{11'1? Flu. ?it" Hui 9? all?! "Lil. Massachusetts Office of the Attorney General Division of Public Charities 1:121? . 12:! FORM PC 1.1.15. To be ?ied annually by all non-profit charitable organizations conducting business in the Commonwealth Reportforthe Fiscal Period Beginning ?21 I 9111);} Ending 1L3 Check all Items attached: Form PC Schedule A1 'Schedule A2 Schedule R0 AG Schedule Probate Account Copy of IRS Return 3 Audited Financial Statementisevlew Filing Fee Amended AniclesiBylaws ?l . Name: William J. Clinton Presidential Foundation Mailing Address: 303 President Clinton Ave, Suite Fir: Little Rock State: Phone:( 501)975?7266 Fax=1501) 975-7266 E~Mail: Web Site (URL): Zip: 72201 1 In the sectlon below lease enter the a re rials codes irom the cones ondln tables found on a as 12 and 13: {'7?in $191}. if? I . ii .lr Kit: in? 11%; r? 3-11 pi? i "?1353 lir EiJEFOJBBI .silf; timid" v. County (Table 1) 15 Organization Purpose Code 1 Type of Organization (Table 2) 1 Organization Purpose Code 2 Please check box if ?nal return prior to dissolution Payment Received Of?ce Use Only ,1717% FORM PC Page 1 Massachusetts Office of the Attorney General Division of Public: Charities FORM PC To be filed annually by all non-profit charitable organizations conducting business in the Colmnanenlth Report for the Fiscal Period: Beginning 0] {13m Ending i .1 iJi Check all items attached: t?cnn PC Schedule A192 Schedule A2 Schedule Rt) N3 Schedule Ll Probate Amount (30p)! of IRS Return it Audited Financial SlaternentsiHc-viewh X. Filing i?tiU Amended 11.11111 1; . :3 ORGANIZATION DATA Name: Willinm 1IClii'1ton Foundul 11111 Mailing Address: 303 President Clinton Ave, Suite City: Little Rock State: A113 f?g7220 l. Phone:( 50119751266 FM L191.) 975?72611: A IZ-Mail: WehiSitulZUHl.): 31 - County (Table 1) 15 Organization Purpose 23 type of Organization fable 2) 1 Organization Purpose Curio :2 2?7 Please check box it final return Payment Receiver! 1 prior to dissolution Office Use Only 5-}1 Page 2 All questions must be completed in their entirety whether or not similar questions are answered in an attached federai form. See Instructions and de?nition section for guidancetries; rel-if y, I: .Fre?h? I 455.? 'afla- it" . Corporation Testamentary trust Unincorporated association inter Vivos trust Other (please describe): 4. Was your organization related to any other organizatlor?s) during the reporting year (see definition of ?Related Organization")? Yes No 3 If yes. please complete the Schedule R0 on pages 10 and 11. i. it ?w 5121? - A I Contributions. gifts. grants. and similar amounts received 44 529:1 26 3 Gross Support and Revenue 44,878,985 ?44: 3 I Program services and similar amounts paid out 5 2 ,293 ,52 1. I Fundraising expenses 3 1 53 ?037 Management and general expenses 1 .885 .7 56 Payments to af?liates 0 Total Expenses 7 ,332 ,3 1 4 Net assets or fund balances at the end of the year 78 ,900 1974]. B. List the total compensation you provided to your five highest paid employees. Mar aret A Williams Chief OfState 147 806 2 Cl de E. Williams Jr. Dm- POHCY Adm" 117 203 3 Ste hanie S. Streett Executive Dir- 101 936 none 4 Erie Nonacs 40 5 400 none 5 ames E. Kenne - 40 none none 7. Was any compensation provided to any of the individuals listed In 6 above which was not quantified in your response to 6? Yes No if yes. please provide explanation limit [ml hil'l ilmli ttin? I-I MI ut'u? ?it It'it Hill? illiilt. FORM PC Page 3 B. List the name, amount of compensation paid, and the nature of services rendered by each of the organization?s FIVE highest paid consultants providing professional services attorneys, architects, accountants, management companies. investment advisors. professional solicitors. professional fundraising counsel.) LTwear CD Contractors INC Construction Polshek Partnershi Architects . Consultin Phel 3 Pro Mane ement LLC 1 902 840 Consultin 503 175 Consulting Consultin 9. Bank{s} in which the organization?s funds are deposited (include bank address and phone number): See Exhibit B. Accrual Other (specify) 11. if organization?s mailing address is a P.O. Box Number. list the organization's full street address: 10. What Is the organization's accounting method? Cash Lit 501/371?9544 13. During the fiscal year reported here, did your organization solicit contributions or have funds solicited on its behalf? Yes No 14. At any time during the ?scal year following the year reported here. will your organization. or others acting on Its behalf. haVe solicited contributions? Yes No 1F YOU ANSWERED iN RESPONSE TO QUESTION 13 OR QUESTION 14, YOU MUST COMPLETE SCHEDULES A-?i 44-2 UNLESS YOU ARE EXEMPT FROM THE SOLICITATION CERTIFICATE REQUIREMENT. 