SCANNEDMAR 0 2019 2949234207924 3 EXTENDED TO NOVEMBER 15, 2018 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 20 17 Do not enter social security numbers on this form as it may be made public. Go to for instructions and the latest information. OMB No 15450047 em. 990 Department of the Treasury Internal Revenue Sewice Open to Public Inspection A For the 2017 calendar year, or tax year beginning and ending Check ii Name of organization Employer identification number applicable OF STATES ACTION $339 Domg busmess ?21322 Number and street (or P.0. box If mall IS not delivered 10 street address) Room/surte Telephone number 5850 SAN FELIPE 580A 540?441?7227 grandm- City or town, state or provmce, country, and ZIP or foreign postal code Gross receipts 3mm HOUSTON . TX 7 7 0 5 7 H(a) Is this a group return ?g?hca' Name and address of prinCIpal officer MARK MECKLER for subordinates? Yes No pending SAME AS ABOVE ?17) LL H(b) Are all subordinates included? : Yes No Tax-exempt status 501(c)(3) 501(c)( 4 (Insert no.) 4947(a)(W 527 II attach a list (see instructions) WebSIte: . COSACTION . COM H(c) Group exemption number Form of organization: Corporation L_l Assocmtion Otherb I Year of formation: 2 0 141 State of legal domimle. TX I?Part Summary q, 1 Briefly describe the organization's mission or most Significant actiwties T0, ADVOCATE FOR A CONSTITUTIONALLY LIMITED GOVERNMENT . 2 Check this box El if the organization discontinued its operations or disposed of more than 25% of its net assets 3 3 Number of voting members of the governing body (Part VI, line 1a) 3 4 t: 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 3 5 Total number of indiwduals employed in calendar year 2017 (Part V, line 2a) 5 0 6 Total number of volunteers (estimate if necessaryTotal unrelated busuness revenue from Part column (C), line 12 7a 0 . Net unrelated busmess taxable income from Form 990T, line 34 7b 0 - Prior Year Current Year a) 8 Contributions and grants (Part line 1hProgram semice revenue (Part line 29Investment income (Part column (A), lines Other revenue (Part column (A), lines 5, 5o, 8c, 9c. 10cTotal revenue add lines 8 through 11 (must equal Part Grants and Similar amounts paid (Part IX, column (A), II .125 -3) 1 2018 - ll 0 . 0 - 14 Benefits paid to or for members (Part IX, column (ASalaries, other compensation, employee benefits (Part 16a Professmnal fundraismg tees (Part IX, column (A), Ilne11e23?- Total fundraismg expenses (Part IX, column (D), line 25Other expenses (Part ix, column (A), lines 11a-11d, 11f-24eTotal expenses Add lines 13-17 (must equal Part IX, column (A), line 25Revenue less expenses Subtract line 18 from line Beginning ofCurrent Year End of Year ?g 20 Totalassets(PartX,llne16) 1.820.586- 1i148i554- {'33 21 Total liabilities (Part x. line 26Net assets or fund balances Subtract line 21 from line Part IU Signature Block Under penalties of perlury, I declare th I have examind this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. ither than officer) is based on all information at which preparer has any knowledge? I I /D/aia// Sign -. Date I Here MAR. MEC LER CEO Type or print name and title Print/Type preparer's name Preparer's 993%"? Date Check [3 PTW Paid DENNIS K. WEISS, CPA PW P01330013 Preparer Firm's name D. K. WEISS E: ASSOCIATES PLLC 30-0022324 Use Gilly Firm's address 4 6 6 0 . BRETON COURT SUITE 1 0 2 KENTWOOD, MI 49508 Phoneno.616-87l-1233 May the IRS discuss this return With the preparer shown above'?iee instructions) Yes l_l No 732001 11-23-17 LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2017) Form 99b (2017) CONVENTION 0F STATES ACTION 47?2245708 pagez Part Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part 1 Briefly describe the organization's missmn TO ADVOCATE FOR A CONSTITUTIONALLY LIMITED GOVERNMENT. 2 Did the organization undertake any Significant program serwces during the year which were not listed on the prior Form 990 or I: Yes No If "Yes," describe these new sewices on Schedule 0 3 Did the organization cease conducting, or make Significant changes in how it conducts, any program serv1ces?7 I: Yes No If "Yes," describe these changes on Schedule 0 4 Describe the organization's program seNice accomplishments for each of its three largest program serv1ces. as measured by expenses Section 501(c)(3) and 501(c)(4) organizations are reqwred to report the amount of grants and allocations to Others, the total expenses, and revenue, if any, for each program serwce reported 43 (Code )(Expenses$ 2 317, 222 - includinggrantsols )(Flevenue$ COSA ADVOCATES FOR A RETURN TO THE ORIGINAL VISION OF A LIMITED FEDERAL GOVERNMENT THAT IS OF, BY AND FOR THE PEOPLE. THIS WILL BE ACCOMPLISHED THROUGH AN ARTICLE CONVENTION OF STATES. 4b (Code (Expenses 5 including grants of (Revenue 4c (Code (Expenses 5 including grants of (Revenue 4d Other program serVices (Describe in Schedule 0) (Expenses 3 including grants of (Revenue 4e Total program sewice expenses Form 990 (2017) 732002 11-23-17 3 11010912 798302 1381A 2017 . 04011 CONVENTION OF STATES ACTION 022%?) Form 99b(2o17) CONVENTION OF STATES ACTION 47-22 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? lf Yes, complete Schedule A 1 2 Is the organization reqUired to complete Schedule B, Schedule of Contributors) 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 4 Section 501(c)(3) organizations. Did the organization engage in lobbying actiwties, or have a section 501 election in effect during the tax year? ll Yes, complete Schedule C, Part ll 4 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or Similar amounts as defined in Revenue Procedure 98-19? It Yes, complete Schedule C, Part 5 6 Did the organization maintain any donor adVised funds or any Similar funds or accounts for which donors have the right to prowde advice on the distribution or investment of amounts in such funds or accounts? lf "Yes, complete Schedule D, Part I 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open Space, the enVironment, historic land areas, or historic structures? If complete Schedule D. Part ll 7 8 Did the organization maintain collections Of works of art, historical treasures, or other similar assets? If "Yes, complete Schedule D, Part Ill 8 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or prowde credit counseling, debt management, credit repair, or debt negotiation services? If "Yes, complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quaSI-endowments'7 If "Yes, complete Schedule D, Part 10 1 1 If the organization?s answer to any of the followmg questions is "Yes," then complete Schedule D, Parts VI, VII, IX, or $115 g?g ?k . as applicable 1: '5 we" 1? 3 Did the organization report an amount for land, and equment in Part X, line 109 If "Yes, complete Schedule D, Part VI 113 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 11b Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 169 If "Yes, complete Schedule D, Part 1 1c Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If Yes, complete Schedule D, Part IX 11d Did the organization report an amount for other liabilities in Part X, line 25?? If "Yes, complete Schedule D, Part 11e Did the organization's separate or consolidated finanCIaI statements for the tax year include a footnote that addresses the organization's liability for uncertain tax pOSitionS under FIN 48 (ASC 740)? If "Yes, complete Schedule D, Part 11f 123 Did the organization obtain separate, independent audited finanCIal statements for the tax year? If Yes, complete Schedule D, Parts XI and 12a 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 Xl and lS optional 12b 13 Is the organization a school described in section 170(b)(1)(A)(ii)9 If ?Yes, complete Schedule 13 14a Did the organization maintain an office, employees. or agents outSIde of the United States? 