2012-11-14T15:37:38-06:00 2011-12-31 752393478 WHITLEY PENN LLP 8343 DOUGLAS AVENUE SUITE 400 DALLAS TX 75225 990 2011-01-01 750945939 SOUTHWESTERN MEDICAL FOUNDATION SOUT 2143516143 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 KATHLEEN M GIBSON 2143516143 2012-11-13 1 CURTIS MAXFIELD P00445178 2143939300 2011 2016-02-24 21:20:13Z KATHLEEN M GIBSON 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 636798052 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. 124 124 9 0 0 0 31172630 63813176 0 0 50388583 20398928 759443 1766950 82320656 85979054 16606885 25332095 0 0 984772 1028509 0 0 1057274 3802006 3759972 21393663 30120576 60926993 55858478 759480349 778076953 5570828 7217306 753909521 770859647 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 25768363 25332095 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. 25768363 1 1 0 0 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 0 1 29 0 1 9 1 0 0 0 0 0 0 0 0 0 0 X 124 124 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X W PLACK CARR JR 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 BARRY G ANDREWS 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 GEORGE W BRAMBLETT JR 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 WILLIAM H GERLACH DDS 0.30 X 0 0 0 JUDY GIBBS 0.30 X 0 0 0 KATHLEEN M GIBSON 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 JOE HAGGAR III 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 JESS T HAY 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 WALTER J HUMANN 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 JOHN I LEVY 0.30 X 0 0 0 WENDY A LOPEZ 0.30 X 0 0 0 SARAH LOSINGER 0.30 X 0 0 0 ANN MARGOLIN 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 SUSAN BYRNE MONTGOMERY 0.30 X 0 0 0 KAY Y MORAN 0.30 X 0 0 0 JENNIFER T MOSLE 0.30 X 0 0 0 MIKE A MYERS 0.30 X 0 0 0 CHARLES E NEARBURG 0.30 X 0 0 0 STEPHEN OZANNE MD 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 LISA K SIMMONS 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 GIFFORD O TOUCHSTONE 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 KERN WILDENTHAL MD PHD 22.00 X 0 0 0 W PLACK CARR JR 40.00 X 257097 0 27443 DONALD SELDIN MD 22.00 X 75600 0 0 KAY PRITCHARD 40.00 X 104300 0 16830 KATY SINOR 40.00 X 72792 0 20011 RANDY L DAUGHERTY 40.00 X 176276 0 18431 KAY SCHLANKEY 40.00 X 128057 0 24450 814122 0 107165 4 0 1 0 LUTHER KING CAPITAL MANAGEMENT 301 COMMERCE ST 1600 FORT WORTH TX 76102 INVESTMENT MANAGEMENT 669244 UTSWMC 5323 HARRY HINES BLVD DALLAS TX 75390 EXECUTIVE MANAGEMENT 465566 WASATCH ADVISORS INC PO BOX 11545 SALT LAKE CITY UT 84147 INVESTMENT MANAGEMENT 312193 FUND EVALUATION GROUP PO BOX 71-5060 COLUMBUS OH 432715060 INVESTMENT MANAGEMENT 238700 ALLIANZ GLOBAL INVESTORS (NFJ) PO BOX 51029 LOS ANGELES CA 900515329 INVESTMENT MANAGEMENT 222774 10 63813176 11455321 63813176 10279535 10279535 1766950 1766950 560938391 550818998 10119393 10119393 10119393 85979054 0 0 22165878 25065595 25065595 266500 266500 509789 138925 182055 188809 346144 94330 123614 128200 69159 16307 28372 24480 51379 13508 24083 13788 52038 14775 17722 19541 259366 255565 3801 47528 47528 1792545 1792545 465565 57930 129879 277756 25136 4914 15027 5195 75197 12023 18794 44380 244994 18540 208189 18265 6693 6693 1303 1303 404 404 31044 31044 49012 49012 PUBLIC RELATIONS 246665 47678 152065 46922 FOUNDATION DEVELOPMENT 213811 11055 18856 183900 CONSULTING FEES 153000 123000 30000 PRINTING AND POSTAGE 45553 2700 11284 31569 