990 Return of Organization Exempt From Income Tax Form Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 20 1 5 Department a, the Treasury Do not enter social security numbers on this form as it may be made public. Open to Public '?tema' ?avenue SW60 Information about Form 990 and its instructions is at A For the 2015 calendar year, or tax year beginning and ending Check 1r Name of organizatlon Employer identi?cation number 2:51:35 CONVENTION OF STATES ACTION 51111333 Dorng business 131311 Number and street (or P.0. box lf mall IS not delivered to street address) Room/suite Telephone number ?wa 800 BRAZOS ST 300 540?441-7227 tam!? City or town, state or provrnce, country, and ZIP or forelgn postal code Gross receipts mad? AUSTIN TX 7 8 '7 0 1 I-i(a) Is a group return Name and address of principal of?cer-m MECKLER for subordinates? DYes No pending SAME AS ABOVE H(b) Are all subordlnates Included'ID Yes El NO I Tax-exempt status LXI 501(c)( 4 (insert no.) 4947(a)(I) or 527 If attach a list. (see instructions) Website: . COSACTION . COM H(c) Group exemptlon number Form oforganlzatlon: LX?JCorporatlon I_]Trust I IAssocratlon I I0ther> Eart Summary I Year of formatlon: 2 0 1 4 State of legal domlcue: TX 0 1 Briefly the organlzatlon's mlssion or most activrtles: TO ADVOCATE FOR A CONSTITUTIONALLY LIMITED GOVERNMENT . 2 Check box if the organization discontlnued operatlons lsposed of more than 25% of net assets. 3 3 Number of votlng members of the governing body (Part VI, llne 1a) 3 5 4 Number of lndependent votlng members of the governing body (P 4 3 8 5 Total number of lndIVIduals employed In calendar year 2015 (P 5 0 6 Total number of volunteers (estimate If necessaryTotal unrelated business revenue from Part column 7a 0 . Net unrelated business taxable Income from Form 990- 7b 0 . Prior Year Current Year 3 8 Contnbutlons and grants (Part IlneIhProgram serwce revenue (Part line 29) 0 . 0 . 10 Investment lncome (Part column (A), lines 3, 4, and 0 0 11 Other revenue (Part column (A), lines 5, 6d, So, go, 10c d11e) 0 - 0 - 12 Total revenue - add lines 8 through 11 (must equal Part colum Grants and sumllar amounts pald (Part IX. column (A), lines 13Bene?ts paid to or for members (Part IX, column (A), line Salarles, other compensatlon, employee bene?ts (Part IX, column (A), lines 51016a Professronal fundraismg fees (Part IX, column (A), llne 11aTotal fundralsmg expenses (Part IX, column (D), Ilne 25Other expenses (Part IX, column (A), llnes 11a?11d, 11f-24eTotal expenses. Add Ilnes 13-17 (must equal Part IX, column (A), line 25Revenue less expenses. Subtract line 18 from Ilne Beginning oI?Current Year End of Year Egg 20 Totalassets(PartX,line16) 54.104- 5321987- 2: 21 Total IlablIltles (Part x, Ilne 2502.2 22 Net assets or fund balances Subtract line 21 from line Eart ll [Signature Block Under penaltles of penury, I declare that I IS return, lncludlng accompanying schedules and statements, and to the best of my knowledge and bellef, It 15 than officer) ls based on all Information of which preparer has any knowledge. ID Here MARK ECK ER CEO Type or print name and title Print/Type preparer's name Preparer' ss ture Date Check Paid DENNIS K. WEISS, CPA PW Wm 11/8/16 5.1111111,? 01330013 Preparer Flrm's name?t K. WEISS 8: ASSOCIATES PLLC Flrm's ELMU58 Only Flrm's address 4 6 6 0 . BRETON COURT SUITE 1 0 2 KENTWOOD, MI 49508 MaLthe IRS discuss return With the preparer shown above? (see Instructions) LXJ Yes LJ No LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2015) 532001 12-16-15 Form999 (2015) CONVENTION OF STATES ACTION 47-224570 8 me 2 I Part Statement of Program Service Accomplis?ents Check if Schedule 0 contains a response or note to am line in this Part i: 1 Brie?y describe the organization's missmn TO ADVOCATE FOR A CONSTITUTIONALLY LIMITED GOVERNMENT . 2 Did the organization undertake any Signi?cant program sewices during the year which were not listed on the prior Form 990 or 990a? DYes EYE No if 'Yes,? describe these new sewices on Schedule 0. 3 Did the organization cease conducting, or make Signi?cant changes in how rt conducts, any program services? DYes No If "Yes,? describe these changes on Schedule 0. 4 Describe the organization's program serwce accomplishments for each of its three largest program serVices. as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are reqUired to report the amount of grants and allocations to others. the total expenses, and revenue. if anmr each wram service regorted. 