2012-2013 form 990 group return

Form 990 (2012) Statement of Program Service Accomplishments Part III Check if Schedule O contains a response to any question in this Part III m m m m m m m m m m m m m m m m m m m m m m m m

1 Briefly describe the organization's mission:

2 Did the organization undertake any significant program services during the year which were not listed on theprior Form 990 or 990-EZ? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe these new services on Schedule O.

3 Did the organization cease conducting, or make significant changes in how it conducts, any program

services? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe these changes on Schedule O.

4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by

expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,

the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4d Other program services (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $ )

I4e Total program service expenses JSA Form 990 (2012)2E1020 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834

X

TO END BREAST CANCER BY FUNDING RESEARCH & COMMUNITY HEALTH OUTREACHFOCUSED ON EDUCATION AND ACCESS TO SCREENING AND TREATMENT PRIMARILYAIMED AT LOW-INCOME AND MEDICALLY UNDERSERVED PEOPLE.

X

X

46,792,281. 14,325,951. 609,819.

PUBLIC HEALTH EDUCATION PROGRAMS AND GRANTS: SEE SCHEDULE O FORADDITIONAL DETAILS.

51,315,683. 47,305,654. 0

HEALTH SCREENING PROGRAMS AND GRANTS: SEE SCHEDULE O FORADDITIONAL DETAILS.

25,964,111. 0 0

RESEARCH PAYMENTS TO PARENT: OUR PLAN IS STRAIGHTFORWARD: WE FUNDCUTTING-EDGE RESEARCH TO FIND THE CURES. REMAINING NET MONIES (AMINIMUM OF 25%) FROM KOMEN AFFILIATE EVENTS LIKE THE RACE FOR THECURE SERIES HELP SUPPORT THE KOMEN RESEARCH AND TRAINING GRANTPROGRAM CONDUCTED BY THE KOMEN PARENT ORGANIZATION, WHICH PROVIDESFUNDING FOR INNOVATIVE BREAST CANCER RESEARCH AND A VARIETY OFMERITORIOUS AWARDS. SEE SCHEDULE O FOR ADDITIONAL DETAILS.

16,133,624. 14,804,158. 0

140,205,699.

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Checklist of Required Schedules Part IV

Yes No

1

23

4

5

6

7

8

9

10

11

12

1314

15

16

17

18

19

20

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"

complete Schedule A 12

3

4

5

6

7

8

9

10

11a

11b

11c

11d11e

11f

12a

12b13

14a

14b

15

16

17

18

1920a20b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIs the organization required to complete Schedule B, Schedule of Contributors (see instructions)? m m m m m m m m mDid 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 m m m m m m m m m m m m m m m m m m m m m m m m m m mSection 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)

election in effect during the tax year? If "Yes," complete Schedule C, Part II m m m m m m m m m m m m m m m m m m m m m mIs the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,

assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,

Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization maintain any donor advised funds or any similar funds or accounts for which 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 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid 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 m m m m m m m m m mDid the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a

custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or

debt negotiation services? If "Yes," complete Schedule D, Part IV m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization, directly or through a related organization, hold assets in temporarily restricted

endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V m m m m m m mIf the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable.

a

b

c

d

ef

a

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"

complete Schedule D, Part VI m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid 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 m m m m m m m m m m m m m m m m mDid 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 VIII m m m m m m m m m m m m m m m m mDid the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets

reported in Part X, line 16? If "Yes," complete Schedule D, Part IX m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X

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 (ASC 740)? If "Yes," complete Schedule D, Part X m m m m m mDid the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"

complete Schedule D, Parts XI and XII m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb

ab

ab

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if

the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional m m m m m m m m m m m m m mIs the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E m m m m m m m m m mDid the organization maintain an office, employees, or agents outside of the United States?m m m m m m m m m m m m mDid the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,

fundraising, business, investment, and program service activities outside the United States, or aggregate

foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV m m m m m m m m m m mDid the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV m m m m m m mDid 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, Parts III and IV m m m m m m m m m m mDid 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 (see instructions) m m m m m m m m m m mDid the organization report more than $15,000 total of fundraising event gross income and contributions on

Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

If "Yes," complete Schedule G, Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization operate one or more hospital facilities? If "Yes," complete Schedule H

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

m m m m m m m m m m m m mm m m m m m

Form 990 (2012)JSA

2E1021 1.000


XX

X

X

X

X

X

X

X

X

X

X

X

XX

X

X

X X X

X

X

X

X

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X X

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Checklist of Required Schedules (continued) Part IV

Yes No

21

22

23

24

25

26

27

28

2930

31

32

33

34

35

36

37

38

Did the organization report more than $5,000 of grants and other assistance to any government or organization

in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II 21

22

23

24a24b

24c24d

25a

25b

26

27

28a

28b

28c29

30

31

32

33

3435a

35b

36

37

38

m m m m m m m m m m m mDid 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 III m m m m m m m m m m m m m m m m m m m m m mDid 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 J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m ma

bc

da

b

ab

c

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 K. If “No,” go to line 25 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? m m m m m m mDid the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? m m m m m m mSection 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 m m m m m m m m m m m m m m m m m m mIs 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 990-EZ?

If "Yes," complete Schedule L, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mWas 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 mDid the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled

entity or family member of any of these persons? If "Yes," complete Schedule L, Part III m m m m m m m m m m m m m m mWas 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 m m m m m m m mA family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IV m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAn entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)

was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV m m m m m m m m mDid the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If "Yes," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"

complete Schedule N, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid 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 m m m m m m m m m m m m m m m m m m m m mWas the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III,

or IV, and Part V, line 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mab

Did the organization have a controlled entity within the meaning of section 512(b)(13)? m m m m m m m m m m m m m mIf "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a

controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 m m m m m mSection 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 m m m m m m m m m m m m m m m m m m m m m m m m m m mDid 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 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m mDid the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and

19? Note. All Form 990 filers are required to complete Schedule O m m m m m m m m m m m m m m m m m m m m m m m m mForm 990 (2012)

JSA

2E1030 1.000


X

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X

X

XX

X

X

X

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X X

X

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X

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule O contains a response to any question in this Part V

Part V m m m m m m m m m m m m m m m m m m m m m m mYes No

1a1b

2a

7d

1

2

3

4

5

6

7

8

9

10

11

12

13

14

abc

a

b

aba

b

abca

b

a

bc

defgh

ab

ab

ab

ab

a

b

cab

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable m m m m m m m m m mEnter the number of Forms W-2G included in line 1a. Enter -0- if not applicable m m m m m m m m mDid the organization comply with backup withholding rules for reportable payments to vendors and

reportable gaming (gambling) winnings to prize winners? 1c

2b

3a3b

4a

5a5b5c

6a

6b

7a7b

7c

7e7f7g7h

8

9a9b

12a

13a

14a14b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mEnter 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 mIf at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) m m m m m m mDid the organization have unrelated business gross income of $1,000 or more during the year? m m m m m m m m m mIf "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule O m m m m m m m m m m m m mAt 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)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIIf “Yes,” enter the name of the foreign country:

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? m m m m m m m mDid any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes" to line 5a or 5b, did the organization file Form 8886-T? m m m m m m m m m m m m m m m m m m m m m m m m m m m mDoes 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 as charitable contributions? m m m m m m m m m m mIf "Yes," did the organization include with every solicitation an express statement that such contributions or

gifts were not tax deductible? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mOrganizations that may receive deductible contributions under section 170(c).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? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization notify the donor of the value of the goods or services provided? m m m m m m m m m m m mDid the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," indicate the number of Forms 8282 filed during the year m m m m m m m m m m m m m m m mDid the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? m m mDid the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? m m mIf the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supportingorganizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring

organization, have excess business holdings at any time during the year? m m m m m m m m m m m m m m m m m m m m m m mSponsoring organizations maintaining donor advised funds.Did the organization make any taxable distributions under section 4966?

Did the organization make a distribution to a donor, donor advisor, or related person?

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m

10a10b

11a

11b

12b

13b13c

m m m m m m m m m m m m m mm m m m

m m m m m m m m m m m m m m m m m m m m m m m m m mGross income from other sources (Do not net amounts due or paid to other sources

against amounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m mSection 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

If "Yes," enter the amount of tax-exempt interest received or accrued during the year m m m m mSection 501(c)(29) qualified nonprofit health insurance issuers.Is the organization licensed to issue qualified health plans in more than one state? m m m m m m m m m m m m m m m m m mNote. See the instructions for additional information the organization must report on Schedule O.

Enter the amount of reserves the organization is required to maintain by the states in which

the organization is licensed to issue qualified health plans m m m m m m m m m m m m m m m m m m m mEnter the amount of reserves on hand m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization receive any payments for indoor tanning services during the tax year? m m m m m m m m m m m m mIf "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O m m m m m m

JSAForm 990 (2012)2E1040 1.000


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87855E 1385 V 12-7F GROUP

Page 5

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* AMOUNT REPRESENTS TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 FOR ALL AFFILIATES. EMPLOYEES ARE EMPLOYED AND PAID AT THE AFFILIATE LEVEL. SALARY EXPENSE REPORTED ON PART IX IS PAID FROM THE AFFILIATES.

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Form 990 (2012) Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No"response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Part VI

m m m m m m m m m m m m m m m m m m m m m m m m m mCheck if Schedule O contains a response to any question in this Part VI

Section A. Governing Body and ManagementYes No

1a

1b

m m m m m m m m m m m1

2

3

4567

8

a

b

a

b

ab

Enter the number of voting members of the governing body at the end of the tax year.

If there are material differences in voting rights among members of the governing body, or if the governing

body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent m m m m m m2

3456

7a

7b

8a8b

9

10a

10b11a

12a

12b

12c1314

15a15b

16a

16b

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with

any other officer, director, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid 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? m m mDid the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization's assets?

Did the organization have members or stockholders?

m m m m m m mm m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have members, stockholders, or other persons who had the power to elect or appoint

one or more members of the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAre any governance decisions of the organization reserved to (or subject to approval by) members,

stockholders, or persons other than the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization contemporaneously document the meetings held or written actions undertaken during

the year by the following:

The governing body?

Each committee with authority to act on behalf of the governing body?

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m

9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached atthe organization's mailing address? If "Yes," provide the names and addresses in Schedule O m m m m m m m m m m m m

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)Yes No

10

11

12

131415

16

ab

abab

c

ab

a

b

Did the organization have local chapters, branches, or affiliates? m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? m m m mHas the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? m mDescribe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? If "No," go to line 13 m m m m m m m m m m m m m m m m mWere officers, directors, or trustees, and key employees required to disclose annually interests that could give

rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule O how this was done m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have a written whistleblower policy?

Did the organization have a written document retention and destruction policy?

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m

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?

The organization's CEO, Executive Director, or top management official

Other officers or key employees of the organization

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity during the year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements? m m m m m m m m m m m m m m m m m m m m m m m m m m

Section C. DisclosureI17

18

19

20

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy,

and financial statements available to the public during the tax year.

State the name, physical address, and telephone number of the person who possesses the books and records of the

Iorganization:JSA Form 990 (2012)

2E1042 1.000


X

1,267

1,264

X

XX X X

X

X

XX

X

X

X

X

X

XXX

XX

X

ATTACHMENT 1

X X

MARK NADOLNY, CFO 5005 LBJ FREEWAY, SUITE 250 DALLAS, TX 75244-6125 972-855-1600

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, andIndependent Contractors

Part VII

Check if Schedule O contains a response to any question in this Part VII m m m m m m m m m m m m m m m m m m m mSection A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year.

% List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

%%

List all of the organization's current key employees, if any. 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 theorganization 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 theorganization, 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; highestcompensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(C)Position

(do not check more than one

box, unless person is both an

officer and a director/trustee)

(A) (B) (D) (E) (F)Name and Title Average

hours per

week (list any

hours for

related

organizations

below dotted

line)

Reportable

compensation

from

the

organization

(W-2/1099-MISC)

Reportable

compensation from

related

organizations

(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

Ind

ividu

al tru

stee

or d

irecto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

Form 990 (2012)JSA

2E1041 1.000


SEE ATTACHMENT 2A FOR PART VIIX X 12,000. 0 0

DARA RICHARDSON-HERON 55.00CEO - GREATER NYC (THRU 8/12) 0 X 136,230. 0 0JACQUELINE SAM 45.00DIR-FIN & ADMIN - GTR NYC 0 X 135,563. 0 8,641.MICHELE OSTRANDER 50.00EXEC. DIRECTOR - DENVER METRO 0 X 145,800. 0 0CHERYL SHAW 50.00EXEC. DIRECTOR - PUGET SOUND 0 X 137,970. 0 16,700.BOBBI MEYERS (4/1/12-11/8/12) 50.00EXEC. DIRECTOR - MIAMI 0 X 149,836. 0 0ROBIN PROTHRO 60.00CEO - MARYLAND 0 X 143,222. 0 0

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII

(A) (B) (C) (D) (E) (F)Estimated

amount of

other

compensation

from the

organization

and related

organizations

Name and title Average

hours per

week (list any

hours for

related

organizations

below dotted

line)

Position

(do not check more than one

box, unless person is both an

officer and a director/trustee)

Reportablecompensation

fromthe

organization(W-2/1099-MISC)

Reportablecompensation from

relatedorganizations

(W-2/1099-MISC)

Ind

ividu

al tru

stee

or d

irecto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m I1b Sub-totalm m m m m m m m m m m m m Ic Total from continuation sheets to Part VII, Section Am m m m m m m m m m m m m m m m m m m m m m m m m m m m Id Total (add lines 1b and 1c)

2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofreportable compensation from the organization I

Yes No3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated

employee on line 1a? If "Yes," complete Schedule J for such individual 3m m m m m m m m m m m m m m m m m m m m m m m m m m4 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 J for suchindividual 4m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If “Yes,” complete Schedule J for such person 5m m m m m m m m m m m m m m m m

Section B. Independent Contractors1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of

compensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A)Name and business address

(B)Description of services

(C)Compensation

2 Total number of independent contractors (including but not limited to those listed above) who receivedmore than $100,000 in compensation from the organization I

JSA Form 990 (2012)2E1055 3.000


860,621. 0 25,341.0 0 0

860,621. 0 25,341.

