990 Department of the Treasury Return of Organization Exempt From Income Tax Under section 501(c). 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) 50300 OMB No 1545-0047 2009 Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements. |nsp'ection A For the 2009 calendar year. or tax year beginning and ending Check if applicable "9359 Name of organization Nat iona Addi ion Employer identification number Addresschange Treatment Providers Name gnange prim 0, Doing Business Number and street (or 0 box if mail IS not delivered to street address) Roorn/suite Telephone number 313 Liberty st Ste 129 129 717-392-8480 City or town. state or country. and ZIP 4 Gross receipts Amended retum tions. Lancaster PA 17603-2748 pending Name and address of principal offioer H13) '5 this 3 QFOUP |"ElUm 10' Cathy Palm affiliates" Yes No 3 1 3 Liberty Lane attach a list (see instructions) I Tax-exempt status I71 501(c) 6 4 (insert no 4947(a)(1) or 527 websitezh Typeol organization Kl Corporation Trust Association fl Other} I Year 01 formation 1 9 7 8 H(c) Group exemption number I Slate of legal domicile CA r.i-Part I Summary 51 1 Briefly describe the organization's mission or most significant activities izg' Education to members at 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets Fig 3 Number of voting members of the governing body (Part VI. line 1a) 3 2 3 4 Number of independent voting members of the governing body (Part VI. line 1b) 4 2 3 9% 5 Total number of employees (Part V, line 2a) 5 3 '73 6 Total number of volunteers (estimate if necessary) 6 3 7a Total gross unrelated business revenue from Part column (C). line 12 7a Net unrelated business taxable income from Form 990-T. line 34 7b 0 Prior Year Current Year a, 8 Contributions and grants (P 9 Program service revenue (P rt Vlfie 2gInvestment income (Part @u I: 11 mn( 111e) 36, 512 303, 263 12 Total revenue--add |ines8t roug mn (A), line 12Grants and similar amounts id Pai(t'1 - 14 Benefits paid to or for members (Part IX. column (A). line 4) 3 15 Salaries. other compensation. employee benefits (Part IX. column (A). lines 5-1016a Professional fundraising fees (Part IX. column (A), line He) Total fundraising expenses (Part IX. column (D). line 25) 17 Other expenses (Part IX. column (A). lines 11a--11d, 11f-24fTotal expenses. Add lines 13-17 (must equal Part IX. column (A). line 25Revenue less expenses Subtract line 18 from line Beginning of Current Year End of Year fig 20 Total assets (Paitx. |ine16) 15.126 484, 302 fig 21 Total (Part x. line 26Net assets or fund balances Subtract line 21 from line Part II Signature Block Under penalties of penury. I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and belief, it is tn.ie. correct. and complete Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge Sign liiliS'|iO Here Signature of offi Date Type or name and title Paid Preparers Date Eenfick if number Preparer.s s'9"a""e I Qt) I UQIA employed use or-fly Firm's name (oryours Slmon Lever LLP 23 _]'69'2578 if self-employed). 4 4 4 Murry 1 1 1 1 IC 1 Phone address.andzIP+4 Lancaster, PA 17601 no 717-569-7081 May the IRS discuss this return with the preparer shown above? (see instructions) Yes No For Privacy Act and Paperwork Reduction Act Notice. see the separate instructions. DAA Form 990 (2009) i 50300 National Association of Addiction 95--3626761 Pme2 Part Statement of Program Service Accomplishments 1 Briefly describe the organization's mission Education to members 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990--EZ7 Yes No If describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes in how it conducts. any program services? Yes No If "Yes." describe these changes on Schedule 0. 4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others. the total expenses, and revenue. if any, for each program service reported 4a (Code. )(Expenses 504 107 including grants of (Revenue Education through quarterly board meetings and an annual meeting, keep membership updated in JCAHO and CARF changes as well as new laws and regulations 4b (Code. )(Expenses 134 138 including grants of (Revenue mailings that update and provide insight into new trends in the industry 4c (Code )(Expenses including grants of (Revenue 4d Other program services. (Describe in Schedule 0 (Expenses including grants of (Revenue 4e Total program service expenses 6 3 8 2 4 5 Form 990 (2009) DAA 50300 I Form 990 (2009) National Association of Addiction 95--362676l Page3 Part IV Checklist of Retmired Schedules Yes No 1 Is the organization described in section 501(c)(3) or (other than a private foundation)? If "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 activities'? If "Yes." complete Schedule C, Part II 4 5 Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subject to the section 6033(e) notice and reporting requirement and proxy tax? If complete Schedule C, Part 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I 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 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D. Part 8 9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X, or provide credit counseling, debt management. credit repair. or debt negotiation services? If "Yes." complete Schedule D, Part IV 9 10 Did the organization. directly or through a related organization. hold assets in term, permanent. or quasi-endowments? If "Yes," complete Schedule D, Part 10 11 Is the organization's answer to any of the following questions "Yes"? If so, complete Schedule D, Parts VI, VII, IX, or as applicable 11 0 Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete 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 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 . Did the organization report an amount for other assets related in Part X, line 15 that is 5% or more of its total assets reported in Part X. line 16? |f"Yes," complete Schedule D, Part IX . Did the organization report an amount for other liabilities in Part X. line 25? If "Yes." complete Schedule D, Part . Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48? If "Yes," complete Schedule D, Part 12 Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete Schedule D, Parts XI, XII, and 12 12A Was the organization included in consolidated. independent audited financial statements for the tax year? Yes No If "Yes," completing Schedule D, Parts XI, XII, and is optional 12A 13 Is the organization a school described in section 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, business, and program service activities outside the United States? If "Yes," complete Schedule F, Part I 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If "Yes," complete Schedule F, Part II 15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If "Yes," complete Schedule F. Part 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A). lines 6 and 11e? If "Yes." complete Schedule G, Part I 17 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part lines 1c and 8a? If "Yes." complete Schedule G, Part II 18 19 Did the organization report more than $15,000 of gross income from gaming activities on Part line 9a? lf"Yes." complete Schedule G, Part 19 20 Did the organization operate one or more hospitals? If "Yes," complete Schedule 20 Form 990 (2009) >4 >4 >4 1. Form99g(2oo9) National Association of Addiction PartlV Checklist of Required Schedules (continued) 50300 Page Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX. column (A), line 1? If "Yes," complete Schedule I, Parts I and II Did.the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A). line 2? If "Yes." complete Schedule I. Parts I and Ill 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 Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule If go to line 25 Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? Did the organization act as an "on behalf of' issuer for bonds outstanding at any time during the year? Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I 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 was a loan to or by a current or former officer, director, trustee. key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes." complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director. trustee. key employee. substantial contributor. or a grant selection committee member. or to a person related to such an individual? If "Yes," complete Schedule L, Part Was the organization a party to a business transaction with one of the following parties (see Schedule L. Part IV instructions for applicable filing thresholds. conditions, and exceptions) A current or former officer, director, trustee, or key employee? If "Yes." complete Schedule L, Part IV A family member of a current or former officer, director. trustee, or key employee? If "Yes," complete Schedule L, Part IV An entity of which a current or former officer, director, trustee. or key employee of the organization (or a family member) was an officer, director, trustee. or direct or indirect owner? If "Yes," complete Schedule L. Part IV Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule Did the organization receive contributions of art, historical treasures, or other similar assets. or qualified conservation contributions? If "Yes," complete Schedule Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N. Part I Did the organization sell, exchange, dispose of. or transfer more than 25% of its net assets? If "Yes," complete Schedule N. Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-3? If "Yes," complete Schedule R. Part I Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R. Parts II, IV. and V, line 1 Is any related organization a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R. Part V, line 2 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes." complete Schedule R, Part V, line 2 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R. Part VI 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 required to complete Schedule DAA Form 990 (2009) 50300 Form 99o(2oo9i National Association of Addiction 95--3626761 Page5 Part Statements Regarding Other IRS Filings and Tax Compliance Yes No 1a Enter the number reported in Box 3 of Form 1096. Annual Summary and Transmittal of information Returns Enter -0- if not applicable 1a 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 winners? 16 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 3 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-file this return (see instructions) 3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 3a If "Yes." has it filed a Form 990-T for this year? If provide 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 financial account in a foreign country (such as a bank account. securities account. or other financial account)? 4a If "Yes." enter the name of the foreign country' I See the instructions for exceptions and filing requirements for Form TD 90-22 1. Report of Foreign Bank and Financial Accounts 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? Sb If "Yes," to line 5a or 5b. did the organization file Form 8886-T. Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter Transaction? 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000. and did the organization solicit any contributions that were not tax deductible? Ba 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 1T0(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? 7a If "Yes." did the organization notify the donor of the value of the goods or services provided? 'lb Did the organization sell. exchange. or otherwise dispose of tangible personal property for which it was required to file Form 8282? 7c If "Yes." indicate the number of Forms 8282 filed during the year lid I Did the organization. during the year. receive any funds. directly or indirectly. to pay premiums on a personal benefit contract? 're Did the organization. during the year. pay premiums. directly or indirectly. on a personal benefit contract? 7f For all contributions of qualified intellectual property, did the organization file Form 8899 as required'? 'lg For contributions of cars, boats, airplanes, and other vehicles. did the organization file a Form 1098-C as required? 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization. or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year'? 3 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions under section 4966? 9a Did the 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 facilities 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 11b 123 Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12a if "Yes." enter the amount of tax-exempt interest received or accrued during the year I I DAA Form 990 (2009) I. 50300 Form eeoiztm) National Association of Addiction 95--3626761 Page6 Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 'lb below, and for a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Section A. Governing Body and Management - Yes No 1a Enter the number of voting members of the governing body 1a 2 3 Enter the number of voting members that are independent 1b 2 3 2 Did any officer, director, trustee. or key employee have a family relationship or a business relationship with A any other officer. director, trustee. or key employee? 2 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? 3 4 Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed? 4 5 Did the organization become aware during the year of a material diversion of the organization's assets? 5 6 Does the organization have members or stockholders? 6 7a Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? 7a Are any decisions of the governing body subject to approval by members, stockholders, or other persons? 7b 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following a The governing body? 8a Each committee with authority 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's mailing address? If "Yes," provide the names and addresses in Schedule 0 9 Section B. Policies (This Section requests information about policies not required by the Internal Revenue Code.) Yes No We Does the organization have local chapters, branches, or affiliates? 