Download - Save-A-Life Foundation's FY07/08 AG990-IL
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For OW.ee Use Oily FotmAG990Revised 3
FederalID#
3 6 - 3 8 6 9 4 5 9Are contributions to the organization tax deductible?LEGALNAME SAVE A LIFE FOUNDATIONMAIL
ADDRESS 9 9 5 0 LAWRENCE, N O . 3 0 0CITY.STATE SCHILLER PARK, I L
ZIP CODE 6 0 1 7 6
ILLINOIS CHARITABLE ORGANIZATION ANNUAL REPORTAttorney General LISA MADIGAN State of Illinois
Charita ble Trust Bureau, 100 West Randolph co# 01-02649811th Floor, Chicago, Illinois 60601 r- V . .
Check all items attached:Report for the Fiscal Period: [ X ] Copy of IRSReturn
Make Checkson Audited Financial StatementsBeginning 0 7 / 0 1 / 2 0 0 7 Payable to copy of Form IFC
the Illinois nr] * Charily L i J *1 5 00 Annua l Re P rt Filing Fee
& Ending 0 6 / 3 0 / 2 0 0 8 Bureau Fund $100.00 Late Report Filing MO DAY YR M Q 0 A y y R
I X I Yes I I No Date Organization was created 0 2 / 0 9 / 1 9 9 3
I. SUMMARY OF ALL REVENUE ITEMS DURING THE YEAR:D) PUBLIC SUPPORT. CONTRIBUTIONS & PROGRAM SERVICE REV. (GRO SS AMT S.)E) GOVERNMENT GRANTS & MEMBERSHIP DUESF) OTHER REVENUES
Year-endamounts
A)ASSETSB) LIABILITIESC) NET ASSETS
A)$B)$C)S
PERCENTAGE9 8 . 7 8 7 %
JBCetVEl>1 . 2 1 3 %
Attorney Gen**aCharitable Tr
G) TOTAL REVENUE. INCOME AND CONTRIBUTIONS RECEIVEO (A_ II. SUMMARY OF ALL EXPENDITURES DURING THE YEAR.
H) OPERATING CHARITABLE PROGRAM EXPENSE Q $ AM I
I) EDUCATION PROGRAM SERVICE EXPENSE
J) TOTAL CHARITABLE PROGRAM SERVICE EXPENSE (ADD H &I)
J1) JOINT COSTS ALLOCATED TO PROGRAM SERVICES (INCLUDED IN J): $
K) GRANTS TO OTHER CHARITABLE ORGANIZATIONS
L) TOTAL CHARITABLE PROGRAM SERVICE EXPENDITURE (ADD J&K)
M) MANAGEMENT AND GENERAL EXPENSE
N) FUNDRAISING EXPENSE
0) TOTAL EXPENDITURES THIS PERIOD (AOD L, M. & N)
III. SUMMARY OF ALL PAID FUNDRAISER AND CONSULTANT ACTIVITIES:(Attach Attorney General Report of Individual Fundraising Campaign- Form IFC. One for each PFR>PROFESSIONAL FUNDRAISERS:
P) TOTAL AMOUNT RAISED BY PAID PROFESSIONAL FUNDRAISERS
Q) TOTAL FUNDRAISERSFEESAND EXPENSES
R) NET RECEIVED BY THE CHARITY (P MINUS Q=R)
100 %
9 5 . 8 6 3 ."" s -""" mcluaing accompanying scneoulco ana statements, ana to tne best ol my knowledge ana belief it ,s inje correctana complete Declaration of preparer (other man olteer ) is Baseo on all intormalion ol which ptcparer has anv knowleooe wwrew.
Signature of officer Date
Type or print name and title
Preparer's ^
signature r
Date
Fimvsnameio, BORHART SPELLMEYER & COMPANYsell.emp.oyea). k 2 2 0 5 POI NT BLVD. SU IT E 16 0address, and ^r ZIP.4 ^ E L G I N , I L 6 0 1 2 3 - 7 8 4 0
Check ifself-employed I I
Proparefs SSN o< PTIN (See Gen Inst X)
EIIM
Phone no ( 8 4 7 ) 6 9 5 - 1 7 7 5
Form 990 (2007)
723164/12-2707
1201 758549 606512
2007.07000 SAVE A LIFE FOUNDATION 6065
http://sell.emp.oyea/http://sell.emp.oyea/http://sell.emp.oyea/ -
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SCHEDULE A(Form 990 or 990-EZ)
Oepartmenl o* the Treasuryinlemai Revenue Service
Organization Exempt Under Section 501(c)(3)(Except Private Foundation) and Section 501(e). 501(1). 501 (k),
501 (n), or 4947(a)(1) Nonexempt Charitable TrustSupplementary lnformation-(See separate instructions.)
