2011-12-14T11:11:24-06:00 2011-03-31 BLACKMAN KALLICK LLP 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2010-04-01 363667121 NATIONAL SOCIETY TO PREVENT BLINDNESS NATI 3123636001 211 W WACKER DR NO 1700 CHICAGO IL 60606 JEROME D DESSERICH 3123636001 2011-12-08 1 LU ANN TRAPP 3122071040 2011-12-08 2010 2016-02-24 21:20:13Z PREVENT BLINDNESS AMERICA HUGH PARRY 211 W WACKER DR NO 1700 CHICAGO IL 60606 6432611 0 X PREVENTBLINDNESS.ORG X 1908 IL WE SERVE THE PUBLIC TO PREVENT BLINDNESS AND PRESERVE SIGHT THROUGH EDUCATION, CERTIFIED VISION SCREENING AND TRAINING, COMMUNITY AND PATIENT SERVICE PROGRAMS, ADVOCACY, AND SUPPORT OF VISION RESEARCH. 32 32 168 250 0 0 4262738 3642289 183414 932187 152510 274403 164850 172330 4763512 5021209 838428 1113440 0 0 2890493 2862359 153531 146176 463233 1744364 1896229 5626816 6018204 -863304 -996995 12552604 12184215 1626911 1646350 10925693 10537865 X THIS VOLUNTARY HEALTH ORGANIZATION SERVES THE PUBLIC TO PREVENT BLINDNESS AND PRESERVE SIGHT THROUGH EDUCATION, ADVOCACY, CERTIFIED VISION SCREENING AND TRAINING, COMMUNITY AND PATIENT SERVICE PROGRAMS AND SUPPORT OF VISION RESEARCH. 0 0 1552186 269284 357808 PUBLIC EDUCATION- INFORMING THE GENERAL PUBLIC ABOUT THE BASIC FACTS OF EYE CARE, HEALTH, AND SAFETY, AND MOTIVATING THEM TO APPROPRIATE ACTION; CONDUCTED THROUGH MASS MEDIA SUCH AS TV, RADIO, NEWSPAPERS, MAGAZINES AND FILMS, THROUGH THE DISTRIBUTION OF PUBLICATIONS AND THROUGH RESPONSES TO INQUIRIES FROM THE PUBLIC. SERVED 2 MILLION PEOPLE NATIONWIDE. 1002277 271614 136764 PROFESSIONAL EDUCATION & TRAINING- SERVING AS AN AUTHORITATIVE SOURCE OF INFORMATION ON THE LATEST DEVELOPMENTS IN VISION AND EYE CARE SO THAT EYE CARE PROFESSIONALS, NURSES, TEACHERS, SOCIAL WORKERS, AND OTHERS IN THE FIELD OF BLINDNESS PREVENTION CAN BETTER SERVE THEIR RESPECTIVE CLIENTS. SERVED OVER 9 THOUSAND PROFESSIONALS NATIONWIDE. 1045609 264237 426565 COMMUNITY SERVICE- SPONSORING AND PROMOTING SCREENING PROGRAMS FOR THE EARLY DETECTION OF SIGNS OF EYE TROUBLE AMONG CHILDREN AND ADULTS. SCREENED 2.3 MILLION PATIENTS NATIONWIDE. PROMOTING EYE SAFETY, INCLUDING OCCUPATIONAL, SCHOOL AND HOME SAFETY PROGRAMS; PROVIDING INDUSTRY WITH AN APPROVED EYE SAFETY INCENTIVE PROGRAM BASED ON THE USE OF SAFETY EYEWEAR. 766921 307205 11050 RESEARCH-SUPPORT BASIC AND CLINICAL VISION RESEARCH INTO AREAS BEARING ON THE PREVENTION OF BLINDNESS AND CONSERVATION OF VISION. 