10a If "Yes," does the organization have written policies and procedures governing the activities of such chapters. affiliates, and branches to ensure their operations are consistent with those of the organization? 10b 11 Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form? 11 11a Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Does the organization have a written confiict of interest policy? If go to line 13 12a Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? 12b Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule 0 how this is done 12c 13 Does the organization have a written whistleblower policy? 13 14 Does the organization have a written document retention and destruction policy? 14 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO. Executive Director. or top management official 15a Other officers 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 Joint venture or similar arrangement I with a taxable entity during the year? 16a If "Yes." has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's exempt status with respect to such arrangements? 16b Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed None 18 Section 6104 requires an organization to make Forms 1023 (or 1024 if applicable). 990. and 990-T (501(c)(3)s only) available for public inspection Indicate how you make these available Check all that apply Own website 11 Another's website Upon request 19 Describe in Schedule 0 whether (and if so. how), the organization makes its governing documents, conftict of interest policy, and financial statements available to the public. 20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization: Cathy Palm 3 13 . Liberty Street Lancaster PA 17603 717-392-8480 DAA Fonn 990 (2009) I 50300 Form 99o(2oo9) National Association of Addiction 95--3626761 Page? Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Engiloyees, and Independent Contractors Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. Use Schedule J-2 if additional space is needed . List all of the organization's current ofticers, directors, trustees (whether individuals or organizations), regardless of amount of compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid. . List all of the organization's current key employees. See instructions for definition of "key employee . List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations . List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations . List all of the organization's former directors or trustees that received. in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations List persons in the following order individual trustees or directors, institutional trustees. officers', key employees, highest compensated employees, and former such persons Check this box if the organization did not compensate any current officer, director, or trustee (A) (B) (C) (D) (E) (F) Name and Title Average Position (check all that apply) Reportable Reportable Estimated hours per 0 5 7: 0, I compensation compensation amount of week from from related other 3 3 3 3? 3 the organizations compensation E, -3 organization from the - 3 9_ organization 'at 3 -3 and related 3 as 3 organizations en 3 Board members--see attached scheduLe 2 . 0 0 0 Ronald Hunsicker President/CEO 40.00 162,000 0 DAA Form 990 (2009) 50300 Form 99o(2oo9) National Association of Addiction Page8 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) (F) Name and Title Average Position (check all that apply) Reportable Reportable Estimated hours per I _n compensation compensation amount of week 33 3 3.5 from from related other 3 3 4, 3 the organizations compensation 9.5 2 organization from the 9. 3 3- 8 organization 8 3 and related FE organizations 1b Total 162,000 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization 1 Yes No 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated -- - I employee on line 1a? If "Yes," complete Schedule for such individual 3 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000'? If "Yes," complete Schedule for such individual 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for i services 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 (A) (B) (C) Name and business address of services Comensation 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization DAA .0 - Form 990 (2009) I. 50300 Form 990 (2009) National Association of Addiction 95--3626761 Page9 Part Statement of Revenue (Al (3) (C) (D) Total revenue Related Unrelated REVENUE exempt busmess excluded from tax function revenue under sections revenue 512, 513. or 514 gg 1a -Federated campaigns 'la E3 Membership dues 1b Q-E Fundraising events 1c Related organizations 1d Govemmentgranls (contributions) 1e -2 3 All otheroontnbutions. gifts. grants, and similar amounts not included above -If Noncash contnbulions included in linesla-ll 0 Total. Add lines 1a-1f Busn. Code 2a dues 599, 591 599,691 Annual meetlng 279,875 279,875 Dlrectory advert:.s1ng 13,403 18,403 3 SECAD conference 15, 000 15, 000 Salary survey 4 110 4 110 All other program service revenue Total. Add lines 2a--2f 919, 524 3 Investment income (including dividends, interest, and other similar amounts) 4 Income from investment of tax-exempt bond proceeds 5 Royalties Real (ii) Personal Ga Gross Rents Less rental exps Rental inc or (loss) Net rental income or (loss) 7a Secunties (ii) Other sales of assets other than inventory Less cost or other basis sales exps Gain or (loss) Net gain or (loss) a 8a Gross income from lundraising events (not including 5 of contributions reported on line 10) See Part IV, line 18 a 5 Less direct expenses 0 Net income or (loss) from fundraising events 9a Gross income from gaming activities. See Part IV, line 19 a Less. direct expenses Net income or (loss) from gaming activities 10a Gross sales of inventory. less returns and allowances a Less' cost of goods sold Net income or (loss) from sales of inventory Miscellaneous Revenue Busn. Code 113 other Income -- see attachment 231,280 281,280 Qual1fy1ng 513(1) 16, 733 16, 733 Mxscellaneous 5,250 5,250 All other revenue Total. Add |ines11a--11d 303,263 12 Total Revenue. See instructions 5 1,222,787 1,185,206 37,581 DAA Form 990 (2009) . 50300 Form 990 (2009) National Association of Addiction 95--3626761 Page 10 Part IX Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D). Do not include amounts reported on lines 6b' Total and Funt1lr3a)ising . 7b, 81:, 9b, and 10b of Part expenses general expenses expenses 1 Grants and other assistance to governments and organizations in the 8 See Part IV, line 21 2 Grants and other assistance to individuals in the 8 See Part IV, line 22 3 Grants and other assistance to governments, organizations, and individuals outside the 8. 