ALICE OQIZTIZQIS 12 20 PM - a Forrm 990 (2014) STATE INNOVATION EXCHANGE 46?1368531 page 2 Part l'ti Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any Me in this Part El 1 Bne?y descnbe the organIzatIon's mIssion. THE STATE INNOVATION EXCHANGE IS A ONE-STOP WEB-BASED PUBLIC LIBRARY OF PROGRESSIVE LAW ON A WIDE RANGE OF ISSUES IN STATE AND LOCAL POLICY. 2 the organIzatIon undertake any SIgnI?cant program serVIces durIng the year were not Isted on the prIor Form 990 or 990-52? Yes No If "Yes.' describe these new serVIces on Schedule 0 3 Old the organization cease conductIng, or make SIgnI?cant changes In how It conducts, any program serwces" Yes No If "Yes." descrIbe these changes on Schedule 0 4 Descnbe the organIzatIon's program serVIce accomplIshments for each of Its three largest program semces, as measured by expenses SectIon 501(c)(3) and 501(c)(4) organIzatIons are reqUIred to report the amount of grants and allocations to others, the total expenses. and revenue, If any, for each program serVIce reported. 43 (Code )(Expenses 35 369 IncludIng grants of (Revenue STATE INNOVATION EXCHANGE IS A WEB-BASED PUBLIC LIBRARY OF PROGRESSIVE LAW ON A WIDE RANGE OF ISSUES IN STATE AND LOCAL POLICY. SIX SELECTS LAWS FOR INCLUSION IN ITS LIBRARY (THE BASED ON HOW WELL A LAW PROMOTES VALUES, INCLUDING, AMONG OTHERS, ECONOMIC FAIRNESS, ENVIRONMENTAL SUSTAINABILITY AND EFFECTIVE DEMOCRATIC GOVERMNT. THE SIX LIBRARY IS AVAILABLE TO THE GENERAL PUBLIC FREE OF CHARGE ON WEBSITE. SIX DEVELOPS AND MAINTAINS CONTENT IN THE SIX LIBRARY WITH THE HELP OF A LARGE NETWORK OF PROFESSORS, STUDENTS, ADVOCATES, POLICYMAKERS, PRACTITIONERS AND OTHERS FROM ALL OVER THE COUNTRY (COLLECTIVE-LY, THE . THE SIX LIBRARY FEATURES BOTH LAWS, WHICH HAVE ALREADY BEEN ENACTED IN A STATE OR LOCAL 4b (Code )(Expenses Including grants of (Revenue 4c (Code )(Expenses Including grants of (Revenue 4d Other program services (DescrIbe in Schedule 0 (Expenses IncludIng grants of (Revenue 1 49 Total program service expenses 85 3 69 BM Form 990 (2014; ALICE 09/27/2015 12 20 PM "@3th 990 (52314) STATE INNOVATION EXCHANGE 4 6 -13 68531 Page 3 Part Checklist of Reguired Schedules Yes No 1 Is the?organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A 1 2 Is the organization requrred to complete Schedule B, Schedule of Contributors (see Instructions)? 2 3 Did the organization engage in direct or indirect political campaign actIVities on behalf of or in opposmon to candidates for public of?ce? If "Yes," complete Schedule C. Part 3 4 Section 501(c)(3) organizations. Did the organization engage In lobbying activities, or have a section 501 election In effect during the tax year? If "Yes," complete Schedule C, Part II 4 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or Similar amounts as de?ned in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part 5 6 Did the organization maintain any donor adVised funds or any Similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes." complete Schedule D, Part 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 7 8 Did the organization maintain collections of works of art, historical treasures, or other Similar assets? If ?Yes,? complete Schedule D, Part 8 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or prowde credit counseling, debt management, credit repair, or debt negotiation services? If ?Yes,? complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quaSi-endowments? If ?Yes,? complete Schedule D, Pan 1 0 11 If the organization's answer to any of the followmg questions is "Yes," then complete Schedule D, Parts VI, VII, IX, or as applicable a Did the organization report an amount for land, bUIIdings, and eqUipment in Pait X, line 10? If "Yes," complete Schedule D, Part VI 11a Did the organization report an amount for investments?other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 15? If "Yes," complete Schedule D, Part VII 11b Did the organization report an amount for investments?program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part 11c Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX 11d Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part 1 1e Did the organization's separate or consolidated ?nancial statements for the tax year Include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part 11f 12a Did the organization obtain separate, independent audited ?nanCIaI statements for the tax year? If "Yes," complete Schedule D, Parts XI and XII 12a Was the organization included in consolidated, independent audited ?nanCiaI statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 12b 13 Is the organization a school described in section 170(b)(1)(A) If "Yes," complete Schedule 13 14a Did the organization maintain an of?ce, employees, or agents outsrde of the United States? 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraismg, busmess, investment, and program sewice actiVities OUtSlde the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other a55istance to or for any foreign organization? If "Yes," complete Schedule F, Parts II and IV 15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other asSistance to or for foreign indiwduals? If "Yes," complete Schedule F, Parts and IV 16 17 Did the organization repon a total of more than $15,000 of expenses for professional fundraismg sewices on Part IX, column (A), lines 6 and 119? If "Yes," complete Schedule G, Part (see instructions) 17 18 Did the organization report more than $15,000 total of fundraismg event gross income and contributions on Part lines 1c and 8a? If "Yes," complete Schedule G, Part II 18 19 Did the organization report more than $15,000 of gross income from gaming activmes on Part line 9a? If 'Yes,? complete Schedule G, Part 19 20a Did the organization operate one or more hospital faculties? If ?Yes,? complete Schedule 20a If ?Yes? to line 203, did the organization attach a copy of its audited ?nanCIaI statements to this return? 20b Form 990 (2014) DM I ALICE 09/27/2035 12 20 PM Form 990 (5014) STATE INNOVATION EXCHANGE 4 6 -13 685 3 1 page 4 Part Checklist of Required Schedules (continued) Yes No 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or .domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts and II 21 22 Did the organization report more than $5,000 of grants or other aSSISIance to or for domestic indiwduals on Part IX, column (A). line 2? If "Yes." complete Schedule I, Parts and Ill 22 23 Did the organization answer ?Yes? to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former of?cers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule 23 24a Did the organization have a tax-exempt bond issue With an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule If go to line 25a 24a Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax?exempt bonds? 