STRATEGY STUDIO / PUBLIC DATA EXPLORER

ALS ARIZONA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ALS ARIZONA (EIN 86-0727136)
Tax period
2011-02-01 to 2012-01-31
Filed
2012-09-10
IRS object ID
201222549349300802
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-09-10T15:55:29-05:00Timestamp
Tax Period End Date2012-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN860133881EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HENRY & HORNE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17098 E COCHISE SUITE 100AddressLine1
CitySCOTTSDALECity
StateAZState
ZIP Code852534517ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860727136EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALS ASSOCIATION ARIZONA CHAPTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALSANameControl
Phone6022973800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14643 EAST THOMAS ROAD NO 1AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850187740ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM MOLINAName
TitleTREASURERTitle
Phone6022973800Phone
Date Signed2012-08-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCOLETTE KAMPS CPAName
PTINP00367616PTIN
Phone4804831170Phone
Date Prepared2012-08-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTARYN NORLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14643 EAST THOMAS ROAD NO 1AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850187740ZIPCode
FieldValueIRS element (for citing)
Gross Receipts849037GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALSAZ.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE EDUCATION, PATIENT ASSISTANCE, AND RESEARCH IN THE TREATMENT OF ALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year680012ContributionsGrantsPriorYear
Contributions Grants Current Year799170ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3819ProgramServiceRevenuePriorYear
Program Service Revenue CY9765ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year593OtherRevenuePriorYear
Other Revenue Current Year4075OtherRevenueCurrentYear
Total Revenue Prior Year684424TotalRevenuePriorYear
Total Revenue Current Year813010TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year84535TotalFundrsngExpCurrentYear
Other Expense Prior Year696647OtherExpensePriorYear
Other Expenses Current Year778026OtherExpensesCurrentYear
Total Expenses Prior Year716147TotalExpensesPriorYear
Total Expenses Current Year798026TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-31723RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14984RevenuesLessExpensesCY
Total Assets BOY211126TotalAssetsBOY
Total Assets EOY214001TotalAssetsEOY
Total Liabilities BOY179921TotalLiabilitiesBOY
Total Liabilities EOY167812TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31205NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46189NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE EDUCATION, PATIENT ASSISTANCE, AND RESEARCH IN THE TREATMENT OF AMYOTROPHIC LATERAL SCLEROSIS (LOU GEHRIG'S DISEASE).MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense616537Expense
Grants20000Grants
Revenue13840Revenue
DescriptionTHE 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.Description
Total Program Service Expense616537TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6022973800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14643 EAST THOMAS ROAD NO 1AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code850187740ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JULIANNE MARTINEZ
DIRECTOR2.00X000
TOM AVERY
DIRECTOR2.00X000
JASON HEETLAND
DIRECTOR2.00X000
STAN LUND
IMMEDIATE PAST CHAIRMAN2.00X000
MARK KITTREDGE
DIRECTOR2.00X000
TOM EARL
DIRECTOR2.00X000
WILLIAM MOLINA
TREASURER2.00X000X
SCOTT SUTHERLAND
CHAIRMAN2.00X000X
TARYN NORLEY
PRESIDENT & CEO40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1INSPERITYBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12398 EAST CAMELBACK ROAD 320AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85016ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLEASED EMPLOYEESDescriptionOfServices
Compensation350259Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns33929FederatedCampaigns
Fundraising Events511267FundraisingEvents
All Other Contributions253974AllOtherContributions
Noncash Contributions29991NoncashContributions
Total Contributions799170TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code624100BusinessCode
Total Revenue Column9765TotalRevenueColumn
Related Or Exempt Function Income9765RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9765TotalProgramServiceRevenue
Gross Income Fundraising Events36027GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events511267CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses36027FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column4075TotalRevenueColumn
Related Or Exempt Function Income4075RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4075TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column813010TotalRevenueColumn
Related Or Exempt Function Income13840RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total20000Total
Program Services20000ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total350259Total
Program Services296008ProgramServices
Management And General22877ManagementAndGeneral
Fundraising31374Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23700Total
Management And General23700ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total73418Total
Program Services34715ProgramServices
Management And General22700ManagementAndGeneral
Fundraising16003Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total18231Total
Program Services15015ProgramServices
Management And General2162ManagementAndGeneral
Fundraising1054Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47405Total
Program Services34182ProgramServices
Management And General4920ManagementAndGeneral
Fundraising8303Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total49353Total
Program Services37873ProgramServices
Management And General4547ManagementAndGeneral
Fundraising6933Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total18154Total
Program Services15939ProgramServices
Management And General908ManagementAndGeneral
Fundraising1307Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9685Total
Program Services7748ProgramServices
Management And General969ManagementAndGeneral
Fundraising968Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2548Total