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 225,478 131,220 94,258 8 Pension plan contributions (include section 401(k) and section 403(0) employer contnbutions) 9 Other employee benefits Payroll taxes 1 1 Fees for services (non-employees)' a Management Legal Accounting 9,578 9,578 Lobbying Professional fundraising services See Part IV, line17 Investment management fees other 9,130 9,130 12 Advertising and promotion 13 Office expenses 14 Information technology 15 Royalties 16 Occupancy 31,665 25,649 6,016 17 Travel 6,990 5,662 1,328 18 Payments of travel or entertainment expenses for any federal, state, or local public officials 19 Conferences, conventions. and meetings Interest 21 Payments to affiliates 22 Depreciation, depletion, and amortization Insurance 24 Other expenses itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.) a Public policy 194,377 194,377 Member benefits 23,400 23,400 Supplies 12,294 9,959 2,335 Printing/publications 10, 584 10, 584 Website 10,198 10,198 Allotherexpenses 37,324 32,353 4,971 25 Total functional expenses. Add lines 1 through 241 Joint costs. Check here it following SOP 98-2 Complete this line only if the organization reported in column (B) costs from a combined educational campaign and fundraising solicitation DAA Form 990 (2009) 50300 Form 990 (2009) National Association of Addiction 95-3626761 Page11 Part Balance Sheet (A) (3) Beginning of year End of year 1 Cash--non-interest bearing -Savings and temporary cash investments 2 3 Pledges and grants receivable. net 3 4 Accounts receivable. net 4 5 Receivables from current and former officers. directors. trustees, key employees, and highest compensated employees Complete Part II of Schedu|eL 5 456, 678 Receivables from other disqualified persons (as defined under section and persons described in section 4958(c)(3)(B) Complete Part II of Schedule 6 3 7 Notes and loans receivable. net 7 3 8 Inventories for sale or use 8 9 Prepaid expenses and deferred charges 9 10a Land. buildings, and equipment' cost or other basis. Complete Part VI of Schedule 10a 5 5 5 Less' accumulated depreciation 10b lnvestments--publicly traded securities 11 12 Investments--other securities See Part IV. line 11 12 13 lnvestments--program-related See Part IV, line 11 13 14 Intangible assets 14 15 Other assets. See Part IV, line 11 15 16 Total assets. Add lines 1 through 15 (must equal line 34Accounts payable and accrued expenses 17 9 7 92 18 Grants payable 18 19 Deferred revenue 19 3 7 3 2 20 Tax-exempt bond liabilities 20 3 21 Escrow or custodial account liability Complete Part IV of Schedule 21 22 Payables to current and former officers. directors, trustees, key employees. highest compensated employees. and disqualified i persons Complete Part II of Schedule 22 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 Complete Part of Schedule 25 26 Total liabilities. Add lines 17 through Organizations that follow SFAS 117, check here and 2 complete lines 27 through 29. and lines 33 and 34. 21 Unrestricted net assets Temporarily restricted net assets 23 29 Permanently restricted net assets 29 If Organizations that do not follow SFAS 11?, check here 3 and complete lines 30 through 34. '9 30 Capital stock or trust principal. or current funds 30 3 31 Paid-in or capital surplus. or land. building. or equipment fund 31 2 32 Retained earnings, endowment, accumulated income. or other funds 32 '5 33 Total net assets or fund balances Total liabilities and net assets/fund balances DAA Form 990 (2009) I 50300 Form 99o(2oo9) National Association of Addiction 95--3626761 Page 12 Part XI Financial Statements and Reporting Yes No 1 Accounting method used to prepare the Form 990. Cash Accrual Other modi i ed cash I If the organization changed its method of accounting from a prior year or checked "Other." explain in Schedule 0. 2a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a Were the organization's financial statements audited by an independent accountant? 2b 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 If "Yes" to line 2a or 2b. check a box below to indicate whether the financial statements for the year were issued on a consolidated basis. separate basis. or both. Separate basis Consolidated basis Both consolidated and separate basis A 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular 3a 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 DAA Form 990 (2009) 50300 SCHEDULE Political Campaign and Lobbying Activities OMB No 1545-00" (Form 990 or 990-EZ) 2 0 9 For Organizations Exempt From Income Tax Under section 501(c) and section 527 Complete if the organization is described below. Open to Public Department of the Treasury I t- Internal Revenue Service Attach to Form 990 or Form 990-EZ. See separate instructions. TISPBC |0I'l if the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part VI. line 46 (Political Campaign Activities), then 0 Section 501(c)(3) organizations' Complete Parts I-A and Do not complete Part I-C 0 Section 501(c) (other than section 501(c)(3)) organizations Complete Parts I-A and below Do not complete Part I-B 0 Section 527 organizations' Complete Part I-A only If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ. Part VI, line 47 (Lobbying Activities), then I Section 501(c)(3) organizations that have filed Form 5768 (election under section 501 Complete Part ll-A Do not complete Part ll-B 0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h))' Complete Part II-B Do not complete Part ll-A If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax). then 0 Section 501(c)(4), (5). or (6) organizations. Complete Part Name of organization Nat onal AS SOC at On 0 Addi i OI1 Employer identification number Treatment Providers 95-3626761 Part I-A Complete if the gganization is exempt under section 501(c) or is a section 527 organization. 1 Provide a description of the organization's direct and indirect political campaign activities in Part IV. 2 Political expenditures 3 Volunteer hours Part I-B Complete if the organization is exempt under section 501(c)(3). 1 Enter the amount of any excise 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 4a Was a correction made'? Yes No If "Yes." describe in Part IV. Part I-C Complete if the organization is exempt under section 501(c), except section 501(c)(3). 1 Enter the amount directly expended by the filing organization for section 527 exempt function activities 2 Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities 3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL, line 17b 4 Did the filing organization file Form 1120-POL for this year'? Yes No 5 Enter the names. addresses and employer identification number (EIN) of all section 527 political organizations to which payments were made 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. provide information in Part IV Name Address EIN Amount paid from Amount of political filing organization's contnbutions received and funds If none. enter -0- and direct-W delivered to a separate political organization If none. enter For Privacy Act and Papenivork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. (Form 990 or 990.52) 2909 DAA Schedu|eC(Form 990 or 990-EZ) 2009 National Association of Addiction 95--3626761 Page2 i Part ll-A, Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)). A Check if the filing organization belongs to an affiliated group. Check if the filing organization checked box A and ''limited control" provisions apply. - 0 Limits on Lobbying Expenditures la) Filing lblAffi|Ia1ed (The term "expenditures" means amounts paid or incurred.) 