2012 TAX RETURN Client Copy Client: BC001 Prepared for: BIRTH CHOICE PREGNANCY CENTERS INC 92 ARGONAUT Suite 205 ALISO VIEJO, CA 92656 949-916-0763 Prepared by: Cejay Helmer NPO FINANCIAL SERVICES 21722 Paxton Mission Viejo, CA 92692 949-445-4893 Date: October 23, 2014 Comments: Route to: FDIL2001L 05/31/12 2012 Exempt Org. Return prepared for: BIRTH CHOICE PREGNANCY CENTERS INC 92 ARGONAUT Suite 205 ALISO VIEJO, CA 92656 NPO FINANCIAL SERVICES 21722 Paxton Mission Viejo, CA 92692 NPO FINANCIAL SERVICES Client BC001 October 23, 2014 21722 Paxton Mission Viejo, CA 92692 949-445-4893 BIRTH CHOICE PREGNANCY CENTERS INC 92 ARGONAUT #205 ALISO VIEJO, CA 92656 949-916-0763 FEDERAL FORMS Form 990 Schedule A Schedule B Schedule D Schedule G Schedule J Schedule O Schedule R Form 8879-EO 2012 Return of Organization Exempt from Income Tax Organization Exempt Under Section 501(c)(3) Schedule of Contributors Schedule D Fundraising or Gaming Activities Schedule J Supplemental Information Related Organizations and Unrelated Partnerships IRS e-file Signature Authorization CALIFORNIA FORMS Form 199 Schedule B Form RRF-1 2012 California Exempt Organization Return Schedule of Contributors 2013 Registration/Renewal Fee Report FEE SUMMARY Preparation Fee 2012 Federal Exempt Organization Tax Summary Page 1 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 2012 2011 Diff REVENUE Contributions and grants . . . . . . . . . . . . . . . . . . . . . . . . Program service revenue. . . . . . . . . . . . . . . . . . . . . . . . . . Investment income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,838,275 37,568 10,619 24,000 2,594,138 34,370 41 50,418 244,137 3,198 10,578 -26,418 Total revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,910,462 2,678,967 231,495 EXPENSES Salaries, other compen., emp. benefits. . . Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,119,040 1,159,320 1,547,405 1,253,259 -428,365 -93,939 Total expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,278,360 2,800,664 -522,304 NET ASSETS OR FUND BALANCES Revenue less expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total assets at end of year. . . . . . . . . . . . . . . . . . . . Total liabilities at end of year . . . . . . . . . . . . Net assets/fund balances at end of year. . 632,102 1,371,434 111,101 1,260,333 -121,697 984,499 220,657 763,842 753,799 386,935 -109,556 496,491 2012 California 199 Tax Summary BIRTH CHOICE PREGNANCY CENTERS INC Page 1 33-0150193 REVENUE Gross amount from sale of assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross contributions, gifts, & grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,046 173,050 2,838,275 Total income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,021,371 EXPENSES AND DISBURSEMENTS Compensation of officers, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other salaries and wages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other deductions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167,092 758,981 108,566 219,404 122,520 1,012,706 Total deductions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,389,269 Excess of receipts over disbursements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 632,102 FILING FEE Filing fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 0 SCHEDULE L Beginning Assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Beginning Liabilities & Net Worth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 984,499 984,499 Ending Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ending Liabilities & Net Worth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,371,434 1,371,434 2012 General Information BIRTH CHOICE PREGNANCY CENTERS INC Forms needed for this return Federal: 990, Sch A, Sch B, Sch D, Sch G, Sch J, Sch O, Sch R California: 199, Sch B, RRF-1 Carryovers to 2013 None Page 1 33-0150193 2012 Preparer e-file Instructions - Federal BIRTH CHOICE PREGNANCY CENTERS INC Page 0 33-0150193 The organization's Federal tax return is NOT FINISHED until you complete the following instructions. Prior to transmission of the return Form 990 The organization should review their Federal Return along with any accompanying schedules and statements. Paperless e-file The organization should read, sign and date the Form 8879-EO, IRS e-file Signature Authorization. Even Return No payment is required. After transmission of the return Receive acknowledgement of your e-file transmission status. Within several hours, connect with Lacerte and get your first acknowledgement (ACK) that Lacerte has received your transmission file. Connect with Lacerte again after 24 and then 48 hours to receive your Federal ACKs. Keep a signed copy of Form 8879-EO, IRS e-file Signature Authorization in your files for 3 years. Do not mail: Form 8879-EO IRS e-file Signature Authorization 2012 Federal Worksheets Page 1 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Form 990, Part IX, Line 11g Other Fees For Services (A) Total ACCREDITATION GRANT WRITING HR SERVICES MEDICAL CONSULTANT NOTARY SERVICE PAYROLL SERVICE FEES Total $ 38,046. 8,905. 38,002. 5,342. 60. 8,588. 98,943. $ (B) Program Services (C) Management & General (D) Fundraising 38,046. 27,362. 5,342. 8,905. 3,800. 6,840. 60. 8,588. 15,488. $ 70,750. $ 12,705. Form 990, Part IX, Line 24e Other Expenses (A) Total APPEAL (PRINTING & POSTAGE) Bank Charges BUILDING REPAIR AND MAINTENANC DUES AND SUBSCRIPTIONS EMP AND VOLUNTEER TRAINING MEALS AND ENTERTAINMENT MERCHANT ACCOUNT FEES MISCELLANEOUS EXPENSE Postage and Shipping Printing and Publications Total $ 19,321. 1,861. 4,424. 9,425. 7,148. 4,255. 14,683. 4,138. 6,716. 8,377. 80,348. $ (B) Program Services (C) Management & General 4,071. 5,372. 3,788. 1,240. 14,683. 1,616. 3,694. 3,016. 37,480. $ (D) Fundraising 1,861. 353. 1,697. 2,931. 2,440. 2,522. 1,276. 5,361. 18,441. $ 19,321. 2,356. 429. 575. 1,746. 24,427. Excess Contributions Schedule A, Part II, Line 5 2008 2009 2010 California Community Foundation 50,000 50,000 2011 2012 Total 2% Amt Excess 0 43,750 171,250 315,000 157,644 157,356 55,000 175,701 40,000 566,055 157,644 408,411 Dennis and Lynne Jilot 10,000 125,000 175,000 290,000 270,000 870,000 157,644 712,356 Jim and Patti Edwards 105,000 59,000 175,000 15,900 15,000 369,900 157,644 212,256 Jim and Virginia Hasson 68,276 104,737 26,250 30,398 0 229,661 157,644 72,017 Knights of Columbus Charities 0 93,492 29,903 22,823 20,000 166,218 157,644 8,574 Charles and Jill Schreiber 200,000 95,354 2012 Federal Worksheets Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Excess Contributions (continued) Schedule A, Part II, Line 5 Roman Catholic Bishop of Orange 16,338 35,277 10,461 99,624 99,455 261,155 157,644 103,511 US.Conference of Catholic Bishops 0 0 0 0 250,000 250,000 157,644 92,356 678,196 865,705 3,027,989 1261152 1766837 449,614 562,860 471,614 Form IRS e-file Signature Authorization for an Exempt Organization 8879-EO For calendar year 2012, or fiscal year beginning Department of the Treasury Internal Revenue Service 10/01 , 2012, and ending 9/30 OMB No. 1545-1878 , 2013 . 2012 G Do not send to the IRS. Keep for your records. Name of exempt organization Employer identification number 33-0150193 BIRTH CHOICE PREGNANCY CENTERS INC Name and title of officer JENNIFER WALLACE COO Part I Type of Return and Return Information (Whole Dollars Only) Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than 1 line in Part I. 1a 2a 3a 4a 5a Form 990 check here. . . . . G X b Total revenue, if any (Form 990, Part VIII, column (A), line 12). . . . . . . . . Form 990-EZ check here . . . . . G b Total revenue, if any (Form 990-EZ, line 9). . . . . . . . . . . . . . . . . . . . . . . . Form 1120-POL check here. . . . . . G b Total tax (Form 1120-POL, line 22). . . . . . . . . . . . . . . . . . . . . . . . . . . . Form 990-PF check here . . . . . G b Tax based on investment income (Form 990-PF, Part VI, line 5). . . . Form 8868 check here. . . . G b Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) . . . . . . . . . . . . . 2,910,462. 1b 2b 3b 4b 5b Part II Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2012 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic funds withdrawal. Officer's PIN: check one box only X I authorize NPO FINANCIAL SERVICES to enter my PIN ERO firm name 23001 as my signature Enter five numbers, but do not enter all zeros on the organization's tax year 2012 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. As an officer of the organization, I will enter my PIN as my signature on the organization's tax year 2012 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Officer's signature Date G G Part III Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33110483878 do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature on the 2012 electronically filed return for the organization indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature G Cejay Helmer Date G ERO Must Retain This Form ' See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So Form 8879-EO BAA For Paperwork Reduction Act Notice, see instructions. TEEA7401L 11/09/12 Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department of the Treasury Internal Revenue Service A B For the 2012 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Open to Public Inspection G The organization may have to use a copy of this return to satisfy state reporting requirements. 10/01 9/30 , 2012, and ending BIRTH CHOICE PREGNANCY CENTERS INC 92 ARGONAUT #205 ALISO VIEJO, CA 92656 , 2013 D Employer Identification Number E Telephone number 33-0150193 949-916-0763 Terminated G Amended return Application pending F Name and address of principal officer: JENNIFER WALLACE Same As C Above )H (insert no.) Tax-exempt status 501(c) ( I X 501(c)(3) J Website: G www.birthchoiceclinic.org Trust K Form of organization: X Corporation Association OtherG Part I Summary 4947(a)(1) or Gross receipts $ H(a) Is this a group return for affiliates? 3,021,371. X No Yes H(b) Are all affiliates included? If 'No,' attach a list. (see instructions) 527 H(c) Group exemption number L Year of Formation: 1985 M Yes No G State of legal domicile: CA TO PROVIDE COUNSELING, PREGNANCY TESTING, ULTRASOUND AND STD TESTING TO WOMEN AT RISK. 1 Briefly describe the organization's mission or most significant activities: 2 3 4 5 6 7a b Check this box G if the organization discontinued its operations or disposed of more than 25% of its net assets. Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . . . . . . . . . . 4 14 Total number of individuals employed in calendar year 2012 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . . 5 31 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 70 Total unrelated business revenue from Part VIII, column (C), line 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a 0. Net unrelated business taxable income from Form 990-T, line 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b 0. Prior Year Current Year Contributions and grants (Part VIII, line 1h). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,594,138. 2,838,275. Program service revenue (Part VIII, line 2g). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,370. 37,568. Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . . 41. 10,619. Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e). . . . . . . . . . . . . . . . 50,418. 24,000. Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 2,678,967. 2,910,462. Grants and similar amounts paid (Part IX, column (A), lines 1-3). . . . . . . . . . . . . . . . . . . . . . Benefits paid to or for members (Part IX, column (A), line 4). . . . . . . . . . . . . . . . . . . . . . . . . . Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10). . . . . . 1,547,405. 1,119,040. 8 9 10 11 12 13 14 15 16 a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) G 211,143. 17 18 19 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 21 Total assets (Part X, line 16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,253,259. 2,800,664. -121,697. 1,159,320. 2,278,360. 632,102. Beginning of Current Year Part II End of Year 984,499. 220,657. 763,842. 1,371,434. 111,101. 1,260,333. Signature Block 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. Sign Here A A Signature of officer Date JENNIFER WALLACE COO Type or print name and title. Print/Type preparer's name Preparer's signature Date Check Cejay Helmer Cejay Helmer Paid Preparer Firm's name G NPO FINANCIAL SERVICES Use Only Firm's address G 21722 Paxton Mission Viejo, CA 92692 X self-employed if PTIN P01696394 46-2710836 949-445-4893 May the IRS discuss this return with the preparer shown above? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Yes BAA For Paperwork Reduction Act Notice, see the separate instructions. Firm's EIN G Phone no. TEEA0113L 12/18/12 No Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Statement of Program Service Accomplishments 33-0150193 Form 990 (2012) Part III 1 Page 2 Check if Schedule O contains a response to any question in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Briefly describe the organization's mission: TO PROVIDE WOMEN OF ALL RACES, CULTURES AND CREEDS THE SUPPORT NEEDED DURING THEIR PREGNANCY. TO PROVIDE COUNSELING, PREGNANCY TESTING, ULTRASOUND AND STD TESTING TO WOMEN AT RISK. 2 3 4 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes,' describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . If 'Yes,' describe these changes on Schedule O. Yes X No Yes X No 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 and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. $ ) (Revenue $ 1,643,229. including grants of $ 37,568. ) To provide Women of all races, cultures and creeds with the support needed during their pregnancy and to provide counseling, testing, ultrasound and STD testing to women at risk. 4 a (Code: ) (Expenses 4 b (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4 d Other program services. (Describe in Schedule O.) (Expenses $ including grants of 4 e Total program service expenses BAA G $ 1,643,229. TEEA0102L ) (Revenue 08/08/12 $ ) Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Checklist of Required Schedules Form 990 (2012) Part IV 33-0150193 Page 3 Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?. . . . . . . . . . . . . . . . . . . . . . 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 X 4 Section 501(c)(3) organizations Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If 'Yes,' complete Schedule C, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 X 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If 'Yes,' complete Schedule C, Part III. . . . . . . 5 X Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 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 X 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,' complete Schedule D, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management credit repair, or debt negotiation services? If 'Yes,' complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If 'Yes,' complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X 6 7 10 X X If the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable. 11 a Did the organization report an amount for land, buildings and equipment in Part X, line 10? If 'Yes,' complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a b 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 b X c 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 VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 c X d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part IX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 d X e Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes,' complete Schedule D, Part X . . . . . . 11 e f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes,' complete Schedule D, Part X. . . . 11 f 12 a Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes,' complete Schedule D, Parts XI, and XII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12a b Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,' and if the organization answered 'No' to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . . . . . . . . . . . 12 b X X X X 14 a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a X X X b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, 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 X Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If 'Yes,' complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 X 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If 'Yes,' complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . 16 X 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 X 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If 'Yes,' complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 'Yes,' complete Schedule G, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20 a Did the organization operate one or more hospital facilities? If 'Yes,' complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Is the organization a school described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . 13 15 19 b If 'Yes' to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . BAA TEEA0103L 12/13/12 13 X X X 20 b Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Checklist of Required Schedules (continued) Form 990 (2012) Part IV 33-0150193 Page 4 Yes 21 22 23 No Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If 'Yes,' complete Schedule I, Parts I and II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 X Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 X 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,' complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 X 24 a 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, and that was issued after December 31, 2002? If 'Yes,' answer lines 24b through 24d and complete Schedule K. If 'No,'go to line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . . . . . . . . . . . . 24a 24b c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . 24c 24d 25 a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If 'Yes,' complete Schedule L, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a X b 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 990-EZ? If 'Yes,' complete Schedule L, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25b X Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If 'Yes,' complete Schedule L, Part II . . . . . . 26 X Did the organization provide a grant or other assistance 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 of any of these persons? If 'Yes,' complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 X a A current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . 28a X b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28b X c 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M . . . . . . . . . . . . . . 28c 29 X X Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If 'Yes,' complete Schedule M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I. . . . . . . 30 31 X X 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 X 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, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 X 26 27 X Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): 28 30 31 Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts II, III, IV, and V, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 35a b 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 34 X X 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 X 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 X 38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA TEEA0104L 08/08/12 X 38 Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Part V Statements Regarding Other IRS Filings and Tax Compliance 33-0150193 Form 990 (2012) Page 5 Check if Schedule O contains a response to any question in this Part V. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable. . . . . . . . . . . . 1a 1b No 33 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c X 2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . 2a 31 b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . 2b X Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions) 3 a Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes' has it filed a Form 990-T for this year? If 'No,' provide an explanation in Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . 3a 3b X 4a X 5a 5b 5c X X 6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a X b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b 4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . b If 'Yes,' enter the name of the foreign country: G See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. 