2014-04-04T10:44:12-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 9515 DEERECO RD - SUITE 500 TIMONIUM MD 21093 990 2013-01-01 237124261 AMERICAN KIDNEY FUND INC AMER 3018813052 11921 ROCKVILLE PIKE NO 300 ROCKVILLE MD 20852 LAVARNE BURTON PRESIDENT AND CEO, EX OFFICIO 8886381171 2014-04-04 1 KAREN GRIES P00078514 4104530900 2013 2015-11-30 17:44:51Z LAVARNE BURTON 11921 ROCKVILLE PIKE NO 300 ROCKVILLE MD 20852 233671515 0 X WWW.KIDNEYFUND.ORG X 1971 DC THE AMERICAN KIDNEY FUND LEADS THE NATION IN CHARITABLE ASSISTANCE TO DIALYSIS PATIENTS. IN 2013, 1 OUT OF EVERY 5 U.S. DIALYSIS PATIENTS RECEIVED ASSISTANCE FROM THE AMERICAN KIDNEY FUND FOR HEALTH INSURANCE PREMIUMS AND OTHER TREATMENT-RELATED EXPENSES. THE AMERICAN KIDNEY FUND REACHES MILLIONS OF PEOPLE ANNUALLY THROUGH ITS WEBISTE, WWW.KIDNEYFUND.ORG; ITS NATIONAL CAMPAIGN, PAIR UP: JOIN THE FIGHT TO PREVENT KIDNEY DISEASE; FREE KIDNEY HEALTH SCREENINGS; HEALTH EDUCATION MATERIALS AND COURSES; ONLINE INFORMATION, AND A TOLL-FREE HEALTH INFORMATION HELPLINE (866-300-2900). 22 22 91 500 0 0 186249805 218909656 3964 2933 293359 558055 101471 50637 186648599 219521281 180444780 203092298 0 0 7783834 7064605 222087 202322 3683854 8093586 7177329 196544287 217536554 -9895688 1984727 24435902 26768144 2136752 1990017 22299150 24778127 X THE MISSION OF THE AMERICAN KIDNEY FUND IS TO FIGHT KIDNEY DISEASE THROUGH DIRECT FINANCIAL SUPPORT TO PATIENTS IN NEED; HEALTH EDUCATION; AND PREVENTION EFFORTS. 0 0 206143973 202912752 PATIENT ASSISTANCE: IN 2013, AKF PROVIDED DIRECT, TREATMENT-RELATED FINANCIAL ASSISTANCE TO OVER 87,000 DIALYSIS PATIENTS IN ALL 50 STATES AND US TERRITORIES. 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. PATIENTS ARE ELIGIBLE FOR ASSISTANCE FROM AKF ONCE THEY HAVE EXHAUSTED OTHER MEANS OF LOCAL, STATE AND FEDERAL AID. 1173000 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 &/OR REFERRALS FOR PEOPLE WHO ARE AT HIGH RISK FOR CHRONIC KIDNEY DISEASE. AKF PROVIDED THESE SERVICES IN 20 CITIES THROUGHOUT THE US IN 2013. 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 2013, AKF SCREENED AND PARTNERED WITH OTHERS TO SCREEN 22,500 INDIVIDUALS. IN 2013, AKF PARTNERED WITH 17 NATIONAL ORGANIZATIONS TO EDUCATE THE GENERAL PUBLIC ABOUT KIDNEY HEALTH. 4385736 759 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. IN 2013 THE HELPLINE RECEIVED NEARLY 41,000 CONTACTS. THE BROCHURE, TOOLKIT AND FACT SHEET SERIES INCLUDES OVER 34 PRODUCTS ADDRESSING KIDNEY HEALTH AND RELATED TOPICS. ONE KEY PIECE OF LITERATURE IS THE HEALTH EDUCATION TOOLKIT, WHICH CONTAINS INFORMATION WHICH EXPLAINS TESTS FOR KIDNEY HEALTH, HEART HEALTH, AND DIABETES AND PROVIDES MATERIALS FOR COMMUNITY ORGANIZATIONS, CHURCHES AND OTHERS TO DELIVER KIDNEY DISEASE PREVENTION ACTIVITIES IN THEIR OWN COMMUNITIES. MORE THAN 43,500 TOOLKITS WERE DISTRIBUTED IN 2013. 