1a Total lobbying expenditures to influence public (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 following table in both columns If the amount on line 1e, column or is. Not over $500,000 20% of the amount on line 1e The lobbying nontaxable amount is: 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 1g from line 1a. lf zero or less, enter -0- 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? 4-Year Averaging Period Under Section 501(h) l:lYes No (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.) Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal year beginning in) 2006 2007 2003 2009 Total 2a Lobbying non-taxable amount 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 DAA Schedule (Form 990 or 990-EZ) 2009 1 50300 ScheduleC(Form 990or990-E2) 2009 National Association of Addiction 95-3626761 Page3 Part ll-B Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)). (3) lb) 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 compensation in expenses reported on lines 1c through 1i)? 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 other means'? Other activities? If "Yes." describe in Part IV Total. Add lines 1c through 1i 2a Did the activities in line 1 cause the organization to be not described in section 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'? Part Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6). 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 carryover lobbying and political expenditures from the prior year? 3 Part Ill-B Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part Ill-A, lines 1 and 2 are answered "No" OR if Part Ill-A, line 3 is answered "Yes." Dues. assessments and similar amounts from members 1 2 Section 162(e) non-deductible 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 2c 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 expenditure next year? 4 5 Taxable amount of lobbying and political expenditures (see instructions) 5 Part IV Supplemental Information Complete this part to provide the descriptions required for Part I-A, line 1; Part l-B. line 4; Part I-C, line 5. and Part ll-B, line 1i Also. complete this part for any additional information DAA Schedule (Form 990 or 990-EZ) 2009 I I Schedule (Form 990 or 990-EZ) 2009 Part IV National Association of Addiction Supplemental Information (continuedL 50300 95--362676l PagL4 DAA Schedule (Form 990 or 990-EZ) 2009 SCHEDULE Supplemental Financial Statements (Form 990) Complete if the organization answered "Yes," to Form 990. Part IV. line 12. Depanmem of the Treasury 5 Attach to Form 990 See separate instructions Internal Revenue Service 50300 OMB No 1545-0047 2009 Open.tojPub|ic Inspection 7 Name of the organization _National Association of Addiction Treatment Providers Employer identification number 95-3626761 Par_t'l Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6. Donor advised funds Funds and other accounts 1 Total number at end of year 2 Aggregate contributions to (during year) 3 Aggregate grants from (during year) 4 Aggregate value at end of year 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property. subject to the organization's exclusive legal control'? 6 Did the organization inform all grantees, donors. and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? Part ll 1 Purpose(s) of conservation easements held by the organization (check all that apply) Preservation of land for public use (e.g recreation or pleasure) Protection of natural habitat 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 a Total number of conservation easements Total acreage restricted by conservation easements Number of conservation easements on a certified historic structure included in Number of conservation easements included in acquired after 8/17/06 Yes No Yes No Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Preservation of an historically important land area Preservation of certified historic structure Held at the End of the Tax Year 2a 2b 2c 2d 3 Number of conservation easements modified, transferred. released. extinguished. or terminated by the organization during the taxable 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 holds? 6 Staff and volunteer hours devoted to monitoring. inspecting, and enforcing conservation easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section and section 9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement. and balance sheet. and include. if applicable. the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. Part Complete if the organization answered "Yes" to Form 990, Part IV, line 8. 1a If the organization elected. as permitted under SFAS 116. not to report in its revenue statement and balance sheet works of art. historical treasures. or other similar assets held for public exhibition. education. or research in furtherance of public service, provide. in Part XIV, the text of the footnote to its financial statements that describes these items If the organization elected. as permitted under SFAS 116. to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition. education, or research in furtherance of public service. provide the following amounts relating to these items: Revenues included in Form 990. Part line 1 (ii) Assets included in Form 990, Part 2 If the organization received or held works of art. historical treasures. or other similar assets for financial gain. provide the following amounts required to be reported under SFAS 116 relating to these items' a Revenues included in Form 990, Part line 1 Assets included in Form 990, Part Yes No Yes No Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. For Privacy Act and Papenivork Reduction Act Notice. see the Instructions for Form 990. DAA Schedule (Form 990) 2009 . 