766921 307205 11050 4366993 1 1 0 1 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 7 0 168 1 0 0 0 0 0 1 1 0 0 0 0 X 32 32 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 AL AR AZ CA DC IL KS KY LA ME MA MD MI MN MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY FL GA X X X JEROME DESSERICH 3123636001 211 W WACKER DR STE 1700 CHICAGO IL 60606 JAMES ANDERSON 2.00 X X 0 0 0 PAUL HOWES 2.00 X X 0 0 0 STEVE CORMAN 2.00 X X 0 0 0 JOANNE ANGLE 1.00 X 0 0 0 MARGE AXELRAD 1.00 X 0 0 0 SANDRA BLOCK 1.00 X 0 0 0 BILL BURKE 1.00 X 0 0 0 MIKE DALEY 1.00 X 0 0 0 TRACY DIETERICH 1.00 X 0 0 0 RICK ELIAS 1.00 X 0 0 0 JULIAN GANGOLLI 1.00 X 0 0 0 RICK HART 1.00 X 0 0 0 BRIAN KLINGER 1.00 X 0 0 0 PAUL LEE 1.00 X 0 0 0 BRENDA LUCKRITZ 1.00 X 0 0 0 JAMES LYNCH 1.00 X 0 0 0 KATHY MCGINNIS 1.00 X 0 0 0 JIM MURPHY 1.00 X 0 0 0 GEORGE NEAL 1.00 X 0 0 0 MILDRED OLIVIER 1.00 X 0 0 0 JOHN O'NEILL 1.00 X 0 0 0 CYNTHIA OWSLEY 1.00 X 0 0 0 MICHAEL PENDER 1.00 X 0 0 0 DAVE PIERSON 1.00 X 0 0 0 DENNIS PODLESAK 1.00 X 0 0 0 MARY POINTER 1.00 X 0 0 0 RICHARD SANCHEZ 1.00 X 0 0 0 JAMES THIMONS 1.00 X 0 0 0 GLENN VAN DEUSEN 1.00 X 0 0 0 JAKE VANDER ZANDEN 1.00 X 0 0 0 LESLEE WILLIAMS 1.00 X 0 0 0 KURT ZOLLER 1.00 X 0 0 0 HUGH R PARRY 40.00 X 267829 0 25583 JEFFREY P TODD 40.00 X 136148 0 18029 JEROME D DESSERICH 40.00 X 127186 0 6127 KATHY M NELSON 40.00 X 117177 0 14411 JACINDA D ADAMS 40.00 X 110423 0 15159 ANDREA DENSHAM 40.00 X 101706 0 8005 860469 0 87314 6 0 1 0 DRINKER BIDDLE & REATH LLP 1500 K ST NW SUITE 1100 WASHINGTON DC DC 20005 GOVERNMENT RELATIONS CONSULTING 203755 SOCIAL CAPITAL INC 980 N MICHIGAN AVE CHICAGO IL 60611 MARKETING CONSULTING 112437 2 11724 88829 1782921 1758815 3642289 AFFILIATE SUPPORT 900099 780238 780238 PUBLICATION SALES 900099 92914 92914 SCREENING MATERIAL SAL 900099 59035 59035 932187 91488 91488 1097814 445093 914899 445093 182915 0 182915 182915 61083 88829 51410 9673 9673 OTHER REVENUE 900099 162657 162657 162657 5021209 932187 0 446733 1113440 1113440 580902 432125 113805 34972 1808883 1346157 353675 109051 100327 74304 20074 5949 190071 140769 38030 11272 182176 128032 43518 10626 9594 2111 7003 480 125308 27568 91475 6265 175000 169750 5250 146176 146176 30045 30045 359427 276667 72109 10651 203968 90885 83678 29405 176684 54914 119748 2022 212936 192238 9685 11013 158709 127958 19169 11582 54992 43476 8766 2750 16384 12754 2493 1137 PROGRAM RELATED PRINTIN 98333 98333 FUNDRAISING EXPENSES 60919 60919 213930 35512 174705 3713 6018204 4366993 1187978 463233 X 183187 36637 0 146550 494303 183530 288456 108367 898895 874531 67132 56090 2046371 588791 1521823 1457580 4424959 4270748 359502 389896 4497534 4843473 12552604 12184215 363836 412271 27818 22801 1235257 1211278 1626911 1646350 X 3675258 3193291 1498798 1247000 5751637 6097574 10925693 10537865 12552604 12184215 X -996995 609167 X 0 1 1 X 1 1 X 7147335 5546535 5604809 4262738 3642289 26203706 7147335 5546535 5604809 4262738 3642289 26203706 3706803 22496903 105107 101116 64718 95184 91488 457613 30029 81428 88714 159996 162657 522824 27184143 1407549 0.82760 0.80200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 54136 55636 225157 307802 279293 363438 5708866 11308151 