24g (1 Did the organization act as an ?on behalf of? issuer for bonds outstanding at any time during the year? 24d 253 Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess bene?t transaction With a disquali?ed person during the year? If "Yes," complete Schedule L, Part 25a Is the organization aware that it engaged in an excess bene?t transaction with a disquali?ed person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or If "Yes." complete Schedule L, Part 25b 26 Did the organization report any am0unt on Part X, line 5, 6, or 22 for receivables from or payables to any current or former of?cers, directors, trustees, key employees, highest compensated employees, or disquali?ed persons? If "Yes," complete Schedule L, Part ll 25 27 Did the organization prowde a grant or other a55istance to an of?cer, direct0r, trustee, key employee. substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes." complete Schedule L, Part 27 26 Was the organization a party to a business transaction with one of the followrng parties (see Schedule L, Part lV instructions for applicable ?ling thresholds, conditions, and exceptions). a A current or former of?cer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV 28a A family member of a current or former of?cer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV 23b An entity of which a current or former of?cer, director, trustee, or key employee (or a family member thereof) was an of?cer, director, trustee, or direct or indirect owner? If "Yes." complete Schedule L, Part lV 26c 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule 29 30 Did the organization receive contributions of art, historical treasures, or other Similar assets, or quali?ed conservation contributions? If "Yes," complete Schedule 30 31 Did the organization liqUIdate, terminate. or dissolve and cease operations? It "Yes," complete Schedule N, Part i 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes." complete Schedule N, Pan II 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 .7701-2 and 301.7701-37 it "Yes," complete Schedule Fl, Part I 33 34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule Fl, Parts II, or IV, and Part V, line 1 34 35a Did the organization have a controlled entity Within the meaning of section 512(b)(13)? 353 If 'Yes' to line 35a, did the organization receive any payment from 0r engage in any transaction With a controlled entity Within the meaning of section 512(b)(13)? If "Yes," complete Schedule H, Part V, line 2 35b 36 Section 501(c)(3) organizations. Did the Organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule H, Part V, line 2 36 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule Ft. Part VI 37 36 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11b and 19? Note. All Form 990 ?lers are reqwred to complete Schedule 0 38 Form 990 (2014) DM I ALICE 09/27/2q15 12 20 PM Form 990 STATE INNOVATION EXCHANGE Pam! 46-1368531 Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part Page Sta?.09. 12a 13 14a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable 1a 3 Yes No Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable 1b 0 Did the organization comply With backup Withholding rules for reportable payments to vendors and reportable gaming (gambling) Winnings to prize Winners? Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, ?led for the calendar year ending With or Within the year covered by this return If at least one is reported on line 2a, did the organization ?le all reqmred federal employment tax returns? Note. If the sum of lines 1a and 2a is greater than 250, you may be reqUIred to e-?le (see instructions) Did the organization have unrelated busmess gross income of $1,000 or more during the year? If "Yes," has it ?led a Form 990-T for this year? If "No" to line 3b, provrde an explanation in Schedule 0 At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a ?nanCial account in a foreign country (such as a bank account, securities account, or other ?nanCIal account)? If "Yes," enter the name of the foreign country See instructions for ?ling requirements for Form 114, Report of Foreign Bank and FinanCIal Accounts (FBAR). Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? If "Yes" to line 5a or 5b, did the organization ?le Form Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization soIICit any contributions that were not tax deductible as charitable contributions? If ?Yes,? did the organization include With every solimtation an express statement that such contributions 0r gifts were not tax deductible? Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and serVices prowded to the payor? If "Yes," did the organization notify the donor of the value of the goods or sewices prowded? Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was reqUIred to ?le Form 8282? If "Yes," indicate the number of Forms 8282 ?led during the year 7d I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal bene?t contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal bene?t contract? If the organization received a contribution of quali?ed intellectual property, did the organization ?le Form 8899 as reqwred? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization ?le a Form 1098-0? Sponsoring organizations maintaining donor advised funds. Did a donor adVIsed fund maintained by the sponsoring organization have excess busmess holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxable distributions under section 4966? Did the sponsoring organization make a distribution to a donor, donor adVisor, or related person? Section 501(c)(7) organizations. Enter' Initiation fees and capital contributions included on Part line 12 2al7 10a Gross receipts, included on Form 990, Pan line 12, for public use of club facnlities 10b Section 501(c)(12) organizations. Enter. Gross income from members or shareholders 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organization ?ling Form 990 in lieu of Form 1041? If ?Yes,? enter the amount of tax-exempt interest received or accrued during the year I 12b I Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue quali?ed health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule 0 Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue quali?ed health plans 13b 12a 13a Enter the amount of reserves on hand 13c Did the organization receive any payments for indoor tanning sewices during the tax year? If 'Yes,? has it ?led a Form 720 to report these payments? If prowde an explanation in Schedule 0 14a 14b DAA Form 990 (2014) I ALICE oat/2712915 12 20 PM Form 990 STATE INNOVATION EXCHANGE Part Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 10b below, describe the Circumstances, processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response or note to any line in this Part VI Section A. Governing Body and Ma?gement Page 6 JEL Yes No 1a Enter the number of voting members of the governing body at the end of the tax year 1a 8 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authorrty to an executive or similar committee. explain in Schedule 0 Enter the number of voting members included in line 1a, above, who are independent 1b 7 2 Did any of?cer, director, trustee, or key employee have a family relationship or a busrness relationship any other of?cer, director, trustee, or key employee? 