Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - Form990 9; Department of the Trensun cnuc Sen ice foundations) Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private Do not enter so<:ial security numbers on this form as it may be made public Information about Form 990 and Its Instructions is at IRS govgform990 OMB No 1545-0047 2016 Open to Public A For the 2016 calendar year, or tax year beginning 07-06-2016 and ending 12-31-2016 Inspection Check if applicable El Address change El Name change Name of organization CONSERVATIVE ACTION NETWORK Initial return Final Ebturn/terminated Domg busmess as 81-2956944 Employer identification number El Amended return El Application pendingl Number and street (or 0 box if mail is not delivered to street address) 3595 RR 620 SOUTH NO 200 Room/smte Telephone number (202) 367-8376 City or town, state or provmce, country, and ZIP or foreign postal code AUSTIN, TX 78738 Gross receipts 516,708 Name and address of prinCIpal officer ALLYSON H0 3595 RR 620 SOUTH N0 200 78738 I Tax?exem pt status l:l 501(c)(3) 501(c) 4) (insert no) l:l 4947(a)(1)or l:l 527 Website: subordinates? included? H(a) Is this a group return for H(b) Are all subordinates l:lYes No l:lYes l:lNo If attach a list (see instructions) Group exemption number Form of organization Corporation l:l Trust l:l l:l OtherP Year of formation 2016 State of legal domICIle TX IEEI Summary 1 Briefly describe the organization?s misswn or most Significant actIVIties TO FURTHER THE COMMON GOOD AND WELFARE OF THE UNITED STATES BY PROVIDING AWARENESS AND ADVOCACY FOR CONSERVATIVE POLICIES THAT PROMOTE JOBS, FREEDOM AND SECURITY oi. Goveinance 2 Check this box l:l if the organization discontinued its operations or disposed of more than 25% of its net assets 3 Number of voting members of the governing body (Part VI, line 1a) 3 3 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 2 5 Total number of indiViduals employed in calendar year 2016 (Part V, line 2a) 5 2 6 Total number of volunteers (estimate if necessary) 6 0 7a Total unrelated busmess revenue from Part column (C), line 12 7a 0 Net unrelated busmess taxable income from Form 990-T, line 34 7b 0 Prior Year Current Year 8 Contributions and grants (Part line 1h) 500,000 9 Program serVIce revenue (Part line 29) 0 10 Investment income (Part column (A), lines 3, 4, and 7d 0 11 Other revenue (Part column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 16,708 12 Total revenue?add lines 8 through 11 (must equal Part column (A), line 12) 516,708 13 Grants and Similar amounts paid (Part IX, column (A), lines 1?3 25,000 14 Benefits paid to or for members (Part IX, column (A), line 4) 0 8 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5?10) 75,309 16a Professional fundraismg fees (Part IX, column (A), line He) 42,000 g. Total fundraismg expenses (Part IX, column (D), line 25) '1 17 Other expenses (Part IX, column (A), lines 11a?11d, 11f?24e) 266,430 18 Total expenses Add lines 13?17 (must equal Part IX, column (A), line 25) 408,739 19 Revenue less expenses Subtract line 18 from line 12 107,969 25 3 Beginning of Current Year End of Year 13% 20 Total assets (Part X, line 16) . 107,969 :2 21 Total liabilities (Part X, line 26) . 0 2:3 22 Net assets or fund balances Subtract line 21 from line 20 107,969 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge 2017-11-07 Signature of officer Date Sign Here ALLYSON HO TREASURER Type or print name and title Print/Type preparer's name Preparer's Signature Date El PTIN RENAE DUNCAN RENAE DUNCAN Check If P01257722 Pald self?employed Preparer Firm 5 name ATCHLEY 8i ASSOCIATES LLP Firm 3 EIN 74-2920819 Firm's address 1005 LA POSADA DRIVE Phone no 512 346-2086 Use Only AUSTIN, TX 78752 May the IRS discuss this return With the preparer shown above? (see instructions) Yes l:l No For Paperwork Reduction Act Notice, see the separate instructions. Cat No 11282Y Form 990 (2016) Form 990 (2016) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line In this Part . . . . . . . . . . . . . . l:l 1 Briefly describe the organization's mi55ion TO FURTHER THE COMMON GOOD AND WELFARE OF THE UNITED STATES BY PROVIDING AWARENESS AND ADVOCACY FOR CONSERVATIVE POLICIES THAT PROMOTE JOBS, FREEDOM AND SECURITY 2 Did the organization undertake any Significant program serVIces during the year which were not listed on the prior Form 990 or 990-EZ7 l:l Yes No If "Yes," describe these new serVIces on Schedule 0 3 Did the organization cease conducting, or make Significant changes in how it conducts, any program serVIces? l:l Yes No If "Yes," describe these changes on Schedule 4 Describe the organization's program serVIce accomplishments for each of its three largest program serVIces, 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 4a (Code (Expenses 37,084 including grants of 25,000 (Revenue 0 See Additional Data 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 4e Total program service expenses? 37,084 Form 990 (2016) Form 990 (2016Page 3 Checklist of Required Schedules Yes No IS the organization described In section 501(c)(3) or 4947(a)(1) (other than a private Foundation)? If "Yes," complete No 1 Is the organization required to complete Schedule 5, Schedule of Contributors (see instructions)? 93' . 2 YES Did the organization engage in direct or indirect political campaign actIVIties on behalf of or in oppOSItion to candidates No for public office? If "Yes," complete Schedule C, Part I 3 Section 501(c)(3) organizations. Did the organization engage in lobbying actiwties, or have a section 501(h) election in effect during the tax year? If "Yes, complete Schedule C, Part II . 4 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 defined in Revenue Procedure 98-19? If "Yes, complete Schedule C, Part 5 N0 Did the organization maintain any donor adVIsed funds or any Similar funds or accounts for which donors have the right to prowde adVIce on the distribution or investment of amounts in such funds or accounts? If "Yes, complete Schedule D, Part I 99' 6 0 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 0 Did the organization maintain collections of works of art, historical treasures, or other Similar assets? If "Yes, complete Schedule D, Part 3 0 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 94 9 0 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 N0 permanent endowments, or quaSI-endowments? If "Yes," complete Schedule D, Part 93' If the organization's answer to any of the followmg questions iS "Yes," then complete Schedule D, Parts VI, VII, IX, or as applicable Did the organization report an amount for land, bUIldingS, and eqUIpment in Part X, line 10? If "Yes, complete Schedule D, Part VI 118 es 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 16? If "Yes, complete Schedule D, Part VII 11b 0 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 24 11C 0 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 Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, PartX 116 No Did the organization's separate or consolidated finanCIal statements for the tax year include a footnote that addresses 11f No the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part 39' Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes, complete Schedule D, Parts Was the organization included in consolidated, independent audited finanCIal statements for the tax year? 12b No If "Yes, and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional IS the organization a school described in section If "Yes," complete Schedule 13 0 Did the organization maintain an office, employees, or agents outSide of the United States? 