15. If you are claiming an exemption from the solicitation certificate requirement. please indicate by placing an in the box to the right to identify which exemption applies to your organization. a religious organization an organization which does not raise more than $5,000 during a catender year OR does not receive contributions from more than ten persons during a calendar year: AND carries out all of its activities. including fundraising, through unpaid volunteers, {The conditions at both and must be met for your organization to quality for this exemption. ?ml? "ll ?:in nu. Foam l:l Page 4 16. Names. addresses (street 8: PD.) and telephone numbers of other {attach list). A 17. List the names. titles and addresses {street 8. P.O.) of of?cers. directors. trustees. and the principal salaried executives of or anizatlon {attachseparate sheet . . . a See E. 18. Attach separate sheet listing names and addresses (street a. PD.) for all below: responsible for custody of funds See Exhibit lndividuai(s) responsible for distribution of funds lndividuei(s) responsible for fund raising responsible for custody of ?nancial records Individual(s) authorized to sign checks 19. Has this organization or any of its officers. directors. employees or fund raisers solicited funds in any other state? - Yes No if ?yes?. attach list of states where solicitation was conducted. including registering agency. dates of registration. registration numbers. any other names under which the organization wasiis registered, and the dates and type (mail. telephone. door to door. special events. etcsolo a ion conducie See F. 20. Has this organization or any of its of?cers. directors. employees: 21. 22. 23. if yes, please attach an explanation (3) Been enjoined or otherwise prohibited by a government agencyicourt from operating or soliciting contributions? Yes No Ever been refused registration or had its registration or tax exemption denied. suspended. modified or revoked by a governmental agency? Yes No (0) Been the sublect of a proceeding regarding any solicitation or registration? Yes No Entered into a voluntary agreement of compliance or consent judgment with any government agency or in a case before a court or administrative agency? Yes No Have any restrictions been removed during the year from donor-restricted funds? Yes No If yes, please attach an explanation Have donor-restricted funds been loaned to unrestricted funds? Yes No if yes. please attach an explanation This question involves ?Termination of Employment or Change of Control Compensatory Arrangements" with certain "Related Parties" (see instructions and definition sections). Report only if payments made or promised to any individual are in excess of four months salary or $100,000; whichever doilar amount ls less. (3) Did you make actual payments or otherwise transfer value under such an arrangement to any individual described In Related Party de?nition. sections or which payments are not reported in Question 6 or 7 above? Yes No Do you have an agreement with any individual described in Related Party de?nition. section or containing such an arrangement? Yes No if you answered "yes? for Question 23(a] or 23th) above. please attach an explanation identifying the individual(s) involved. stating the amount of any payments made or value transferred. and describing the terms of each agreement. il?h'ill in ?Milli!l HIE n. limit ?nu? I?nni. :iLiSi': l"I iimlil FORM PC Page 5 24. This question applies to related party transactions. which include transactions with