27

X

X

X

ATTACHMENT 2

4

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Statement of Revenue Part VIII Check if Schedule O contains a response to any question in this Part VIII

(C)Unrelatedbusinessrevenue

m m m m m m m m m m m m m m m m m m m m m m m m m(B)

Related orexemptfunctionrevenue

(D)Revenue

excluded from taxunder sections

512, 513, or 514

(A)Total revenue

1a1b1c1d1e

1f

1abcdef

g

2abcdef

6abc

b

c

8a

b

9a

b

10a

b

11abcde

Federated campaigns

Membership dues

Fundraising events

Related organizations

Government grants (contributions)

All other contributions, gifts, grants,

and similar amounts not included above

Noncash contributions included in lines 1a-1f:

m m m m m m m mm m m m m m m m mm m m m m m m m m

m m m m m m m mm m

m$

Con

trib

utio

ns, G

ifts,

Gra

nts

and

Oth

er S

imila

r Am

ount

s

Ih Total. Add lines 1a-1f m m m m m m m m m m m m m m m m m m mBusiness Code

All other program service revenue m m m m mIg Total. Add lines 2a-2fP

rogr

am S

ervi

ce R

even

ue

m m m m m m m m m m m m m m m m m m m3

45

Investment income (including dividends, interest, and

other similar amounts)

Income from investment of tax-exempt bond proceeds

Royalties

III

I

I

I

I

I

m m m m m m m m m m m m m m m m m m mm m mm m m m m m m m m m m m m m m m m m m m m m m m m

(i) Real (ii) Personal

Gross rents

Less: rental expenses

Rental income or (loss)

m m m m m m m mm m m

m md Net rental income or (loss) m m m m m m m m m m m m m m m m m

(i) Securities (ii) Other7a Gross amount from sales of

assets other than inventory

Less: cost or other basis

and sales expenses

Gain or (loss)

m m m mm m m m m m m

d Net gain or (loss) m m m m m m m m m m m m m m m m m m m m mGross income from fundraising

events (not including $

of contributions reported on line 1c).

See Part IV, line 18

Less: direct expenses

m m m m m m m m m m m ab

ab

ab

m m m m m m m m m mc Net income or (loss) from fundraising events m m m m m m m mO

ther

Rev

enue

Gross income from gaming activities.

See Part IV, line 19 m m m m m m m m m m mLess: direct expenses m m m m m m m m m m

c Net income or (loss) from gaming activities m m m m m m m m mGross sales of inventory, less

returns and allowances m m m m m m m m mLess: cost of goods sold m m m m m m m m m

c Net income or (loss) from sales of inventory m m m m m m m m mMiscellaneous Revenue Business Code

All other revenue

Total. Add lines 11a-11d

m m m m m m m m m m m m mIm m m m m m m m m m m m m m m m mI12 Total revenue. See instructions m m m m m m m m m m m m m m

Form 990 (2012)JSA

2E1051 1.000


521,059.

76,404,233.

39,683,906.

9,130,438.

116,609,198.

MISSION RELATED REVENUE 900099 129,084. 129,084.

129,084.

287,482. 287,482.

0

423,747. 423,747.

0

10.

15,064.

-15,054.

-15,054. -15,054.

76,404,233.

37,300,224.

12,085,482.

25,214,742. 25,214,742.

195,575.

10,067.

185,508. 185,508.

989,039.

508,304.

480,735. 480,735.

INTERCOMPANY REVENUE 900099 5,189,398. 5,189,398.

5,189,398.

148,504,840. 609,819. 31,285,823.

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Statement of Functional Expenses Part IX

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a response to any question in this Part IX m m m m m m m m m m m m m m m m m m m m m m m m m m(A) (B) (C) (D)Do not include amounts reported on lines 6b, 7b,

8b, 9b, and 10b of Part VIII.Total expenses Program service

expensesManagement andgeneral expenses

Fundraisingexpenses

Grants and other assistance to governments and

organizations in the United States. See Part IV, line 21

1 mGrants and other assistance to individuals in

the United States. See Part IV, line 22

2 m m m m m m3 Grants and other assistance to governments,

organizations, and individuals outside the

United States. See Part IV, lines 15 and 16 m m m mBenefits paid to or for members4 m m m m m m m m m

5 Compensation of current officers, directors,

trustees, and key employees m m m m m m m m m m6 Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B) m m m m m mOther salaries and wages7 m m m m m m m m m m m m

8 Pension plan accruals and contributions (include section

401(k) and 403(b) employer contributions) m m m m m m9 Other employee benefits

Payroll taxes

Fees for services (non-employees):

Management

Legal

Accounting

Lobbying

m m m m m m m m m m m m1011

m m m m m m m m m m m m m m m m m m

12131415161718

192021222324

abcdefg

m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m mProfessional fundraising services. See Part IV, line 17

Investment management fees m m m m m m m m mOther. (If line 11g amount exceeds 10% of line 25, column

(A) amount, list line 11g expenses on Schedule O.) m m m m m mAdvertising and promotion

Office expenses

Information technology

m m m m m m m m m m mm m m m m m m m m m m m m m m mm m m m m m m m m m m m m

Royalties

Occupancy

Travel

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m mPayments of travel or entertainment expenses

for any federal, state, or local public officials

Conferences, conventions, and meetings

Interest

Payments to affiliates

Depreciation, depletion, and amortization

Insurance

m m m mm m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m mm m m m

m m m m m m m m m m m m m m m m m m mOther expenses. Itemize expenses not covered

above (List miscellaneous expenses in line 24e. If

line 24e amount exceeds 10% of line 25, column

(A) amount, list line 24e expenses on Schedule O.)

abcde All other expenses

25 Total functional expenses. Add lines 1 through 24e

26 Joint costs. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign and

Ifundraising solicitation. Check here iffollowing SOP 98-2 (ASC 958-720) m m m m m m m

JSA Form 990 (2012)2E1052 1.000


X

76,412,774. 76,412,774.

22,989. 22,989.

00

148,230. 118,584. 8,894. 20,752.

025,035,654. 16,577,844. 5,141,269. 3,316,541.

292,442. 208,110. 35,598. 48,734.1,765,444. 1,108,477. 443,953. 213,014.2,060,041. 1,358,871. 424,267. 276,903.

07,239. 3,752. 3,221. 266.

109,617. 28,493. 76,477. 4,647.140,781. 140,781.177,293. 177,293.

0

1,370,271. 906,843. 268,126. 195,302.2,558,140. 2,043,142. 162,709. 352,289.

10,402,948. 5,329,545. 1,422,111. 3,651,292.00

2,773,716. 1,689,039. 859,157. 225,520.1,012,079. 668,489. 230,052. 113,538.

0326,802. 259,385. 25,379. 42,038.

2,883. 205. 2,644. 34.25,964,111. 25,964,111.

155,983. 34,396. 68,338. 53,249.10,155. 5,338. 3,751. 1,066.

CONSULTING & PROF SERVICES 2,422,614. 1,632,283. 330,406. 459,925.RACE PRODUCTION 5,987,165. 4,421,191. 36,875. 1,529,099.FOOD AND BEVERAGE 958,806. 697,341. 119,648. 141,817.GIFTS AND RECOGNITION 592,222. 245,916. 100,438. 245,868.

578,457. 327,800. 207,839. 42,818.161,288,856. 140,205,699. 9,971,152. 11,112,005.

X19,561,964. 13,430,677. 6,131,287.

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Balance SheetPart X

Check if Schedule O contains a response to any question in this Part X m m m m m m m m m m m m m m m m m m m m m(A)

Beginning of year(B)

End of year

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable, net

12345

1234

5

6789

10c1112131415161718192021

222324

2526

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m

Loans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees.

Complete Part II of Schedule L m m m m m m m m m m m m m m m m m m m m m m m m mLoans and other receivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employersand sponsoring organizations of section 501(c)(9) voluntary employees' beneficiaryorganizations (see instructions). Complete Part II of Schedule L

6

m m m m m m m m m m mNotes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

789

m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m10a10b

10

111213141516171819202122

232425

26

a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D

Less: accumulated depreciationbInvestments - publicly traded securities

Investments - other securities. See Part IV, line 11

Investments - program-related. See Part IV, line 11

Intangible assets

Other assets. See Part IV, line 11

Total assets. Add lines 1 through 15 (must equal line 34)

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m

m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m

Ass

ets

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

Escrow or custodial account liability. Complete Part IV of Schedule D m m m mLoans and other payables to current and former officers, directors,

trustees, key employees, highest compensated employees, and

disqualified persons. Complete Part II of Schedule LLiab

ilitie

s

m m m m m m m m m m m m m mSecured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable to unrelated third partiesm m m m m m m

m m m m m m m m mOther liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete Part X

of Schedule D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI

Total liabilities. Add lines 17 through 25 m m m m m m m m m m m m m m m m m m m mandOrganizations that follow SFAS 117 (ASC 958), check here

complete lines 27 through 29, and lines 33 and 34.272829

3031323334

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building, or equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances

Total liabilities and net assets/fund balances

272829

3031323334

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m

Im m m m m m m m m m m m m m m m m m m m m m m m

Organizations that do not follow SFAS 117 (ASC 958), check herecomplete lines 30 through 34.

and

m m m m m m m m m m m m m m m mm m m m m m m m

m m m m

Net

Ass

ets

or F

und

Bal

ance

s

m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m mForm 990 (2012)

JSA

2E1053 1.000


22,905. 23,824.134,079,514. 110,307,188.28,703,050. 23,326,561.

0 0

0 0

0 00 0

139,882. 155,638.523,612. 429,435.

1,983,646.1,580,750. 476,095. 402,896.

18,297,500. 14,087,310.0 00 00 0

131,442. 8,514,470.182,374,000. 157,247,322.

1,780,245. 1,946,765.85,111,273. 71,744,697.2,071,550. 2,471,935.

0 00 0

0 00 00 0

10,726,176. 9,208,907.99,689,244. 85,372,304.

X

56,680,745. 42,160,844.26,004,011. 29,714,174.

0 0

82,684,756. 71,875,018.182,374,000. 157,247,322.

87855E 1385 V 12-7.10 GROUP

Form 990 (2012) Reconciliation of Net Assets Part XI Check if Schedule O contains a response to any question in this Part XI m m m m m m m m m m m m m m m m m m

123456789

10

123456789

10

Total revenue (must equal Part VIII, column (A), line 12)

Total expenses (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 2 from line 1

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

Other changes in net assets or fund balances (explain in Schedule O)

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m mNet assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line33, column (B)) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Financial Statements and Reporting Part XII Check if Schedule O contains a response to any question in this Part XII m m m m m m m m m m m m m m m m m

Yes No1

2

Accounting method used to prepare the Form 990: Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked "Other," explain in

Schedule O.

a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a

2b

2c

3a

3b

m m m m m mIf "Yes," check a box below to indicate whether the financial statements for the year were compiled or

reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

b

c

a

b

Were the organization's financial statements audited by an independent accountant? m m m m m m m m m m m m m mIf "Yes," check a box below to indicate whether the financial statements for the year were audited on aseparate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

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?

If the organization changed either its oversight process or selection process during the tax year, explain in

Schedule O.

3 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 A-133? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization undergo the required audit or audits? If the organization did not undergo therequired audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits

Form 990 (2012)

JSA

2E1054 1.000


X148,504,840.161,288,856.-12,784,016.82,684,756.

33,340.-1,690,888.

00

3,631,826.

71,875,018.

X

X

X

X

X

X

87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047SCHEDULE A Public Charity Status and Public Support(Form 990 or 990-EZ)Complete if the organization is a section 501(c)(3) organization or a section

4947(a)(1) nonexempt charitable trust.À¾µ¶

Department of the Treasury Open to Public Inspection I IAttach to Form 990 or Form 990-EZ. See separate instructions.Internal Revenue Service

Name of the organization Employer identification number

Reason for Public Charity Status (All organizations must complete this part.) See instructions. Part I The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

1234

5

67

89

1011

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3 % of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331/3% of its

support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the

purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

a Type I b Type II c Type III-Functionally integrated d Type III-Non-functionally integrated

e

f

g

h

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified

persons other than foundation managers and other than one or more publicly supported organizations described in section

509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting

organization, check this box m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSince August 17, 2006, has the organization accepted any gift or contribution from any of the

following persons?Yes No(i)

(ii)(iii)

A person who directly or indirectly controls, either alone or together with persons described in (ii)

and (iii) below, the governing body of the supported organization? 11g(i)

11g(ii)

11g(iii)

m m m m m m m m m m m m m m m m m m m m mA family member of a person described in (i) above?

A 35% controlled entity of a person described in (i) or (ii) above?m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m mProvide the following information about the supported organization(s).

(i) Name of supportedorganization

(ii) EIN (iii) Type of organization(described on lines 1-9above or IRC section(see instructions))

(iv) Is theorganization incol. (i) listed inyour governing

document?

(v) Did you notifythe organization

in col. (i) ofyour support?

(vi) Is theorganization in

col. (i) organizedin the U.S.?

(vii) Amount of monetarysupport

Yes No Yes No Yes No

(A)

(B)

(C)

(D)

(E)

TotalFor Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Schedule A (Form 990 or 990-EZ) 2012

JSA

2E1210 1.000


X

87855E 1385 V 12-7.10 GROUP

Schedule A (Form 990 or 990-EZ) 2012 Page 2Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underPart III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Part II

Section A. Public Support(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, andmembership fees received. (Do notinclude any "unusual grants.") m m m m m m

2 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalf m m m m m m m

3 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge m m m m m m m

4 Total. Add lines 1 through 3 m m m m m m m5 The portion of total contributions by

each person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of the amountshown on line 11, column (f) m m m m m m m

6 Public support. Subtract line 5 from line 4.

Section B. Total Support(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) TotalICalendar year (or fiscal year beginning in)

7 Amounts from line 4 m m m m m m m m m m8 Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsources m m m m m m m m m m m m m m m m m

9 Net income from unrelated businessactivities, whether or not the businessis regularly carried on m m m m m m m m m m

10 Other income. Do not include gain orloss from the sale of capital assets(Explain in Part IV.) m m m m m m m m m m m

11 Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions)

m m12

1415

12 m m m m m m m m m m m m m m m m m m m m m m m m m m13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

I

II

I

II

organization, check this box and stop here m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection C. Computation of Public Support Percentage

%

%

14 Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2011 Schedule A, Part II, line 14

m m m m m m m m15 m m m m m m m m m m m m m m m m m m m16a 33 1/3 % support test - 2012. If the organization did not check the box on line 13, and line 14 is 331/3 % or more, check

this box and stop here. The organization qualifies as a publicly supported organization m m m m m m m m m m m m m m m m m m m mb 33 1/3 % support test - 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3 % or more,

check this box and stop here. The organization qualifies as a publicly supported organization m m m m m m m m m m m m m m m m m17a 10%-facts-and-circumstances test - 2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is

10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in

Part IV how the organization meets the "facts-and-circumstances” test. The organization qualifies as a publicly supported

organization m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb 10%-facts-and-circumstances test - 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line

15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly

supported organization m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see

instructions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSchedule A (Form 990 or 990-EZ) 2012

JSA

2E1220 1.000


139,225,891. 137,784,139. 145,170,788. 141,884,451. 116,609,198. 680,674,467.

0

0

139,225,891. 137,784,139. 145,170,788. 141,884,451. 116,609,198. 680,674,467.

36,521,888.

644,152,579.

139,225,891. 137,784,139. 145,170,788. 141,884,451. 116,609,198. 680,674,467.

1,920,816. 935,902. 812,504. 794,412. 711,229. 5,174,863.