14a No Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraismg, busmess, investment, and program serVIce actIVItieS outSide the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV . 14b N0 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 N0 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other a55istance to or for foreign indiViduaIS? If "Yes, complete Schedule F, Parts and IV . 16 N0 Did the organization report a total of more than $15,000 of expenses for profeSSIonal fundraismg serVIces on Part IX, 17 Yes column (A), lineS 6 and 11e? If "Yes," complete Schedule G, PartI (see instructions) 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 . 13 N0 Did the organization report more than $15,000 of gross income from gaming actIVIties on Part line 9a? If "Yes," 19 complete Schedule G, Part . Form 990 (2016) Form 990 (2016) Page 4 Checklist of Required Schedules (continued) Yes No 203 Did the organization operate one or more hospital faCIlities? If "Yes," complete Schedule . 20a No If "Yes" to line 20a, did the organization attach a copy of its audited finanCIal statements to this return? 20b 21 Did the organization report more than $5,000 of grants or other a55istance to any domestic organization or domestic 21 Yes government on Part IX, column (A), line 1? If ?Yes,? complete Schedule I, Parts I and II . 22 Did the organization report more than $5,000 of grants or other a55istance to or for domestic indiViduals on Part IX, 22 column (A), line 2? If "Yes, complete Schedule I, Parts I and . No 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 officers, directors, trustees, key employees, and highest compensated employees? If "Yes," 23 N0 complete Schedule . 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 "No, go to line 25a . . . . . . . . . . . . . . . 24;. No 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? 24c Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? 24d 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction With a disqualified person during the year? If "Yes," 25 complete Schedule L, PartI . . . . a a Is the organization aware that it engaged in an excess benefit transaction With a disqualified person in a prior year, and that the transaction has not been reported on any of the organization?s prior Forms 990 or 25b No If "Yes, complete Schedule L, Part I 26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? 26 No II If Yes, complete Schedule L, Part II 27 Did the organization prowde a grant or other a55istance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member 27 No of any of these persons? If "Yes, complete Schedule L, Part . . . . 28 Was the organization a party to a busmess transaction With one of the fo 0Wing parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions) a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part 28a No A family member of a current or former officer, director, trustee, or key employee? If "Yes, complete Schedule L, Part 28b No An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV . 23C es 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule . 29 No 30 Did the organization receive contributions of art, historical treasures, or other Similar assets, or qualified conservation contributions? If "Yes," complete Schedule 30 N0 31 Did the organization liqUIdate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, PartI . 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes, complete Schedule N, Part II 32 N0 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-3? If "Yes," complete Schedule R, PartI . 33 0 34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, or IV, and no. 34 Yes PartV,line1 353 Did the organization have a controlled entity Within the meaning of section 512(b)(13)? 353 N0 If ?Yes' to line 35a, did the organization receive any payment from or engage in any transaction With a controlled entity Within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, 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 R, 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 R, Part VI 37 38 Did the organization complete Schedule 0 and prowde explanations in Schedule 0 for Part VI, lines 11b and 19? Note. All Form 990 filers are reqUIred to complete Schedule 0 38 Yes Form 990 (2016) Form 990 (2016) Page 5 Statements Regarding Other IRS Filings and Tax Compliance Check If Schedule 0 contaIns a response or note to any ?ne In thIs Part . Enter the number reported In Box 3 of Form 1096 Enter -0- If not applicable 1a 12 Enter the number of Forms W-ZG Included In IIne 1a Enter -0- If not appIIcabIe 1b 0 the organIzatIon comply WIth backup WIthholdIng rules for reportable payments to vendors and reportable gamIng (gambIIng) WInnIngs to prIze wmners7 1c Yes 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 thIsreturn 2a 2 If at least one Is reported on IIne 2a, dId the organIzatIon ?le all reqUIred federal employment tax returns? 2b Yes Note.If the sum of ?nes 1a and 2a Is greater than 250, you may be reqUIred to e-?le (see InstructIons) the organIzatIon have unrelated busmess gross Income of $1,000 or more durIng the year? 3a No If ?Yes,? has It ?led a Form 990-T for thIs year7If "No" to [me 3b, prowa'e an explanatIon In Schedule 0 3b At any tIme durIng the calendar year, dId the organIzatIon have an Interest In, or a SIgnature or other authorIty over, a fInanCIaI account In a foreIgn country (such as a bank account, securItIes account, or other fInanCIaI account)? 4a No If "Yes," enter the name of the foreIgn country See InstructIons for fIlIng reqUIrements for Form 114, Report of ForeIgn Bank and Accounts (FBAR) Was the organIzatIon a party to a prothIted tax shelter transactIon at any tIme durIng the tax year? 5a No any taxable party notIfy the organIzatIon that It was or Is a party to a prothIted tax shelter transactIon? 5b No If "Yes," to IIne 5a or 5b, dId the organIzatIon ?le Form 8886-T7 5c Does the organIzatIon have annual gross receIpts that are normally greater than $100,000, and dId the organIzatIon 6a Yes any contrIbutIons that were not tax deducthle as charItabIe contrIbutIons7 If "Yes," dId the organIzatIon Include WIth every soIICItatIon an express statement that such contrIbutIons or were not tax deducthle7 . . . . . . . . . . . . . 6b Yes Organizations that may receive deductible contributions under section 170(c). the organIzatIon recere a payment In excess of $75 made partly as a contrIbutIon and partly for goods and serVIces 7a No prowded to the payor? If "Yes," dId the organIzatIon notIfy the donor of the value of the goods or serVIces prowded" 7b the organIzatIon sell, exchange, or otherWIse dIspose of tangIble personal property for It was reqUIred to ?le Form82827 7c No If "Yes," IndIcate the number of Forms 8282 ?led durIng the year I 7d I the organIzatIon recere any funds, dIrectly or IndIrectIy, to pay prequms on a personal bene?t contract? 7e No the organIzatIon, durIng the year, pay prequms, dIrectly or IndIrectIy, on a personal bene?t contract? 7f No If the organIzatIon recered a contrIbutIon of quaII?ed Intellectual property, dId the organIzatIon ?le Form 8899 as reqUIredthe organIzatIon recered a contrIbutIon of cars, boats, aIrpIanes, or other vehIcles, dId the organIzatIon ?le a Form 1098-C7 7h Sponsoring organizations maintaining donor advised funds. a donor adVIsed fund maIntaIned by the sponsorIng organIzatIon have excess busmess holdIngs at any tIme durIng the year? 8 the sponsorIng organIzatIon make any taxable dIstrIbutIons under sectIon 49667 9a the sponsorIng organIzatIon make a dIstrIbutIon to a donor, donor adVIsor, or related person? 