4a (Code (Expenses including grants of (Revenue 5 COSA ADVOCATES FOR A RETURN TO THE ORIGINAL VI SION OF A LIMITED FEDERAL GOVERNMENT THAT I OF BY AND FOR THE PEOPLE . THI WILL BE ACCOMPLISHED THROUGH AN ARTICLE CONVENTION OF STATES . 4b (Code (Expenses 5 including grants of (Revenue 3 46 (Code (Expenses 5 Including grants of (Revenue 5 4d Other program seNices (Describe in Schedule 0.) (Expenses 5 including grants of (?evenue 5 1 4e Total program sewice ggenses Form 990 (201 5) 532002 12-16-15 3 08241109 798302 1381A 2015.04030 CONVENTION OF STATES ACTION i) Formggo (2015) CONVENTION OF STATES ACTION 47?2245708 pag? [Ed 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)? If' Yes,? complete Schedule the organization required to complete Schedule B, Schedule of ContributorS? A . 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in Opposnion to candidates for public of?ce? If 'Yes,? complete Schedule C, Part I 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activmes, or have a section 501 election in effect during the tax year?? If' Yes,? complete Schedule C, Part II 4 5 Is the organization a section 501 501 or 501(c)(6) organization that receives membership dues, assessments, or Similar amounts as de?ned in Revenue Procedure 98-19? If'Yes,? complete Schedule C, Part 5 6 Did the organization maintain any donor advrsed funds or any Similar funds or accounts for which donors have the right to provrde advrce on the distribution or investment of amounts in such funds or accounts? If "Yes, complete Schedule D, Partl 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 'Yes, complete Schedule D, Part II A . A 7 8 Did the organization maintain collections of works of art, historical treasures. or other Similar assets? If 'Yes, complete Schedule D, Part . . . a 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 provrde credit counseling, debt management, credit repair, or debt negotiation servrces? If Yes, complete Schedule D, Part lv . 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasr- endowments? If ",Yes' complete Schedule D, Part 10 11 If the organization' 5 answer to any of the followrng questions is "Yes," then complete Schedule D, Parts VI, VII, IX, or as applicable. a Did the organization report an amount for land, buildings, and equrpment in Part X, line 10? If ?Yes, complete Schedule D, Part VI 1 1a Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes, complete Schedule D, Part VII 11b Did the organization report an amount for investments program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If? Yes," complete Schedule D, Part 11c it 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 1 1e Did the organization? 5 separate or consolidated financral statements for the tax Year include a footnote that addresses the organization?s liability for uncertain tax posrtions under FIN 48 (A80 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 0, Parts XI and XII 123 Was the organization included in consolidated, independent audited fmancral statements for the tax year? If Yes, and lf the organlzatlon answered 'No' to Ilne 123, then completing Schedule D, Parts XI and XII ls opt/anal A 12b 13 Is the organization a school described in section 170(b)(1)(A)(iD9 If ?Yes, complete Schedule . 13 14a Did the organization maintain an office, employees, or agents outsrde of the United States? 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outsrde the United States, or aggregate foreign investments valued at $100,000 or more? If' Yes,? complete Schedule F, Parts I and IV 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other to or for any foreign organization? If 'Yes' complete Schedule F, Parts II and IV 15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other ass:stance to or for foreign individuals? If 'Yes,? complete Schedule F, Parts and IV 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraismg servrces on Part IX, column (A), lines 6 and 11e? If ',"Yes complete Schedule G, Partl 17 18 Did the organization report more than $15,000 total of event gross income and contributions on Part lines 1c and 3.3? If' Yes," complete Schedule G, Part ll 18 19 Did the organization report more than $15, 000 of gross income from gaming activrties on Part line 9a? If' Yes,? complete Schedule G, Part 19 Form 990 (2015) 532003 12-15-15 4 08241109 798302 1381A 2015.04030 CONVENTION OF STATES ACTION .a .I Form 990 (2015) CONVENTION OF STATES ACTION 47 ?224570 8 Pag? Part Checklist of Required Schedules (continued Yes No 20a the organrzatIOn operate one or more hospital facilities? If" Yes," complete Schedule 20a If "Yes" to Me 20a, dId the organizatron attach a copy of Its audrted ?nancral statements to this return? 