2013-11-15T17:39:08-06:00 2012-12-31 752393478 WHITLEY PENN LLP 8343 DOUGLAS AVENUE SUITE 400 DALLAS TX 75225 990 2012-01-01 750945939 SOUTHWESTERN MEDICAL FOUNDATION SOUT 2143516143 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 KATHLEEN M GIBSON 2143516143 2013-11-15 1 CURTIS MAXFIELD P00445178 2143939300 2012 2016-02-25 16:41:14Z KATHLEEN M GIBSON 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 340295414 0 X WWW.SWMEDICAL.ORG X 1939 TX THE MISSION OF SOUTHWESTERN MEDICAL FOUNDATION IS TO ADVANCE MEDICAL RESEARCH, EDUCATION, AND PATIENT CARE, ESPECIALLY THROUGH THE SUPPORT OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AND PROGRAMS AT ITS AFFILIATED INSTITUTIONS. 122 120 9 0 0 -7325 63813176 21730050 0 0 20398928 32893458 1766950 1244707 85979054 55868215 25332095 23299935 0 0 1028509 1377435 0 0 980505 3759972 3652593 30120576 28329963 55858478 27538252 778076953 843717989 7217306 18233651 770859647 825484338 X THE MISSION OF SOUTHWESTERN MEDICAL FOUNDATION IS TO ADVANCE MEDICAL RESEARCH, EDUCATION, AND PATIENT CARE, ESPECIALLY THROUGH THE SUPPORT OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AND PROGRAMS AT ITS AFFILIATED INSTITUTIONS. 0 0 23817567 23299935 SOUTHWESTERN MEDICAL FOUNDATION ("FOUNDATION") WAS ORGANIZED IN 1939 AS A TEXAS NONPROFIT CORPORATION. THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AS A CHARITABLE ORGANIZATION.THE PRIMARY MISSION OF THE FOUNDATION IS TO SUPPORT AND PROMOTE THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS AS A LEADING BIOMEDICAL INSTITUTION IN EDUCATION, RESEARCH AND PATIENT CARE, INCLUDING THE PROGRAMS AT ITS PRINCIPAL AFFILIATED INSTITUTIONS. THE FOUNDATION ALSO PROVIDES SOME SUPPORT TO OTHER EXEMPT HOSPITALS AND MEDICAL ORGANIZATIONS AND PROVIDES SCHOLARSHIP AWARDS TO MEDICAL STUDENTS AND OTHER HEALTH CARE PROVIDERS. IT SPONSORS INFORMATIONAL LECTURES THAT FEATURE EXPERT SPEAKERS IN VARIOUS FIELDS OF MEDICINE. THE FOUNDATION EARNS NO INCOME FROM THESE LECTURES. 23817567 1 1 0 1 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 11 0 1 9 1 1 1 0 0 0 0 0 0 0 0 0 X 122 120 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X KATHLEEN M GIBSON 2143516143 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 X WILLIAM T SOLOMON 10.00 X X 0 0 0 J THOMAS WALTER 1.00 X X 0 0 0 EDWARD M ACKERMAN 0.30 X 0 0 0 SARA MELNICK ALBERT 0.30 X 0 0 0 RAFAEL M ANCHIA 0.30 X 0 0 0 CHARLOTTE JONES ANDERSON 0.30 X 0 0 0 MARILYN H AUGUR 0.30 X 0 0 0 RALPH W BABB JR 0.30 X 0 0 0 DORIS L BASS 0.30 X 0 0 0 HENRY C PETER BECK III 0.30 X 0 0 0 JILL C BEE 0.30 X 0 0 0 GIL J BESING 0.30 X 0 0 0 JAN HART BLACK 0.30 X 0 0 0 CECILIA G BOONE 0.30 X 0 0 0 DANIEL H BRANCH 0.30 X 0 0 0 DANIEL H BRANCH 0.30 X 0 0 0 DIANE M BRIERLEY 0.30 X 0 0 0 JEAN ANN BROCK 0.30 X 0 0 0 ROBERT W BROWN MD 0.30 X 0 0 0 STEPHEN BUTT 0.30 X 0 0 0 JEFFREY A CHAPMAN 0.30 X 0 0 0 RITA C CLEMENTS 0.30 X 0 0 0 MARY MCDERMOTT COOK 0.30 X 0 0 0 DAVID R CORRIGAN 0.30 X 0 0 0 BERRY R COX 0.30 X 0 0 0 HARLAN R CROW 0.30 X 0 0 0 ROBERT H DEDMAN JR 0.30 X 0 0 0 TIMOTHY ELLER 0.30 X 0 0 0 MATRICE ELLIS-KIRK 0.30 X 0 0 0 SANDRA STREET ESTESS 0.30 X 0 0 0 ROBERT A ESTRADA 0.30 X 0 0 0 ROY GENE EVANS 0.30 X 0 0 0 ANDERSEN C FISHER 0.30 X 0 0 0 I D NASH FLORES III 0.30 X 0 0 0 TERRY J FLOWERS 0.30 X 0 0 0 KAY CARTER FORTSON 0.30 X 0 0 0 ALAN D FRIEDMAN 0.30 X 0 0 0 JUDY GIBBS 0.30 X 0 0 0 JOSEPH M JODY GRANT 0.30 X 0 0 0 ROLF R HABERECHT PHD 0.30 X 0 0 0 RONALD W HADDOCK 0.30 X 0 0 0 NANCY S HALBREICH 0.30 X 0 0 0 LAQUITA C HALL 0.30 X 0 0 0 PAUL W HARRIS 0.30 X 0 0 0 LINDA WHART 0.30 X 0 0 0 JOE V JODY HAWN JR 0.30 X 0 0 0 FREDERICK B HEGI JR 0.30 X 0 0 0 JEFFREY M HELLER 0.30 X 0 0 0 JULIE K HERSH 0.30 X 0 0 0 THOMAS O HICKS 0.30 X 0 0 0 SALLY S HOGLUND 0.30 X 0 0 0 DAVID B HOLL 0.30 X 0 0 0 T CURTIS HOLMES JR 0.30 X 0 0 0 SHELTON G HOPKINS MD 0.30 X 0 0 0 JAMES R HUFFINES 0.30 X 0 0 0 HUNTER L HUNT 0.30 X 0 0 0 REX V JOBE 0.30 X 0 0 0 JUDITH K JOHNSON 0.30 X 0 0 0 ROBERT L KAMINSKI 0.30 X 0 0 0 ROBERT W KORBA 0.30 X 0 0 0 PETER A KRAUS 0.30 X 0 0 0 WRIGHT L LASSITER JR EDD 0.30 X 0 0 0 LAURENCE H LEBOWITZ 0.30 X 0 0 0 WENDY A LOPEZ 0.30 X 0 0 0 SARAH LOSINGER 0.30 X 0 0 0 GLORIA EULICH MARTINDALE 0.30 X 0 0 0 WILLIAM S MCLNTYRE IV 0.30 X 0 0 0 JOHN D MCSTAY 0.30 X 0 0 0 PAULINE MEDRANO 0.30 X 0 0 0 DAVID B MILLER 0.30 X 0 0 0 KAY Y MORAN 0.30 X 0 0 0 MIKE A MYERS 0.30 X 0 0 0 CHARLES E NEARBURG 0.30 X 0 0 0 TERESA HAGGERTY PARRAVANO 0.30 X 0 0 0 CARLOS G PENA 0.30 X 0 0 0 T BOONE PICKENS 0.30 X 0 0 0 DANIEL K PODOLSKY MD 0.30 X 0 0 0 J BLAKE POGUE 0.30 X 0 0 0 RICHARD R POLLOCK 0.30 X 0 0 0 CAREN H PROTHRO 0.30 X 0 0 0 CAROLYN PEROT RATHJEN 0.30 X 0 0 0 MIKE RAWLINGS 0.30 X 0 0 0 JEAN W ROACH 0.30 X 0 0 0 LINDA ROBUCK 0.30 X 0 0 0 ROBERT D ROGERS 0.30 X 0 0 0 CATHERINE M ROSE 0.30 X 0 0 0 WILLIAM E BILLY ROSENTHAL 0.30 X 0 0 0 LIZZIE HORCHOW ROUTMAN 0.30 X 0 0 0 ROBERT B ROWLING 0.30 X 0 0 0 STEPHEN H SANDS 0.30 X 0 0 0 JOHN FIELD SCOVELL 0.30 X 0 0 0 GEORGE E SEAY 0.30 X 0 0 0 GEORGE A SHAFER 0.30 X 0 0 0 KAREN L SHUFORD 0.30 X 0 0 0 TED C SKOKOS 0.30 X 0 0 0 RICHARD W SNYDER II MD 0.30 X 0 0 0 WILLIAM S SPEARS PHD 0.30 X 0 0 0 PAUL T STOFFEL 0.30 X 0 0 0 RICHARD K TEMPLETON 0.30 X 0 0 0 MICHELLE R THOMAS 0.30 X 0 0 0 JERE W THOMPSON JR 0.30 X 0 0 0 MCHENRY T TICHENOR JR 0.30 X 0 0 0 JOHN C TOLLESON 0.30 X 0 0 0 JACK C VAUGHN JR 0.30 X 0 0 0 CAROLYN W WALKER 0.30 X 0 0 0 W KELVIN WALKER 0.30 X 0 0 0 CAROL R WEST 0.30 X 0 0 0 JIMMY WESTCOTT 0.30 X 0 0 0 GEORGE W WHARTON MD 0.30 X 0 0 0 LAURA L WHEAT 0.30 X 0 0 0 MARTHA S WILLIAMS 0.30 X 0 0 0 FRITZI G WOODS 0.30 X 0 0 0 KNEELAND C YOUNGBLOOD MD 0.30 X 0 0 0 ROBERT W BEST 0.30 X 0 0 0 ERIC JOHNSON 0.30 X 0 0 0 JENNIFER T MOSLE 0.30 X 0 0 0 GUILLERMO PERALES 0.30 X 0 0 0 JACQUELINE PLEMONS DDS 0.30 X 0 0 0 KELLY E ROACH 0.30 X 0 0 0 CYNTHIA SHERRY MD 0.30 X 0 0 0 EMMITT SMITH 0.30 X 0 0 0 CATHERINE TAYLOR 0.30 X 0 0 0 KERN WILDENTHAL MD PHD 22.00 X 169591 0 16959 W PLACK CARR JR 40.00 X 302347 0 25000 DONALD SELDIN MD 22.00 X 75600 0 0 KAY PRITCHARD 40.00 X 105700 0 10570 KATY SINOR 40.00 X 73400 0 7340 KATHLEEN M GIBSON 40.00 X 275000 0 0 KAY SCHLANKEY 40.00 X 129500 0 12950 1131138 0 72819 5 0 1 0 LUTHER KING CAPITAL MANAGEMENT 301 COMMERCE ST 1600 FORT WORTH TX 76102 INVESTMENT MANAGEMENT 750455 HUNTON & WILLIAMS LLP PO BOX 840686 DALLAS TX 75284 LEGAL SERVICES 321755 UTSWMC 5323 HARRY HINES BLVD DALLAS TX 75390 EXECUTIVE MANAGEMENT 251490 FUND EVALUATION GROUP PO BOX 71-5060 COLUMBUS OH 432715060 INVESTMENT MANAGEMENT 235134 WASATCH ADVISORS INC PO BOX 11545 SALT LAKE CITY UT 84147 INVESTMENT MANAGEMENT 209786 5 21730050 1624968 21730050 10289417 10289417 1244707 1244707 307031240 284427199 22604041 22604041 22604041 55868215 0 0 34138165 23055435 23055435 244500 244500 1181241 345018 450235 385988 75944 22972 30101 22871 56107 3515 36924 15668 64143 19148 27226 17769 362083 343302 18781 106973 106973 1669674 1669674 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: SOUTHWESTERN MEDICAL FOUNDATION MAY HAVE BEEN INVOLVED IN LOBBYING EXPENSES THAT ARE COMPARABLE IN AMOUNT TO CURRENT YEAR ACTIVITY BEGINNING IN 2002 UP TO A MAXIMUM OF $105,000 FOR EACH YEAR. 483788980 10365664 35991784 14438492 515707936 502442636 11091094 -12525105 17219645 483788980 439952000 20333521 59674007 17516892 502442636 351482043 24668889 79666876 15865808 439952000 480853897 25074407 -122261271 32184990 351482043 0.11000 0.22000 0.67000 0 1 1 559844 559844 18080 3616 14464 364659 209639 155020 729328 PARTNERSHIP INVESTMENTS 210424648 F 210424648 X 81284979 27086439 27086439 54198540 1669675 1669675 55868215 26660288 0 26660288 1669675 1669675 28329963 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2009. PART V, LINE 4 - DONORS MAKE PERMANENT ENDOWMENTS TO SUPPORT THE ONGOING CHARITABLE SERVICES AND MISSION OF THE ORGANIZATION. 1 PHOENIX HOUSE OF TEXAS 2351 W NORTHWEST HWY DALLAS TX 75220 133810073 501(C)(3) 38230 HILL A. FEINBERG ACADEMY COLLIN COUNTY HEALTH CARE FOUNDATION 825 N MCDONALD ST MCKINNEY TX 75069 756000873 501(C)(3) 35919 HENRY L. AND LAURA H. SHOAP FUND CHILDREN'S MEDICAL CENTER 2777 STEMMONS FREEWAY SUITE 1089 DALLAS TX 75207 750800628 501(C)(3) 150000 KARL AND ESTHER HOBLITZELLE FUND - FOR THE CONSTRUCTION AND RENOVATION PROJECT FOR THE CHILDREN'S CENTER FOR CANCER AND BLOOD DISORDERS CANCER PREVENTION & RESEARCH INSTITUTE OF TEXAS FOUNDATION PO BOX 12631 AUSTIN TX 78711 264551120 501(C)(3) 17500 COMMUNITY EVENT THE SENIOR SOURCE 3910 HARRY HINES BLVD DALLAS TX 75219 751085555 501(C)(3) 6000 COMMUNITY EVENT HONORING DONOR UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 WILHELMINA AND EDWARD ACKERMAN ENDOWMENT FUND - TO SUPPORT ALZHEIMER'S RESEARCH UNDER THE DIRECTION OF DR. DOUGLAS MENEDEZ UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 TO SUPPORT THE ACTIVITIES UNDER THE DIRECTION OF DR. TONY WHITWORTH IN THE DEPARTMENT OF NEUROLOGICAL SURGERY UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 4382059 TO BUILD-OUT THE 6TH FLOOR OF THE BILL AND RITA CLEMENTS ADVANCED MEDICAL IMAGING BUILDING FOR THE DEPARTMENT OF RADIOLOGY UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 MR. AND MRS. TOM B. MEDDERS, III FUND TO SUPPORT BRAIN TUMOR RESEARCH UNDER THE DIRECTION OF DR. ELIZABETH MAHER UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 MR. AND MRS. THOMAS F. OTOOLE FUND TO SUPPORT ALZHEIMERS DNA VACCINE RESEARCH UNDER THE DIRECTION OF DR. ROGER ROSENBERG UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 35000 TRANSFER OF A GIFT FROM MR. AND MRS. PETER J. DENKER TO SUPPORT ALZHEIMERS DISEASE RESEARCH UNDER THE DIRECTION OF DR. MATTHEW S. GOLDBERG UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5764 KATHRYN AND ASHLEY H. PRIDDY YOUNG SCIENTIST AWARD RECIPIENTS ARE MS. LISA MICHAELS AND RACHEL HODGE UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5468129 SEMI-ANNUAL DISTRIBUTION TO SUPPORT RESEARCH CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS, AND OTHER PROGRAMS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 400000 THE MURCHISON FOUNDATION FUND FOR ALZHEIMERS DISEASE RESEARCH UNDER THE DIRECTION OF DR. JOACHIM J. HERZ UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 MRS. E. L. DONOVITZ FUND TO SUPPORT WORK OF DR. MARK GOLDBERG IN THE DEPARTMENT OF NEUROLOGY AND NEUROTHERAPEUTICS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 59815 SEMI-ANNUAL DISTRIBUTION FROM THE HAROLD SIMMONS FUND AS A MATCH FOR THE JON HEIGHTEN ENDOWED SCHOLARS FUND UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 TO SUPPORT THE FRANK BURRIS/DEBORAH BURRIS VAUGHAN INTERNSHIP UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 SARA DORSEY HUDSON FUND FOR COLLEGE SUMMER INTERNS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 30000 TO SUPPORT DOWNS SYNDROME RESEARCH UNDER THE DIRECTION OF DR. CRAIG M. POWELL UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 MR. AND MRS. LUTE RILEY GIFT TO SUPPORT RESEARCH UNDER THE DIRECTION OF DR. BRUCE A. BEUTLER UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 TO SUPPORT THE WORK OF DR. ERIC N. OLSON UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 GIFT FROM MMK FOUNDATION TO SUPPORT NEPHROLOGY RESEARCH UNDER THE DIRECTION OF DR. JYOTHSNA GATTINENI UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 83505 GIFT FROM THE ONCE UPON A TIME FOUNDATION TO SUPPORT THE WORK OF DR. JUAN M. PASCUAL UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 368545 DR. ROBERT C. AND VERONICA ATKINS FOUNDATION FUND TO SUPPORT THE DR. ROBERT C. VERONICA ATKINS CHAIR IN OBESITY AND DIABETES RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 18667 MR. AND MRS. JOHN FORD LACY FUND FOR PRC DINNER UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 