9b Section 501(c)(7) organizations. Enter InItIatIon fees and capItal contrIbutIons Included on Part IIne 12 10a Gross receIpts, Included on Form 990, Part IIne 12, for pubIIc use of club 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 recered from them 11b Section 4947(a)(1) non-exempt charitable trusts. Is the organIzatIon fIlIng Form 990 In lIeu of Form 10417 12a If "Yes," enter the amount of tax-exempt Interest recered or accrued durIng the year 12b Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organIzatIon Icensed to Issue quaII?ed health plans In more than one state?Note. See the InstructIons for addItIonal InformatIon the organIzatIon must report on Schedule 0 13;. Enter the amount of reserves the organIzatIon Is reqUIred to maIntaIn by the states In the organIzatIon Is Icensed to Issue health plans 13b Enter the amount of reserves on hand 13c the organIzatIon recere any payments for Indoor tannIng serVIces durIng the tax year? 14a No If "Yes," has It ?led a Form 720 to report these payments7If "No,"prov1de an explanatIon In Schedule 0 . 14b Form 990 (2016) Form 990 (2016) Page 6 Governance, Management, and DisclosureFor each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 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 Section A. Governing Body and Management Yes No 1a Enter the number of voting members of the governing body at the end of the tax year 1a 3 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or Similar committee, explain in Schedule 0 Enter the number of voting members included in line 1a, above, who are independent 1b 2 2 Did any officer, director, trustee, or key employee have a family relationship or a busmess relationship With any other officer, director, trustee, or key employeeDid the organization delegate control over management duties customarily performed by or under the direct superVI5ion 3 N0 of officers, directors or trustees, or key employees to a management company or other person? 4 Did the organization make any significant changes to its governing documents smce the prior Form 990 was filedDid the organization become aware during the year of a Significant diverSion of the organization's assets? . 5 No Did the organization have members or stockholdersDid the organization have members, stockholders, or other persons who had the power to elect or appomt one or more membersofthegoverningbodyAre any governance deCI5ions of the organization reserved to (or subject to approval by) members, stockholders, or 7b No persons other than the governing bodyDid the organization contemporaneously document the meetings held or written actions undertaken during the year by the followmg 8aYes Each committee With authority to act on behalf of the governing bodythere any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization?s mailing address? If "Yes," prowde the names and addresses In Schedule Section B. Policies (This Section requests information about policres not reqwred by the Internal Revenue Code.) Yes No 10a Did the organization have local chapters, branches, or affiliates"Yes," did the organization have written polices and procedures governing the actIVIties of such chapters, affiliates, and branches to ensure thalr operations are con5istent With the organization's exempt purposes? 10b 11a Has the organization prOVIded a complete copy of this Form 990 to all members of its governing body before filing the Describe in Schedule 0 the process, if any, used by the organization to reVIeW this Form 990 12a Did the organization have a written conflict of interest policy? If go to line 12a Yes Were officers, directors, or trustees, and key employees reqUIred to disclose annually interests that could give rise to 12bYes Did the organization regularly and conSistently monitor and enforce compliance With the policy? If "Yes," describe in ScheduleOhowthiswasdone . . . . . . . . . . . . . . . . . . . 12: Yes 13 Did the organization have a written Whistleblower policyDid the organization have a written document retention and destruction policyDid the process for determining compensation of the followmg persons include a rewew and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and deCI5ion7 The organization?s CEO, Executive Director, or top management offICIal . . . . . . . . . . . 15a No Other officers or key employees of the organization . . . . . . . . . . . . . . . . 15b Yes If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions) 16a Did the organization invest in, contribute assets to, or partICIpate in a pint venture or Similar arrangement With a taxableentityduringtheyear"Yes," did the organization follow a written policy or procedure reqUIring the organization to evaluate its partICIpation in venture arrangements under applicable federal tax law, and take steps to safeguard the organization?s exempt status With respect to such arrangements16b Section C. Disclosure 17 List the States With which a copy of this Form 990 is reqUIred to be filed? 18 Section 6104 reqUIres an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection Indicate how you made these available Check all that apply l:l Own webSIte l:l Another's webSIte Upon request l:l Other (explain in Schedule O) 19 Describe in Schedule 0 Whether (and if so, how) the organization made its governing documents, conflict of interest policy, and finanCIal 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 PJOANNE PARKER 3595 RR 620 SOUTH STE 200 78738 (202) 367-8376 Form 990 (2016) Form 990 (2016) Page 7 Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check If Schedule 0 contains a response or note to any line In this Part VII . . . . . . . . . . . . . . Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons reqUIred to be listed Report compensation for the calendar year ending With or Within the organization's tax year 0 List all of the organization?s current officers, directors, trustees (whether indiViduals or organizations), regardless of amount of compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid 0 List all of the organization's current key employees, If any See instructions for definition of "key employee 0 List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee) who recewed reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations 0 List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations 0 List all of the organization?s former directors or trustees that received, in the capaCIty as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations List persons in the Followmg order IndiVidual trustees or directors, institutional trustees, officers, key employees, highest compensated employees, and former such persons Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (A) (B) (C) (D) (E) (F) Name and Title Average P05ition (do not check more Reportable Reportable Estimated hours per than one box, unless person compensation compensation amount of other week (list is both an officer and a from the from related compensation any hours director/trustee) organization organizations from the for related I It I (W- 2/1099- (W- 2/1099- organization and :i organizations .1 :i 3,5 MISC) MISC) related below dotted 3 organizations line.7. (1) MARK CAMPBELL 2 00 0 0 0 PRESIDENT, DIRECTOR 2 00 (2) AUSTEN FURSE 1 00 0 0 0 SECRETARY, DIRECTOR (3) ALLYSON HO 1 00 0 0 0 TREASU RER, DIRECTOR Form 990 (2016) Form 990 (2016) Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and Title Average P05ition (do not check more Reportable Reportable Estimated hours per than one box, unless person compensation compensation amount of other week (list is both an officer and a from the from related compensation any hours director/trustee) organization (W- organizations (W- from the for related - A pt. ,0 I organization and i_J 3 I :11 organizations 3 3,0 related below dotted 3 organizations lineTotal from continuation sheets to Part VII, Section A . . . . dTotal (add lines Total number of indiViduals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 0 Yes No 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule .7 for such indiwduaiFor any indiVidual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule for such No 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or indiVidual for serVIces rendered to the organization'PIir "Yes," complete Schedule for such person . . . . . . . . 