20b 21 Did the organrzation report more than $5,000 of grants or other to any domestic organization or domestic government on Part IX, column (A), line If "Yes, complete Schedule I, Parts I and II 21 the organrzatron report more than 000 of grants or other to or for domestrc IndIVIduals on Part IX. column (A), Irne 2? If "Yes," complete Schedule I, Parts I and Ill 22 the organIzatIon answer 'Yes' to Part VII, SectIon A, km 3, 4, or 5 about compensatron of the organrzatron? current and former of?cers, dIrectors, trustees, key employees, and highest compensated employees? If" Yes," complete Schedule 23 24a the organrzatron have a taxexempt bond Issue with an princrpal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes, answer [Ines 24b through 24d and complete Schedule If go to line 25a . 24a the organrzatron invest any proceeds of tax- -exempt bonds beyond a temporary penod exceptron?? 24b the organrzatlon marntam an escrow account other than a refunding escrow at any time during the year to defease any tax- exempt bonds? 24c the organrzatIon act as an "on behalf of" Issuer for bonds at any tIme during the year? 24d 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. the organization engage In an excess bene?t transactron WIth a dIsqualified person durIng the year? If 'Yes, complete Schedule L, Partl 25a Is the organrzatron aware that It engaged In an excess benefrt transactron with a dIsquaIIfied person In 3 mm year, and that the transactron has not been reported on any of the organrzatron's prIcr Forms 990 or If 'Yes, complete Schedule L, Part I 25:: 26 the organization report any amount on Part X, Me 5. 6, or 22 for receivables from or payables to any current or former of?cers, dIrectors, trustees. key employees, hIghest compensated employees, or disquali?ed persons? If "Yes, complete Schedule L, Part II 26 27 the organIzatIon provide a grant or other to an of?cer, dIrector, trustee, key employee, substantiaI or employee thereof, a grant selection member. or to a 35% controlled or famIIy member of any of these persons? If 'Yes," complete Schedule L, Part 27 28 Was the organIzatIon a party to a busrness transactron one of the following partres (see Schedule L, Part IV instructrons for applicable ?ling thresholds, and a A current or former of?cer, dIrector, trustee, or key employee'7 If "Yes, complete Schedule L. Part IV 283 A famIIy member of a current or former of?cer, dIrector, trustee, or key employee? If "Yes, complete Schedule L, Part IV 28b An 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 the organrzatron recere more than $25, 000 In non- -cash If ',"Yes complete Schedule 29 30 the organrzatron recere contributions of art, hIstoricaI treasures, or other srmilar assets, or qualrfied conservatron If "Yes," complete Schedule 30 31 the organrzatIon IIqurdate, termrnate, or dIssolve and cease operatrons? If complete Schedule N, Partl 31 32 the organrzation sell, exchange, dIspose of, or transfer more than 25% of Its net assets?? Yes" complete Schedule N, Part II . 32 Did the organIzatIon own 100% of an disregarded as separate from the organizatron under Regulations sections 301.7701 2 and 301.7701-37 lr Y'es, complete Schedule H, Part I . 33 Was the organizatron related to any tax-exempt or taxable entity? If 'Yes, complete Schedule Fl, Part II, or IV, and Part v, [me 1 34 353 the organrzation have a controlled wrthin the meaning of section 353 If "Yes" to Me 35a, dId the organizatIon receive any payment from or engage In any transaction with a controlled within the meanrng of section 512(b)(13)? If 'Yes," complete Schedule Fl, Part v, ?ne 2 . 35b 36 Section 501(c)(3) organizations. Did the organrzatron make any transfers to an exempt non- -chantable related organrzatron? If "Yes," complete Schedule Fl, Part V, Ilne 2 36 37 the organrzatron conduct more than 5% of Its actIVIties through an that Is not a related organization and that? Is treated as a partnershIp for federal' Income tax purposes? If 'Yes,? complete Schedule Fl, Part VI 37 38 the organizatron complete Schedule 0 and provide explanations In Schedule 0 for Part VI, IInes 11b and 19? Note. All Form 990 ?lers are required to complete Schedule 0 38 Form 990 (201 5) 532004 12-16-15 5 08241109 798302 1381A 2015.04030 CONVENTION OF STATES ACTION FoerQG 2015 CONVENTION OF STATES ACTION 47?2245708 Paqe5 - Statements Regarding Other IRS Filings and Tax Compliance A Check if Schedule 0 contains a response or note to any line in this Part Yes No 1a Enter the number reported in Box 3 of Form 1096. Enter 0- if not applicable . 