50300 Schedu|eD@3rm 99o)2oo9 National Association of Addiction 95--3626761 Page2 Part Oflanizations Maintainirficollections of Art, Historical Treasures, or Other Similar Assets (continued) 3 a Public exhibition -Scholarly research Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply) Loan or exchange programs Other Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV 5 During the year. did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Yes No Part IV Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1a is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part Yes No If "Yes," explain the arrangement in Part XIV and complete the following table Amount 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'? If "Yes," explain the arrangement in Part XIV Part Endowment Funds. Complete if organization answered "Yes" to Form 990, Part IV, line 10. Current year Pnor year Two years back Three years back Four years back 1a Beginning of year balance Contributions Grants or scholarships Other expenditures for facilities Net investment earnings, gains. andlosses and programs Administrative expenses 9 End of year balance 2 Provide the estimated percentage of the year end balance held as a Board designated or quasi-endowment Permanent endowment Term endowment 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by. unrelated organizations (ii) related organizations If "Yes" to 3a(ii), are the related organizations listed as required on Schedule 4 Describe in Part XIV the intended uses of the organization's endowment funds Part VI lnvestments--Land, Buildims, and Equipment. See Form 990, Part X, line 10. of investment Cost or other basis Cost or other Accumulated Book value (investment) basis (other) depreciation 1a Land Buildings Leasehold improvements Equipment Other Total. Add lines 1a through 1e. (Column must equal Form 990, Part X, column (B), line 10(c) DAA Schedule (Form 990) 2009 Schedule (Form 990) 2009 Part VII National Association of Addiction lnvestments--0ther Securities. See Form 990, Part X, line 12. 95-3626761 50300 Page 3 of secunty or category (including name of secunty) Book value Method of valuation Cost or end-of-year market value Financial derivatives Closely-held equity interests Other Total. (Column must equal Form 990, Part X, col (B) line 12 Part lnvestme ram Related. See Form 990 Part line 13. Description of investment type Book value Method of valuation Cost or end-of-year market value Total. Column must ual Form 990 Part col. |ine13. Part IX Other Assets. See Form 990 Part line 15. Total. Column must Part 1_ of liability Federal income taxes Form 990 Part X. col. line 15. Total. Column must Form 990. Part col. line 25. 2. FIN 48 Footnote In Part XIV. provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. DAA Other Liabilities. See Form 990 Part line 25. Amount Book value Schedule (Form 990) 2009 . 50300 scheduieoflm 99o)2oo9 National Association of Addiction 95--3626761 Page4 Part XI Reconciliation of Changgin Net Assets from Form 990 to Audited Financial Statements 1 Total revenue (Form 990, Part column (A), line 12) 1 2 Total expenses (Form 990, Part IX, column (A), line 25) 2 3 Excess or (deficit) for the year. Subtract line 2 from line 1 3 4 Net-unrealized gains (losses) on investments 4 5 Donated services and use of facilities 5 6 Investment expenses 6 7 Prior period adjustments 7 8 Other (Describe in Part XIV.) 8 9 Total adjustments (net) Add lines 4 through 8 9 10 Excess or (deficit) for the year per audited financial statements Combine lines 3 and 9 10 I Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 1 Total revenue, gains, and other support per audited financial statements 1 2 Amounts included on line 1 but not on Form 990, Part line 12' a Net unrealized gains on investments 2a Donated services and use of facilities 2b Recoveries of prior year grants 2c Other (Describe in Part XIV.) 2d Add lines 2a through 2d 29 3 Subtract line 2e from line 1 3 4 Amounts included on Form 990, Part line 12, but not on line 1: a Investment expenses not included on Form 990, Part line 7b 4a Other (Describe in Part XIV 4b Add lines 4a and 4b 4c 5 Total revenue Add lines 3 and 4c. (This must egual Form 990, Part I, line 12 5 Part Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 1 Total expenses and losses per audited financial statements 1 2 Amounts included on line 1 but not on Form 990, Part IX. line 25 a Donated services and use of facilities 2a Prior year adjustments 2b Other losses 2c Other (Describe in Part XIV.) 2d Add lines 2a through 2d 29 3 Subtract line 2e from line 1 3 4 Amounts included on Form 990. Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part line 7b 4a Other (Describe in Part XIV 4b Add lines 4a and 4b 4c 5 Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18 5 Part XIV Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4, Part X, line 2, Part XI. line 8, Part XII, Iines 2d and 4b, and Part lines 2d and 4b Also complete this part to provide any additional information. Schedule (Form 990) 2009 DAA . . 50300 ScheduleD(Form 990) 2009 National Association of Addiction 95--3626761 Page5 Part XIV Supplemental Information (continuedSchedule (Form 990) 2009 DAA SCHEDULEJ (FOrn1990) Compensation Information For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 5 Complete if the organization answered "Yes" to Form 990, Part IV, line 23. Depanmem of the Treasury Attach to Form 990 See separate instructions lntemal Revenue Service 50300 OMB No 1545-0047 2009 Open To Public Inspection National Association of Addiction Treatment Providers Questions Fggarding Compensation Name of the organization Pant 1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990. Part VII, Section A, line 1a. Complete Part to provide any relevant information regarding these items First-class or charter travel Travel for companions Tax indemnification and gross-up payments Discretionary spending account Health or social club dues or initiation fees If any of the boxes on line 1a is checked. did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above'? If complete Part to explain 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEOlExecutive Director, regarding the items checked in line 1a'? 3 Indicate which. if any, of the following the organization uses to establish the compensation of the organization's CEO/Executive Director Check all that apply. Compensation committee Independent compensation consultant Form 990 of other organizations I Written employment contract I Compensation survey or study 4 During the year. did any person listed in Form 990. Part VII, Section A. line 1a, with respect to the filing organization or a related organization. a Receive a severance payment or change-of-control payment? Participate in, or receive payment from. a supplemental nonqualified retirement plan'? Participate in. or receive payment from, an equity-based compensation arrangement'? If "Yes" to any of lines 4a--c, list the persons and provide the applicable amounts for each item in Part Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9. 5 For persons listed in Form 990, Part VII, Section A, line 1a. did the organization pay or accrue any compensation contingent on the revenues of: a The organization'? Any related organization? If "Yes" to line 5a or 5b. describe in Part 6 For persons listed in Form 990, Part VII. Section A, line 1a. did the organization pay or accrue any compensation contingent on the net earnings of a The organization'? Any related organization'? If "Yes" to line 6a or 6b. describe in Part 7 For persons listed in Form 990, Part VII. Section A, line 1a. did the organization provide any non-fixed payments not described in lines 5 and 6? If "Yes," describe in Part 8 Were any amounts reported in Form 990. Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regs. section If "Yes," describe in Part 9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53 4958-tflc)? Housing allowance or residence for personal use Payments for business use of personal residence Personal services maid, chauffeur, chef) Approval by the board or compensation committee Employer identification number 95-3626761 Yes For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. DAA Schedule (Form 990) 2009 $3 63 1 f: a--u 4--4--. f: 5: I_a w...m3 Hmxufimcsm Emcom Nw?mm _.Eou_ 8 omm .Eon_ o_omton_E 9.52 .5 A0129 memcmn _u9._m_mu .650 .050 E: macom 2: E. Am. E. ucm EmE2_.mm_ 3. ._o._ucm :.soE_mEm am. c. uotoam. tan. co mE=oEm E. cE:_oo 5 An: cE:_oo m_nmo__aam oz. _m:am .m:E m:E:_oo _o Ezm .202 :mn_ dam co u2m__ umncummu u2m_w._ ucm 3 39 co 9: E9. :o_.mmcmaEoo roam. 4. Qzumcow uotoam: an .m:E :o:mm:oqEoo mmocz. comm Eu. dmuwwc m_ momam _m:o_Euum mm: .mmo>o_n_Em_ uBmmconEoo uca .mwo>o_n_Em_ .mw3m:.F .m._ao_tO "fi__a.mm_2 HHOHUUHUUAM MO noflumfluommd HMQOHUMZ 88 88 moon 8% Egon: o_=_u2_um mo HO unmehmm mowam EH xofiaom GMUMHHS m>m? pom mwov mo Unmom noflumnmamxm woflaom nmuufluz - QH Ofiflfl .H unmm Unm 06 on no mmom m>wu5omxm OER Goflumnmamxm mmfimmxm HO - ma mafia .H unmm .2 :3 9w_aEoo om_mac; tun. .3 mco_a:om% .coamcm_axw 2: 3.55 9 :8 9o_aEoo _mEcEw_n_a:m tan. 0 mama oomom QOHUUHUU4 mo n0aumfio0mm? HMQOHUMZ 50300 I SCHEDULE Transactions With Interested Persons OMB No 1545-0047 (Form 990 or 99o_Ez) Complete if the organization answered 2 9 "Yes" on Form 990. Part IV, line 25a. 25b, 26, 27, 28a, 28b. or 28c. Department of the Treagury Of 990-EZ, PEI1 V, line 383 Of 40b. Pubnc internal Revenue Service Attach to Form 990 or Form 990-EZ. See separate instructions. Name of the organization Nat ional As Soc j_a_t j_Qn of Addict ion Employer identification number - Treatment Providers 95--362676l Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only) Com if the nization answered "Yes" on Form 990. Part IV, line 25a or 25b. or Form 990-EZ, Part V, line 40b Corrected'? 1 Name of disqualified person Description of transaction Yes No 2 Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958 5 3 Enter the amount of tax, if any, on line 2. above, reimbursed by the organization Part II Loans to andlor From Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a. Name of interested person and purpose Loan to Onginal Balance due In default'? Approved Wntten or from the principal amount by board or agreement'? organization'? committee'? To From Yes No Yes No Yes No Ronald Hunsicker 456,678 456,678 Total 456,678 Part Grants or Assistance Benefitting Interested Persons. if the answered "Yes" on Form 990, Part IV, line 27. Name of interested person Relationship between interested person and the Amount and type of assistance organization Part IV Business Transactions Involving Interested Persons. Complete if the organization answered Wes" on Form 990, Par1|V. line 28a, 28b. or 28c Name of interested person Relationship between Amount of Description of transaction (egfsganng interested person and the transaction mvenagesa organization Yes No For Privacy Act and Paperwork Reduction Act Notice, see the Schedule (Form 990 or 990-EZ) 2009 Instructions for Form 990 or 990-EZ. DAA SCHEDULEO (Form 990) Department of the Treasury Internal Revenue Service Supplemental Information to Form 990 Complete to provide information for responses to specific questions on Form 990 or to provide any additional information. Attach to Form 990. 50300 OMB No 1545-0047 2009 Open :3 Public Inspection Name of the organization Form 990, Part VI, National Association of Addiction Treatment Providers Line 5 -- Material Diversion of Assets Employer identification number 95-3626761 The Organization determined that certain amounts were paid by he Organization which should be reimbursed by the former president. As of December 31, 2009, $456,678 was due from the president, including interest of $70,400, which has been charged using the average annual prime rate as published by the Federal Reserve Board. The effect of prior years overstatement of expenses resulted in an increase to net assets by 281,280. Form 990, Part VI, Line 6 -- Classes of Members or Stockholders The Organization has memebers. There are certain actions that require their approval. Form 990, Part VI, Line 7a - Election of Members and Their Rights The members of the Organization elects the Board of Directors. There is a Nominating Committee that puts the slate forward within a specific time line required by the bylaws. The slate is sent to the members for their vote. Form 990, Part VI, Line 7b - Decisions Subject to Approval of Members The Organization has memebers. There are certain actions that require their approval. Form 990, Part VI, Line 11A -- Organization's Process to Review Form 990 The Organization's President conducted a review of the Form 990 before issuance by the independent accountant. For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. DAA Schedule 0 (Form 990) 2009 Schedule 0 (Form 990) 2009 Name of the organization 'Form 990, Part VI, Line 12c -- Enforcement of Conflicts Policy National Association of Addiction 50300 Page 2 Employer identification number 95--362676l The Organization has their Board Members review any conflict of interests noted during the year. The Board Members also sign the policy annually. Form 990, The Board Form 990, The Board Part VI, Line 15a -- Compensation Process for Top Official of Directors approve all compensation levels. Part VI, Line 15b - Compensation Process for Officers of Directors approve all compensation levels. Form 990, Part VI, Line 19 -- Governing Documents Disclosure Explanation No documents available to the public The Organization has developed and put in place several policies effective in 2010 which include a travel reimbursement policy, record retention policy, fiscal management policy, and risk management policy. DAA Schedule 0 (Form 990) 2009 . 50300 Forms Receivables Due from Officers, Directors, 990 I 990-PF Trustees, and Key Employees 2009 For calendar year 2009. or tax year beginning . and ending Name Employer Identification Number National Association of Addiction ,Treatment Providers 95--3626761 Form 990 Part Line 5 -- Additional Information Name of borrower Ronald Hunsicker Original amount borrowed Date of loan 456 678 O1 O1 O9 borrower Balance due at Balance due at Fair market value Consideration furnished of end of 456 678 456 678 National Association of Addiction Treatment Providers, Inc. Form 990, Page 9, Part Line 11a Statement EIN: 95-3626761 12/31/2009 Net Assets -- January 1, 2009, as previously reported Net Assets - January 1, 2009, as restated Adjustment to correct overstatement of expenses Adjustment was to correct errors in the recording of the Organization's expenses in prior years. 