0 0 0 0

33,526. 8,812. 42,338.ATCH 1685,891,668.

230,549,718.

93.9193.71

X

87855E 1385 V 12-7.10 GROUP

Schedule A (Form 990 or 990-EZ) 2012 Page 3Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.If the organization fails to qualify under the tests listed below, please complete Part II.)

Part III

Section A. Public Support(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, and membership fees

received. (Do not include any "unusual grants.")

2 Gross receipts from admissions, merchandise

sold or services performed, or facilities

furnished in any activity that is related to the

organization's tax-exempt purpose m m m m m m3 Gross receipts from activities that are not an

unrelated trade or business under section 513 m4 Tax revenues levied for the

organization's benefit and either paid

to or expended on its behalf m m m m m m m5 The value of services or facilities

furnished by a governmental unit to the

organization without charge m m m m m m m6 Total. Add lines 1 through 5 m m m m m m m7a Amounts included on lines 1, 2, and 3

received from disqualified persons m m m mb Amounts included on lines 2 and 3

received from other than disqualified

persons that exceed the greater of $5,000

or 1% of the amount on line 13 for the year

c Add lines 7a and 7b m m m m m m m m m m m8 Public support (Subtract line 7c from

line 6.) m m m m m m m m m m m m m m m m mSection B. Total Support

(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) TotalICalendar year (or fiscal year beginning in)9 Amounts from line 6 m m m m m m m m m m m

10 a Gross income from interest, dividends,payments received on securities loans,rents, royalties and income from similarsources m m m m m m m m m m m m m m m m m

b Unrelated business taxable income (less

section 511 taxes) from businesses

acquired after June 30, 1975 m m m m m mc Add lines 10a and 10b m m m m m m m m m

11 Net income from unrelated businessactivities not included in line 10b,whether or not the business is regularlycarried on m m m m m m m m m m m m m m m

12 Other income. Do not include gain or

loss from the sale of capital assets

(Explain in Part IV.) m m m m m m m m m m m13 Total support. (Add lines 9, 10c, 11,

and 12.) m m m m m m m m m m m m m m m m14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and stop here Im m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection C. Computation of Public Support Percentage1516

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2011 Schedule A, Part III, line 15

1516

1718

%

%

%

%

m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m mSection D. Computation of Investment Income Percentage171819

20

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from 2011 Schedule A, Part III, line 17

m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

a

b

33 1/3 % support tests - 2012. If the organization did not check the box on line 14, and line 15 is more than 331/3 %, and line

I17 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

33 1/3 % support tests - 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3 %, and

Iline 18 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

IPrivate foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructionsJSA Schedule A (Form 990 or 990-EZ) 2012

2E1221 1.000


87855E 1385 V 12-7.10 GROUP

Schedule A (Form 990 or 990-EZ) 2012 Page 4Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (Seeinstructions).

Part IV

Schedule A (Form 990 or 990-EZ) 2012JSA

2E1225 1.000


ATTACHMENT 1SCHEDULE A, PART II - OTHER INCOME

DESCRIPTION 2008 2009 2010 2011 2012 TOTAL

OTHER REVENUE 33,526. 8,812. 42,338.

TOTALS 33,526. 8,812. 42,338.

87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047Schedule B Schedule of Contributors

À¾µ¶(Form 990, 990-EZ,or 990-PF) IDepartment of the TreasuryInternal Revenue Service

Attach to Form 990, Form 990-EZ, or Form 990-PF.


Organization type (check one):

Filers of:

Form 990 or 990-EZ

Section:

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Form 990-PF

Check if your organization is covered by the General Rule or a Special Rule.Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See

instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations

under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of

the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1.

Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,

during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary,

or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,

during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did

not total to more than $1,000. If this box is checked, enter here the total contributions that were received during the

year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Ruleapplies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or

more during the year I $m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mCaution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,

990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2 of its Form 990; or check the box on line H of its Form 990-EZ or on

Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

JSA

2E1251 1.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP75-2462834

X 3

X

87855E 1385 V 12-7.10 GROUP

Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page 2Name of organization Employer identification number

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. Part I

(a)No.

(b)Name, address, and ZIP + 4

(c)Total contributions

(d)Type of contribution

PersonPayrollNoncash$

(Complete Part II if there isa noncash contribution.)

(a)No.






(a)No.






(a)No.






(a)No.






(a)No.






Schedule B (Form 990, 990-EZ, or 990-PF) (2012)JSA

2E1253 1.000


1 CONTRIBUTIONS OVER 2% - SEE ATTACHMENT 3 X

17,947,157.

2 NONCASH CONTRIB OVER 2%-SEE ATTACHMENT 3 X

4,035,885. X

87855E 1385 V 12-7.10 GROUP


Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. Part II

(a) No.fromPart I

(c)FMV (or estimate)(see instructions)

(b)Description of noncash property given

(d)Date received

$

(a) No.fromPart I



(d)Date received

$

(a) No.fromPart I



(d)Date received

$

(a) No.fromPart I



(d)Date received

$

(a) No.fromPart I



(d)Date received

$

(a) No.fromPart I



(d)Date received

$


2E1254 1.000


VARIOUS ITEMS - SEE ATTACHMENT 32

4,035,885. VARIOUS

87855E 1385 V 12-7.10 GROUP


Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizationsthat total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.

Part III

For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,contributions of $1,000 or less for the year. (Enter this information once. See instructions.) I $Use duplicate copies of Part III if additional space is needed.

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I




(a) No.fromPart I




(a) No.fromPart I





2E1255 1.000


87855E 1385 V 12-7.10 GROUP

SUSAN G. KOMEN BREAST CANCER FOUNDATION - GROUP NOT FOR PUBLIC DISCLOSURE EIN # 75-2462834YEAR ENDED MARCH 31, 2013 2012 FORM 990SCHEDULE B, PART I and II

Contributor Name Street Address City State ZipContribution

AmountCash or

Non-cashDate of Non-

cashFMV of Non-

cash Non-cash property description

Acadiana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -5,000 Noncash 2/25/13 5,000 Food & Beverage

10,000 Cash - - -10,000 Cash - - -5,000 Cash - - -5,000 Cash - - -5,047 Cash - - -5,000 Cash - - -

The Arkansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.2,500 Cash - - -

60,000 Noncash 7/16/12 60,000 Mascara50,000 Cash - - -35,000 Cash - - -

The Aspen Chapter of the Susan G. Komen Breast Cancer Foundation20,000 Cash - - -8,000 Cash - - -

Austin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.75,000 Cash - - -50,149 Cash - - -44,966 Cash - - -5,000 Cash - - -

28,080 Noncash Various 28,080 Venue Expenses, Tent, Medical experts

Baton Rouge Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.37,500 Cash - - -5,000 Cash - - -8,750 Noncash Various 8,750 FOOD, TENTS, TABLES, WATER

10,000 Noncash 3/31/13 10,000 Coffee

Bayou Region Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -

200 Noncash 10/1/12 200 Food and beverage8,243 Cash - - -

10,000 Noncash 10/1/12 10,000 Food and beverage6,765 Cash - - -5,047 Cash - - -5,000 Cash - - -5,000 Cash - - -

Boise, Idaho Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 65,585 Cash - - -30,000 Cash - - -5,000 Noncash 1/27/13 5,000 Gifts

35,000 Cash - - -5,000 Cash - - -7,800 Noncash 2/12/13 7,800 Bagels & Fruit

30,000 Cash - - -14,298 Cash - - -12,290 Noncash 3/8/13 12,290 Coffee

Central and South Jersey Affiliate of Susan G. Komen Breast Cancer Foundation, Inc.126,856 Cash - - -50,000 Cash - - -50,000 Cash - - -

Central Oklahoma Chapter of the Komen Foundation, Inc.40,000 Cash - - -20,000 Cash - - -19,350 Cash - - -10,000 Noncash 6/15/12 10,000 food, goodie bags25,000 Cash - - -

Page 1 of 14 ATTACHMENT 3



AmountCash or


cashFMV of Non-

cash Non-cash property description15,000 Cash - - -7,000 Noncash 10/3/12 7,000 food

20,000 Cash - - -

Central Florida Affiliate of the Susan G. Komen Breast Cancer Foundation2,500 Cash - - -

24,760 Noncash 10/16/12 24,760 WATER, JUICE & GRANOLA BARS FOR RACE15,000 Cash - - -

Central Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation51,109 Cash - - -5,000 Noncash 11/15/12 5,000 Food and Beverage 5,000 Cash - - -5,000 Cash - - -5,000 Cash - - -5,000 Cash - - -5,000 Cash - - -

Central Mississippi Steel Magnolias Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.20,000 Cash - - -10,000 Noncash 2/4/13 10,000 FOOD AND BEVERAGE5,837 Cash - - -8,000 Cash - - -

Central New Mexico Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -

125,000 Cash - - -25,000 Cash - - -20,000 Cash - - -24,180 Cash - - -15,000 Cash - - -12,280 Cash - - -

Central New York Affiliate of the Susan G. Komen Breast Cancer Foundation124,500 Cash - - -25,000 Cash

Central Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -10,000 Noncash 5/31/12 10,000 BEVERAGES15,000 Cash - - -10,115 Noncash 8/16/12 10,115 Food5,000 Cash - - -

- - -Central Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.

25,365 Cash - - -20,748 Cash - - -10,866 Cash - - -10,000 Cash - - -10,000 Cash - - -10,000 Cash - - -10,000 Cash - - -

Central Wisconsin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.35,000 Cash - - -25,948 Noncash 6/12/12 25,948 Gifts5,000 Cash - - -5,000 Cash - - -5,000 Cash - - -5,000 Cash - - -5,000 Cash - - -

Charlotte Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.45,000 Cash - - -40,928 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description38,000 Noncash 6/26/12 38,000 Water

Chattanooga Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,000 Cash - - -20,000 Cash - - -10,000 Cash - - -2,000 Noncash 6/15/12 2,000 Bagels

The Chicagoland Area Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.160,000 Cash - - -

5,000 Noncash Various 5,000 Bags120,000 Cash - - -40,000 Noncash VARIOUS 40,000 Food

130,000 Cash - - -124,588 Cash - - -

4,000 Noncash Various 4,000 Beverages60,360 Cash - - -

Colorado Springs Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.11,500 Cash - - -20,059 Cash - - -50,000 Cash - - -11,000 Noncash VARIOUS 11,000 Food13,295 Noncash 9/9/12 13,295 Food8,840 Cash - - -1,080 Noncash VARIOUS 1,080 GIFT CERTIFICATES

16,200 Cash - - -

Columbus Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -35,752 Noncash 3/20/13 35,752 food and giftcards20,000 Cash - - -40,000 Cash - - -

100,000 Cash - - -27,436 Cash - - -23,064 Noncash Various 23,064 GIFT BAGS, GIFT BASKETS30,000 Noncash 8/3/12 30,000 COFFEE COUPONS60,000 Cash - - -48,500 Cash - - -41,497 Noncash 5/19/12 41,497 Food

Connecticut Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.95,000 Cash - - -48,000 Cash - - -

Dallas County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.63,539 Cash - - -74,873 Cash - - -

100,177 Cash - - -5,150 Noncash 1/14/13 5,150 Products, gifts

100,000 Cash - - -

The Denver Metropolitan Affiliate of Susan G. Komen Breast Cancer Foundation235,000 Cash - - -166,274 Cash - - -

510 Noncash 10/12/12 510 TICKETS TO BOTANIC GARDENS90,000 Cash - - -7,709 Cash - - -

66,510 Noncash Various 66,510 Survivor gifts, fundraiser gifts, Rafe NY Karolina Flat Clutch

The Des Moines Chapter of the Susan G. Komen Breast Cancer Foundation19,792 Cash - - -21,618 Cash - - -20,000 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description31,862 Cash - - -12,410 Cash - - -

Eastern Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.21,460 Noncash Various 21,460 Water cups for race30,000 Noncash Various 30,000 Coffee for Race1,500 Cash - - -

30,000 Noncash Various 30,000 Charms for Survivors65,585 Cash - - -15,000 Cash - - -11,600 Cash - - -11,000 Cash - - -

Elmira Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 14,606 Cash - - -10,000 Cash - - -5,000 Cash - - -5,000 Cash - - -

El Paso Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.20,000 Cash - - -7,500 Cash - - -

10,000 Cash - - -15,000 Cash - - -14,500 Noncash 3/26/13 14,500 Gifts15,315 Cash - - -1,100 Cash - - -8,600 Noncash 12/10/12 8,600 Food and Medals for Race

Florida Suncoast Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.24,500 Cash - - -20,733 Cash - - -

Grand Rapids Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -18,180 Cash - - -11,500 Cash - - -5,000 Noncash 5/31/12 5,000 Trucks, lifts, ice, water, skids

10,001 Cash - - -10,000 Cash - - -10,000 Noncash 9/21/12 10,000 Custard10,000 Noncash 5/23/12 10,000 Bagels, coffee, breakfast8,000 Cash - - -

Greater Amarillo Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -7,500 Cash - - -6,500 Cash - - -

The Greater Atlanta Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.521,900 Cash - - -386,662 Cash - - -180,000 Cash - - -76,000 Cash - - -62,817 Cash - - -

Greater Cincinnati Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.192,955 Cash - - -28,980 Cash - - -40,000 Cash - - -43,530 Cash - - -

Greater Evansville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,000 Cash - - -15,000 Cash - - -15,000 Cash - - -12,500 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description

Greater Lansing Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.48,870 Cash - - -30,000 Cash - - -25,000 Cash - - -22,500 Noncash 3/5/12 22,500 WATER9,268 Noncash 8/4/12 9,268 GIFT AND SPA CERTIFICATES8,859 Cash - - -

18,005 Noncash VARIOUS 18,005 chocolate milk, ice, onsite staff16,000 Cash - - -15,270 Noncash 3/5/13 15,270 Gift cards, jackets, bibs, socks, store space,

packet, pickup trucks

The Greater Nashville Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.152,514 Cash - - -66,500 Cash - - -1,000 Noncash 2/15/13 1,000 Water

31,500 Noncash 7/13/12 31,500 COFFEE, HOT CHOCOLATE, GIFT CARDS25,263 Cash - - -

Greater New York City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.201,491 Cash - - -311,124 Cash - - -85,000 Noncash 6/20/12 85,000 Aquafina and Addl Products40,000 Cash - - -

Greater Richmond, Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.41,320 Cash - - -30,000 Cash - - -29,365 Cash - - -20,117 Cash - - -19,943 Cash - - -17,145 Cash - - -

Greater Roanoke Valley Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.47,985 Cash - - -

100,000 Noncash 3/31/13 100,000 GIFT - LIP SHIMMER20,000 Cash - - -62,461 Cash - - -15,540 Noncash 3/31/13 15,540 Food

Hawaii Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.25,000 Noncash 6/25/12 25,000 food and water20,000 Cash - - -10,000 Noncash 7/16/12 10,000 PASSES, MEMBERSHIPS TO CLUB10,000 Cash