102156 3583 59208 39365 30120576 25768363 3294939 1057274 207476 2437329 214284455 149035919 54959899 52099610 13057 937053 177908 650354 759145 383516802 367694401 75957798 179468378 29903565 26569114 759480349 778076953 4940828 6427306 630000 790000 5570828 7217306 X 52256658 48143348 358899556 375054341 342753307 347661958 753909521 770859647 759480349 778076953 X 55858478 -38908352 X X 0 1 1 X 0 X 134726278 27280439 95156025 31172630 63813176 352148548 134726278 27280439 95156025 31172630 63813176 352148548 193430116 158718432 23229856 19962476 12448118 13071529 12046485 80758464 432907012 0.36660 0.33760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 504287218 11091094 -12525105 17219645 485633562 439952000 20333521 61518589 17516892 504287218 351482043 24668889 79666876 15865808 439952000 480853897 25074407 -122261271 32184990 351482043 0.11370 0.70570 0.18060 0 1 1 559844 559844 18080 1808 16272 359129 176100 183029 759145 PARTNERSHIP INVESTMENTS 179468378 F 179468378 85979054 30120576 55858478 -38908352 -38908352 16950126 45278157 -38908352 -38908352 84186509 1792545 1792545 85979054 28328031 0 28328031 1792545 1792545 30120576 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011, 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 2008. PART V, LINE 4 - DONORS MAKE PERMANENT ENDOWMENTS TO SUPPORT THE ONGOING CHARITABLE SERVICES AND MISSION OF THE ORGANIZATION. 1 ALBERT AND MARY LASKER FOUNDATION 110 E 42ND STREET SUITE 1300 NEW YORK NY 10017 131680062 501(C)(3) 10000 COMMUNITY EVENT PHOENIX HOUSE OF TEXAS 2351 W NORTHWEST HWY DALLAS TX 75220 133810073 501(C)(3) 38034 HILL A. FEINBERG ACADEMY COLLIN COUNTY HEALTH CARE FOUNDATION 825 N MCDONALD ST MCKINNEY TX 75069 756000873 501(C)(3) 72020 HENRY L. AND LAURA H. SHOAP FUND CHILDREN'S MEDICAL CENTER 1935 MEDICAL DISTRICT DRIVE DALLAS TX 75235 750800628 501(C)(3) 200000 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 TEXAS SCOTTISH RITE HOSPITAL 2222 WELBORN STREET DALLAS TX 75219 750818178 501(C)(3) 5000 COMMUNITY EVENT THE SENIOR SOURCE 3910 HARRY HINES BLVD DALLAS TX 75219 751085555 501(C)(3) 5000 COMMUNITY EVENT - SPIRIT OF GENERATIONS AWARDS LUNCHEON UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 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) 225959 TEXANA FISHER RESEARCH FUND - HD FAMILY STUDY OF SMI (KINDRED STUDY) UNDER THE DIRECTION OF DR. CAROL A. TAMMINGA UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 LAWRENCE AND TERRY TOBIN FUND FOR DR. WILLIAM E. LEE UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 4000000 HAROLD AND ANNETTE SIMMONS NEUROLOGICAL CENTER UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 WILHELMINA AND EDWARD ACKERMAN ENDOWMENT FUND - TO SUPPORT THE WORK OF RICHARD C. WU, M.D. UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6303099 SEMI-ANNUAL DISTRIBUTION OF FUNDS TO SUPPORT CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS AND OTHER PROGRAMS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 ALZHEIMER'S DNA VACCINE RESEARCH IN THE DEPARTMENT OF NEUROLOGY UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 50000 IRWIN GROSSMAN RESTRICTED FUND FOR TYPE I DIABETES UNDER THE DIRECTION OF DR. PHILIP RASKIN UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 9000 STACEY AND DONALD KIVOWITZ CHARITABLE FOUNDATION FUND - FOR UROLOGICAL DISEASE RESEARCH UNDER THE DIRECTION OF DRS. CLAUS G. ROEHRBORN AND MARGARET S. PEARLE UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 