2 3 Did the organization delegate control over management duties customarily performed by or under the direct superVISIon of of?cers, directors, or trustees, or key employees to a management company or other person? 3 4 Did the organization make any Signi?cant changes to its governing documents since the prior Form 990 was ?led? 4 5 Did the organization become aware during the year of a Signi?cant diverSion of the organization's assets? 5 6 Did the organization have members or stockholders? 6 7a Did the organization have members, stockholders, or other persons who had the power to elect or appornt one Or more members of the governing body? Ta Are any governance decrsrons of the orgamzation reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? 7b 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the followmg. a The governing body? Ba Each committee With authority to act on behalf of the governing body? 8b 9 Is there any of?cer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization?s mailing address? If "Yes," provrde the names and addresses In Schedule 0 9 Section B. Policies (This Section requests information about poliCies not reqwred by the Internal Revenue Code.) Yes No 10a Did the organization have local chapters, branches, or af?liates? 10a If "Yes," did the organization have written policies and procedures governing the activrties of such chapters, affiliates, and branches to ensure their operations are consistent the organization's exempt purposes? 10b 11a Has the organization provrded a complete copy of this Form 990 to all members of its governing body before ?ling the form? 11a Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written con?rct of interest policy? If go to line 13 12a Were of?cers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? 12b Did the organization regularly and consistently monitor and enforce compliance the policy? If "Yes," describe in Schedule 0 how this was done 12c 13 Did the organization have a written policy? 13 14 Did the organization have a written document retention and destruction policy? 14 15 Did the process for determinrng compensation Of the followmg persons include a revrew and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decrsron? a The organization's CEO. Executive Director, or top management of?cral 15a Other of?cers or key employees of the organization 15b If "Yes" to line 153 or 15b, describe the process in Schedule 0 (see instructions) 16a Did the organization invest in, contribute assets to. or participate in a 101m venture or Similar arrangement with a taxable entity during the year? 153 If "Yes," did the organization follow a written policy or procedure requmng the organization to evaluate its participation in ioint venture arrangements under applicable federal tax law, and take steps to safeguard the organization?s exempt status with respect to such arrangements? 16b Section C. Disclosure 17 List the states with which a copy of this Form 990 is requrred to be ?led CA 18 Section 6104 reqUires an organization to make its Forms 1023 (Or 1024 if applicable), 990, and 990-T (Section 501 only) available for public rnspection. Indicate how you made these available. Check all that apply Own website Another's website El Upon request El Other (explain tn Schedule 0) 19 Describe in Schedule 0 whether (and if so, how) the organization made its QOVerning documents, con?ict of interest policy, and ?nancral statements available to the public during the tax year 20 State the name, address. and telephone number of the person who possesses the organization's books and records. THE HENRY LEVY GROUP 5940 COLLEGE AVE STE . OAKLAND CA 94618 510-652-1000 DAA Form 990 (2014) Maegan} INNOVATION EXCHANGE 4 6-13 68531 page a Part Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) . (A) (B) (C) (D) (E) (F) Name and title Average Posrtion Reportable Reportable Estimated hours per (do not check more than one compensation compensation from amount at week box, unless person ls both an from related other (list any officer and a director/trustee) the organizations compensation hours for I I _n organization (W-211099-MISC) from the related a a a ,3 9, organization organizations a 3-2 a arid fabled below dotted 3 8 organizations line(12) (1 3) (14) (15) (16) (17) (18) (19) 1b Sub-total 138 462 Total from continuation sheets to Part VII, Section A Total (add lines1b and 1c) 138, 462 2 Total number of indiwduals (Including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization Yes No 3 Did the organization list any former of?cer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule for such indIVidual 3 4 For any Inleldual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and retated organizations greater than $150,000? If "Yes," complete Schedule for such indiwdual 4 5 Did any person listed on line 1a receive or acerue compensation from any unrelated organization or indiv1dual for sewices rendered to the organization? If "Yes," complete Schedule for such person 5 Section B. Independent Contractors 1 Complete this table for your ?ve highest compensated independent contractors that received more than $100,000 of compensation from the organization Report compensation for the calendar year ending With or Within the organization's tax year. A Name and address Descriptio(n ()ll semces Com?en?sation 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0 Form (20141 I I ALICE 0927120151214 PM SCHEDULE A (Form 990 or 990-22) Department of the Treasury Internal Revenue Service Public Charity Status and Public Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form QQO-EZ. lnforrnation about Schedule A (Form 990 or 990-EZLand its instructions is at ovaorm990. OMB No 1545?0047 2014 Name of the organization STATE INNOVATION EXCHANGE Open to Public Inspection Employer Identi?cation number Part ED Cl USED 2 3 4 Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization IS not a private foundation because it Is (For lines 1 through 11, check only one box) A church, convention of churches, or assomation of churches described in section A school described in section (Attach Schedule A hospital or a cooperative hospital sewice organization described in section A medical research organization operated In conjunction With a hospital described In section Enter the hospital's name. City, and state An organization operated for the bene?t of a college or univerSIty owned or operated by a governmental unit described in section (Complete Part II A federal, state, or local government or governmental unit described in section An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section (Complete Part II A community trust described in section (Complete Part II.) An organization that normally receives (1) more than 33 113% of its support from contributions, membership fees, and gross 4/ 0/ receipts from actIVIties related to its exempt functions?subject to certain exceptions, and (2) no more than 33 1/3% of Its support from gross investment Income and unrelated busmess taxable income (less section 511 tax) from busmesses achIred by the organization after June 30, 1975. See section 509(a)(2). (Complete Part