Houston Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 192,797 Cash - - -160,000 Cash - - -119,000 Noncash 6/7/12 119,000 Gifts20,000 Cash - - -95,000 Cash - - -

Indianapolis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.25,000 Noncash 4/11/12 25,000 Food 50,000 Cash - - -50,000 Noncash Various 50,000 Coffee50,000 Cash - - -40,000 Cash - - -10,000 Noncash 3/13/2013 10,000 GIFT BASKETS AND LOTTO TICKETS

Inland Empire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,000 Cash - - -11,257 Noncash 8/20/12 11,257 Food45,000 Noncash 6/5/12 45,000 Gift cards30,000 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description27,992 Noncash 6/4/12 27,992 GYM MEMBERSHIPS25,000 Cash - - -22,500 Noncash 6/4/12 22,500 Gift cards22,500 Cash 21,600 Noncash 7/18/12 21,600 Gift cards12,252 Cash - - -8,100 Noncash Various 8,100 Food

21,377 Cash - - -30,876 Cash - - -27,474 Cash - - -

Knoxville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,000 Cash - - -43,884 Cash - - -16,000 Noncash 12/26/12 16,000 Gift Certificates46,762 Cash - - -8,091 Noncash 8/31/12 8,091 Snacks, Water, Carnations

24,000 Cash - - -25,000 Cash - - -

The Las Vegas Chapter of the Susan G. Komen Breast Cancer Foundation17,500 Noncash 8/1/12 17,500 Food & Beverage99,729 Cash - - -20,000 Cash - - -30,248 Cash - - -

Lexington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.15,000 Cash - - -14,700 Cash - - -18,000 Cash - - -19,120 Noncash Various 19,120 Smoothie Cards25,000 Cash - - -1,500 Cash - - -

The Los Angeles County Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.85,000 Cash - - -35,000 Cash - - -

115,000 Cash - - -84,000 Noncash 9/12/12 84,000 Gift Certificates for Gala40,000 Noncash 9/18/12 40,000 Catered meal packages for Gala50,000 Cash - - -15,250 Noncash 3/23/13 15,250 Food for Race, Gifts

Louisville, Kentucky Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.26,650 Noncash 8/31/12 26,650 Food, prizes, coupons25,000 Cash - - -33,000 Cash - - -6,500 Cash - - -

12,850 Noncash 6/7/12 12,850 Bottled water for race, survivors, coffee for race 25,000 - - - -

Lowcountry Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,000 Noncash 4/1/12 54,000 watches,socks.Cehon scarves, hats, Bears,

bracelets 400 each item25,000 Cash - - -5,000 Noncash 4/4/12 5,000 food/fruits, water for race,employees

35,500 Noncash 4/5/12 35,500 decorations30,900 Noncash 6/20/12 30,900 gift certificates Race and pledge program 17,500 Cash - - -6,500 Noncash 4/3/12 6,500 Food/catered

10,000 Cash - - -6,500 Noncash 4/5/12 6,500 Gift Cards

29,106 Cash - - -

Lubbock Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.20,000 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description10,000 Noncash 5/3/12 10,000 Décor and flowers 25,000 Cash - - -10,000 Cash - - -15,000 Cash - - -

Madison Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.27,500 Cash - - -25,205 Cash - - -60,000 Cash - - -20,000 Noncash 1/12/13 20,000 Breakfast food for Race

Maine Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Noncash Various 10,000 food for races15,796 Cash - - -6,000 Cash - - -7,500 Noncash Various 7500 Food for Survivor Reception

10,000 Cash - - -

Maryland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.60,000 Cash - - -32,800 Noncash Various 32,800 Gift Cards, Race Day Food62,505 Cash - - -

Massachusetts Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.57,437 Cash - - -

Memphis-Midsouth Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.40,000 Cash - - -65,000 Cash - - -20,000 Cash - - -

Miami Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.80,000 Cash - - -35,000 Cash - - -22,500 Cash - - -6,200 Noncash 9/12/12 6,200 Merchandise & Gifts

Mid-Kansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.38,000 Cash - - -4,000 Noncash 1/23/12 4,000 Survivor breakfast, ad, water, granola bars

38,000 Cash - - -10,000 Cash - - -4,000 Noncash 9/29/12 4,000 Vans, trucks, pace car, flatbed

Mid-Missouri Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.11,525 Noncash 9/30/12 11,525 Breakfast10,000 Cash - - -10,000 Cash - - -2,500 Cash - - -2,500 Noncash 10/1/12 2,500 Water, bananas2,500 Cash - - -2,500 Noncash 9/1/12 2,500 Bottles of water, bananas5,000 Cash - - -

Milwaukee Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,000 Cash - - -43,209 Cash - - -34,500 Cash - - -6,140 Noncash Various 6,140 Gifts

23,537 Cash - - -

Minnesota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.60,000 Cash - - -20,000 Noncash 5/23/12 20,000 Food50,000 Cash - - -12,000 Noncash 4/20/12 12,000 Hair products58,177 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description51,876 Cash - - -50,000 Noncash 4/1/12 50,000 Coffee

Montana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -10,000 Cash - - -5,100 Cash - - -5,000 Noncash 5/1/12 5,000 Food5,000 Cash - - -5,000 Cash - - -

North Carolina Foothills Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.9,378 Cash - - -

10,000 Cash - - -5,000 Cash - - -

11,471 Cash - - -

North Carolina Triad Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.463,600 Cash - - -50,000 Cash - - -38,094 Cash - - -31,691 Cash - - -31,584 Noncash 1/9/13 31,584 Water

NC Triangle Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.68,350 Cash - - -48,000 Noncash 4/17/13 48,000 WATER AND 2 REFILLING STATIONS30,000 Cash - - -5,000 Noncash Various 5,000 Gift cards, incentive gifts

35,000 Cash - - -34,450 Noncash Various 34,450 Breakfast, food, flowers, gift cards33,500 Cash - - -30,000 Cash - - -3,000 Noncash 12/10/12 3,000 Gift cards

32,000 Cash - - -

Nebraska Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,060 Cash - - -8,000 Noncash Various 8,000 Water

40,000 Cash - - -34,886 Cash - - -24,402 Cash - - -20,000 Cash - - -

108,411 Cash - - -

New Orleans Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.25,000 Cash - - -18,987 Cash - - -5,000 Cash - - -9,500 Noncash 10/8/12 9,500 Coffee

North Central Alabama Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.44,553 Cash - - -17,000 Noncash 8/1/12 17,000 Gift cards15,000 Cash - - -

North Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,000 Cash - - -28,632 Cash - - -15,000 Cash - - -9,154 Noncash 10/20/12 9,154 WATER AND CUPS8,750 Noncash 10/20/12 8,750 Bagels

The North Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.223,877 Cash - - -117,210 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description60,000 Cash - - -

North Mississippi Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.35,000 Cash - - -10,000 Cash - - -13,000 Cash - - -3,438 Cash - - -6,957 Noncash 7/19/12 6,957 CLOTHING

North Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -44,245 Cash - - -9,500 Noncash 2/21/13 9,500 Water, fruit, gift cards

The Northeast Louisiana Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.11,260 Cash - - -7,900 Noncash 9/29/12 7,900 Gifts7,500 Cash - - -4,000 Cash - - -1,061 Noncash 5/25/12 1,061 Beverage5,000 Cash - - -5,000 Cash - - -5,000 Noncash 9/29/12 5,000 Food

The Northeast Ohio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.75,000 Cash - - -

Northeastern New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.14,105 Cash - - -10,000 Noncash 10/6/12 10,000 Beverage10,000 Cash - - -10,000 Cash - - -10,000 Cash - - -10,000 Cash - - -3,927 Cash - - -5,000 Noncash 12/20/12 5,000 FOOD AND BEVERAGE6,386 Cash - - -

The Northeastern Pennsylvania Chapter of the Susan G. Komen Breast Cancer Foundation17,519 Cash - - -9,784 Noncash 6/6/12 9,784 Food

Northern Indiana Affiliate of the Susan G. Komen Breast Cancer Foundation30,000 Cash - - -15,000 Cash - - -12,500 Cash - - -10,000 Cash - - -2,500 Noncash 12/31/12 2,500 FOOD AND BEVERAGE

10,500 Cash - - -10,000 Cash - - -5,677 Cash - - -

Northern Nevada Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.14,000 Cash - - -8,000 Noncash Various 8,000 Food & Beverage / Survivor Gifts

10,400 Noncash 10/31/12 10,400 FOOD AND GIFTS7,000 Cash - - -7,000 Cash - - -

Northwest Ohio Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.39,384 Cash - - -17,605 Cash - - -10,000 Noncash 2/28/13 10,000 FOOD & RACE FOR CURE VENUE20,000 Cash - - -20,000 Cash - - -20,000 Cash - - -20,000 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description13,320 Noncash 2/28/13 13,320 FOOD & RACE FOR CURE VENUE

Ozark Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.62,000 Cash - - -30,000 Cash - - -23,750 Cash - - -

The Peoria Memorial Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.35,000 Cash - - -35,000 Cash - - -25,000 Cash - - -17,500 Noncash 12/19/12 17,500 Food

Philadelphia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc233,758 Cash - - -100,000 Noncash Various 100,000 Food and beverage55,000 Cash - - -

115,755 Noncash 2/22/13 115,755 Food and beverage, tent148,000 Noncash 3/31/13 148,000 Food60,000 Cash - - -50,000 Noncash Various 50,000 Food

Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.203,304 Cash - - -29,000 Noncash 11/14/12 29,000 FOOD AND BEVERAGE, GIFT CARDS60,530 Cash - - -51,990 Cash - - -25,000 Noncash 7/31/12 25,000 Food 16,794 Cash - - -

Pittsburgh Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.100,071 Cash - - -11,178 Noncash 1/2/13 11,178 OPAL EARRINGS60,000 Cash - - -55,000 Cash - - -45,000 Noncash 5/14/12 45,000 Food, prizes5,620 Cash - - -

49,200 Noncash 3/31/13 49,200 Food40,629 Cash - - -

Quad Cities Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.33,549 Cash - - -19,194 Cash - - -10,375 Noncash 3/31/13 10,375 500 cases of water, 15 cases of soda, 10 cases

gatorade, 8 tubs9,750 Noncash Various 9,750 FOOD AND BEVERAGE9,150 Cash - - -9,000 Cash - - -8,970 Cash - - -7,823 Cash - - -5,735 Cash - - -

Sacramento Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.120,000 Noncash 12/1/12 120,000 FOOD FOR THE 2013 RACE202,500 Cash - - -31,459 Cash - - -

Salt Lake City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.42,500 Noncash 4/5/12 42,500 FOOD AND GIFT CARDS23,640 Cash - - -15,820 Noncash 3/31/13 15,820 T-SHIRTS12,000 Cash - - -

The San Antonio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.45,500 Cash - - -18,152 Noncash 3/12/12 18,152 Food and Beverage42,293 Cash - - -




AmountCash or


cashFMV of Non-


The San Diego Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.99,472 Cash - - -53,750 Noncash 6/12/12 53,750 Prizes50,000 Cash - - -7,000 Noncash 11/4/12 7,000 FOOD AND BEVERAGE

38,000 Noncash 10/6/12 38,000 FOOD AND BEVERAGE

The San Francisco Bay Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.26,553 Cash - - -76,590 Cash - - -31,459 Cash - - -37,694 Cash - - -25,000 Cash - - -25,000 Cash - - -

Shreveport Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.12,639 Cash - - -6,000 Cash - - -7,500 Cash - - -5,000 Cash - - -1,248 Noncash 5/31/12 1,248 WATER AND FRUIT FOR RACE5,551 Noncash 6/6/12 5,551 FOOD FOR SURVIVOR LUNCH AND RACE DAY

Siouxland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.13,015 Cash - - -5,000 Cash - - -

11,781 Cash - - -5,000 Cash - - -

South Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.137,500 Cash - - -25,000 Cash - - -15,000 Cash - - -13,000 Cash - - -

The South Florida Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.175,000 Noncash 1/2/13 175,000 GIFTS AND RECOGNITION90,000 Cash - - -50,000 Cash - - -

Southeast Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,242 Cash - - -20,000 Cash - - -30,000 Cash - - -20,198 Cash - - -17,300 Cash - - -15,650 Noncash 3/22/2013 15,650 CONTINENTAL BREAKFAST FOR RACE FOR VIP10,000 Cash - - -10,000 Cash - - -

Southeast Iowa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -11,200 Cash - - -5,000 Noncash 2/14/13 5,000 FOOD AND BEVERAGE5,000 Cash - - -5,000 Cash - - -

Southern Arizona Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.53,512 Cash - - -9,000 Noncash 10/30/12 9,000 WATER, FRUIT, YOPLAIT, REFRIG VAN FOR

12,500 Cash - - -5,000 Noncash 3/1/13 5,000 Ice

20,000 Cash - - -65,562 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property descriptionSouthwest Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.

69,160 Cash - - -50,000 Cash - - -24,000 Cash - - -35,000 Cash - - -

The Southwest Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.13,040 Cash - - -3,200 Cash - - -

10,000 Cash - - -10,000 Cash - - -10,000 Cash - - -10,000 Cash - - -18,180 Cash - - -7,000 Noncash 3/31/13 7,000 FOOD FOR VOLUNTEERS, SURVIVORS, &

VIPS

St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.60,000 Cash - - -51,282 Noncash 1/24/13 51,282 GRANOLA BARS, ROSES50,000 Cash - - -7,500 Cash - - -

Tarrant County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.34,500 Cash - - -30,000 Cash - - -9,369 Noncash 11/30/12 9,369 BANANAS, APPLES, GIFT CARDS, WATER,

FERNS CAKE64,245 Cash - - -

Texarkana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -5,000 Noncash 10/18/12 5,000 COFFEE FOR PP AND RACE

15,000 Cash - - -50,000 Cash - - -9,281 Cash - - -1,438 Noncash 7/30/12 1,435 FOUR LUNCHEONS

10,000 Noncash 8/24/12 10,000 Floral Arrangement for VIP9,185 Noncash 7/12/12 9,185 LADIES/MENS WATCHES FOR AUCTION

10,000 Noncash 6/20/12 10,000 FOOD FOR PASTA PARTY

The Orange County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.130,198 Cash - - -212,500 Cash - - -75,000 Cash - - -

135,418 Cash - - -23,000 Noncash 11/28/12 23,000 GIFT CARDS5,000 Cash - - -

81,600 Noncash 5/1/12 81,600 GIFT CARDS71,680 Cash - - -

The Oregon and Southwest Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc93,000 Noncash 4/4/12 93,000 Food and goody bags48,040 Cash - - -58,932 Cash - - -60,000 Cash - - -6,000 Cash - - -

The Puget Sound Chapter of the Susan G. Komen Foundation, Inc.193,389 Cash - - -188,891 Cash - - -117,615 Cash - - -90,000 Cash - - -74,514 Cash - - -61,000 Cash - - -

Tidewater Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.