15,126 296,406 281,280 National Association of Addiction Treatment Providers, Inc. Board of Directors EIN. 95-3626761 12/31/09 Name Position Address Cathy Palm Chairperson 313 Liberty Street, Ste 129, Lancaster, PA 17603 Russell Hagen Vice-Chairperson 313 Liberty Street, Ste 129, Lancaster, PA 17603 James Dougherty Secretary 313 Liberty Street, Ste 129, Lancaster, PA 17603 Carl Kester Treasurer 313 Liberty Street, Ste 129, Lancaster, PA 17603 Edward Diehl Immediate Past--Chariperson 313 Liberty Street, Ste 129, Lancaster, PA 17603 Philip Eaton Board Member 313 Liberty Street, Ste 129, Lancaster, PA 17603 Scott Munson Kenneth Gregoire Jerry Crowder Kenneth Ramsey Kermit Dahlen David Hillis Dwayne Beason Rebecca Flood William Hartigan Linda Bell Helene Cross James Moore Barry Karlin Art VanDivier Paul Hackman Mike Neatherton Barbara Krantz Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 313 Liberty Street, Ste 129, Lancaster, PA 17603 50300 Fm Application for Extension of Time To File an (Ram Exempt Organization Return one No 1545-1709 Department of the Treasury Ir File a separate application for each return. lniemai Revenue Service 0 ll' you are filing for an Automatic 3-Month Extension. complete only Part i and check this box I 0 It you are filing for an Additional (Not Automatic) 3-Month Extension. complete only Part ii (on page 2 of this form'). Do not complete Part ii uniessyou have already been granted an automatic 3-month extension on a preidously filed Form 8868. ,Pai~t.l: Automatic 3-Month Extension of Time. Only submit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month this box and complete Partlonly: . All other corporations (including 1120-C filers). partnerships. REMICs. and trusts must use Form 7004 to request an extension of time to tile income tax returns Electronic Filing to-ills). Generally. you can eiectronically file Form 8868 it you want a 3-month automatic extension oi time to file one of the retums noted below (6 months tor a Corporation required to file Form 990-T). However, you cannot file Form 8858 electronically ll (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL. 6069. or 3870. group returns. or a composite or consolidated Form 990-T. instead. you must submit the fuiiy completed and signed page 2 (Part II) oi Form 8868 For more details on the electronic filing of this form. visit irs.govIeiile and click on e--i"ile for Charities 8. Nonprofits. Type or Name of Exempt Organization Employer identification number print National Association of Addiction File bythe Treatment Providers 95--3626'761 #9 Number, street. and room or suite no. if a PO box. see instructions. 313 Liberty st: Ste 129 129 instructions City. town or post otlice. state, and ZIP code. For a foreign address. see instructions Lancaster PA 17603-2748 Check type of return to be filed (file a separate application for each retum). I Form 990 Form 990--T (corporation) Form 4720 I Form 990-BL Form 990-T (sec 401(3) or 408(3) trust) Form 5227 Form 990-EZ Form 990-T (trust other than above) Form 6069 I Form 990-PF Form 1041-A Form 3370 0 The books are in the care of . Hunsicke; Telephone No FAX No. 0 ii the organization does not have an office or place oi business in the United States. check this box If this is for a Group Return. enter the organization's four digit Group Exemption Number (GEN) If this is tor the whoie group. check this box . If it is for part of the Group. Check this box and attach a list with the names and ElNs oi all members the extension will cover. 1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until 0 8 . to tile the exempt organization retum for the organization named above. The extension is for the organization's retum for calendar year 2 0 0 9 or I tax year beginning and ending 2 If this tax year is for less than 12 months. check reason initialretum Final retum CI Changein accounting period 3e it this application is for Form 990-BL. 990-PF. 990-T. 4720. or 6069. enter the tentative tax. less any nonrefundable credits. See instructions. 3a 5 It this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. 3b 3 Balance Due. Subtract line 3b from line 33. Include your payment with this lorrn. or. if required. deposit FTD coupon or. If required. by using EFTPS (Electronic Federal Tax Payment ff; System). See instructions 3i: 5 Caution. if you are going to make an electronic fund withdrawal with this Form 8868. see Form 3453-50 and Form 8879-E0 for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 3863 (Rev 4-2009) DAA 50300 Form 8868 (Rev. 4-2009) Page 2 it you are filing to: an Additional (Not Automatic) 3-Month Extension. complete only Part II and check this box Note. Only complete Part II it you have already been granted an automatic 3-month extension on a previously tiled Form 8868 9 If you are an Automatic 3-Month Extension. complete only Part I (on page 1). Additional (Not Automatic) 3-Month gxtenelon of Time. Only file the original (no copies needed). Type or Name of Exempt Organization Employer Identification number mm: National Association of Addiction Fildbyihe Treatment Providers 9S--3626761 Number, street._and room or suite no. If a 0. box. see instructions For IRS use only Wwme 313 Liberty St Ste 129 129 reiuin Sec City. town or post olfice. state. and code. For a foreign address. see instructions. *3 rig. instructions Lancaster PA 17503 -2743 check type of return to be filed (File a separate application tor each return): Form 990 Form Fonn 1041-A Form 5069 1 5. (If I flForm 990-BL Fonn 990-T (sec 401(a) or 403(3) trust) Form 4720 Form 8370 Form 990-EZ Form 990-T (trust other than above) Form 5227 Do not complete Part it if you were not already granted an automatic 3-month extension on a previously tiled Form 8868. 9 The books are in the care of Cathy Palm TelephoneNo.> 0 if the organization does not have an offlce or place of business in the United States. check this box 0 if this is for a Group Return. enter the organization's four digit Group Exemption Number (GEN) . It this is lor the whole group, check this box If it is for part of the group. check this box and attach a list with the names and EiNs of all members the extension is for 4 i request an additional 3-month extension of time until 1 1/ 1 _5 1_0 5 For calendar year 2 0 0 9 . or other tax year beginnin and ending . 6 If this tax year is for less than 12 months, check reason. initial return Final return Change in accounting period 7 State in detail why you need the extension I Additional time is requested to gathe: information to prepare a complete and_accurate_return. Be If this application is for Form 990--BL. 990-PF, 990-T. 4720, or 6069. enter the tentative tax. less any nonrefundable credits. See instructions 8a 5 If this apptication is for Form 990-PF, 990-T, 4720, or 6069. enter any refundable credits and i estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868. Balance Due Subtract line Bb from line Ba. include your payment with this form, or, if required, deposit with FTD cogpgn or, if required, by using EFTPS (Eiectronic Federal Tax Payment System). See instructions 8c 5 Signature and Verification Under penalties of perjury. I declare that I have examined this tomi. including accompanying schedules and statements. and to the best of my knowledge and belief. nd compile, and . . dto prepare this form Title Date 7/22/10 I /7 Form 8865 -i-zoos) DAA