organization organized and operated excluswely to test for public safety See section 509(a)(4). An organization organized and operated excluswely for the bene?t of, to perform the functions of. or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 113 through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g Type I. A supporting organization operated, supervrsed, or controlled by Its supported organization(s), typically by givmg the supported organization(s) the power to regularly appomt or elect a majority of the directors or trustees of the supporting organization You must complete Part IV, Sections Aand B. Type II. A supporting organization supewised or controlled In connection With its supported organization(s), by havmg control or management of the supporting organization vested in the same persons that control 0r manage the supported organization(s) You must complete Part IV, Sections A and C. Type functionally integrated. A supporting organization operated in connection With, and functionally Integrated With, Its supported organization(s) (see instructions) You must complete Part IV, Sections A, D, and E. [3 Type non-functionally integrated. A supporting organization operated in connection With Its supported organization(s) that is not functionally integrated The organization generally must satisfy a distribution reqUIrement and an attentiveness reqwrement (see instructions) You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type functionally integrated, or Type non-functionally integrated supporting organization Enter the number of supported organizations 9 Prowde the followmg information about the supported organization(s). Name at supponed (II) EIN Type of organization (iv) Is the organization (it) Amount 01 monetary (v1) Amount of organization (described on lines 1?9 listed In your governing support (see other support (539 above or IRC sectlon document" Instructions) Instructions) (see Instructions? Yes No (A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 0r 990-EZ. 0AA Schedule A (Form 990 or 990-EZ) 2014 091271201512 14 PM Sc?hedule A'(Form 990 or 990?152) 2014 STATE INNOVATION EXCHANGE 4 6-13 6853 1 Page 2 Part? Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part If the organization fails to qualify under the tests listed below, please complete Part Section A. Public Stmport Calendar year (or ?scal year beginning in) 2010 2011 2012 2013 2014 Toial 1 Gifts, grants, contributions, and membership fees received (Do not include any "unusual grants 359 616 359 616 2 Tax revenues leVIed for the organization's bene?t and either paid to or expended on its behalf 3 The value of services or facnlities furnished by a gwernmental unit to the organization Without charge 4 Total. Add lines 1 through 3 359 616 359 616 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column 180, 232 6 Public support. Subtract line 5 from line 4 179 384 Section B. Total Support Calendar year (or ?scal year beginning in) 2010 2011 2012 2013 2014 Total 7 Amounts from line 4 359 616 359 616 8 Gross income from interest, dwidends, payments received on securities loans, rents, royalties and income from Similar sources 9 Net income from unrelated busmess actiwties, whether or not the busmess is regularly carried on 10 Other income Do not include gain or loss from the sale of capital assets (Explain in Part VI 11 Total support. Add lines 7 through 10 359, 616 12 Gross receipts from related activmes, etc (see instructions) I 12 13 First five years. If the Form 990 is for the organization's ?rst, second, third, fourth, or ?fth tax year as a section 501(c)(3) organization,check this hex and stop here Section C. Computation of Public Support Percentage FiPublic support percentage for 2014 (line 6, column dwided by line 11, column (0) Public support percentage from 2013 Schedule A, Part II, line 14 33 1/3?/o support test?2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization quali?es as a publicly supported organization 33 113% support test?2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization quali?es as a publicly supported Organization 10%-facts-and-circumstances test?2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-crrcumstances" test, check this box and stop here. Explain in Part Vl how the organization meets the ?tacts-and-Circumstances" test The organization quali?es as a publicly supported organization 10%-facts-and-circumstances test?2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the ?facts-and-cucumstances" test, check this box and stop here. Explain in Part VI how the organization meets the ?facts-and-circumstances? test. The organization quali?es as a publicly supported organization Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions 14 15 >El Schedule A (Form 990 or 990-52) 2014 . I ALICE 09/27/2015 12 14 PM Schedule A (Form 990 or 990-EZ) 2014 STATE INNOVATION EXCHANGE 4 6 ?13 68 5 31 page 3 Part tit Sapport Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part or if the organization failed to qualify under Part II. I If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or ?scal year beginning in) 2010 201 1 2012 2013 2014 Total 1 Gifts. grants, contnbutrons. and membership lees received (Do not include any 'unusual grants 2 Gross receipts from merchandise sold or servrces performed. or facrlities furnished in any activrty that is related to the organization's tax-exempt purpose 3 Gross receipts from activrties that are not an unrelated trade or busrness under section 513 4 Tax revenues levred for the organimtron's bene?t and either paid to or expended on Its behalf 5 The value of servrces or furnished by a governmental unit to the organization wrthout charge 6 Total. Add lines 1 through 5 7a Amounts included on lines 1, 2, and 3 received from disquali?ed persons Amounts included on lines 2 and 3 received from other than disquali?ed persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year Add lines 7a and 7b 8 Public support (Subtract line To from Ime6) Section B. Total Support Calendar year (or ?scal year beginning in) 2010 2011 2012 2013 2014 Total 9 Amounts from line 6 10a Gross income from interest, payments received on secuntres loans, rents, royalties and income from Similar sources Unrelated business taxable income (less section 511 taxes) from busmesses acqurred after June 30, 1975 Add lines 10a and 10b 11 Net income from unrelated busrness activrties not included in lrne 10b, whether or not the busrness is regularly carried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI 13 Total support. (Add lrnes 9, 10c. 11. and 12.) l/ 14 First five years. If the Form 99/0 is for the organization?s ?rst, second, third, fourth, or ?fth tax year as a section 501(c)(3) organization. check this box and stop here Section C. Computation of Public Support Percentage 15 Public support percentag [for 2014 (line 8, column by line 13, column 15 16 Public support percenta from 2013 Schedule A, Part line 15 16 Section D. Computation of Investment Income Percentage 17 Investment incom percentage for 2014 (line 10c. column byline 13, column 17 96 18 Investment my: percentage from 2013 Schedule A, Part line 17 18 19a 33 113% supp rt tests?2014. If the organization did not check the box on lrne 14, and line 15 IS more than 33 and line 17 is not mZ/e than 33 113%, check this box and stop here. The organization quali?es as a publicly supported organization 33 113% pport tests?2013. If the organization did not check a box on line 14 or line 19a, and line 16 IS more than 33 and line 18 not more than 33 check this box and stop here. The organization quali?es as a publicly supported organization 5 20 Private toundation. It the organization did not check a box on line 14. 