AmountCash or


cashFMV of Non-


Tri-Cities Affiliate of the Susan G. Komen Breast Cancer Foundation55,102 Cash - - -25,000 Cash - - -10,000 Cash - - -5,000 Noncash 10/21/12 5,000 FOOD & BEVERAGE8,676 Noncash 10/21/12 8,676 MCCAFE TRUCK, TEA (SUV CELB),TRAY LINE

Tulsa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.15,740 Cash - - -15,000 Cash - - -2,940 Noncash 7/30/12 2,940 Jewelry items

12,060 Cash - - -18,000 Noncash 7/21/12 18,000 Food and Beverage45,000 Cash - - -15,000 Cash - - -25,000 Cash - - -

Tyler Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.1,875 Noncash 2/1/13 1,875 Gift Cards6,000 Cash - - -

12,000 Cash - - -8,000 Cash - - -

25,000 Cash - - -13,000 Cash - - -10,000 Cash - - -

Upper Cumberland Affiliate of the Susan G. Komen Breast Cancer Foundation10,000 Cash - - -6,960 Cash - - -5,000 Cash - - -

Upstate South Carolina Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -

250,000 Noncash 8/15/12 250,000 Chapstick20,000 Cash - - -10,000 Noncash 5/2/12 10,000 WATER AND FRUIT FOR RACE24,131 Cash - - -

Vermont-New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,000 Cash - - -5,000 Noncash 6/26/12 5,000 AUCTION PRIZES

Wabash Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.5,000 Cash - - -5,000 Cash - - -2,500 Noncash Various 2,500 Food5,000 Cash - - -

West Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.20,000 Cash - - -2,300 Noncash Various 2,300 Fruit16512 Cash - - -16000 Cash - - -

The Western New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.5,000 Cash - - -

35,000 Cash - - -41,000 Noncash 1/16/13 41,000 Food for Race23,515 Noncash 3/25/13 23,515 FOOD FOR RACE

Wichita Falls Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.12,500 Cash - - -

Wyoming Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.30,000 Cash - - -




AmountCash or


cashFMV of Non-

cash Non-cash property description15,000 Cash - - -10,000 Cash - - -8,493 Cash - - -

16,000 Noncash 10/31/12 16,000 FOOD FOR RACE 12 AND 1330,000 Cash - - -10,000 Cash - - -10,000 Cash - - -17,000 Cash - - -

TOTALS 21,983,042 4,035,885

Less Noncash (4,035,885) 5,094,553 Total Noncash contrib under 2%Total Cash over 2% 17,947,157 9,130,438 Total Noncash Contributions


SCHEDULE C OMB No. 1545-0047Political Campaign and Lobbying Activities(Form 990 or 990-EZ)

For Organizations Exempt From Income Tax Under section 501(c) and section 527 À¾µ¶I I Attach to Form 990 or Form 990-EZ.Complete if the organization is described below. Open to Public

Department of the Treasury I See separate instructions.Internal Revenue Service Inspection If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then

%%%

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.

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

%%

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.

If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then

% Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of organization Employer identification number

Complete if the organization is exempt under section 501(c) or is a section 527 organization. Part I-A

I123

4

Provide a description of the organization's direct and indirect political campaign activities in Part IV.

Political expenditures

Volunteer hours

$m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

II

Complete if the organization is exempt under section 501(c)(3). Part I-B $Enter the amount of any excise tax incurred by the organization under section 4955

Enter the amount of any excise tax incurred by organization managers under section 4955

If the organization incurred a section 4955 tax, did it file Form 4720 for this year?

1234

m m m m m m$m m

YesYes

NoNo

m m m m m m m m m m m m m m m mab

Was a correction made?If "Yes," describe in Part IV.

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mComplete if the organization is exempt under section 501(c), except section 501(c)(3). Part I-C

III

1

2

3

4

Enter the amount directly expended by the filing organization for section 527 exempt function

activities $m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mEnter the amount of the filing organization's funds contributed to other organizations for section

527 exempt function activities $m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mTotal exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,

line 17b $m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the filing organization file Form 1120-POL for this year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m Yes No

5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing

organization made payments. For each organization listed, enter the amount paid from the filing organization's funds. Also enter

the amount of political contributions received that were promptly 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.

(a) Name (b) Address (c) EIN (d) Amount paid fromfiling organization's

funds. If none, enter -0-.

(e) Amount of politicalcontributions received and

promptly and directlydelivered to a separatepolitical organization. If

none, enter -0-.

(1)

(2)

(3)

(4)

(5)

(6)

Schedule C (Form 990 or 990-EZ) 2012For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

JSA2E1264 1.000


87855E 1385 V 12-7.10 GROUP

Schedule C (Form 990 or 990-EZ) 2012

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election undersection 501(h)).

Part II-A

II

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member'sname, address, EIN, expenses, and share of excess lobbying expenditures).

B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures(The term "expenditures" means amounts paid or incurred.)

(a) Filingorganization's totals

(b) Affiliatedgroup totals

1 abcdef

Total lobbying expenditures to influence public opinion (grass roots lobbying)

Total lobbying expenditures to influence a legislative body (direct lobbying)

Total lobbying expenditures (add lines 1a and 1b)

Other exempt purpose expenditures

Total exempt purpose expenditures (add lines 1c and 1d)

m m m m mm m m m m m

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m mLobbying nontaxable amount. Enter the amount from the following table in both

columns.

If the amount on line 1e, column (a) or (b) is:Not over $500,000

Over $500,000 but not over $1,000,000

Over $1,000,000 but not over $1,500,000

Over $1,500,000 but not over $17,000,000

Over $17,000,000

The lobbying nontaxable amount is:20% of the amount on line 1e.

$100,000 plus 15% of the excess over $500,000.

$175,000 plus 10% of the excess over $1,000,000.

$225,000 plus 5% of the excess over $1,500,000.

$1,000,000.

ghij

Grassroots nontaxable amount (enter 25% of line 1f)

Subtract line 1g from line 1a. If zero or less, enter -0-

Subtract line 1f from line 1c. If zero or less, enter -0-

m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

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? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m4-Year Averaging Period Under Section 501(h)

(Some organizations that made a section 501(h) election do not have to complete all of the fivecolumns below. See the instructions for lines 2a through 2f on page 4.)

Lobbying Expenditures During 4-Year Averaging Period

Calendar year (or fiscal yearbeginning in)

(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total

2 a Lobbying nontaxable amount

b Lobbying ceiling amount

(150% of line 2a, column (e))

c Total lobbying expenditures

d Grassroots nontaxable amount

e Grassroots ceiling amount

(150% of line 2d, column (e))

f Grassroots lobbying expenditures


JSA

2E1265 1.000


X

83,839. 83,839.56,942. 60,995.

140,781. 144,834.151,176,923. 302,332,256.151,317,704. 302,477,090.

1,000,000. 1,000,000.

250,000. 250,000.0 00 0

1,000,000. 1,000,000. 1,000,000. 1,000,000. 4,000,000.

6,000,000.

295,135. 552,301. 656,218. 144,834. 1,648,488.

250,000. 250,000. 250,000. 250,000. 1,000,000.

1,500,000.

219,954. 439,745. 519,831. 83,839. 1,263,369.

87855E 1385 V 12-7.10 GROUP


Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768(election under section 501(h)).

Part II-B

(a) (b)For each "Yes," response to lines 1a through 1i below, provide in Part IV a detailed

description of the lobbying activity. Yes No Amount

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:

1

abcdefghij

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 similar means?

Other activities?

Total. Add lines 1c through 1i

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mmm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m

m m m m m mm m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 a Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?

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?

m m mb m m m m m m m m m m m m m m m mc m md m m m m m

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section501(c)(6).

Part III-A

Yes No123

Were substantially all (90% or more) dues received nondeductible by members?

Did the organization make only in-house lobbying expenditures of $2,000 or less?

Did the organization agree to carry over lobbying and political expenditures from the prior year?

1m m m m m m m m m m m m m m m m m m m2m m m m m m m m m m m m m m m m m m3m m m m m m m m m m

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No," OR (b) Part III-A, line 3, is answered "Yes."

Part III-B

1 Dues, assessments and similar amounts from members 1m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of

political expenses for which the section 527(f) tax was paid).abc

Current year

Carryover from last year

Total

2a2b2c3

45

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues m m m m4 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? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m5 Taxable amount of lobbying and political expenditures (see instructions) m m m m m m m m m m m m m m m m m m m

Supplemental Information Part IV Complete this part to provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; Part II-A (affiliated group

list); Part II-A, line 2; and Part II-B, line 1. Also, complete this part for any additional information.

Schedule C (Form 990 or 990-EZ) 2012JSA2E1266 1.000


87855E 1385 V 12-7.10 GROUP

Schedule C (Form 990 or 990-EZ) 2012 Page 4Supplemental Information (continued) Part IV

Schedule C (Form 990 or 990-EZ) 2012JSA

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87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047SCHEDULE D Supplemental Financial Statements(Form 990)IComplete if the organization answered "Yes," to Form 990,

Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.À¾µ¶

Open to Public Department of the Treasury I IAttach to Form 990. See separate instructions.Internal Revenue Service Inspection Name of the organization Employer identification number

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if theorganization answered "Yes" to Form 990, Part IV, line 6.

Part I

(a) Donor advised funds (b) Funds and other accounts

12345

6

Total number at end of year

Aggregate contributions to (during year)

Aggregate grants from (during year)

Aggregate value at end of year

m m m m m m m m m m mm m m m

m m m m m m mm m m m m m m m m m

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? m m m m m m m m m m m Yes NoDid 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? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Yes NoConservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Part II

1 Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education)

Protection of natural habitat

Preservation of open space

Preservation of an historically important land area

Preservation of a certified historic structure

2

3

45

6

7

8

9

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservationeasement on the last day of the tax year.

Held at the End of the Tax Year

2a2b2c

2d

abcd

Total number of conservation easements

Total acreage restricted by conservation easements

Number of conservation easements on a certified historic structure included in (a)

Number of conservation easements included in (c) acquired after 8/17/06, and not on a

historic structure listed in the National Register

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the

tax year

Number of states where property subject to conservation easement is located

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements it holds?

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)

(i) and section 170(h)(4)(B)(ii)?

m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m

m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m

II

m m m m m m m m m m m m m m m m m m m m m m m Yes No

II $

Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIn Part XIII, 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 theorganization’s accounting for conservation easements.

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

Part III

1a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide the following amounts relating to these items:

I(i)(ii)

Revenues included in Form 990, Part VIII, line 1

Assets included in Form 990, Part X

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m $

$Im m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 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 (ASC 958) relating to these items:

Ia Revenues included in Form 990, Part VIII, line 1Assets included in Form 990, Part X

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m $$b m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m I

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2012JSA

2E1268 1.000


87855E 1385 V 12-7.10 GROUP

Schedule D (Form 990) 2012 Page 2Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Part III

Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its

Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part

XIII.

3

4

5

collection items (check all that apply):

Public exhibition

Scholarly research

Preservation for future generations

Loan or exchange programs

Other

abc

de

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? m m m m m m Yes NoEscrow 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.

Part IV

1a

b

cdef

2ab

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not

included on Form 990, Part X?

If "Yes," explain the arrangement in Part XIII and complete the following table:

Beginning balance

Additions during the year

Distributions during the year

Ending balance

Did the organization include an amount on Form 990, Part X, line 21?

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII

Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAmount

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

1c1d1e1f

Yes Nom m m m m m m m m m m m m m m m m m m m m mm m m m m m m m mEndowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10. Part V

(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back

m m m mm m m m m m m m m m m

m m m m m m m m m m m m mm m m m m m

m m m m m m m m m m mm m m m m

m m m m m m m m

1abc

de

fg

abc

3a

b

Beginning of year balance

Contributions

Net investment earnings, gains,

and losses

Grants or scholarships

Other expenditures for facilities

and programs

Administrative expenses

End of year balance

I2

4

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment %

Permanent endowment %

Temporarily restricted endowment %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the

organization by:

(i) unrelated organizations

(ii) related organizations

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?

Describe in Part XIII the intended uses of the organization's endowment funds.

II

Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 3a(i)

3a(ii)3b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

Land, Buildings, and Equipment. See Form 990, Part X, line 10. Part VI Description of property (a) Cost or other basis

(investment)(b) Cost or other basis

(other)(c) Accumulated

depreciation(d) Book value

m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m mm m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m

1abcde

Land

Buildings

Leasehold improvements

Equipment

Other

m m m m m m ITotal. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)

Schedule D (Form 990) 2012

JSA

2E1269 1.000


459,818. 327,671. 132,147.1,334,037. 1,103,286. 230,751.

189,791. 149,793. 39,998.402,896.

87855E 1385 V 12-7.10 GROUP

Schedule D (Form 990) 2012 Page 3Investments - Other Securities. See Form 990, Part X, line 12. Part VII

(a) Description of security or category(including name of security)

(b) Book value (c) Method of valuation:Cost or end-of-year market value

(1) Financial derivatives

(2) Closely-held equity interests

(3) Other

m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

(I)

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Investments - Program Related. See Form 990, Part X, line 13. Part VIII (a) Description of investment type (b) Book value (c) Method of valuation:

Cost or end-of-year market value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)


Other Assets. See Form 990, Part X, line 15. Part IX (a) Description (b) Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 15.) m m m m m m m m m m m m m m m m m m m m m m m m m mOther Liabilities. See Form 990, Part X, line 25. Part X

1. (a) Description of liability (b) Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Federal income taxes


2. FIN 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII m m m m m m m m m m mJSA Schedule D (Form 990) 20122E1270 1.000


DUE FROM KOMEN PARENT 7,959,842.OTHER ASSETS 554,628.

8,514,470.

DUE TO KOMEN PARENT 9,180,954.ACCRUED EXPENSES 27,953.

9,208,907.

87855E 1385 V 12-7.10 GROUP

Schedule D (Form 990) 2012 Page 4Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Part XI

12

34

5

Total revenue, gains, and other support per audited financial statements

Amounts included on line 1 but not on Form 990, Part VIII, line 12:

Net unrealized gains on investments


Recoveries of prior year grants

Other (Describe in Part XIII.)

Add lines 2a through 2dSubtract line 2e from line 1Amounts included on Form 990, Part VIII, line 12, but not on line 1 :

Investment expenses not included on Form 990, Part VIII, line 7b


Add lines 4a and 4bTotal revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)

1

2e3

4c5

m m m m m m m m m m m m m m m m mabcde

abc

2a2b2c2d

4a4b

m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Part XII 12

34

5

12

34

5

Total expenses and losses per audited financial statements

Amounts included on line 1 but not on Form 990, Part IX, line 25:


Prior year adjustments

Other losses


Add lines 2a through 2dSubtract line 2e from line 1Amounts included on Form 990, Part IX, line 25, but not on line 1:Investment expenses not included on Form 990, Part VIII, line 7b


Add lines 4a and 4bTotal expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)

1

2e3

4c5

m m m m m m m m m m m m m m m m m m m m m m m mabcde

abc

2a2b2c2d

4a4b

m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m

Supplemental Information Part XIIIComplete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b;Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.