1a 1 6 Enter the number of Forms W- 26 included in line 1a. Enter -0- if not applicable . . 1b 0 Did the organization comply backup Withholding mles for reportable payments to vendors and reportable gaming (gambling) Winnings to pnze Winners? . . . 1c 2a Enter the number of employees reported on Form W- 3, Transmittal of Wage and Tax Statements, ?led for the calendar year ending With or Within the year covered by this return . A 2a 0 If at least one is reported on line 2a, did the organizationi ?le all reqUIred federal employment tax returns? . A A 2b Note. If the sum of lines 1a and 2a 15 greater than 250, you may be reqUIred to e-?le (see instructions) 3a Did the organization have unrelated busmess gross income of $1,000 or more during the year? . 3a If "Yes," has it ?led a Form 990-T for this year? If 'No, to line 3b, prowde an explanation In Schedule any time during the calendar year, did the organization have an interest in, or a Signature or other authority over, a ?nancial account in a foreign country (such as a bank account, securities account. or other ?nancial account)? A 4a If "Yes,? enter the name of the foreign country- See instructions for ?ling requirements 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 sheiter transaction? 5b If ?Yes, to line 5a or 5b did the organization ?le Form 8886- 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization sohcrt any contributions that were not tax deductible as charitable contributions? Ga If ?Yes," did the organization include With every soliCItation an 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 in excess of $75 made partly as a contribution and partly for goods and services prowded to the payor? 7a If ?Yes, did the organization notify the donor of the value of the goods or sewices prowded? A 7b Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was reqUIred to ?le Form 8282? . 7c If "Yes, indicate the number of Forms 8282 filed during the year I 7d I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal bene?t 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 quali?ed intellectual property, did the organization file Form 8899 as requrred? 79 It the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization ?le a Form 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor adVIsed fund maintained by the sponsoring organization have excess busmess holdings at any time during the year? A 8 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966? A 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 10a Gross receipts. included on Form 990, Part line 12, for public use of club faculties 10b 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders . 1 1a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) 1 1b 123 Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 123 If "Yes," enter the amount of tax-exempt interest received or accmed during the year 12b 13 Section 501(c)(29) qualified nonpro?t health insurance issuers. a Is the organization licensed to issue quali?ed health plans in more than one state? . 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 143 Did the organization receive any payments for indoor tanning sewices during the tax year? . 14a If ?Yes," has it ?led a Form 720 to Preport these payments? If prowde an explanation in Schedule 0 141: Form 990 (2015) 532005 12-16-15 6 08241109 798302 1381A 2015.04030 CONVENTION OF STATES ACTION . Form 990 (2015) CONVENTION OF STATES ACTION 47?2245708 Page6 Part VI Governance, Management, and Disclosure For each 'Yes' response to lines 2 through 7b below, and for a 'No' response to line 8a, 8b, or 10b below, descnbe 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 Yes No 1a Enter the number of voting members of the governing body at the end of the tax year 1a 5 If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or simIlar committee, explain in Schedule 0. Enter the number of voting members included in line 1a, above, who are independent 1b 3 2 Did any officer, director, trustee, or key employee have a family relationship or a busmess relationship With any other of?cer, director, trustee, or key employee? 