F~rr:, 990 0MB No 1545-0047 Return of Organization Exempt From Income Tax ~©10 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung Open to Public Inspection benefit trust or private foundation) Department of theTreasuiy InternalRevenue SeMce ~ The or amzat1on ma have to use a co A For the 2010 calendar year, or tax year beginning u1rements , 2010, and ending B Check 11applicable C Name of organization Center To Protect Patient Rights, Inc. 0 0 0 Addresschange Namechange Doing BusinessAs 1------------------------.-------+--------_;_ Numberand street(or PO box 11mail 1snot deliveredto streetaddress) o 1mt1al return Temi,nated P.O. Box 72465 1------------------------'-------+------------City or town. state or country, and ZIP + 4 D 0 Amendedreturn ,.P ...h_o_e_n_,x_._A_z_e_5_o_5_o ________________________ ,20 D Employer 1dentificat1onnumber 26-4683543 Room/suite ___ _ 480-252-0772 ,._G;..._G;_r..:..os:..:s_r.:.ec:..:e.:.::1p..:..ts __$;..._=...:6:..:0.:..:,8:..;;8=S.,. Applicationpending F Nameand address01principalofficer D 0 No D Yes D No H(a) Isthisa groupreturnforaffiliates? Yes _______ I .....__s_e_a=n~N_o_b_le_-_P_._o_._B_o_x.,,7=2_4_6S_P_h_o_en_i_x_, A_Z_8_5_0s_o __________ D 501(c)(3) [Z] 501(c)( 4 ) .... (insertno) 0 4947(a)(1)or D 527 Tax-exem t status J Website: • K Fonnof orgamzabon --1 Hibl Are all affiliates included? If "No," attach a list (seeinstructions) H(c) Group exemption number • None 0 E Telephonenumber D D AssociationD Other• Corporat10n Trust L Year of formation 2009 M Stateof legal dom1c1le MD Summary 1 Briefly describe the organization's mission or most significant act1v1t1es: -------------------------------------------------------------------· _ _Building a coalition of like-minded organizations and individulals,_and educating the public on issues related to _______________________ GI u _health care with_an emphasis on patients rights. Engaging in issue advocacy and activities to influence·-·-------------------------·--··· legislation related to health care. C ('O C .. GI 2 3 4 5 6 7a b > 0 C, ad ,n GI .:; Iu 11 ~ "-"' = 61,838,792 0 2,470 0 13,656,711 10,783,500 0 61,841,262 44,599,946 0 0 154,927 0 0 212,138 17 1,110,525 15,433,307 18 19 12,048,952 60,245,391 b e 20 1,608,260 Beginningof Current Year :s il 0 211 ~i C. OW o 0 12 Q 13 Cl m 14 n ,n 15 t=3! 16a ~)( o Current Year 8 9 10 (m) 2 O 7b income from Form 990-T, lme 34 Prror Year @a) (f~ 3 Total assets (Part X, line 16) X, line 26) .'2dl21 Total liabilities (Part z ... 22 Net assets or fund balances. -.;J Subtract line 21 from line 20 1,595,871 End of Year 1,608,260 3,220,364 500 1,607,760 0 3,220,364 Signature Block Under penaltiesof perJury.I declarethat I haveexaminedthis return, including accompanyingschedulesand statements.and to the best of my knowledge and belief, 111s ecla lion of preparer(otherthan officer) 1sbased on all informationof which preparerhas any knowledge true, correct, and comple Sign Here ~ ~, SOM~Of off ... ~ ~ Date ~t>kU., Type or pnnt nameand title Pnnt/Typepreparer'sname Pal"d Preparer l-"H....;o;_w....;a;,;.rd~S..:..ck:.:.o:..:.l:..:.ni;;..k _______ __.__::c.....r......:.. __________ Use Onlyl-'-'F1:;..;.rm;.;.';a.s;,;;na::;;m:.;.;:e'--_ ..._H_o_w_ar_d_S_c_k_o_ln_1_k_C_P_A __________________ F1rm'saddress • 11646 N. 129th Way, Scottsdale, AZ 85259 May the IRS discuss this return with the preparer shown above? (see 1nstruct1ons) For Paperwork Reduction Act Notice, see the separate instructions. Date r,, PTIN Check i.{J 11 ...J.....:./_1.!.....!--'-'--..f.-..l.-se_lf_-e_m_:p_lo..:y_ed__.___P_0_1_0_ __ ~.:.F.::.1rm::.:.:'S:.:E:.::IN~·---------Phone no 602-524-0974 Yes D Cat No 11282Y D No Form 990 (2010) \) Page FbrrTT9~0 (2016) 1@1jj1Statement 1 of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part Ill Briefly describe the organization's mission: 2 D _Building a coalition of like-minded organizations and individulals, _and educating the public_ on_1ssuesrelated to ___________________________ _ _healthcare with _anemphasis on _patients rights. Engaging m issue advocacy and activities to_influence --------------------------------------_leg1slat1on _related to health care. _____________________________________________________________________________________________ _ 2 3 4 4a Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? . D Yes 0 No If "Yes," describe these new services on Schedule 0. Did the organization cease conducting, or make significant changes in how it conducts, any program services? . D Yes 0 No If "Yes," describe these changes on Schedule 0. Describe the exempt purpose achievements for each of the organization's three largest program services 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, 1fany, for each program service reported. (Code: ______________ _) (Expenses$ ________ 59,274,135_ including grants of$----------~~!~-~~!?..~~) (Revenue$ _______________________ _ _Coaht1on Building: The_organization helped to build a coalition of like mmded_organizations_and individuals, which ________________________ _ _worked to educate the_public about healthcare reform and advocate m favor_or patients rights.-------------------------------------------------- _ _Issue Advocacy/ Legislative Advocacy: The_orgamzat1on engaged m helping to plan, create,_des1gn and_execute an _______________________ _issue advocacy /leg1slat1veawareness campaign in conjunction with its broad based healthcare_coallt1on. ------------------------------------ 4b (Code: ______________ _) (Expenses $ ______________________ including grants of$ ________________________ ) (Revenue $ _______________________ _ 4c (Code: ______________ _) (Expenses $ ______________________ including grants of $ ________________________ ) (Revenue $ _______________________ _ 4d Other program services. (Describe in Schedule 0.) (Expenses $ including grants of $ Total program service expenses Ill$59,274,135 4e ) (Revenue$ Form 990 (2010) , Page 3 F6lnTl.900(2010) Checklist of Required Schedules Yes 1 Is the organization described in section 501 (c)(3) or 494 7(a)(1) (other than a private foundation)? If "Yes," complete Schedule A . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Is the organization required to complete Schedule B, Schedule of Contributors? (see 1nstruct1ons) Did the organization engage in direct or indirect political campaign act1v1tieson behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I . . . . . 4 Section 501 (c)(3) organizations. Did the organization engage in lobbying act1v1t1es,or have a section 501 (h) election in effect during the tax year? If "Yes," complete Schedule C, Part II . . 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 Ill . . . . . . . . . . . . . . . . . . . . . . . . 6 Did the organization maintain any donor advised funds or any s1m1larfunds or accounts where 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 . . . . . . . . . . Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part Ill . . . . . . . . . . . . 9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negot1at1on services? If "Yes," complete Schedule D, Part IV . . . . . . . . . . . . . . . No 1 ,/ t-----it-----i-- 2 ,/ 3 ,/ 4 1---1-----,1--- ,/ 5 1---1---1--- 6 ,/ 7 ,/ 1-----il------i-- 1------,1------il---- 8 ,/ 9 ,/ 1---1------,1---- 1---1---1--- 1o 11 a b c d Did the organization, directly or through a related organization, hold assets in term, permanent, or quasiendowments? If "Yes," complete Schedule D, Part V . . . . . . . . . . 10 ,/ 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. Did the organization report an amount for land, buildings, and equipment in Part X, line 1O? If "Yes," complete Schedule D, Part VI . . . . . . . . . . . . . ,____,,____, 11 a ,/ Did the organization report an amount for investments-other securities in Part X, line 12 that 1s5% or more 11b ,/ of its total assets reported 1nPart X, hne 16? If "Yes," complete Schedule D, Part VII . ,___,____,,___ Did the organization report an amount for investments- program related 1nPart X, hne 13 that 1s5% or more of its total assets reported 1nPart X, line 16? If "Yes," complete Schedule D, Part VIII . 11c ,/ 1---1------,1---Did the organization report an amount for other assets in Part X, line 15 that 1s5% or more of its total assets 11d ,/ reported in Part X, line 16? If "Yes," complete Schedule D, Part IX . . __ 1---1------,1---- e Did the organization report an amount for other liab1ht1es in Part X, line 25? If "Yes," complete Schedule D, Part X ,_1_1_e-+-_-+-_./_ f Did the organization'sseparate or consolidated financial statements for the tax year include a footnote that addresses under FIN 48 (ASC740)? If "Yes," complete Schedule D, Part X . 11f the organization'sliability for uncertaintax pos1t1ons ,/ 12 a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI, XII, and XIII . . . . . . . . . 1---1-----,1---- 12a ,/ b Was the organizationincluded 1nconsolidated,independentaudited financialstatementsfor the tax year? If "Yes," and ,f the orgamzat1on answered 'No" to line 12a,then completing ScheduleD, Parts XI, XII, and XIII is optional . ,/ 12b 1---1---1--- 13 Is the organization a school described in section 170(b)(1)(A)(i1)?If "Yes," complete Schedule E 14 a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmakmg, fundra1sing, outside the United States? If "Yes," complete Schedule F, Parts I and IV business, and program service act1v1t1es 15 16 17 18 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 . . Did the organization report on Part IX, column (A), hne 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If "Yes," complete Schedule F, Parts /II and IV . Did the organization report a total of more than $15,000 of expenses for professional fundra1smg services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) Did the organization report more than $15,000 total of fundra1smg event gross income and contributions on Part VIII, lines 1c and Ba? If "Yes," complete Schedule G, Part II . . . . . 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 Ill . . . . . . . . . . . . 2 o a Did the organization operate one or more hospitals? If "Yes," complete Schedule H . b If "Yes" to line 20a, did the organization attach its audited financial statements to this return? Note. Some Form 990 filers that operate one or more hospitals must attach audited financial statements (see instructions) 1--1_3-+-_+-'-./_ ,_1_4_a-+-_-+-./ __ ,____,,____, 14b __ 15 ,/ 16 ,/ 1-----,1-----,1---- 1---1------,1--- 17 ,/ 18 ,/ 19 ,/ 19 1---1------,1--- 20a 1---1-----,1--- ,/ 20b Form 990 (2010) T Page4 Form'99\J (2010) Checklist of Required Schedules (continued) Yes 21 22 Did the organization report more than $5,000 of grants and other assistance to governments and organ1zat1ons m the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II 21 ./ Did the organization report more than $5,000 of grants and other assistance to individuals m the United States on Part IX, column (A), line 2? If "Yes, complete Schedule I, Parts I and Ill . . . . . . . . . . 22 Did the organization answer "Yes" to Part VII, Section A, hne 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 Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes, answer Imes 24b through 24d and complete Schedule K. If "No," go to /me 25 . . . . . . . . . . . . . 24a 24b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? . . . . . . . . . . . . . . . . . . 24c 24d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? . Section 501(c)(3) and 501 (c)(4) organizations. Did the organization engage m an excess benefit transaction with a d1squalif1edperson during the year? If "Yes, complete Schedule L, Part I 25a Is the organization aware that it engaged 1nan excess benefit transaction with a d1squahf1edperson 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 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensatedemployee, or disqualifiedpersonoutstandingas of the end of the organization'stax year?If "Yes,"complete Schedule L, Part II . 26 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If "Yes," complete Schedule L, Part Ill . . . . 27 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, cond1t1ons,and exceptions): 11 23 24a No ./ ./ 11 b c d 25a 11 b 26 27 28 a A current or former officer, director, trustee, or key employee? If "Yes, complete Schedule L, Part IV 11 ./ ./ ./ ./ ./ ./ ./ ./ 28a ./ b A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete c Schedule L, Part IV . . . . . . . . . . . . . . . . . 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 Did the organization receive more than $25,000 m non-cash contributions? If "Yes," complete Schedule M Did the organization receive contributions of art, historical treasures, or other s1m1larassets, 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 . . . . . . . . . . · · Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II . . . . . 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 . . . . . Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts II, Ill, IV, and V, line 1 . . . . . . . . . . . . . . . . . . . 29 30 31 32 33 11 34 35 a 36 37 38 Is any related organization a controlled entity within the meaning of section 512(b)(13)? . . 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 . . . . . . . . . . . . . . . . . . D Yes 0 No 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 . . . . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that 1streated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI . . . . . . . . . . . . . . . . . . . . . Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O . . . . . . . ./ 28b 28c 29 ./ ./ 30 ./ 31 ./ 32 ./ 33 ./ 34 35 ./ ./ 36 l--~l--~1--- 37 38 Form ./ ./ 990 (2010) , Page5 Form,990 (201d) •@l'I Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response to any question in this Part V Ill • Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable 1a 26 Enter the number of Forms W-2G included in line 1a. Enter -0- 1fnot applicable . 1b O c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? . . . . . . . . 2a 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 o b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? ' Note. If the sum of Imes 1a and 2a 1sgreater than 250, you may be required to e-fi/e. (see instructions) 3a Did the organization have unrelated business gross income of $1,000 or more during the year? _3a--+_--t-_./_ b If "Yes," has 1tfiled a Form 990-T for this year? If "No," provide an explanation ,n Schedule O . ,__3_b-+---+--4a At any time during the calendar year, did the organ1zat1onhave an interest m, or a signature or other authority over, a financial account m a foreign country (such as a bank account, securities account, or other financial ./ account)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 1a b 1?111111 m• b Sa . If "Yes," enter the name of the foreign country: .,. See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts 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 1sa party to a prohibited tax shelter transaction? _sa--+_--t-_./_ _sb--+---1--- c 6a If "Yes" to line 5a or 5b, did the organization file Form 8886-T? . . . . . . . . . _sc--+--+--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? . . . . 6a ./ b If "Yes," did the orgarnzat1on include with every solic1tat1onan express statement that such contributions or gifts were not tax deductible? . . . . . . . . . . 6b ./ 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment m excess of $75 made partly as a contribution and partly for goods and services provided to the payer? . . . . . . . . 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 1t was required to file Form 8282? . . . . . . . . . . . . d e f g If "Yes," indicate the number of Forms 8282 filed during the year . . . . .__7_d_._ ___ _ Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . If the organizationreceiveda contributionof qual1f1ed intellectualproperty,did the organizationfile Form8899 as required? If theorganizationreceiveda contributionof cars, boats,airplanes,or othervehicles,did the organizationfile a Form 1098-C? 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? Sponsoring organizations maintaining donor advised funds. Did the organization make any taxable distributions under section 4966? . Did the organization make a distribution to a donor, donor advisor, or related person? Section 501 (c)(7) organizations. Enter: 1Oa Initiation fees and capital contributions included on Part VIII, line 12 f---,f-----Gross receipts, included on Form 990, Part VIII, line 12, for public use of club fac1lit1es L.1_0_b_._ ___ _ Section 501 (c)(12) organizations. Enter: Gross income from members or shareholders . . . . . . . . . . . 11 a 1----1-----Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) . . . . . . . 11 b h 8 9 a b 1O a b 11 a b '---'------ Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 m lieu of Form 1041? If "Yes," enter the amount of tax-exempt interest received or accrued during the year. 12b .___.__ 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? Note. See the instructions for add1t1onalmformat1on the organization must report on Schedule 0. b Enter the amount of reserves the organization is required to mamtam by the states in which . . . . . . 13b the organization is licensed to issue qualified health plans 12a b c 14a b ____ 1---1------ Enter the amount of reserves on hand 13c Did the organization receive any payments for indoor tanning services during the tax year? If "Yes," has it filed a Form 720 to re art these a ments? If "No," rovide an ex lanation in Schedule 0 Form 990 (2010) 1 Form9£1J(201Cl) Page 6 _________ l=Zffll!i• Governance, Management, and Disclosure For each "Yes" response to tines 2 through 7b below, and for a "No" response to line Ba, Bb, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Check 1fSchedule O contains a response to any question 1nthis Part VI [Z] Section A. Governing Body and Management 1a b 2 3 Enter the number of voting members of the governing body at the end of the tax year . 1a t-------Enter the number of voting members included in line 1a, above, who are independent .__1_b ____ _2 Did any officer, director, trustee, or key employee have a family relat1onsh1p or a business relationship with any other officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . 3 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? . . 4 5 6 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization's assets? . Does the organization have members or stockholders? . . . . . . . . . . . . . . . Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? . . . . . . . . . . . . . . . . . . 7a b Are any decisions of the governing body subJect to approval by members, stockholders, or other persons? 8 Did the organization contemporaneously the year by the following: 3 4 5 6 ./ ./ ./ ./ ./ ./ 7a 7b document the meetings held or written actions undertaken during a The governing body? . . . . . . . . . . . . . . . . b Each committee with authority to act on behalf of the governing body? 9 ./ 2 . Sa ./ f,--S_b-+---+--- . Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses m Schedule O . 9 ,/ Section B. Policies (This Section B requests information about policies not reqwred b the Internal Revenue Code.) Yes No ./ 10a b Does the organization have local chapters, branches, or affiliates? . . . . . If "Yes," does the organization have written policies and procedures governing the act1v1ties of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? . 11a Has the organization provided a copy of this Form 990 to all members of ,ts governing body before f1l1ngthe form? . . . . . . . . . . . . 11a ./ b 12a Describe in Schedule O the process, if any, used by the organization to review this Form 990. Does the organization have a written conflict of interest policy? If "No," go to !me 13 12a ./ 12b ./ 12c 13 14 ./ ./ ./ 10a 10b b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c 13 14 15 . . . . . . . . . . . . . . Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," descnbe m Schedule O how this 1sdone . . . . . . . . . . Does the organization have a written wh1stleblower policy? . . . . . Does the organization have a written document retention and destruction policy? 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 dec1s1on? a The organization's CEO, Executive Director, or top management official . . . b Other officers or key employees of the organization . . . . . . . . . . If "Yes" to line 15a or 15b, describe the process 1nSchedule 0. (See instructions.). 16a b Did the organization invest in, contribute assets to, or part1c1pate in a Joint venture or similar arrangement with a taxable entity during the year? . . . . . . . . . . . . . . . If "Yes," has the organization adopted 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? . . . Section C. Disclosure 18 List the states with which a copy of this Form 990 1srequired to be filed~ New York Section 6104 requires an organization to make its Forms 1023 (or 1024 1fapplicable), 990, and 990-T (501 (c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply. 19 D Own website D Another's website 0 Upon request Describe in Schedule O whether (and 1f so, how), the organization makes its governing documents, and financial statements available to the public. 20 State the name, physical address, and telephone number of the person who possesses the books and records of the 17 organization: ~ conflict of interest policy, -~~~~-~_iJ!~_g_~0118 N_67thAve -~te 300-615 Glendale,_Arizona, USA 85308---------------------------------------------------------Form 990 (2010) 1 Page 7 Fomi•99!J (201d) 1@\9!1Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response to any question in this Part VII . . 0 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • 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) 1fno compensation was paid. • List all of the organization's current key employees, 1fany. 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 $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; inst1tut1onal trustees; officers; key employees; highest compensated employees; and former such persons. 0 Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (A) Name and Title (B) (C) Average Pos1t1on(check hours per o5' 0 ~:, week C. g. ~ n;;: =i :$ (descnbe CD C. !!! n c: hours for Oe!. 0:, related e!. 2 organizations "' ~ 1nSchedule CD "' g ~- 2 ~ 0) CD (D) (E) (F) Reportable Reportable ..,, compensation compensation from 0 from related 3 organizations the !!! 0/V-2/1099-MISC) organization 0/V-2/1099-MISC) all that apply) " CD '< CD 3 "O 0 '< CD CD CD::C 3- "O 3 "O 0 '< !!t CII a: ... CII ~ 5 ---'-_ g Noncash contnbut1ons mcluded mImes1a-lf. S h Total. Add Imes 1a-1f 0 0 0 0 0 2,470 0 0 2,470 (11)Personal Rental income or (loss)'--------'------Net rental income or (;-lo_s_s~).,...-----r---=---~Gross amount fromsalesof (1)Securities (11)Other assets otherthaninventory 1-------+------ b Less·costor otherbasis andsalesexpenses c d Gain or (loss) Net gain or (loss) ~ Sa Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 a 1------b Less: direct expenses b ~----c Net income or (loss) from fundra1s1ng,....e_ve_n_t_s ___ ~_ 9a Gross income from gaming act1v1t1es. See Part IV, line 19 a b c 10a b c 1------- Less: direct expenses . b Net income or (loss) from gaming activities Gross sales of inventory, less returns and allowances a ~----- . ~ 1------- Less: cost of goods sold . b ~----Net income or (loss) from sales of inventory . Miscellaneous Revenue . ~ Business Code 11a b C d All other revenue e Total. Add lines 11a-11 d . 12 Total revenue. See instructions. ~ ~ Form 990 (2010) Page 1~ Forni !190(2010) l@ifj ._ Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not reqwred to complete columns (BJ, (CJ, and (DJ. Do not include amounts reported on lines 6b, 18 1 !Al Total expenses (Cl Program service _i_b.;..,_B_b,'-9_b_,_a_n_d_10_b_o_f_P._a_rt_Vl_ll_. ______ ----1-------1----e-'xp'-e_n_ses___ 1 Grants and other assistance to governments and organizationsm the U S. See Part IV, hne 21 44,599,946 Management and generalexpenses 44,599,946 2 Grants and other assistance to individuals 1n the U.S. See Part IV, line 22 . 0 0 3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0 0 4 5 Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees 0 0 0 0 0 0 6 Compensation not included above, to d1squahf1ed persons (as defined under section 4958(f)(1))and persons described 1nsection 4958(c)(3)(8) Other salaries and wages Pension plan contributions (include section 401(k) and section 403(b) employer contributions) 0 0 0 7 8 0 0 0 0 Other employee benefits . Payroll taxes . Fees for services (non-employees): Management Legal Accounting Lobbying . Professionalfundra1sing services See Part IV, line 17 Investment management fees Other Advertising and promotion Office expenses Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local public off1c1als 0 0 0 0 9 1O 0 0 0 0 0 0 0 340,000 0 340,000 326,274 0 326,274 21,225 0 21,225 0 0 0 0 0 4,367,101 4,367,101 0 0 0 0 0 32,000 0 32,000 0 0 10.920 28,698 0 0 11 a b c d e f g 12 13 14 15 16 17 18 19 20 21 22 23 Conferences, conventions, and meetings Interest Payments to affiliates . Depreciation, depletion, and amortization Insurance . 24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses rn hne 24f If hne 24f amount exceeds 10% of hne 25, column (A)amount, list line 24f expenses on Schedule O ) a _Communicationsand surveys····-·············-·· b 0 0 212,139 212,139 0 0 0 0 0 0 0 0 0 0 0 10,920 0 28,698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10,307,089 10,307,089 0 0 60,245,391 59,274,135 759,117 212,139 0 0 C d e f 25 26 All other expenses Total functional expenses. Add Imes 1 through 24f Joint costs. Check here ~ D 1f following SOP 98-2 (ASC 958- 720). Complete this line only if the orgamzat1on reported in column (8) joint costs from a combined educational campaign and fundra1srng sohc1tat1on Form 990 (2010) _ Ft>ml 9~.J (2010) Page -.--~...,....--=---------------------------------·-------Balance Sheet 4 5 VI VI 7 8 9 10a Notes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D b Less: accumulated depreciation 11 12 13 14 15 16 17 18 19 20 ~ 15 :a ca 21 22 ~ 23 24 25 26 VI 41 u ~ 27 iii 28 Ill -c 29 .. C ::I u. Cl i 30 31 < 32 ai 33 VI VI z 34 1 2 3 1,646,293 0 0 0 4 0 o+-1o_c-+_______ o 11 o 12 o 13 o 14 o 15 1,613,601 16 o o 1,608,260 1,574,071 0 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) 6 < (Bl End of year Cash-non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L 1 2 3 -5l (Al Beginning of year 11 1oa t---t--------.._1_o_b_,__ _______ o-+-_______ Investments- publicly traded securities Investments-other securities. See Part IV, hne 11 Investments- program-related. See Part IV, line 11 Intangible assets Other assets. See Part IV, lme 11 . Total assets. Add Imes 1 through 15 (must equal line 34) . Accounts payable and accrued expenses Grants payable . Deferred revenue Tax-exempt bond hab1ht1es. Escrow or custodial account hab1hty Complete Part IV of Schedule D . Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and d1squahf1edpersons. Complete Part II of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties Other liabilities Complete Part X of Schedule D Total liabilities. Add lines 17 through 25 Organizations that follow SFAS 117, check here..., D and complete lines 27 through 29, and lines 33 and 34. Unrestricted net assets Temporarily restricted net assets . Permanently restricted net assets . Organizations that do not follow SFAS 117, check here ..., complete lines 30 through 34 . 0 o o O o 3,220,364 17 18 0 19 0 20 0 21 o o 500 o 0 0 0 O 22 0 O 23 0 O 24 0 25 0 0 26 0 O 30 0 O 31 1,613,101 32 3,220,364 1,613,101 33 3,220,364 1,613,101 34 3,220,364 500 and 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 hab1lit1esand net assets/fund balances 0 Form 990 (2010) Page Forni 9~0 (2010) 1@131 Check if Schedule O contains 12 Reconciliation of Net Assets .. a response to any question in this Part XI Total revenue (must equal Part VIII, column (A), hne 12) . 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)) . Other changes 1nnet assets or fund balances (explain in Schedule 0) Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (8)) 1 2 3 4 5 6 •:r.,... :t1• 0 1 61,841,262 2 3 60,245,391 4 5 1,613,101 6 3,220,364 1,595,871 11,392 Financial Statements and Reporting Check 1fSchedule O contains a response to any question 1nthis Part XII 1 D Other ------Accounting method used to prepare the Form 990: 0 Cash D Accrual If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule 0. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . b Were the organization's financial statements audited by an independent accountant? c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight d of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process dunng the tax year, explain 1n Schedule 0. If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both: D 3a Separate basis D Consolidated basis D Both consolidated and separate basis 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 0MB Circular A-133? . . . . . . . . . . . 3a 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 1nSchedule O and describe any steps taken to undergo such audits 3b Form 990 (201 0) • ,SCJ-tEDUl:.ED · (Form 990) 0MB No 1545-0047 Supplemental Financial Statements ~©10 .,..Complete if the organization answered "Yes," to Form 990, Part IV, line 6, 7, 8, 9, 10, 11, or 12. .,..Attach to Form 990. .,..See separate instructions. Department of the Treasury Internal Revenue Service Name of e organization Open to Public Inspection Employer 1dent1flcat1on number Center To Protect Patient Rights, Inc. 26-4683543 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, lrne 6. (b) Funds and other accounts (a) Donor advised funds 1 2 3 4 5 6 Total number at end of year . Aggregate contributions to (during year) . Aggregate grants from (during year) Aggregate value at end of year . Did the organization inform all donors and donor advisors 1nwriting that the assets held 1n donor advised funds are the organization's property, subject to the organization's exclusive legal control? . D Yes O No 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? . . . . . . . . . . . . . . . . . O Yes O No l=lffilllConservation Easements. Complete 1fthe organization answered "Yes" to Form 990, Part IV, line 7. Purpose(s) of conservation easements held by the organization (check all that apply). D Preservation of land for public use (e.g., recreation or education) D Preservation of an historically important land area D Protection of natural habitat D Preservation of a cert1f1edhistoric structure 0 Preservation of open space Complete lines 2a through 2d 1fthe organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year 1 2 Held at the End of the Tax Year a Total number of conservation easements . . . . . f--CC2_a-1---------b Total acreage restricted by conservation easements. . . . . . ~2c::b-1---------c Number of conservation easements on a cert1f1edhistoric structure included 1n(a) 2c d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register . . . . 2d f---+----------'---L---------- 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year..,. 4 Number of states where property sub1ect to conservation easement 1slocated ..,...................... . Does the organization have a written policy regarding the periodic monitoring, 1nspect1on, handling of violations, and enforcement of the conservation easements it holds? . . . 5 D Yes O No 6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year 7 .......................... Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year ....$ 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)(8)(1i)? . . . . . . . . . . . . . 8 9 D Yes D No In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, 1fapplicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. l=lffiilllOrganizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete 1fthe organrzat1on answered "Yes" to Form 990, Part IV, line 8. 1a If the organization elected, as permitted under SFAS 116 {ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exh1b1t1on,education, or research in furtherance of public service, provide, in Part XIV, 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 1n its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for pubhc exh1bit1on,education, or research in furtherance of public service, provide the following amounts relating to these items: 2 a b (i) Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . ..,. $ ............................ . (ii) Assets included in Form 990, Part X . . . . . . . . . . . . ..,. $ ............................• If the organization received or held works of art, historical treasures, or other s1m1larassets for financial gam, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: Revenues included 1nForm 990, Part VIII, line 1 .... $ ------------- ------------- Assets included in Form 990, Part X . .... $ For Paperwork Reduction Act Notice, see the Instructions for Form 990. ~ Cat No 522B3D Schedule D (Form 990) 2010 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (contmued) , S<;Mdula D (Fotrn 990) 2010 •@jjj• 3 Using the organization's acqu1s1t1on,accession, and other records, check any of the following that are a s1gnif1cantuse of its collection items (check all that apply): a b c 4 5 O O O Public exhibition d D Loan or exchange programs Scholarly research e D Other Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar O Yes O No assets to be sold to raise funds rather than to be maintained as part of the organization's collection? 1:/ttiJi!IEscrow and Custodial Arrangements. Complete 1fthe organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1a Is the organization an agent, trustee, custodian or other 1ntermed1aryfor contributions or other assets not included on Form 990, Part X? . . . . . . . . . . . . . . b If "Yes," explain the arrangement in Part XIV and complete the following table: c Beginning balance . . . . Additions during the year Distributions during the year Ending balance . . . . Did the organization include an amount on Form 990, Part X, line 21? If "Yes," ex lain the arran ement in Part XIV O Yes O No Amount d e f 1c 1d 1e 1f 0 Yes O No Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10. (a) Current year 1a b c (b) Pnor year Beginning of year balance Contributions . . . . Net investment earnings, gains, and losses . . . . . . . . . . d Grants or scholarships e . . . . Other expenditures for fac1ht1esand programs . . . . f Administrative expenses . . End of year balance 2 Provide the estimated percentage of the year end balance held as: a Board designated or quasi-endowment ~ ___________________ % b Permanent endowment ~ % c Term endowment ~ % 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: g b 4 (i) unrelated organizations . . . . . . . . . . . . . . . (ii) related organizations . . . . . . . . . If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? Describe in Part XIV the intended uses of the organization's endowment funds. Land, Buildings, and Equipment. See Form 990, Part X, line 10. Description of investment 1a b c d e Total. (a) Cost or other basis (b) Cost or other basis (investment) (other) Yes No 3a(i) 3a(ii) 3b (d) Book value Land . . . . . . Buildings . . . . Leasehold improvements Equipment . . . . . Other . . . . . . . Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (8), /me 1O(c)) Schedule D (Form 990) 2010 , Sa,oadul!! D (Form 990) 2010 Investments-Other Page3 Securities. See Form 990, Part X, line 12. (a) Descnpt1on of secunty or category Qnclud1ngname of security) (c) Method of valuation Cost or end-of-year market value (b) Book value (1) Financial denvatives (2) Closely-held equity interests . (3) Other (A) ·········-··························-········--·····--·····-···-···1------------1---------------------(8) (C) ··················-····-·······················-·············-····-1-----------1---------------------(D) • (E)••••••••••• ••••••• ••• {l=)··············-···········-·····--······-············-······ 1-----------1---------------------(G) ·················-···················-·······-······--·····-····--·1-----------1---------------------(H) (I) Total. (Column (b)mustequalForm990,PartX,col.(8)/me12) .,. Investments-Program ' , • '' \ ' ·, ' • I {\ • \' •• ,'• 1I ' • I ,•' ,:. t, ' , • Related. See Form 990, Part X, line 13. (a) Descnpt1on of investment type (bl Book value (c) Method of valuation Cost or end-of-year market value Total. (Column (b)mustequalForm990,PartX,col (8)/me13) .,. Other Assets. See Form 990, Part X, line 15. (a) Description Total. (Column (b) must equal Form 990, Part X, col (8) line 15.) (b) Book value .... Other Liabilities. See Form 990, Part X, line 25. 1. (a) Descnpt1on of hab1hty (b) Amount (1) Federal income taxes (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Total. (Column (b)mustequalForm990,PartX,col.(BJ/me25) .,. 2. FIN 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organizatton's financial statements that reports the organization's liability for uncertain tax postttons under FIN 48 (ASC 740). Schedule D (Form 990) 2010 , , Scl)11duleD (Fonn 990) 2010 Page4 Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements Total revenue (Form 990, Part VIII, column (A), line 12) . Total expenses (Form 990, Part IX, column (A), line 25) . Excess or (deficit) for the year. Subtract hne 2 from line 1 Net unrealized gains (losses) on investments Donated services and use of facilities lnvestment expenses . . . Prior period adjustments . . Other (Describe in Part XIV.). Total adjustments (net). Add lines 4 through 8 . Excess or (deficit) for the year per audited f1nanc1alstatements. Combine lines 3 and 9 1 2 3 4 5 6 7 8 9 10 1 l---+--------'--1--2 r---,r--------- 1--3-1-- _____ 4 61,841,262 60,245,391 1;...,5_9_5,'-8_71_ o o o r--r--------5 1---1---------- 6 _1 _________ r--r--------- 0_ 3_4_7.;..,9_8_9 f--8---l _______ 9 ----------10 347,989 1,943,860 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 1 2 a b C d e 3 4 a b C 5 Total revenue, gains, and other support per audited financial statements Amounts included on line 1 but not on Form 990, Part VIII, line 12: Net unrealized gains on investments . 2a Donated services and use of fac1lit1es 2b Recoveries of prior year grants . 2c Other (Describe in Part XIV.) . 2d Add lines 2a through 2d . . . Subtract line 2e from line 1 . . Amounts included on Form 990, Part VIII, line 12, but not on hne 1 : Investment expenses not included on Form 990, Part VIII, hne 7b 4a Other (Describe in Part XIV.) . . . . . . . . 4b Add lines 4a and 4b . . . . Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part/, /me 12) 61,838,791 1 0 0 0 0 0 61,838,791 0 0 0 61,838,791 Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 1 2 a b c d e 3 4 a b c 5 Total expenses and losses per audited financial statements . . Amounts included on line 1 but not on Form 990, Part IX, line 25· Donated services and use of fac1ht1es 2a Prior year ad1ustments 2b Other losses . . . 2c Other (Describe in Part XIV.) . 2d Add lines 2a through 2d . . Subtract line 2e from hne 1 . Amounts included on Form 990, Part IX, line 25, but not on line 1: Investment expenses not included on Form 990, Part VIII, line 7b 4a 1-----11--------Other (Describe in Part XIV.) . . . . . . . . 4b Add lines 4a and 4b . . . . ~~------Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, /me 18) 1 59,897,401 0 0 0 0 0 59,897,401 o 347,990 l---+--------- 347,990 60,245,391 Supplemental Information Complete this part to provide the descriptions required for Part II, Imes 3, 5, and 9, Part Ill, lines 1a and 4; Part IV, lines 1band 2b; Part V, line 4; Part X, line 2; Part XI, hne 8; Part XII, Imes 2d and 4b; and Part XIII, Imes 2d and 4b. Also complete this part to provide any additional information. DIFFERENCE OF $347,989 REPRESENTS THE 2009 AUDIT ACCRUAL FOR EXPENSES. THERE ARE NO ACCRUAL ITEMS FOR 2010. Schedule D (Form 990) 2010 Su_pplemental Information Regarding Fundraising or Gaming Activities • SCflEDULEG 0 (Form990or 990-EZ) Departmentof the Treasury Internal RevenueService Name of the organization liffi 11 1 a b c d 2a ~@10 Complete 1f 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, hne Sa. Open to Public )I, Attach to Form 990 or Form 990-EZ. )I, See separate instrucbons. Inspection Employer 1dent1f1cat1on number Center To Protect Patient Rights. Inc ~_... 0MB No 1545-0047 26-4683543 Fundraising Activities. Complete 1fthe organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. Indicate whether the organization raised funds through any of the following act1v1t1es.Check all that apply. D Mail solicitations e D S0lic1tat1onof non-government grants 0 Internet and email solicitations f D S0lic1tat1onof government grants 0 Phone solicitations g D Special fundra1smg events 0 In-person solicitations D1dthe 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 fundra1smg services? 0 Yes D No b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser 1sto be compensated at least $5,000 by the organization. (iii)D1dfundraiser (i) Name and address of 1nd1v1dual or entity (fundraiser) 1 Project Education LLC 84 Autumn Dr Tolland CT 06084 2 Yescalls Campaign Strategies 1010 N 2nd Ave.Phoenix. AZ85003 3 (i1)Act1v1ty D Fund raising using targeted commurncat1ons have custody or control of contributions? Yes Fundra1sing consulting (v) Amount paid to (iv) Gross receipts from act1v1ty (or retained by) fundra1ser listed 1n col (i) (v1)Amount paid to (or retained by) organization No ./ $2,622.000 $131.163 $2,490,837 ./ $459,000 $45,900 $413,100 4 5 6 7 8 9 10 Total 3 3,081,000 2,903,937 177.063 ~ List all states in which the organization 1s registered or licensed to sol1c1tcontributions or has been notified 1t 1s exempt from registration or licensing. New York Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat No 50083H Schedule G (Form 990 or 990-EZ) 2010 • Sc~:1ule'3 (Farin 990 or 990-EZ) 2010 lflilll Page 2 Fundraising Events. Complete 1fthe organization answered "Yes" to Form 990, Part IV, hne 18, or reported more than $15,000 of fundra1sing event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. (al Event #1 (bl Event #2 (cl Other events (event type) (event type) (total number) (di Total events (add col (al through col (cl) Q) :::J C > Q) a: 3 en Q) en None Gross receipts Less: Charitable contributions Gross income (line 1 minus line 2) . 1 2 Q) 4 Cash prizes 5 Noncash prizes 6 RenVfacility costs 7 Food and beverages 8 Entertainment 9 Other direct expenses C Q) Q. X UJ tiQ) ,_ 0 10 11 I ::F. "iitilll ) ( Direct expense summary. Add Imes 4 through 9 in column (d) ~ Net income summary Combine line 3, column (d), and hne 10 ~ Gaming. Complete 1fthe organization answered "Yes" to Form 990, Part IV, hne 19, or reported more than $15,000 on Form 990-EZ, line 6a. Q) (bl Pull tabs/instant b1ngo/progress1vebingo (al Bingo :::J C (cl Other gaming (di Total gaming (add col (a) through col (cl) Q) > Q) a: en Q) en 1 Gross revenue 2 Cash prizes 3 Noncash prizes 4 RenVfac1htycosts 5 Other direct expenses None C Q) Q. X - UJ CJ ,_ Q) 0 9 D D Yes No % ------------ D D Yes No % ------------ D D 6 Volunteer labor . 7 Direct expense summary. Add lines 2 through 5 in column (d) 8 Net gaming income summary. Combine hne 1, column d, and line 7 Yes % -----------No Enter the state(s) in which the organization operates gaming activ1t1es: a Is the organization licensed to operate gaming act1v1t1esin each of these states? 0Yes O No b If "No," explain: __________________________________________________________________________________________________ _ 10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? Oves 0No b If "Yes," explain: Schedule G (Form 990 or 990-EZI 2010 Page3 • ,~che'clule G (Forin 990 or 990-EZ) 2010 11 12 Does the organization operate gaming activities with nonmembers? . . . . . . . . . . Is the organization a granter, beneficiary or trustee of a trust or a member of a partnership or other entity formed to administer charitable gamrng? . . . . . . . . . 0Yes D No 0Yes 0No 13 Indicate the percentage of gamrng act1v1tyoperated in: a The organization's facility . . . . . . . . . . i-1_3_a-+_____ b An outside facility . . . . . . . . . . . . . . . . . . 13b ~~~-----14 Enter the name and address of the person who prepares the organization's gamrng/spec1al events books and records· _Yo_ % 0 Name..,. Address..,. 15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? . . . . . . . . . . . . . . . . . . . . . b If "Yes," enter the amount of gamrng revenue received by the organization..,. c amount of gaming revenue retained by the third party..,. If "Yes," enter name and address of the third party: $ $ ___________________ _ O Yes O No and the Name..,. Address..,. 16 Gaming manager 1nformat1on: Name..,. Gamrng manager compensation ..,. $ Description of services provided ..,. 0 17 Director/officer 0 Employee 0 Independent contractor Mandatory distributions· a Is the organization reqwred under state law to make charitable distributions from the gamrng proceeds to b . . . . . . . . . . . retain the state gamrng license? 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 ..,. $ D Yes O No i=ZrtH"4 Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (11i) and (v), and Part 111, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see 1nstruct1ons). _Contnbut1ons sollc1ted_byfundra1sers_weremade payable to the Center _Following receipt of funds_acomm1ss1onof_5%to 10%was paid _____ _ _to the fundra1s1ng cornpany_________________________________________________________________________________________________ _ Schedule G (Form 990 or 990-EZ) 2010 SCHEDULE I (Form 990) Department of theTreasury InternalRevenueSen,,ce Grants and Other Assistance to Organizations, Governments, and Individuals in the United States 0MB No 1545-0047 Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22. Open to Public " Inspection .,. Attach to Form 990. Employer1dentif1cationnumber Center To Protect Patient Rights, Inc. 26-4683543 General Information on Grants and Assistance 1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' ehgib1hty for the grants or assistance, and the selection cntena used to award the grants or assistance? IZ] Yes 2 Describe 1n Part IV the organization's procedures for morntonng the use of grant funds 1nthe United States. 