JSA

2E1271 1.000


FIN 48 (ASC 740) FINANCIAL STATEMENT DISCLOSURE

SCHEDULE D, PART X, LINE 2

THE ORGANIZATION IS SUBJECT TO A RECOGNITION THRESHOLD AND MEASUREMENT

ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX

POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO

UNCERTAIN TAX POSITIONS IN THE FINANCIAL STATEMENTS AT MARCH 31, 2013 OR

MARCH 31, 2012.

87855E 1385 V 12-7.10 GROUP

Schedule D (Form 990) 2012 Page 5Supplemental Information (continued) Part XIII


JSA

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87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047

Supplemental Information RegardingFundraising or Gaming Activities

SCHEDULE G(Form 990 or 990-EZ) À¾µ¶

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if theorganization entered more than $15,000 on Form 990-EZ, line 6a. Open to Public

Department of the Treasury I IAttach to Form 990 or Form 990-EZ. See separate instructions.Internal Revenue Service Inspection Name of the organization Employer identification number

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.Form 990-EZ filers are not required to complete this part.

Part I

1 Indicate whether the organization raised funds through any of the following activities. Check all that apply.

abcd

Mail solicitations

Internet and email solicitations

Phone solicitations

In-person solicitations

efg

Solicitation of non-government grants

Solicitation of government grants

Special fundraising events

a2 Did the organization have a written or oral agreement with any individual (including officers, directors, trusteesor key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? Yes No

b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to becompensated at least $5,000 by the organization.

(v) Amount paid to(or retained by)

fundraiser listed incol. (i)

(iii) Did fundraiser havecustody or control of

contributions?

(vi) Amount paid to(or retained by)

organization

(i) Name and address of individualor entity (fundraiser)

(iv) Gross receiptsfrom activity

(ii) Activity

Yes No1

2

3

4

5

6

7

8

9

10

ITotal m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from

registration or licensing.

Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990 or 990-EZ) 2012JSA

2E1281 1.000


X XX XX XX

X

FOUNDATIONJ.C. GEEVER INC. GRANTS X 14,400.

SOLICITEXTRAORDINARY EVENTS, LLC SPONSORS X 910,686. 37,364. 873,322.

SOLICIT W. STEWART MCKEOUGH SPONSORS X 1,390,000. 125,529. 1,264,471.

2,300,686. 177,293. 2,137,793.

AL,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,SC,SD,TN,TX,UT,VT,WA,WV,WI,WY,

87855E 1385 V 12-7.10 GROUP

Schedule G (Form 990 or 990-EZ) 2012 Page 2Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more

than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with

gross receipts greater than $5,000.

Part II

(a) Event #1 (b) Event #2 (c) Other events (d) Total events(add col. (a) through

col. (c))(event type) (event type) (total number)

1

23

Gross receipts

Less: Contributions

Gross income (line 1 minus

line 2)

m m m m m m m m m m m mm m m m m m m m m

m m m m m m m m m m m m m m m m m

Reve

nue

4

5

6

7

8

9

1011

Cash prizes

Noncash prizes

Rent/facility costs

Food and beverages

Entertainment

Other direct expenses

Direct expense summary. Add lines 4 through 9 in column (d)

Net income summary. Combine line 3, column (d), and line 10

m m m m m m m m m m m m m mm m m m m m m m m m m m

m m m m m m m m m mm m m m m m m m m

m m m m m m m m m m m mm m m m m m m m

I ( )m m m m m m m m m m m m m m m m m m m m mIm m m m m m m m m m m m m m m m m m m m m

Dir

ect

Exp

ense

s

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported morethan $15,000 on Form 990-EZ, line 6a.

Part III

(d) Total gaming (addcol. (a) through col. (c))

(b) Pull tabs/instantbingo/progressive bingo

(c) Other gaming(a) Bingo

1

2

3

Gross revenue

Cash prizes

Noncash prizes

m m m m m m m m m m m mReve

nue

m m m m m m m m m m m m m mm m m m m m m m m m m

4

5

6

7

8

Rent/facility costs

Other direct expenses

Volunteer labor

Direct expense summary. Add lines 2 through 5 in column (d)

Net gaming income summary. Combine line 1, column d, and line 7

m m m m m m m m m mm m m m m m m m

Dir

ect

Exp

ense

s

YesNo

YesNo

YesNo

% % %

m m m m m m m m m m m( )Im m m m m m m m m m m m m m m m m m m m m

Im m m m m m m m m m m m m m m m m m9

10

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states?

If "No," explain:

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?

If "Yes," explain:

ab

Yes Nom m m m m m m m m m m m m m m m m

ab

Yes Nom m m m

Schedule G (Form 990 or 990-EZ) 2012

JSA

2E1282 1.000


RACE PINK TIE BALL 220.

103,511,141. 2,880,319. 7,312,997. 113,704,457.

68,987,144. 1,690,411. 5,726,678. 76,404,233.

34,523,997. 1,189,908. 1,586,319. 37,300,224.

3,406,572. 9,170. 362,989. 3,778,731.

77,667. 264,136. 341,803.

4,754,967. 371,295. 454,803. 5,581,065.

27,245. 16,025. 43,270.

2,288,944. 20,288. 31,381. 2,340,613.

12,085,482.25,214,742.

195,575. 195,575.

9,186. 9,186.

732. 732.

149. 149.X 95.0000

10,067.

185,508.

SEE SUPPLEMENTAL PAGEX

THE AFFILIATES ARE REGISTERED IN EACH STATE WHERE A LICENSE IS KNOWN TOBE REQUIRED.

X

87855E 1385 V 12-7.10 GROUP

Schedule G (Form 990 or 990-EZ) 2012 Page 31112

Does the organization operate gaming activities with nonmembers?

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming?

Yes Nom m m m m m m m m m m m m m m m m m m m m m m mYes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

13

14

Indicate the percentage of gaming activity operated in:

The organization's facility

An outside facility

ab

13a13b

%

%

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

IName

Address I15 a

b

c

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIIf "Yes," enter the amount of gaming revenue received by the organization $ and the

Iamount of gaming revenue retained by the third party $ .

If "Yes," enter name and address of the third party:

IName

Address I16 Gaming manager information:

IName

IGaming manager compensation $

IDescription of services provided

Director/officer Employee Independent contractor

17 Mandatory distributions:

a

b

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mEnter the amount of distributions required under state law to be distributed to other exempt organizations

or spent in the organization's own exempt activities during the tax year $ISupplemental Information. Complete this part to provide the explanation required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Part IV


JSA

2E1503 1.000


X

X

100.0000

THE TREASURER OF EACH INDIVIDUAL KOMEN AFFILIATE

SAME ADDRESS AS KOMEN AFFILIATE ,

X

NONE

X

185,508.

FUNDRAISING EVENTS

SCHEDULE G, PART II - NET INCOME SUMMARY

GROSS RECEIPTS ARE REDUCED BY THE AMOUNT OF CONTRIBUTIONS PER IRS

INSTRUCTIONS. THE CONTRIBUTIONS FOR FYE 3/31/13 WERE $76,404,233.

DOES THE ORGANIZATION OPERATE GAMING ACTIVITIES WITH NON-MEMBERS SCHEDULE

G, PART III, LINE 11

87855E 1385 V 12-7.10 GROUP






13

14



An outside facility

ab

13a13b

%

%



IName

Address I15 a

b

c





IName


IName





a

b




Part IV


JSA

2E1503 1.000


THE AFFILIATES DO NOT HAVE ANY MEMBERS WHICH COULD CONDUCT GAMING

ACTIVITIES. HOWEVER, THE MAJORITY OF GAMING ACTIVITIES WERE CONDUCTED BY

VOLUNTEERS.

MANDATORY DISTRIBUTIONS

PART III, LINE 17

REGARDLESS OF STATE REQUIREMENTS, ALL FUNDS FROM GAMING ACTIVITIES SUCH

87855E 1385 V 12-7.10 GROUP






13

14



An outside facility

ab

13a13b

%

%



IName

Address I15 a

b

c





IName


IName





a

b




Part IV


JSA

2E1503 1.000


AS CHARITABLE RAFFLES ARE EITHER DISTRIBUTED TO OTHER EXEMPT

ORGANIZATIONS OR SPENT ON THE AFFILIATE'S OWN EXEMPT ACTIVITIES DURING

THE TAX YEAR.

87855E 1385 V 12-7.10 GROUP






13

14



An outside facility

ab

13a13b

%

%



IName

Address I15 a

b

c





IName


IName





a

b




Part IV


JSA

2E1503 1.000


SCHEDULE G, PART III-STATES IN WHICH ORG. OPERATES GAMING ACTIVITIES

AZ,CA,CO,FL,ID,IL,IN,

IA,KY,LA,ME,MI,MO,MT,NE,NJ,NM,NY,OH,OK,PA,SC,TX,VT,VA,WV,WI,

87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047SCHEDULE I(Form 990) Grants and Other Assistance to Organizations,

Governments, and Individuals in the United States À¾µ¶Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.

Attach to Form 990. Open to Public

Department of the Treasury

Internal Revenue Service I Inspection Name of the organization Employer identification number

General Information on Grants and Assistance Part I 1

2

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and

the selection criteria used to award the grants or assistance?

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Yes No

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to Form 990,Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

Part II

(a) Name and address of organizationor government

(f) Method of valuation(book, FMV, appraisal,

other)

(c) IRC section

if applicable(e) Amount of non-

cash assistance

(g) Description of non-cash assistance

(h) Purpose of grantor assistance

(b) EIN (d) Amount of cashgrant

1

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

II

23

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table

Enter total number of other organizations listed in the line 1 tablem m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) (2012)

JSA

2E1288 1.000


X

SEE SCHEDULE I ATTACHMENT

87,493,338. SEE SCH I ATTACHED

1,353.

87855E 1385 V 12-7.10 GROUP

Schedule I (Form 990) (2012) Page 2Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

Part III

(f) Description of non-cash assistance(a) Type of grant or assistance (e) Method of valuation (book,

FMV, appraisal, other)

(b) Number ofrecipients

(d) Amount of

non-cash assistance

(c) Amount of cash grant

1

2

3

4

5

6

7Supplemental Information. Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additionalinformation.

Part IV

Schedule I (Form 990) (2012)

JSA

2E1504 2.000


EDUCATION 20. 16,273.

FORM 990, SCHEDULE I

DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS

AFFILIATES REQUIRE GRANTEES TO SUBMIT PROGRESS AND FINAL REPORTS THAT

PROVIDE INFORMATION ABOUT PROGRESS MADE TOWARD THE FUNDED PROGRAM'S GOALS

AND OBJECTIVES AND A FINANCIAL REPORT ON THE EXPENDITURE OF FUNDS

AWARDED. FUTURE PAYMENTS UNDER THE GRANT ARE CONTINGENT UPON AFFILIATES'

RECEIPT OF SATISFACTORY REPORTS. IF THE REPORTS DO NOT REFLECT

SATISFACTORY PROGRESS OR THERE IS A CONCERN ABOUT THE EXPENDITURE OF

FUNDS, AFFILIATES MAY EITHER TERMINATE THE GRANT OR REFUSE TO ISSUE

ADDITIONAL PAYMENTS UNTIL CORRECTIVE ACTION IS TAKEN. AFFILIATES ALSO MAY

87855E 1385 V 12-7.10 GROUP

Schedule I (Form 990) (2012) Page 2Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

Part III

(f) Description of non-cash assistance(a) Type of grant or assistance (e) Method of valuation (book,

FMV, appraisal, other)

(b) Number ofrecipients

(d) Amount of

non-cash assistance

(c) Amount of cash grant

1

2

3

4

5

6

7Supplemental Information. Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additionalinformation.

Part IV

Schedule I (Form 990) (2012)

JSA

2E1504 2.000


CONDUCT SITE VISITS IN ORDER TO BUILD STRONGER RELATIONSHIPS WITH

GRANTEES, TO GAIN A BETTER UNDERSTANDING OF THEIR WORK, AND TO ADDRESS

ANY CHALLENGES OR PROBLEMS THE GRANTEES MAY BE FACING.

87855E 1385 V 12-7.10 GROUP

Compensation Information OMB No. 1545-0047SCHEDULE J(Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest

Compensated EmployeesComplete if the organization answered "Yes" to Form 990,

Part IV, line 23.I À¾µ¶

Open to Public Inspection

Department of the Treasury

Internal Revenue Service Attach to Form 990. See separate instructions.I IName of the organization Employer identification number

Questions Regarding Compensation Part I Yes No

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 III 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

Housing allowance or residence for personal use

Payments for business use of personal residence

Health or social club dues or initiation fees

Personal services (e.g., maid, chauffeur, chef)

b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding paymentor reimbursement or provision of all of the expenses described above? If "No," complete Part III toexplain 1b

2

4a4b4c

5a5b

6a6b

7

8

9

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,

directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? m m m m m m m m m m m3 Indicate which, if any, of the following the filing organization used to establish the compensation of the

organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a

related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee

Independent compensation consultant

Form 990 of other organizations

Written employment contract

Compensation survey or study

Approval by the board or compensation committee

4 During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filingorganization or a related organization:

abc

ab

ab

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?

m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m

m m m m m m m m m m m m m m mIf "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9.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:

The organization?

Any related organization?

If "Yes" to line 5a or 5b, describe in Part III.

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:

The organization?

Any related organization?

If "Yes" to line 6a or 6b, describe in Part III.

5

6

7

8

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

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 III m m m m m m m m m m m m m m m m m m m m m m m mWere 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 Regulations section 53.4958-4(a)(3)? If "Yes," describe

in Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in

Regulations section 53.4958-6(c)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mFor Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2012

JSA

2E1290 1.000


XX

XXX

XX

XX

X

X

87855E 1385 V 12-7.10 GROUP

Schedule J (Form 990) 2012 Page 2Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Part II

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in theinstructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for thatindividual.

(B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement andother deferred

compensation

(D) Nontaxablebenefits

(E) Total of columns(B)(i)-(D)

(F) Compensationreported as deferred in

prior Form 990(A) Name and Title (i) Base

compensation(ii) Bonus & incentive

compensation(iii) Otherreportable

compensation

(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)(i)(ii)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16Schedule J (Form 990) 2012

JSA2E1291 1.000


CHERYL SHAW 137,970. 0 0 16,700. 154,670.EXEC. DIRECTOR - PUGET SOUND 0 0 0

87855E 1385 V 12-7.10 GROUP

Schedule J (Form 990) 2012 Page 3Supplemental Information Part III

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.Also complete this part for any additional information.

Schedule J (Form 990) 2012

JSA

2E1505 1.000


SUPPLEMENTAL COMPENSATION INFORMATION

SUPPLEMENTAL COMPENSATION INFORMATION

SUPPLEMENTAL INFORMATION

SEE THE SCHEDULE O DETAIL FOR PART VI, QUESTIONS 15A AND 15B FOR MORE

INFORMATION.

