Professional Documents
Culture Documents
Sponsors ^^
Abbott Laboratories * Adolph Kiefer and Assoc. * Ahlbeck & Company* Air Quality Maintenance * Alan and Sourixat
Thavisouk * Albert Fernando Contemporary Marketing * Albrecht Enterprises * Alexian Brothers Health System, Inc.
* Allstate Foundation * Altria Corporate Services, Inc. * American College of Osteopathic Emergency Physicians *
Associated Fire Fighters of Illinois* Bank One * Blue Cross Blue Shield * Briskman & Briskman * Browning Ferris
Industries * Cambridge Homes * Caraher Management * Charlotte-Mecklenberg Police * Chicago Cubs* Chicago
Wolves Pro Hockey * Chicagoland Speedway * Cisco Systems * City of Concord * City of Des Plaines * CLTV *
ComCast * Commonwealth Edison Co. * Competition Telecom Inc. * Corporate Treats * Cremation Services Inc.*
Currie Motors * Daily Herald * Dave Pate and Son’s * Degen & Rosato Construction Co. * Elkay * ESPN’s RPM
Tonight * Exelon - ComEd and PECO * Floran Technologies * GO ARMY Racing * Gurtz Electric * H & H Electric
* Hilton Hotels World Headquarters * Household - HELP Charity Committee * IL State Rep., Lee Daniels * Irwin
Andrew Porter Foundation * Italian American War Veterans #5 * Jade Gurss * Jay Howard Enterprises * John O.
Brill * John Spot/Tim Lintner * Kimball Hill Homes * Kintetsu Intl. Travel Consultants * Kraft Racing * Krispy Kreme
* Legends in Stone * Lowe’s Motor Speedway * McDonald’s Corporation * Midwest Equipment Rentals * Motorola
* NEXTEL Communications * North Carolina CERT * North Carolina Citizens Corps.* North Carolina Governor’s
Office * Northwest Display Corp * OCTAGON Marketing * PACTIV Corporation * Parkway Bank and Trust * Pro Star
* R. Carrozza Plumbing Co., Inc. * Racing Reflections* Red Bull Cheever Racing* Richard Petty Driving Experience
* Ronald McDonald Global * Ronald McDonald House Charities Chicago/Northern Indiana * Rosemont Exposition
Services * Rosemont Suites * Ryan and Ryan * SBC Communications * Stoffel Seals Corporation * Storino, Ramello
& Durkin * TCF Bank * United Airlines Foundation * Vahey Construction Co., Inc.* West Cook Municipal League *
Westpoint Stevens * William A. McGinty Company
' Under section 501(c), 527, or4947(aX1) of the Internal Revenue Code
^2003Too4
(except black lung benefit trust or private foundation) Open to Public
Department of the Treasury
Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements Inspection
A For the 2003 calendar year, or tax year beginning Jan 1 - r - a e w , and ending Jun 30 , 2004
B Check if applicable C Name of organization 2004 D Employer Identification Number
Please use
Address change IRS label Save A Life Foundation 36-3869459
or print
Name change or type. Number and street (or P O box if mail is not delivered to street addr) Room/suite Telephone number
See
Initial return specific 9950 Lawrence 300 (847) 928-9683
instruc
Final return tions. City, town or country State ZIP code + 4 methoS!'" 9 Qcash 0 Accrual
Amended return Schiller Park IL 60176 I 1 Other (specify)* -
Application pending • Section 501(c)(3) organizations and 4947(a)(1) nonexempt H and \ are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' QYOS 0 No
(Form 990 or 990-EZ).
H ( b ) If ■Yes.1 enter number of affiliates **
G Web site: * www.salf.ort
H ( c ) Are all affiliates included7 O Yes Q No
J Organization type r-, r-| (If 'No.' attach a list See instructions)
( C h e c k Only o n e ) » |XJ 501(c) 3 < (insert no) | _ J 4947(a)(1) or | _ | 527
H ( d ) Is this a separate return filed by an
K Check here ► [ J if the organization's gross receipts are normally not more than
$25 000 The organization need not file a return with the IRS, but if the organization
organization covered by a group ruling' | | yes |Xl No
received a Form 990 Package in the mail, it should file a return without financial data I Group Exemption Number *■
Some states require a complete return.