officers, directors. trustees. certain employees, E: relative, and organizations they own or control. Please consult the instructions and de?nition sections for the definition of a ?Related Party? and ?indebtedness" before answering. Note that transactions involving related parties must be reported even when there is no accounting recognition (9.9.. in-klnd gifts. waiver of interest not otherwise reported). lithe answer to any part of Question 24 is ?Yes". attach a schedule stating the name and address of the related party. the nature of the transaction, the value or the amounts involved in the transaction. and the procedure followed in authorizing the transaction. 3153?. 51:? - w. 4? 'n gi??yq. Sold or transferred assets to or purchased assets from or exchanged assets with a related party? Leased assets to or leased assets from a related party? Been indebted to a related party? Allowed a related party to be indebted to it? Made or held an investmoni in a related party? Furnished goods. services. or facilities to a related party? to} Acquired goods. services. or facilities from a related party who received nompeneerlnn nr other value in return? in) Paid or became obligated to pay wages. salary or other compensation to a related party? Transferred income or assets to or for use by a related party? Was the organization a party to any transaction in which any of its of?cers. directors or trustees has a material ?nancial interest. or did any officer. director or trustee receive anything of value not reported as compensation? Has the organization invested in any corporate stock in which any of?oer. director. or trustee owns more than 10% of the outstanding shares? it) is any property ol the organization held in the name of or cornmingted with the property of any other person or organization? Did the organization make a grant award or contribution to any organization in which any of its of?cers. directors or trustees has a relationship? allfillt ulti'lul v-l mm" thin? rill?: ?will Ill?ilu FORM PC Page 6 Under penaltyof I knowledge. I hat thjs'Fr'?pnrt', run?nrl anneal lathe. heater Foam Page 7 SOLICITATION ACTIVITIES Schedule A-1 Soiicitatiou activities during fiscal year covered by this report al I II: mi; t?%hh?i? ll a . gq?gyi??gm?anet :1 F?bil?i i?Yf?hi-WNL] {hill .?Jdv?f?yi'?r ?ak-1:533 A- William Clinton Presidential Foundatlon Mass mailings Raf?e. beano, bingo or gaming event Door?to-door Sale of goods other than by telephone Entertainment event Individual mailings Telemarketing without sale of goods or ads Corporate solicitations Telemarketing with sale of goods Grant proposals Telemarketing with sale of ads Other: (explain) Via the intemet A. Professional solicitor . Own employees B. Professioneifundraising counsel . Volunteers C. Commercial co-venturar to furnish It - See Exhibit C. 4. title the individuals will have ?nal for the . Li". memo Exhibit II: till! "ll 1121?: Fm!? Whit niltl?. :3 Page 8 Schedule A-2 Solicitation activities planned for fiscal year which follows the reporting year. Ella Ms- byilthegi?? . I Mass mailings Raf?e. beano, bingo or gaming event -Door-to-door Sale oi goods other than by telephone Enertainment event individual mailings Telemarketing without sale of goods or ade Corporate solicitations Telemarketing with sale of goods Grant preposais Telemarketing with sale of ads . Other (explain): Via the internet A. Professional solicitor 0. Own employees B. Professional fundraislng counsel E. Volunteers 0. Commerlcal oo?venturer to furnish names name and title the individuals who will final for the a of contributions: Attached as Exhibit B. name title the who will for of ?no. m1 . l'ngr j? Attach as Exhibit B. In Hi I I i" "ll lirliill "nu" null? .Il?n? 11:12:? 1135?? FORM PC Page 9 Certification by Organization - Under penaity of perjury. we declare that the information furnished above. including any attachments, is true and correct to the best of our knowledgeMtg?