5 No Section B. Independent Contractors 1 Complete this table for your five 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) (B) (C) Name and business address Description of serVIces Compensation 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 990 (2016) Form 990 (2016) Statement of Revenue Check if Schedule 0 contains a response or note to any line In this Part Page 9 El (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt bu5iness excluded from Function revenue tax under sections revenue 512-514 1a Federated campaigns I la I Membership dues . I 1b I Fundraismg events . I 1c I Related organizations I 1d I (D Government grants (contributionsions, 9 5, gran s, is All th ft 2 and Similar amounts not included if 500,000 a; above '2 Noncash contributions included in lines 1a-1f 2 3 a Tota .Add lines 1a-500,000 a, Busmess Code 3 1: 2a i 3 a 5., All other program serVIce revenue 0 ?5 9T0tal.Add lines 2a?2f . . . . 3 Investment income (including diVidends, interest, and other Similar amounts) 4 Income from investment of tax-exempt bond proceeds 5 Royalties Real (ii) Personal 6a Gross rents Less rental expenses Rental income or (loss) Net rental income or (loss) Securities (ii) Other 7.3 Gross amount from sales of assets other than inventory Less cost or other ba5is and sales expenses Gain or (loss) Net gain or (loss) . 8a Gross income from fundraismg events a) (not including of 3 contributions reported on line 1c) See Part IV, line 18 . . . . a ct? bLess direct expenses . . . t, Net income or (loss) from fundraismg events 5 9a Gross income from gaming actIVIties 0 See Part IV, line 19 a bLess direct expenses . . . Net income or (loss) from gaming actIVIties . 10aGross sales of inventory, less returns and allowances a Less cost of goods sold . . Net income or (loss) from sales of inventory Miscellaneous Revenue Busmess Code EXPENSES 900099 16,708 16,708 dAll other revenue eTotal. Add lines 11a?11d 16,708 12 Total revenue. See Instructions 516,708 0 16,708 Form 990 (2016) Form 990 (2016) Page 10 Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A) Check if Schedule 0 contains a response or note to an line in this Part not include amounts reported on lines 6b, (A) Pro raglemce Mana grant and (Part Total expenses Expenses general expenses Fundraismgexpenses 1 Grants and other a55istance to domestic organizations and 25,000 25,000 domestic governments See Part IV, line 21 2 Grants and other a55istance to domestic indiViduals See Part IV, line 22 3 Grants and other a55istance to foreign organizations, foreign governments, and foreign indIVIduals See Part IV, line 15 and 16 4 Benefits paid to or for members 5 Compensation of current officers, directors, trustees, and key employees 6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . 7 Other salaries and wages 54,977 54,977 Pen5ion plan accruals and contributions (include section 401 and 403(b) employer contributions) 9 Other employee benefits . . . . . . . 4,560 4.560 10 Payroll taxes . . . . . . . . . . . 5,772 5,772 11 Fees for serVIces (non-employees) a Management . . . . . . 121,676 121,576 Legal . . . . . . . . . 38,547 38,547 Accounting Lobbying Professwnal fundraismg serVIces See Part IV, line 17 42,000 42,000 Investment management fees 9 Other (If line 119 amount exceeds 10% of line 25, column 54,289 54,289 (A) amount, list line 11g expenses on Schedule O) 12 Advertismg and promotion 13 Office expenses . . . . . . . 934 934 14 Information technology 15 Royalties 16 Occupancy . . . . . . . . . . . 16,492 15,492 17 Travel . . . . . . . . . . . . 9,422 9,422 18 Payments of travel or entertainment expenses for any federal, state, or local public offICIals 19 Conferences, conventions, and meetings 20 Interest 21 Payments to affiliates 22 DepreCIation, depletion, and amortization . . 373 373 23 Insurance . . . 2,206 2,206 24 Other expenses Itemize expenses not covered above (List miscellaneous expenses in line 24a If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule 0 a COMMUNICATION 10,000 10,000 WEBSITE HOSTING, MAINTE 2,084 2,084 BANK FEES 245 245 DUES AND SUBSCRIPTIONS 162 162 All other expenses 25 Total functional expenses. Add lines 1 through 24e 408,739 37,084 329.555 42.000 26 Joint costs. Complete this line only if the organization reported in column (B) costs from a combined educational campaign and fundraising SOIICItation Check here l:l if followmg SOP 98-2 (ASC 958-720) Form 990 (2016) Form 990 (2016) Balance Sheet Page 11 Check If Schedule 0 contaIns a response or note to any lIne In thIs Part IX El (A) (B) BegInnIng of year End of year 1 Cash?non-Interest-bearlng 1 291917 2 Savmgs and temporary cash Investments 2 3 Pledges and grants recerable, net 3 4 Accounts recerable, net 4 5 Loans and other recerables from current and former of?cers, directors, trustees, key employees, and hIghest compensated employees Complete Part 5 II of Schedule 6 Loans and other recerables from other persons (as de?ned under sectIon 4958(f)(1)), persons descrIbed In sectIon 4958(c)(3)(B), and contrIbutIng employers and sponsorIng organIzatIons of sectIon 501(c)(9) 6 voluntary employees' benefICIary organIzatIons (see InstructIons) Complete (A Part II of Schedule 7 Notes and loans recerable, net 7 65,000 a InventorIes for sale or use PrepaId expenses and deferred charges 9 10a Land, bUIldIngs, and eqUIpment cost or other has Complete Part VI of Schedule 103 13-425 Less accumulated depreCIatIon 10b 373 0 10c 13.052 11 traded securItIes 11 12 Investments?other securItIes See Part IV, lIne 11 12 13 Investments?program-related See Part IV, lIne 11 13 14 IntangIble assets 14 15 Other assets See Part IV, lIne 11 15 16 Total assets.Add lInes 1 through 15 (must equal lIne 34) 0 16 107.969 17 Accounts payable and accrued expenses 17 18 Grants payable 18 19 Deferred revenue 19 20 Tax-exempt bond IabI ItIes 20 v. 21 Escrow or custodIal account IabI Ity Complete Part IV of Schedule 21 '9 22 Loans and other payables to current and former offIcers, dIrectors, trustees, key employees, hIghest compensated employees, and A cc persons Complete Part II of Schedule 22 ?1 23 Secured mortgages and notes payable to unrelated thIrd partIes 23 24 Unsecured notes and loans payable to unrelated thIrd partIes 24 25 Other IabI ItIes (IncludIng federal Income tax, payables to related thIrd partIes, 25 and other IabI ItIes not Included on lInes 17-24) Complete Part of Schedule 26 Total Iiabilities.Add lInes 17 through 25 0 26 0 3 Organizations that follow SFAS 117 (ASC 958), check here l:l and 2 complete lines 27 through 29, and lines 33 and 34. 