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraiSing, busmess, investment, and program seNice actiVities outSide the United States, or aggregate foreign investments valued at $100,000 or more? lr .. Yes, complete Schedule F, Parts and IV 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other aSSistance to or for any foreign organization? If "Yes, complete Schedule F, Parts ll and IV 15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other aSSistance to or for foreign indiwduals? ll ?Yes, complete Schedule F, Parts and IV 16 17 Did the organization report a total of more than $15,000 Of expenses for professmnal fundraiSing services on Part IX, column (A), lines 6 and 11e?7 If "Yes, complete Schedule G, Parll 17 18 Did the organization report more than $15,000 total of fundraiSing event gross income and contributions on Part lines 10 and 8a? ll Yes, complete Schedule G, Part ll 13 19 Did the organization report more than $15,000 of gross income from gaming actiwties on Part line 9a? It Yes, complete Schedule G, Part 19 Form 990 (2017) 11010912 798302 1381A 732003 11-28-17 4 2017.04011 CONVENTION OF STATES ACTION Form 9959017, CONVENTION OF STATES ACTION 47-2245708 Pag? LPart IVJ Checklist of Required Schedules (contlnued) Yes No 203 Did the organization Operate one or more hospital fac1lities9 If ?Yes, complete Schedule 203 If "Yes" to line 203, did the organization attach a copy of Its audrted finanCIaI statements to this return? 20b 21 Did the organization report more than $5,000 of grants or other assmtance to any domestic organization or domestic government on Part IX, column (A), line 1?7 If "Yes, complete Schedule I, Pan?s land ll 21 22 Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line If "Yes, complete Schedule I, Parts I and Ill 22 23 Did the organization answer "Yes" tO Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former Officers, directors, trustees, key employees, and highest compensated employees? If ?Yes," complete Schedule 23 243 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, 20029 If "Yes, answer lines 24b through 24d and complete Schedule lf go to line 253 243 Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? 24c Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year'7 24d 253 Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction With a disqualified person during the year? If "Yes, complete Schedule L, Part I 253 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 If "Yes, complete Schedule L, Part I 25b 26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes, complete Schedule L, Part II 26 27 Did the organization prowde 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? It Yes, complete Schedule L, Part 27 28 Was the organization 3 party to a busrness transaction With one of the followmg parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions) a A current or former officer, director, trustee, or key employee? if Yes, complete Schedule L. Part 283 A family member Of a current or former Officer. director, trustee, or key employee? If ?Yes, complete Schedule Part lv 23:; 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 28c 29 Did the organization receive more than $25,000 in non-cash contributions? lf Yes, complete Schedule 29 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? lf Yes, complete Schedule 30 31 Did the organization liquidate, terminate, or dissolve and cease Operations? lf Yes, complete Schedule N, Part I 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?? "Yes, complete Schedule N, Part ll 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 7701 -2 and 301 7701 -3'7 If "Yes, complete Schedule Fl, Part I 33 34 Was the organization related to any tax-exempt or taxable entity? If Yes, complete Schedule R, Part ll, Ill, or IV, and Part V, line 1 34 353 Did the organization have a controlled Within the meaning of section 512(b)(13)9 353 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 If "Yes, complete Schedule Fl, Part V, line 2 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization'l lf Yes, complete Schedule H, Part V, line 2 36 37 Did the organization conduct more than 5% of its activmes through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes, complete Schedule R, Part VI 37 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19'? Note. All Form 990 filers are requnred to complete Schedule 0 38 Form 990 (2017) 732004 11-23-11 5 11010912 798302 1381A 2017 . 04011 CONVENTION OF STATES ACTION CONVENTION OF STATES ACTION 47~2245708 ,art Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part Page 5 CI Yes No 1a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable 1a 2 2 Enter the number of Forms W-2G included In line 1a Enter -0- if not applicable 1b 0 Did the organization comply With backup Withholding rules for reportable payments to vendors and reportable gaming (gambling) Winnings to prize wmners" 1c 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 0 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2b Note. If the sum of lines 1a and 2a is greater than 250, you may be reqUired to e-fii'e (see instructions) 3a Did the organization have unrelated busmess gross income of $1,000 or more during the year? 3a If "Yes," has it filed a Form 990-T for this year? If "No, to fine 3b, provrde an explanation in Schedule 0 3b 4a At any time during the calendar year, did the organization have an interest in, or a Signature or other authority over, a Manual account in a foreign country (such as a bank account, securities account, or other finanCIaI account)? 4a If "Yes," enter the name of the foreign country See instructions for filing reqmrements for Form 114, Report of Foreign Bank and FinanCIal Accounts (FBAR) 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b If "Yes,? to line 5a or 5b, did the organization file Form 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization what any contributions that were not tax deductible as charitable contributions? 6a If "Yes," did the organization include With every solicitation an express statement that such contributions or gifts were not tax deductible'7 6b 7 Organizations that may receive deductible contributions under section 170(c). I a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and servrces prowded to the payor" 7a If "Yes," did the organization notify the donor of the value of the goods or serVices prowded" 7b 0 Did the organization sell, exchange, or othenvise dispose Of tangible personal property for which it was requued to file Form 8282'? To If "Yes," indicate the number of Forms 8282 filed during the year I 7d I I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f 9 If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as requned" 79 If the organization received a contribution Of cars, boats, airplanes, or other vehicles, did the organization file a Form 7h 8 Sponsoring organizations maintaining donor adwsed funds. Did a donor adVIsed fund maintained by the I sponsoring organization have excess business holdings at any time during the year? 8 9 Sponsoring organizations maintaining donor adwsed funds. I a Did the sponsoring organization make any taxable distributions under section 4966'? 9a Did the sponsoring organization make a distribution to a donor, donor adVisor, or related person? 9b 10 Section 501(c)(7) organizations. Enter a Initiation fees and capital contributions included on Part line 12 103 Gross receipts, included on Form 990, Pait line 12, for public use of club facrlities 10b 11 Section 501(c)(12) organizations. Enter a Gross income from members or shareholders 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) 1 1b 12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 '7 12a If "Yes," enter the amount of tax-exempt interest received or accrued during the year I 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'7 13a Note. See the instructions for additional information the organization must report on Schedule 0 Enter the amount of reserves the organization is reqwred to maintain by the states in which the organization is licensed to issue qualified health plans 13b Enter the amount of reserves on hand 13c 14a Did the organization receive any payments for indoor tanning serwces during the tax year" 143 If "Yes," has it filed a Form 720 to report these ?yments?? If "No, provrde an explanation in Schedule 0 14b 732005 11-28-17 11010912 798302 1381A 6 2017.04011 CONVENTION OF STATES ACTION Form 990 (2017) Form 996(2017) CONVENTION OF STATES ACTION 47?2245708 I Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora ?No? response to line 8a, 8b, or 10b below, describe the Circumstances, processes, or changes in Schedule 0 See instructions Check if Schedule 0 contains a response or note to any line in this Part VI Section A. Governing Body and Management Page 6 1a 01 7a 9 Enter the number of voting members of the governing body at the end of the tax year 1a Yes No If there are maternal differences In voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0. Enter the number of voting members included in line 1a, above, who are Independent 1b Did any Officer, director, trustee, or key employee have a family relationship or a busmess relationship With any other officer, director, trustee, or key employee? Did the organization delegate control over management duties customarily performed by or under the direct supewi5ion 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 Since the prior Form 990 was filed? Did the organization become aware during the year of a Significant diver5ion of the organization?s assets? Did the organization have members or stockholders? 