5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?. . . . . . . . . . . . c If 'Yes,' to line 5a or 5b, did the organization file Form 8886-T?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d If 'Yes,' indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . . . . . . 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?. . . . . . . . . . . . . . 7a 7b 7c X 7e 7f X X g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7h 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization make a distribution to a donor, donor advisor, or related person?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities. . . . . 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X X 8 9a 9b 10 10 a 10 b 11 a b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 b 12 a Section 4947(a)(1) non - exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?. . . . . . . . . . . . . b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year. . . . . . . 12 b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 a 13 a Note. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans. . . . . . . . . . . . . . . . . . . . . . . . . . 13 b c Enter the amount of reserves on hand. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 c 14 a Did the organization receive any payments for indoor tanning services during the tax year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O. . . . . . . . . . . . . . . . BAA TEEA0105L 08/08/12 X 14 a 14 b Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Governance, Management and Disclosure For each 'Yes' response to lines 2 through 7b below, and for a 'No' response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Form 990 (2012) Part VI Page 6 Check if Schedule O contains a response to any question in this Part VI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Section A. Governing Body and Management Yes 1 a Enter the number of voting members of the governing body at the end of the tax year. . . . . . 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 O. b Enter the number of voting members included in line 1a, above, who are independent. . . . . . 1a 15 1b 14 No 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee or key employee?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 X 3 3 X 4 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? . . . . . . . . . . . . . . . . . . . . . . . Did the organization make any significant changes to its governing documents 5 6 since the prior Form 990 was filed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets?. . . . . . . . . . . . . . Did the organization have members or stockholders?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 6 X X X 7 a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a X b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or other persons other than the governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b X Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a 8b 8 Is there any officer, director or trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If 'Yes,' provide the names and addresses in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X X X 9 Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10 a Did the organization have local chapters, branches, or affiliates?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . . . . . . . . . . . . . . . . . . . . b Describe in Schedule O the process, if any, used by the organization to review this Form 990. See Schedule O 12 a Did the organization have a written conflict of interest policy? If 'No,' go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe in Schedule O how this is done. . . . . . .See . . . . . .Schedule . . . . . . . . . . . . . .O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? . . . . . . Schedule . . . . . . . . . . . . . .O ........................ a The organization's CEO, Executive Director, or top management official . . See b Other officers of key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes' to line 15a or 15b, describe the process in Schedule O. (See instructions.) 10 b 11 a X 12 a X 12 b X 12 c 13 14 X 15 a 15 b X 16 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 a b If 'Yes,' did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's exempt status with respect to such arrangements?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 b No X 10 a X X X X Section C. Disclosure CA 17 List the states with which a copy of this Form 990 is required to be filed G 18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply. Own website Another's website X Upon request X Other (explain in Schedule O) See Sch. O 19 Describe in Schedule O whether (and if so, how) the organization makes its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. See Schedule O State the name, physical address, and telephone number of the person who possesses the books and records of the organization: 20 G COMPLETE BAA CONTROLLER 600 ANTON BLVD COSTA MESA CA 92626 866-443-8879 TEEA0106L 08/08/12 Form 990 (2012) Page 7 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Form 990 (2012) Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1 a 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. ? 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. ? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.' ? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received 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. ? List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ? 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 following 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. (C) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) BAA (A) (B) Name and Title Average hours per week (list any hours for related organizations below dotted line) CHARLES SCHREIBER Chairman MARK FOSTER Secretary JEFF ARMOUR Treasurer JUSTIN ALVAREZ Director PETE ANZALDO MD Director MIKE CASPINO Director STEVE GRECO Director JOHN MCMANUS Director BERNI NEAL Director STEPHEN BUSCH Director CHUCK DONOVAN Director LAURENCE FAKINOS MD Director LYNNE JILOT Director OONAGH LINZMEIER Director Position (do not check more than one box, unless person is both an officer and a director/trustee) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TEEA0107L 12/17/12 (D) Reportable compensation from the organization (W-2/1099-MISC) (E) (F) Reportable compensation from related organizations (W-2/1099-MISC) Estimated amount of other compensation from the organization and related organizations 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. Form 990 (2012) Page 8 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (cont) Form 990 (2012) (B) (A) Name and title Average hours per week (list any hours for related organiza - tions below dotted line) KATHLEEN EATON BRAVO CEO (16) JENNIFER WALLACE COO (15) 40 0 40 0 (C) Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) (E) (F) Reportable compensation from the organization (W-2/1099-MISC) Reportable compensation from related organizations (W-2/1099-MISC) Estimated amount of other compensation from the organization and related organizations X 167,092. 0. 0. X 90,000. 0. 0. (17) (18) (19) (20) (21) (22) (23) (24) (25) 1 b Sub-total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 257,092. 0. c Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . . . . . . . . . G 0. 0. d Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 257,092. 0. 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization G 1 0. 0. 0. Yes 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If 'Yes,' complete Schedule J for such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 For 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 J for such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If 'Yes,' complete Schedule J for such person. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X X Section B. Independent Contractors 1 BAA X 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) Name and business address 2 No (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization G 0 TEEA0108L 01/24/13 Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Part VIII Statement of Revenue 33-0150193 Form 990 (2012) Page 9 Check if Schedule O contains a response to any question in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Total revenue 1a b c d e Federated campaigns. . . . . . . . . . Membership dues . . . . . . . . . . . . . Fundraising events. . . . . . . . . . . . Related organizations . . . . . . . . . Government grants (contributions). . . . . 1a 1b 1c 1d 1e (B) Related or exempt function revenue (C) Unrelated business revenue (D) Revenue excluded from tax under sections 512, 513, or 514 995,699. 312,491. 102,141. f All other contributions, gifts, grants, and similar amounts not included above. . . . 1f 1,427,944. g Noncash contributions included in lns 1a-1f: $ h Total. Add lines 1a-1f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 2,838,275. Business Code 2 a PROGRAM SERVICES 624100 b c d e f All other program service revenue. . . . g Total. Add lines 2a-2f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 4 5 Investment income (including dividends, interest and other similar amounts). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Income from investment of tax-exempt bond proceeds. . G . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 6a b c d Gross rents. . . . . . . . . . Less: rental expenses Rental income or (loss). . . . Net rental income or (loss). . . . . . . . . . . . . . . . . . . . . . . . . . . G 3 (i) Real 7 a Gross amount from sales of assets other than inventory. (i) Securities 37,568. 37,568. 37,568. 573. 573. 10,046. 10,046. 24,000. 24,000. 24,000. 2,910,462. 72,187. (ii) Personal (ii) Other b Less: cost or other basis and sales expenses. . . . . . . c Gain or (loss). . . . . . . . d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 8 a Gross income from fundraising events (not including . $ 767,195. of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . . . . . . . . . a 110,909. b Less: direct expenses . . . . . . . . . . . . . . b 110,909. c Net income or (loss) from fundraising events. . . . . . . . . . G 9 a Gross income from gaming activities. See Part IV, line 19 . . . . . . . . . . . . . . . . a b Less: direct expenses . . . . . . . . . . . . . . b c Net income or (loss) from gaming activities . . . . . . . . . . . G 10 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . a b Less: cost of goods sold. . . . . . . . . . . . b c Net income or (loss) from sales of inventory . . . . . . . . . . G Miscellaneous Revenue Business Code 11 a Management Fees 900099 b c d All other revenue. . . . . . . . . . . . . . . . . . . e Total. Add lines 11a-11d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . G BAA TEEA0109L 12/17/12 0. 0. Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Statement of Functional Expenses 33-0150193 Form 990 (2012) Part IX Page 10 Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response to any question in this Part IX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) (B) (C) (D) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fundraising 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses 1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Grants and other assistance to individuals in the United States. See Part IV, line 22 . . . . . . Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16. . Benefits paid to or for members. . . . . . . . . . . . . Compensation of current officers, directors, trustees, and key employees. . . . . . . . . . . . . . . . Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . . . . . . . . . . . . . Other salaries and wages. . . . . . . . . . . . . . . . . . . 3 4 5 6 7 Pension plan accruals and contributions (include section 401(k) and section 403(b) employer contributions) . . . . . . . . . . . . . . . . . . . . 9 Other employee benefits . . . . . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (non-employees): a Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17 . . . f Investment management fees. . . . . . . . . . . . . . . g Other. (If line 11g amt exceeds 10% of line 25, column (A) amt, list line 11g expenses on Sch O) . . . . . . . . 12 Advertising and promotion. . . . . . . . . . . . . . . . . . 167,092. 83,546. 0. 83,546. 0. 758,981. 0. 572,454. 0. 172,300. 0. 14,227. 84,401. 108,566. 59,749. 78,167. 15,848. 19,542. 8,804. 10,857. 8 5,700. 54,756. 5,700. 54,756. 98,943. 180,513. 64,887. 43,924. 70,750. 154,252. 47,405. 30,899. 15,488. 3,419. 16,059. 13,025. Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conferences, conventions, and meetings . . . . Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments to affiliates . . . . . . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization. . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.). . . . . . . . . . . . . . . . . . 219,404. 4,594. 176,386. 505. 43,018. 122,520. 104,444. 122,520. 64,687. 39,757. a COGS- Medical Costs b UNCOLLECTIBLE PLEDGES c Event Facilities & Supplies d AUTO EXPENSE e All other expenses . . . . . . . . . . . . . . . . . . . . . . . . . 84,382. 43,908. 30,810. 19,865. 80,348. 2,278,360. 84,382. 43,908. 2,834. 13,305. 37,480. 1,643,229. 1,417. 4,896. 18,441. 423,988. Office expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . Information technology . . . . . . . . . . . . . . . . . . . . . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 14 15 16 17 18 19 20 21 22 23 24 25 Total functional expenses. Add lines 1 through 24e. . . . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here G if following SOP 98-2 (ASC 958-720). . . . . . . . . . . . . . . . . . . BAA 322. TEEA0110L 12/18/12 12,705. 22,842. 1,423. 4,089. 322. 26,559. 1,664. 24,427. 211,143. Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Balance Sheet Form 990 (2012) Part X 33-0150193 Page 11 Check if Schedule O contains a response to any question in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Beginning of year 1 2 3 4 A S S E T S L I A B I L I T I E S B A L A N C E S 163,605. 1 2 3 5 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions). Complete Part II of Schedule L. . . . . . Notes and loans receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 8 9 7 8 9 10 a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D. . . . . . . . . . . . . . . . . . . . 10 a 773,808. b Less: accumulated depreciation. . . . . . . . . . . . . . . . . . . . 10 b 406,548. 11 Investments ' publicly traded securities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Investments ' other securities. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Investments ' program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Intangible assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 34). . . . . . . . . . . . . . . . . . . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Grants payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Deferred revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D. . . . . . . . . . . 22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . 24 Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . 844,375. 74,810. 4 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59,633. 406,081. 10 c 7,669. 19,690. 984,499. 9,676. 113,545. 61,275. 11 12 13 14 15 16 17 18 19 20 21 57,630. 367,260. 7,669. 19,690. 1,371,434. 66,487. 42,000. 22 23 24 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D. 26 Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,161. 25 220,657. 26 2,614. 111,101. 27 28 29 Organizations that follow SFAS 117 (ASC 958), check here G X and complete lines 27 through 29, and lines 33 and 34. Unrestricted net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporarily restricted net assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permanently restricted net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356,792. 27 157,050. 28 250,000. 29 543,618. 216,715. 500,000. 30 31 32 33 34 1,260,333. 1,371,434. O R F U N D 327,821. 5 N E T A S S E T S Cash ' non-interest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B) End of year Organizations that do not follow SFAS 117 (ASC 958), check here G and complete lines 30 through 34. 30 31 32 33 34 Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund . . . . . . . . . . . . . . . . . . Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA 763,842. 984,499. Form 990 (2012) TEEA0111L 01/03/13 BIRTH CHOICE PREGNANCY CENTERS INC Reconciliation of Net Assets 33-0150193 Form 990 (2012) Part XI Page 12 X 2,910,462. 2,278,360. 632,102. 763,842. Check if Schedule O contains a response to any question in this Part XI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 1 2 3 4 Total expenses (must equal Part IX, column (A), line 25). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)). . . . . . . . . . . . . . . . . . 5 6 7 8 Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 7 8 9 Other changes in net assets or fund balances (explain in Schedule O). . .See . . . . . .Schedule . . . . . . . . . . . . .O ............... 9 -135,611. 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1,260,333. 4 Part XII Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes Accounting method used to prepare the Form 990: 1 Cash X Accrual If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . If 'Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: 2a X 2b X c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?. . . . . . . . . . . . . . . . . . . . . . . . . 2c X If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. 3 a 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 A-133? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a X Separate basis Consolidated basis No Other Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Consolidated basis Both consolidated and separate basis X Separate basis b 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 O and describe any steps taken to undergo such audits . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA TEEA0112L 08/09/11 X 3b Form 990 (2012) OMB No. 1545-0047 SCHEDULE A 2012 Public Charity Status and Public Support (Form 990 or 990-EZ) Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Treasury Internal Revenue Service Open to Public Inspection G Attach to Form 990 or Form 990-EZ. G See separate instructions. Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 5 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 X An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. 9 10 11 a e f g Type I b Type II c Type III ' Functionally integrated Type III ' Non-functionally integrated d By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? Yes h (i) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (i) (ii) A family member of a person described in (i) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (ii) (iii) A 35% controlled entity of a person described in (i) or (ii) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s). 11 g (iii) (i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1-9 above or IRC section (see instructions)) (iv) Is the (v) Did you notify organization in the organization in column (i) listed in column (i) of your your governing support? document? Yes No Yes No (vi) Is the organization in column (i) organized in the U.S.? Yes No (vii) Amount of monetary support No (A) (B) (C) (D) (E) Total BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA0401L 08/09/12 Schedule A (Form 990 or 990-EZ) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) Page 2 Schedule A (Form 990 or 990-EZ) 2012 (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) G 1 Gifts, grants, contributions, and membership fees received. (Do not include any 'unusual grants.'). . . . . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 4 Total. Add lines 1 through 3 . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f). . . 6 (c) 2010 (d) 2011 (f) Total (a) 2008 (b) 2009 (e) 2012 549,687. 898,790. 1,976,674. 1,594,138. 2,838,275. 7,857,564. 0. 549,687. 898,790. 1,976,674. 1,594,138. 2,838,275. 0. 7,857,564. 1,766,837. Public support. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . 6,090,727. Section B. Total Support Calendar year (or fiscal year beginning in) G 7 Amounts from line 4 . . . . . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . . . Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . See . . . . . . Part . . . . . . . .IV ...... 9 10 11 (c) 2010 (d) 2011 (b) 2009 (e) 2012 549,687. 898,790. 1,976,674. 1,594,138. 2,838,275. 41. 