27 UnrestrIcted net assets 27 28 Temporarlly restrIcted net assets 28 29 Permanently restrIcted net assets 29 ,2 Organizations that do not follow SFAS 117 (ASC 958), 5 check here and complete lines 30 through 34. 30 CapItal stock or trust prInCIpal, or current funds . 0 30 0 a; 31 PaId-In or capItal surplus, or land, or eqUIpment fund 0 31 0 32 RetaIned earnIngs, endowment, accumulated Income, or other funds 0 32 107,959 33 Total net assets or fund balances 0 33 107,969 34 Total IabI ItIes and net assets/fund balances 0 34 107.959 Form 990 (2016) Form 990 (2016) Page 12 Reconcilliation of Net Assets Check If Schedule 0 contaIns a response or note to any lIne In thIs Part Total revenue (must equal Part column (A), lIne 12) 1 516,708 2 Total expenses (must equal Part IX, column (A), lIne 25) 2 408,739 3 Revenue less expenses Subtract lIne 2 from lIne 1 3 107,969 4 Net assets or fund balances at begInnIng of year (must equal Part X, lIne 33, column 4 0 5 Net unrealized gaIns (losses) on Investments 5 6 Donated serVIces and use of faCIlItIes 6 7 Investment expenses 7 8 PrIor perIod adjustments 8 9 Other changes In net assets or fund balances (explaIn In Schedule 0) 9 0 10 Net assets or fund balances at end of year CombIne lInes 3 through 9 (must equal Part X, lIne 33, column 10 107,969 Financial Statements and Reporting Check If Schedule 0 contaIns a response or note to any lIne In thIs Part XII . . . . . . . . . . . . . l:l Yes No 1 AccountIng method used to prepare the Form 990 Cash l:l Accrual l:l Other If the organIzatIon changed Its method of accountmg from a prIor year or checked "Other," explaIn In Schedule 0 2a Were the organIzatIon?s fInanCIal statements comleed or reVIewed by an Independent accountant? 2a No If ?Yes,? check a box below to IndIcate whether the fInanCIal statements for the year were complied or reVIewed on a separate ba5Is, consolIdated ba5Is, or both l:l Separate ba5Is l:l ConsolIdated ba5Is l:l Both consolldated and separate ba5Is Were the organIzatIon?s fInanCIal statements audIted by an Independent accountant? 2b No If ?Yes,? check a box below to IndIcate whether the fInanCIal statements for the year were audIted on a separate ba5Is, consolldated ba5Is, or both l:l Separate basIs l:l ConsolIdated ba5Is l:l Both consolldated and separate ba5Is If "Yes," to lIne 2a or 2b, does the organIzatIon have a commIttee that assumes for overSIght of the audIt, reVIew, or compIIatIon of Its fInanCIal statements and selectIon of an Independent accountant? 2c If the organIzatIon changed eIther Its overSIght process or selectIon process durIng the tax year, explaIn In Schedule 0 3a As a result of a federal award, was the organIzatIon reqUIred to undergo an audIt or audIts as set forth In the SIngle AudIt Act and OMB CIrcular 3a No If "Yes," dId the organIzatIon undergo the reqUIred audIt or audIts? If the organIzatIon dId not undergo the reqUIred audIt or audIts, explaIn why In Schedule 0 and descrIbe any steps taken to undergo such audIts 3b Form 990 (2016) Additional Data Software ID: Software Version: EIN: 81-2956944 Name: CONSERVATIVE ACTION NETWORK Form 990 (2016) Form 990, Part Line 4a: TO FURTHER THE COMMON GOOD AND WELFARE OF THE UNITED STATES BY PROVIDING AWARENESS AND ADVOCACY FOR CONSERVATIVE POLICIES THAT PROMOTE JOBS, FREEDOM AND SECURITY Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - SCHEDULE (Form 990) Department of the Trensun Internal Rex enue Sen Ice Supplemental Financial Statements Complete if the organization answered "Yes," on Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Attach to Form 990. Information about Schedule (Form 990) and its instructions is at OMB No 1545-0047 2016 Open to Public Inspection Name of the organization CONSERVATIVE ACTION NETWORK Employer identification number 81-2956944 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. 1 Total number at end of year 2 Aggregate value of contributions to (during year) 3 Aggregate value of grants from (during year) Aggregate value at end of year a Donor adVised funds Funds and other accounts Did the organization inform all donors and donor adVisorS in writing that the assets held in donor adVised funds are the organization's property, subject to the organization's excluswe legal control? l:l Yes l:l No 6 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 benefit of the donor or donor adVisor, or for any other purpose conferring impermISSIble private benefit? l:l Yes l:l No Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7. 1 Purpose(s) of conservation easements held by the organization (check all that apply) l:l Preservation of land for public use (e recreation or education) l:l l:l Protection of natural habitat l:l l:l Preservation of open space Preservation of an historically important land area Preservation of a certified historic structure 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year He d at the End of the Year a Total number of conservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in 2c Number of conservation easements included in achIred after 8/17/06, and not on a historic 2d structure listed in the National Register 3 Number of conservation easements modified, 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? l:l Yes l:l No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of Violations, and enforcmg conservation easements during the year 7 Amount of expenses incurred in monitoring, inspecting, handling of Violations, and enforCIng conservation easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the reqUIrementS of section and section l:l Yes l:l No 9 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" on Form 990, Part IV, line 8. 1a 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 serVice, pr0Vide, in Part the text of the footnote to its finanCIal 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, historical treasures, or other Similar assets held for public exhibition, education, or research in furtherance of public serVice, prowde the followmg amounts relating to these items Revenue included on Form 990, Part line 1 (ii)Assets included in Form 990, Part 2 If the organization received or held works of art, historical treasures, or other Similar assets for financial gain, prOVide the followmg amounts reqUIred to be reported under SFAS 116 (ASC 958) relating to these items a Revenue included on Form 990, Part line 1 Assets included in Form 990, Part For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 52283D Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Usmg the organIzatIon's achISItion, accessmn, and other records, check any of the followmg that are a SignIfIcant use of Its collection Items (check all that apply) a l:l Public exhibitIon l:l Loan or exchange programs l:l Scholarly research Other l:l Preservation for future generations 4 a description of the organIzatiori's collections and explain how they further the organization?s exempt purpose In Part 5 During the year, dId the organization so ICIt or receive donations of art, historical treasures or other assets to be sold to raise funds rather than to be maintaIned as part of the organization?s collection? El Yes El No Escrow and Custodial Arrangements. Complete If the organization answered "Yes" on 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 