2 3 Did the organization delegate control over management duties customarily performed by or under the direct superViSion of of?cers directors, or trustees, or key employees to a management company or other person? 3 4 Did the organization make any Significant changes to its governing documents since the prior Form 990 was ?led? 4 5 Did the organization become aware during the year of a Signi?cant diver5ion of the organization? 3 assets9 5 6 Did the organization have members or stockholders? 6 73 Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? 7a Are any governance (1808er of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? 7b 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the followmg: a The governing body? 8a Each committee authorrty to act on behalf of the governing body? 8b 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization? 5 mailing address? If "Yes, prowde the names and addresses in Schedule 0 9 Section B. Policies (This Section requests information about poliCies not requrred by the Internal Revenue Code) Yes No 10a Did the organization have local chapters, branches, or affiliates? 10a If "Yes," did the organization have written policies and procedures governing the actiwties of such chapters, affiliates, and branches to ensure their operations are con5istent With the organization's exempt purposes? 10b 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? 1 1a Describe in Schedule 0 the process, if any, used by the organization to reView this Form 990. 12a Did the organization have a written conflict of interest policy? If ?No, go to line 13 123 Were officers, directors, or trustees, and key employees reqmred to annually interests that could give rise to conflicts? 12b Did the organization regularly and con3istently monitor and enforce compliance With the policy? If "Yes, describe in Schedule 0 how this was done . . 12c 13 Did the organization have a written whistleblower policy? 13 14 Did the organization have a written document retention and destruction policy? 14 15 Did the process for determining compensation of the followmg persons include a review and approval by independent persons, comparabilrty data, and contemporaneous substantiation of the deliberation and deCision? a The organization's CEO, Executive Director, or top management of?cial 15a Other of?cers or key employees of the organization 15b If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions). 16a Did the organization invest in, contribute assets to, or participate in a jomt venture or Similar arrangement With a taxable entity during the year?? 16a If "Yes, did the organization follow a written policy or procedure requmng the organization to evaluate its partiCIpation in jomt venture arrangements under applicable federal tax law, and take steps to safeguard the organization?s exempt status With respect to such arrangements? 16b Section C. Disclosure 17 List the states With which a copy of this Form 990 is reqUIred to be filed FAL Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990T (Section 501 only) available for public inspection. Indicate how you made these available Check all that apply i:i Own websrte El Another?s webSite [Xi Upon request '3 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 ?nancial 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 NN 53200612-16-15 SEE SCHEDULE 0 FOR FULL LIST OF STATES Form990(2015) 7 08241109 798302 1381A 2015.04030 CONVENTION OF STATES ACTION Form 990 2015) CONVENTION OF STATES ACTION 47-2245708 Page 7 [Part Vii] Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part I: Section A. Of?cers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons requrred to be listed Report compensation for the calendar year ending With or wrthin the organization's tax year. 0 List all of the organization's current of?cers, directors, trustees (whether 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 de?nition of ?key employee.? 0 List the organization's five current highest compensated employees (other than an of?cer, director, trustee, or key employee) who received report- able compensation (Box 5 of Form W-2 and/or Box 7 of Form of more than $100,000 from the organization and any related organizations. 