED ITS LATEST INDEPENDENT REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS WITH A REPORT DATED 5/2017. THE AMERICAN KIDNEY FUND AWARDS BONUSES TO ITS EXECUTIVE TEAM EMPLOYEES BASED UPON MEETING PERFORMANCE OBJECTIVES AS OUTLINE IN AN EXECUTIVE INCENTIVE PLAN (EIP). THE GOALS AND METRICS INCLUDED IN THE EIP ARE DIRECTLY CONNECTED TO FURTHERING AKF'S MISSION AND STRATEGIC PLAN. THE EIP IS APPROVED BY THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE ANNUALLY. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS LAST THREE FORMS 990 AVAILABLE ON ITS OWN WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 AKF MAKES AVAILABLE ITS AUDITED FINANCIAL STATEMENTS, FORM 990, AND ANNUAL REPORTS ON ITS WEBSITE UNDER THE "ABOUT US" TAB. SCHEDULE B, DESCRIPTION OF CONTRIBUTIONS: THE AMERICAN KIDNEY FUND IS A PUBLICLY SUPPORTED ORGANIZATION WITH DIVERSE BASE OF CONTRIBUTORS, WHICH INCLUDES INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER ORGANIZATIONS. IN 2016, THE AMERICAN KIDNEY FUND HAD OVER 62,000 ACTIVE CONTRIBUTORS AND OF THOSE 256 CONTRIBUTORS INDIVIDUALLY CONTRIBUTED MORE THAN $5,000 A PIECE. AMERICAN KIDNEY FUND SERVICE ORGANIZATION 11921 ROCKVILLE PIKE SUITE 300 ROCKVILLE MD 20852 300013495 SUPPORT AMERICAN KIDNEY FUND, INC. MD 501(C)(3) LINE 12A, I AMERICAN KIDNEY FUND INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART II, RELATED TAX-EXEMPT ORGANIZATION: PLEASE NOTE THAT AMERICAN KIDNEY FUND SERVICE ORGANIZATION IS CURRENTLY DORMANT AND DID NOT HAVE ANY ACTIVITY IN 2016.