PRESIDENT

2013-08-05T11:21:00-05:00 2012-12-31 391173131 SCHENCK SC 200 E WASHINGTON ST PO BOX 1739 APPLETON WI 549121739 990 2012-01-01 390906273 COMMUNITY BLOOD CENTER INC COMM 9207383131 4406 W SPENCER STREET APPLETON WI 54914 RICK HART PRESIDENT 9207383131 2013-07-12 1 MIKE VANDEN HOGEN P00499282 9207318111 2012 2016-02-24 21:20:13Z RICK HART 4406 W SPENCER STREET APPLETON WI 54914 17485512 0 X WWW.SAVE3LIVES.ORG X 1955 WI THE PURPOSE OF THIS ORGANIZATION SHALL BE TO SUPERVISE AND PERFORM THE COLLECTION, PROCESSING AND DISTRIBUTION OF BLOOD, BLOOD COMPONENTS AND OTHER RELATED PRODUCTS, TO HOSPITALS OR TO OTHER BLOOD CENTERS. TO ENGAGE IN OTHER EXCLUSIVE CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES AND ENDEAVORS INCLUDING PARTICIPATION IN ANY BUSINESS OR ENTERPRISE TO PROCURE FUNDS FOR THE FOREGOING, INCLUDING ALSO THE SOLICITATION OF FUNDS FOR THE FINANCIAL SUPPORT OF ITS PURPOSE AND OBJECTIVES. 16 15 188 250 0 0 72516 14137 15649916 17206750 182826 264625 17 0 15905275 17485512 0 0 0 0 6881263 7473545 0 0 0 7646986 8116386 14528249 15589931 1377026 1895581 18007259 20655337 2275784 2190660 15731475 18464677 THE COMMUNITY BLOOD CENTER PROVIDES RELIABLE, HIGH QUALITY BLOOD PRODUCTS AND SERVICES THAT SAVE LIVES IN THE COMMUNITIES WE SERVE. 0 0 12868005 17152863 COMMUNITY BLOOD CENTER PROVIDES 100% OF THE BLOOD TO 18 HOSPITALS THROUGHOUT NORTHEASTERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. IN 2012 WE COLLECTED MORE THAN 51,000 UNITS OF RED BLOOD CELLS THAT WE THEN TESTED, PROCESSED AND DISTRIBUTED TO HOSPITALS FOR BLOOD TRANSFUSION TO PATIENTS IN NEED. WE ARE ALSO ONE OF THE LOWEST COST PROVIDERS OF BLOOD IN THE NATION THROUGH OUR DEDICATION TO COST CONTAINMENT AND EFFICIENCY. 112698 53887 BONE MARROW DONOR MATCHING PROGRAM 12980703 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 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 0 0 0 0 0 1 7 0 188 1 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X LORI GLYNN 9207383131 4406 W SPENCER STREET APPLETON WI 54914 CULLEN H HENSHAW MD TERM 2015 MEMBER 1.00 X 0 0 0 BEN VOGEL TERM END 2014 MEMBER 1.00 X 0 0 0 JOHN M WOLLNER TERM END 2015 EXECUTIVE CHAIR 1.00 X X 0 0 0 MARGI MANN TERM END 2014 MEMBER 1.00 X 0 0 0 CURT DETJEN TERM END 2013 MEMBER 1.00 X 0 0 0 DAN FLANNERY TERM END 2013 MEMBER 1.00 X 0 0 0 MARY HAYES TERM END 2012 MEMBER 1.00 X 0 0 0 THERESA MOORE TERM END 2013 MEMBER 1.00 X 0 0 0 STEVE SEIFERT TERM END 2015 MEMBER 1.00 X 0 0 0 MICHAEL WISE TERM END 2013 MEMBER 1.00 X 0 0 0 NANCY JOHNSHOY TERM END 2015 PAST CHAIR 1.00 X 0 0 0 MARK KEHRBERG MD TERM END 2015 MEMBER 1.00 X 0 0 0 JO ANN LANG TERM END 2015 SECRETARY 1.00 X X 0 0 0 RICK SCHINLER TERM END 2013 TREASURER 1.00 X X 0 0 0 JIM VANDERMISSEN TERM END 2015 VICE CHAIR 1.00 X X 0 0 0 RICK HART PRESIDENT 40.00 X X 200851 0 24507 LORI GLYNN DIRECTOR OF FINANCE 40.00 X 96465 0 24034 ANDREA MICHAUD V.P.COLLECTIONS 40.00 X 122252 0 25547 MATT MCCARTER V.P.CUSTOMER RELATIONS AND LAB OPERATIONS 40.00 X 148153 0 10292 567721 0 84380 3 0 1 0 LIFESOURCE DONOR TESTING FIVE PARKWAY CENTER 875 GREENTREE PITTSBURG PA 15220 BLOOD TESTING SERVICES 231438 PROPHIT MARKETING INC 154 N BROADWAY GREEN BAY WI 54303 MARKETING 177783 E-FREIGHT COURIER PO BOX 13885 WAUWATOSA WI 532130885 COURIER SERVICES 143629 FEDEX PO BOX 94515 PALATINE IL 600944515 COURIER SERVICES 132344 4 14137 14137 RED BLOOD CELLS 621500 9700682 9700682 APHERESIS PROCEDURES 621500 4796333 4796333 RECOVERED PLASMA 621500 1364153 1364153 COMPONENTS 621500 744408 744408 