0 List all of the organization's former of?cers, 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 capacrty 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' indiwdual trustees or directors, institutional trustees; of?cers; key employees, highest compensated employees; and former such persons. I: Check this box if neither the organization nor any related organization compensated any current of?cer, director, or trustee. (A) (B) (C) (D) (E) (F) Name and Title Average (do not cfe?c?f?gi?man one Reportable Reportable Estimated hours per box. unless person IS both an compensation compensation amount of week mm? and a from from related other (list any 2 the organizations compensation hours for E: organization from the related organization organizations 5 g. 3., and related below organizations line) 2 (1) MARKMECKLER 1.00 CEO 40.00 0. 220,200. 17,000. (2) TIM DUNN . 0 0 BOARD MEMBER 0 . 0 . 0 . (3) ERIC 1.00 BOARD MEMBER 0 . 0 . 0 . (4) KYLE STALLINGS 1 . 0 0 BOARD MEMBER 0 . 0 . 0 . (5) MICHAEL HARRIS . 00 BOARD MEMBER 40.00 0. 108,200. 0. (6) MICHAEL RUTHENBERG . 0 0 VICE (7) TIMOTHY MURPHY . 532007 12-16-15 Form 990 (2015) 8 08241109 798302 1381A 2015.04030 CONVENTION OF STATES ACTION 1381A_l CONVENTION OF STATES ACTION 47?2245708 ?33"th Section A. O?iceg Directors, Trustees? Em aloyees, and Hig?st Compensated (continuedName and title Average (do o, of 92312321,!? one Reportable Reportable Estimated hours per box. unless person 15 both an compensation compensation amount of week mm? a dnc'wwsme) from from related other (list any the organizations compensation hours for :3 organization (w-2/1 099-MISC) from the related organization organizations 3 2 and related below :2 a organizations :2 5 i=2 5 0. 424,400. 34,000. Total from continuation sheets to Part VII, Section Total(addlines1band1c) 0. 424,400. 34,000. 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizatioy 0 Yes No 3 Did the organization list any former officer, director, or trustee, key employee. or highest compensated employee on line 1a? If "Yes, complete Schedule for such 3 4 For any indIVidual listed on line 1a. is the sum of reportable compensation and other compensation from the organization and related organizations greater than $1 50,000? If 'Yes, complete Schedule for such 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or indiv1dual for serwces rendered to the organization? If ?Yes, complete Schedule for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization Report compensation for the calenda?ear ending With or Within the organization's tax year (A) (B) (C) Name and busmess address Description of services Compensation TOM A COBURN MD INC PO BOX 1760 MUSKOGEE, OK 74402 GOVERNMENT RELATIONS 191 107 . CREATIVE RESPONSE CONCEPTS 2 7 6 0 PUBLIC RELATIONS EISENHOWER AVE Fl 4 ALEXANDRIA VA 22314 SERVICES 170 830 . HORIZON PUBLISHING PO BOX 8376, JUPITER, FL 33468 PRINTING 108,284. 2 Total number of Independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization Form 990 (2015) 532003 12-16-15 08241109 798302 1381A 9 2015.04030 CONVENTION OF STATES ACTION Forrn'SQO 201a CONVENTION OF STATES ACTION Page 9 @1 Statement of Revenue Check if Schedule 0 contains a response or note to any line in this Part . A (A (By (C) Total revenue Related or. Unrelated $5$Umf?ggef exempt function business sections revenue revenue 512 - 514 *2 .2 1 a Federated campaigns 13 Membership dues 1b gr< Fundraismg events 1c 3'5 Related organizations 1d Government grants (contributions) 1e .3 1? All other contributions, gifts, grants, and 5% similar amounts not included above 11Nonmh contributions included in lines 1a-1I on 3.220.865. . usiness Cod 2 a 2 All other program sewice revenue Total. Add lines 2a?2f 3 Investment income (including diVidends, interest, and other similar amounts) 4 Income from investment of tax-exempt bond proceeds 5 Royalties (9 Real (11) Personal 6 a Gross rents Less rental expenses Hm? n? - Rental income or (loss) Net rental income or (loss) 7 3 Gross amount from sales of (0 Securities (imher assets other than inventory Less cost or other basis and sales expenses Gain or (loss) Net gain or (loss) 8 a Gross income from fundraismg events (not including of E: contributions reported on line 1c). See 5 Part IV, line 18 a Less. direct expenses Net income or (loss) from fundraismg events 9 a Gross income from gaming activmes. See Part IV, line 1 9 a Less: direct expenses Net income or (loss) from gaming actiwties 10 a Gross sales of inventory, less returns and allowances a Less: cost of goods sold . 