7,857,564. 573. 614. 0. 24,000. Total support. Add lines 7 through 10. . . . . . . . . . . . . . . . . . . . Gross receipts from related activities, etc (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 (f) Total (a) 2008 12 24,000. 7,882,178. 0. First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 G Section C. Computation of Public Support Percentage Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Public support percentage from 2011 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 77.27 % 77.10 % 16 a 33-1/3% support test ' 2012. If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X b 33-1/3% support test ' 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 a 10%-facts-and-circumstances test ' 2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization . . . . . . . . . . b 10%-facts-and-circumstances test ' 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . BAA G G G Schedule A (Form 990 or 990-EZ) 2012 TEEA0402L 08/09/12 BIRTH CHOICE PREGNANCY CENTERS INC Support Schedule for Organizations Described in Section 509(a)(2) Schedule A (Form 990 or 990-EZ) 2012 Part III 33-0150193 Page 3 (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal yr beginning in) G 1 Gifts, grants, contributions and membership fees received. (Do not include any 'unusual grants.') . . . . . . . . . 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose. . . . . . . . . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 6 Total. Add lines 1 through 5 . . . 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons. . . . . . . . . . . b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. . . . . . . . . . . . . . . . . . . c Add lines 7a and 7b. . . . . . . . . . . 8 Public support (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total Section B. Total Support Calendar year (or fiscal yr beginning in) G 9 Amounts from line 6 . . . . . . . . . . 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. . . c Add lines 10a and 10b. . . . . . . . . 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on . . . . . . . . . . . . . . . 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . . 13 Total support. (Add lns 9, 10c, 11, and 12.) 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Section C. Computation of Public Support Percentage 15 16 Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2011 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . % % 15 16 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17 18 Investment income percentage from 2011 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19 a 33-1/3% support tests ' 2012. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . b 33-1/3% support tests ' 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, and line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . . BAA TEEA0403L 08/09/12 % % G G G Schedule A (Form 990 or 990-EZ) 2012 Page 4 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions). Schedule A (Form 990 or 990-EZ) 2012 Part IV Additional Explanation of Other Income Managment Fees From Birth Choice Napa Clinic. BAA Schedule A (Form 990 or 990-EZ) 2012 TEEA0404L 08/10/12 2012 Schedule A, Part IV - Supplemental Information Page 5 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II, Line 10 - Other Income Nature and Source management Fees 2012 $ Total $ 24,000. 24,000. $ 2011 2010 0. $ 2009 0. $ 2008 0. $ 0. OMB No. 1545-0047 Schedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Service Schedule of Contributors 2012 G Attach to Form 990, Form 990-EZ, or Form 990-PF Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Organization type (check one): Filers of: Form 990 or 990-EZ Section: X 501(c)( 3 ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor. (Complete Parts I and II.) Special Rules X For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts I and II. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not total to more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc, contributions of $5,000 or more during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ Caution: An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF) but it must answer 'No' on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on Part I, line 2, of itsForm 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF). BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990EZ, or 990-PF. TEEA0701L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 of 1 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 1 (b) Name, address, and ZIP + 4 (c) Total contributions Person Dennis and Lynne Jilot $ 270,000. Noncash (Complete Part II if there is a noncash contribution.) Reno, NV 89511 2 (b) Name, address, and ZIP + 4 (c) Total contributions $ 250,000. Noncash (Complete Part II if there is a noncash contribution.) Washington, DC 20017 (b) Name, address, and ZIP + 4 (c) Total contributions $ 171,250. Noncash (Complete Part II if there is a noncash contribution.) Los Angeles, CA 90012 (b) Name, address, and ZIP + 4 (c) Total contributions $ 99,455. Noncash (Complete Part II if there is a noncash contribution.) Orange, CA 92867 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Doug and Kerry Prins X Payroll $ 1035 Quail Ridge Rd 88,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92603 (a) Number X Payroll 2811 E Villa Real Dr 5 (d) Type of contribution Person Roman Catholic Bishop of Orange (a) Number X Payroll 221 S Figueroa St #400 4 (d) Type of contribution Person California Community Foundation (a) Number X Payroll 3211 Fourth St. NE 3 (d) Type of contribution Person US.Conference of Catholic Bishops (a) Number X Payroll 11030 Montano Ranch Ct (a) Number (d) Type of contribution (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll $ Noncash (Complete Part II if there is a noncash contribution.) BAA TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 to Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 of Part II Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. from Part I (b) Description of noncash property given (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received N/A $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2012) TEEA0703L 11/30/12 1 to Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization 1 of Part III Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part III Exclusively religious, charitable, etc, individual contributions to section 501(c)(7), (8) or (10) organizations that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . Use duplicate copies of Part III if additional space is needed. (a) No. from Part I (b) Purpose of gift (c) Use of gift G$ N/A (d) Description of how gift is held N/A (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2012) BAA TEEA0704L 11/30/12 SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization OMB No. 1545-0047 Supplemental Financial Statements 2012 G Complete if the organization answered 'Yes,' to Form 990, Part IV, lines 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. G Attach to Form 990. G See separate instructions. Open to Public Inspection Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if Part I the organization answered 'Yes' to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts 1 Total number at end of year . . . . . . . . . . . . . . . . 2 3 4 Aggregate contributions to (during year). . . . . Aggregate grants from (during year). . . . . . . . . Aggregate value at end of year . . . . . . . . . . . . . 5 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 exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Part II 1 2 Conservation Easements. Complete if the organization answered 'Yes' to Form 990, Part IV, line 7. Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space 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. Held at the End of the Tax Year a Total number of conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 a b Total acreage restricted by conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 b c Number of conservation easements on a certified historic structure included in (a) . . . . . . . . . . . . . 2 c d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year G 4 Number of states where property subject to conservation easement is located G 5 6 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year G Yes No Yes No 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year G$ 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 In Part XIII, 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. Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 8. 1 a 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, provide, in Part XIII, the text of the footnote to its financial statements that describes these items. b 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, provide the following amounts relating to these items: (i) Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ (ii) Assets included in Form 990, Part X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: a Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA3301L 09/18/12 Schedule D (Form 990) 2012 Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Schedule D (Form 990) 2012 3 4 5 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): Public exhibition Loan or exchange programs a d Scholarly research Other b e Preservation for future generations c Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . . . . . . . . . . . . . . . . . Yes No Part IV Escrow and Custodial Arrangements. Complete if the organization answered 'Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1 a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' explain the arrangement in Part XIII and complete the following table: Yes No Amount c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c d Additions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 d e Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 e f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 f 2 a Did the organization include an amount on Form 990, Part X, line 21?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes b If 'Yes,' explain the arrangement in Part XIII. Check here if the explantion has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . Part V No Endowment Funds. Complete if the organization answered 'Yes' to Form 990, Part IV, line 10. (a) Current (c) Two years (b) Prior year (d) Three years (e) Four years 1 a Beginning of year balance. . . . . . b Contributions . . . . . . . . . . . . . . . . . . c Net investment earnings, gains, and losses. . . . . . . . . . . . . . . . . . . . . d Grants or scholarships . . . . . . . . . e Other expenditures for facilities and programs. . . . . . . . . . . . . . . . . . f Administrative expenses. . . . . . . . g End of year balance. . . . . . . . . . . . 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: % a Board designated or quasi-endowment G % Permanent endowment G b % c Temporarily restricted endowment G The percentages in lines 2a, 2b, and 2c should equal 100%. 3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) unrelated organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(i) (ii) related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(ii) b If 'Yes' to 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b 4 Describe in Part XIII the intended uses of the organization's endowment funds. Yes No Part VI Land, Buildings, and Equipment. See Form 990, Part X, line 10. Description of property (a) Cost or other basis (investment) (b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value 1 a Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Leasehold improvements. . . . . . . . . . . . . . . . . . . 210,264. 102,005. 108,259. d Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563,544. 304,543. 259,001. e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) . . . . . . . . . . . . . . . . . . . G 367,260. Schedule D (Form 990) 2012 BAA TEEA3302L 06/07/12 BIRTH CHOICE PREGNANCY CENTERS INC Part VII Investments ' Other Securities. See Form 990, Part X, line 12. N/A Schedule D (Form 990) 2012 (a) Description of security or category (including name of security) (1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely-held equity interests. . . . . . . . . . . . . . . . . . . . . . . . . (b) Book value 33-0150193 Page 3 (c) Method of valuation: Cost or end-of-year market value (3) Other (A) (B) (C) (D) (E) (F) (G) (H) (I) Total. (Column (b) must equal Form 990, Part X, column (B) line 12.) . . . G Part VIII Investments ' Program Related. See Form 990, Part X, line 13. (a) Description of investment type (b) Book value N/A (c) Method of valuation: Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, column (B) line 13.). . . Part IX G Other Assets. See Form 990, Part X, line 15. N/A (a) Description (b) Book value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, column (B), line 15.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Part X Other Liabilities. See Form 990, Part X, line 25. (a) Description of liability (1) Federal income taxes (2) Payroll tax Liabilities (3) (4) (5) (6) (7) (8) (9) (10) (11) (b) Book value 2,614. Total. (Column (b) must equal Form 990, Part X, column (B) line 25.) . . . . . . G 2,614. 2. FIN 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA TEEA3303L 12/23/12 Schedule D (Form 990) 2012 Page 4 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3,138,179. Schedule D (Form 990) 2012 Part XI 2 3 4 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Recoveries of prior year grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a 2b 227,717. 2c 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b. . . . . . . . . . . . . . 4a b Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3 227,717. 2,910,462. 4c 5 2,910,462. 2e Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.). . . . . . . . . . . . . . . . . . . . . . . . . . . . Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Total expenses and losses per audited financial statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on line 1 but not on Form 990, Part IX, line 25: 1 2 a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Other losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a 2b 2c 1 2,506,077. 2e 3 227,717. 2,278,360. 4c 5 2,278,360. 227,717. d Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b. . . . . . . . . . . . . . 4a b Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . Part XIII Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. BAA Schedule D (Form 990) 2012 TEEA3304L 11/30/12 OMB No. 1545-0047 Supplemental Information Regarding Fundraising or Gaming Activities 2012 Complete if the organization answered 'Yes' to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. G Attach to Form 990 or Form 990-EZ. G See separate instructions. Open to Public Inspection SCHEDULE G (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Fundraising Activities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations Solicitation of non-government grants a e Part I b Internet and email solicitations f Solicitation of government grants c Phone solicitations g Special fundraising events d In-person solicitations 2 a 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 professional fundraising services? . . . . . . . . . . . . . . . . . b 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. (i) Name and address of individual or entity (fundraiser) (ii) Activity (iii) Did fundraiser have custody or control of contributions? Yes (iv) Gross receipts from activity (v) Amount paid to (or retained by) fundraiser listed in column (i) Yes X No (vi) Amount paid to (or retained by) organization No 1 2 3 4 5 6 7 8 9 10 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA3701L 01/07/13 0. Schedule G (Form 990 or 990-EZ) 2012 Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Fundraising Events. Complete if the organization answered 'Yes' to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. Schedule G (Form 990 or 990-EZ) 2012 (a) Event #1 (b) Event #2 GALA R E V E N U E ANNIVERSARY EV 1 (event type) (total number) (event type) D I R E C T E X P E N S E S (d) Total events (add column (a) through column (c)) (c) Other events 1 Gross receipts . . . . . . . . . . . . . . . . . . . . . . . . 742,262. 81,812. 54,030. 878,104. 2 Less: Charitable contributions. . . . . . . . . . 664,703. 68,412. 34,080. 767,195. 3 Gross income (line 1 minus line 2) . . . . . 77,559. 13,400. 19,950. 110,909. 4 Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . 6 Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 7,500. 7,500. 7 Food and beverages. . . . . . . . . . . . . . . . . . . 8,119. 61,585. 8 Entertainment. . . . . . . . . . . . . . . . . . . . . . . . . 9 Other direct expenses . . . . . . . . . . . . . . . . . 52,066. 1,400. 3,000. 25,493. 3,000. 9,000. 4,331. 38,824. 10 Direct expense summary. Add lines 4 through 9 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 11 Net income summary. Combine line 3, column (d), and line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 110,909. Part III Gaming. Complete if the organization answered 'Yes' to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. D I R E C T E X P E N S E S (c) Other gaming 1 Gross revenue . . . . . . . . . . . . . . . . . . . . . . . . 2 Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Non-cash prizes. . . . . . . . . . . . . . . . . . . . . . . 4 Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 5 Other direct expenses . . . . . . . . . . . . . . . . . 6 Volunteer labor . . . . . . . . . . . . . . . . . . . . . . . 7 Direct expense summary. Add lines 2 through 5 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 8 Net gaming income summary. Combine lines 1, column (d) and line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Yes 9 (b) Pull tabs/Instant bingo/progressive bingo (a) Bingo R E V E N U E % No Yes No % Yes % No Enter the state(s) in which the organization operates gaming activities: a Is the organization licensed to operate gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'No,' explain: 10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . . . . . . . . . . . . b If 'Yes,' explain: BAA TEEA3702L 01/07/13 (d) Total gaming (add column (a) through column (c)) Yes No Yes No Schedule G (Form 990 or 990-EZ) 2012 Schedule G (Form 990 or 990-EZ) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 11 Does the organization operate gaming activities with nonmembers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Yes Page 3 No No Indicate the percentage of gaming activity operated in: a The organization's facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 a b An outside facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 b 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: 13 % % Name G Address G 15 a Does the organization have a contact with a third party from whom the organization receives gaming revenue? . . . . . . . and the amount b If 'Yes,' enter the amount of gaming revenue received by the organizationG $ of gaming revenue retained by the third party G $ c If 'Yes,' enter name and address of the third party: Yes No Name G Address G Gaming manager information: 16 Name G Gaming manager compensation G $ Description of services provided G Director/officer Employee Independent contractor Mandatory distributions 17 a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year G $ Part IV BAA Yes No Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions). TEEA3703L 01/07/13 Schedule G (Form 990 or 990-EZ) 2012 Compensation Information OMB No. 1545-0047 For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 2012 G Complete if the organization answered 'Yes' to Form 990, Part IV, line 23. G Attach to Form 990. G See separate instructions. Open to Public Inspection SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC Part I Questions Regarding Compensation 33-0150193 Yes No 1 a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. First-class or charter travel Housing allowance or residence for personal use Travel for companions Payments for business use of personal residence Tax indemnification and gross-up payments Health or social club dues or initiation fees Discretionary spending account Personal services (e.g., maid, chauffeur, chef) b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If 'No,' complete Part III to explain . . . . . . . . . . . . . . . . 2 3 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 X Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III. Compensation committee Independent compensation consultant Form 990 of other organizations 4 1b Written employment contract X Compensation survey or study X Approval by the board or compensation committee During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Participate in, or receive payment from, a supplemental nonqualified retirement plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Participate in, or receive payment from, an equity-based compensation arrangement?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 4b 4c X X X 5a 5b X X 6a 6b X X If 'Yes' to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III. Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9. 5 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: a The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes' to line 5a or 5b, describe in Part III. 6 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: a The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes' to line 6a or 6b, describe in Part III. 7 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments not described in lines 5 and 6? If 'Yes,' describe in Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X 8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If 'Yes,' describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X 9 If 'Yes' to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA4101L 12/10/12 9 Schedule J (Form 990) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Schedule J (Form 990) 2012 Page 2 For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable columns (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC compensation (A) Name and Title 1 KATHLEEN EATON BRAVO CEO 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 BAA (i) Base compensation (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (ii) Bonus and incentive compensation 167,092. 0. 0. 0. TEEA4102L (C) Retirement and other deferred compensation (iii) Other reportable compensation 12/11/12 0. 0. 0. 0. (D) Nontaxable benefits 0. 0. (F) Compensation (E) Total of reported as columns(B)(i)-(D) deferred in prior Form 990 167,092. 0. 0. 0. Schedule J (Form 990) 2012 BIRTH CHOICE PREGNANCY CENTERS INC Supplemental Information 33-0150193 Schedule J (Form 990) 2012 Part III Page 3 Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, for Part II. Also complete this part for any additional information. Schedule J (Form 990) 2012 BAA TEEA4103L 12/11/12 SCHEDULE O (Form 990 or 990-EZ) 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. Department of the Treasury Internal Revenue Service G Attach to Form 990 or 990-EZ. OMB No. 1545-0047 2012 Open to Public Inspection Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Form 990, Part VI, Line 11b - Form 990 Review Process AN ELECTRONIC COPY OF THE FORM 990 IS SENT SECURELY TO EACH MEMBER OF THE FINANCE COMMITTEE FOR THEIR REVIEW BEFORE FILING. Form 990, Part VI, Line 12c - Explanation of Monitoring and Enforcement of Conflicts THE BOARD OF DIRECTORS REVIEWS AND SIGNS AN ANNUAL CONFLICT OF INTEREST POLICY. Form 990, Part VI, Line 15a - Compensation Review & Approval Process - CEO, Top Management THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. IN THE PROCESS THEY OBTAIN COMPARABILITY DATA Form 990, Part VI, Line 18 - Explanation of Other Means Forms Available For Public Inspection FORMS 1023 AND 990 ARE ALSO AVAILABLE AT www.guidestar.com Form 990, Part VI, Line 19 - Other Organization Documents Publicly Available GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA4901L 12/8/12 Schedule O (Form 990 or 990-EZ) 2012 2012 Schedule O - Supplemental Information BIRTH CHOICE PREGNANCY CENTERS INC Page 2 33-0150193 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances BC NAPA PORTION OF NET ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total $ -135,611. -135,611. OMB No. 1545-0047 SCHEDULE R (Form 990) Department of the Treasury Internal Revenue Service 2012 Related Organizations and Unrelated Partnerships Open to Public Inspection G Complete if the organization answered 'Yes' to Form 990, Part IV, line 33, 34, 35, 36, or 37. G Attach to Form 990. G See separate instructions. Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Identification of Disregarded Entities (Complete if the organization answered 'Yes' to Form 990, Part IV, line 33.) (a) Name, address, and EIN (if applicable) of disregarded entity (b) Primary activity (c) Legal domicile (state or foreign country) (d) Total income (e) End-of-year assets (f) Direct controlling entity (1) (2) (3) Part II Identification of Related Tax-Exempt Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.) (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Exempt Code section (e) Public charity status (if section 501(c)(3)) (f) Direct controlling entity (g) Sec 512(b)(13) controlled entity? Yes TOBY'S HOUSE 92 ARGONAUT #205 ALISO VIEJO, CA 92656 33-0871193 (2) TEEN INTEGRITY 92 ARGONAUT #205 ALISO VIEJO, CO 92656 59-3804603 No (1) TO PROVIDE HOUSING FOR PREGNANT WOMEN CA 501C3 SCHED A L-7 N/A X TO PROVIDE WOMEN W/ SUPPORT & EDUCATION CA 501C3 SCHED A L-7 N/A X (3) (4) BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA5001L 12/28/12 Schedule R (Form 990) 2012 Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.) Schedule R (Form 990) 2012 Part III (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Direct controlling entity (e) Predominant income (related, unrelated, excluded from tax under sections 512-514) (f) Share of total income (g) Share of end-of-year assets (h) (i) DisproporCode V-UBI tionate amount in box allocations? 20 of Schedule K-1 (Form 1065) Yes No (j) General or managing partner? Yes (k) Percentage ownership No (1) (2) (3) Part IV Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.) (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Direct controlling entity (e) Type of entity (C corp, S corp, or trust) (f) Share of total income (g) Share of end-ofyear assets (h) Percentage ownership (i) Sec 512(b)(13) controlled entity? Yes No (1) (2) (3) BAA TEEA5002L 12/28/12 Schedule R (Form 990) 2012 Schedule R (Form 990) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Page 3 Part V Transactions With Related Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34, 35b, or 36.) Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? 1 Yes No a b c d e Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gift, grant, or capital contribution from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans or loan guarantees to or for related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 1b 1c 1d 1e X X X X X f g h i j Dividends from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lease of facilities, equipment, or other assets to related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f 1g 1h 1i 1j X X X X X k Lease of facilities, equipment, or other assets from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l Performance of services or membership or fundraising solicitations for related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m Performance of services or membership or fundraising solicitations by related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1k 1l 1m 1n 1o X X X X X p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Reimbursement paid by related organization(s) for expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1p 1q X X r Other transfer of cash or property to related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1r X s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1s X 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. (a) (b) (c) (d) Name of other organization Transaction Amount involved Method of determining type (a-s) amount involved (1) TOBY'S HOUSE q 307,403. (2) TOBY'S HOUSE s 34,537. (3) TEEN INTEGRITY s 1,250. (4) (5) (6) BAA TEEA5003L 12/28/12 Schedule R (Form 990) 2012 Schedule R (Form 990) 2012 Part VI BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Page 4 Unrelated Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 37.) Provide the following 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 exclusion for certain investment partnerships. (a) Name, address, and EIN of entity (b) Primary activity (c) Legal domicile (state or foreign country) (d) (e) Predominant Are all partners income section (related, unre501(c)(3) lated, excluded organizations? from tax under section 512-514) Yes No (f) Share of total income (g) Share of end-of-year assets (h) (i) DisproporCode V-UBI tionate amount in box allocations? 20 of Schedule K-1 Form (1065) Yes No (j) (k) General or Percentage managing ownership partner? Yes No (1) (2) (3) (4) (5) (6) (7) (8) BAA TEEA5004L 12/28/12 Schedule R (Form 990) 2012 Schedule R (Form 990) 2012 Part VII BAA Page 5 Supplemental Information Complete this part to provide additional information for responses to questions on Schedule R (see instructions). TEEA5005L 12/28/12 Schedule R (Form 990) 2012 TAXABLE YEAR 2012 FORM California Exempt Organization Annual Information Return Calendar Year 2012 or fiscal year beginning month 10 day 01 year 199 2012 , and ending month 09 day 30 year 2013 Corporation/Organization Name California corporation number BIRTH CHOICE PREGNANCY CENTERS INC C1289854 Address (suite, room, or PMB no.) FEIN 92 ARGONAUT #205 33-0150193 City ALISO VIEJO A First Return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X B Amended Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No Yes X No @ C IRC Section 4947(a)(1) trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . D Final Return @ Dissolved @ @ Merged/Reorganized No Surrendered (Withdrawn) Enter date: @ ZIP Code CA 92656 J If exempt under R&TC Section 23701d, has the organization during the year: (1) participated in any political campaign, or (2) attempted to influence legislation or any ballot measure, or (3) made an election under R&TC Section 23704.5 (relating to lobbying by public charities)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes,' complete and attach form FTB 3509. K Is the organization exempt under R&TC Section 23701g?. . . If 'Yes,' enter gross receipts from nonmember sources . . . . . . . . . . . . . . . . . . . . . $ E Check accounting method: Cash 2 X Accrual 3 Other 1 F Federal return filed? 990T 2 @ 990 (PF) 3 @ 1 @ Sch H (990) Yes G Is this a group filing for the subordinates/affiliates?. . . . . . . . @ If 'Yes,' attach a roster. See instructions Yes H Is this organization in a group exemption?. . . . . . . . . . . . . . . . . . X No X No If 'Yes,' What's the parent's name? I Did the organization have any changes in its activities, governing instrument, articles of incorporation, or bylaws that have not been reported to the Franchise Tax Board?. . . . . If 'Yes,' explain, and attach copies of revised documents. Part I State @ Yes @ Yes X No @ Yes X No L If organization is exempt under R&TC Section 23701d and is exclusively religious, educational, or charitable, and is supported primarily (50% or more) by public contributions, check box. No filing fee is required. . . . . . . . @ X M Is the organization a Limited Liability Company?. . . . . . . . . @ Yes X No N Did the organization file Form 100 or Form 109 to report taxable income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes X No O Is the organization under audit by the IRS or has the IRS audited in a prior year?. . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes X No X No CACA1112L 10/11/12 Complete Part I unless not required to file this form. See General Instructions B and C. Receipts and Revenues 1 2 3 4 5 6 7 Expenses Filing Fee 8 9 10 11 12 13 14 15 183,096. Gross sales or receipts from other sources. From Side 2, Part II, line 8. . . . . . . . . . . . . . . . . . . . . Gross dues and assessments from members and affiliates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross contributions, gifts, grants, and similar amounts received. . . . . . . . . . . .SEE . . . . . . SCH. . . . . . . . .B .. Total gross receipts for filing requirement test. Add line 1 through line 3. @ @ @ 1 2 3 2,838,275. This line must be completed. If the result is less than $50,000, see General Instruction B . . . @ 4 3,021,371. Total costs. Add line 5 and line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total gross income. Subtract line 7 from line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Total expenses and disbursements. From Side 2, Part II, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 7 Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost or other basis, and sales expenses of assets sold . . . . . . . @ @ 5 6 Excess of receipts over expenses and disbursements. Subtract line 9 from line 8. . . . . . . . . . . . @ 3,021,371. 2,389,269. 632,102. 8 9 10 11 12 13 14 Filing fee $10 or $25. See General Instruction F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Penalties and Interest. See General Instruction J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use tax. See General Instruction K. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Balance due. Add line 11, line 13, and line 14. Then subtract line 12 from the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 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 taxpayer) is based on all information of which preparer has any knowledge. Sign Here Title G Preparer's signature G Signature of officer Paid Preparer's Use Only Firm's name (or yours, if self-employed) and address Date COO Date CEJAY HELMER NPO FINANCIAL SERVICES G 21722 PAXTON MISSION VIEJO, CA 92692 Check if selfemployed G X May the FTB discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . For Privacy Notice, get form FTB 1131. 059 3651124 @ Telephone 949-916-0763 @ PTIN P01696394 @ FEIN 46-2710836 @ Telephone 949-445-4893 No @ X Yes Form 199 C1 2012 Side 1 BIRTH CHOICE PREGNANCY CENTERS INC Part II Organizations with gross receipts of more than $50,000 and private foundations 33-0150193 regardless of amount of gross receipts ' complete Part II or furnish substitute information. Receipts from Other Sources Expenses and Disbursements 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 @ @ @ @ Gross royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Gross amount received from sale of assets (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Other income. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SEE . . . . . .STATEMENT ...............1 .. @ Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Side 1, Part I, line 1 . . . . Contributions, gifts, grants, and similar amounts paid. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disbursements to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Compensation of officers, directors, and trustees. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . Other salaries and wages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and depletion (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Expenses and Disbursements. Attach schedule. . . . . . . . . . . . . . . .SEE . . . . . .STATEMENT ...............2 .. @ @ @ @ @ @ @ @ @ Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 . . . . . . . . . . . . . . . Schedule L Balance Sheets Beginning of taxable year (a) (b) Assets 740,545. 334,464. 406,081. 5 6 7 8 9 10 11 12 13 14 15 16 17 18 10,046. 173,050. 183,096. 167,092. 758,981. 108,566. 219,404. 122,520. 1,012,706. 2,389,269. End of taxable year (c) (d) @ @ @ @ @ @ @ @ @ 773,808. 406,548. 86,992. 984,499. @ @ @ @ @ @ 9,676. Accounts payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributions, gifts, or grants payable. . . . . . . . . . . . . Bonds and notes payable . . . . . . . . . . . . . . . . . . . . . . Mortgages payable. . . . . . . . . . . . . . . . . . . . . . . . . . . Other liabilities. Attach schedule. . . . . . . . . . STM . . . . . . .4 Capital stock or principle fund . . . . . . . . . . . . . . . . . . Paid-in or capital surplus. Attach reconciliation. . . . . . Retained earnings or income fund. . . . . . . . . . . . . . . . Total liabilities and net worth. . . . . . . . . . . . . . . . . . . Schedule M-1 2 3 4 327,821. 163,605. 1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Net accounts receivable . . . . . . . . . . . . . . . . . . . . . . . 3 Net notes receivable. . . . . . . . . . . . . . . . . . . . . . . . . . 4 Inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Federal and state government obligations . . . . . . . . . . 6 Investments in other bonds. . . . . . . . . . . . . . . . . . . . . 7 Investments in stock . . . . . . . . . . . . . . . . . . . . . . . . . 8 Mortgage loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Other investments Attach schedule . . . . . . . . . . . . . . . 10 a Depreciable assets. . . . . . . . . . . . . . . . . . . . . . . . . . . b Less accumulated depreciation. . . . . . . . . . . . . . . . . . 11 Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 12 Other assets. Attach schedule. . . . . . . . . . . . STM 13 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Liabilities and net worth 14 15 16 17 18 19 20 21 22 1 Gross sales or receipts from all business activities. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross rents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61,275. 149,706. 763,842. @ @ @ 984,499. 844,375. 74,810. 367,260. 84,989. 1,371,434. 66,487. 44,614. 1,260,333. 1,371,434. Reconciliation of income per books with income per return Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $50,000 Net income per books. . . . . . . . . . . . . . . . . . . . . . . . Federal income tax. . . . . . . . . . . . . . . . . . . . . . . . . . Excess of capital losses over capital gains. . . . . . . . . Income not recorded on books this year. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Expenses recorded on books this year not deducted in this return. Attach schedule . . . . . . . . . . . . . . . . . 6 Total. Add line 1 through line 5. . . . . . . . . . . . . . . . . 1 2 3 4 Side 2 Form 199 C1 2012 @ @ @ 632,102. 7 8 @ 9 10 @ 632,102. 059 3652124 Income recorded on books this year not included in this return. Attach sch. . . . . . . . . . . . . . . . Deductions in this return not charged against book income this year. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . Total. Add line 7 and line 8. . . . . . . . . . . . . . . Net income per return. Subtract line 9 from line 6. . . . . . . . . . CACA1112L 12/26/12 @ @ 632,102. California Copy Schedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Schedule of Contributors 2012 G Attach to Form 990, Form 990-EZ, or Form 990-PF Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Organization type (check one): Filers of: Form 990 or 990-EZ Section: X 501(c)( 3 ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule X For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor. (Complete Parts I and II.) Special Rules For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts I and II. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not total to more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc, contributions of $5,000 or more during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ Caution: An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF) but it must answer 'No' on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on Part I, line 2, of itsForm 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF). BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990EZ, or 990-PF. TEEA0701L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 1 (b) Name, address, and ZIP + 4 (c) Total contributions Person Dennis and Lynne Jilot $ 270,000. Noncash (Complete Part II if there is a noncash contribution.) Reno, NV 89511 2 (b) Name, address, and ZIP + 4 (c) Total contributions $ 250,000. Noncash (Complete Part II if there is a noncash contribution.) Washington, DC 20017 (b) Name, address, and ZIP + 4 (c) Total contributions $ 171,250. Noncash (Complete Part II if there is a noncash contribution.) Los Angeles, CA 90012 (b) Name, address, and ZIP + 4 (c) Total contributions $ 99,455. Noncash (Complete Part II if there is a noncash contribution.) Orange, CA 92867 (b) Name, address, and ZIP + 4 (c) Total contributions $ 88,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92603 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person John and Laura Shaffer X Payroll $ 25 San Carlos TEEA0702L 50,000. Noncash (Complete Part II if there is a noncash contribution.) Rancho Santa Margari, CA 92688 BAA X Payroll 1035 Quail Ridge Rd 6 (d) Type of contribution Person Doug and Kerry Prins (a) Number X Payroll 2811 E Villa Real Dr 5 (d) Type of contribution Person Roman Catholic Bishop of Orange (a) Number X Payroll 221 S Figueroa St #400 4 (d) Type of contribution Person California Community Foundation (a) Number X Payroll 3211 Fourth St. NE 3 (d) Type of contribution Person US.Conference of Catholic Bishops (a) Number X Payroll 11030 Montano Ranch Ct (a) Number (d) Type of contribution 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 2 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 7 (b) Name, address, and ZIP + 4 (c) Total contributions Person Charles and Jill Schreiber $ 40,000. Noncash (Complete Part II if there is a noncash contribution.) Laguna Hills, CA 92653 8 (b) Name, address, and ZIP + 4 (c) Total contributions $ 35,000. Noncash (Complete Part II if there is a noncash contribution.) Newport Beach, CA 92663 (b) Name, address, and ZIP + 4 (c) Total contributions $ 30,090. Noncash (Complete Part II if there is a noncash contribution.) Huntington Beach, CA 92649 (b) Name, address, and ZIP + 4 (c) Total contributions $ 30,000. Noncash (Complete Part II if there is a noncash contribution.) Coto de Caza, CA 92679 (b) Name, address, and ZIP + 4 (c) Total contributions $ 25,000. Noncash (Complete Part II if there is a noncash contribution.) San Clemente, CA 92672 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Paul and Angeline Oddo X Payroll $ 20505 Via Burgos 25,000. Noncash (Complete Part II if there is a noncash contribution.) Yorba Linda, CA 92887 BAA X Payroll 3912 Calle Arlana 12 (d) Type of contribution Person Thomas and Kim Bengard (a) Number X Payroll 5 Sawgrass 11 (d) Type of contribution Person Ralph and OOnagh Linzmeier (a) Number X Payroll 16912 Marina Bay Dr 10 (d) Type of contribution Person Douglas and Barbara Stephen (a) Number X Payroll 2481 Bayshore Dr 9 (d) Type of contribution Person Derek and Nancy Lewis (a) Number X Payroll 27091 Hidden Trail (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 3 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 13 (b) Name, address, and ZIP + 4 (c) Total contributions Person Bart and Deborah Thomsen $ 25,000. Noncash (Complete Part II if there is a noncash contribution.) Newport Beach, CA 92660 14 (b) Name, address, and ZIP + 4 (c) Total contributions $ 25,000. Noncash (Complete Part II if there is a noncash contribution.) Yorba Linda, CA 92886 (b) Name, address, and ZIP + 4 (c) Total contributions $ 20,000. Noncash (Complete Part II if there is a noncash contribution.) Placentia, CA 92870 (b) Name, address, and ZIP + 4 (c) Total contributions $ 20,000. Noncash (Complete Part II if there is a noncash contribution.) New Haven, CT 06510 (b) Name, address, and ZIP + 4 (c) Total contributions $ 15,000. Noncash (Complete Part II if there is a noncash contribution.) (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Jim and Patti Edwards X Payroll $ 660 Harbor Island Dr 15,000. Noncash (Complete Part II if there is a noncash contribution.) Newport beach, CA 92660 BAA X Payroll Anaheim, CA 92807 18 (d) Type of contribution Person Charles and Judith Ball 5317 E Suncrest (a) Number X Payroll 1 Columbus Plaza 17 (d) Type of contribution Person Knights of Columbus Charities (a) Number X Payroll 1006 Segovia Circle 16 (d) Type of contribution Person Malachi 3 Foundation (a) Number X Payroll 18955 Los Palaminos Dr 15 (d) Type of contribution Person Joseph and Christy Bronson (a) Number X Payroll 8 Pinehurst (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 4 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 19 (b) Name, address, and ZIP + 4 (c) Total contributions Person Sisters of St. Joseph Healthcare Fo $ 15,000. Noncash (Complete Part II if there is a noncash contribution.) Orange, CA 92868 20 (b) Name, address, and ZIP + 4 (c) Total contributions $ 14,480. Noncash (Complete Part II if there is a noncash contribution.) San Clemente, CA 92673 (b) Name, address, and ZIP + 4 (c) Total contributions $ 14,000. Noncash (Complete Part II if there is a noncash contribution.) Huntington Beach, CA 92648 (b) Name, address, and ZIP + 4 (c) Total contributions $ 12,170. Noncash (Complete Part II if there is a noncash contribution.) Yorba Linda, CA 92886 (b) Name, address, and ZIP + 4 (c) Total contributions $ 10,000. Noncash (Complete Part II if there is a noncash contribution.) Coto de Caza, CA 92679 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Emma Jean Tracy X Payroll $ 2232 Racquet Hilld Dr 10,000. Noncash (Complete Part II if there is a noncash contribution.) Santa Ana, CA 92705 BAA X Payroll 15 Calle de Princesa 24 (d) Type of contribution Person Jeff and Joan Frank (a) Number X Payroll 19767 Yorba Linda Blvd 23 (d) Type of contribution Person St martin de Porres Church (a) Number X Payroll 418 12th St 22 (d) Type of contribution Person Ken and Valerie Dickerson (a) Number X Payroll 603 Calle Fierros 21 (d) Type of contribution Person Doug Batezel (a) Number X Payroll 440 South Batavia St (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 5 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 25 (b) Name, address, and ZIP + 4 (c) Total contributions Person Robert and Rhonda Bevlik $ 10,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92603 26 (b) Name, address, and ZIP + 4 (c) Total contributions $ 10,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92612 (b) Name, address, and ZIP + 4 (c) Total contributions $ 10,000. Noncash (Complete Part II if there is a noncash contribution.) Newport beach, CA 92663 (b) Name, address, and ZIP + 4 (c) Total contributions $ 10,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92603 (b) Name, address, and ZIP + 4 (c) Total contributions $ 10,000. Noncash (Complete Part II if there is a noncash contribution.) Fairfield, CT 06828 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Diane Murdy X Payroll $ 3737 S Gilpin St 10,000. Noncash (Complete Part II if there is a noncash contribution.) Cherry Hills, CO 80113 BAA X Payroll 3135 Easton Turnpike 30 (d) Type of contribution Person The GE Foundation (a) Number X Payroll 19161 Woodford Terrace 29 (d) Type of contribution Person Steve and Mary Anne Greco (a) Number X Payroll 111 San Remo 28 (d) Type of contribution Person Birtcher Grandchildren Charity Trus (a) Number X Payroll 18101 Von Karman Ave #750 27 (d) Type of contribution Person The Reed J Levecke Foundation (a) Number X Payroll 2 Charlotte (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 6 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 31 (b) Name, address, and ZIP + 4 (c) Total contributions Person Richard and Debra Orrin $ 8,000. Noncash (Complete Part II if there is a noncash contribution.) Yorba Linda, CA 92886 32 (b) Name, address, and ZIP + 4 (c) Total contributions $ 7,500. Noncash (Complete Part II if there is a noncash contribution.) San Juan Capistrano, CA 92675 (b) Name, address, and ZIP + 4 (c) Total contributions $ 6,000. Noncash (Complete Part II if there is a noncash contribution.) Corona Del Mar, CA 92625 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Laguna Beach, CA 92651 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Newport Beach, CA 92663 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Bill and Cindy Milligan X Payroll $ 33 Madison Lane 5,000. Noncash (Complete Part II if there is a noncash contribution.) Coto de Caza, CA 92679 BAA X Payroll 2464 Bayshore Dr 36 (d) Type of contribution Person Jeffrey and Marge Lewis (a) Number X Payroll 174 Emerald Bay 35 (d) Type of contribution Person Ron and Nancy Pharris (a) Number X Payroll 338 Evening Canyon 34 (d) Type of contribution Person Scott and Terry Smith (a) Number X Payroll 27512 Vantage Circle 33 (d) Type of contribution Person Steve and Linda Mandala (a) Number X Payroll 6162 Saddletree Lane (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 7 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 37 (b) Name, address, and ZIP + 4 (c) Total contributions Person David and Adele Oddo $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Yorba Linda, CA 92886 38 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person David and Renee Werner X Payroll $ 25851 Desert Trail 5,000. Noncash (Complete Part II if there is a noncash contribution.) Laguna Hills, CA 92653 BAA X Payroll San Juan Capistrano, CA 92675 42 (d) Type of contribution Person Gregory and Mary Lou Weiler 31061 Corte Aurora (a) Number X Payroll Santa Barbara, CA 93108 41 (d) Type of contribution Person Andrew and Dee Puzder 570 Meadow Wood Lane (a) Number X Payroll Laguna Niguel, CA 92677 40 (d) Type of contribution Person Vera and Jody Conners 31741 Isle Royal Dr (a) Number X Payroll Orange, CA 92867 39 (d) Type of contribution Person Kelly and Ashlee Dunagan 2650 N. Villa Real (a) Number X Payroll 3191 Gardenia Lane (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 8 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 43 (b) Name, address, and ZIP + 4 (c) Total contributions Person Mark and Amy Rhoades $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Yorba Linda, CA 92887 44 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Costa Mesa, CA 92626 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Laguna Niguel, CA 92677 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Newport Beach, CA 92660 (b) Name, address, and ZIP + 4 (c) Total contributions $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Villa Park, CA 92861 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person John Engebretson X Payroll $ 9578 Smoke Tree 5,000. Noncash (Complete Part II if there is a noncash contribution.) Fountain Valley, CA 92708 BAA X Payroll 18442 Old Lamplighter Circle 48 (d) Type of contribution Person Mike and Susan Ellersick (a) Number X Payroll 1601 Dove St Suite 145 47 (d) Type of contribution Person Larry and Margaret Smith (a) Number X Payroll 19 Tobago 46 (d) Type of contribution Person Lanis and Holly Webb (a) Number X Payroll 245 Fischer Ave #d-8 45 (d) Type of contribution Person Jim Reed (a) Number X Payroll 4985 Via Del Cerro (a) Number (d) Type of contribution TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 9 of 9 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 49 (b) Name, address, and ZIP + 4 (c) Total contributions Person Trivista Business Group Inc $ 5,000. Noncash (Complete Part II if there is a noncash contribution.) Aliso Viejo, CA 92656 50 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Allergan Foundation X Payroll $ 2525 Doupont Dr 5,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92623 (a) Number X Payroll 15 Enterprise Dr #410 (a) Number (d) Type of contribution (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll $ Noncash (Complete Part II if there is a noncash contribution.) (a) Number (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll $ Noncash (Complete Part II if there is a noncash contribution.) (a) Number (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll $ Noncash (Complete Part II if there is a noncash contribution.) (a) Number (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll $ Noncash (Complete Part II if there is a noncash contribution.) BAA TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 to Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 of Part II Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. from Part I (b) Description of noncash property given (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received N/A $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2012) TEEA0703L 11/30/12 1 to Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization 1 of Part III Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part III Exclusively religious, charitable, etc, individual contributions to section 501(c)(7), (8) or (10) organizations that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . Use duplicate copies of Part III if additional space is needed. (a) No. from Part I (b) Purpose of gift (c) Use of gift G$ N/A (d) Description of how gift is held N/A (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2012) BAA TEEA0704L 11/30/12 2012 California Statements BIRTH CHOICE PREGNANCY CENTERS INC Page 1 33-0150193 Statement 1 Form 199, Part II, Line 7 Other Income Income from Special Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Management Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Investment Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Program Service Revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 110,909. 24,000. 573. 37,568. 173,050. Statement 2 Form 199, Part II, Line 17 Other Expenses Accounting Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 54,756. Advertising and Promotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180,513. APPEAL (PRINTING & POSTAGE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,321. AUTO EXPENSE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,865. Bank Charges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,861. BUILDING REPAIR AND MAINTENANC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,424. COGS- Medical Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84,382. Conferences, Conventions, and Meetings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322. DUES AND SUBSCRIPTIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,425. EMP AND VOLUNTEER TRAINING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,148. Event Facilities & Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,810. Information Technology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43,924. Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104,444. Legal Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,700. MEALS AND ENTERTAINMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,255. MERCHANT ACCOUNT FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14,683. MISCELLANEOUS EXPENSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,138. Office Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64,887. Other Employee Benefit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84,401. Other fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98,943. Postage and Shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,716. Printing and Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8,377. Special Event Expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110,909. Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,594. UNCOLLECTIBLE PLEDGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43,908. Total $ 1,012,706. Statement 3 Form 199, Schedule L, Line 12 Other Assets Deposits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net Intangible Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid Expenses and Deferred Charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 19,690. 7,669. 57,630. 84,989. 2012 California Statements BIRTH CHOICE PREGNANCY CENTERS INC Page 2 33-0150193 Statement 4 Form 199, Schedule L, Line 18 Other Liabilities Deferred Revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payroll tax Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $ 42,000. 2,614. 44,614. ANNUAL REGISTRATION RENEWAL FEE REPORT TO ATTORNEY GENERAL OF CALIFORNIA IN MAIL TO: Registry of Charitable Trusts P.O. Box 903447 Sacramento, CA 94203-4470 Telephone: (916) 445-2021 Sections 12586 and 12587, California Government Code 11 Cal. Code Regs. sections 301-307, 311 and 312 Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of $800, plus interest, and/or fines or filing penalties as defined in Government Code Section 12586.1. IRS extensions will be honored. WEBSITE ADDRESS: http://ag.ca.gov/charities/ Check if: State Charity Registration Number CT62792 Change of address Amended report BIRTH CHOICE PREGNANCY CENTERS INC Name of Organization 92 ARGONAUT #205 Corporate or Organization No. C1289854 Address (Number and Street) ALISO VIEJO, CA 92656 Federal Employer ID No. City or Town State 33-0150193 ZIP Code ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301-307, 311 and 312) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue Fee Less than $25,000 Between $25,000 and $100,000 0 $25 Gross Annual Revenue Fee Between $100,001 and $250,000 Between $250,001 and $1 million $50 $75 Gross Annual Revenue Fee Between $1,000,001 and $10 million Between $10,000,001 and $50 million Greater than $50 million $150 $225 $300 PART A ' ACTIVITIES For your most recent full accounting period (beginning Gross annual revenue $ 2,910,462. 10/01/12 Total assets ending $ 9/30/13 1,371,434. ) list: PART B ' STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note: 1 If you answer 'yes' to any of the questions below, you must attach a separate sheet providing an explanation and details for each 'yes' response. Please review RRF-1 instructions for information required. Yes During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any officer, director or trustee thereof either directly or with an entity in which any such officer, director or trustee had any financial interest? No X 2 During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds? X 3 During this reporting period, did non-program expenditures exceed 50% of gross revenues? X 4 During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a Form 4720 with the Internal Revenue Service, attach a copy. X 5 During this reporting period, were the services of a commercial fundraiser or fundraising counsel for charitable purposes used? If 'yes,' provide an attachment listing the name, address, and telephone number of the service provider. X 6 During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing the name of the agency, mailing address, contact person, and telephone number. SEE STATEMENT 7 During this reporting period, did the organization hold a raffle for charitable purposes? If 'yes,' provide an attachment indicating the number of raffles and the date(s) they occurred. X 8 Does the organization conduct a vehicle donation program? If 'yes,' provide an attachment indicating whether the program is operated by the charity or whether the organization contracts with a commercial fundraiser for charitable purposes. X 9 Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period? Organization's area code and telephone number 1 X X 949-916-0763 Organization's e-mail address I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete. Signature of authorized officer JENNIFER WALLACE COO Printed Name Title CAVA9801L 01/25/13 Date RRF-1 (3-05) 2012 California Statements BIRTH CHOICE PREGNANCY CENTERS INC Statement 1 Form RRF-1, Part B, Line 6 Government Agency That Provided Funding COUNTY OF ORANGE HEALTHCARE AGENCY 405 W 5TH ST SANTA ANA CA 92701 CYNTHIA AGUIRRE- ADMINISTRATIVE MANAGER 714-834-4450 Page 1 33-0150193 Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department of the Treasury Internal Revenue Service A B For the 2012 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Open to Public Inspection G The organization may have to use a copy of this return to satisfy state reporting requirements. 10/01 9/30 , 2012, and ending BIRTH CHOICE PREGNANCY CENTERS INC 92 ARGONAUT #205 ALISO VIEJO, CA 92656 , 2013 D Employer Identification Number E Telephone number 33-0150193 949-916-0763 Terminated G Amended return Application pending F Name and address of principal officer: JENNIFER WALLACE Same As C Above )H (insert no.) Tax-exempt status 501(c) ( I X 501(c)(3) J Website: G www.birthchoiceclinic.org Trust K Form of organization: X Corporation Association OtherG Part I Summary 4947(a)(1) or Gross receipts $ H(a) Is this a group return for affiliates? 3,021,371. X No Yes H(b) Are all affiliates included? If 'No,' attach a list. (see instructions) 527 H(c) Group exemption number L Year of Formation: 1985 M Yes No G State of legal domicile: CA TO PROVIDE COUNSELING, PREGNANCY TESTING, ULTRASOUND AND STD TESTING TO WOMEN AT RISK. 1 Briefly describe the organization's mission or most significant activities: 2 3 4 5 6 7a b Check this box G if the organization discontinued its operations or disposed of more than 25% of its net assets. Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . . . . . . . . . . 4 14 Total number of individuals employed in calendar year 2012 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . . 5 31 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 70 Total unrelated business revenue from Part VIII, column (C), line 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a 0. Net unrelated business taxable income from Form 990-T, line 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b 0. Prior Year Current Year Contributions and grants (Part VIII, line 1h). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,594,138. 