5988159 11671589 449408 733579 112352 183395 0 0 0 0 733547 734918 717886 733579 2919930 4379895 380125 523594 543843 363438 1811000 183387 183730 179472 183395 729984 1094976 1789 888 750 55636 59063 5751637 345937 6097574 4778501 973136 5751637 6220557 -1442056 4778501 0.00000 1.00000 0.00000 1 0 322148 322148 1300890 202520 1098370 423333 386271 37062 1457580 INTEREST IN TRUSTS 4843473 4843473 5021209 6018204 -996995 263230 345937 609167 -387828 5600331 263230 345937 609167 4991164 30045 30045 5021209 5988159 0 5988159 30045 30045 6018204 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME TO BE USED TO SUPPORT ORGANIZATION'S PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION'S APPLICATION OF GAAPUSA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THEY HAVE NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. PREVENT BLINDNESS AMERICA WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. PREVENT BLINDNESS AMERICA IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR PERIODS BEFORE 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS 345,937. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MARKET VALUE OF BENEFICIAL INTERESTS IN TRUSTS 345,937. X X X X X X 1 MAGNET DIRECT 321 MANLEY ST WEST BRIDGEWATER MA 02379 DIRECT MAIL 0 32088 15742 16346 MARANVILLE & ASSOC PO BOX 5293 MORTON IL 61550 CONSULTING ON PLANNED GIVING 0 0 40500 -40500 SOCIAL CAPITAL INC 875 N MICHIGAN AVE CHICAGO IL 60611 CONSULTING ON PROGRAM & FUNDRAISING 0 0 84394 -84394 32088 140636 -108548 AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY GOLF 136329 88829 47500 40413 7587 AUCTION 11749 11749 22 148078 88829 59249 40413 7609 48022 11227 1 JOHNS HOPKINS UNIVERSITY 733 N BROADWAY BALTIMORE MD 21205 520595110 501(C)(3) 89928 VISION RESEARCH HEALTH RESEARCH INC 150 BROADWAY 560 MENARDS NY 12204 141402155 501(C)(3) 177625 VISION RESEARCH DUKE CLINICAL RESEARCH INSTITUTE PO BOX 17969 DURHAM NC 27715 560532129 501(C)(3) 141245 VISION RESEARCH CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 90027 195612191 501(C)(3) 25000 VISION RESEARCH UCLA JULES STEIN EYE INSTITUTE 100 STEIN PLAZA LOS ANGELES CA 90095 956006143 501(C)(3) 25000 VISION RESEARCH PREVENT BLINDNESS NORTHERN CALIFORNIA 1388 SUTTER ST SAN FRANCISCO CA 94109 946139663 501(C)(3) 36000 HEALTH FAIR AND SYMPOSIUM PREVENT BLINDNESS TRI-STATE 101 WHITNEY NEW HAVEN CT 06510 060706741 501(C)(3) 90682 VISION RESEARCH PREVENT BLINDNESS OHIO 1500 W 3RD AVE COLUMBUS OH 43212 316063433 501(C)(3) 96011 VISION RESEARCH PREVENT BLINDNESS NORTH CAROLINA 4011 WESTCHASE RALEIGH NC 27607 566088141 501(C)(3) 75000 VISION RESEARCH PREVENT BLINDNESS TEXAS 2202 WAUGH DR HOUSTON TX 77006 746075105 501(C)(3) 202848 VISION RESEARCH PREVENT BLINDNESS GEORGIA 739 WEST PEACHTREE ST NW STE 200 ATLANTA GA 30305 586050305 