87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047SCHEDULE L Transactions With Interested Persons(Form 990 or 990-EZ) I Complete if the organization answered

"Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c,or Form 990-EZ, Part V, line 38a or 40b.

À¾µ¶Department of the TreasuryInternal Revenue Service

Open To Public Inspection I IAttach to Form 990 or Form 990-EZ. See separate instructions.


Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

Part I

(d) Corrected?(b) Relationship between disqualified personand organization(a) Name of disqualified person1 (c) Description of transaction

Yes No(1)(2)(3)(4)(5)(6)2

3

Enter the amount of tax incurred by the organization managers or disqualified persons during the year

under section 4958

Enter the amount of tax, if any, on line 2, above, reimbursed by the organizationII

$

$

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m

Loans to and/or From Interested Persons.Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a or Form 990, Part IV, line 26; or if theorganization reported an amount on Form 990, Part X, line 5, 6, or 22.

Part II

(a) Name of interested person (b) Relationship

with organization

(c) Purpose of

loan

(d) Loan to or

from the

organization?

(e) Originalprincipal amount

(f) Balance due (g) In default? (h) Approvedby board orcommittee?

(i) Writtenagreement?

To From Yes No Yes No Yes No(1)(2)(3)(4)(5)(6)(7)(8)(9)

(10)

ITotal $m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mGrants or Assistance Benefiting Interested Persons.Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

Part III

(a) Name of interested person (b) Relationship between interestedperson and the organization

(c) Amount of assistance (d) Type of assistance (e) Purpose of assistance

(1)(2)(3)(4)(5)(6)(7)(8)(9)

(10)For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule L (Form 990 or 990-EZ) 2012

JSA

2E1297 1.000


87855E 1385 V 12-7.10 GROUP

Schedule L (Form 990 or 990-EZ) 2012 Page 2Business Transactions Involving Interested Persons.Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

Part IV

(a) Name of interested person (b) Relationship betweeninterested person and the

organization

(c) Amount oftransaction

(d) Description of transaction (e) Sharing of

organization's

revenues?

Yes No(1)(2)(3)(4)(5)(6)(7)(8)(9)

(10)Supplemental InformationComplete this part to provide additional information for responses to questions on Schedule L (see instructions).

Part V

JSA Schedule L (Form 990 or 990-EZ) 20122E1507 1.000


MORESOURCE, INC. KAT CUNNINGHAM OWNS MORES 59,586. SEE SCHED L, PART V X

TURNKEY DIRECT, INC. TERRI BORG OWNS COMPANY 56,963. SEE SCHED L, PART V X

BUSINESS TRANSACTIONS WITH INTERESTED PERSONS

SCHEDULE L, PART IV

THE MID-MISSOURI AFFILIATE LEASES THEIR OFFICE EMPLOYEE FROM MORESOURCE,

INC. KAT CUNNINGHAM, MID-MISSOURI AFFILIATE'S PRESIDENT OWNS MORESOURCE,

INC.

TURNKEY DIRECT, INC. PROVIDED MARKETING, T-SHIRTS AND OTHER ITEMS FOR THE

SALT LAKE CITY AFFILIATE RACE. TERRI BORG, SALT LAKE AFFILIATE BOARD

MEMBER OWNS TURNKEY DIRECT, INC.

SOME BOARD MEMBERS OF SUSAN G. KOMEN'S AFFILIATES ARE ALSO EMPLOYEES OF

ORGANIZATIONS THAT QUALIFY TO RECEIVE GRANTS FROM THE KOMEN AFFILIATES.

THE KOMEN AFFILIATES HAVE STRICT POLICIES REGARDING THE REVIEW AND GRANT

AWARD APPROVAL PROCESS WHICH INCLUDES THE PROCESSING OF GRANT

APPLICATIONS THROUGH AN INDEPENDENT AND OBJECTIVE KOMEN AFFILIATE REVIEW

PROCESS. A VOLUNTEER REVIEW PANEL IS FORMED FOR THE PURPOSE OF EVALUATING

AND RECOMMENDING WHICH ORGANIZATIONS SHOULD RECEIVE GRANT FUNDS. THE

MEMBERS OF THIS PANEL MUST CONFIRM THAT THEY HAVE NO CONFLICT OF INTEREST

IN THESE DECISIONS. ONCE THEIR RECOMMENDATIONS ARE SENT TO THE

87855E 1385 V 12-7.10 GROUP

Schedule L (Form 990 or 990-EZ) 2012 Page 2Business Transactions Involving Interested Persons.Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

Part IV

(a) Name of interested person (b) Relationship betweeninterested person and the

organization

(c) Amount oftransaction

(d) Description of transaction (e) Sharing of

organization's

revenues?

Yes No(1)(2)(3)(4)(5)(6)(7)(8)(9)

(10)Supplemental InformationComplete this part to provide additional information for responses to questions on Schedule L (see instructions).

Part V

JSA Schedule L (Form 990 or 990-EZ) 20122E1507 1.000


INDIVIDUAL KOMEN AFFILIATE BOARD FOR APPROVAL, ANY KOMEN AFFILIATE BOARD

MEMBERS WHO ARE ALSO MEMBERS OF THE ORGANIZATIONS BEING RECOMMENDED TO

RECEIVE GRANT FUNDS ABSTAIN FROM ANY DISCUSSION OR VOTING ON THE APPROVAL

OF GRANT AWARDS.

SOME KOMEN AFFILIATE BOARD MEMBERS ARE ALSO EMPLOYEES OF KOMEN EVENT

SPONSORS, RACE FOR THE CURE SPONSORS, OR VENDORS. EACH AFFILIATE HAS

PROCESSES TO ENSURE TRANSACTIONS UNDERTAKEN WITH COMPANIES AND

INDIVIDUALS ASSOCIATED WITH BOARD MEMBERS ARE NEGOTIATED AT ARMS LENGTH

AND REPRESENT FAIR MARKET VALUE.

87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047SCHEDULE M Noncash Contributions(Form 990) I Complete if the organizations answered "Yes" on Form990, Part IV, lines 29 or 30.

À¾µ¶Department of the TreasuryInternal Revenue Service

Open To Public IAttach to Form 990. Inspection


Types of Property Part I (c)

Noncash contributionamounts reported on

Form 990, Part VIII, line 1g

(a)Check if

applicable

(b)Number of contributions or

items contributed

(d)Method of determining

noncash contribution amounts

12345

6789

1011

1213

14

1516171819202122232425262728

Art - Works of art

Art - Historical treasures

Art - Fractional interests

Books and publications

Clothing and household

goods

Cars and other vehicles

Boats and planes

Intellectual property

Securities - Publicly traded

Securities - Closely held stock

Securities - Partnership, LLC,

or trust interests

Securities - Miscellaneous

Qualified conservation

contribution - Historic

structures

Qualified conservation

contribution - Other

Real estate - Residential

Real estate - Commercial

Real estate - Other

Collectibles

Food inventory

Drugs and medical supplies

Taxidermy

Historical artifacts

Scientific specimens

Archeological artifacts

m m m m m m m m m mm m m m m mm m m m m mm m m m m m

m m m m m m m m m m m m m m m mm m m m m m

m m m m m m m m m mm m m m m m m m

m m m mm m m

m m m m m m m m m mm m m m m

m m m m m m m m m m m m mm m m m m m m m

m m m m m mm m m m m

m m m m m m m m mm m m m m m m m m m m m m

m m m m m m m m m m mm m m m

m m m m m m m m m m m m mm m m m m m m m m

m m m m m m m mm m m m m m m

IIII

Other

Other

Other

Other

(

(

(

(

)

)

)

)

29 Number of Forms 8283 received by the organization during the tax year for contributions for

which the organization completed Form 8283, Part IV, Donee Acknowledgement 29m m m m m m m m mYes No

30

31

32

33

a

b

a

b

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that

it must hold for at least three years from the date of the initial contribution, and which is not required to be

used for exempt purposes for the entire holding period? 30am m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard

contributions? 31m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDoes the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? 32am m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule M (Form 990) (2012)

JSA

2E1298 1.000


573. 9,130,438.ATCH 1

X

X

X

87855E 1385 V 12-7.10 GROUP

Schedule M (Form 990) (2012) Page 2Supplemental Information. Complete this part to provide the information required by Part I, lines 30b, 32b,and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, thenumber of items received, or a combination of both. Also complete this part for any additional information.

Part II

Schedule M (Form 990) (2012)JSA

2E1508 2.000


SCHEDULE M

FORM 990, LINE 32A

IN CONJUNCTION WITH MAJOR EVENTS, AFFILIATES EMPLOY SERVICES OF THIRD

PARTIES TO HELP PRODUCE THE EVENT. THE SERVICES MAY INCLUDE OBTAINING

IN-KIND GOODS AND SERVICES RELATED DIRECTLY TO THESE EVENTS.

87855E 1385 V 12-7.10 GROUP

Schedule M (Form 990) (2012) Page 2Supplemental Information. Complete this part to provide the information required by Part I, lines 30b, 32b,and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, thenumber of items received, or a combination of both. Also complete this part for any additional information.

Part II

Schedule M (Form 990) (2012)JSA

2E1508 2.000


ATTACHMENT 1

SCHEDULE M, PART I - OTHER NONCASH CONTRIBUTIONS

(B) NUMBER OF (C) REVENUES (D) METHOD OF DESCRIPTION (A) CHECK CONTRIBUTIONS REPORTED DETERMINING

EVENT-RELATED ITEMS X 573. 9,130,438. FMV OF DONATED PROP

TOTALS 573. 9,130,438.

87855E 1385 V 12-7.10 GROUP

OMB No. 1545-0047SCHEDULE N(Form 990 or 990-EZ)

Liquidation, Termination, Dissolution, or Significant Disposition of AssetsI Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36. À¾µ¶I Attach certified copies of any articles of dissolution, resolutions, or plans. Open to Public

Inspection Department of the TreasuryInternal Revenue Service I Attach to Form 990 or 990-EZ.


Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.Part I can be duplicated if additional space is needed.

Part I

(a) Description of asset(s)distributed or transaction

expenses paid

1 (b) Date ofdistribution

(c) Fair market value ofasset(s) distributed oramount of transaction

expenses

(d) Method ofdetermining FMV forasset(s) distributed ortransaction expenses

(e) EIN of recipient (f) Name and address of recipient (g) IRC section ofrecipient(s) (if

tax-exempt) or typeof entity

Yes No2 Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization?

Become an employee of, or independent contractor for, a successor or transferee organization?

Become a direct or indirect owner of a successor or transferee organization?

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution?

If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III.

abcde

2a2b2c2d

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m

IFor Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ. Schedule N (Form 990 or 990-EZ) (2012)

JSA

2E1302 1.000


SUSAN G. KOMEN BREAST CANCER FOUNDATION

NORTH DAKOTA AFFILIATE ASSETS 07/09/2012 141,386. ACTUAL COST 75-1835298 5005 LBJ FREEWAY,STE 250,DALLAS,TX 75244 501(C)(3)

BOISE, IDAHO AFFILIATE OF SUSAN G. KOMEN

COEUR D'ALENE AFFILIATE 04/01/2012 41,007. ACTUAL COST 75-2854965 1412 W IDAHO, STE 200 BOISE,ID 83702 501(C)(3)

XXXX

87855E 1385 V 12-7.10 GROUP

Schedule N (Form 990 or 990-EZ) (2012) Page 2Liquidation, Termination, or Dissolution (continued) Part I

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26

(Total liabilities), should equal -0-.Yes No

34

56

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III 34a4b5

6a6b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mab

abc

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate?

If "Yes," did the organization provide such notice?

Did the organization discharge or pay all of its liabilities in accordance with state laws?

Did the organization have any tax-exempt bonds outstanding during the year?

Did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No," explain in Part III.

m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered"Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

Part II

1 (a) Description of asset(s)distributed or transaction

expenses paid

(b) Date ofdistribution

(c) Fair market value ofasset(s) distributed oramount of transaction

expenses

(d) Method ofdetermining FMV forasset(s) distributed ortransaction expenses

(e) EIN of recipient (f) Name and address of recipient (g) IRC section ofrecipient(s) (if

tax-exempt) or typeof entity

Yes No2 Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization?

Become an employee of, or independent contractor for, a successor or transferee organization?

Become a direct or indirect owner of a successor or transferee organization?

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets?

If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III.

abcde

2a2b2c2d

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m

ISchedule N (Form 990 or 990-EZ) (2012)

JSA

2E1303 1.000


XXXX

X

87855E 1385 V 12-7.10 GROUP

Schedule N (Form 990 or 990-EZ) 2012 Page 3Supplemental Information. Complete to provide the information required by Part I, lines 2e and 6c, and PartII, line 2e. Also complete this part to provide any additional information.

Part III

Schedule N (Form 990 or 990-EZ) (2012)JSA

2E1509 1.000


SCHEDULE N, PART I

THE NORTH DAKOTA AFFILIATE AUTHORIZED THE DISSOLUTION OF THE AFFILIATE ON

JULY 9, 2012. THE NORTH DAKOTA AFFILIATE'S CERTIFICATE OF DISSOLUTION

WAS SUBSEQUENTLY FILED WITH THE STATE OF DELAWARE ON

APRIL 1, 2013.

THE COEUR D'ALENE AFFILIATE WAS MERGED WITH THE BOISE, IDAHO AFFILIATE

APRIL 1, 2012 PURSUANT TO ITS GOVERNING DOCUMENTS AND STATE LAW.

87855E 1385 V 12-7.10 GROUP

Supplemental Information to Form 990 or 990-EZ OMB No. 1545-0047SCHEDULE O(Form 990 or 990-EZ)

Complete to provide information for responses to specific questions onForm 990 or 990-EZ or to provide any additional information.

Attach to Form 990 or 990-EZ.

À¾µ¶ Open to Public Inspection

Department of the TreasuryInternal Revenue Service IName of the organization Employer identification number

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2012)JSA

2E1227 1.000


FORM 990 SUPPLEMENTAL INFORMATION

FORM 990, PART III - PROGRAM SERVICE ACCOMPLISHMENTS

NANCY G. BRINKER PROMISED HER DYING SISTER, SUZY, THAT SHE WOULD DO

EVERYTHING IN HER POWER TO END BREAST CANCER. SUSAN G. KOMEN WORKS TO END

BREAST CANCER IN THE U.S. AND THROUGHOUT THE WORLD BY INVESTING IN BREAST

CANCER RESEARCH AND COMMUNITY OUTREACH PROGRAMS, WITH A FOCUS ON

MEDICALLY UNDERSERVED PEOPLE. KOMEN, AND ITS AFFILIATES, ADVOCATES FOR

CANCER RESEARCH AND ACCESS TO CANCER CARE. KOMEN WORKS GLOBALLY IN MORE

THAN 30 COUNTRIES.