0No 1:fflHliGrants and Other Assistance to Governments and Organizations in the United States. Complete 1fthe organization answered "Yes" to Form 990, Part IV, line 21, for any rec1p1entthat received more than $5,000. Check this box 1fno one rec1p1entreceived more than $5,000. Part II can be duplicated 1fadditional space is needed . ..,. (e) Amountof non- (I} Methodof valuation cash assistance (book,FMV,appraisal, other) (b) EIN (c) IRCsection 11applicable 26-2731617 501C4 250,000.00 0 General Support 26-0620554 _ (3) Americans for Job Security 107 __ S West St. PMB 551 Alexandria VA 52-2062978 . (4) Americans for Ltd Govt._9900 _____ Mam St Suite 303 Alexandria VA 36-3975580 _ (5) Americans for Prosperity __________ 501C4 11,685,000.00 0 General Support 501C4 4,828,000.00 0 General Support 501C4 5,585,000.00 0 General Support 501C4 1,924,000.00 0 General Support 501C4 4, 189,000 00 0 General Support 36-3906065 501C3 45,000.00 0 General Support 26-2696809 501C4 559,000.00 0 General Support 20-4681603 501C4 690,000.00 0 General Support 27-0224057 501C4 205,000 00 0 General Support Beechmont Ave.,#103 Cinn OH45255 20-8824036 501C4 10,000.00 0 General Support (12) Common Sense Issues Coalition_ P.O. Box 54984 Cinn. OH 45254 20-8824096 501C4 25,000.00 0 1 (a) Nameand addressof organization or government (d) Amountof cash grant (g) Descriptionof non-cashassistance D (hi Purposeof grant or assistance _(1) American Energy Alliance 1100H_ Street,NW,Ste 400 Wash. DC 20005 _(2) American Future Fund4225_Fleur Dr #142 Des Moines.IA 50321 2111Wilson Blvd Arlington VA 22201 75-3148958 _ (6) Americans for Tax Reform_7200 __ 12th St.4th floorNW Washington DC 52-1403587 _(7) Americans United for Life __________ 655 15th St NW Wash.DC 20005 _ (8) Americans United for Ltfe_Action_ 655 15th StNWSte410Wash.DC20005 _ (9) Club for Growth_2001 L_St NW ____ Suite 600, Washmgton,DC20036 (10) Coaliton to Protect Patient Right_ PO Box 3114 Arlington VA 22203 (11) Common Sense Issue,_lnc.8190A 2 3 Enter total number of section 501 (c)(3) and government organizations Enter total number of other organizations For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50055P General Support ..... ..... 0 ScheduleI (Form 990) (2010) SCHEDULE I (Form 990) Department of the Treasury Internal Revenue Service Grants and Other Assistance to Organizations, Governments, and Individuals in the United States 0MB No. 1545-0047 Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22. Open to Public Inspection • ~(Q)10 ..,.Attach to Form 990. Employer 1dent1f1cation number Center To Protect Patient Rights, Inc. General Information 1 2 on Grants and Assistance Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' ehg1b1htyfor the grants or assistance, and the selection cntena used to award the grants or assistance? Describe in Part IV the organization's procedures for monitoring the use of grant funds 1nthe United States. •ffHli 1 (a) 26-4683543 0 D No Yes Grants and Other Assistance to Governments and Organizations in the United States. Complete 1fthe organization answered "Yes" to Form 990, Part IV, line 21, for any rec1p1entthat received more than $5,000. Check this box 1fno one rec1p1entreceived more than $5,000. Part II can be duplicated if additional space is needed . .,.. D Name and address of organization or government (b) EIN (c) IRC section 11applicable (d) Amount of cash grant (f) Method of valuation (book, FMV, appraisal, other) (e) Amount of noncash assistance (g) Oescnpt,on of non-cash assistance (h) Purpose of grant or assistance _ (1) US Health Freedom Coal. 4715_N_ 32nd St. Ste 107 Phoenix, AZ 85018 87-0809179 _ (2) Concerned Wmn 4_America Leg __ 1015 15St.NW,Ste1100 Wash DC 95-3370744 _ (3)_Freedom Vote PO_Box 882 _________ Dayton. OH 45401 27-3004397 . (4)_Hispamc Leadership Fund _________ PO 23162 Alexandria, VA 22304 26-2383617 _ (5) The Inst. for_Liberty 1250 CT Av._ NW Ste 200 Washington DC 20036 20-2641983 . (6)_Protect Your Vote Inc _______________ 610 S. Blvd. Tampa, FL 33606 27-3512898 _ (7)_Revere America 1701 Penn Ave __ NW, Ste 300 Washington DC 20006 27-2334193 _(8) Sixty_Plus Assoc.SO King St _______ Ste 315 Alexandria VA 22314 54-1564919 _ (9)_Susan B Anthony List 1707_L St __ NW, Ste 550 Washington, DC 20036 54-1850126 (10) Tea Party Patriots 1025_Rose _____ Creek Dr Woodstock, GA 30189 27-0470227 501C4 1,430,000 00 0 General Support 501C4 4,500.00 0 General Support 501C4 200,000.00 0 General Support 501C4 47,000.00 0 General Support 501C4 457,000 00 0 General Support 501C4 100,000 00 0 General Support 501C4 2,300,000.00 0 General Support 501C4 8,990,000.00 0 General Support 501C4 1,025,000.00 0 General Support 501C4 30,000.00 0 General Support (11) ______________ --_----- --- --- ----- ---------(12) ___ --__--_--- --__----_--------- ---- -------- 2 3 ..... ..... Enter total number of section 501 (c)(3) and government organizations Enter total number of other organizations For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat No. 50055P 0 22 Schedule I (Form 990) (2010) Schedule I (Form 990) (201O) 1:tfHjj1 Grants and Other Assistance to Individuals in the United States. Complete 1fthe organization answered "Yes" to Form 990, Part IV, line 22. . -~ Page.c. Part Ill can be d up I'1cat ed If add.1t1ona I space 1sneed ed (a) Type of grant or assistance (b) Number of rec1p1ants (c) Amount of cash grant (d) Amount of non-cash assistance (e) Method of valuation (book, FMV. appraisal, other) (f) Descnptron of non-cash assistance 1 2 3 4 5 6 7 1:r.1 ...... Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. _The organization carefully considered the mission of each grant_rectpient organization prior to making the general support grants.-------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - ------------------------------ -------------------------------------------------------------------------------------------------------------------------------------------------------·----------------·-------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Schedule I (Form 990) (2010) SCHcDCILE0 (Form 990 or 990-EZ) Supplemental Information to Form 990 or 990-EZ Department of the Treasury Internal RevenueService Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. ~ 0MB No 1545-0047 ~©10 Open to Public Inspection Attach to Form 990 or 990-EZ. Employer 1dentificat1on number Name of the orgamzat,on 26-4683543 Center To Protect Patient Rights, Inc. of the_final form_990 with the_Board of Directors prior_to submitting 1t__________________________ _ _Part_vl,_Line11(A): The_organizat1on shares_a_~