Program Services2038ProgramServices
Management And General255ManagementAndGeneral
Fundraising255Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ALS NATIONAL ASSESSMENT1391581069041391618338
PATIENT SERVICES3129231292
MEDICAL EQUIPMENT1482314823

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total798026Total
Program Services616537ProgramServices
Management And General96954ManagementAndGeneral
Fundraising84535Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total9952Total
Program Services7015ProgramServices
Management And General969ManagementAndGeneral
Fundraising1968Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY194171BOY
EOY204939EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1318BOY
EOY929EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY2219EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99426LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec95565LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13548BOY
EOY3861EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2089BOY
EOY2053EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY211126BOY
EOY214001EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY71879BOY
EOY33232EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY108042BOY
EOY134580EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY179921BOY
EOY167812EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY31205BOY
EOY899EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY45290EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31205BOY
EOY46189EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY211126BOY
EOY214001EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses14984ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years801690CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years862125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years693870CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year680012CurrentTaxYearMinus1Year
Current Tax Year799170CurrentTaxYear
Total3836867Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3819CurrentTaxYearMinus1Year
Current Tax Year9765CurrentTaxYear
Total13584Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years801690CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years862125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years693870CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year683831CurrentTaxYearMinus1Year
Current Tax Year808935CurrentTaxYear
Total3850451Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8317CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72228CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8311CurrentTaxYearMinus2Years
Total88856Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8317CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72228CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8311CurrentTaxYearMinus2Years
Total88856Total
FieldValueIRS element (for citing)
Public Support Total5093761595PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years522CurrentTaxYearMinus2Years
Total827Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years522CurrentTaxYearMinus2Years
Total827Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year593CurrentTaxYearMinus1Year
Current Tax Year4075CurrentTaxYear
Total14727Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years809298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years862780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years696493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year684424CurrentTaxYearMinus1Year
Current Tax Year813010CurrentTaxYear
Total3866005Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97300PublicSupportPercentage509
Prior Year Support Percentage0.91810PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00020PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis99426OtherCostOrOtherBasis
Depreciation95565Depreciation
Book Value3861BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3861TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO ALSA NATIONAL$53,548
NOTE PAYABLE TO ALSA NATIONAL$81,032
FieldValueIRS element (for citing)
Total Of Amounts134580TotalOfAmounts
Total Revenue813010TotalRevenue
Total Expenses798026TotalExpenses
Excess Or Deficit For Year14984ExcessOrDeficitForYear
Excess Or Deficit Per FS14984ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt813010TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal813010RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990813010TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt798026TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal798026ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990798026TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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, 2012, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event15K WALKNameOfEvent1
Gross Receipts Event1407118GrossReceiptsEvent1
Charitable Contributions Event1391851CharitableContributionsEvent1
Gross Revenue Event115267GrossRevenueEvent1
Food And Beverage Event115267FoodAndBeverageEvent1
Name Of Event2BITE NITENameOfEvent2
Gross Receipts Event275276GrossReceiptsEvent2
Charitable Contributions Event254516CharitableContributionsEvent2
Gross Revenue Event220760GrossRevenueEvent2
Food And Beverage Event214350FoodAndBeverageEvent2
Other Direct Expenses Event26410OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events1400GrossReceiptsOtherEvents
Charitable Contrib Other Events1400CharitableContribOtherEvents
Gross Receipts Total483794GrossReceiptsTotal
Charitable Contributions Total447767CharitableContributionsTotal
Gross Revenue Total Events36027GrossRevenueTotalEvents
Food And Beverage Total Events29617FoodAndBeverageTotalEvents
Other Direct Expenses Total Events6410OtherDirectExpensesTotalEvents
Direct Expense Summary Events36027DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BANNER GOOD SAMARITAN
1111 EAST MCDOWELL ROADPHOENIXAZ8500627003649910000ALS PATIENT TREATMENT
MAYO CLINIC
5777 EAST MAYO BOULEVARDPHOENIXAZ8505486080015010000ALS PATIENT TREATMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionSPECIAL EVENT FOODDescription
Number Of Contributions19NumberOfContributions
Noncash Contribs Rptd F99029991NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ORGANIZATION.
FORM 990, PART VII, SECTION B, LINE 1ALL EMPLOYEES ARE LEASED THROUGH A HUMAN RESOURCE SERVICE PROVIDER.