0 Net income or (loss) from sales of inventory Miscellaneous Revenue Business Cod 11 a All other revenue Total. Add lines 11a-11d 12 Total revenue.See instructions532009 12-15-15 Form 990 (2015) 08241109 798302 1381A 10 2015.04030 CONVENTION OF STATES ACTION Form?990 (201 5) Bart TX [Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A) CONVENTION OF STATES ACTION 47-2245708 Paqe10 Check if Schedule 0 contains a response or note to any line in this Part IX LKJ Do not include amounts reported on lines 6b' Tot??genses Progra(rrBi)sewice Managtggent and 8bexpenses general expenses expenses 1 Grants and other asswtance to domestic organizations and domestic governments. See Part IV, line 21 2 Grants and other assistance to domestic indiVIduals. See Part IV, line 22 3 Grants and other assistance to foreign organizations, foreign governments. and foreign individuals. See Part IV, lines 15 and 16 4 Benefits paid to or for members 5 Compensation of current officers, directors, trustees, and key employees 6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) 7 Othersalariesandwages 467,788. 369,553 70,168. 28,067. 8 Pen5ion plan accruals and contributions (include section 401(k) and 403(b) employer contributions) 9 Other employee benefits 10 Payrolltaxes 37,796. 29,859. 5,669. 2,268. 11 Fees for services (non-employees): a Management bLegal 44,408. 37,454. 4,619. 2,335. Accounting 29,881. 29,881. Lobbying Professwnal fundraising serwces. See Part IV, line 1.1.111- 173 69 3 . investment management fees 9 Other. (If line 119 amount exceeds 10% of line 25, 354,692. 264,156. 50,157. 40,379. 12 Advertismgandpromotion 550,277- 4571162- 59:353- 23:762- 13 Officeexpenses 122,447. 96,947. 17,520. 7,980. 14 Information technology Royalties 16 Occupancy 41,551. 32,846. 6,218. 2,487. 17 Travei 173,461. 146,807. 26,516. 138. 18 Payments of travel or entertainment expenses for any federal. state, or local public officials 19 Conferences. conventions, and meetings 20 interest 21 Payments to affiliates 22 DepreCIation, depletion, and amortization 23 Insurance 35,182. 27,793. 5,278. 2,111. 24 Other expenses. Itemize expenses not covered above. (List miscellaneous expenses in line 246. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule 0.) a POSTAGE MAILING 878,171. 5,580. 803. 871,788. DUES SUBSCRIPTIONS 27,148. 22,743. 3,044. 1,361. OTHER 23,561. 23,498. 45. 18. EVENTS 19,233. 19,233. All other expenses 25 2,981,009. 1,544,989. 279,530. 1,156,490. 26 Joint costs. Complete this line only if the organization reported in column (B) jomt costs from a combined educational campaign and fundraismg solicnation. Check here .1 followmg SOP 98-2 (ASC 958-720) 532010 12-16-15 Form 990 (2015) 08241109 798302 1381A 11 2015.04030 CONVENTION OF STATES ACTION Forrn-990-(2015) CONVENTION OF STATES ACTION @rtx [Balance Sheet 47?2245708 Paqe11 Check if Schedule 0 contains a response or note to any line In this Part (A) (B) Beginning of year End of year 1 Cash - non-interest-beanng Savmgs and temporary cash investments 2 3 Pledges and grants receivable, net 3 4 Accounts receivableLoans and other receivables from current and former of?cers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule 5 6 Loans and other receivables from other disqualified persons (as de?ned under section 4958(f)(1)), persons described in sectlon 4958(c)(3)(B). and contnbuting employers and sponsoring organizations of section 501(c)(9) voluntary employees' benefiCIary organizations (see instr). Complete Part II of 6 7 Notes and loans receivable, net 7 8 Inventones for sale or use 8 9 Prepaid expenses and deferred charges 9 1 2 7 2 - 10a Land, and equ1pment: cost or other ba5is. Complete Part VI of Schedule 103 Less accumulated depreCIation 10b 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 14 Intangible assets 14 15 Other assets. See Part IV, line 11 15 16 Total assets. Add lines 1 throuqh 15 (must equal line 34Accounts payable and accrued expenses Grants payable 18 19 Deferred revenue 19 2O Tax-exempt bond liabilities . . 20 21 Escrow or custodial account liability Complete Part IV of Schedule 21 22 Loans and other payables to current and former of?cers. directors, trustees, 3 key employees, highest compensated employees. and disqualified persons. 3 Complete Part II of Schedule 22 'l 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 lines 17 through Organizations that follow SFAS 117 (A80 958), check here LKJ and 3 complete lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets