2013-07-12T12:58:48-05:00 2013-01-31 860133881 HENRY & HORNE LLP 2055 E WARNER RD STE 101 TEMPE AZ 85284 990 2012-02-01 860727136 ALS ASSOCIATION ARIZONA CHAPTER ALSA 6022973800 4643 EAST THOMAS ROAD NO 1 PHOENIX AZ 850187740 THOMAS AVERY 6022973800 2013-07-11 1 COLETTE KAMPS P00367616 4808394900 2013-07-10 2012 2016-02-24 21:20:13Z TARYN NORLEY 4643 EAST THOMAS ROAD NO 1 PHOENIX AZ 850187740 778737 0 X WWW.ALSAZ.ORG X 1992 AZ TO PROVIDE EDUCATION, PATIENT ASSISTANCE, AND RESEARCH IN THE TREATMENT OF ALS. 12 12 0 350 0 0 799170 731408 9765 1178 0 0 4075 10545 813010 743131 20000 24300 0 0 0 0 0 0 95411 778026 780584 798026 804884 14984 -61753 214001 124140 167812 139704 46189 -15564 X TO PROVIDE EDUCATION, PATIENT ASSISTANCE, AND RESEARCH IN THE TREATMENT OF AMYOTROPHIC LATERAL SCLEROSIS (LOU GEHRIG'S DISEASE). 0 0 634900 24300 11723 THE ALS ASSOCIATION ARIZONA CHAPTER, A 501(C)(3) NON-PROFIT ORGANIZATION IS THE ONLY STATEWIDE VOLUNTARY HEALTH ORGANIZATION DEDICATED SOLELY TO THE FIGHT AGAINST AMYOTROPHIC LATERAL SCLEROSIS, MORE COMMONLY REFERRED TO AS LOU GEHRIG'S DISEASE. THE ALS ASSOCIATION'S NATIONWIDE NETWORK OF CHAPTERS PROVIDES COMPREHENSIVE PATIENT SERVICES AND SUPPORT TO THE ALS COMMUNITY. WE ARE COMPASSIONATE, COMMITTED, AND RELENTLESS IN THE FIGHT TO DEFEAT ALS. SINCE 1991 WE HAVE PROVIDED CRITICAL ASSISTANCE FOR MORE THAN 2,500 PATIENTS AND THEIR FAMILIES AT EVERY STAGE OF THE DISEASE THROUGH PATIENT CARE MANAGEMENT, A MEDICAL EQUIPMENT LOAN PROGRAM, RESPITE CARE, TRANSPORTATION, SUPPORT GROUPS AND MULTIDISCIPLINARY ALS CLINICS. EVERY YEAR, OUR NATIONAL ORGANIZATION INVESTS MILLIONS OF DOLLARS IN RESEARCH CONDUCTED BY THE BEST AND BRIGHTEST SCIENTISTS IN THE WORLD. BECAUSE OF THE SUPPORT OF INDIVIDUALS, FOUNDATIONS, AND CORPORATE PARTNERS WE CAN CONTINUE TO GIVE HELP AND HOPE TO THOSE FACING THIS DEVASTATING DISEASE. DURING 2012, THE ARIZONA CHAPTER STARTED A CHILDREN AND FAMILY EDUCATION PROGRAM WHICH INCLUDES PROVIDING A CHILD LIFE SPECIALIST TO WORK WITH CHILDREN OF OUR ALS PATIENTS. 634900 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X THE ORGANIZATION 6022973800 4643 EAST THOMAS ROAD NO 1 PHOENIX AZ 850187740 X WILLIAM MOLINA 2.00 X 0 0 0 JULIANNE MARTINEZ 2.00 X 0 0 0 CHRISTINE SPITZER 2.00 X 0 0 0 JASON HEETLAND 2.00 X 0 0 0 TOM EARL 2.00 X 0 0 0 GREYSON GEILER 2.00 X 0 0 0 JIM MORTENSEN 2.00 X 0 0 0 SCOTT SUTHERLAND 2.00 X 0 0 0 JACK VOLZ 2.00 X 0 0 0 DALE SPARKS 2.00 X X 0 0 0 TOM AVERY 2.00 X X 0 0 0 MARK KITTREDGE 2.00 X X 0 0 0 TARYN NORLEY 40.00 X X 0 0 0 0 0 0 0 0 0 0 INSPERITY 2398 EAST CAMELBACK ROAD 320 PHOENIX AZ 85016 LEASED EMPLOYEES 384681 1 67476 