19a, or 19b, check this box and see instructions A Schedule A (Form 990 or 990-EZ) 2014 DM 09f27/2015 12 14 PM Sc'hedule AI(Form 990 or 990-EZ) 2014 STATE INNOVATION EXCHANGE Page 4 1 Part Supporting Organizations (Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 110 of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations 1 Are all of the organization's supported organizations listed by name in the organization?s governing Yes No 1 documents? If descnbe in Part VI how the supported organizations are deSIgnated If deSIgnated by class or purpose, describe the desngnation. If historic and continumg relationship, explain 1 2 Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2) 2 3a Did the organization have a supported organization described in section 501(c)(4), (5). or If answer and below 3a Did the organization con?rm that each supported organization quali?ed under section 501(c)(4), (5), or (6) and satis?ed the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination 3b Did the organization ensure that all support to such organizations was used excluswely for section 170(c)(2) (B) purposes? If "Yes," explain in Part VI what controls the Organization put in place to ensure such use 3c 4a Was any supported organization not organized in the United States ("foreign supported organization?)? it "Yes" and if you checked 11a or 11b in Part I, answer and below 4a Did the organization have ultimate control and discretion in deCIding whether to make grants to the foreign supported organization? If "Yes," describe in Part Vi how the organization had such control and discretion despite being controlled or superwsed by or in connection With its supported organizations 4b Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or If "Yes," explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used excluswely for section 170(c)(2)(B) purposes 4c 5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer and below (if applicable) Also, prowde detail in Part VI, including the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, the authority under the organization's organizmg document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizmg document). 5a Type I or Type II only. Was any added or substituted supported organization part of a class already de5ignated in the organization's organizmg document? 5b Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization prowde support (whether in the form of grants or the prowsmn of serVices or to anyone other than its supported organizations; indiwduals that are part of the charitable class bene?ted by one or more of its supported organizations; or other supporting organizations that also support or bene?t one or more of the ?ling organization?s supported organizations? If "Yes," prowde detail in Part VI. 6 7 Did the organization prowde a grant, loan, compensation, or other Similar payment to a substantial contributor (de?ned in IRC a family member of a substantial contributor, or a 35?percent controlled entity With regard to a substantial contributor? If "Yes," complete Part of Schedule (Form 990) 7 8 Did the organization make a loan to a disquali?ed person (as de?ned in section 4958) not described in line 7? If "Yes," complete Part of Schedule (Form 990) 8 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disquali?ed persons as de?ned in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or If 'Yes,' prowde detail in Part VI. 93 Did one or more disquali?ed persons (as de?ned In line hold a controlling interest in any entity in which the supporting organization had an interest? If 'Yes,' prowde detail in Part Vi. 9b Did a disquali?ed person (as de?ned in line have an ownership interest in, or derive any personal bene?t from, assets in which the supporting organization also had an interest? If 'Yes,' prowde detail in Part VI. 9c 10a Was the organization subject to the excess busmess holdings rules of IRC 4943 because of 4943(1) (regarding certain Type II supporting organizations, and all Type non-functionally integrated supporting organizations)? If 'Yes,' answer below. 108 Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 10b Schedule A (Form 990 or 990-EZ) 2014 DM ALICE ester/2015 12 14 PM ScheduleAtForm 990 or 990.52) 2014 STATE INNOVATION EXCHANGE Part 1V Sapporting Organizations (continued) 46-1368531 Page 5 Yes No 11 Has the organization accepted a gift or contribution from any of the followrng persons? 3 a A person who directly or indirectly controls, either alone or together With persons deserrbed in and (0) below. the governing body of a supported organization? 11a A family member of a person described in above? 11b A 35% controlled entity of a person described In or above" If "Yes" to a, b, or c, provrde detail in Part VI. 11c Section B. Type I Supporting Organizations - 1 Did the directors, trustees, or membership of one or more supported organizations have the power to Yes No regularly appornt or elect at least a majority of the organization's directors or trustees at all times during the tax year? If describe in Part VI how the supported organization(s) effectively operated, supervrsed, or controlled the organization's activrties If the organization had more than one supported organization, describe how the powers to appornt and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year 1 2 Did the organization operate for the bene?t of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? lf "Yes," explain in Part VI how provrding such bene?t carried out the purposes of the supported organization(s) that operated, supervrsed, or controlled the supporting organization 2 Section C. Type II Supporting Organizations Yes No 1 Were a majority of the organization's directors 0r trustees during the tax year also a malorrty of the directors or trustees of each of the organization's supported If describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supperted organization(s) 1 Section D. All Type Supporting Organizations Yes No 1 Did the organization provrde to each of its supported organizations, by the last day of the ?fth month of the organization?s tax year, 1) a written notice describing the type and amount of support provrded during the prior tax year, (2) a copy of the Form 990 that was most recently ?led as of the date of noti?cation, and (3) copies of the organization's governing documents in effect on the date of noti?cation, to the extent not prevrously provrded" 1 2 Were any of the