501(C)(3) 33357 VISION RESEARCH CA DEPT OF PUBLIC HEALTH 1825 BELL ST SACRAMENTO CA 95825 743204993 GOVERNMENT 56000 VISION RESEARCH OHIO DEPT OF HEALTH 246 N HIGH ST COLUMBUS OH 43215 311334820 GOVERNMENT 31860 VISION RESEARCH NJ DEPT OF HUMAN SERVICES PO BOX 360 TRENTON NJ 08625 216000928 GOVERNMENT 10384 VISION RESEARCH ALASKA DIV OF PUBLIC HEALTH PO BOX 110614 JUNEAU AK 99811 926001185 GOVERNMENT 22500 VISION RESEARCH 15 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PREVENT BLINDNESS AMERICA HAS A PROCESS IN PLACE FOR MONITORING THE USE OF GRANTS WE PROVIDE. WE REQUIRE MONTHLY, MID-YEAR AND FINAL FINANCIAL AND PROGRAM REPORTS. WE RESERVE THE RIGHT TO HOLD PAYMENTS, PENDING RECEIPT AND APPROVAL OF THE APPROPRIATE REPORTS. FURTHER, WE REGULARLY MEET WITH OUR GRANTEES TO ENSURE THEY ARE MAKING PROGRESS IN THEIR ACTIVITES. X X 0 0 0 0 0 0 0 0 0 HUGH R PARRY 261829 0 0 0 6000 0 17150 0 8433 0 293412 0 0 0 JEFFREY P TODD 136148 0 0 0 0 0 9800 0 8229 0 154177 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY INCLUDES ANNUAL REVIEW AND DISCLOSURE BY ALL KEY VOLUNTEERS AND STAFF. THE BOARD OF DIRECTORS THEN REVIEW FOR ANY POTENTIAL CONFLICTS. FORM 990, PART VI,SECTION B,LINE 15 THE PRESIDENT/CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED BY THE BOARD CHAIR. IN THE YEARS WHERE AN INCREASE TO COMPENSATION IS MERITED, THE BOARD CHAIR AND 2-3 EXECUTIVE COMMITTEE MEMBERS WOULD REVIEW THE COMPENSATION AND DEBATE ON AN APPROPRIATE INCREASE TO THE COMPENSATION. ANY ADJUSTMENTS ARE APPROVED IN WRITING BY THE BOARD CHAIR AND THE OTHER BOARD MEMBERS. THIS DOCUMENTATION IS MAINTAINED IN THE HUMAN RESOURCES FILE OF THE ORGANIZATION. FOR SENIOR MANAGEMENT TEAM MEMBERS, A SALARY COMPARISON STUDY WAS UTILIZED AT THE TIME OF HIRE TO ESTABLISH REASONABLE COMPENSATION FOR THE THREE MOST RECENT HIRES. THE ORGANIZATION PLANS TO FORMALLY DOCUMENT AND IMPROVE THE COMPENSATION REVIEW PROCESS TO INCLUDE COMPARABLE COMPENSATION DATA OF SIMILAR ORGANIZATIONS AND ADDITIONAL DOCUMENTATION OF THE DELIBERATION PROCESS COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 OUR ANNUAL REPORT AND FORM 990 ARE AVAILABLE ON OUR WEBSITE. THESE, ALONG WITH OTHER DOCUMENTS, SUCH AS GOVERNING DOCUMENTS AND POLICIES, ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 263,230. CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS 345,937. TOTAL TO FORM 990, PART XI, LINE 5: 609,167. TOTAL NUMBER OF EMPLOYEES FORM 990, PART I, LINE 5 AND PART V, LINE 2A THE ORGANIZATION ACTS AS COMMON PAYMASTER FOR THE NATIONAL SOCIETY TO PREVENT BLINDNESS AFFILIATES AND ISSUED A TOTAL OF 168 W-2S FOR ALL AFFILIATED ORGANIZATIONS. OF THE TOTAL 168 W-2S, 35 WERE ISSUED FOR EMPLOYEES OF THE NATIONAL SOCIETY TO PREVENT BLINDNESS. NSPB TRI-STATE AFFILIATE 101 WHITNEY AVE NEW HAVEN CT 06510 060706741 