100000 FOR DR. ROBERT C. AND VERONICA ATKINS CHAIR IN OBESITY AND DIABETES RESEARCH HELD BY DR. JAY D. HORTON UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 11000 FOR SUPPORT OF AN ENDOWMENT FUND HONORING JONATHAN W. UHR, M.D. UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 140300 HAROLD AND ANNETTE SIMMONS FOUNDATION FUND - TO SUPPORT THE CLINICAL HIV FELLOWSHIP IN SOUTH AFRICA FROM MAY, 2011 THROUGH AUGUST 31, 2012 UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 UT SOUTHWESTERN SCHOLARSHIP PROGRAM UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 4500000 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) 5000 LOSINGER FAMILY FUND - FOR ALZHEIMER'S DISEASE RESEARCH UNDER THE DIRECTION OF DR. ROGER N. ROSENBERG UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1580000 ANNUAL GRANT APPROVED AT SWMF'S ANNUAL MEETING UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 135000 DORIS DUKE CHARITABLE FOUNDATION FUND - FOR SUPPORT OF RESEARCH UNDER THE DIRECTION OF DR. OLAF STUVE UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6785322 SEMI-ANNUAL DISTRIBUTION OF FUNDS TO SUPPORT CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS AND OTHER PROGRAMS UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 16729 PRESIDENT'S RESEARCH COUNCIL - GIFT FROM MR. AND MRS. JOHN FORD LACY UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 30000 MR. AND MRS. PHILLIP WIGGINS FUND - TO SUPPORT THE DEPARTMENT OF NEUROLOGICAL SURGERY UNDER THE DIRECTION OF DR. DUKE SAMSON UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10194 DRS. MARY AND RICHARD LYONS FUND - FOR THE ENDOWMENT FUND HONORING DR. JONATHAN W. UHR UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 MR. AND MRS. RAYMOND J. FRENCH, JR. FUND - TO SUPPORT CAREER DEVELOPMENT, DEVELOPMENT OF TEACHING MATERIALS, RESEARCH AND OTHER SCHOLARLY ACTIVITIES UNDER THE DIRECTION OF DR. DAVID M. AUERBACH UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 162000 DORIS DUKE CHARITABLE FOUNDATION FUND - TO SUPPORT THE PROJECT ENTITLED, "PFAST: PATENT FORAMEN OVALE AND STROKE IN SICKLE CELL DISEASE," UNDER THE DIRECTION OF DR. MICHAEL M. DOWLING UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 15000 WILHELMINA AND EDWARD ACKERMAN ENDOWMENT FUND - $5,000 TO SUPPORT THE ACTIVITIES OF EACH OF THE FOLLOWING: DR. WILLIAM LEE, DR. KAREN BRADSHAW AND DR. PHILLIPE ZIMMERN UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 75000 MRS. ALAN LOSINGER FUND - FOR ALZHEIMER'S DISEASE RESEARCH UNDER THE DIRECTION OF DR. ROGER N. ROSENBERG UT SOUTHWESTERN 5323 HARRY HINES BLVD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 20000 DORIS DUKE CHARITABLE FOUNDATION FUND - FOR ONGOING PROJECT ENTITLED, "PFAST: PATENT FORAMEN OVALE AND STROKE IN SICKLE CELL DISEASE" SWEETHEART BALL INC 6601 TURTLE CREEEK BOULEVARD DALLAS TX 75205 751795399 501(C)(3) 5000 COMMUNITY EVENT ST PAUL MEDICAL FOUNDATION 5909 HARRY HINES BLVD DALLAS TX 75390 752845286 501(C)(3) 5000 HEART AND LUNG PROGRAM AT UT SOUTHWESTERN UNIVERSITY HOSPITAL - ST. PAUL 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) 10000 KERN AND MARNIE WILDENTHAL FAMILY FUND - FOR TICKETS TO ROMEO AND JULIETTE FOR STUDENTS AND STAFF UNIVERSITY OF TEXAS AT DALLAS 1966 INWOOD ROAD DALLAS TX 75235 751305566 170(C)(3) 11188 CRYSTAL CHARITY BALL FUND FOR THE PEDIATRIC BRAIN INJURY COLLABORATIVE PROJECT UNIVERSITY OF TEXAS AT DALLAS 1966 INWOOD ROAD DALLAS TX 75235 751305566 170(C)(3) 10000 