organization?s of?cers, directors, or trustees either appornted or elected by the supported organization(s) or (ii) on the governing body of a supported organization? If explain in Part VI how the organization maintained a close and continuous working relationship With the supported organization(s) 2 3 By reason of the relationship described in (2), did the organization's supported organizations have a Signi?cant vorce in the organization's investment polrcres and in directing the use of the organization's income or assets at all times during the tax year? If "Yes," describe in Part the role the organization?s supported organizations played in this regard 3 Section E. Type Functionally-Integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions) a CI The organization satis?ed the Activrties Test. Complete line 2 below. The organization is the parent of each of its supported organizations. Complete line 3 below The organization supported a governmental entity DeSCribe in Part VI how you supported a government entity (see instructions) 2 Activrties Test Answer and below. Yes No a Did substantially all of the organization's activrties during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsrve? If 'Yes,' then in Part VI identify those supported organizations and explain how these activrties directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these constituted substantially all of its activities. 2a Did the activities described in constitute that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in" If 'Yes,' explain in Part VI the reasons for the organization's positiOn that its supported organization(s) would have engaged in these activrties but for the organization's involvement 2b 3 Parent of Supported Organizations Answer and below. a Did the organization have the power to regularly appornt or elect a majority of the of?cers. directors, or trustees of each of the supported organizations? Provrde details in Part VI. 3a Did the organization exercise a substantial degree of direction over the policres, programs. and activities of each of its supported organizations? If 'Yes,' describe in Part VI the role played by the organization in this regard 3b Schedule A (Form 990 or 990-EZ) 2014 DM ALICE 0912712015 12 14 PM Schedule A (Eorm 990 or 990-EZ) 2014 STATE INNOVATION EXCHANGE Page 6 Partvi Type Non-Functionally Integrated 509(a)(3) Supporting Organizations 1 Check here if the organization satis?ed the Integral Part Test as a qualrfying trust on Nov. 20. 1970. See instructions. All other Type non-functionally integrated supporting organizations must complete Sections A throu Section A - Adjusted Net Income (A) Prior Year (B) current Year (optional) 1 Net short-term capital gain 1 2 Recoveries of prior-year distributions 2 3 Other gross income (see instructions) 3 4 Add lines 1 through 3 4 5 DepreCIation and depletion 5 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 7 Other expenses (see instructions) 7 8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8 Section - Minimum Asset Amount (A) Prior Year (B) current Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year) a Average value of securities 1a Average cash balances 1b Fair market value of other non-exempt-use assets 1c Total (add lines 13, 1b, and 1c) 1d Discount claimed for blockage or other factors (explain in detail in Part VI) 2 indebtedness applicable to non-exempt-use assets 2 3 Subtract line 2 from line 1d 3 4 Cash deemed held for exempt use Enter 1-1/2% of line 3 (for greater amount, see instructions) 4 5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 6 Multiply line 5 by 035 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to line 6) 8 Section - Distributable Amount Current Year 1 Adjusted net income for prior year (from Section A, line 8, Column A) 1 2 Enter 85% of line 1 2 3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 4 Enter greater of line 2 or line 3 4 5 Income tax imposed in prior year 5 6 Distributable Amount. Subtract line 5 from line 4. unless subject to emergency temporary reduction (see instructions) 6 7 Check here if the current year is the organization's ?rst as a non-functionaIIy-integrated Type supporting organization (see instructions) Schedule A (Form 990 or 990-EZ) 2014 DAA ALICE 0972712015 12 14 PM Schedule A (Form 990 0r 990-EZ) 2014 STATE INNOVATION EXCHANGE 46-1368531 Page 7 PartV Type Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued) Section - Distributions Current Year 1 1 2 Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of Income from actiwty Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Quali?ed set-aSIde amounts (prior IRS approval requwed) Other distributions (describe in Part VI) See instructions Total annual distributions. Add lines 1 through 6 Distributions to attentive supported organizations to which the organization is responswe (prowde details in Part VI). See instructions Distributable amount for 2014 from Section C, line 6 Line 8 amount lelded by Line 9 amount 6) Section - Distribution Allocations (see instructions) Excess Distributions (ii) Underdistributions Pre-2014 Distributable Amount for 2014 Distributable amount for 2014 from Section C, line 6 Underdistributions, if any, for years prior to 2014 (reasonable cause requwed-see instructions) Excess distributions carryover, if any, to 2014' From 2013 Total of lines 3a through Applied to underdistributions of prior years Ila-?mantra: Applied to 2014 distributable amount Carryover from 2009 not applied (see instructions) Remainder Subtract lines 39, 3h, and 3i from 3f Distributions for 2014 from Section D, line 7 Applied to underdistributions of prior years Applied to 2014 distributable amount Remainder Subtract lines 4a and 4b from 4. Remaining underdistributions for years prior to 2014. if any Subtract lines 39 and 4a from line 2 (if amount greater than zero, see instructions) Remaining underdistributions for 2014 Subtract lines an and 4b from line 1 (if amount greater than zero, see instructions) Excess distributions carryover to 2015. Add lines 3) and 4c Breakdown of line 7 Excess from 2013 onncroi Excess from 2014 . DAA Schedule A (Form 990 or 990-EZ) 2014 ALICE 0912712015 12 14 PM Sctiedule A '(Form 990 or 990-EZ) 2014 STATE INNOVATION EXCHANGE 4 6?13 68531 Page a Sapplemental Information. Provude the explanations required by Part II, We 10; Part II, line 17a or 17b; and Part line 12. Also complete this part for any additional information. (See instructions.) Schedule A (Form 990 or QQO-EZ) 2014 DM ALICE 09727/20?15 12 14 PM SCHEDULE Supplemental Financial Statements mm 15450047 (Form 990) - Complete if the organization answered ?Yes? to Form 990, 4 Part IV, line 6, 7, 8, 9, 10,11a. 11b,11c,11d, 11e, 11f, 12a, or 12b. Department ofthe Treasury Attach to Form 990. Operator Public 'mema' Revenue Service Information about Schedule (Form 990) and its instructions is at ov/form990. inspection Name of the organization Employer identi?cation number STATE INNOVATION EXCHANGE 4 6-13 68531 Patti Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered ?Yes? to Form 990, Part IV, line 6. Donor adVised funds Funds and other accounts 1 Total number at end of year 2 Aggregate value of contributions to (during year) 3 Aggregate value of grants from (during year) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor adVIsors in writing that the assets held in donor adwsed Part it Q0003 Part 111 1a a For Paperwork Reduction Act Notice, see the Instructions for Form 990. CM funds are the organization's property, subject to the organization's excluswe tegal control? Did the Organization inform all grantees, donors, and donor adVisors in writing that grant funds can be used only for charitable purposes and not for the bene?t of the donor or donor advrsor, or for any other purpose conferringimpermissmle private bene?t? Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e recreation or education) Protection of natural habitat Preservation of open space Complete lines 2a through 2d if the organization held a quali?ed conservation contribution in the form of a conservation easement on the last day of the tax year Yes No Yes No Preservation of a historically important land area Preservation of a certi?ed historic structure Held at the End of the Tax Year Total number of conservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certi?ed historic structure included in 2c Number of conservation easements included in acqurred after 8/17/06. and not on a histOric structure listed in the National Register 2d Number of conservation easements modr?ed, transferred, released, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of Violations, and enforcement of the conservation easements it holds? Staff and volunteer hours devoted to monitoring, inspecting, and enforcmg conservation easements during the year Amount of expenses incurred in monitoring, inspecting, and enforcmg conservation easements during the year Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B) and section in Part describe how the organization reports conservation easements in its revenue and expense statement. and balance sheet. and include, if applicable, the text of the footnote to the organization's finanCIal statements that describes the organization's accounting for conservation easements. Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered ?Yes? to Form 990, Part IV, line 8. If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures. or other Similar assets held for public exhibition. education, or research in furtherance of public sewice. provide, in Part the text of the footnote to its ?nancral statements that describes these items. If the organization elected. as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, histoncal treasures, or other similar assets held for public exhibition. education, or research in furtherance of public servrce. prowde the following amounts relatmg to these items. Revenues included in Form 990. Part line 1 (ii) Assets Included in Form 990, Pan If the organization received or held works of art. historical treasures, or other Similar assets for ?nanCIal gain. provide the followmg amounts reqmred to be reported under SFAS 116 (ASC 958) relating to these items Revenue included in Form 990, Part line 1 Assets included in Form 990. Part Yes No Yes No VV seen Schedule 0 (Form 990) 2014 ALICE 09/27/2915 12 14 PM Schedule (Form 990) 2014 STATE INNOVATION EXCHANGE Page 2 Part ilt+ Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Usmg the organization?s accessmn, and other records. check any of the followrng that are a Signi?cant use of its collection Items (check all that apply)- a Public exhibition El Loan or exchange programs Scholarly research Other Preservation for future generations 4 Prowde a description of the organization's collections and explain how they further the organization's exempt purpose in Part 5 During the year, did the organization solicn or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Yes No Part?! Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1a Is the organizatIOn an agent, trustee. custodian or other intermediary for contributions or other assets not included on Form 990, Pan X7 Yes No If "Yes," explain the arrangement in Part and complete the followmg table. I Amount Beginning balance 1c Additions during the year 1d Distributions during the year 1e Ending balance 11? 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability"Yes," explain the arrangement in Part Check here if the explanation has been prowded in Part 7 Part Endowment Funds. I Complete if the organization answered "Yes" to Form 990, Part IV, line 10. I Current year Prior year Two years back (it) Three years back Four years back 1a Beginning of year balance Contributions Net investment earnings, gains. and losses Grants or scholarships Other expenditures for and . programs i Administrative expenses 9 End of year balance 2 Provrde the estimated percentage of the current year end balance (line 19, column held as a Board deSignated or quaSi-endowment Permanent endowment Temporarily restricted endowment The percentages in lines 2a, 2b, and 20 should equal 100% 33 Are there endowment funds not in the possessmn of the organization that are held and administered for the organization by. unrelated organizations (ii) related organizations If "Yes" to 3a(ii), are the related organizations listed as required on Schedule Ft? 4 Describe in Part the intended uses of the organization's endowment funds Part VI Land, Buildings, and Equipment. Complete if the organization answered ?Yes? to Form 990, Part IV, line 11a. See Form 990, Part X. line 10. of property Castor other bests Cost or other basis Accumulated (at) Book value (Investment) (other) depreciatlon 1a Land BUildings Leasehold improvements EqUipment Other Total. Add lines ta through to (Column must equal Form 990, Part X, column (B), line 10c) Schedule (Form 990) 2014 BM ALICE 09/27/2015 12 14 PM Schedule (13mm 990) 2014 STATE INNOVATION EXCHANGE 4 6-1368531 Page 3 Part VII Investments?Other Securities. Complete if the organization answered "Yes" to Form 990, Part IV, line 11b. See Form 990, Part X, line 12. Description of security or category Book vatue Method of valuation (including name 01 security) Cost or end-of-year market value (1) FinanCIal derivatives (2) Closely-held eqwty interests (3) Other (A) (B) (C) ID) (E) (F) (G) Total. (Column must equal Form 990, Part X, col (8) line 12) Part Investments?Program Related. ete if the ization answered "Yes" to Form 990 Part IV line 11c. See Form 990 Part line 13. Description 01 Investment Book value Method of valuation Cost or end-of-year market value Total. Column must Part IX Form 990 Part col. Other Assets. ete if the 0 line 13 ization answered "Yes" to Form 990 Part IV line 11d. See Form 990 Part Description line 15. Book value must Form 990 Part col line 15 Part Other Liabilities. Complete if the organization answered "Yes" to Form 990, Part IV. line He or 111. See Form 990, Part X, line 25. Description 01 liability Book value 1 Federal income taxes CREDIT CARD 2 250 Total. Form 990 Part col line 25 2 250 2. Liability for uncertain tax posmons In Part prowde the text of the footnote to the organization's ?nancial statements that reports the organization's liability for uncertain tax posmons under FIN 48 (A80 740) Check here if the text of the footnote has been previded in Part I I DAA must Schedule (Form 990) 2014 ALICE o?