271887 PROFESSIONAL EDUCATION:IN 2013, AKF PROVIDED SEVEN ON-LINE COURSES TO EDUCATE MORE THAN 5,600 HEALTH PROFESSIONALS. IN ADDITION, AKF EXHIBITED AT SEVEN CONFERENCES IN PARTNERSHIP WITH OTHER HEALTH AND MEMBER ORGANIZATIONS. 80023 2174 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 THE GENERAL PUBLIC. IN 2013, AKF RAN AN ONLINE CONTEST TO CHOOSE THE COVER ART, AND NEARLY 7,000 PEOPLE VOTED. THE COVER WINNER AND HIS FAMILY RECEIVED A TRIP TO WASHINGTON, DC, TO BE RECOGNIZED AT AKF'S ANNUAL GALA, THE HOPE AFFAIR. 221162 179546 CSN - CLINICAL SCIENTIST IN NEPHROLOGY (CSN) PROGRAM:THE CSN PROGRAM BEGAN IN 1989. SINCE THEN, AKF HAS SPONSORED 37 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. 573072 179546 2174 212275781 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 0 0 0 1 47 0 91 1 0 0 0 0 0 1 1 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 AL AK AZ AR CA CO CT DC 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 LA MO TX X X DIRECTOR OF FINANCE AND ADMINISTRAT 3018813052 11921 ROCKIVILLE PIKE SUITE 300 ROCKVILLE MD 20852 STEVEN G ELLIOTT PHD TRUSTEE 2.00 X 0 0 0 JENNIFER E ROBINSON TRUSTEE 2.00 X 0 0 0 DOUGLAS A ASOFSKY TRUSTEE 2.00 X 0 0 0 H JEROME RUSSELL TRUSTEE 2.00 X 0 0 0 ORLANDO M GUITIERREZ MD MMSC TRUSTEE 2.00 X 0 0 0 RAHSAAN W THOMPSON ESQ TRUSTEE 2.00 X 0 0 0 STEPHEN M GANSLER TRUSTEE 2.00 X 0 0 0 DALAL J HALDEMAN MBA PHD TRUSTEE 2.00 X 0 0 0 ROBERT B LEWIS TRUSTEE 2.00 X 0 0 0 ALAN B LEICHTMAN MD TRUSTEE 2.00 X 0 0 0 FRANK D PELLICCIONE TRUSTEE 2.00 X 0 0 0 JOHN F WEIDENBRUCH ESQ SECRETARY 2.00 X X 0 0 0 RULAN S PAREKH MD MS TRUSTEE 2.00 X 0 0 0 ROBERT M TAROLA CPA TREASURER 2.00 X X 0 0 0 JOHN P BUTLER CHAIR 2.00 X X 0 0 0 TIMOTHY G MORGAN CPA IMM. PAST CHAIR 2.00 X X 0 0 0 NORA V LEE TRUSTEE 2.00 X 0 0 0 GAIL S WICK MHSA BSN RN CNN CHAIR-ELECT 2.00 X X 0 0 0 AKHTAR ASHFAQ MD FACP FASN TRUSTEE 2.00 X 0 0 0 ALFREDA BRADLEY-COAR TRUSTEE 2.00 X 0 0 0 JERRY D KLEPNER TRUSTEE 2.00 X 0 0 0 CHARLOTTE E SIBLEY TRUSTEE 2.00 X 0 0 0 LAVARNE A BURTON PRESIDENT & CEO 50.00 X 393828 0 23575 DONALD J ROY JR CPA EXECUTIVE VP, COO, AND CFO 50.00 X 232520 0 16566 TAMARA RUGGIERO VP COMMUNICATIONS & MARKET 50.00 X 164087 0 8718 DAVID FRAZER VP PATIENT SERV. & KIDNEY 50.00 X 175032 0 13196 SKIP SEITZ VP OF DEV. AND FIELD OPERA 50.00 X 226500 0 23962 SHANE SERRANT DIRECTOR OF IT 50.00 X 112513 0 18948 GWENDOLYN DEWBERRY SR. DIRECTOR OF PATIENT SERVICES 50.00 X 113339 0 16126 RONALD FRIESON TRUSTEE - SERVED: 1/1 - 5/17/13 2.00 X 0 0 0 BONITA GUILFORD