MUST be completed by the above organizations and attached to their Form 990 or 990-EZName of the organization
PartiSAVE A LIFE FOUNDATION
OM3re -.545-0047
2007Employer identification number
36 3869459Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees(See page 1 of the instructions. List each one it there are none, enter "None")
(a) Name and address ot each employee paidmore than $50,000
DANE_NEAL_9950 LAWRENCE~#300 y SCHILLER PARK, if
(b) Title and average hoursper week devoted toposition
NATL POLICY DIR40.00
Total number ot other employees paid
over $50.000
(c) Compensation
6 3 , 5 2 0
(d) Contnoutions to
employee benefitplans & defeireacompensation
(e)Expenseaccount and other
allowances
Part -A | Compensation of the Five Highest Paid Independent Contractors for Professional Services(See page 2 ot the instructions. List each one (whether individuals or firms). If there are none, enter "None ')
(a) Name and address of each independent contractor paid more than $50,000
NONE
(b) Type of service (c) Compensation
Total number of others receiving over$50.000 for professional services
Part ll-B | Compensation of the Five Highest Paid Independent Contractors for Other Services(List each contractor who performed services other than professional services, whether individuals orfirms. Ifthere are none, enter None." See page 2 of the instructions)
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service
NONE
(c) Compensation
Total number of other contractors receiving over$50,000 tor other services
723ioi/i2-27 07 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ
131201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION
Schedule A (Form 990 or 990-EZ) 2007
6065 1
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Schedule A (Form 990 or 990-EZ) 2037 SAVE A L IF E FOUNDATION 3 6 - 3 8 6 9 4 5 9 Page 2
Part III Stat ement s About Activities (See page 2 of theinstructions.) Yes No
During theyear,has the organization attempted to influence national, state, or local legislation, including any attempt to influencepublic opinion on a legislative matter or referendum? If 'Yes.' enter the total expenses paid or incurred in connection with thelobbying activities $ $ (Must equal amounts on line 38. Part Vl-A, orlinei of Part Vl-B.)
2a2b2c2d2e
3a
Organizations that made an election under section501(h) by filing Form 5768 must complete Part Vl-A. Other organizationschecking 'Yes' must complete Part Vl-B AND attach a statement giving a detailed description of the lobbying activities.
2 During theyear,has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors.trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any suchperson is affiliated as an officer, director, trustee, majority owner, or principal beneficiary?(If the answer to any question is "Yes,"attach a detailed statement explaining the transactions.)
a Sale, exchange, or leasing of property?b Lending of money or other extension of credi t'c Furnishing of goods, services, or facilities?d Payment of compensation (or payment or reimbursement of expenses if more than $1.000)? S E E P A R T . V - A/ F O R M 9 9 0e Transfer of any part of its income or assets '
3 a Did the organization make grants for scholarships, fellowships, student loans, etc.? (If"Yes,"attach an explanation of howthe organization determines that recipients qualify to receive payments.)
b Did the organization have a section 403(b) annuity plan for its employees?c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space.
the environment, historic land areas or historic structures? If "Yes." attach a detailed statement [ 3cd Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
4 a Did the organization maintain any donor advised funds? If 'Yes.* complete lines 4b through 4g. It 'No,' complete lines 4fand4g
b Did the organization make any taxable distributions under section 4966? N/Ac Did the organization make a distribution to a donor, donor advisor, or related person? N/Ad Enter the total number of donor advised funds owned at the end of the tax yeare Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax yearf Enter the total number of separate funds or accounts owned at the end of the year (excluding donor advised funds included on
line 4d) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accountsg Enter the aggregate value of assets in all funds or accounts included on line 4f at the end of the tax year
3b
3d
4a4b4C
N/A N/A
0 . 0 .
Schedule A (Form 990 or 990-EZ) 2
142 112 01 75 85 49 60 65 2 0 0 7 . 0 7 0 0 0 SAVE A LIFE FOUNDATION 60 65 1
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Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATION 3 6 - 3 8 6 9 4 5 9 Pag
Part IV j Reason fo r Non-Private Foundation Status (See pages 4 through 8 of the instructions)
I certify that the organization is not a private foundation because it is: (Please check only ONEapplicable box)A church, convention of churches, or association of churches. Section l70(b)(1)(A)(i)A school. Section l70(b)(l)(A)(ii). (Also complete Part V.)A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).A federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).