2,838,275. Program service revenue (Part VIII, line 2g). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,370. 37,568. Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . . 41. 10,619. Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e). . . . . . . . . . . . . . . . 50,418. 24,000. Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 2,678,967. 2,910,462. Grants and similar amounts paid (Part IX, column (A), lines 1-3). . . . . . . . . . . . . . . . . . . . . . Benefits paid to or for members (Part IX, column (A), line 4). . . . . . . . . . . . . . . . . . . . . . . . . . Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10). . . . . . 1,547,405. 1,119,040. 8 9 10 11 12 13 14 15 16 a Professional fundraising fees (Part IX, column (A), line 11e) . . . . . . . . . . . . . . . . . . . . . . . . . . b Total fundraising expenses (Part IX, column (D), line 25) G 211,143. 17 18 19 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 21 Total assets (Part X, line 16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,253,259. 2,800,664. -121,697. 1,159,320. 2,278,360. 632,102. Beginning of Current Year Part II End of Year 984,499. 220,657. 763,842. 1,371,434. 111,101. 1,260,333. Signature Block 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. Sign Here A A Signature of officer Date JENNIFER WALLACE COO Type or print name and title. Print/Type preparer's name Preparer's signature Date Check Cejay Helmer Cejay Helmer Paid Preparer Firm's name G NPO FINANCIAL SERVICES Use Only Firm's address G 21722 Paxton Mission Viejo, CA 92692 X self-employed if PTIN P01696394 46-2710836 949-445-4893 May the IRS discuss this return with the preparer shown above? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Yes BAA For Paperwork Reduction Act Notice, see the separate instructions. Firm's EIN G Phone no. TEEA0113L 12/18/12 No Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Statement of Program Service Accomplishments 33-0150193 Form 990 (2012) Part III 1 Page 2 Check if Schedule O contains a response to any question in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Briefly describe the organization's mission: TO PROVIDE WOMEN OF ALL RACES, CULTURES AND CREEDS THE SUPPORT NEEDED DURING THEIR PREGNANCY. TO PROVIDE COUNSELING, PREGNANCY TESTING, ULTRASOUND AND STD TESTING TO WOMEN AT RISK. 2 3 4 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes,' describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . If 'Yes,' describe these changes on Schedule O. Yes X No Yes X No 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 and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. $ ) (Revenue $ 1,643,229. including grants of $ 37,568. ) To provide Women of all races, cultures and creeds with the support needed during their pregnancy and to provide counseling, testing, ultrasound and STD testing to women at risk. 4 a (Code: ) (Expenses 4 b (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4 d Other program services. (Describe in Schedule O.) (Expenses $ including grants of 4 e Total program service expenses BAA G $ 1,643,229. TEEA0102L ) (Revenue 08/08/12 $ ) Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Checklist of Required Schedules Form 990 (2012) Part IV 33-0150193 Page 3 Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?. . . . . . . . . . . . . . . . . . . . . . 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 X 4 Section 501(c)(3) organizations Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If 'Yes,' complete Schedule C, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 X 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If 'Yes,' complete Schedule C, Part III. . . . . . . 5 X Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 X 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 X 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,' complete Schedule D, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management credit repair, or debt negotiation services? If 'Yes,' complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If 'Yes,' complete Schedule D, Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 X 6 7 10 X X If the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable. 11 a Did the organization report an amount for land, buildings and equipment in Part X, line 10? If 'Yes,' complete Schedule D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a b 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 b X c 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 VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 c X d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part IX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 d X e Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes,' complete Schedule D, Part X . . . . . . 11 e f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes,' complete Schedule D, Part X. . . . 11 f 12 a Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes,' complete Schedule D, Parts XI, and XII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12a b Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,' and if the organization answered 'No' to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . . . . . . . . . . . 12 b X X X X 14 a Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . 14a X X X b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, 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 X Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If 'Yes,' complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 X 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If 'Yes,' complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . 16 X 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 X 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If 'Yes,' complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 'Yes,' complete Schedule G, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20 a Did the organization operate one or more hospital facilities? If 'Yes,' complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Is the organization a school described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . 13 15 19 b If 'Yes' to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . BAA TEEA0103L 12/13/12 13 X X X 20 b Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Checklist of Required Schedules (continued) Form 990 (2012) Part IV 33-0150193 Page 4 Yes 21 22 23 No Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If 'Yes,' complete Schedule I, Parts I and II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 X Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 X 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,' complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 X 24 a 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, and that was issued after December 31, 2002? If 'Yes,' answer lines 24b through 24d and complete Schedule K. If 'No,'go to line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . . . . . . . . . . . . 24a 24b c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . 24c 24d 25 a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If 'Yes,' complete Schedule L, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25a X b 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 990-EZ? If 'Yes,' complete Schedule L, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25b X Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If 'Yes,' complete Schedule L, Part II . . . . . . 26 X Did the organization provide a grant or other assistance 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 of any of these persons? If 'Yes,' complete Schedule L, Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 X a A current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . 28a X b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28b X c 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M . . . . . . . . . . . . . . 28c 29 X X Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If 'Yes,' complete Schedule M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I. . . . . . . 30 31 X X 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 X 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, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 X 26 27 X Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): 28 30 31 Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts II, III, IV, and V, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 35a b 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 34 X X 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 X 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 X 38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA TEEA0104L 08/08/12 X 38 Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Part V Statements Regarding Other IRS Filings and Tax Compliance 33-0150193 Form 990 (2012) Page 5 Check if Schedule O contains a response to any question in this Part V. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable. . . . . . . . . . . . 1a 1b No 33 0 c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c X 2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . . . . . 2a 31 b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . 2b X Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions) 3 a Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes' has it filed a Form 990-T for this year? If 'No,' provide an explanation in Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . 3a 3b X 4a X 5a 5b 5c X X 6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a X b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b 4 a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . b If 'Yes,' enter the name of the foreign country: G See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. 5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?. . . . . . . . . . . . c If 'Yes,' to line 5a or 5b, did the organization file Form 8886-T?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d If 'Yes,' indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . . . . . . 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?. . . . . . . . . . . . . . 7a 7b 7c X 7e 7f X X g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7h 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Did the organization make a distribution to a donor, donor advisor, or related person?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities. . . . . 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X X 8 9a 9b 10 10 a 10 b 11 a b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 b 12 a Section 4947(a)(1) non - exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?. . . . . . . . . . . . . b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year. . . . . . . 12 b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 a 13 a Note. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans. . . . . . . . . . . . . . . . . . . . . . . . . . 13 b c Enter the amount of reserves on hand. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 c 14 a Did the organization receive any payments for indoor tanning services during the tax year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O. . . . . . . . . . . . . . . . BAA TEEA0105L 08/08/12 X 14 a 14 b Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Governance, Management and Disclosure For each 'Yes' response to lines 2 through 7b below, and for a 'No' response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Form 990 (2012) Part VI Page 6 Check if Schedule O contains a response to any question in this Part VI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Section A. Governing Body and Management Yes 1 a Enter the number of voting members of the governing body at the end of the tax year. . . . . . 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 O. b Enter the number of voting members included in line 1a, above, who are independent. . . . . . 1a 15 1b 14 No 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee or key employee?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 X 3 3 X 4 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? . . . . . . . . . . . . . . . . . . . . . . . Did the organization make any significant changes to its governing documents 5 6 since the prior Form 990 was filed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization become aware during the year of a significant diversion of the organization's assets?. . . . . . . . . . . . . . Did the organization have members or stockholders?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 6 X X X 7 a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a X b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or other persons other than the governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b X Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a 8b 8 Is there any officer, director or trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If 'Yes,' provide the names and addresses in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 X X X 9 Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10 a Did the organization have local chapters, branches, or affiliates?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . . . . . . . . . . . . . . . . . . . . . b Describe in Schedule O the process, if any, used by the organization to review this Form 990. See Schedule O 12 a Did the organization have a written conflict of interest policy? If 'No,' go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe in Schedule O how this is done. . . . . . .See . . . . . .Schedule . . . . . . . . . . . . . .O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did the organization have a written whistleblower policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? . . . . . . Schedule . . . . . . . . . . . . . .O ........................ a The organization's CEO, Executive Director, or top management official . . See b Other officers of key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes' to line 15a or 15b, describe the process in Schedule O. (See instructions.) 10 b 11 a X 12 a X 12 b X 12 c 13 14 X 15 a 15 b X 16 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 a b If 'Yes,' did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's exempt status with respect to such arrangements?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 b No X 10 a X X X X Section C. Disclosure CA 17 List the states with which a copy of this Form 990 is required to be filed G 18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply. Own website Another's website X Upon request X Other (explain in Schedule O) See Sch. O 19 Describe in Schedule O whether (and if so, how) the organization makes its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. See Schedule O State the name, physical address, and telephone number of the person who possesses the books and records of the organization: 20 G COMPLETE BAA CONTROLLER 600 ANTON BLVD COSTA MESA CA 92626 866-443-8879 TEEA0106L 08/08/12 Form 990 (2012) Page 7 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Form 990 (2012) Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1 a 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. ? 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. ? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.' ? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received 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. ? List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ? 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 following 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. (C) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) BAA (A) (B) Name and Title Average hours per week (list any hours for related organizations below dotted line) CHARLES SCHREIBER Chairman MARK FOSTER Secretary JEFF ARMOUR Treasurer JUSTIN ALVAREZ Director PETE ANZALDO MD Director MIKE CASPINO Director STEVE GRECO Director JOHN MCMANUS Director BERNI NEAL Director STEPHEN BUSCH Director CHUCK DONOVAN Director LAURENCE FAKINOS MD Director LYNNE JILOT Director OONAGH LINZMEIER Director Position (do not check more than one box, unless person is both an officer and a director/trustee) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TEEA0107L 12/17/12 (D) Reportable compensation from the organization (W-2/1099-MISC) (E) (F) Reportable compensation from related organizations (W-2/1099-MISC) Estimated amount of other compensation from the organization and related organizations 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. Form 990 (2012) Page 8 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (cont) Form 990 (2012) (B) (A) Name and title Average hours per week (list any hours for related organiza - tions below dotted line) KATHLEEN EATON BRAVO CEO (16) JENNIFER WALLACE COO (15) 40 0 40 0 (C) Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) (E) (F) Reportable compensation from the organization (W-2/1099-MISC) Reportable compensation from related organizations (W-2/1099-MISC) Estimated amount of other compensation from the organization and related organizations X 167,092. 0. 0. X 90,000. 0. 0. (17) (18) (19) (20) (21) (22) (23) (24) (25) 1 b Sub-total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 257,092. 0. c Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . . . . . . . . . G 0. 0. d Total (add lines 1b and 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 257,092. 0. 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization G 1 0. 0. 0. Yes 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If 'Yes,' complete Schedule J for such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 For 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 J for such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If 'Yes,' complete Schedule J for such person. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 X X Section B. Independent Contractors 1 BAA X 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) Name and business address 2 No (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization G 0 TEEA0108L 01/24/13 Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Part VIII Statement of Revenue 33-0150193 Form 990 (2012) Page 9 Check if Schedule O contains a response to any question in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Total revenue 1a b c d e Federated campaigns. . . . . . . . . . Membership dues . . . . . . . . . . . . . Fundraising events. . . . . . . . . . . . Related organizations . . . . . . . . . Government grants (contributions). . . . . 1a 1b 1c 1d 1e (B) Related or exempt function revenue (C) Unrelated business revenue (D) Revenue excluded from tax under sections 512, 513, or 514 995,699. 312,491. 102,141. f All other contributions, gifts, grants, and similar amounts not included above. . . . 1f 1,427,944. g Noncash contributions included in lns 1a-1f: $ h Total. Add lines 1a-1f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 2,838,275. Business Code 2 a PROGRAM SERVICES 624100 b c d e f All other program service revenue. . . . g Total. Add lines 2a-2f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 4 5 Investment income (including dividends, interest and other similar amounts). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Income from investment of tax-exempt bond proceeds. . G . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 6a b c d Gross rents. . . . . . . . . . Less: rental expenses Rental income or (loss). . . . Net rental income or (loss). . . . . . . . . . . . . . . . . . . . . . . . . . . G 3 (i) Real 7 a Gross amount from sales of assets other than inventory. (i) Securities 37,568. 37,568. 37,568. 573. 573. 10,046. 10,046. 24,000. 24,000. 24,000. 2,910,462. 72,187. (ii) Personal (ii) Other b Less: cost or other basis and sales expenses. . . . . . . c Gain or (loss). . . . . . . . d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 8 a Gross income from fundraising events (not including . $ 767,195. of contributions reported on line 1c). See Part IV, line 18 . . . . . . . . . . . . . . . . a 110,909. b Less: direct expenses . . . . . . . . . . . . . . b 110,909. c Net income or (loss) from fundraising events. . . . . . . . . . G 9 a Gross income from gaming activities. See Part IV, line 19 . . . . . . . . . . . . . . . . a b Less: direct expenses . . . . . . . . . . . . . . b c Net income or (loss) from gaming activities . . . . . . . . . . . G 10 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . a b Less: cost of goods sold. . . . . . . . . . . . b c Net income or (loss) from sales of inventory . . . . . . . . . . G Miscellaneous Revenue Business Code 11 a Management Fees 900099 b c d All other revenue. . . . . . . . . . . . . . . . . . . e Total. Add lines 11a-11d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . G BAA TEEA0109L 12/17/12 0. 0. Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Statement of Functional Expenses 33-0150193 Form 990 (2012) Part IX Page 10 Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response to any question in this Part IX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) (B) (C) (D) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fundraising 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses 1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Grants and other assistance to individuals in the United States. See Part IV, line 22 . . . . . . Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16. . Benefits paid to or for members. . . . . . . . . . . . . Compensation of current officers, directors, trustees, and key employees. . . . . . . . . . . . . . . . Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . . . . . . . . . . . . . . . . . . . . Other salaries and wages. . . . . . . . . . . . . . . . . . . 3 4 5 6 7 Pension plan accruals and contributions (include section 401(k) and section 403(b) employer contributions) . . . . . . . . . . . . . . . . . . . . 9 Other employee benefits . . . . . . . . . . . . . . . . . . . 10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Fees for services (non-employees): a Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Legal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Professional fundraising services. See Part IV, line 17 . . . f Investment management fees. . . . . . . . . . . . . . . g Other. (If line 11g amt exceeds 10% of line 25, column (A) amt, list line 11g expenses on Sch O) . . . . . . . . 12 Advertising and promotion. . . . . . . . . . . . . . . . . . 167,092. 83,546. 0. 83,546. 0. 758,981. 0. 572,454. 0. 172,300. 0. 14,227. 84,401. 108,566. 59,749. 78,167. 15,848. 19,542. 8,804. 10,857. 8 5,700. 54,756. 5,700. 54,756. 98,943. 180,513. 64,887. 43,924. 70,750. 154,252. 47,405. 30,899. 15,488. 3,419. 16,059. 13,025. Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments of travel or entertainment expenses for any federal, state, or local public officials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conferences, conventions, and meetings . . . . Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments to affiliates . . . . . . . . . . . . . . . . . . . . . . Depreciation, depletion, and amortization. . . . Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.). . . . . . . . . . . . . . . . . . 219,404. 4,594. 176,386. 505. 43,018. 122,520. 104,444. 122,520. 64,687. 39,757. a COGS- Medical Costs b UNCOLLECTIBLE PLEDGES c Event Facilities & Supplies d AUTO EXPENSE e All other expenses . . . . . . . . . . . . . . . . . . . . . . . . . 84,382. 43,908. 30,810. 19,865. 80,348. 2,278,360. 84,382. 43,908. 2,834. 13,305. 37,480. 1,643,229. 1,417. 4,896. 18,441. 423,988. Office expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . Information technology . . . . . . . . . . . . . . . . . . . . . Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 14 15 16 17 18 19 20 21 22 23 24 25 Total functional expenses. Add lines 1 through 24e. . . . 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here G if following SOP 98-2 (ASC 958-720). . . . . . . . . . . . . . . . . . . BAA 322. TEEA0110L 12/18/12 12,705. 22,842. 1,423. 4,089. 322. 26,559. 1,664. 24,427. 211,143. Form 990 (2012) BIRTH CHOICE PREGNANCY CENTERS INC Balance Sheet Form 990 (2012) Part X 33-0150193 Page 11 Check if Schedule O contains a response to any question in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Beginning of year 1 2 3 4 A S S E T S L I A B I L I T I E S B A L A N C E S 163,605. 1 2 3 5 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions). Complete Part II of Schedule L. . . . . . Notes and loans receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 8 9 7 8 9 10 a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D. . . . . . . . . . . . . . . . . . . . 10 a 773,808. b Less: accumulated depreciation. . . . . . . . . . . . . . . . . . . . 10 b 406,548. 11 Investments ' publicly traded securities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Investments ' other securities. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Investments ' program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Intangible assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other assets. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Total assets. Add lines 1 through 15 (must equal line 34). . . . . . . . . . . . . . . . . . . . . . . 17 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Grants payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Deferred revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Escrow or custodial account liability. Complete Part IV of Schedule D. . . . . . . . . . . 22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . 24 Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . 844,375. 74,810. 4 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59,633. 406,081. 10 c 7,669. 19,690. 984,499. 9,676. 113,545. 61,275. 11 12 13 14 15 16 17 18 19 20 21 57,630. 367,260. 7,669. 19,690. 1,371,434. 66,487. 42,000. 22 23 24 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D. 26 Total liabilities. Add lines 17 through 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36,161. 25 220,657. 26 2,614. 111,101. 27 28 29 Organizations that follow SFAS 117 (ASC 958), check here G X and complete lines 27 through 29, and lines 33 and 34. Unrestricted net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporarily restricted net assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Permanently restricted net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356,792. 27 157,050. 28 250,000. 29 543,618. 216,715. 500,000. 30 31 32 33 34 1,260,333. 1,371,434. O R F U N D 327,821. 5 N E T A S S E T S Cash ' non-interest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pledges and grants receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (B) End of year Organizations that do not follow SFAS 117 (ASC 958), check here G and complete lines 30 through 34. 30 31 32 33 34 Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paid-in or capital surplus, or land, building, or equipment fund . . . . . . . . . . . . . . . . . . Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total liabilities and net assets/fund balances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA 763,842. 984,499. Form 990 (2012) TEEA0111L 01/03/13 BIRTH CHOICE PREGNANCY CENTERS INC Reconciliation of Net Assets 33-0150193 Form 990 (2012) Part XI Page 12 X 2,910,462. 2,278,360. 632,102. 763,842. Check if Schedule O contains a response to any question in this Part XI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 3 1 2 3 4 Total expenses (must equal Part IX, column (A), line 25). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)). . . . . . . . . . . . . . . . . . 5 6 7 8 Net unrealized gains (losses) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 7 8 9 Other changes in net assets or fund balances (explain in Schedule O). . .See . . . . . .Schedule . . . . . . . . . . . . .O ............... 9 -135,611. 10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1,260,333. 4 Part XII Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes Accounting method used to prepare the Form 990: 1 Cash X Accrual If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . If 'Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: 2a X 2b X c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?. . . . . . . . . . . . . . . . . . . . . . . . . 2c X If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. 3 a 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 A-133? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a X Separate basis Consolidated basis No Other Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Consolidated basis Both consolidated and separate basis X Separate basis b 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 O and describe any steps taken to undergo such audits . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA TEEA0112L 08/09/11 X 3b Form 990 (2012) OMB No. 1545-0047 SCHEDULE A 2012 Public Charity Status and Public Support (Form 990 or 990-EZ) Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Treasury Internal Revenue Service Open to Public Inspection G Attach to Form 990 or Form 990-EZ. G See separate instructions. Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 5 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 X An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. 9 10 11 a e f g Type I b Type II c Type III ' Functionally integrated Type III ' Non-functionally integrated d By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? Yes h (i) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (i) (ii) A family member of a person described in (i) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (ii) (iii) A 35% controlled entity of a person described in (i) or (ii) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s). 11 g (iii) (i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1-9 above or IRC section (see instructions)) (iv) Is the (v) Did you notify organization in the organization in column (i) listed in column (i) of your your governing support? document? Yes No Yes No (vi) Is the organization in column (i) organized in the U.S.? Yes No (vii) Amount of monetary support No (A) (B) (C) (D) (E) Total BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA0401L 08/09/12 Schedule A (Form 990 or 990-EZ) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) Page 2 Schedule A (Form 990 or 990-EZ) 2012 (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) G 1 Gifts, grants, contributions, and membership fees received. (Do not include any 'unusual grants.'). . . . . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 4 Total. Add lines 1 through 3 . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f). . . 6 (c) 2010 (d) 2011 (f) Total (a) 2008 (b) 2009 (e) 2012 549,687. 898,790. 1,976,674. 1,594,138. 2,838,275. 7,857,564. 0. 549,687. 898,790. 1,976,674. 1,594,138. 2,838,275. 0. 7,857,564. 1,766,837. Public support. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . 6,090,727. Section B. Total Support Calendar year (or fiscal year beginning in) G 7 Amounts from line 4 . . . . . . . . . . 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . . . Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . See . . . . . . Part . . . . . . . .IV ...... 9 10 11 (c) 2010 (d) 2011 (b) 2009 (e) 2012 549,687. 898,790. 1,976,674. 1,594,138. 2,838,275. 41. 7,857,564. 573. 614. 0. 24,000. Total support. Add lines 7 through 10. . . . . . . . . . . . . . . . . . . . Gross receipts from related activities, etc (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 (f) Total (a) 2008 12 24,000. 7,882,178. 0. First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 G Section C. Computation of Public Support Percentage Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Public support percentage from 2011 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 77.27 % 77.10 % 16 a 33-1/3% support test ' 2012. If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X b 33-1/3% support test ' 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 a 10%-facts-and-circumstances test ' 2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization . . . . . . . . . . b 10%-facts-and-circumstances test ' 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . BAA G G G Schedule A (Form 990 or 990-EZ) 2012 TEEA0402L 08/09/12 BIRTH CHOICE PREGNANCY CENTERS INC Support Schedule for Organizations Described in Section 509(a)(2) Schedule A (Form 990 or 990-EZ) 2012 Part III 33-0150193 Page 3 (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal yr beginning in) G 1 Gifts, grants, contributions and membership fees received. (Do not include any 'unusual grants.') . . . . . . . . . 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose. . . . . . . . . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 6 Total. Add lines 1 through 5 . . . 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons. . . . . . . . . . . b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. . . . . . . . . . . . . . . . . . . c Add lines 7a and 7b. . . . . . . . . . . 8 Public support (Subtract line 7c from line 6.) . . . . . . . . . . . . . . . (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total Section B. Total Support Calendar year (or fiscal yr beginning in) G 9 Amounts from line 6 . . . . . . . . . . 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. . . c Add lines 10a and 10b. . . . . . . . . 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on . . . . . . . . . . . . . . . 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . . 13 Total support. (Add lns 9, 10c, 11, and 12.) 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Section C. Computation of Public Support Percentage 15 16 Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2011 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . % % 15 16 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17 18 Investment income percentage from 2011 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19 a 33-1/3% support tests ' 2012. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . b 33-1/3% support tests ' 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, and line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . . BAA TEEA0403L 08/09/12 % % G G G Schedule A (Form 990 or 990-EZ) 2012 Page 4 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions). Schedule A (Form 990 or 990-EZ) 2012 Part IV Additional Explanation of Other Income Managment Fees From Birth Choice Napa Clinic. BAA Schedule A (Form 990 or 990-EZ) 2012 TEEA0404L 08/10/12 2012 Schedule A, Part IV - Supplemental Information Page 5 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II, Line 10 - Other Income Nature and Source management Fees 2012 $ Total $ 24,000. 24,000. $ 2011 2010 0. $ 2009 0. $ 2008 0. $ 0. OMB No. 1545-0047 Schedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Service Schedule of Contributors 2012 G Attach to Form 990, Form 990-EZ, or Form 990-PF Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Organization type (check one): Filers of: Form 990 or 990-EZ Section: X 501(c)( 3 ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF 501(c)(3) exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor. (Complete Parts I and II.) Special Rules X For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts I and II. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III. For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not total to more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc, contributions of $5,000 or more during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ Caution: An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF) but it must answer 'No' on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on Part I, line 2, of itsForm 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF). BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990EZ, or 990-PF. TEEA0701L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 of 1 of Part 1 Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) Number 1 (b) Name, address, and ZIP + 4 (c) Total contributions Person Dennis and Lynne Jilot $ 270,000. Noncash (Complete Part II if there is a noncash contribution.) Reno, NV 89511 2 (b) Name, address, and ZIP + 4 (c) Total contributions $ 250,000. Noncash (Complete Part II if there is a noncash contribution.) Washington, DC 20017 (b) Name, address, and ZIP + 4 (c) Total contributions $ 171,250. Noncash (Complete Part II if there is a noncash contribution.) Los Angeles, CA 90012 (b) Name, address, and ZIP + 4 (c) Total contributions $ 99,455. Noncash (Complete Part II if there is a noncash contribution.) Orange, CA 92867 (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Doug and Kerry Prins X Payroll $ 1035 Quail Ridge Rd 88,000. Noncash (Complete Part II if there is a noncash contribution.) Irvine, CA 92603 (a) Number X Payroll 2811 E Villa Real Dr 5 (d) Type of contribution Person Roman Catholic Bishop of Orange (a) Number X Payroll 221 S Figueroa St #400 4 (d) Type of contribution Person California Community Foundation (a) Number X Payroll 3211 Fourth St. NE 3 (d) Type of contribution Person US.Conference of Catholic Bishops (a) Number X Payroll 11030 Montano Ranch Ct (a) Number (d) Type of contribution (b) Name, address, and ZIP + 4 (c) Total contributions (d) Type of contribution Person Payroll $ Noncash (Complete Part II if there is a noncash contribution.) BAA TEEA0702L 11/30/12 Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 to Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) 1 of Part II Name of organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. from Part I (b) Description of noncash property given (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received (c) FMV (or estimate) (see instructions) (d) Date received N/A $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ (a) No. from Part I (b) Description of noncash property given $ BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2012) TEEA0703L 11/30/12 1 to Page Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization 1 of Part III Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part III Exclusively religious, charitable, etc, individual contributions to section 501(c)(7), (8) or (10) organizations that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . Use duplicate copies of Part III if additional space is needed. (a) No. from Part I (b) Purpose of gift (c) Use of gift G$ N/A (d) Description of how gift is held N/A (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 (a) No. from Part I Relationship of transferor to transferee (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2012) BAA TEEA0704L 11/30/12 SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Service Name of the organization OMB No. 1545-0047 Supplemental Financial Statements 2012 G Complete if the organization answered 'Yes,' to Form 990, Part IV, lines 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. G Attach to Form 990. G See separate instructions. Open to Public Inspection Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if Part I the organization answered 'Yes' to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts 1 Total number at end of year . . . . . . . . . . . . . . . . 2 3 4 Aggregate contributions to (during year). . . . . Aggregate grants from (during year). . . . . . . . . Aggregate value at end of year . . . . . . . . . . . . . 5 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 exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Part II 1 2 Conservation Easements. Complete if the organization answered 'Yes' to Form 990, Part IV, line 7. Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space 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. Held at the End of the Tax Year a Total number of conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 a b Total acreage restricted by conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 b c Number of conservation easements on a certified historic structure included in (a) . . . . . . . . . . . . . 2 c d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year G 4 Number of states where property subject to conservation easement is located G 5 6 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year G Yes No Yes No 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year G$ 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 In Part XIII, 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. Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 8. 1 a 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, provide, in Part XIII, the text of the footnote to its financial statements that describes these items. b 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, provide the following amounts relating to these items: (i) Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ (ii) Assets included in Form 990, Part X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: a Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $ BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA3301L 09/18/12 Schedule D (Form 990) 2012 Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Schedule D (Form 990) 2012 3 4 5 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): Public exhibition Loan or exchange programs a d Scholarly research Other b e Preservation for future generations c Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . . . . . . . . . . . . . . . . . Yes No Part IV Escrow and Custodial Arrangements. Complete if the organization answered 'Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1 a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' explain the arrangement in Part XIII and complete the following table: Yes No Amount c Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c d Additions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 d e Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 e f Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 f 2 a Did the organization include an amount on Form 990, Part X, line 21?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes b If 'Yes,' explain the arrangement in Part XIII. Check here if the explantion has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . Part V No Endowment Funds. Complete if the organization answered 'Yes' to Form 990, Part IV, line 10. (a) Current (c) Two years (b) Prior year (d) Three years (e) Four years 1 a Beginning of year balance. . . . . . b Contributions . . . . . . . . . . . . . . . . . . c Net investment earnings, gains, and losses. . . . . . . . . . . . . . . . . . . . . d Grants or scholarships . . . . . . . . . e Other expenditures for facilities and programs. . . . . . . . . . . . . . . . . . f Administrative expenses. . . . . . . . g End of year balance. . . . . . . . . . . . 2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: % a Board designated or quasi-endowment G % Permanent endowment G b % c Temporarily restricted endowment G The percentages in lines 2a, 2b, and 2c should equal 100%. 3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) unrelated organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(i) (ii) related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(ii) b If 'Yes' to 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b 4 Describe in Part XIII the intended uses of the organization's endowment funds. Yes No Part VI Land, Buildings, and Equipment. See Form 990, Part X, line 10. Description of property (a) Cost or other basis (investment) (b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value 1 a Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Leasehold improvements. . . . . . . . . . . . . . . . . . . 210,264. 102,005. 108,259. d Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563,544. 304,543. 259,001. e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) . . . . . . . . . . . . . . . . . . . G 367,260. Schedule D (Form 990) 2012 BAA TEEA3302L 06/07/12 BIRTH CHOICE PREGNANCY CENTERS INC Part VII Investments ' Other Securities. See Form 990, Part X, line 12. N/A Schedule D (Form 990) 2012 (a) Description of security or category (including name of security) (1) Financial derivatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely-held equity interests. . . . . . . . . . . . . . . . . . . . . . . . . (b) Book value 33-0150193 Page 3 (c) Method of valuation: Cost or end-of-year market value (3) Other (A) (B) (C) (D) (E) (F) (G) (H) (I) Total. (Column (b) must equal Form 990, Part X, column (B) line 12.) . . . G Part VIII Investments ' Program Related. See Form 990, Part X, line 13. (a) Description of investment type (b) Book value N/A (c) Method of valuation: Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, column (B) line 13.). . . Part IX G Other Assets. See Form 990, Part X, line 15. N/A (a) Description (b) Book value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, column (B), line 15.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Part X Other Liabilities. See Form 990, Part X, line 25. (a) Description of liability (1) Federal income taxes (2) Payroll tax Liabilities (3) (4) (5) (6) (7) (8) (9) (10) (11) (b) Book value 2,614. Total. (Column (b) must equal Form 990, Part X, column (B) line 25.) . . . . . . G 2,614. 2. FIN 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA TEEA3303L 12/23/12 Schedule D (Form 990) 2012 Page 4 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 1 Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 3,138,179. Schedule D (Form 990) 2012 Part XI 2 3 4 Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Recoveries of prior year grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a 2b 227,717. 2c 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b. . . . . . . . . . . . . . 4a b Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3 227,717. 2,910,462. 4c 5 2,910,462. 2e Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.). . . . . . . . . . . . . . . . . . . . . . . . . . . . Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Total expenses and losses per audited financial statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amounts included on line 1 but not on Form 990, Part IX, line 25: 1 2 a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Other losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a 2b 2c 1 2,506,077. 2e 3 227,717. 2,278,360. 4c 5 2,278,360. 227,717. d Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d e Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b. . . . . . . . . . . . . . 4a b Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . Part XIII Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information. BAA Schedule D (Form 990) 2012 TEEA3304L 11/30/12 OMB No. 1545-0047 Supplemental Information Regarding Fundraising or Gaming Activities 2012 Complete if the organization answered 'Yes' to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. G Attach to Form 990 or Form 990-EZ. G See separate instructions. Open to Public Inspection SCHEDULE G (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Fundraising Activities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations Solicitation of non-government grants a e Part I b Internet and email solicitations f Solicitation of government grants c Phone solicitations g Special fundraising events d In-person solicitations 2 a 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 professional fundraising services? . . . . . . . . . . . . . . . . . b 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. (i) Name and address of individual or entity (fundraiser) (ii) Activity (iii) Did fundraiser have custody or control of contributions? Yes (iv) Gross receipts from activity (v) Amount paid to (or retained by) fundraiser listed in column (i) Yes X No (vi) Amount paid to (or retained by) organization No 1 2 3 4 5 6 7 8 9 10 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA3701L 01/07/13 0. Schedule G (Form 990 or 990-EZ) 2012 Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Fundraising Events. Complete if the organization answered 'Yes' to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. Schedule G (Form 990 or 990-EZ) 2012 (a) Event #1 (b) Event #2 GALA R E V E N U E ANNIVERSARY EV 1 (event type) (total number) (event type) D I R E C T E X P E N S E S (d) Total events (add column (a) through column (c)) (c) Other events 1 Gross receipts . . . . . . . . . . . . . . . . . . . . . . . . 742,262. 81,812. 54,030. 878,104. 2 Less: Charitable contributions. . . . . . . . . . 664,703. 68,412. 34,080. 767,195. 3 Gross income (line 1 minus line 2) . . . . . 77,559. 13,400. 19,950. 110,909. 4 Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . 6 Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 7,500. 7,500. 7 Food and beverages. . . . . . . . . . . . . . . . . . . 8,119. 61,585. 8 Entertainment. . . . . . . . . . . . . . . . . . . . . . . . . 9 Other direct expenses . . . . . . . . . . . . . . . . . 52,066. 1,400. 3,000. 25,493. 3,000. 9,000. 4,331. 38,824. 10 Direct expense summary. Add lines 4 through 9 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 11 Net income summary. Combine line 3, column (d), and line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 110,909. Part III Gaming. Complete if the organization answered 'Yes' to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. D I R E C T E X P E N S E S (c) Other gaming 1 Gross revenue . . . . . . . . . . . . . . . . . . . . . . . . 2 Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Non-cash prizes. . . . . . . . . . . . . . . . . . . . . . . 4 Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 5 Other direct expenses . . . . . . . . . . . . . . . . . 6 Volunteer labor . . . . . . . . . . . . . . . . . . . . . . . 7 Direct expense summary. Add lines 2 through 5 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 8 Net gaming income summary. Combine lines 1, column (d) and line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Yes 9 (b) Pull tabs/Instant bingo/progressive bingo (a) Bingo R E V E N U E % No Yes No % Yes % No Enter the state(s) in which the organization operates gaming activities: a Is the organization licensed to operate gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'No,' explain: 10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . . . . . . . . . . . . b If 'Yes,' explain: BAA TEEA3702L 01/07/13 (d) Total gaming (add column (a) through column (c)) Yes No Yes No Schedule G (Form 990 or 990-EZ) 2012 Schedule G (Form 990 or 990-EZ) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 11 Does the organization operate gaming activities with nonmembers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Yes Page 3 No No Indicate the percentage of gaming activity operated in: a The organization's facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 a b An outside facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 b 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: 13 % % Name G Address G 15 a Does the organization have a contact with a third party from whom the organization receives gaming revenue? . . . . . . . and the amount b If 'Yes,' enter the amount of gaming revenue received by the organizationG $ of gaming revenue retained by the third party G $ c If 'Yes,' enter name and address of the third party: Yes No Name G Address G Gaming manager information: 16 Name G Gaming manager compensation G $ Description of services provided G Director/officer Employee Independent contractor Mandatory distributions 17 a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year G $ Part IV BAA Yes No Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions). TEEA3703L 01/07/13 Schedule G (Form 990 or 990-EZ) 2012 Compensation Information OMB No. 1545-0047 For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 2012 G Complete if the organization answered 'Yes' to Form 990, Part IV, line 23. G Attach to Form 990. G See separate instructions. Open to Public Inspection SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC Part I Questions Regarding Compensation 33-0150193 Yes No 1 a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. First-class or charter travel Housing allowance or residence for personal use Travel for companions Payments for business use of personal residence Tax indemnification and gross-up payments Health or social club dues or initiation fees Discretionary spending account Personal services (e.g., maid, chauffeur, chef) b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If 'No,' complete Part III to explain . . . . . . . . . . . . . . . . 2 3 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 X Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III. Compensation committee Independent compensation consultant Form 990 of other organizations 4 1b Written employment contract X Compensation survey or study X Approval by the board or compensation committee During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Participate in, or receive payment from, a supplemental nonqualified retirement plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Participate in, or receive payment from, an equity-based compensation arrangement?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 4b 4c X X X 5a 5b X X 6a 6b X X If 'Yes' to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III. Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9. 5 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: a The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes' to line 5a or 5b, describe in Part III. 6 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: a The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes' to line 6a or 6b, describe in Part III. 7 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments not described in lines 5 and 6? If 'Yes,' describe in Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 X 8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If 'Yes,' describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 X 9 If 'Yes' to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA4101L 12/10/12 9 Schedule J (Form 990) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Schedule J (Form 990) 2012 Page 2 For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable columns (D) and (E) amounts for that individual. (B) Breakdown of W-2 and/or 1099-MISC compensation (A) Name and Title 1 KATHLEEN EATON BRAVO CEO 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 BAA (i) Base compensation (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (ii) Bonus and incentive compensation 167,092. 0. 0. 0. TEEA4102L (C) Retirement and other deferred compensation (iii) Other reportable compensation 12/11/12 0. 0. 0. 0. (D) Nontaxable benefits 0. 0. (F) Compensation (E) Total of reported as columns(B)(i)-(D) deferred in prior Form 990 167,092. 0. 0. 0. Schedule J (Form 990) 2012 BIRTH CHOICE PREGNANCY CENTERS INC Supplemental Information 33-0150193 Schedule J (Form 990) 2012 Part III Page 3 Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, for Part II. Also complete this part for any additional information. Schedule J (Form 990) 2012 BAA TEEA4103L 12/11/12 SCHEDULE O (Form 990 or 990-EZ) 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. Department of the Treasury Internal Revenue Service G Attach to Form 990 or 990-EZ. OMB No. 1545-0047 2012 Open to Public Inspection Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Form 990, Part VI, Line 11b - Form 990 Review Process AN ELECTRONIC COPY OF THE FORM 990 IS SENT SECURELY TO EACH MEMBER OF THE FINANCE COMMITTEE FOR THEIR REVIEW BEFORE FILING. Form 990, Part VI, Line 12c - Explanation of Monitoring and Enforcement of Conflicts THE BOARD OF DIRECTORS REVIEWS AND SIGNS AN ANNUAL CONFLICT OF INTEREST POLICY. Form 990, Part VI, Line 15a - Compensation Review & Approval Process - CEO, Top Management THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. IN THE PROCESS THEY OBTAIN COMPARABILITY DATA Form 990, Part VI, Line 18 - Explanation of Other Means Forms Available For Public Inspection FORMS 1023 AND 990 ARE ALSO AVAILABLE AT www.guidestar.com Form 990, Part VI, Line 19 - Other Organization Documents Publicly Available GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA4901L 12/8/12 Schedule O (Form 990 or 990-EZ) 2012 2012 Schedule O - Supplemental Information BIRTH CHOICE PREGNANCY CENTERS INC Page 2 33-0150193 Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances BC NAPA PORTION OF NET ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total $ -135,611. -135,611. OMB No. 1545-0047 SCHEDULE R (Form 990) Department of the Treasury Internal Revenue Service 2012 Related Organizations and Unrelated Partnerships Open to Public Inspection G Complete if the organization answered 'Yes' to Form 990, Part IV, line 33, 34, 35, 36, or 37. G Attach to Form 990. G See separate instructions. Name of the organization Employer identification number BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Part I Identification of Disregarded Entities (Complete if the organization answered 'Yes' to Form 990, Part IV, line 33.) (a) Name, address, and EIN (if applicable) of disregarded entity (b) Primary activity (c) Legal domicile (state or foreign country) (d) Total income (e) End-of-year assets (f) Direct controlling entity (1) (2) (3) Part II Identification of Related Tax-Exempt Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.) (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Exempt Code section (e) Public charity status (if section 501(c)(3)) (f) Direct controlling entity (g) Sec 512(b)(13) controlled entity? Yes TOBY'S HOUSE 92 ARGONAUT #205 ALISO VIEJO, CA 92656 33-0871193 (2) TEEN INTEGRITY 92 ARGONAUT #205 ALISO VIEJO, CO 92656 59-3804603 No (1) TO PROVIDE HOUSING FOR PREGNANT WOMEN CA 501C3 SCHED A L-7 N/A X TO PROVIDE WOMEN W/ SUPPORT & EDUCATION CA 501C3 SCHED A L-7 N/A X (3) (4) BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA5001L 12/28/12 Schedule R (Form 990) 2012 Page 2 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.) Schedule R (Form 990) 2012 Part III (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Direct controlling entity (e) Predominant income (related, unrelated, excluded from tax under sections 512-514) (f) Share of total income (g) Share of end-of-year assets (h) (i) DisproporCode V-UBI tionate amount in box allocations? 20 of Schedule K-1 (Form 1065) Yes No (j) General or managing partner? Yes (k) Percentage ownership No (1) (2) (3) Part IV Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.) (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Direct controlling entity (e) Type of entity (C corp, S corp, or trust) (f) Share of total income (g) Share of end-ofyear assets (h) Percentage ownership (i) Sec 512(b)(13) controlled entity? Yes No (1) (2) (3) BAA TEEA5002L 12/28/12 Schedule R (Form 990) 2012 Schedule R (Form 990) 2012 BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Page 3 Part V Transactions With Related Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34, 35b, or 36.) Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? 1 Yes No a b c d e Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gift, grant, or capital contribution from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans or loan guarantees to or for related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 1b 1c 1d 1e X X X X X f g h i j Dividends from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lease of facilities, equipment, or other assets to related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f 1g 1h 1i 1j X X X X X k Lease of facilities, equipment, or other assets from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l Performance of services or membership or fundraising solicitations for related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m Performance of services or membership or fundraising solicitations by related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1k 1l 1m 1n 1o X X X X X p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Reimbursement paid by related organization(s) for expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1p 1q X X r Other transfer of cash or property to related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1r X s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1s X 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. (a) (b) (c) (d) Name of other organization Transaction Amount involved Method of determining type (a-s) amount involved (1) TOBY'S HOUSE q 307,403. (2) TOBY'S HOUSE s 34,537. (3) TEEN INTEGRITY s 1,250. (4) (5) (6) BAA TEEA5003L 12/28/12 Schedule R (Form 990) 2012 Schedule R (Form 990) 2012 Part VI BIRTH CHOICE PREGNANCY CENTERS INC 33-0150193 Page 4 Unrelated Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 37.) Provide the following 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 exclusion for certain investment partnerships. (a) Name, address, and EIN of entity (b) Primary activity (c) Legal domicile (state or foreign country) (d) (e) Predominant Are all partners income section (related, unre501(c)(3) lated, excluded organizations? from tax under section 512-514) Yes No (f) Share of total income (g) Share of end-of-year assets (h) (i) DisproporCode V-UBI tionate amount in box allocations? 20 of Schedule K-1 Form (1065) Yes No (j) (k) General or Percentage managing ownership partner? Yes No (1) (2) (3) (4) (5) (6) (7) (8) BAA TEEA5004L 12/28/12 Schedule R (Form 990) 2012 Schedule R (Form 990) 2012 Part VII BAA Page 5 Supplemental Information Complete this part to provide additional information for responses to questions on Schedule R (see instructions). TEEA5005L 12/28/12 Schedule R (Form 990) 2012