riot Included on Form 990, Part El Yes El No If "Yes," explaIn the arrangement In Part and complete the followmg table Amount Beginning balance 1C AddItIons durIng the year 1d 8 Distributions durIng the year 18 EndIng balance 1f 2a Did the organizatIon Include an amount on Form 990, Part X, line 21, for escrow or custodIal account lIability7 El Yes No If "Yes," explaIn the arrangement In Part Check here If the explanatIon has been prOVIded In Part . . . . . . . . l:l Endowment Funds. Complete If the organIzatIon answered "Yes" on Form 990, Part IV, Ine 10. (a)Current year (b)PrIor year (c)Two years back (d)Three years back (e)Four years back 1a BegInnIng of year balance ContrIbutIons Net Investment earnings, gains, and losses Grants or scholarships Other expendItures for faCIlitIes and programs AdmInistrative expenses 9 End of year balance 2 the estImated percentage of the current year end balance (line lg, column held as Board deSIgnated or quaSI-endowment Permanent endowment TemporarIIy restrIcted endowment The percentages on lInes 2a, 2b, and 2c should equal 100% 3a Are there endowment funds not In the possesSIon of the organizatIon that are held and admInIstered for the organization by Yes No unrelated organizations . . . . . . . . . . . . . . . . . 3a(i) (ii) related organizations . . . . . . . . . . . . . . . . . 3a(ii) If "Yes" on are the related organIzations Isted as reqUIred on Schedule . . . . . . . . . 3b 4 Describe In Part the Intended uses of the organIzation's endowment funds Land, Buildings, and Equipment. Complete If the or anIzatIon answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, Me 10. Description of property Cost or other (b)Cost or other (other) (c)Accumulated depreCIatIon (d)Book value (Investment) 1a Land BUIldIngs Leasehold Improvements EqUIpment Other . . . 13,425 373 13,052 Total. Add lines 1a through 1e (Column (cl) must equal Form 990, Part X, column (B), line 10(c)) . . 13,052 Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 3 Investments?Other Securities. Complete if the organization answered ?Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12. Description of security or category (b)Book (c)Method of valuation (Including name of security) value Cost or end-oF-year market value (1)FinanCIal derivatives (2)Closely-held eqUIty interests (3)Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column must equal FONT) 990, Part X, col (B) line 12 Investments?Program Related. Complete if the organization answered ?Yes' on Form 990, Part IV, line 11c. See Form 990, Part X. line 13. Description of investment Book value Method of valuation Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column must equal Falm 990, Part X, col (B) line 13) Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d See Form 990, Part X, line 15 Description Book value (1) (2) (3) (4) (5) (6) (7) (8) (9) Total. (Column must equal Form 990, Part X, col (B) line 15Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line He or 11f. See Form 990, Part X, line 25. 1_ Description of liability Book value (1) Federal income taxes Total. (Column must equal FONT) 990, Part X, col (B) line 25) I 2. Liability for uncertain tax p05itions In Part prowde the text of the footnote to the organization's finanCIal statements that reports the organization's liability for uncertain tax p05itions under FIN 48 (ASC 740) Check here if the text of the footnote has been prowded in Part l:l Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 4 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete If the organIzatIon answered 'Yes' on Form 990, Part IV, lIne 12a. 1 Total revenue, gaIns, and other support per audIted fInanCIal statements 1 2 Amounts Included on lIne 1 but not on Form 990, Part lIne 12 a Net unrealized gaIns (losses) on Investments 2a Donated serVIces and use of 2b RecoverIes of prIor year grants 2c Other (DescrIbe In Part 2d Add lInes 2a through 2d 2e 3 Subtract lIne 2e from lIne 1 3 Amounts Included on Form 990, Part lIne 12, but not on lIne 1 3 Investment expenses not Included on Form 990, Part lIne 7b 4a Other (DescrIbe In Part 4b Add lInes 4a and 4b . 4c 5 Total revenue Add ?ms 3 and 4c. (ThIs must equal Form 990, Part I, lIne 12 5 Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete If the organIzatIon answered 'Yes' on Form 990, Part IV, lIne 12a. 1 Total expenses and losses per audIted FInanCIal statements 1 2 Amounts Included on lIne 1 but not on Form 990, Part IX, lIne 25 a Donated serVIces and use of faCIlItIes 2a PrIor year adjustments 2b Other losses 2c Other (DescrIbe In Part 2d Add lInes 2a through 2d 2e 3 Subtract lIne 2e from lIne 1 3 Amounts Included on Form 990, Part IX, lIne 25, but not on lIne 1: 3 Investment expenses not Included on Form 990, Part lIne 7b 4a Other (DescrIbe In Part 4b Add lInes 4a and 4b . 4c 5 Total expenses Add lInes 3 and 4c. (ThIs must equal Form 990, Part I, lIne 18 5 Supplemental Information Part V, lIne 4, Part X, lIne 2, Part XI, lInes 2d and 4b, and Part XII, lInes 2d and 4b Also complete thIs part to prowde any addItIonal Informatlon Return Reference the descrIptIons reqUIred for Part II, ?ms 3, 5, and 9, Part lInes 1a and 4, Part IV, lInes 1b and 2b, ExplanatIon Schedule (Form 990) 2015 Schedule (Form 990) 2015 Page 5 Supplemental Information (continued) Return Reference Explanation Schedule {Form 990) 2016 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - SCHEDULE (Form 990 or 990-EZ) of the Trensun Internal Re\ c?nllc? Sen ice Supplemental Information Regarding Fundraising or Gaming Activities Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, lirie 6a ?Attach to Form 990 or Form 990-EZ. ?Information about Schedule (Form 990 or 990-EZ) and its Instructions is at irs gov/form990. OMB No 1545-0047 2016 Inspection Name of the organization CONSERVATIVE ACTION NETWORK 81-2956944 Employer identification number Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17. Form 990-EZ filers are not reqUIred to complete this part. 2a Indicate whether the organization raised funds through any of the followmg actIVIties Check all that apply Mail solicrcations Internet and email solidtations Phone soIICItations In-person soIICItations SOIICItation of non-government grants SOIICItation of government grants SpeCIal fundraismg events Did the organization have a written or oral agreement With any indiVidual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection With profe55ional fundraismg serVIces'r' Yes l:l No If "Yes," list the ten highest paid indiViduals or entities (fundraisers) pursuant to agreements under which the fundraiser IS to be compensated at least $5,000 by the organization Name and address 0f (ii) Did (iv) Gross receipts Amount paid to (vi) Amount paid to indiVidual fundralser have from actiwty (or retained by) (or retained by) or entity (fundraiser) 0r fundraiser listed in organization control of col contributions? Yes No 1 FUNDRAISING LOFSTROM CONSULTING COMMISSIONS LLC 813 ALFRED STREET No 500,000 42,000 458,000 ALEXANDRIA, VA 22314 Total 500,000 42,000 458,000 3 List all states in which the organization is registered or licensed to contributions or has been notified it IS exempt from registration or licensmg For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat No 50083H Schedule (Form 990 or 990-EZ) 2016 Schedule (Form 990 or 990-EZ) 2016 Page 2 Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraismg event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events With gross receipts greater than $5,000. (a)Event #1 Event #2 (c)0ther events Total events (add col (3) through (event type) (event type) (total number) col G) Q) 0: 1 Gross receipts . 