A medical research organization operated in conjunction with a hospital. Section 170(b)(1 )(A)( iii). Enter the hospital's name, city,
and state
56789
10 11a m 11b12
13
An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(l)(A)(iv).(Also complete the Support Schedule in Part IV-A.)
An organization that normally receives a substantial part of its support from a governmental unit or from the general public.Section l70(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)A community trust. Section 170(b) (1)(A) (vi). (Also complete the Support Schedule in Part IV-A.)An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and grossreceipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 331 /3 % ofits support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquiredby the organization after June 30.1975 . See section 509(a) (2) . (Also complete the Support Schedule in Part IV-A.)
An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the requirements of section509(a)(3). Check the box that describes the type of supporting organization: TypeI Type II Type lll-Functionally Integrated Type Ill-Other
Provide the following Information about the supported organizations. (See page 8 of the instructions.)
(a)Name(s) of supported organization(s)
(b)Employer
identificationnumber (EIN)
(c)Type of organization(described in lines5 through 12 above
or IRCsection)
(0)Is the supported
organization listed inthe supportingorganization's
governing documents?
(e)Amount ol
support
(b)Employer
identificationnumber (EIN)
(c)Type of organization(described in lines5 through 12 above
or IRCsection)
Yes No
Total f
1< L ~ ] An organization organized and operated to test for public safety Section 509(a)(4). (See page 8 of the instructions
Schedule A (Form 990 or 990-EZ) 2007
1511201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
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Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATIONPar t IV-A I Support Schedule (Complete only if you checked a box on line 10,11, or 12.) Use cash metho d of acc ount ing.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
3 6 - 3 8 6 9 4 5 9 Page4
27
Calendar year (or fiscal yearbeginning in) (a) 2006 (b) 2005 (C) 2004 (d) 2003 (e) Total15 Gifts, grants, and contributions
received. (Do not include unusualgrants. See line 28.) 9 8 3 , 0 4 6 . 1 , 0 3 4 , 4 0 3 . 1 , 8 8 2 , 8 2 2 . 4 4 8 , 6 2 1 . 4 , 3 4 8 , 8 9 2 .
16 Membership fees received17 Gross receipts from admissions,
merchandise sold or servicesperformed, or furnishing offacilities in any activity that isrelated to the organization'scharitable, etc., purpose 1 8 1 , 4 1 6 . 11 2 , 0 9 4 . 3 9 9 , 5 4 6 . 1 2 0 , 3 1 6 . 8 1 3 , 3 7 2 .
18 Gross income from interest, dividends, amounts received from payments on securities loans (section512(a)(5)), rents, royalties, incomefrom similar sources, and unrelatedbusiness taxable income (lesssection 511 taxes) from businessesacquired by the organization afterJune30,1975 1 3 , 6 8 4 . 4 , 8 8 2 . 1 , 9 3 3 . 795. 2 1 , 2 9 4 .
19 Net income from unrelated businessactivities not included in line 18
20 Tax revenues levied for theorganization's benefit and eitherpaid to it or expended on its behalf
21 The value of se rvices or facilitiesfurnished to the organization by agovernmental unit without charge.Oo not include the value of servicesor facilities generally furnished tothe public without charge
22 Other income. Attach a schedule.Oo not include gain or (loss) fromsale of capital assets 745 . 2 , 0 0 6 .
SEE STATEMENT 112 , 7 5 1 .
23 Total of lines 15 through 22 1 , 1 7 8 , 8 9 1 . 1 , 1 5 3 , 3 8 5 . 2 , 2 8 4 , 3 0 1 . 5 6 9 , 7 3 2 . 5 , 1 8 6 , 3 0 9 .24 Line 23 minus line 17 9 9 7 , 4 7 5 . 1 , 0 4 1 , 2 9 1 . 1 , 8 8 4 , 7 5 5 . 4 4 9 , 4 1 6 . 4 , 3 7 2 , 9 3 7 .25 Enter r/oot line 23 11 , 7 8 9 . 11 , 5 3 4 . 2 2 , 8 4 3 . 5 , 6 9 7 .26 Organizations described on lines 10 or 11: a Enter 2% ot amount in column (e), line 24
mental
line 26a.
26a 8 7 , 4 5 9 .b Prepare a list for your records lo show the name of and amount contributed by each person (other than a govern
unit or publicly supported organization) whose total gifts for 2003 through 2006 exceeded the amount shown inDo not file this list with your return. Enter the total of all these excess amounts
mental
line 26a.
26b 0 .c Total support for section 509(a)(1) test: Enter line 24, column (e)
mental
line 26a.
26c 4 , 3 7 2 , 9 3 7 .d Add: Amounts from column (e) for lines: 18 2 1 , 2 9 4 . 19
22 2 , 7 5 1 . 26b
mental
line 26a.
26d 2 4 , 0 4 5 .e Public support (line 26c minus line 2(I Public support percentage (line 26e
idtotal)
mental
line 26a.
26e 4 , 3 4 8 , 8 9 2 .e Public support (line 26c minus line 2(
I Public support percentage (line 26e (numerator) divided by line 26c (denominator)) 261 99.4501%Organizations described on line 12: a For amounts included in lines 15,16, and 17 that were received from a 'disqualified person,' prepare a list for yourrecords to show the name of, and total amounts received in each year from, each 'disqualified person.* Do not lite this list with your return. Enter the sum ofsuch amounts for each year: N / A(2006) (2005) (2004) (2003) 'For any amount included in line 17 that was received from each person (other than 'disqualified persons"), prepare a list for your records to show the name of,and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizationsdescribed in lines 5 through 11b, as well as individuals.) Do not file this list with your return. After computing the difference between the amount received andthe larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: N / A(2006) (2005) (2004) (2003)Add: Amounts from column (e) for lines: 15 16
17 20 21
27c N/Ad Add: Line 27a total .. and line 27b total
27d N/A
e Public support (line 27c total minus line 27dtotal)N/A
27e N/Af Total support for section 509(a)(2) test: Enter amount on line 23. column (e) I 2711 N/A
27q N/Ag Public support percentage (line 27e (numerator) divided by line 271 (denominator))
27q N/A %h Investment income nercentaue (line 18, column (e) (numerator) divided by tine 271 (denominator)) 27h N/A %
28 Unusual Granis: For an organization described in line 10,11, or 12 that received any unusual grants during 2003 through 2006. prepare a list for your records toshow, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Do not file this list with yourreturn. Do not include these grants in line 15.
723131 12-27-07 N O N E ScheduleA (Form 990 or 990- EZJ 2007
11201 758549 6065 2007.0700016
SAVE A LIFE FOUNDATION 6065
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Schedule A (Form 990 or 990-EZ) 2007 SAVE A LIFE FOUNDATION 3 6 - 3 8 6 9 4 5 9 Page6Part Vl-A Lobbying Expenditures by Electing Public Charities (Seepage 11 of the instructions.)
(To be completed ONLY by an eligible organization that filed Form 5768)N/A
Check a l_l if the organization belongs to an affiliated qroup. Check b U if you checked "a" and "limited control' provisions applv
Limits on Lobbying Expenditures(The term "expenditures* means amounts paid or incurred.)
(a)Affiliated group
totals
(b)To be completed for allelecting organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36N/A
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 3738 Total lobbying expenditures (add lines 36 and 37) 3839 Other exempt purpose expenditures 3940 Total exempt purpose expenditures (add lines 38 and 39) 4041 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -Mot over SSOO.OOO 20% ol the amount on line 40
41Over $500 000 but not over $1,000,000 . . . $100 ,000 plus 15/4 of trie excess over $00,000
Over $1,000,000 out net over S1.500,000 $175,000 plus 10% oftne excess over $1.000 ,000 41Over $1,500,000 but not over SI 7.000,000 $225,000 plus 5% of trie excess over $1,500,000
Over $17,000,000 $1,000 ,000
4242 Grassroots nontaxable amount (enter 25% of line 41) 4243 Subtract line 42 from line 36. Enter -0 - if line 42 is more than line 36 4344 Subtract line 41 from line 38. Enter -0 - if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
4-Year Averaging Period Under Section 501(h)(Some organizations that made a section 501(h) election do not have to complete all of the five columns
below. See the instructions for lines 45 through 50 on page 13 of the instructions.)
Lobbying Expenditures During 4-Year Averaging Period N/ACalendar year (orfiscal year beginning in) (
(a)2007
m 2006
(c)2005
GO2004
(e)Total
45 Lobbying nontaxable
amount 0 .46 Lobbying ceiling amount(150% of line 45(e) ) 0 .
47 Total lobbyingexpenditures 0 .
48 Grassroots nontaxableamount 0 .
49 Grassroots ceiling amount(150% of line 48(e)) 0 .
50 Grassroots lobbyingexpenditures 0 .
PartVI-B Lobbying Aictivity by Nonelec ting Public Chariti es(For reporting only by organizations that did not complete Part Vl-A) (See page 14 of the instructions.) N/A
During the year, did the organization attempt to influence national, state or local legislation, including any attempt toinfluence public opinion on a legislative matter or referendum, through the use of: Yes No Amount
a Volunteersb Paid staff or management (Include compensation in expenses reported on lines c through h.)c Media advertisementsd Mailings to members, legislators, or the publice Publications, or published or broadcast statementsf Grants to other organizations for lobbying purposesg Direct contact with legislators, their staffs, government officials, or a legislative bodyh Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other meansi Total lobbying expenditures (Add lines c through h.) 0 .