PREVENT BLINDNESS PROGRAMS CT 501(C)(3) LINE 7 N/A 0 NSPB MID-ATLANTIC AFFILIATE 11618 BUSY ST RICHMOND VA 23236 237033230 PREVENT BLINDNESS PROGRAMS VA 501(C)(3) LINE 7 N/A 0 NSPB OHIO AFFILIATE 1500 W THIRD ST COLUMBUS OH 43212 316063433 PREVENT BLINDNESS PROGRAMS OH 501(C)(3) LINE 7 N/A 0 NSPB INDIANA AFFILIATE 70 E 91ST INDIANAPOLIS IN 46240 356040676 PREVENT BLINDNESS PROGRAMS IN 501(C)(3) LINE 7 N/A 0 NSPB WISCONSIN AFFILIATE 759 N MILWAUKEE ST MILWAUKEE WI 53202 396096227 PREVENT BLINDNESS PROGRAMS WI 501(C)(3) LINE 7 N/A 0 NSPB IOWA AFFILIATE 1111 NINTH ST DES MOINES IA 50314 426083207 PREVENT BLINDNESS PROGRAMS IA 501(C)(3) LINE 7 N/A 0 NSPB NEBRASKA AFFILIATE 6818 GROVER STE 102 OMAHA NE 68106 470539539 PREVENT BLINDNESS PROGRAMS NE 501(C)(3) LINE 7 N/A 0 NSPB TENNESSEE AFFILIATE 95 WHITE BRIDGE RD NASHVILLE TN 37205 510240507 PREVENT BLINDNESS PROGRAMS TN 501(C)(3) LINE 7 N/A 0 NSPB NORTH CAROLINA AFFILIATE 4011 WESTCHASE BLVD RALEIGH NC 27607 566088141 PREVENT BLINDNESS PROGRAMS NC 501(C)(3) LINE 7 N/A 0 NSPB GEORGIA AFFILIATE 739 WEST PEACHTREE ST NW ATLANTA GA 30308 586050305 PREVENT BLINDNESS PROGRAMS GA 501(C)(3) LINE 7 N/A 0 NSPB FLORIDA AFFILIATE 8401 BENJAMIN ROAD STE G TAMPA FL 33634 596181662 PREVENT BLINDNESS PROGRAMS FL 501(C)(3) LINE 7 N/A 0 NSPB OKLAHOMA AFFILIATE 6 NE 63RD ST OKLAHOMA CITY OK 73105 736108998 PREVENT BLINDNESS PROGRAMS OK 501(C)(3) LINE 7 N/A 0 NSPB TEXAS AFFILIATE 2202 WAUGH DR HOUSTON TX 77006 746075105 PREVENT BLINDNESS PROGRAMS TX 501(C)(3) LINE 7 N/A 0 NSPB NORTHERN CALIFORNIA AFFILIATE 1388 SUTTER ST SAN FRANCISCO CA 94109 946139663 PREVENT BLINDNESS PROGRAMS CA 501(C)(3) LINE 7 N/A 0 NSPB TRI-STATE AFFILIATE (NJ) 101 WHITNEY AVE NEW HAVEN CT 06510 222693493 PREVENT BLINDNESS PROGRAMS NJ 501(C)(3) LINE 7 0 0 1 0 0 0 1 0 0 0 0 1 0 1 0 1 1 1 1 NATIONAL SOCIETY TO PREVENT BLINDNESS 211 W WACKER DRIVE 1700 CHICAGO IL 60606 363667121 X 54136 225157 279293 5708866 5988159 449408 112352 0 0 0 PREVENT BLINDNESS OHIO 1500 W 3RD AVE COLUMBUS OH 43212 316063433 X 0 27050 27050 1634162 1661212 233061 58265 0 0 0 PREVENT BLINDNESS VIRGINIA 11618 BUSY ST RICHMOND VA 23236 237033230 X 0 24050 24050 824324 848374 152256 38064 0 0 0 PREVENT BLINDNESS FLORIDA 8401 BENJAMIN ROAD STE G TAMPA FL 33634 596181662 X 0 0 0 618403 618403 117760 29440 0 0 0 PREVENT BLINDNESS IOWA 1111 NINTH ST DES MOINES IA 50314 426083207 X 0 8500 8500 214963 223463 44693 11173 0 0 0 PREVENT BLINDNESS NORTH CAROLINA 4011 WESTCHASE BLVD RALEIGH NC 27607 566088141 X 0 22550 22550 1245875 1268425 201843 50461 0 0 0 PREVENT BLINDNESS INDIANA 70 EAST 91ST ST INDIANAPOLIS IN 46240 356040676 X 0 0 0 299286 299286 59857 14964 0 0 0 PREVENT BLINDNESS GEORGIA 739 WEST PEACHTREE ST NW STE 200 ATLANTA GA 30308 586050305 X 1500 495 1995 762272 764267 139640 34910 0 0 0