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'7 Are any governance demsrons of the organization reserved to (or subject to approval by) members, stockholders. or persons other than the governing body? Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the tollowmg The governing body? Each committee With authority to act on behalf of the governing body? 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, prowde the names and addresses in Schedule 0 ?i arc-raw >4 7b Ba 8b Section B. Policies (This Section requests information about polrcres not requrred by the Internal Revenue CodeDid the organization have local chapters, branches, or affiliates? If ?Yes," did the organization have written and procedures governing the actiwties of such chapters, affiliates, and branches to ensure their operations are con5istent With the organization's exempt purposes? Has the organization prowded a complete copy of this Form 990 to all members of its governing body before filing the form9 Describe in Schedule 0 the process, if any, used by the organization to renew this Form 990 Did the organization have a written conflict of interest policy? If "No, go to line 13 Were officers, directors, or trustees, and key employees requned to disclose annually interests that c0u d give rise to conflicts? Did the organization regularly and con5istent y monitor and enforce compliance With the policy? If "Yes, describe in Schedule 0 how this was done Did the organization have a written whistleblower policy? Did the organization have a written document retention and destruction policy'7 Did the process for determining compensation of the followmg persons include a reView and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and demsron'? The organization's CEO, Executive Director, or top management offICIal Other Officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions) Did the organization invest in, contribute assets to, or partICIpate in a jOIl'It venture or Similar arrangement With a taxable entity during the year? If "Yes," did the organization follow a written policy or procedure requmng the organization to evaluate Its partICIpation in iomt venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status With respect to such arrangements15a 15b 163 16b Section C. Disclosure 17 List the states With Which a copy of this Form 990 is requved to be filed DAL Section 6104 reqmres an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501 only) available for public inspection Indicate how you made these available Check all that apply 1: Own webSIte i:i Another's websne Upon request Other (explain in Schedule 0) 19 Describe in Schedule 0 Whether (and if so, how) the organization made its governing documents, conflict of interest policy, and finanCiaI statements available to the public during the tax year 20 State the name, address, and telephone number of the person who possesses the organization's books and records CLIFTON LARSON ALLEN LP 317-574?9100 9365 COUNSELORS ROW #200 INDIANAPOLIS IN 46240?2045 732005 11-28-17 SEE SCHEDULE 0 FOR FULL LIST OF STATES Form 990(2017) 11010912 798302 1381A .7 2017.04011 CONVENTION OF STATES ACTION Form 996(2017) CONXENTION OF STATES ACTION 47?2245708 Page7 [Part Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors 3 Check if Schedule 0 contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons requ1red to be listed Report compensation for the calendar year ending With or Within the organization's tax year 0 List all of the organization's current officers, directors, trustees (whether indiViduals or organizations), regardless of amount of compensation Enter -0- in columns (D), (E). and (F) if no compensation was paid 0 List all of the organization's current key employees, if any See instructions for definition of ?key employee 0 List the organization's five currenthighest compensated employees (other than an Officer, director, trustee, or key employee) who received report- able compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) Of more than $100,000 from the organization and any related organizations 0 List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations 0 List all of the organization's former directors or trustees that received, in the capaCity as a former director or trustee Of the organization, more than $10,000 of reportable compensation from the organization and any related organizations List persons in the followmg order indiwdual trustees or directors, institutional trustees, officers, key employees, highest compensated employees, and former such persons :1 Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (A) (3) (C) (D) (E) (F) Name and Title Average (do not (2:25:43;th one Reportable Reportable Estimated hours per 100:. unless person us both an compensation compensation amount of week of?cer and a director/trustee) from from related other (list any 3 the organizations compensation hours for :3 3 organization from the related .. organization organizations g. and related below 3 a 2 ?g 3 organizations ime) (1) MARK MECKLER 1 . 0 PRESIDENT CEO 40.00 0. 223,588. 22,221. (2) TIM DUNN 1.00 DIRECTOR 0 . 0 . 0 . (3) ERIC 3.00 DIRECTOR 0 . 0 . 0 . (4) KYLE STALLINGS 1 . 0 0 DIRECTOR 0 . 0 . 0 . (5) MICHAEL RUTHENBERG 1 . 0 0 SECRETARY 40.00 0. 100,800. 25,749. (6) TIMOTHY MURPHY (7) MICHAEL TRANCHINA 1 . 0 0 CHIEF TECHNOLOGY OFFICER 40.00 0. 131,249. 19,152. 73200? 11-23-17 Form 990 (2017) 8 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Form 991}. (2017, CONVENTION OF STATES ACTION 47?2245708 Page8 Section A. Officers, Dlreotors, Trustees. Key Em oloyees, and Highest Compensated Employees (contlnued) (m (Q ml E) (H Name and trtle Average (do not cigfg'gg?than one Reportable Reportable Estrmated hours per box. unless person us both an compensatron compensation amount of week of?cer and a drrectorltrustee) from from related other (?St any a the organizations compensation hours for =5 3 organization from the related g, organization organrzatlons .5 and related below if a 29:; 3., organrzatlons 1b Sub-total 0. 455,637. 67,122. Total from oontmuatlon sheets to Part VII, Sectlon Total(addlines1band1c) 0. 455,637. 67,122. 2 Total number of 1nd1vrduals (Includmg but not l1m1ted to those lrsted above) who recelved more than $100,000 of reportable compensatlon from the orqanrzatlon 0 Yes No 3 the organrzatlon any former of?cer, dlrector, or trustee, key employee, or hrghest compensated employee on - lrne 1a? If Yes, complete Schedule for such 3 4 For any lusted on lrne 1a, IS the sum Of reportable compensatlon and other compensatlon from the organrzatlon and related orgamzatIOns greater than $150,000? If ?Yes, complete Schedule for such 4 5 Old any person lrsted on lune 1a recerve or accrue compensation from any unrelated organlzatlon or 1nd1vrdual for servrces rendered to the orqanlzatnon'? lf Yes, complete Schedule for such person 5 Section 8. Independent Contractors 1 Complete table for your true hrghest compensated Independent contractors that recerved more than $100,000 of compensatlon from the organlzatlon Report compensatron for the calendar year endmg or the organrzatron's tax year (A) Name and busrness address (B) Of servrces (Cl Compensatlon MVP PRESS, 43720 TRADE CENTER PLACE, SUITE 135, STERLING, VA 20166 FUNDRAISING PRINTING 279,138. MASTER OF CODE GLOBAL 541 JEFFERSON AVE SUITE 100, REDWOOD CITY, CA 94063 SERVICES 251,339. TOM A COBURN MD INC PO BOX 1760 MUSKOGEE, OK 74402 GOVERNMENT RELATIONS 240 000 . JIM DEMINT 13 2 COVENTRY RD GREENVILLE SC 2 961 5 GOVERNMENT RELATIONS 140 0 0 0 . ACTIVE ENGAGEMENT 1 13 EAST MARKET ST SUITE 300, LEESBURG, VA 20176 EMAIL COMMUNICATIONS 108,870. 2 Total number of Independent contractors (Includlng but not to those listed above) who recewed more than I $100,000 of compensation from the orqanlzatlon 5 Form 990 (2017) 732003 11-28-1'1? 