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities.72315112-27-07
11201 758549 606518
Schedule A (Form 990 or 990-EZ) 2007
20 0 7 . 0 7 00 0 SAVE A LIF E FOUNDATION 6 0 6 5
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SAVE A LIFE FOUNDATION 36-3869459
ORM 990 SPECIAL EVENTS AND ACTIVITIES STATEMENT
GROSS CONTRIBUT. GROSS DIRECT NET INCOMEESCRIPTION OF EVENT RECEIPTS INCLUDED REVENUE EXPENSES OR (LOSS)
OLF OUTING 3,125. 3,125. 1,764. 1,361.
O FM 990, PART I, LINE 9 3,125. 3,125. 1,764. 1,361.
11201 758549 606520 STATEMENT(S) 1
2007.07000 SAVE A LIFE FOUNDATION 6065 1
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SAVE A LIFE FOUNDATION 36-3869459
ORM 990 INCOME AND COST OF GOODS SOLD STATEMENT 2INCLUDED ON PART I, LINE 10
NCOME
1. GROSS RECEIPTS 17,523
2. RETURNS AND ALLOWANCES3. LINE 1 LESS LINE 2 17,52 3
4. COST OF GOODS SOLD (LINE 13) 6,0505. GROSS PROFIT (LINE 3 LESS LINE 4) 11,473
OST OF GOODS SOLD
. INVENTORY AT BEGINNING OF YEAR 41,7677. MERCHANDISE PURCHASED8. COST OF LABOR. MATERIALS AND SUPPLIES. OTHER COSTS
ADD LINES 6 THROUGH 10 41,767
INVENTORY AT END OF YEAR 35,717COST OF GOODS SOLD (LINE 11 LESS LINE 12). . 6,050
21 STATEMENT(S) 211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
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SAVE A LIFE FOUNDATION 36-3869459
ORM 990 OTHER EXPENSES STATEMENT 3
(A) (B) (C) (D)PROGRAM MANAGEMENT
ESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING
UTO EXPENSE 5,895. 5,600. 295.ANK SERVICE FEES 782. 782.OMPUTER EXPENSES 4,420. 4,420.ONSULTING 70,404. 70,404.UES ANDUBSCRIPTIONS 2,475. 2,228. 247.NSURANCE 8,712. 8,712.CENSES AND PERMITS 3,880. 3,880.ARKETING AND
ROMOTIONAL 4,667. 4,667.SCELLANEOUS 60. 57. 3.
AYROLL SERVICE 2,692. 2,665. 27.ROGRAM MINI-GRANTS 6,500. 6,500.RAINING ANDEVELOPMENT 215. 215.TILITIES 5,316. 5,316.ROFESSIONAL FEES -THER 997. 997.
OTAL TO FM 990, LN 4 3 117,015. 116,443. 572.
RM 990 STATEMENT OF ORGANIZATION' S PRIMARY EXEMPT PURPOSE STATEMENT 4PART III
PLANATION
EQUIP CITIZENS, STARTING WITH CHILDREN (K-12), WITH BASIC LIFEPPORTING FIRST AID (LSFA) SKILLS TO EMPOWER BYSTANDERS IN AIDING THEURED OR ILL IN A TIME OF AN EMERGENCY.
22 STATEMENT(S) 3, 41201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
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SAVE A LIFE FOUNDATION 36-3869459
RM 990 LOANS PAYABLE TO OFFICER'S, DIRECTOR'S, ETC. STATEMENT
NDER'S NAME AND TITLE
AROL SPIZZIRI, PRESIDENT
ATE OF MATURITYNOTE DATE TERMS OF REPAYMENT
DUE ON DEMAND
CURITY PROVIDED BY BORROWER PURPOSE OF LOAN
ONE
SCRIPTION OF CONSIDERATION
NE
OPERATIONS
ORIGINALLOAN AMOUNT
61,496.
INTEREST RATE
5.00%
FMV OFCONSIDERATION BALANCE DUE
247,112.
TAL TO FORM 990, PART IV, LINE 63, COLUMN B 247,112
RM 990 OTHER LIABILITIES STATEMENT 6
SCRIPTION
STRUCTOR DEPOSITSUNDING
TAL TO FORM 990, PART IV, LINE 65
BEGINNINGOF YEAR
2,700.1.
2,701.
END OF YEAR
2,700
2,700.
RM 990 OTHER REVENUE NOT INCLUDED ON FORM 990 STATEMENT 7
SCRIPTION
CIAL EVENT EXPENSE NETTED AGAINST REVENUE ON 990T OF GOODS SOLD NETTED AGAINST REVENUE ON 990
TAL TO FORM 990, PART IV-A
AMOUNT
1,7646,050
7,814
23 STATEMENT(S) 5, 6, 711201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
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SAVE A LIFE FOUNDATION 36-3869459
ORM 990 OTHER EXPENSES NOT INCLUDED ON FORM 990 STATEMENT 8
ESCRIPTION AMOUNT
ECIAL EVENT EXPENSE NETTED AGAINST REVENUE ON 990 1,764OST OF GOODS SOLD NETTED AGAINST REVENUE ON 990 6,050
OTAL TO FORM 990, PART IV-B 7,814.
ORM 990 LIST OF STATES RECEIVING COPY OF RETURN STATEMENTPART VI , LINE 90
ATES
,AL,AK,AR,AZ,CA,CO,CT,DE,FL,GA,HI,ID,IN,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MTE,NV,NJ / NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,UT,VT,VA,WA,WV,WI,WY,TX,NH,IA
RM 990 PART VIII - RELATIONSHIP OF ACTIVITIES TO STATEMENT 10ACCOMPLISHMENT OF EXEMPT PURPOSES
NE EXPLANATION OF RELATIONSHIP OF ACTIVITIES
A SALF WAS GRANTED $590,000 TO TRAIN 170 EMERGENCY MEDICAL SERVICEPROVIDERS AS INSTRUCTORS AT 33 MILITARY BASES IN 27 STATES AL, AK, AZ,AR, CA, FL, GA, HI, IL, IN, KY, LA, MA, MI, MS, MO, NJ, NM, NC, OK,OR,PR, SC, TX, WV, WI , WY TO TEACH THEIR 7,000 AT-RISK HIGH SCHOOL AGE
STUDENTS LIFE SUPPORTING FIRST AID TRAINING AND PROVIDE ALL TRAININGEQUIPMENT, MATERIALS, TESTING SUPPLIES FOR BOTH NEW INSTRUCTORS ANDSTUDENTS. SALF MONITORED AND EVALUATED TRAINING, COLLECTED DATA ANDREPORTED SUCCESS OF TESTING COMPONENT FOR EACH INSTRUCTOR AND OF THESTUDENTS.
B PROGRAMS TO PROVIDE LIFE SAVING FIRST AID SKILLS TO VOLUNTEERS TO AIDIN AN EMERGENCY.
A MISCELLANEOUS NON-CLASSIFIABLE INCOME
HEDULE A OTHER INCOME STATEMENT 11
2006 2005 2004 2003SCRIPTION AMOUNT AMOUNT AMOUNT AMOUNT
SCELLANEOUS 745. 2,006. 0.
TAL TO SCHEDULE A, LINE 22 745. 2,006.
24 STATEMENT(S) 8, 9, 10, 1111201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
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4562-FYOepari(Tn! of !ne TreasuryInternal Revenue Scrvjce
Dep rec ia t ion and Amo r t i za t ion 990(Including Information on Listed Property)
See separate instructions. Attach to your tax return.
OMB No 1546-0172
4562-FYOepari(Tn! of !ne TreasuryInternal Revenue Scrvjce
Dep rec ia t ion and Amo r t i za t ion 990(Including Information on Listed Property)
See separate instructions. Attach to your tax return.
2007AttachmentSequence No 6 7
Nome(s) shown on return
SAVE A LIFE FOUNDATION
Business or activity to which this term relates
FORM 990 PAGE 2
Identifying numocf
36-3869459Par t 1 Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I.
1 Maximum amount . See the instructions for a higher limit for certain business
2 Total cost of section 179 property placed in service (see instructions)
ss 1 1 2 5 , 0 0 0 .1 Maximum amount . See the instructions for a higher limit for certain business2 Total cost of section 179 property placed in service (see instructions) 23 Threshold cost of section 179 property before reduction in limitation 3 5 0 0 , 0 0 0 .4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- 45 Dollar 'imiiation tor tax year. Subtract lire 4 from Itne 1 If zero or iess enter >0- If married fling separately, see instructions 5g (a) Description ol property (b) Cost (business use only) (c) Elected cost
7 Listed property. Enter the amount from line 298 Total elected cost of section 179 property. Add amounts in column (c), lines (
77 Listed property. Enter the amount from line 298 Total elected cost of section 179 property. Add amounts in column (c), lines ( 3 and 7 89 Tentative deduction. Enter the small er of line 5 or Iine8 9
10 Carryoverof disallowed deduction from line 13 of your 2006 Form 4562 1011 Business income limita tion. Enter the smaller of business income (not less than zero) or line 5 1112 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 1213 Carryover of disallowed deduction to 2008. Add lines 9 and 10. less line 12 13Note: Do not use Part II or Part III below for listed property. Instead, use Part V.
Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property.)14 Special depreciation allowance for qualified property (other than listed property) placed in service during
thetaxyear15 Property subject to section 168(f)(1) election16 Other depreciation (including ACRS)Part III I MACRS Depreciat ion (Do not include listed property.) (See instructions.)
141516 1 4 , 3 7 6
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2007
18 if VCJ are eiecti.no !a crct.p any assets placed in service during the tan year into cne or more general asset accounts, check here W" I I
17 3 3 .
Section B Assets Placed in Service During 2007 Tax Year Using the General Depreciation Syst em
(a! Classification ol property(b) Month and
year placedin service
(c) Basis for depreciation(business/investment use
only see instructions)
(d) Recoverypenod
(e) Convention (1) Method (g) Depreciation seduction
19a 3-year propertyb 5-year propertyc 7-year propertyd 10-year propertye 15-year propertyf 20-year propertyq 25-year property 25 yrs. S/L
h Residential rental property27.5 yrs. MM S/Lh Residential rental property27.5 yrs. MM S/L
i Nonresidential real property 39vrs. MM S/Li Nonresidential real propertyMM S/L
Section C - Assets Placed in Service During 2007 Tax Year Using the Alternative Depreciation System20a Class life
12-year 12 yrs.S/LS/L
40-year 40 yrs. MM S/LPart IV Summary (see instructions)
21 Listed property. Enter amount from line 2822 Tot al. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21.
Enter here and on the appropriate lines of your return. Partnerships and S corporations - see inslr.23 For assets shown above and placed in service during the current year, enter the
portion of the basis attributable to section 263A costs , 23
21
22 1 4 , 4 0 9
042908 LHA For Paperwork Reduct ion Act Notice , see separat e inst ruct ions . 25112 01 75 85 49 60 65 2 0 0 7 . 0 7 0 0 0 SAVE A LI FE FOUNDATION
Form 4562-FY (2007)
6065 1
http://eiecti.no/http://eiecti.no/http://eiecti.no/ -
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Form 4562-FY (2007) SAVE A LIFE FOUNDATIONPartV
36- 38 69 459 Page 2Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainmentrecreation, or amusement.)Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b columns (a)through (c) of Section A, all of Section B. and Section C if applicable.
Section A - Depreciation and Other Information (Caution: See the instmctions for limits for passenger automobiles.)
24a Do you have evidence to support the business/investment use claimed? CZJ Yes 1~H Nn
(a)Type of property
(list vehicles first)
(b)Date placedin service
(c)Business/
investment usepercentage
(d)Cost or
other basis
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SAVE A LIFE FOUNDATION
FINANCIAL STATEMENTSAND
INDEPENDENT AUDITORS' REPORT
JUNE 30, 2008
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CONTENTS
Page
INDEPENDENT AUDITORS' REPORT 1
FINANCIAL STATEMENTS
STATEMENT OF FINANCIAL POSITION 2
STATEMENT OF ACTIVITIES 3
STATEMENT OF FUNCTIONAL EXPENSES 4
STATEMENT OF CASH FLOWS 5
NOTES TO FINANCIAL STATEMENTS 6
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SAVE A LIFE FOUNDATION
FINANCIAL STATEMENTSAND
INDEPENDENT AUDITORS' REPORT
JUNE 30, 2008
i
i
i
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FINANCIAL STATEMENTS
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LIABILITY AND NET ASSETS
CURRENT LIABILITIESAccounts payableAjccrued expensesCredit card payableInstructor depositsOther current liabilities
; Total current liabilities
LONG-TERM LIABILITIES
Due to officer
Total liabilities
HE\ ASSETSUnrestrictedTemporarily restricted
Total net assets
! Total liabilities and net assets
The accompanying notes are an integral part of these financial statements.
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SAVE A LIFE FOUNDATION
STATEMENT OF ACTIVITIES
Year ended June 30,2008
Unrestricted net assets
Revenue and support| In-kind contributions(Branch development * 376,540;Course materials 593,430Training program fees 1 7 - 5 2 a
(Miscellaneous 4,929_ 9,962
Tola) revenue and support
Total expenses
Other incomeInterest income
Decrease in unrestricted net assets
Net assets at beginning of year
Net assets at end of year
The accompanying notes are an integral pan of these financial statements.