~92 1.. WW 1-1 In ?ml? "ll .Il?u?l William J. Clinton Presidential Foundation State of Massachusetts Charitable Organization Registration Form Exhibit A Form PC List of Exhibits IRS Form 990 for FYE 12/31/03 Banking Fundraising Data Fundraising Information Audited Financials for FYE 12/31/03 Officers and Directors States Where Registered William Jefferson Clinton Presidential Foundation Banking and Fund Raising Data Individuals responsible for custody of funds Name James L. Rutherford, President Address 5604 Hawthorne Road Little Rock, AR 72201 Name David H. Pryor, Vice President and Secretary Address 2701 Kavanaugh Boulevard, Suite 300 Little Rock, AR 72201 Name Ann D. Jordan, Treasurer Address 2940 Benton Place Washington, Dc 20008 Individuals responsible for fund raising Name Susan Torricelli Address 14 East 60th Street, Suite 1002 New York, NY 10022 Individuals authorized to Sign checks Name James L. Rutheford, President Address 5604 Hawthorne Road Little Rock, AR 72201 Name David H. Pryor, Vice President and Secretary "mi'l WW .. 2 11?? Address 2701 Kavanaugh Boulevard, Suite 300 Little Rock, AR 72201 Name Ann D. Jordan, Treasurer Address 2940 Benton Place um Washington, DC 20008 Individuals responsible for distribution of funds Name James L. Rutherford, President Address 5604 Hawthorne Road Little Rock, AR 72201 Individuals responsible for custody of financial records Name Shannon Tanner Address P.O. Box 1104 Little Rock, AR 72203 Bank in which registrant's funds are deposited Bank name Bank of America Phone number le800~944?0404 Account numbers Checking 5043-057280 Investment 089444w849 William.J?fferson Clinton Presidential Foundation List of Officers, Directors and Trustees James L. Rutherford - President Address: 5604 Hawthorne Road Little Rock, Arkansas 72207 Phone: 501s975-837l Compensation: NONE Andy Kessel - Secretary/Treasurer Address: 2701 Kavanuagh Boulevard, Suite 300 Little Rock, AR 72205 Phone: 501?661?1775 Compensation: NONE Ann D. Jordan Vice President Address: 2940 Benton Place Washington, DC 20008 Phone: 202-897?4260 Compensation: NONE Terence R. MhAuliffe Director Address: 7527 Old Dominion Drive McLean, VA 22102 Phone: 202~897~4260 Compensation: NONE Cheryl Mills Director Address: 114 W. Houston, Apt. 3 New York, NY 10012 Phone Number: (212) 651?5005 Compensation: NONE Principal Employees Shannon Tanner - Bookkeeper 518 Allwood Drive Little Rock, AR 72118 William Jefferson Clinton Presidential Foundation List of Officers, Directors and Trustees James L. Rutherford President Address: 5604 Hawthorne Road Little Rock, Arkansas 72207 Phone: 501?975-8371 Compensation: NONE Andy Kessel - Secretary/Treasurer Address: 2701 Kavanuagh Boulevard, Suite 300 Little Rock, AR 72205 Phone: 501~661-1775 Compensation: NONE Ann D. Jordan - Vice President Address: 2940 Benton Place Washington, DC 20008 Phone: 202-897?4260 Compensation: NONE Terence R. McAuliffe Director Address: 7527 Old Dominion Drive McLean, VA 22102 Phone: 202-897?4260 Compensation: NONE Cheryl Mills - Director Address: 114 W. Houston, Apt. 3 New York, NY 10012 Phone Number: (212) 651?5005 Compensation: NONE Principal Employees Shannon Tanner - Bookkeeper 518 Allwood Drive Little Rock, AR 72118 Alabama Alaska Arizona Arkansas California Colorado Connecticut Florida Georgia Iowa Illinois Kansas Kentucky Louisiana Maine Massachusetts Maryland Michigan Mississippi Montana Minnesota Nebraska Nevada New Hampshire New Mexico New Jersey New York North Carolina North Dakota Ohio Oklahoma Oregon Rhode Island South Dakota South Carolina Tennessee Texas Utah Virginia Washington West Virginia Wisconsin Wyoming (CPF) William J. Clinton Presidential Foundation States where Registered or Exempt Jul 28 04 02:04p 07/23/2004 10:37 FAX. 202 4a? 0361 [Elana/007 i . PEARSON DIRECT MARKETING SERVICES AGREEMENT The-following terms-and conditions constitute ihoAgreemeni (?Agreement") hetwcerLthe William J. Clinton and. Meconnell'i?: Pearson The William J. Ciintoan-esidwtial Foundation will them on national attemiorr, am? 31-- .jgstiggtiqg yoint-forvisitors fromndl over the world. of Services: will pafonn the to [lowing services for the William J: Clinton Presidentiai' Foundation: ??26 MSW. NW SUITE 300 Strategic recommendations and program: planning regarding direct mail ?mdrajsing efforts; Creative direction for all prospect and :esolicitation mailings; Selection of lists to be used for the mailings and supervision of related computer wprk; Gi?apliie design and ?thc prcpamtiou of Wings: Supervision ofprintihg, mails?iiop, personatization, and a?'omer agpempf pm?ueing and-mailing ihe. solicitations; .- Coordination a?alleomputer work related. to the maintenance and record keeping ofthe donors or as requested5 By?t?e WICPF. Creation of the (Meet including detailed response and cash flow projections as well-preparing yearly- Budget wmmuoron DC zoom-4502 102.467.0361 IFAJI. 1.. din-1h lulu "mm I'll ?Mil Jul 28 04 02:05p 97/23/2004 10:3? FAX 202 467 0361 (ill? 2 hi of'C'o - Elm:- Tl'ho exclusive ownership of all copy submitted to and approved by All?lists? of- donors?aoomnulated as-aresult of work pursuant to this contract shall remain tho-oxcmsivc of the WICPF. 0MP ill-expressly prohibimd from retair?ng any copy on'behalfol' Productlg' ?gtangemegls: . In producing mailing on behalf of the will proceed as follows: h} d) e) g) h) will submit to the WICPF 'a detailed ?Authorization ?Funds" estimating all printing, lists.- aulomation? personalization, mailshop, postage. and other direct production-expenses related to the particular mailing. prol?bited from wounding-with- o-malling until-it receives writtmauthorizaiion ?om-thc individual designated by the WICPF as its authorized reproacntati-Vc. .Th: WICPF has solo and ?nal approval over all marshals QMz?fprocioces mo?r wrirea on buhalf?of-the?WICP-R 0MP shall .not?publish, dis?ibuimmau or. oisseminaxoon behalf of WI CPF any materials not previously approved f?r?llcli pmposc by the designated" rcprosenmtive In advance. of-amailing, tho pay all postagooxpenses related to the - project ?ve (5) working days in adVancc of the maif'date, with? the exception 01" specialized'gmjects which-mac}: rcqoim- an earlier postage- date. Thirty. (30}:days after the. actual mandala, tho will pay 0MP the remaining production expenses based-on l?e "AuthoriZatfoMo Spmd?Euno?". Wftlu'n sixty (60) days of .tlie acmal'mail?date, the witlro ?nal ?reoonciliation betweeoestimmdoxpooscs?paid by tho WICPE and the actual expensos. Any overpayment shall he returned to. the along wixh the. projeco rcoonciliatiom declares .thamhe ?rm and its. principals have no ?nancial or ownership interests in any of lhe vendors to Be use-din the WICPFdirocl mail'nffogs. Any romainiog Balance shall be clue by seventy-?ve days? ?3me auto-arm} dole based upon OMP?s-fiml monol?mion-behvem estimalad momma-expenses. OMB will notmark up on printingor mail production. And rcbatcd. refunds, discounts. etc. will'bo passed on to Elie OMP'wileak-o striclont' effortotcr . negotiate the lowest-md-best prions-op behalf ofthc woos/007 nil Jul 23 04 02:05p ?ml 10:37 FAX 202 467 0861 051? .004/007 i) All contributions willib?e received?d?ectly b'y William Clinton Presidtn?al . or its-designated agent. O'Brien McConnell Pearson will not at any time have cusxody'or?comrol of pontribu?ons. Fe: Structurgg In. consideration for the above granites, the William 1; Clinton Presidential Founclatron shall follows: From Janna}- through Dumber-31,2005 the William J. Clinton Presidential Libraivaill pay 0MP. a ?at fee Piymsni fee is nine upon'ths'last'day of the month'for which-sowiccs-were performed. Out-of Exnengag; Th: WICPF wilI reimburse 01%.me all out-of-pock?et expenses covering long-distance; overnight service, etc.. which will not exceed $500 pcrmonih. The will also minibus: 0MP. for all traveloxpensos. However, no travel may be undertaken-with out the express prior. approvalof the WICET ?All' towel must'?e coach. class; attempivwill be made ioreservo?ighis l-rLdays pn'or to departure. Expense reimbursements due within thiny?