/z?zqrs :2 14 PM Schedule (Form 990) 2014 Part XI STATE INNOVATION EXCHANGE Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. 46-1368531 Complete if the orwization answered "Yes" to Form 990, Part IV, line 12a. Page 4 1 Total revenue, gains, and other support per audited ?nancnal statements 2 .Amounts Included on line 1 but not on Form 990. Part line 12: a Net unrealized gains (losses) on Investments 2a Donated servrces and use of 2b Recoveries of prlor year grants 2c Other (Deserlbe In Part 2d Add lines 2a through 2d 2e 3 Subtract IIne 2e from line 1 3 4 Amounts Included on Form 990, Part lrne 12. but not on line 1 a Investment expenses not Included on Form 990, Part line 7b 4a Other (Describe rn Part 4b Add lines 4a and 4b 4c 5 Total revenue Add lines 3 and 4c. (T his must equal Form 990, Part I, lrne 12) 5 Part X11 Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete If the organization answered "Yes" to Form 990, Part IV, line 12a. 1 Total expenses and losses per audited ?nanc1al statements 1 2 Amounts Included on line 1 but not on Form 990, Part IX, line 25 a Donated servrces and use of 23 Prior year adjustments 2b 0 Other losses 2c Other (Describe In Part 2d Add lines 2a through 2d 2e 3 Subtract line 2e frorn lune 1 3 4 Amounts Included on Form 990, Part IX, line 25, but not on line I: a Investment expenses not Included on Form 990, Pan line 7b 4a Other (Describe In Part 4b Add lines 4a and 4b 4c 5 Total expenses Add lines 3 and 4c. (T his must equal Form 990, Part I, line 18) 5 Part Supplemental Information. Prowde the descriptions requrred for Part II, lines 3, 5, and 9, Part lines 1a and 4. Part IV, lines 1b and 2b, Part V, line 4, Part X, line 2. Part XI, lines 2d and 4b, and Pan XII, lines 2d and 4b. Also complete this part to provide any additional Information DAA Schedule (Form 990) 2014 ALICE 0922712015 1214 PM . Sch?edule I(Form 990) 2014 STATE INNOVAT ION EXCHANGE page 5 Part Information icontinued) Schedule (Form 990) 2014 BM ALICE 0927201151214 PM SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ ?45?04? (Form 990 or 990-EZ) Complete to provide information for reSponses to specific questions on 4 Form 990 or 990-EZ or to provide any additional information. 09pm", o, the new,? Attach to Form 990 or Open to Puhtic Internal Revenue Semce Information about Schedule 0 (Form 990 or 990-EZ) and its instructions is at inspection Name of the organlzalien Employer Identi?cation number STATE INNOVATION EXCHANGE 46-1368531 FORM 990, PART LINE 2 EFFECTIVE DECEMBER 30, 2014, THE AMERICAN LEGISLATIVE ISSUE CAMPAIGN EXCHANGE (ALICE), A 501C3 CORPORATION, ENTERED INTO A MERGER AGREEMENT WITH PROGRESSIVE STATES NETWORK (PSN), ALSO A 501C3 CORPORATION, RESULTING IN THE OF PSN. EFFECTIVE THE SAME DATE, ALICE CHANGED ITS NAME TO STATE INNOVATION EXCHANGE (SIX). ON DECEMBER 30, 2014, THE STATE OF CALIFORNIA ACCEPTED THE MERGER AGREEMENT BETWEEN ALICE AND PSN. THE TWO ORGANIZATIONS MAINTAINED SIMILAR GOALS AND MISSION AND ENGAGED IN SIMILAR ACTIVITIES. ALICE AND PSN CHOSE TO MERGE TO AVOID DUPLICATING CAPACITY AND MORE EFFECTIVELY CARRY OUT THEIR COMBINED MISSIONS. SIX WILL CONTINUE TO CARRY OUT THE MISSIONS OF ALICE AND PSN BY MAINTAINING AN OPEN AND PUBLICALLY ACCESSIBLE ONLINE LIBRARY OF MODEL LEGISLATION AND SUPPORTING DOCUMENTS, PROVIDING EDUCATIONAL SUPPORT FOR STATE LEGISLATORS THROUGH CONFERENCES, WEBINARS, AND CONFERENCE CALLS, AND FACILITATING NETWORKING OPPORTUNITIES AMONG STATE LEGISLATORS ACROSS STATES THROUGH NATIONAL AND REGIONAL CONVENINGS. FORM 990, PART JURISDICTION, AND LINE 4A - FIRST ACCOMPLISHMENT LAWS, WHICH ARE GENERAL SUGGE STIONS FOR FUTURE LEGISLATION, READY TO BE TAILORED TO A PARTICULAR JURISDICTION. THESE LAWS COVER ISSUES IN STATE AND LOCAL POLICY, AND MAY ORIGINATE FROM THE EXECUTIVE BRANCH (E.G., EXECUTIVE ORDERS AND REGULATION), LEGISLATIVE BODIES OR DIRECTLY FROM CITIZENS (E.G., BALLOT INITIATIVES OR REFERENDA). SIX WILL INCLUDE IN THE SIX LIBRARY EXEMPLARY LAWS THAT SIX BELIEVES PROMOTE VALUES AND ARE WORTHY OF REPLICATION. SIX INTENDS FOR THE For Paperwork Reduction Act Notice. see the Instructions for Form 990 or 990-EZ. DAA Schedule 0 (Form 990 or 990-EZ) (2014) ALICE PM Schedule 0 (Form 990 or 990-EZ) (201i Page 2 Name of the organization - Employer Identl?ca?on number EXCHANGE 46-1368531 EXEMPLARY LAWS IN THE SIX LIBRARY TO PROVIDE A LARGE RANGE OF IDEAS AND LEGAL LANGUAGE, BUT THE INCLUSION OF EXEMPLARY LEGISLATION IN THE SIX LIBRARY WILL NOT BE AN ENDORSEMENT OF A SPECIFIC BILL IN A SPECIFIC STATE FROM SIX, NOR FROM ANY OF THE SIX CONTRIBUTORS. THE SIX LIBRARY ALSO INCLUDES SUPPORTING MATERIALS TO THE LAWS AVAILABLE IN THE SIX LIBRARY. THESE SUPPORTING MATERIALS INCLUDE BACKGROUND RESEARCH, TALKING POINTS AND OTHER AIDS IN THE EFFECTIVE COMMUNICATION OF THE LAWS. IN THE FUTURE, SIX PLANS TO DEVELOP ADDITIONAL RESOURCES AND ACT AS A NON- PARTISAN CONVENER TO ASSIST INDIVIDUALS AND ORGANIZATIONS WHO WISH TO PROMOTE THE SAMPLE LAWS IN THE SIX LIBRARY. SIX DOES NOT AND WILL NOT ADVOCATE FOR THE ENACTMENT OF SPECIFIC LAWS IN ANY PARTICULAR JURISDICTION, NOR DOES IT, NOR WILL IT, TAILOR LAWS TOWARDS ANY PARTICULAR STATE OR MUNICIPALITY. RATHER, SIX PROVIDES A RESOURCE FOR STATE AND LOCAL POLICYMAKERS TO COMMUNICATE AND ADVANCE EFFECTIVE LEGISLATION. THE SIX WEBSITE DIRECTS INTERESTED POLICYMAKERS TO A LIST OF UNAFFILIATED ORGANIZATIONS AND OTHER RESOURCE ORGANIZATIONS THAT CAN SERVE AS LOCAL ADVOCATES IN A PARTICULAR SIX HELD A GATHERING OF APPROIXIMATELY 45 STATE LEGISLATORS TO INTRODUCE THEM TO THE ORGANIZATION AND GET FEEDBACK ON EDUCATIONAL NEEDS AND INTERESTS LEGISLATORS MAY HAVE. SIX HELD ITS FIRST ANNUAL CONFERENCE WITH 200+ STATE LEGISLATORS AND VARIOUS PARTNER ORGANIZATIONS TO INTRODUCE OUR ORGANIZATION AND THE SIX LIBRARY AND HELD GENERAL EDUCATIONAL POLICY SESSIONS ON INCARCERATION SYSTEM, TIPPED MINIMUM WAGE, AND THE FORTHCOMING CARBON REGULATIONS. PAGE 1 OF 2 Schedule 0 (Form 990 or 990-EZ) (2014) BM ALICE 091271201512 14 PM - Sch?dule 0 (Form 990 or 990-EZ) (2014) Page 2 Name of the organizatlon . STATE INNOVATION EXCHANGE Employer lden?fica?llon number 46-1368531 FORM 990, PART VI, LINE 4 - SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS ADOPTED AMENDED AND RESTATED ARTICLES OF INCORPORATION AND BYLAWS AS PART OF THE MERGER, EFFECTIVE DEC. 30, 2014. FORM 990, PART VI, LINE BB - DOCUMENTATION BY COMMITTEE EXPLANATION NO. FORM 990, PART VI, LINE 113 - PROCESS TO REVIEW FORM 990 NO REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY THE POLICY REQUIRES THAT, EACH YEAR, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ACKNOWLDGE THAT THEY HAVE READ AND ARE INCOMPLIANCE WITH THE POLICY. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION NO DOCUMENTS AVAILABLE TO THE PUBLIC PAGE 2 OF 2 Schedule 0 (Form 990 or 990-EZ) (2014) DM