9 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Forrn 99612017) CONVENTION STATES ACTION 47?2245708 Page9 Part Statement of Revenue Check It Schedule 0 contams a response Or note to any line In Part I: M) m) (C) Q) Total revenue Related or Unrelated exempt functton busmess sections revenue revenue 512 - 514 13% I a Federated campaigns 1a (-5 Membership dues 1b Fundralsmg events 1c ?55 HeIated organizatIOns 1d gag": .e Government grants (contributions) 1e .3 1? All other contnbutrons, grants, and ?g amounts not Included above Nonrmh rontnbullone ?plums-5 1.1-1! 1? On 3,217,816. Business Code a 2 a 9' All other program servuce revenue 9 Total. Add lines 2a-2f 1 3 Investment 1ncome(1nclud1ng leldendS, Interest, and other amounts) 4 Income from Investment of tax-exempt bond proceeds 5 Royalties (1) Real (11) Personal 6 3 Gross rents Less rental expenses Rental Income or (loss) Net rental Income or (loss) 7 a Gross amount from sales of (I) Securrttes (11) Other assets other than Inventory Less cost or other basis and sales expenses Gain or (loss) 7 1 Net galn or (loss) a; 8 a Gross Income from fundralsmg events (not Including 51 at reported on lune 1c) See 1'13 Part IV, line 10 a Less direct expenses Net Income or (loss) from fundralsmg events 9 a Gross Income from gaming actrvutles See Part IV, l1nc 19 a Less direct expenses (3 Net Income or (loss) from gaming actwmes 10 3 Gross sales of Inventory, less returns and allowances a Less cost Of goods sold Net Income or (loss) from sales of Inventory Miscellaneous Revenue Busmess Code 4.1.1 113 900099 19,791. 19,791. I All other revenue Total.Addl1nes11a-11d 19,791. 12 Total revenue See Instructlons732009 11-23-17 Form 990 (2017) 11010912 798302 1381A 10 2017.04011 CONVENTION OF STATES ACTION I I Part IX Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organrzatrons must complete all columns All other organizations must complete column (A) Form 990 (20171 CONVENTION OF STATES ACTION 47?2245708 Page10 .Check If Schedule 0 contains a response or note to any lune In Part IX DO not lnclude amounts reported on lines 6b' Total ex?penses Progra(n3)serwce Manag??ent and Fun??lsmg 7?31 3hr and 10" or Part expenses general expenses expenses 1 Grants and other to domestlc orgamzatlons and domestic governments. See Part IV, line 21 I 2 Grants and other assustance to domestic I See Part IV, line 22 3 Grants and other aSSIstance to foreign organlzatlons, foreign governments. and foretgn IndIVIduals See Part IV, lines 15 and 16 4 paid to or for members I 5 Compensation of current officers, directors, trustees, and key employees 6 Compensation not Included above, to disquali?ed persons (as defined under section 4958(f)(1)) and . persons described In section 4958(c)(3)(B) 7 Othersalanesandwages 796,312. 445,936. 92,694. 257,682. 8 PenSIon plan accruals and contnbutlons (Include section 401(k) and 403(b) employer contributions) 9 Other employee benefits 10 Payrolltaxes 88,604. 47,492. 21,620. 19,492. 1 1 Fees for servnces (non-employees) If a Management Legal 98,291. 72,686. 25,605. Accounting 67,549. 67,549. Lobbying 239,042. 239,042. Professuonal fundralsmg servuces. See Part IV, lune Investment management fees 9 Other (If line 119 amount exceeds 10% of lune 25, 100,077. 35,000. 5,458. 59,619. 12 1,117,297. 1,100,596. . 13,947. 2,754. 13 O?lceexpenses 17,562. 5,658. 7,637. 4,267. 14 Information technology 15 Royalties Occupancy 18,600. 10,416. 4,092. 4,092. 17 Travel 201,455. 158,809. 38,062. 4,584. 18 Payments of travel or entertainment expenses for any federal, state, or local officnals 19 Conferences, conventions, and meetings 20 Interest 21 Payments to affiliates 22 Deprecnatlon, depletion, and amortization 23 Insurance 73,542. 41,184. 16,179. 16,179. 24 Other expenses. Itemtze expenses not covered above. (Lust mnscellaneous expenses In line 24a If Ilne 24e amount exceeds 10% of lune 25, column (A) amount, line 24a expenses on Schedule 0) a POSTAGE MAILING 166,091. 51,372. 30,082. 84,637. EVENTS 79,928. 79,928. 0. 0. DUES SUBSCRIPTIONS 51,971. 29,103. 11,435. 11,433. All other expenses 25 Totalfunctionalexpenses 3,992,597. 2,317,222. 334,360. 1,341,015. 26 costs. Complete line only It the organization reported In column (B) 10ml costs from a combined educational campaign and fundralsmg solucntatlon Check here .r followung sop 95-2 953.720) 732010 11-28-17 11010912 798302 1381A 1 2017 . 04011 CONVENTION OF 11 Form 990 (2017) STATES ACTION 1 3 8 Form990l2017) CONVENTION OF STATES ACTION Part 1 Balance Sheet .. Check if Schedule 0 contains a response or note to any line in this Part 47?2245708 Paqe11 (A) Beginning of year (B) End of year 1 Cash - non-interest-bearing Savmgs and temporary cash Investments 2 3 Pledges and grants receivable, net 3 4 Accounts receivable. net 4 5 Loans and other receivables from Current and former Officers. directors, trustees. key employees, and highest compensated employees Complete Part II of Schedule 5 6 Loans and other receivables from other disquali?ed 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 I 3 employees? beneficiary organizations (see instr) Complete Part II of 6 a 7 Notes and loans receivable. net 7 8 nventories for sale or use 8 9 Prepaid expenses and deferred charges 10a Land, bmldings. and equipment cost or other basus Complete Part VI of Schedule 10a Less accumulated depreciation 10b 10c 1 1 Investments - publicly traded securities 11 12 Investments - other securities See Part IV, line 11 12 13 Investments - program-related See Part IV. line 11 13 1 14 Intangible assets . 14 15 Other assets See Part IV, line 11 15 16 Total assets. Add lines 1 through 15 (must equal line 34Accounts payable and accrued expenses Grants payable 18 19 Deferred revenue 19 20 Tax-exempt bond liabilitiesj 20 1 21 Escrow or custodial account Inability Complete Part IV Of Schedule 21 1 .3 22 Loans and other payables to current and former officers, directors. trustees. key employees, highest compensated employees, and disqualified persons 6 Complete Part II of Schedule 22 1 23 Secured mortgages and notes payable to unrelated third parties 23 24 Unsecured notes and loans payable to unrelated third parties 24 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24) Complete Part of Schedule 25 26 Total liabilities. Add llnes 17 through Organizations that follow SFAS 1 17 (A30 958), check here IL, and 3 complete lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets Temporarily restricted net assets 28 '2 29 Permanently restricted net assets 29 .3 Organizations that do not follow SFAS 117 (A86 958), check here 5 and complete lines 30 through 34. 12 30 Capital stock or trust prinCIpal, or current funds 30 31 Paid-in or capital surplus, or land, budding. or equment fund 31 32 Retained earnings, endowment, accumulated income. or other funds 32 33 Total net assets or fund balances Total liabilities and net assets/fund balances Form 990 (2017) i 732011 11-28-17 11010912 798302 1381A 12 2017.04011 CONVENTION OF STATES ACTION . Form 996 (2017) CONVENTION OF STATES ACTION page 12 Part XI Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI I: .1 Total revenue (must equal Part column (A), line 12Total expenses (must equal Part IX, column (A). line 25Revenue less expenses Subtract line 2 from line Net assets or fund balances at beginning Of year (must equal Part X, line 33, column Net unrealized gains (losses) on investments 5 6 Donated services and use of facilities 6 7 Investment expenses 7 8 Prior period adjustments - 8 9 Other changes in net assets or fund balances (explain in Schedule 0) 9 0 . 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33. column Part Financial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part XII . Cl Yes No 1 Accounting method used to prepare the Form 990 I: Cash Accrual Other - If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule 0 2a Were the organization's finanCiaI statements compiled or reVIewed by an independent accountant? 2a If "Yes," check a box below to indicate whether the finanCIal statements for the year were compiled or rewewed on a separate ba3is, consolidated or both Cl Separate ba3is Consolidated baSlS I: Both consolidated and separate ba3is Were the organization's finanCIal statements audited by an independent accountant? . 2b If "Yes," check a box below to indicate whether the financial statements for the year were audited on a separate ba5is, consolidated baSlS. or both Separate tests Consolidated baSlS CI Both consolidated and separate 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 If the organization changed either its overSight process or selection process during the tax year, explain in Schedule 0 3a As a result of a federal award, was the organization reqmred to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-1339 3a If "Yes," did the organization undergo the reqUIred audit or audits? If the organization did not undergo the reqUIred audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits 3b Form 990 (2017) . 