TRUSTEE - SERVED: 1/1 - 5/17/13 2.00 X 0 0 0 MYRA KLEINPETER MD MPH TRUSTEE - SERVED: 1/1 - 5/17/13 2.00 X 0 0 0 SHARON PAHLKA TRUSTEE - SERVED: 1/1 - 5/17/13 2.00 X 0 0 0 1417819 0 121091 13 0 1 0 BLACKBAUD INC PO BOX 903256 ATLANTA GA 31193 FUNDRAISING SOFTWARE AND SERVICES 265684 TARGET MARKETEAM 1050 CROWN POINTE PKWY 1850 ATLANTA GA 30338 DIRECT MAIL COUNSELING 247500 ALTERNATIVE SOLUTIONS PO BOX 261 LAUREL MD 20725 IT NETWORK SUPPORT 237287 MEDIX STAFFING SOLUTIONS DEPT CH 16548 PALATINE IL 60055 PROFESSIONAL HEALTH SERVICE 189688 FINN PARTNERS 31 EAST 57TH STREET NEW YORK NY 10022 PR CONSULTANT 183402 7 245183 633890 218030583 5992777 218909656 BROCHURES & CALENDARS 511140 2933 2933 2933 362864 362864 50637 50637 13724631 337847 13473711 393576 250920 -55729 195191 195191 282947 633890 282947 0 219521281 2933 0 608692 203092298 203092298 666488 219318 304147 143023 5114265 3707245 542814 864206 268371 177823 43744 46804 632377 324035 140074 168268 383104 253845 62446 66813 102448 69258 13296 19894 41313 28842 5530 6941 202322 202322 88302 88302 531136 374385 156751 98976 87660 364 10952 2478466 1237851 37692 1202923 1094174 776205 108625 209344 851538 600890 105305 145343 247359 175850 8482 63027 87647 62310 3005 22332 742685 517854 95271 129560 FAIRS AND EXHIBITS 283514 283514 0 0 DATA PROCESSING 265853 94188 1450 170215 OTHER OUTSIDE SERVICES 204062 175652 427 27983 MAILING LIST RENTAL 43911 16758 0 27153 15945 15945 217536554 212275781 1576919 3683854 X 2024228 735817 0 1288411 5208751 15005235 133590 106067 1917399 1035210 595832 621015 4564996 2710325 2235804 1854671 14344526 8145946 24435902 26768144 1287444 1117316 100000 100000 749308 772701 2136752 1990017 X 19002120 22808259 3122013 1794851 175017 175017 22299150 24778127 24435902 26768144 1984727 529530 -35280 0 X X 0 1 X 1 0 X 33728171 46321748 49044122 39441893 42843072 211379006 33728171 46321748 49044122 39441893 42843072 211379006 105477966 105901040 645642 674974 558976 519260 413501 2812353 214191359 103379 0.49440 0.51190 X SCHEDULE A UNUSUAL GRANTS 2013 TOTAL UNUSUAL GRANTS: $176,066,584 GRANTOR 1: $87,580,988 GRANTOR 2: $88,485,596 2012 TOTAL UNUSUAL GRANTS: $146,807,912 GRANTOR 1: $68,552,912 GRANTOR 2: $78,255,000 2011 TOTAL UNUSUAL GRANTS: $162,693,870 GRANTOR 1: $77,091,370 GRANTOR 2: $85,602,500 2010 TOTAL UNUSUAL GRANTS: $174,352,194 GRANTOR 1: $78,250,500 GRANTOR 2: $96,101,694 2009 TOTAL UNUSUAL GRANTS: $139,230,912 GRANTOR 1: $68,550,682 GRANTOR 2: $70,680,230 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16842 16801 33643 217502911 217536554 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 74783 56206 64437 33643 229069 250000 250000 250000 250000 