(30) days Expenses-Mb: billed .wiih??illihanlrup materials: receipts, invoices, etc. Con?dgg?g??: 0MP. ages: that nsither it nor any of its agents or employees will armtimer, irrany? fashion, form or mama, eithar. direcxly. or communicate to any person; ?rm or entity, any infomation concerning WJCPE information . doomed-con??m?al by obtained-in.perfonnance oftlmis comma: wiihaui- the "prior written consent of the desigiatcd mpresont-ativo- of WIGPF. If any person seeks information from OMB-concoming its services to-Wl'CPF'lierounder-or- the intimation in OMP35 possession records, 0MP shall refer such person to the designated representative ofWiCl?F. Thorsl'ationsl?iip bemoan and 'shal?l?be thin- ofimlopcndent con?actori andlnothingoomainodin rhisAgroomo-mshall hi: construed to constitute 01' any of its or- employees-as panner,..joint venture: or again of Jul 28 04 02:05p 07/28/2004 10:38 FAX 202 48? 0881 0MP In-accotdancc with tho state of and'lapplicablconly lit-tho State services-outlined in this contraotwill commence ton working days after agreement has been submitted. to. tho ania, Department ofStatc. Ecrcanof Charitable Organizations. New 3 org: Charity?orighz to cancel this contract: Ills understood by the. parties that tho chan'tablc organization has the right under New York State law to anneal this contract and that the charitable orgau'zation is not. required to gloomy. mason. for the cancellation. By. low, the. parties to tlu'ocomract comm waivo or modify this right by any pro-existing agreement or by any subscqucnt the parties. Therefore; tho-oha?tablc organization may cancel this contractwithouLcosLPanaltx or liability if the charitable organization noti?es the profcssional' fund raiser or fund raising counsol in writing as provided below; .. (2) Pctiod during whichmotmct may: bl: emailed; If the professional fund raiser or fund raising counsel is that New York State Charities Bureau. tlro'v charitable organization may omocl this-contractat-acytimonplo aniincludmgmo day o?or this contract was ?led- by the prafcssiordl fmli?m ox ?md? . raising counseli?aIim?the'Now Charities Bureau, regardless of-the~ execution date ot?thc contract. It} theprofcssionclv?md-raioer is. not registered with the: New-York. Statc Charitioa?nccmaithc .timc'this contractis - sign-1d, the charitable organization may cancel this contract at any time after it is Sigiecl: (3). Eroocdurc for cancclingthis contract: The charitable organization may cancel this contract by. giving the pro?t ssional fluid raiser or W?mmo'l of cancellation; Ibis notice. may-he. in the. focmof a. statingthat thocharitablc. organization does not. intent to 1m honnd?hy tho contract. Tho notice of? cancellation may be or mailed-to the-professional amoral-tenor ?nd-raising. counsel. "Emailed, it must be sent to the professional fund raiser. or fund raising counsel at. 1.7261??! Street; NW, Suite 300; Washington, QC 2003 6.. The charitable. organization must also mail a copy of the notice of. cancellation to thoStatc ofN'civ Yank; GTECcoft?c Attomcy - When the cancellation is cffeoti-vc: If the notice of cancellation is wiser-on fund raising counsel. Ifcie'no?tioc'of?cmcollation is mailed, the cancellation is soon as the notice is tic-posited; properly and postage pro-paint- in a mailbox. mm In accordance with the state of?cntt?tcky'cnd applicable only in the State of' Kentucky;- fundraising consultant shall ?le with the Attomcy?cnoral 3 copy of. the. contract. No solicitation pursuant-to the contract shall beginuntil the Attorney Gmral has .cer??cdt?iihthc the: statutory (-1 calendar days prior to the performance of any scrviccs. [0.5 Jul 28 04 02:05p 10:38 FAX 202 437 0881 UMP Except asprovcd? herein, exclusive authority'tohirc such personnei 'asirdecms necessary-Lo accomplish {hose tasks Agracmanc. mdividuany retained by 0MP sham not be considered employees, of WICPF. munch cmployues. shall ha?rcquirad as am - forth in the paragraph above, prior to engaging in any work under the Agreement?. The or 0MP may-tanninate- this agreement without came provided 111:: wriuen notice: of such intention tt: teminata is (-3 0} day; in advance fur them planned date of termination. Elana/nu? I: Jul 28 04 02:08p 10:39 FAX 202 467 0881 ONBEHALF 0F IHE I. FOUNDATION: DATE I LE ON BEHALF OF THE WILLIAM DATE: SIGNED: . TITLE: guy mam 3? j, L?/w?r ON BEHALF DATE: SIGNED: NAME: TITLE: [gig/#3 .. Weak Rigger? MC ligand/?- @007/007 n.