M Check *■ ( J if the organization is not required
L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 ►• 1 , 1 5 4 , 7 5 5 to attach Schedule B (Form 990, 990-E2, or 990-PF)
Parti Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
1 Contributions, gifts, grants, and similar amounts eceived
a Direct public support la 87,988.
b Indirect public support lb
c Government contributions (grants) 1c 1,040,000.
d Total (add lines <r 1 1 ~)~I Q 8 9 >.
la through lc) (cash * . x , xc i , 7 0 0 .
i
noncasn * — 0.) Id 1,127,988.
2 Program service revenue including government fees and contracts (from Part VII, line 93) 27,856.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments
5 Dividends and interest from securities
6a Gross rents 6a
b Less, rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe *>
(A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory o3
S3
9 Special events and activities (attach schedule) If any amount is from gaming, check here
a Gross revenue (not including $ 2 , 638 . of contributions
*□
oo reported on line la) 9a 600.
b Less, direct expenses other than fundraising expenses
_ 9b 600.
c Net income or (loss) from special events (subtract line 9b from line 9a) See L-9 Stmt 9c
10 a Gross sales of inventory, less returns and allowances 10a
CD
b Less, cost of goods sold , 10b
Q c Gross profit or (loss) from sal* of jnvMor^(attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from p i r t y i J ^ l f j W M ) ^ - ^ 11
12 Total revenue (add l i / e f r / d , 2 ^ T ^ ^ J 4 S B r i . - - 9 c , J 0 c , and 11) 12 1,154,155.
13 Program services ( f r / i ^ / n e ^HmnlFJ»^ 13 151,664.
Oil femruSfi,
14 Management and c j n e r i ^ f r o m hffe tos^mn ($0, 14 21,328.
15 Fundraising (from/ine 44^coltimn^(p)) ' 15 7,215.
S 16 Payments to a f f i l i a T e V ^ a t f J ^ ^ f i e d u ^ T * ^ ^ ^ /«&, 16
E
S 17
17 Total expenses (add h n e s ^ i § j w , c c V r t t n W i 180,207.
18 Excess or (deficit) for the year (subtf1^Nuje17 from line 12) 18 973,948.
19 Net assets or fund balances at beginning of^ea/(from line 73, column (A)) 19 96,025
20 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 1,069,973.
BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA010I 11/24/03 Form 99<M29e9T
2004
1
i 2004
Form990.(30037" Save A L i f e Foundation 36-3869459 Page 4
Part IV-A | Recbnciliafion of Revenue per Audited Part IV-B I Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions.) per Return
a Total revenue, gains, and other support a Total expenses and losses per audited
per audited financial statements ^ 1,227,755. financial statements ' 253,807.
b Amounts included on line a but b Amounts included on line a but not
not on line 12, Form 990 on line 17, Form 990
(1) Net unrealized (1) Donated serv
gains on ices and use
investments $ of facilities 72,500.
(2) Donated serv (2) Prior year adjust
ices and use ments reported on
of facilities $ 72,500. line 20, Form 990
$ $
Add amounts on lines (1) and (2) Add amounts on lines (1) and (2)
e Total revenue per line 12, Form e Total expenses per line 17, Form
990 (line c plus line d) 1,154,155. 990 (line c plus line d) 180,207,
Part V List of Officers, Directors, rustees, and Key Emi o y e e s (List each one even if not compensated, see instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
per week devoted (if not paid, employee benefit account and other
(A) Name and address to position enter -0-) plans and deferred allowances
compensation
_C a r_oJ _ Sp_i i zz_r r i_ _
Chai rwoman 0.
_f e 6&y_ T.rj m b l e
Vice Chairwoman 0. 0.
_Nachne _Lev ]_c_k_
Secretar\ 0. 0.
-Pp.yjL § r_o.w.D?.
Treasurer
SeeJ.is^j)f_Ojtticers,Etc_ Statement
0, 0.
75 Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations7 Q Yes 0No
If 'Yes,' attach schedule — see instructions
BAA Form 990~(2003)
2004
TEEA0104 10/02/03
OMB No 1545-0047
Form 990 Return of Organization Exempt from Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
2004
(except black lung benefit trust or private foundation)
Open to Public
Department of the Treasury
Internal Revenue Service *■ The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection
A For the 2004 calendar year, or tax year beginning Jul 1 , 2004, and ending J u n 30 , 2005
B Check if applicable C Name of organization 0 Employer Identification Number
Please use
Address change IRS label Save A Life Foundation 36-3869459
or print
Name change or type. Number and street (or P O box if mail is not delivered to street addr) Room/suite E Telephone number
See
Initial return specific 9950 Lawrence 300 (847) 928-9683
instruc r*.t.. ,«..,«
Final return tions. City, town »» .«h..
or Mcountry Ctr>4/>
State 7ID
ZIP ™A n J
code + 4 F M ! ' " 9
U « 0 ^crual
Amended return Schiller Park IL 60176 | ~ | Other (specify)*
Application pending • Section 501 (cX3) organizations and 4947(a)(1) nonexempt H and I are nof applicable to section 527 organizations
charitable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' Q Yes 0 No
(Form 990 or 990-EZ).
H ( b ) If 'Yes,' enter number of affiliates *
G Web site: " - w w w . s a l f . o r c
H (C) Are all affiliates included' Q Yes Q No
J Organization type r-i r-, (If 'No.' attach a list See instructions )
(Check only One) *■ |XJ 501(c) 3- (insert no) [ _ | 4947(a)(1) or LJ527
H ( d ) Is this a separate return filed by an
K Check here * \J if the organization's gross receipts are normally not more than organization covered by a group ruling' yos nn N o
$25 000 The organization need not file a return with the IRS but if the oraanization
received a Form 990 Package in the mail, it should file a return without financial data I Group Exemption Number ►
Some states require a complete return. M Check »- [ J if the organization is not required
L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 1 2 * 1 , 7 3 2 , 1 4 0 . to attach Schedule B (Form 990,990-EZ, or 990- PF).
Part I I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
1 Contributions, gifts, grants, and similar amounts received:
a Direct public support . 1a 125,822.
b Indirect public support . lb
c Government contributions (grants) 1c 1,196,000.
d Total (add lines
la through 1c) (cash 1 , 3 1 7 , 3 2 2 . noncash 4,500.)
$ Id 1,321,822.
2 Program service revenue including government fees and contracts (from Part VII, line 93) 310,971.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments 1,933.
5 Dividends and interest from securities
6 a Gross rents 6a
b Less: rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe »-
(A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory 8a
b Less: cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gam or (loss) (combine line 8c, columns (A) and (B)) 8d
9 Special events and activities (attach schedule) If any amount is from gaming, check here
a Gross revenue (not including $ 115,777. of contributions
-a
Q
reported on line la) 9a 34,312
b Less direct expenses other than fundraismg expenses 9b 34,312.
c Net income or (loss) from special events (subtract line 9b from line 9a) See L - 9 S t i a t 9c 0.
Q 10a Gross sales of inventory, less returns and allowances 10a 62,234.
fU b Less, cost of goods sold 10b 13,149.
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c 49,085.
11 Other revenue (from Part VII, line 103) 11 868.
12 Total revenue (add lines Id, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 1,684,679.
13 Program services (from line 44, column (B)) 13 1,699,901.
14 Management and general (from line 44, column (Q) 14 80,431.
15 Fundraismg (from line 44, column (D)) 15 170.
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)) 17 1,780,502.
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 -95,823.
19 Net assets or fund balances at beginning of year (from line 7 19 1,069,973.
20 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20; 21 974,150.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEA0101 01/07/05 Form 990 (2004)
lb
Form990 (2004) Save A L i f e Foundation 36-3869459 Page4
Part IV-A Reconciliation of Revenue per Audited Part IV-B Reconciliation of Expenses per Audited
■ Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions.) per Return
a Total revenue, gams, and other support a Total expenses and losses per audited
per audited financial statements *" a 1,937,220. financial statements. *" a 2,033,043.
b Amount s included on line a but b Amounts included on line a but not
>
not on 1 ne 12, Form 990- ***% < on line 17, Form 990
(1) Net unr salized (1) Donated serv
gains o ices and use
investm ents $ of facilities $ 190,795.