1000000 1500000 16842 16842 183082 2959 4613 181428 195003 3425 15346 183082 206558 4709 16264 195003 205021 5380 3843 206558 203076 6808 4863 205021 0.03500 0.96500 0 0 356721 234669 122052 4208275 2475656 1732619 1854671 GIFT ANNUITY PAYABLE 325077 DEFERRED RENT 447624 772701 X 220385288 529530 479586 1009116 219376172 88302 56807 145109 219521281 217906311 514866 514866 217391445 88302 56807 145109 217536554 PART V, LINE 4: INTEREST EARNED OFF ENDOWMENTS ARE TO SUPPORT RESEARCH AND PATIENT SERVICES PROGRAMS. PART X, LINE 2: PART X, QUESTION 2: FIN 48 FOOTNOTE THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ARE RECOGNIZED IN THEFINANCIAL STATEMENTS WHEN IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. INTEREST AND PENALTIES, IF ANY, ARE INCLUDED IN EXPENSES IN THE STATEMENTS OF ACTIVITIES. AS OF DECEMBER 31, 2013, AKF HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: SALE OF ASSETS -3,726. VEHICLE EXPENSES 60,533. PART XII, LINE 4B - OTHER ADJUSTMENTS: SALE OF ASSETS -3,726. VEHICLE EXPENSES 60,533. X X X X X X 1 TARGET MARKETEAM 1050 CROWN POINTE PKWY ATLANTA GA 30338 DIRECT MAIL COUNSEL 0 2653675 157534 2496141 AUTOMOTIVE RECOVERY SERVICES DBA CAR PROGRAM LLC 3755 OMEC CIRCLE 4 RANCHO CORDOVA CA 95742 VEHICLE ADMINISTRATOR 1 216575 44588 171987 BARGAIN HUNTERS 7820 ALBEMARLE ROAD CHARLOTTE NC 28227 THRIFT STORE OPERATOR 1 2700 200 2500 2872950 202322 2670628 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 NY NM OH OR OK PA RI SC TN UT VA WI WV LA MO TX WA THE HOPE AFFAIR 624800 434178 190622 22850 65963 6100 95709 NY GOLF EVENT 128430 83551 44879 7500 34724 2655 4 163607 116161 47446 14000 33446 916837 633890 282947 7500 71574 65963 6100 131810 282947 0 SCHEDULE G, PART I, LINE 2B, LIST OF HIGHEST PAID FUNDRAISERS: BARGAIN HUNTERS ONLY CONDUCTS OPERATIONS IN THE CHARLOTTE, NORTH CAROLINA REGION. 1 KIDNEY PATIENT ASSISTANCE GRANTS 87500 196160145 6752607 FAIR MARKET VALUE MEDICATION EDUCATIONAL STIPENDS 6 179546 PART I, LINE 2: 1) AKF HELPS DIALYSIS PATIENTS ACCESS HEALTHCARE BY PROVIDING TREATMENT-RELATED GRANTS TO PATIENTS WHO HAVE NO OTHER MEANS OF COVERING THESE EXPENSES. PATIENTS MUST DEMONSTRATE FINANCIAL NEED IN ORDER TO RECEIVE A GRANT FROM AKF. PATIENTS WORK WITH THEIR DIALYSIS CENTER SOCIAL WORKER AND PHYSICIAN TO COMPELTE A GRANT APPLICATION THAT DOCUMENTS THEIR INCOME, ASSETS AND SAVINGS. PATIENTS USE AKF GRANTS TO PAY FOR TREATMENT-RELATED EXPENSES SUCH AS HEALTH INSURANCE PREMIUMS, THE COST OF TRANSPORTATION TO DIALYSIS, MEDICATION, AND NECESSARY NUTRITION SUPPLEMENTS. THE PATIENTS' TEAM OF SOCIAL WORKERS AND PHYSICIANS ENSURE THAT GRANT IS BEING USED FOR ITS INTENDED PURPOSE. PATIENTS MUST SUBMIT TO AKF DOCUMENTATION (BILLS, RECEIPTS OR PRESCRIPTIONS) FOR THESE EXPENSES. 