GIFT FROM LAWRENCE B. DALE FAMILY FOUNDATION TO SUPPORT MULTIPLE SCLEROSIS RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6347108 SEMI-ANNUAL DISTRIBUTION TO SUPPORT RESEARCH CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS, AND OTHER PROGRAMS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 9334 TO SUPPORT THE 2012-2013 WOMEN IN SCIENCE AND MEDICINE ACTIVITIES UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 2810000 FOR THE HAROLD AND ANNETTE SIMMONS COMPREHENSIVE CENTER FOR RESEARCH AND TREATMENT IN BRAIN AND NEUROLOGICAL DISORDERS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6048 LEUKEMIA RESEARCH, UNDER THE DIRECTION OF DR. ROBERT H. COLLINS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1580000 ANNUAL GRANT SWEETHEART BALL INC 6601 TURTLE CREEEK BOULEVARD DALLAS TX 75205 751795399 501(C)(3) 5000 COMMUNITY EVENT LEUKEMIA TEXAS 6060 NORTH CENTRAL EXPY SUITE 416 DALLAS TX 75206 751327679 501(C)(3) 5000 COMMUNITY EVENT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 COMMUNITY EVENT UNIVERSITY OF TEXAS AT DALLAS 1966 INWOOD ROAD DALLAS TX 75235 751305566 170(C)(3) 5000 JOSEPHINE SIMONSON APHASIA TRUST FUND TO SUPPORT THE WORK OF DR. HANNA ULATOWSKA PREVENT BLINDNESS TEXAS 3610 FAIRMOUNT STREET DALLAS TX 75219 746075105 501(C)(3) 5000 COMMUNITY EVENT TEXAS WOMAN'S UNIVERSITY - THE STROKE CENTER-DALLAS 1810 INWOOD ROAD DALLAS TX 75235 756002612 501(C)(3) 10000 JOSEPHINE SIMONSON APHASIA TRUST FUND SCHOLARSHIPS TO INDIVIDUALS WITH APHASIA AT THE STROKE CENTER-DALLAS THE DALLAS ARBORETUM AND BOTANICAL SOCIETY INC 8525 GARLAND ROAD DALLAS TX 75218 237375815 501(C)(3) 5000 COMMUNITY EVENT THE COMMUNITY FOUNDATION OF MAHONING VALLEY 201 EAST COMMERCE ST SUITE 150 YOUNGSTOWN OH 44503 341904353 501(C)(3) 5000 TO SUPPORT THE DIABETES PARTNERSHIP OF THE MAHONING VALLEY AMERICAN ACADEMY OF RESTORATIVE DENTISTRY P O BOX 1764 BROKEN ARROW OK 74013 410843827 501(C)(3) 10000 AMERICAN ACADEMY OF RESTORATIVE DENTISTRY TRUST FUND FOR EDUCATIONAL EFFORTS CHILDREN'S MEDICAL CENTER 2777 STEMMONS FREEWAY SUITE 1089 DALLAS TX 75207 750800628 501(C)(3) 100000 TRANSFER OF FUNDS RECEIVED FROM THE ESTATE OF MARION LEE HALFORD WHICH WAS DIRECTED FOR SUPPORT OF CHILDRENS MEDICAL CENTER RONALD MCDONALD HOUSE OF DALLAS 4707 BENGAL STREET DALLAS TX 75235 751609401 501(C)(3) 5000 COMMUNITY EVENT SWMF PROPERTIES 3963 MAPLE AVENUE STE 100 DALLAS TX 75219 752838956 501(C)(3) 750000 TRANSFER OF FUNDS RECEIVED FROM THE ESTATE OF ROSE VAN WERT FOR SUPPORT OF WORKING INTEREST ASSETS RECEIVED FROM THE ESTATE TEXPROTECTS THE TEXAS ASSOCIATION FOR THE PROTECTION OF CHILDREN 3963 MAPLE AVENUE STE 300 DALLAS TX 75219 752890371 501(C)(3) 5000 COMMUNITY EVENT COLLIN COUNTY HEALTH CARE FOUNDATION 825 N MCDONALD ST MCKINNEY TX 75069 756000873 501(C)(3) 35919 SEMI-ANNUAL DISTRIBUTION TO SUPPORT THE PROGRAMS CARRIED ON IN THE COLLIN COUNTY HEALTH DEPARTMENT 17 2 