(2) Donatec serv- (2) Prior year adjust
<-•
ices anti use ments reported on
of facilit les $ 190,795. line 20, Form 990 $
$ $
Add amounts on lines (1) and (2) *" d Add amounts on lines 0 ) and (2) *" d
e Total revenue per line 12, Form e
Total expenses per line 17, Form
990 (line c plus line d) ► e 1,684,679. 990 (line c plus line d) *" e 1,780,502.
Part V List of Officers, Directors, 1rustees, and Key Emp o y e e s (List each one even if not compensated; see instructions.)
(B) Title and average ho urs (C) Compensation (D) Contributions to (E) Expense
per week devoted (if not paid, employee benefit account and other
(A) Name and address to position enter -0-) plans and deferred allowances
compensation
Carol Spizzirri
C h a i r m a n / E x e c D i r 40 120,000. 1,839. 0.
Rita Mullins
Vice Chairwoman 0. 0. 0.
Douglas Browne
Treasurer 0. 0. 0.
Peggy Trimble
Vice Chairwoman 0. 0. 0.
Mark Mitchell
Director 0. 0. 0.
75 Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations? 0 Yes |x] No
If 'Yes,' attach schedule - see instructions
BAA Form 990 (2004)
TEEA0104 01/07/05
Form 990 Return of Organization Exempt From Income Tax
OMB No. 15450047
Schiller Park
State
IL
ZIP code + 4
60176
F metfiSa?" 8
Q
|J
Other (specify) ^
C a s h
E Accrual
ttons.
Application pending
•HaRfflaraassafiarr*
(Form990or990-EZ).
H and I are not applicable to section 527 organizations
H ( a ) Is this a group return for affiliates' Q Ye* [ x ] No
H ( b ) If 'Yes,' enter number of affiliates *"
G Web site: ►• www, s a l f . o r g
H ( C ) Are all affiliates included? Q Yes Q No
J Organization type .—, ._. _ (If 'No,' attach a list See instructions)
( C h e c k Only o n e ) »» [ X j 501(c) 3 " (insert no) U 4947(a)(1) Of Ds27
H ( d ) Is this a separate return filed by an
K Check here U if the organization's gross receipts are normally not more than
organization covered by a group ruling? | ~ | Y e» | x ] No
$25 000. The organization need not file a return with the IRS but if the oraanization
chooses to file a return, be sure to file a complete return Some slatw require a I Group Exemption Number »
complete return.
M Check ► [ J if the organization is not required
L Gross receipts: Add lines 6b, 8b, 9b, and 10b to line 12 » 9 0 2 , 4 2 6 . to attach Schedule B (Form 990, 990-EZ, or 990-PF).
Part I I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See Instructions)
1 Contributions, gifts, grants, and similar amounts received:
a Direct public support la 94,403.
b Indirect public support lb
c Government contributions (grants) ... 1c 700,000.
d
TfmrSSn'Tcfccash $ 7 9 4 , 4 0 3 . noncash $ _
) Id 794,403.
2 Program service revenue including government fees and contracts (from Part VII, line 93) 95,335.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments .... 4,882.
5 Dividends and interest from securities
6a Gross rents 6a
CO
b Less: rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) . 6c
7 Other investment income (describe *
8a Gross amount from sales of assets other (A) Securities (B) Other
than inventory 8a 5,800.
LB bLess: 8b 11,732.
nses . ..
c Gam or Strnt.... 8c -5,932.
d Net ga)n dr (loss) (comb.n ins (A) and (B)) 8d -5,932.
o Specia dule). If any amount is from gaming, check here -D
CO a Grossfev"d>iue(not including of contributions
reportefl 9a
b Less: d | e c l e ^ ^ e ^ o * B R f i a T f f t n W a i S i n g expenses 9b
c Net income or (loss) from special events (subtract line 9b from line 9a) 9c
10a Gross sales of inventory, less returns and allowances . 10a
b Less: cost of goods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from Part VII, line 103) . 11 2,006.
12 Total revenue (add lines Id, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 890,694.
13 Program services (from line 44, column (B)) . 13 1,005,527.
14 Management and general (from line 44, column (C)) 14 55,716.
15 Fundraising (from line 44, column (D)) . .. 15
16 Payments to affiliates (attach schedule) .... 16
17 Total expenses (add lines 16 and 44, column (A)) 17 1,061,243.
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 -170,549.
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 974,150.