732012 11-28-17 13 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Political Campaign and Lobbying Activities (Form 990 or 990-52) 20 17 For Organizations Exempt From Income Tax Under section 501(c) and section 527 Complete if the organization is described below. Attach to Form 990 or Form 990-EZ. 5p?? tgi?utbli: Department of the Treasury . . Internal Revenue Serwce Go to for instructions and the latest information. Inspection If the organization answered "Yes," on Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Actiwties), then 0 Section 501(c)(3) organizations Complete Parts IA and Do not complete Part 1-0 0 Section 501(c) (other than section 501(c)(3)) organizations Complete Parts IA and below Do not complete Part I-B 0 Section 527 organizations Complete Part I-A only If the organization answered "Yes," on Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then 0 Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part ll-A Do not complete Part 0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)) Complete Part Do not complete Part If the organization answered "Yes," on Form 990, Part IV, line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then 0 Section 501(c)(4), (5), or (6) organizations Complete Part Name of organization Employer identification number CONVENTION OF STATES ACTION 47-2245708 [Part l-A] Complete if the organization is exempt under section 501(c) or is a section 527 organization. 1 Prowde a description of the organization?s direct and indirect political campaign actiwties in Part IV 2 Political campaign actiwty expenditures 3 Volunteer hours for political campaign actiwties 8.799. I Part I-BI Complete if the organization is exempt under section 501(c)(3). 1 Enter the amount of any exmse tax incurred by the organization under section 4955 2 Enter the amount of any exCIse tax incurred by organization managers under section 4955 3 If the organization incurred a section 4955 tax, did it file Form 4720 for this year? Yes No 43 Was a correction made? :1 Yes I: No If "Yes,? describe in Part IV Part l-C] Complete if the organization is exempt under section 501(c), except section 1 Enter the amount directly expended by the filing organization for section 527 exempt function actiwties 3 2 7 . 2 Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function actIVItIes Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL, line17b >3 8,799. 4 Did the filing organization file Form 1120-POL for this year? 1L1 Yes No 5 Enter the names, addresses and employer identification number (EIN) of all section 52? political organizations to which the filing organization made payments For each organization listed, enter the amount paid from the filing organization's funds Also enter the amount of political contributions received that were and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC) If additional space is needed, prowde information in Part IV Name Address EIN Amount paid from Amount of political filing organization's contributions received and funds If none, enter -0- and directly delivered to a separate political organization If none, enter -0- For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2017 LHA 732041 11-09-17 2 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Schedule (Form 990 or 990-EZ) 2017 CONVENTION OF STATES ACTION 47?2245708 Page2 Part Complete if the organization is exempt under section 501(c)(5) and filed Form 5768 (election under section 501(h)). A Check l_l if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share' of excess lobbying expenditures) Check if the filing organization checked box A and "limited control" pl'OVlSlOf'tS apply Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.) Filing Affiliated group organization's totals totals 1 a Total lobbying expenditures to influence public opinion (grass roots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 1a and 1b) Other exempt purpose expenditures Total exempt purpose expenditures (add lines 1c and 1d) Lobbying nontaxable amount Enter the amount from the followmg table in both columns If the amount on line 12, column or is: The lobbying nontaxable amount is: Not over $500,000 20% of the amount on line 1e Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000 Grassroots nontaxable amount (enter 25% of line 1f) Subtract line 19 from line 1a If zero or less, enter -0- i Subtract line 1f from line 1c If zero or less, enter 0- If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year?? El Yes No 4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.) Lobbying Expenditures During 4-Year Averaging Period Calendar year (orifiscal year beginning in) 2014 2015 2016 2017 (9) Total 2a Lobbying nontaxable amount I Lobbying ceiling amount (150% of line 2a, column(e)) Total lobbying expenditures Grassroots nontaxable amount Grassroots ceiling amount (150% of line 2d, column Grassroots lobbying expenditures 732042 11-09-17 21 Schedule (Form 990 or 990-EZ) 2017 I - 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION 1381A_l CONVENTION 0F STATES ACTION 47?2245708 Page3 I Part Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)). For each Yes, response on lines 1a through Ti below, provrde in Part IV a detailed description (3) of the lobbying actiwty Yes No Amount 1 During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of Volunteers? Paid staff or management (include comp\ensation in expenses reported on lines to through 10? Media advertisements? Mailings to members, legislators, or the public? Publications, or published or broadcast statements? Grants to other organizations for lobbying purposes? Direct contact With legislators, their staffs, government officials, or a legislative body? Rallies, demonstrations, seminars, conventions, speeches, lectures, or any Similar means" i Other actIVities'7 Total Add lines 1c through 1i 2a Did the actiwties in line 1 cause the organization to be not described in section 501 I If ?Yes," enter the amount of any tax incurred under section 4912 If "Yes," enter the amount of any tax incurred by organization managers under section 4912 If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? I Part Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6). . a Yes No 1 Were substantially all (90% or more) dues received nondeductible by members? 1 2 Did the organization make only in-house lobbying expenditures of $2,000 or less? 2 3 Did the organization agree to carry over lobbying and political campaign actiwty expenditures from the prior year9 3 Part Ill-B Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either BOTH Part Ill-A, lines 1 and 2, are answered OR (D) Part Ill-A, line 3, is answered "Yes." 1 Dues, assessments and Similar amounts from members 1 2 Section 162(e) nondeductible lobbying and political expenditures (do not include amOunts of political expenses for which the section 527(f) tax was paid). a Current year - 2a Carryover from last year 2b Total 2c 3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 3 4 If notices were sent and the amount on line 20 exceeds the amount on line 3, What portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political 1 expenditure next year? 4 5 Taxable amount of lobbying and political expenditures (see instructions) 5 [Part IV I Supplemental Information Prowde the descriptions requwed for Part l-A, line 1, Part l-B, line 4, Part I-C, line 5, Part II-A (affiliated group list), Part lines 1 and 2 (see instructions), and Part line 1 Also, complete this part for any additional information Schedule (Form 990 or 990-EZ) 2017 732043 11-09-17 22 . 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION OMB No 1545-0047 Supplemental Financial Statements (Form 990) Complete if the organization answered "Yes" on Form 990, Part IV, line 6,7,8, 9, 10. 