408529 255403 36800 731408 PATIENT SERVICES 624100 1178 1178 1178 35606 408529 35606 0 OTHER INCOME 900099 10545 10545 10545 743131 11723 0 0 24300 24300 384681 324713 25520 34448 23500 23500 40957 24968 3017 12972 41681 11808 1327 28546 37489 26715 5229 5545 49740 39008 4678 6054 23017 21469 739 809 3861 3089 386 386 2252 1802 225 225 ALS NATIONAL ASSESSMENT 95991 79613 9952 6426 MEDICAL EQUIPMENT 53259 53259 PATIENT SERVICES 24156 24156 804884 634900 74573 95411 X 204939 121921 929 2219 2219 0 3861 2053 0 214001 124140 33232 68574 134580 71130 167812 139704 X 899 -15564 45290 0 46189 -15564 214001 124140 -61753 0 X 0 1 X 1 0 X 862125 693870 680012 799170 731408 3766585 3819 9765 1178 14762 862125 693870 683831 808935 732586 3781347 72228 8311 80539 0 72228 8311 80539 3700808 305 522 827 305 522 827 350 2101 593 4075 10545 17664 862780 696493 684424 813010 743131 3799838 0.97390 0.97300 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO ALSA NATIONAL 17109 NOTE PAYABLE TO ALSA NATIONAL 54021 71130 X 743131 0 743131 0 743131 804884 0 804884 0 804884 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ASSOCIATION RECOGNIZES TAX POSITIONS WITH UNCERTAINTY IN INCOME TAXES IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY THAN NOT, THE POSITIONS WILL NOT BE SUSTAINED UPON EXAMINATION OF THE TAX AUTHORITIES. AS OF JANUARY 31, 2013, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 5K WALK 328206 322600 5606 5606 BITE NITE 106543 76543 30000 30000 1 9386 9386 444135 408529 35606 30000 5606 35606 0 1 BANNER GOOD SAMARITAN 1111 EAST MCDOWELL ROAD PHOENIX AZ 85006 270036499 3 12500 ALS PATIENT TREATMENT MAYO CLINIC 5777 EAST MAYO BOULEVARD PHOENIX AZ 85054 860800150 11800 ALS PATIENT TREATMENT 1 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION ONLY PROVIDES FUNDING TO SPECIFIC HOSPITALS THAT PROVIDE SPECIALIZED TREATMENT FOR ALS. THE ORGANIZATION HAS AN ONGOING RELATIONSHIP WITH AND COMMUNICATION WITH THESE GRANTEES. X SPECIAL EVENT FOOD 19 35606 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND BOARD TREASURER. IT WILL ALSO BE PRESENTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES TO COMPLETE A DISCLOSURE FORM, STATING IF THEY ARE AWARE OF ANY CONFLICTS THEY HAVE WITH THE ORGANIZATION. THESE FORMS ARE REQUIRED TO BE COMPLETED ON AN ANNUAL BASIS. ANY CONFLICTS DISCLOSED ARE DISCUSSED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE COMPENSATION FOR TOP MANAGEMENT AND OFFICERS AND KEY EMPLOYEES. THE COMPENSATION IS COMPARED TO SIMILIAR POSITIONS IN OTHER NONPROFIT ORGANIZATIONS AND ALS CHAPTERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ORGANIZATION.