OTHER TESTING AND FEES 621500 505049 505049 96125 96125 17206750 264075 264075 550 0 550 550 550 17485512 17206750 0 264625 X 345857 345857 5631887 4394152 1237735 217888 172154 45734 789739 599275 190464 488174 298485 189689 9583 9583 62425 62425 2606401 2525407 80994 163463 156978 6485 123154 106497 16657 294254 291829 2425 197455 141725 55730 201895 161019 40876 41990 26255 15735 13912 13912 290121 175676 114445 242797 205729 37068 SUPPLIES AND PURCHASED 2900969 2895777 5192 REPAIRS AND MAINTENANCE 324536 195748 128788 SHIPPING AND HANDLING 313404 313404 330027 320593 9434 15589931 12980703 2609228 0 207 0 1574904 737472 1971437 2092588 420058 411817 174892 225454 10025164 3615052 6236538 6410112 7374491 10205072 170475 480802 84257 92020 18007259 20655337 892678 982574 1383106 1208086 2275784 2190660 X 15724621 18448180 6854 16497 15731475 18464677 18007259 20655337 X 1895581 822819 14802 X 0 1 X 1 0 X 95379 45748 63568 72516 68024 345235 16067597 17366362 15878330 15649916 17152863 82115068 16162976 17412110 15941898 15722432 17220887 82460303 0 10966712 11721187 22687899 10966712 11721187 22687899 59772404 -210162 106800 178861 176478 264075 516052 -210162 106800 178861 176478 264075 516052 1098 10 70 17 1195 15953912 17518920 16120829 15898927 17484962 82977550 0.72030 0.85640 0.00620 0.00600 X 84257 9160 1397 92020 86035 -52 1726 84257 76685 10435 1085 86035 1.00000 1 0 681582 681582 5978713 1162846 4815867 64509 26957 37552 2395551 1806597 588954 904809 618652 286157 6410112 18323133 822819 14802 837621 17485512 0 17485512 15589931 0 15589931 0 15589931 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: TO SUPPORT THE MISSION OF THE ORGANIZATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECOVERY OF RESTITUTION X X X 0 0 0 0 0 0 0 0 0 RICK HART PRESIDENT 195757 0 0 0 5094 0 11450 0 13057 0 225358 0 0 0 MATT MCCARTER V.P.CUSTOMER RELATIONS AND LAB OPERA 148153 0 0 0 0 0 1521 0 8771 0 158445 0 0 0 PART I, LINE 3 ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE CEO'S COMPENSATION. THE BOARD APPROVES ANY CHANGES TO THE CEO'S COMPENSATION. A VILLAGE OF LITTLE CHUTE WISCONSIN 396006304 2009-01-06 3500000 THE RAZING OF BUILDING, IMPROVEMENTS TO BUILDING, AND PURCHASE OF EQUIPMENT 0 0 0 A 685495 1893581 1893581 2009 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 SCHEDULE K BOND PROCEEDS BOND PROCEEDS ARE LESS THAN TOTAL BOND ISSUE BECAUSE CAPITAL EXPENDITURE NEEDS WAS LESS THAN $3.5 MILLION. FORM 990, PART VI, SECTION A, LINE 2 H. CULLEN HENSHAW M.D. AND THERESA MOORE HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD MEMBERS REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A CONFLICT OF INTEREST QUESTIONAIRE AND ARE REQUIRED TO COMPLETE AND SUBMIT. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY THE DIRECTOR OF HUMAN RESOURCES PROVIDES THE BOARD WITH INDEPENDENT, COMPARABLE DATA TO USE TO MAKE ANY CHANGES TO THE CEO'S COMPENSATION. ANNUALLY THE DIRECTOR OF HUMAN RESOURCES DOES A REVIEW OF OUR WAGE RANGES COMPARING THEM TO EXTERNAL SURVEYS AND OTHER DATA TO MAKE SURE WE ARE COMPETITIVE. THIS INFORMATION IS USED TO DETERMINE CHANGES IN KEY EMPLOYEE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, INCLUDING GOVERNING, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 80,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,994. TESTING FEES: PROGRAM SERVICE EXPENSES 2,525,407. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,525,407. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: RECOVERY OF RESTITUTION 14,802.