2 Less Contributions . 3 Gross income (line 1 minus line 2) 4 Cash prizes 5 Noncash prizes 5 Rent/faculty costs IE- 7 Food and beverages 8 Entertainment 5 9 Other direct expenses 10 Direct expense summary Add lines 4 through 9 in column . . . . . . . . . . 11 Net income summary Subtract line 10 from line 3, column . . . . . . . . . . Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. G) Pull tabs/Instant Total gaming (add 5 Bmgo bingo/progresswe bingo Other gammg col through col 82 1 Gross revenue . 2 Cash prizes 3 Noncash prizes 6.5 4 Rent/faculty costs 5 5 Other direct expenses Yes Yes -341. El Yes 6 Volunteer labor . . . . No No No 7 Direct expense summary Add lines 2 through 5 in column . . . . . . . . . . 3 Net gaming income summary Subtract line 7 from line 1, column . . . . . . . . 9 Enter the state(s) in which the organization conducts gaming actIVIties a Is the organization licensed to conduct gaming actIVIties in each of these states? I: Yes No If explain 10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? Yes No If "Yes," explain Schedule (Form 990 or 990-EZ) 2016 Schedule (Form 990 or 990-EZ) 2016 Page 3 11 Does the organization conduct gaming actIVIties With nonmembers? Yes No 12 Is the organization a grantor, bene?CIary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? Yes El No 13 Indicate the percentage of gaming actIVIty conducted in a The organization's faCIlity 13a An out5ide faCIlity 13b 14 Enter the name and address of the person who prepares the organization?s gaming/speCIal events books and records Name Address 15a Does the organization have a contract With a third party from whom the organization receives gaming revenue? DYes DNO If "Yes," enter the amount of gaming revenue received by the organization and the amount of gaming revenue retained by the third party If "Yes," enter name and address of the third party Name Address 16 Gaming manager information Name Gaming manager compensation Description of serVIces prowded l:l Director/officer l:l Employee l:l Independent contractor 17 Mandatory distributions a Is the organization reqUIred under state law to make charitable distributions From the gaming proceeds to retain the state gaming license? EYES No Enter the amount of distributions reqUIred under state law distributed to other exempt organizations or spent in the organization's own exempt actIVIties during the tax year Supplemental Information. Prowde the explanations reqwred by Part I, line 2b, columns and and Part lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to prowde any additional information (see instructions). Return Reference Explanation Schedule (Form 990 or 990-EZ) 2016 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93493314032647I schedule I OMB No 1545-0047 (Form 990) Grants and Other A55istance to Organizations, Governments and Individuals in the United States Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22. open to Public Department Ofthe Attach to Form_ 990. Inspection Treasury Information about Schedule I (Form 990) and Its Instructions is at Internal Revenue SerVIce Name of the organization Employer identification number CONSERVATIVE ACTION NETWORK 81-2956944 General Information on Grants and Assistance 1 Does the organization maintain records to substantiate the amount of the grants or a55istance, the grantees' eligibility for the grants or a55istance, and the selection criteria used to award the grants or a55istanceDescribe in Part IV the organization's procedures for monitoring the use of grant funds in the United States Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, For any reCIpient that received more than $5,000 Part II can be duplicated if additional space is needed Name and address of EIN IRC section Amount of cash Amount of non- Method of valuation (9) Description of Purpose of grant organization if applicable grant cash (book, FMV, appraisal, non-cash a55istance or a55istance or government aSSIstance other) (1) 42-1461169 501C3 25,000 CASH GENERAL PURPOSE THE FAMILY LEADER FOUNDATION INC PO BOX 42245 URBANDALE, IA 50323 Enter total number of other organizations listed in the line 1 table . For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50055P Schedule I (Form 990) 2016 Schedule I (Form 990) 2016 Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22 Part can be duplicated if additional space IS needed Page 2 Type of grant or a55istance Number of reCIpients Amount of cash grant Amount of non-cash a55istance Method of valuation (book, appraisalr other) Description of non-cash a55istance Supplemental Information. Prowde the information reqUIred in Part I, line 2, Part column and any other additional information. Return Reference Explanation PART I, LINE 2 CONTINUED INFORMAL COMMUNICATIONS WITH GRANT RECIPIENTS Schedule I (Form 990) 2016 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93493314032647I Schedule Transactions With Interested Persons OMB 1545 0047 (Form 990 or Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b. 2 0 1 6 Attach to Form 990 or Form 990-EZ. Departmemofthe Tremun PInformation about Schedule (Form 990 or 990-EZ) and its instructions is at open to public Internal Rex enue Sen Ice Wm' I ection Name of the organization Employer identification number CONSERVATIVE ACTION NETWORK 81-2956944 Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only) Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b 1 Name of disqualified person Relationship between disqualified person and Description of Corrected? organization transaction Yes No 2 Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958 . . . . . . . . . . . . . . . . 3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization . Loans to and/or From Interested Persons. Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26, or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22 Name of Relationship Purpose Loan to or from the (e)0rigina (f)Ba ance In (i)Written interested person With organization of loan organization? prinCIpal clue default? Approved by agreement? amount board or committee? To From Yes No Yes No Yes No Total Grants or Assistance Benefiting Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 27. Name of interested person Relationship between Amount of a55istance Type of a55istance Purpose of assistance interested person and the organization For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat No 50056A schedule (Form 990 or ggo-Ez) 2016 Schedule (Form 990 or 990-EZ) 2016 Page 2 Business Transactions Involving Interested Persons. Complete If the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c. Name of Interested person Amount of of transactlon Sharing between Interested transactlon of person and the organization's organization revenues? Yes No (1) MARK CAMPBELL INTELLZ INC INTELLZ INC IS A 50,791 THE ORGANIZATION LEASED No WHOLLY OWNED ENTITY OF MARK CAMPBELL SPACE AT FMV FOR 3 MONTHS ($1,541) AND PAID FOR MANAGEMENT CONSULTING SERVICES ($43,000) AND EXPENSE REIMBURSEMENTS ($6,250) TO INTELLZ INC - INTELLZ INC IS A WHOLLY OWNED ENTITY OF MARK CAMPBELL AND MARK IS THE OF THE ORGANIZATION Supplemental Information Prowde Information for responses to questlons on Schedule (see Instructlons) Return Reference Explanation Schedule (Form 990 or 990-EZ) 2016 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - SCHEDULE 