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. 1 X X X X X X 0 0 0 0 0 0 0 0 0 LAVARNE A BURTON PRESIDENT & CEO 393828 0 0 0 0 0 17849 0 5726 0 417403 0 0 0 DONALD J ROY JR CPA EXECUTIVE VP, COO, AND CFO 232520 0 0 0 0 0 16417 0 149 0 249086 0 0 0 TAMARA RUGGIERO VP COMMUNICATIONS & MARKET 164087 0 0 0 0 0 3290 0 5428 0 172805 0 0 0 DAVID FRAZER VP PATIENT SERV. & KIDNEY 175032 0 0 0 0 0 12274 0 922 0 188228 0 0 0 SKIP SEITZ VP OF DEV. AND FIELD OPERA 226500 0 0 0 0 0 16069 0 7893 0 250462 0 0 0 X 480 112536 FAIR MARKET VALUE X 4 9823 FAIR MARKET VALUE X 4 5870418 FAIR MARKET VALUE 0 1 1 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS ARE REPORTED IN COLUMN B INSTEAD OF THE NUMBER OF DONATIONS. PART I, LINE 32B: AMERICAN KIDNEY FUND HAS A CONTRACT WITH THE AUTOMOTIVE RECOVERY SERVICES, LLC. THE AUTOMOTIVE RECOVERY SERVICES, 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 AUTOMOTIVE RECOVERY SERVICES, 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 AKF BOARD OF TRUSTEES 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 11 THE AKF TRUSTEES HAVE TASKED THE AKF AUDIT COMMITTEE WITH THE DETAILED REVIEW OF THE FORM 990 PRIOR TO ITS FILING. THE REVIEWED 990 IS PROVIDED TO THE FULL BOARD FOR FINAL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE 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 THE TRUSTEE 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 CEO COUNTER-SIGN THE FORM AND THE SPECIAL PROJECT ASSISTANT TO THE CEO TABULATES THE FORMS. IF ANY CONFLICTS OF INTEREST ARE NOTED ON THE FORMS, FURTHER ACTIONS ARE TAKEN. IN ADDITION, AKF HAS ALL EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT WITH THE ACKNOWLEDGEMENT OF RECEIPT OF THE EMPLOYEE HANDBOOK. FORM 990, PART VI, SECTION B, LINE 15 THE 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 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 3/4/2013 REGARDING 2012. THE AMERICAN KIDNEY FUND AWARDS BONUSES TO ITS EXECUTIVE TEAM EMPLOYEES BASED UPON MEETING PERFORMANCE OBJECTIVES AS OUTLINED 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 19 AKF MAKES AVAILABLE ITS AUDITED FINANCIAL STATEMENTS, FORM 990, AND ANNUAL REPORTS ON ITS WEBSITE UNDER THE "ABOUT US" TAB. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM LAST YEAR. 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 2013, THE AMERICAN KIDNEY FUND HAD OVER 70,000 ACTIVE CONTRIBUTORS AND OF THOSE 313 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 11A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R: PART II PLEASE NOTE THAT AKFSO IS CURRENTLY DORMANT AND DID NOT HAVE ANY ACTIVITY IN 2013.