1,002,384Expenses
NationalState 304.157Branch programs 66,681Management and general 688,383
30.433
1,109,654
774
(106.496)
258.608
S 152.112
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SAVE AUFEFOUNDATION
-STATEMEKT-OF-F-UHCHQUALEXPENSED
Year ended June 3D, 2008
P
Compensation and related expenseSalaries
Payroll taxesEmployee ben efts
RentLegai and aooountingConsUlingMarkeiing arid promotionalTraining suppliesTravelDepreaafjonTelephonePostage InsuranceInterestProgram mirtkgranbTraining materialsAutomobileUtilitiesComputerLicenses and permitsPayroll serviceDues and subscriptionsOffice suppliesMiscellaneousBank servise feesRepairs arxf maintenanceMeetingsTraining and development
TDSS) expenses
National State
$ 43.106 514.3698.284 2.7611.836 612
53.226 17.742
27.B91 B.367138,683 20.733
10.561 3.5202.858 1.715
38,072 9.51B6.438 3.2191.441 12.9SB3,416 1.414
672 3647.144 1.5531.251 417
4^40 1.210- 2.358
691 42S442 2213.414 272
81 812.178 50
80 12027 27
626 11759 2466 6
- 215
253.931 68.939
8304.157 566.681
Thaaccompajiying notes are an integral part oJ these financial statements.
4
Support
Branch SubtotalManagementand general Total
$206,91039,7616,811
255,482
S 264.38550,80611.259
326.450
22,9904.418
979
28,387
267.37555.22412.238
354.837
242.656
56.32352.594
35.409
6.S978.454
6,6756.500
3.2424.2003.7S7
1942.503
1.7671.238
39510243
432.901
276.914159.406
70.40457.16747.59045.066K4CB11.4279.51DB.712B.3436,5006.0505.6005,3164,4203.8802.6652.2261.9S71.292
782593315215
752.771
930
35396
295
27247
4068
27B.914159.406
70.40457.16747.59D45,96614,40911.7809.6088,7128.3436.5006.0505.895
5.3164.4203.B802.6922.4752.0071.360
782593315215
Z.046 754.817? 6 f l B- 3 B 3 81.0T9.221 E 3Q.433 5 1,109,654
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SAVE A LIFE FOUNDATION
NOTES TO FINANCIAL STATEMENTS
June 30,2008
NOTE A NATURE OF BUSINESS
NOTE B . GENERAL ANO SUMMARY OF ACCOUNTING POLICIES
l. j Basis of accountingi
2. j Financial statement presentation,
The Foundation has adopted Statement of Financial Accourttina Standard* r
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SAVE A LIFE FOUNDATION
NOTES TO FINANCIAL STATEMENTS
June 30, 2008
NOTE B
GENERAL AND SUMMARY OF ACCOUNTING POLICIES.
continued6. Inventory
Inventory, which is composed of training m a w * , k stated at cost using , he average cost method.7-| Property and eoulog gpt
Building o nOffice equipment SSSProgram equipment J *f!'f
! V8hWes IS
*: Restricted and ugrgy triced revaruiB
9- ' Income taxae
-;FungtiQPal allnnaHnn nf a y r ? f l .
programs and abor ti ng services bwS SE . b M n a " c a , e 0 " " " B
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SAVE A LIFE FOUNDATION
NOJTES TO FINANCIAL STATEMENTS
June 30,2008
NOTE 0 - DONATED MATERIALS AND SERVICES
a ^ ^
ended June 30, 2008 of $107,042 ao BO. I he Foundation receded donations of this type i n year
uSc^Zlon 30 ^ ^ r e C 0 r d 6 d a l t h e i r A* " * va,ue. Such donations are reported as
l ^ relationships with otherexpenses through these r e S s h M Duhno the S ^ 5 S ? ^ S K f Ser v ic8 s a n d o t he r
donatons of this type for $216 248V U
"e 30 , 2 0
8 , th f i F
^ 3 o n receivedNOTE E - CONCENTRATION OF CREDIT RISK
A ^ n " ^ ^ ^ ^ depository institution in the nonhern Illinois area.
uo $ S ^ L ^ 0 5 1 1 lnstjrance c - n " - " -(TOW)UB o i, *uua. un January 1, 2010 the guaranree will return to $100,000.
NOTE F - DUE TO OFFICER
an( added to the p r i n * * b , i . ! . % S % ? f i ! ! 2 l S%. *"" * K W 1 2 ' l n t e , e s ' i s