0 (Form 990 or 990- El) Department of the Trensun 1 Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule 0 (Form 990 or 990-EZ) and its instructions is at OMB No 1545-0047 Open to Public Inspection o?f tHe'orglanIzatIon CONSERVATIVE ACTION NETWORK 990 Schedule 0, Supplemental Information Employer identification number 81-2956944 Return Explanatlon Reference FORM 990, THE FORM 990 IS REVIEWED FOR FINANCIAL ACCURACY BY THE BOOKKEEPER AND THE CONTENT IS REVIE PART VI, WED BY LEGAL COUNSEL BEFORE BY THE BOARD SECTION B, LINE 11B 990 Schedule 0, Supplemental Information Return Explanation Reference FORM 990, ALL DECISIONS OF THE BOARD THAT POTENTIALLY IMPLICATE THE CONFLICT OF INTEREST POLICY IS SCREENED PART VI, BY LEGAL COUNSEL SECTION B, LINE 120 990 Schedule 0, Supplemental Information Return Reference Explanation FORM 990, PART VI, SECTION B, LINE 158 PURSUANT TO THE CONFLICT OF INTEREST POLICY 990 Schedule 0, Supplemental Information Return Reference Explanation FORM 990, PART VI, SECTION C. THE FORMS ARE AVAILABLE UPON REQUEST 990 Schedule 0, Supplemental Information Return Explanation Reference FORM 990, THE INFORMATION IS NOT AVAILABLE TO THE PUBLIC OTHER THAN WHAT IS INCLUDED IN THE FORMS 990 AND 1024 PART VI, SECTION C, LINE 19 990 Schedule 0, Supplemental Information Return Explanation Reference FORM 990, MARK CAMPBELL ALSO SERVED AS EXECUTIVE DIRECTOR OF THE ORGANIZATION FOR SEVERAL MONTHS DUR PART VII, ING 2016 AND WAS PAID $43,000 FOR THESE MANAGEMENT CONSULTING SERVICES THROUGH HIS WHOLLY SECTION A OWNED ENTITY, INTELLZ INC (SEE SCHEDULE L) 990 Schedule 0, Supplemental Information Return Explanation Reference FORM 990, COMMUNICATIONS CONSULTING PROGRAM SERVICE EXPENSES 0 MANAGEMENT AND GENERAL EXPENSES 9,0 PART IX, 00 FUNDRAISING EXPENSES 0 TOTAL EXPENSES 9,000 PAYROLL FEES PROGRAM SERVICE EXPENSES 0 LINE 11G MANAGEMENT AND GENERAL EXPENSES 4,039 FUNDRAISING EXPENSES 0 TOTAL EXPENSES 4,039 PUB AFFAIRS CONSULTING PROGRAM SERVICE EXPENSES 0 MANAGEMENT AND GENERAL EXPENSES 41,250 FUNDRAISING EXPENSES 0 TOTAL EXPENSES 41,250 COMPLIANCE CONSULTING PROGRAM SERVICE EX PENSES 0 MANAGEMENT AND GENERAL EXPENSES 10,000 FUNDRAISING EXPENSES 0 TOTAL EXPENSES 1 0,000 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - SCHEDULE (Form 990) Department of the Trensun Internal Re\ enue Sen ice Attach to Form 990. Related Organizations and Unrelated Partnerships Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37. Information about Schedule (Form 990) and its instructions is at OMB No 1545-0047 2016 Open to Public Ins ection Name of the organization CONSERVATIVE ACTION NETWORK Employer identification number 81-2956944 Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33. (C) Name, address, and EIN (if applicable) of disregarded entity Primary actiVity Legal domICIle (state Total Income End-of-year assets Direct controlling or foreign country) entity Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year. (9) Name, address, and EIN of related organization Primary actIVIty Legal domICIle (state Exempt Code section Public charity status Direct controlling Section 512(b) or foreign country) (if section 501(c)(3)) entity (l3) controlled entity7 Yes No POLICY FOUNDATION TO CONDUCT POLICY TX LINE 7 No 3595 RR 620 SOUTH AUSTIN, TX 78738 81-2935670 RESEARCH AND EDUCATE THE PUBLIC ON ISSUES RELATING TO JOBS For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No 50135Y Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 2 Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year. Name, address, and EIN of related organization Primary actIVIty (0) Legal domICIle (state or foreign country) Direct controlling entity Predominant income(re ated, unrelated, excluded from tax under sections 512- 514) Share of total Income (9) Share of end?of?year assets (I) Disproprtionate Code General or Percentage allocations? amount in box managing ownership 20 of partner? Schedule K-l (Form 1065) Yes No Yes No Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year. Name, address, and EIN of related organization Primary actIVIty (sta (C) Legal domICIle te or foreign country) entity Direct controlling Type of entity (C corp, corp, or trust) Share of total income 9 Share of end-of- year assets Percentage ownership (I) Section 512(b) (13) controlled entity7 Yes No Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 3 Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. Note. Complete line 1 if any entity is listed In Parts II, or IV of this schedule YES NO 1 During the tax year, did the orgranization engage in any of the fo 0Wing transactions With one or more related organizations listed in Parts a Receipt of interest, (ii)annUIties, royalties, or(iv) rent from a controlled entity . 18 N0 Gift, grant, or capital contribution to related organization(s) . 1'3 N0 Gift, grant, or capital contribution from related organization(s) . 1C N0 Loans or loan guarantees to or for related organization(s) 1d Yes Loans or loan guarantees by related organization(s) 15 N0 DiVidends from related organization(s) 1f N0 9 Sale of assets to related organization(s) . 19 N0 Purchase of assets from related organization(s) . 1'1 N0 i Exchange of assets With related organization(s) . 1i N0 Lease of faCIlities, eqUIpment, or other assets to related organization(s) 1i N0 Lease of faCIlities, eqUIpment, or other assets from related organization(s) . 1k N0 Performance of serVIces or membership or fundraismg SOIICItations for related organization(s) 1' N0 Performance of serVIces or membership or fundraismg by related organization(s) N0 Sharing of faCIlities, eqUIpment, mailing lists, or other assets With related organization(s) . 1" Yes 0 Sharing of paid employees With related organization(s) . 10 Yes Reimbursement paid to related organization(s) for expenses . 1p No Reimbursement paid by related organization(s) for expenses . 1Cl N0 Other transfer of cash or property to related organization(s) . 1r No 5 Other transfer of cash or property from related organization(s) . 15 N0 2 If the answer to any of the above is "Yes," see the instructions for information on Who must complete this line, including covered relationships and transaction thresholds Name of related organization Transaction Amount involved Method of determining amount involved type POLICY FOUNDATION 175,000 CASH POLICY FOUNDATION 5,652 CASH POLICY FOUNDATION 16,708 CASH Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 4 Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37. Prowde the followmg Information for each entity taxed as a partnership through which the organization conducted more than five percent of its actIVIties (measured by total assets or gross revenue) that was not a related organization See instructions regarding exclu5ion for certain investment partnerships a Name, address, and EIN of entity Primary actiwty Legal domICIle (state or foreign country) Predominant income (related, unrelated, excluded from tax under sections 512- 514) (8) Are all partners section 501(c)(3) organizations? Yes No Share of total income (9) hare of end?of?year assets Disproprtionate allocations? Yes No (I) Code amount in box of Schedule K-l (Form 1065) (R) General or Percentage managing ownership partner? Yes No Schedule (Form 990) 2016 Schedule (Form 990) 2016 Page 5 Supplemental Information Prowde additional Information for responses to questions on Schedule (see Instructions) Return Reference Explanation Schedule (Form 990) 2016