20 Other changes in net assets or fund balances (attach explanation) .. 20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) . 21 803,601.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2005)
-w
TEEA0101 02/03/06
5~i
Form990 (2005) S a v e A L i f e F o u n d a t i o n 36-3869459 Page5
Part IV-A 1 Reconciliation of Revenue per Audited Financial Statements wiih Revenue per Return (See
instructions.)
Total revenue, gains, and other support per audited financial statements 1,877,081.
Amounts included on line a but not on Part I, line 12:
1 Net unrealized gains on investments . . . . bl
2Donated services and use of facilities b2 973,687,
3 Recoveries of prior year grants b3
40ther (specify): D o n a t e d _Supjp_lies_
b4 12,700
Add lines bl through b4 . 986,387.
Subtract line b from line a 890,694.
Amounts included on Part II llne 12, but not on llne a:
11nvestment expenses not included on Part I, line 6b dl
20ther (specify).
d2
Add lines dl and d2 .
Total revenue (Part I, line 12) Add lines c and d , 890,694,
Part IV-B I Reconciiiation of Expenses per Audited Financial Statements with Expenses per Returr
V i c e Chairwoman 0. 0. 0.
Douglas Browne
Treasurer 0. 0. 0.
Peggy Trimble
V i c e Chairwoman 0. 0. 0.
Mark Mitchell
Director 0. 0. 0.
See List of Officers, Etc. Statement
Check here •" Q i f the organization is not a 509(a)(3) supporting organization and its organization covered by a group ruling' | |Y e s [x] No
K
oross receipts are normally not more than $25 000 A return is not required but if the I Group Exemption Number > ■
I'
b Less, cost or other basis and sales expenses 8b
c Gam or (loss) (attach schedule) 8c
d Net gain or (loss) Combine line 8c, columns (A) and (B) 8d
) Special events and activities (attach schedule) If any amount is from gaming, check here . ■d
■=r a Gross revenue (not including $ of contributions
reported on line lb) 9a
b Less direct expenses other than fundraising expenses 9b
c Net income or (loss) from special events Subtract line 9b from line 9a 9c
10 a Gross sales of inventory, less returns and allowances 10a
b Less- cost of goods sold 10b
o c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line 10b from line 10a 10c
oo 11 Other revenue (from Part VII, line 103) 11 745.
12 Total revenue. Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11 12 925,545.
13 Program services (from line 44, column (B)) 13 1,330,239.
14 Management and general (from line 44, column ( Q ) 14 140,299.
15 Fundraising (from line 44, column (D)) 15
16 Payments to affiliates (attach schedule) 16
17 Total expenses. Add lines 16 and 44, column (A) 17 1,470,538.
A
18 Excess or (deficit) for the year. Subtract line 17 from line 12 18 -544,993.
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 803,601.
?! 20 Other changes in net assets or fund balances (attach explanation) 20
s 21 Net assets or fund balances at end of year. Combine lines 18, 19, and 20 21 258,608.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEA0109L 01/22/07 Form 990 (2006)
(317 u
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 5
Part IV-A Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See the
instructions.)
a Total revenue, gains, and other support per audited financial statements a 1,256,155.
b Amounts included on line a but not on Part 1, line 12
1 Net unrealized gains on investments bl
2Donated services and use of facilities b2 330,610.
3Recovenes of prior year grants b3
40ther (specify)
-
b4
Add lines b l through b4 b 330,610.
c Subtract line b from line a c 925,545.
d Amounts included on Part 1, line 12, but not on line a:
1 Investment expenses not included on Part 1, line 6b dl
20ther (specify).
d2
Add lines dl and d2 d
e Total revenue (Part 1, line 12) Add lines c and d *- e 925,545.
Part IV-B Reconciliation of Expenses per Audited Financial Statements with Expenses per Return
□I
Address
Jchange
c
[Name
label or
pnnt or
type
SAVE A LIFE FOUNDATION 36-3869459
change Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number
□ Initial
return
See
Specific 9 9 5 0 LAWRENCE 300 (847) 928-9683
□ Termin
Instruc
tions City or town, state or country, and ZIP + 4 F Accounting method: I l c a s h H n Accrual
□
□
ation
Amended
return
Application
SCHILLER PARK, IL 60176
• Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts
□ Other
(specify) W-
^
Form 9 9 0 (2007)
723041 12-27-07