11a, 11b, 11c, 11d, 11e, 11f, 128, or 12b. Department of the Treasury Attach to Form 990. Open to Puhllc Internal Revenue Sewice )Go to for instructions and the latest information. Name of the organization Employer identification number CONVENTION OF STATES ACTION 47-2245708 Part I Organizations Maintaining Donor Advised Punds or Other Similar Funds or Accounts.COmpiete if the organization answered "Yes" on Form 990, Part IV, line 6 Donor adVised funds Funds and other accounts 1 Total number at end of year 2 Aggregate value of contributions to (during year) 3 Aggregate value of grants from (during year) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor adwsors in writing that the assets held in donor advused funds are the organization?s property, subject to the organization's excluswe legal control'7 El Yes CI No 6 Did the organization inform all grantees, donors, and donor adwsors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor adwsor, or for any other purpose conferring impermissmle private bene_fit9 El Yes I: No I Part II I Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7 1 Purpose(s) of conservation easements held by the organization (check all that apply) Preservation of land for public use (e recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year Held at the End of the Tax Year a Total number of conservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in 2c Number of conservation easements included in acqunred after 7/25/06, and not on a historic structure listed in the National Register 2d 3 Number of conservation easements modified, transferred, released, or terminated by the organization during the tax year 4 Number of states where property subject to conservation easement is located 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of Violations. and enforcement of the conservation easements it holds2 :1 Yes No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcmg conservation easements during the year 7 Amount of expenses incurred in monitoring, inspecting, handling of Violations, and enforcmg conservation easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the requvements of section and section I: Yes :1 No 9 In Part describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's finanCIal statements that describes the organization's accounting for conservation easements I Part Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8 13 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, prowde, in Part the text of the footnote to its finanCIal statements that describes these items If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other Similar assets held for public exhibition, education, or research in furtherance of public sewice, prowde the followmg amounts relating to these items Revenue included on Form 990, Part line 1 (ii) Assets included in Form 990, Part 2 If the organization received or held works of art. historical treasures, or other Similar assets for finanCIal gain, prowde the follownng amounts requved to be reported under SFAS 116 (ASC 958) relating to these items a Revenue included on Form 990, Part line 1 Assets included in Form 990, Part LHA For Paperwork Reduction Act Notice. see the Instructions for Form 990. Schedule (Form 990) 2017 732051 10-09-17 2 3 . 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Schedule?DlForm 990) 2017 CONVENTION OF STATES ACTION 47?2245708 pagez Part Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assetqcontinued) 3 Usmg the organization's accessron, and other records, check any of the followmg that are a Significant use of its collection items (check all that apply) a Public exhibition Loan or exchange programs I: Scholarly research Other I: Preservation for future generations 4 Provude a description of the organization's collections and explain how they further the organization?s exempt purpose in Part 5 Durtng the year, did the organization 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 I: No I Part IV I Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990. Part IV, line 9, or reported an amount on Form 990, Part X, line 21 13 Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X7 I: Yes I: No If "Yes." explain the arrangement in Part and complete the followmg table Amount 0 Beginning balance Additions during the year Distributions during the year Ending balance 2a Did the organization include an amount on Form 990, Part X. line 21, for escrow or custodial account liability? No If "Yes," explain the arrangement in Part Check here if the explanation has been prowded on Part I: I Part Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10 Current year Prior year Two years back (d)Three years back Four years back 13 Beginning of year balance Contributions Net Investment earnings, gains, and losses Grants or scholarships Other expenditures for faculties and programs Administrative expenses 9 End of year balance 2 Prowde the estimated percentage of the current year end balance (line 19, column held as a Board deSIgnated or quaSI-endowment Permanent endowment Temporarily restricted endowment The percentages on lines 2a, 2b, and 20 should equal 100% 3a Are there endowment funds not in the possessron of the organization that are held and administered for the organization by unrelated organizations (ii) related organizations If "Yes" on line 3a(ii), are the related organizations listed as reqwred on Schedule R7 Describe in Part the intended uses of the orqanization' endowment funds Land, Buildings, and Equipment. Complete if the organization answered "Yes" on Form 990, Part IV, line 11a See Form 990, Part X, line 10 Description of property Cost or other Cost or other Accumulated Book value (investment) ba5is (other) depreciation 13 Land BUIldings Leasehold improvements cl EqUIpment Other Total. Add lines 1a through 1e (Column (of) must equal Form 990, Part X, column (B), line 700 0 . Schedule (Form 990) 2017 732052 10-09-1? 24- . 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION ScheduleD(Form 990) 2017 CONVENTION OF STATES ACTION 47? 2245708 pages I Rart Vll Investments - Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b See Form 990, Part X, line 12 Description of security or category (including name oi security) Book value Method of valuation Cost or end-of-year market value (1) ?nance! derivatives (2) Closely-held eqUity interests (3) Other (A) (B) (C) (D) (E) . (F) LG) (H) Total. (Col. must equal Form 990, Part X, col. (B) line 12.) I Part Investments - Program?Related. if the answered "Yes" on Form 990 Part IV line 11c See Form 990 Part line 13 Description of investment Book value Method of valuation Cost or end ot-year market value Total. Cot. must Form 990 Part col. line 13. rt IX Other Assets. if the answered "Yes" on Form 990, Part IV, line 11d See Form 990, Part X. line 15 Description Book value I must Form 990 Part col line 15 er Liabilities. if the Description of liability answered "Yes" on Form 990, Part IV, line He or 11f See Form 990. Part X, line 25 Book value 1 Federal income taxes Total. must Form 990 Part col line 25 2. Liability for uncertain tax positions In Part prowde the text of the footnote to the organization's finanCial statements that reports the organization's liability for uncertain tax posnions under FIN 48 (ASC 740) Check here if the text of the footnote has been prowded in Part Schedule {Form 990) 2017 732053 10-09?17 25 . 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Schedule (F_orm 990) 2017 Complete If the organIzatIon answered "Yes? on Form 990, Part IV, IIne 12a CONVENTION OF STATES ACTION 47? 2245708 Paqe4 [Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. 1 Total revenue, gaIns, and other support per audIted fInanCIal statements Amounts Included on Me 1 but not on Form 990, Part Me 12 a Net unrealized gaIns (losses) on Investments 2a Donated servIces and use of 2b Recovenes of mm year grants 2c Other (DescrIbe In Part 2d Add IInes 2a through 2d 2e 0 . 3 Subtract IIne 2e from Amounts Included on Form 990, Part ?Investment expenses not Included on Form 990, Part lIne 7b 4a Other (DescrIbe In Part 4b Add IInes Total revenue Add knee 3 and 4c. (T must equal Form 990, PanI Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete If the organIzatIon answered "Yes" on Form 990, Part IV, IIne 12a 1 Total expenses and losses per audIted fInanCIal statements Amounts Included on Me 1 but not on Form 990, Part IX, Ilne 25 a Donated serVIces and use of 2a year adjustments 2b Other losses 2c Other (DescrIbe In Part 2d Add IInes 2a through 2d 2e 0 . 3 Subtract lIne 2e from lune Amounts Included on Form 990, Part IX, Me 25, but not on line 1 3 Investment expenses not Included on Form 990, Part lune 7b 4a Other (DescrIbe Total expenses Add ?ms 3 and 4c. (This must equal Form 990, PartPart Supplemental Information. the descrIptIons reqUIred for Part II, lines 3. 5, and 9, Part IInes 1a and 4, Part IV, lInes 1b and 2b, Part V, Me 4, Part X, We 2, Part XI, lines 2d and 4b, and Pat XII, 2d and 4b Also complete the part to prowde any addItIonal InformatIon PART X, LINE 2: NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. 732054 10-09-17 11010912 798302 1381A 26 Schedule (Form 990) 2017 2017.04011 CONVENTION OF STATES ACTION 1381A?l (Form 990 or 990-EZ) Supplemental Information Regarding Fundraising or Gaming Activities Complete if the organization answered "Yes" on Form 990, Part IV, line 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. magmas-"W Attach to Form 990 or Form 990-52. ema avenue emce G310 for the latest instructions. OMB No 1545-0047 ??2o17 __Open to Public? Inspection Name of the organization CONVENTION OF STATES ACTION 47-2245708 Employer Identification number Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17 Form 990-EZ filers are not reqUIred to complete this part 1 Indicate whether the organization raised funds through any of the followmg actIVities Check all that apply a Mail soliCitations l: SOIICItation of non-government grants Internet and email solicrtations Solimtation of government grants 0 Phone 9 1:1 SpeCIal fundraismg events ln-person solicitations 2 3 Did the organization have a written or oral agreement With any indiwdual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection With professmnal fundraismg serwces? Yes If "Yes," list the 10 highest paid indiwduals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization DNO . Dd Amount paid Name and address of indiwdual raiser (iv) Gross receipts to (or retained by) Amount paid (ii) Actiwty have cusiod to (or retained by) or entity or control 0 from aCtIVlty fundralser or anization contributions? listed in col 9 THE RICHARD NORMAN COMPANY - Yes No 113 MARKET ST SUITE 300, DIRECT MAIL 1,204,583. 73,398, 1,131,185, ACTIVE ENGAGEMENT 113 MARKET ST SUITE 300, INTERNET EMAIL 20,851. 20,851. 0. Total 5 1,225,434. 94,249. 1,131,185. 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 licensmg LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2017 SEE PART IV FOR CONTINUATIONS 732081 09-13-17 27 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Schedule?G(Form 990 or990-E2)2017 CONVENTION OF STATES ACTION 47" 2245708 Pagez Rart Fundraising Events. Complete If the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraismg event contributions and gross income on Form 990-EZ, lines 1 and 6b List events With gross receipts greater than $5,000 a Event #1 Evenl#2 Other events Total events (add col (a)through col (event type) (event type) (total number) Cl.) a i 23 1 Gross receipts 2 Less Contributions 1 3 Gross income (line1 minus line 2) 4 Cash prizes I I 5 Noncash prizes 8 (D 6 Rent/faculty costs 7 Food and beverages 5 8 Entertainment 9 Other dir?ct expenses 10 Direct expense summary Add lines 4 through 9 in column Net income summary Subtract line 10from lines, column I Gaming. Complete if the organization answered "Yes" on Form 990, Part IV line 19, or reported more than $15, 000 on Form 990- E2. line 6a Pull tabsfinstant Total gaming (add OJ 2 bingo/progresswe bingo (c)Othergaming col through col 3? O) a: 1 Gross revenue a, 2 Cash prizes 3 6 3 Noncash prizes Lu 4 Rent/faculty costs Ci 5 Other direct expenses Yes Yes Yes 6 Volunteer labor No No I: No 7 Direct expense summary Add lines 2 th"rough 5 In column 8 Net gaming income summary Subtract line 7 from line 1, column 9 Enter the state(s) in the organization conducts gaming actiVities a Is the organization licensed to conduct gaming actiVities in each of these states? If explain Yes No 10a Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax yea/r" If "Yes," explain Yes l__l No 732082 09-13-17 11010912 798302 1381A 28 Schedule (Form 990 or 990-EZ) 2017 2017.04011 CONVENTION OF STATES ACTION OF STATES ACTION 47?2245708 Pmea 1.1 Does the organization conduct gaming activities nonmembers? Yes No 12 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? Yes I: No 13 Indicate the percentage of gaming actiwty conducted In a The organization?s facmty 13a An OUtSlde 13b 14 Enter the name and address of the person who prepares the organization's gaming/speCial events books and records Name Address 153 Does the organization have a contract With a third party from whom the organization receives gaming revenue? El Yes No If "Yes." enter the amount of gaming revenue received by the organization and the amount of gaming revenue retained by the third party If "Yes," enter name and address of the third party Name Address 16 Gaming manager information Name Gaming manager compensation Description of seNices provuded CI Director/officer Employee I: Independent contractor 17 Mandatory distributions a Is the organization reqwred under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? El Yes I: No Enter the amount of distributions reqmred under state law to be distributed to other exempt organizations or spent in the organization's own exempt actIVIties during the tax year Part IVI Supplemental Information. Prowde the explanations reqUIred by Part I, line 2b, columns and and Part lines 9, 9b, 10b, 15b, I 150, 16, and 17b. as applicable Also prowde any additional information See instructions SCHEDULE G, PART I, LINE 2B, LIST OF TEN HIGHEST PAID FUNDRAISERS: (I) NAME OF FUNDRAISER: THE RICHARD NORMAN COMPANY (I) ADDRESS OF FUNDRAISER: 113 MARKET ST SUITE 300, LEESBURG, VA 20176 (I) NAME OF FUNDRAISER: ACTIVE ENGAGEMENT (I) ADDRESS OF FUNDRAISER: 113 MARKET ST SUITE 300, LEESBURG, VA 20176 732033 09-13-17 Schedule (Form 990 or 990-EZ) 2017 29 i 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION CONVENTION OF STATES ACTION Bart IV Supplemental Information (continued) 47?2245708 Paqe4 8 Schedule (Form 990 or 990-E2) 732084 04?01-17 3 0 . OF STATES ACTION 1 3 8 11010912 798302 1381A 2017.04011 CONVENTION SCHEDULE Compensation Information (Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees OMB No 1545-0047 2017 Complete if the organization answered "Yes" on Form 990, Part IV, line 23. Department of the Treasury DAttach to Form 990- Open to PUblic Internal Revenue Sewice Go to for instructions and the latest information. Inspection Name of the organization Employer identification number CONVENTION OF STATES ACTION 47?2245708 Part I I Questions Regarding Compensation Yes No 1a Check the appropriate box(es) if the organization provided any of the followung to or for a person listed on Form 990, Part VII, Section A, line 1a Complete Part to prowde any relevant information regarding these items :1 First-class or charter travel Housmg allowance or reSIdence for personal use :1 Travel for companions Payments for busmess use of personal reSIdence Tax indemnification and gross-up payments El Health or somal club dues or initiation fees :1 Discretionary spending account . El Personal serVices (such as, maid, chauffeur, chef) If any of the boxes on line 1a are checked, did the organization follow a written poliCy regarding payment or reimbursement or prowsmn of all of the expenses described above? If complete Part to explain 1b 2 Did the organization reqUIre substantiation prior to reimbursmg or allowmg expenses incurred by all directors, I trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a9 2 3 Indicate which, if any, of the followmg 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 Compensation committee Written employment contract El Independent compensation consultant Compensation survey or study :1 Form 990 of other organizations Approval by the board or compensation committee 4 During the year, did any person listed on 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?? 4a Partiapate in, or receive payment from, a supplemental nonqualified retirement plan'7 4b Partiapate in, or receive payment from, an eqmty-based compensation arrangement? 4c If "Yes" to any of lines 4a-c, list the persons and prowde the applicable amounts for each item in Part Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. 5 For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of a The organization? 5a Any related organization? 5b If "Yes" on line 5a or 5b, describe in Part ill 6 For persons listed on 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? 6a Any related organization? 