KERN AND MARNIE WILDENTHAL FAMILY FUND - TO ENGAGE ROBERT LLOYD TO SERVE AS A VISITING DISTINGUISHED PROFESSOR WHO WILL CONDUCT A SERIES OF SEMINARS FOR MCDERMOTT SCHOLARS AND OTHER UT DALLAS HONORS STUDENTS UNIVERSITY OF TEXAS AT DALLAS 1966 INWOOD ROAD DALLAS TX 75235 751305566 170(C)(3) 5000 JOSEPHINE SIMONSON APHASIA TRUST FUND - 1ST PAYMENT ON A GRANT OF $10,000 TO SUPPORT AN ONGOING PROGRAM OF DEVELOPING AN APHASIA DISCOURSE BATTERY AMONG PATIENTS WITH APHASIA UNIVERSITY OF ROCHESTER 601 ELMWOOD A BOX 665 ROCHESTER NY 14642 160743209 501(C)(3) 20000 SPINE EDUCATION AND RESEARCH FUND - TO SUPPORT PROGRAMS IN THE DEPARTMENT OF ORTHOPAEDICS LAUNCH ABILITY FOUNDATION 4350 SIGMA ROAD SUITE 100 DALLAS TX 75244 451838041 501(C)(3) 5000 COMMUNITY EVENT BAY PINES FOUNDATION INC PO BOX 416 BAY PINES FL 33744 593018477 501(C)(3) 55000 SPINE EDUCATION AND RESEARCH FUND - TO SUPPORT SPINE EDUCATIONAL ACTIVITIES PREVENT BLINDNESS TEXAS 2202 WAUGH HOUSTON TX 77006 746075105 501(C)(3) 5000 COMMUNITY EVENT SOUTHERN METHODIST UNIVERSITY PO BOX 750402 DALLAS TX 75275 750800689 170(B)(1)(A)(II) 10000 SMU DISTINGUISHED ALUMNI AWARD CELEBRATION, COMMUNITY EVENT DALLAS THEATER CENTER 2400 FLORA STREET DALLAS TX 75201 750959992 501(C)(3) 7500 COMMUNITY EVENT NORTH TEXAS PUBLIC BROADCASTING FOUNDATION 3000 HARRY HINES BOULEVARD DALLAS TX 75201 752084768 501(C)(3) 10000 KERA PUBLIC RADIO AND TELEVISION OF NORTH TEXAS, COMMUNITY EVENT BIG THOUGHT 2501 OAKLAWN DALLAS TX 75219 752170035 501(C)(3) 5000 COMMUNITY EVENT TEXAS WOMAN'S UNIVERSITY 1810 INWOOD ROAD DALLAS TX 75235 756002612 501(C)(3) 10000 JOSEPHINE SIMONSON APHASIA TRUST FUND - SPEECH THERAPY FOR NEEDY PATIENTS DALLAS COUNTY DENTAL SOCIETY 140 EAST 12TH STREET DALLAS TX 75208 756023172 501(C)(3) 208893 DENTAL ENDOWMENT TRUST - TRANSFER OF FUNDS TO DALLAS COUNTY DENTAL SOCIETY'S FOUNDATION ADVANCEMENT OF TRANSPLANT SERVICES CHARITABLE TRUST 5323 HARRY HINES BLVD DALLAS TX 75390 756595404 501(C)(3) 6500 ADVANCEMENT OF TRANSPLANT SERVICES CHARITABLE TRUST UT SOUTHWESTERN MEDICAL CENTER - TO COVER SOME OF THE EXPENSES FOR THE PARADE OF ROSES PARTICIPANTS (TRANSPLANT RECIPIENTS) AND PR RELATED ATTENDEES 23 1 SCHOLARSHIP - HO DIN AWARD RECIPIENT 1 7500 SCHOLARSHIPS TO INDIVIDUALS 206 259000 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 W PLACK CARR JR 247200 0 0 0 9897 0 25270 0 2173 0 284540 0 0 0 RANDY L DAUGHERTY 176276 0 0 0 0 0 10867 0 7564 0 194707 0 0 0 KAY SCHLANKEY 128057 0 0 0 0 0 12570 0 11880 0 152507 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 2011 WAS $3,897 X 20 11453969 COST OF DONATED PROPERTY X VARIOUS ITEMS 1 1352 FMV 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 $465,566 TO REIMBURSE UTSW MEDICAL CENTER FOR THE SERVICES OF DR. KERN WILDENTHAL AND SUPPORT STAFF. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -38,908,352. 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 DECREASE IN VALUE OF SPLIT INTEREST CONTRIBUTIONS OF $776,955. FORM 990, SCHEDULE M, LINE 31: THE ORGANIZATION REVIEWS NON-CASH CONTRIBUTIONS FOR APPROPRIATENESS PRIOR TO ACCEPTANCE. IN THE CASE OF DONATIONS OF REAL ESTATE OR LAND, THE ORGANIZATION OFTEN HAS A FEASIBILITY OR ENVIRONMENTAL STUDY COMPLETED AND REVIEWED BY A COMMITTEE PRIOR TO ACCEPTANCE. SWMF PROPERTIES INC 3963 MAPLE AVENUE NO 100 DALLAS TX 75219 752838956 PROVIDE FUNDS TO SUPPORT UTSW MEDICAL CENTER TX 501(C)(3) 11A N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 SWMF PROPERTIES INC C 672314 FMV