SCHOLARSHIP - HO DIN AWARD RECIPIENT 1 7500 SCHOLARSHIPS TO INDIVIDUALS 197 237000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION THOROUGHLY REVIEWS AND APPROVES THE USE OF GRANT FUNDS MADE TO THE SOUTHWESTERN MEDICAL CENTER AND OTHER CHARITABLE ORGANIZATIONS. SCHEDULE I, PART III: THE FOUNDATION MAKES SCHOLARSHIPS AND STUDENT LOANS AVAILABLE TO MEDICAL STUDENTS BASED UPON THE RECOMMENDATIONS OF THE SCHOLARSHIP AWARDS COMMITTEE OF THE UT SOUTHWESTERN MEDICAL SCHOOL. THE COMMITTEE IS COMPOSED OF THE ASSOCIATE DEANS FOR STUDENT AFFAIRS, THE VICE PRESIDENT FOR STUDENT & ALUMNI AFFAIRS, THE DIRECTOR OF ADMISSIONS, THE REGISTRAR & THE DIRECTOR OF FINANCIAL AID. SCHOLARSHIP AWARDS MAY BE BASED EITHER UPON FINANCIAL NEED OR UPON PRIOR OUTSTANDING ACADEMIC PERFORMANCE. ALL APPLICANTS ARE SCREENED WITH THE MANDATES OF THE STATE OF TEXAS. FELLOWSHIPS ARE MADE UPON THE RECOMMENDATION OF THE PRESIDENT OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AND THE APPROPRIATE MEDICAL CHAIRMAN. X 0 1 X X X 0 0 0 0 0 0 0 0 0 KERN WILDENTHAL MD PHD 169591 0 0 0 0 0 16959 0 0 0 186550 0 0 0 W PLACK CARR JR 292450 0 0 0 9897 0 25000 0 0 0 327347 0 0 0 KATHLEEN M GIBSON 275000 0 0 0 0 0 0 0 0 0 275000 0 0 0 PART I, LINE 1A THE FOUNDATION REIMBURSES W. PLACK CARR, JR. AN AGREED UPON PORTION OF THE COST OF HIS PERSONAL COUNTRY CLUB MEMBERSHIP FOR THE FOUNDATION'S USE OF THE COUNTRY CLUB FACILITIES. THE TOTAL REIMBURSEMENT IN 2012 WAS $3,897 X 14 1624968 COST OF DONATED PROPERTY 0 1 1 THIRD PARTY USE: PART I, LINE 32B: THE ORGANIZATION USES A BROKER SERVICE TO PROCESS AND SELL THEIR NON-CASH CONTRIBUTIONS OF PUBLIC SECURITIES. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES HAS DELEGATED THE RESPONSIBILITY OF REVIEWING THE TAX RETURN TO THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE SECRETARY AND ASSISTANT SECRETARY ANNUALLY REVIEW THE CODE OF CONDUCT AND CONFLICT OF INTEREST STATEMENTS FOR ANY CHANGES AND/OR NEW DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DETERMINES COMPENSATION UPON THE REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 IF THE ORGANIZATION RECEIVES A DOCUMENT REQUEST, THEY EVALUATE THE REQUESTS AND PROVIDE THE ORGANIZATIONAL AND GOVERNING DOCUMENTS ON A CASE BY CASE BASIS. FORM 990, PART VII, SECTION B, LINE 1: THE SOUTHWESTERN MEDICAL FOUNDATION PAID $251,490 TO REIMBURSE UTSW MEDICAL CENTER FOR THE SERVICES OF DR. KERN WILDENTHAL AND SUPPORT STAFF. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT OVERSEES THE AUDIT AND THE SELECTION OF INDEPENDENT AUDITORS. THE AMOUNT ON PAGE 1, LINE 8 INCLUDES AN ADJUSTMENT FOR THE INCREASE IN VALUE OF SPLIT INTEREST CONTRIBUTIONS OF $379,311. SWMF PROPERTIES INC 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 752838956 PROVIDE FUNDS TO SUPPORT THE CHARITABLE ACTIVITIES OF SW MEDICAL FOUNDATION TX 501(C)(3) 11A N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 SWMF PROPERTIES INC B 750000 FMV