6b If "Yes" on line 6a or 6b. describe in Part 7 For persons listed on Form 990, Part VII, Section A, line 1a, did the organization prowde any no)nfixed payments not described on lines 5 and If "Yes," describe in Part 7 8 Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53 If "Yes," describe in Part 8 9 If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53 9 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2017 732111 10-17-17 31 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION Schedule (Form 990) 2017 CONVENTION OF STATES ACTION Page 2 - I Part II I Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate coples If space IS needed For each whose compensatlon must be reported on Schedule J, report compensatlon from the organization on row (I) and from related organizations, described In the InstructIOns, on row . Do not Inst any that aren't listed on Form 990, Part VII Note: The sum of columns for each listed must equal the total amount of Form 990. Part VII, Section A, lune 1a, applicable column (D) and (E) amounts for that (B) Breakdown of and/or 1099-MISC compensation (0) Retirement and (D) Nontaxable (E) Total of columns (F) Compensation other deferred benefits In column (B) Base Bonus 3? "in Other com ensatlon re orted as deferred (A) Name and Trtle compensation Incentive reportable op? p? or Form 990 compensation compensation (1) MARK MECKLER (0 0. PRESIDENT CEO (.0 223 58 8 . (2) MICHAEL TRANCHINA 0 . HIEF TECHNOLOGY OFFICER ((ill (0 (m (ii) (I) 0. 0. 22,221. 245,809. 0. 0. 19,152. 150,401. I 0000 GOOD GOOD 0 GOOD 0 (ii) (Ii) (I) (Ii) (I) (Ii) .. Schedule (Form 990) 2017 732112 10-17-17 3 2 Schedule (Form 990) 2017 CONVENTION OF STATES ACTION Page 3 I Part I Supplemental Information Provnde the Information, explanation, or descriptions reqUIred for Part I, lines 13and for Part II Also complete part for any additional Information . . Schedule (Form 990) 2017 a 732113 10-17-17 3 3 .- OMB No 1545-0047 SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ TOT (Form 990 or 990-52) Complete to provide information for responses to specmc questions on Form 990 or 990-EZ or to provide any information. .1 Department of the Treasury Attach to Form 990 or 990-EZ. Open to Public I Internal Revenue Semce Go to for the latest information. Inspection Name of the organization Employer identification number CONVENTION OF STATES ACTION 47-2245708 FORM 990, PART VI, SECTION A, LINE 3: CONTRACT WITH CITIZENS FOR SELF GOVERNANCE FOR PERSONNEL. FORM 990, PART VI, SECTION B, LINE 11B: THE RETURN IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C: LEGAL COUNSEL REVIEWS OUTGOING ORGANIZATIONAL PAYMENTS AND ROUTINELY MONITORS FOR POSSIBLE CONFLICTS OF INTEREST. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST AT THE ANNUAL BOARD MEETING. ANY OFFICER OR DIRECTOR WHO FAILS TO PROPERLY REPORT A CONFLICT OF INTEREST IS SUBJECT TO SANCTION BY THE BOARD. FORM 990, PART VI, LINE 17, LIST OF STATES RECEIVING COPY OF FORM 990: FORM 990, PART VI, SECTION C, LINE 19: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON REQUEST. LHA For Paperwork Reduction Act Notlce, see the Instructions for Form 990 or 990-EZ. Schedule 0 (Form 990 or 990-EZ) (2017) 732211 09-07-17 34 1 11010912 798302 1381A 2017.04011 CONVENTION OF STATES ACTION 13BlA__l SCHEDULE (Form 990) Department of the Treasury Internal Revenue Sewice Attach to Form 990. Related Organizations and Unrelated Partnerships Complete if the organization answered ?Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37. Go to for instructions and the latest information. OMB No 1545-0047 20 1 7 Inspection Name of the organization CONVENTION OF STATES ACTION Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33 Employer identi?cation number 47?2245708 Name. address, and EIN (if applicable) of disregarded entity (0) Primary actiwty Legal domicne (state or foreign country) (G) Total income (9) Endof-year assets Direct controlling entity Identification of Related Tax-Exempt Organizations. Complete if the organization answered ?Yes" on Form 990. Part IV, line 34, because it had one or more related tax-exempt organizations during the tax year Name. address, and EIN of related organization lb) (6) Primary actiwty Legal domicne (state or foreign country) Exempt Code section Public charity status (if section 501 MM) I u) 13) Direct controlling controlled entity entity? Yes No CITIZENS FOR SELF-GOVERNANCE 27?1657203 5850 SAN FELIPE, SUITE 575A HOUSTON, Tx 77057 CHARITABLE ORGANIZATION TEXAS 501(c)(3) LINE 7 CSG ACTION 27-4648505 5850 SAN FELIPE, SUITE 585 HOUSTON I TX 77057 ADVOCACY TEXAS 501(c)(4) DEFENDING LIBERTY INC 81-2322002 1464 MORENA BLVD SAN DIEGO, CA 92110 ADVOCACY ISSOURI For Paperwork Reduction Act Notice, see the Instructions for Form 990. 732151 09-11-17 LHA 35 Schedule (Form 990) 2017 Schedule (Form 990) 2017 CONVENTION OF STATES ACTION 47?2245708 Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990. Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year (a Name, address. and EIN of related organization in Primary actiwty (6 Legal domicne (state or {draign country) (w Direct controlling entity h) Predominant income (Irelated, unrelated, exc uded from tax under sections 512-514) Share of total income (9 Share of end-of-year assets ml Dispropoitionata allocations? Yes No Code V-UBI amount in box 20 of Schedule K-1 (Form 1065) General or managing partner? es] No W) Percentage ownership _a Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV. line 34. because it had one or organizations treated as a corporation or trust during the tax year ore related (a Name, address, and EIN of related organization Primary actiwty (M m) (w Legal domicue (state or foreign country) entity Direct controlling (d or trust) Type of entity (C corp. corp, Share of total income Share of end-of?year to assets (M Percentage ownership (i Sect?mri 512(bx13) controlled entity? Yes No K. 732162 09-11-17 36 Schedule (Form 990) 2017 ScheduleR(Form990)2017 CONVENTION OF STATES ACTION 47-2245708 [Part Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV. line 34, 35b, or 36. Page 3 Note: Complete line 1 if any entity is listed in Parts II. or IV of this schedule. 1 During the tax year, did the organization engage in any of the followrng transactions With one or more related organizations listed in Parts Receipt of interest, (ii) annUIties. 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) (6.00110 DiVidends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) i Exchange of assets With related organization(s) Lease of faCIlltleS, eqmpment, or other assets to related organization(s) vii-m: Lease of faCIIities. equment, or other assets from related organization(s) Eco Sharing of paid employees With related organization(s) Reimbursement paid to related organization(s) for expenses Reimbursement paid by related organization(s) for expenses Other transfer of cash or property to related organization(s) 3 Other transfer of cash or property from related organization(Performance of sewices or membership or fundraismg soIICitations for related organization(s) 1 Performance of sewices or membership or fundraismg soIICItations by related organization(s) 1m Sharing of fa0ilities. equment, mailing lists, or other assets With related organization(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 (al Name of related organization (C) Transaction Amount involved Method of determining amount involved type FOR SELF-GOVERNANCE 469 913 . ACTUAL AMOUNT INVOICED (2) (3) l4) (5) (6) 732163 09?1 1-17 3 7 Schedule (Form 990) 2017 ScheduleR(Form 990) 2017 CONVENTION OF STATES ACTION 47?2245708 Page4 Unrelated Organizations Taxable as a Partnership. Complete 1f the organization answered "Yes" on Form 990, Part IV, line 37 Prowde the followmg Information for each entity taxed as a through the organlzatlon conducted more than five percent of Its (measured by total assets or gross revenue) that was not a related organization See Instructions exclusmn for certain Investment partnerships (C) p59)" (9) Name, address, and EIN anary Legal Inctoge pann'?gsec Share of Share of Duaprogor- 20 (1:211:33 Percentage (ma 9 of entity (state or foreign ?n'der total end-of-year allocanons? agg??k'gule?JEJ partner? country) SECtlonS 512-514) Yes No Income assets Ye; No (Form 1065) Yes No Schedule (Form 990) 2017 732164 09-11-17 3 8 Schedule (Form 990) 2017 . CONVENTION OF STATES ACTION 47-2245708 Pmes I Part Supplemental Information. Provnde additional Informatlon for responses to questlons on Schedule See Instructions 732155 09-11-17 11010912 798302 1381A Schedule Fl (Form 990) 2017 39 2017.04011 CONVENTION OF STATES ACTION