A - EDUCATION

KOMEN IS A TRUSTED SOURCE OF BREAST HEALTH AND BREAST CANCER INFORMATION

FOR PEOPLE ALL OVER THE WORLD AND IS INSTRUMENTAL IN CONNECTING PEOPLE

WITH THE RESOURCES THEY NEED IN THEIR FIGHT AGAINST BREAST CANCER.

KOMEN AFFILIATES DISTRIBUTE KOMEN'S SCIENCE-BASED, EASY-TO-READ

EDUCATIONAL MATERIALS. NEARLY 5 MILLION EDUCATIONAL MATERIALS WERE

DISTRIBUTED IN FISCAL YEAR 2013. EXAMPLES OF KOMEN EDUCATIONAL MATERIALS

INCLUDE THE FOLLOWING:

- BREAST SELF-AWARENESS CARDS IN 21 LANGUAGES FOR 22 SPECIFIC AUDIENCES

- GENERAL BREAST HEALTH AWARENESS AND BREAST CANCER SPECIFIC BROCHURES

AND FACT SHEETS

87855E 1385 V 12-7.10 GROUP

Schedule O (Form 990 or 990-EZ) 2012 Page 2Name of the organization Employer identification number

Schedule O (Form 990 or 990-EZ) 2012JSA

2E1228 1.000


- BOOKLETS WITH SUPPORT INFORMATION FOR SURVIVORS AND CO-SURVIVORS

I AM THE CURE® IS AN EDUCATIONAL PROGRAM THAT TEACHES SIMPLE,

ACTION-ORIENTED, BREAST HEALTH INFORMATION TO PARTICIPANTS IN THE SUSAN

G. KOMEN RACE FOR THE CURE® SERIES. LAST YEAR, NEARLY 1.5 MILLION PEOPLE

PARTICIPATED IN A RACE FOR THE CURE EVENT. A FORMAL EVALUATION SHOWED

THAT 82% OF PARTICIPANTS RECALLED THE MESSAGE THAT EARLY DETECTION IS KEY

TO SURVIVAL.

IN COMMUNITIES AROUND THE UNITED STATES, KOMEN AFFILIATES SUPPORT

PROGRAMS THAT RAISE AWARENESS ABOUT BREAST CANCER, ITS RISK FACTORS, AND

WHERE TO GO FOR HELP. LISTED BELOW ARE THREE EXAMPLES:

THE NORTHWEST GEORGIA HEALTHCARE PARTNERSHIP RECEIVED A GRANT FROM THE

CHATTANOOGA AFFILIATE TO EQUIP A PROMOTORA DE SALUD (BILINGUAL AND

CULTURALLY COMPETENT COMMUNITY HEALTH WORKER) TO PROVIDE BREAST HEALTH

EDUCATION AND IMMIGRANT OUTREACH IN NORTHWEST GEORGIA. THE BREAST HEALTH

PROMOTORA DE SALUD WILL PROVIDE PATIENT NAVIGATION AND CASE MANAGEMENT

FOR LATINO WOMEN REQUIRING MAMMOGRAMS, OTHER DIAGNOSTIC SCREENINGS, AND

FOR THOSE DIAGNOSED WITH BREAST CANCER. THE INDIGENT AND MEDICALLY

UNDERSERVED WILL BE TARGETED. THE NORTHWEST GEORGIA HEALTHCARE

PARTNERSHIP INITIATED THE PROMOTORAS DE SALUD INITIATIVE TO SERVE THE

INFLUX OF LATINO RESIDENTS IN WHITFIELD AND MURRAY COUNTIES. PROMOTORAS

DE SALUD ARE NATURAL LEADERS WITHIN THEIR COMMUNITY WHO ARE ABLE TO

IDENTIFY INDIVIDUALS AND GROUPS AND PROVIDE HEALTH CARE ADVICE AND

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


SUPPORT IN SPANISH. THEY HELP TO IMPROVE HEALTH CONDITIONS THROUGH

EDUCATION, ADVOCACY, AND EMPOWERING THEM TO TAKE CONTROL OF THEIR HEALTH

BY TEACHING THEM HOW TO ACCESS APPROPRIATE HEALTH CARE AND COMMUNITY

RESOURCES.

THE VERMONT-NEW HAMPSHIRE AFFILIATE PROVIDED A GRANT TO THE VERMONT

CANCER CENTER - UNIVERSITY OF VERMONT COLLEGE OF MEDICINE TO SUPPORT THE

CENTER'S 16TH ANNUAL BREAST CANCER CONFERENCE AT THE SHERATON CONFERENCE

CENTER IN BURLINGTON, VT. THIS FREE COMMUNITY BREAST HEALTH EVENT

PROVIDES PATIENTS, SURVIVORS, THEIR FAMILIES AND FRIENDS IN VT, NH, AND

NORTHERN NY WITH THE LATEST INFORMATION ON BREAST CANCER RESEARCH,

CLINICAL TRIALS, PREVENTION, SCREENING, TREATMENT, AND SURVIVORSHIP.

RESIDENTS OF THIS RURAL REGION FACE OBSTACLES WHEN ACCESSING HEALTH CARE

RESOURCES AND MAY EXPERIENCE CHALLENGES IN FINDING RELIABLE INFORMATION

ABOUT CURRENT BREAST CANCER RESEARCH, PREVENTION AND SCREENING,

COUNSELING AND DIAGNOSTICS, AND THERAPEUTICS, WARRANTING A SIGNIFICANT

NEED FOR THIS FREE REGIONAL BREAST HEALTH EDUCATIONAL EVENT. CONFERENCE

GOALS INCLUDE INCREASING AWARENESS OF THE SCREENING FACILITIES IN

CHITTENDEN AND NEARBY COUNTIES OF VT, NH AND IN NORTHERN NY, AS WELL AS

INCREASING AWARENESS AND ATTENDANCE OF THE CONFERENCE AMONG RURAL,

ECONOMICALLY CHALLENGED, AND MEDICALLY UNDERSERVED POPULATIONS IN THE

REGION, PARTICULARLY THOSE WHO ARE NEWLY DIAGNOSED OR HAVE NOT YET

ATTENDED THE CONFERENCE.

THE MASSACHUSETTS AFFILIATE PROVIDED A GRANT TO THE YWCA OF SOUTHEASTERN

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


MASSACHUSETTS THAT SUPPORTED EDUCATIONAL OUTREACH TO WOMEN IN

SOUTHEASTERN MASSACHUSETTS. THE YWCA PROGRAM EXPANDS BREAST HEALTH

EDUCATION, LINKAGE TO SCREENING AND PATIENT NAVIGATION TO LOW-INCOME

UNDERSERVED WOMEN OVER 40 IN SOUTHEASTERN MASSACHUSETTS, CAPE COD,

MARTHA'S VINEYARD AND NANTUCKET. THIS GROUP WAS IDENTIFIED BY KOMEN

MASSACHUSETTS AS NEEDING BREAST CANCER EDUCATION AND SCREENING, AS THERE

IS A HIGH INCIDENCE IN THIS AREA. APPROPRIATE EDUCATION AND REFERRALS CAN

INCREASE THE BREAST CANCER DETECTION RATE FOR MANY OF THESE WOMEN TO THE

POINT THAT THEY CAN BE CURED IN ITS EARLIEST STATE, INCREASING THE

SURVIVAL RATE SIGNIFICANTLY.

B - SCREENING

GETTING REGULAR SCREENING TESTS, ALONG WITH TREATMENT IF DIAGNOSED,

LOWERS THE RISK OF DYING FROM BREAST CANCER. SCREENING TESTS CAN FIND

BREAST CANCER EARLY, WHEN IT'S MOST TREATABLE. KOMEN AFFILIATES SUPPORT

FREE AND LOW-COST MAMMOGRAM PROGRAMS IN COMMUNITIES FOR WOMEN WITHOUT

HEALTH INSURANCE OR THOSE WITH HIGH CO-PAYS AND DEDUCTIBLES THAT MAKE

GETTING A MAMMOGRAM TOO COSTLY. LISTED BELOW ARE EXAMPLES OF SUCH

PROGRAMS:

THE NC FOOTHILLS AFFILIATE PROVIDED A GRANT TO FUND THE GOOD SAMARITAN

CLINIC- THE PRIMARY CARE PROVIDER AND SAFETY NET FOR BURKE COUNTY'S

LOW-INCOME, UNINSURED RESIDENTS. THE CLINIC WORKS CLOSELY WITH COMMUNITY

PARTNERS TO INCREASE CAPACITY OF CARE AND MAXIMIZE EFFICIENCY. THE

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


GRANT AWARDED TO GOOD SAMARITAN CLINIC WILL BE USED TO SUPPORT THE

SCREENING AND REFERRAL OF PATIENTS RECEIVING A CLINICAL BREAST EXAM AND

OFTEN, THE SUBSEQUENT SCREENING OR DIAGNOSTIC MAMMOGRAM. THIS FUNDING

WILL BE USED TO COVER THE COST OF PERFORMING THE EXAMS, REVIEWING THE

TESTS AND COORDINATING ADDITIONAL TESTING. EVALUATION WILL INCLUDE A

COMBINATION OF QUANTITATIVE DATA AND CLINICAL QUALITY IMPROVEMENT CYCLES

TO IMPROVE PATIENT FLOW AND SUBSEQUENT IMPACT. IT IS ANTICIPATED THAT A

DEDICATED BREAST HEALTH CLINIC HELD MONTHLY WILL NOT ONLY YIELD A

SIGNIFICANT NUMBER OF SCREENINGS BUT WILL RESULT IN INCREASED EDUCATION

AND AWARENESS AMONG THE UNINSURED.

THE MEMORIAL AFFILIATE FUNDED A GRANT TO ST. JOHN'S HOSPITAL

(SPRINGFIELD), ST. FRANCIS HOSPITAL (LITCHFIELD), AND ST. MARY'S HOSPITAL

(STREATOR); ALL PARTNERING HOSPITALS IN THE HOSPITAL SISTERS HEALTH

SYSTEM. THESE HOSPITALS WILL PROVIDE AT LEAST 82 LOW-INCOME WOMEN FROM

LA SALLE, MONTGOMERY, AND SANGAMON COUNTIES WITH ACCESS TO A FREE ANNUAL

SCREENING MAMMOGRAM. THROUGH COLLABORATION WITH THE COORDINATED ACCESS

TO COMMUNITY HEALTH PROGRAM IN SANGAMON COUNTY, THEY WILL PROVIDE THE

NECESSARY RESOURCES THAT THESE PATIENTS NEED TO OVERCOME THE BARRIERS TO

ACCESSING REGULAR MAMMOGRAMS. UNINSURED WOMEN WILL BE SCHEDULED FOR A

BREAST SCREENING MAMMOGRAM, IN ADDITION TO RECEIVING BREAST HEALTH

INFORMATION. EVALUATION OF THE PROGRAM WILL BE TRACKED BY THE NUMBER OF

WOMEN RECEIVING A SCREENING MAMMOGRAM AND BREAST HEALTH EDUCATION. THE

POTENTIAL IMPACT OF THIS PROGRAM IS GREATER ACCESS TO BREAST SCREENING

SERVICES AVAILABLE TO THE TARGET POPULATION THAT DO NOT HAVE A REGULAR

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


MAMMOGRAM, INCREASING COLLABORATION AMONG HOSPITALS FOR BREAST HEALTH

SERVICES, INCREASING BREAST HEALTH AWARENESS, AND COLLABORATION WITH

LOCAL AGENCIES IN PROVIDING ACCESS TO HEALTH SERVICES.

THE SC MOUNTAINS TO MIDLANDS AFFILIATE PROVIDED A GRANT TO THE FOUNDATION

OF MONONGALIA GENERAL HOSPITAL TO HELP FUND 60 (OR MORE) FREE MAMMOGRAMS

TO WOMEN AGE 36 AND OLDER WITH NO HEALTH INSURANCE AND A FAMILY HISTORY

OF BREAST CANCER. THEY WILL TARGET THE COUNTIES OF PRESTON, GRANT,

HARDY, TAYLOR, MINERAL, TUCKER, RANDOLPH, BARBOUR, LEWIS AND UPSHUR.

WITHIN THIS AREA RESIDE MORE THAN 100,000 WOMEN FITTING THE CRITERIA.

THIS AREA ALSO HAS RELATIVELY LOW HEALTH INSURANCE COVERAGE COMPARED TO

THE MORE METROPOLITAN AREA OF MONONGALIA COUNTY. THE RESULTS WILL BE

SHOWN IN HOW MANY WOMEN SIGN UP FOR THE FREE MAMMOGRAM SCREENINGS. THE

EXPECTED CHANGE FOR THE COMMUNITY WILL BE MORE WOMEN GETTING SCREENINGS

WHO OTHERWISE WOULD NOT.

C - RESEARCH AND TRAINING

KOMEN HAS CONTRIBUTED TO MAJOR ADVANCES IN BREAST CANCER RESEARCH OVER

THE PAST 30 YEARS. KOMEN'S RESEARCH AND TRAINING PROGRAMS ARE DESIGNED

TO ADVANCE THE TRANSLATION OF RESEARCH DISCOVERIES INTO NEW WAYS TO

DIAGNOSE, TREAT, AND PREVENT BREAST CANCER, LEADING TO A REDUCTION OF

BREAST CANCER INCIDENCE AND MORTALITY WITHIN THE NEXT DECADE. TO ENSURE

MAXIMUM IMPACT FOR ITS RESEARCH DOLLARS, KOMEN IS GUIDED BY A SCIENTIFIC

ADVISORY BOARD, A GROUP OF INTERNATIONALLY RECOGNIZED DOCTORS, SCIENTISTS

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


AND ADVOCATES, AND CONSULTS WITH THE KOMEN SCHOLARS, A GROUP COMPRISED OF

70 SCIENTISTS AND ADVOCATES.

KOMEN AWARDS GRANTS TO INDIVIDUAL SCIENTISTS, RESEARCH TEAMS, AND

ORGANIZATIONS AROUND THE WORLD THROUGH COMPETITIVE, REVIEW PROCESSES THAT

ENSURE MAXIMUM IMPACT FOR OUR RESEARCH DOLLARS.

WHILE AFFILIATES DO NOT FUND RESEARCH GRANTS DIRECTLY, A PORTION OF THE

NET FUNDS RAISED BY EVERY AFFILIATE (APPROXIMATELY 25%) GOES TO SUPPORT

THE RESEARCH AND TRAINING GRANTS PROGRAMS AT KOMEN HEADQUARTERS. IN

FISCAL YEAR 2013, KOMEN MADE 124 GRANTS THROUGH ITS RESEARCH AND TRAINING

GRANTS PROGRAM TO SUPPORT RESEARCH AND TRAINING IN THE UNITED STATES AND

OTHER COUNTRIES, INCLUDING AUSTRALIA, BELGIUM, AND CANADA.

D - TREATMENT

COUNTLESS NUMBERS OF PATIENTS DELAY OR FOREGO BREAST CANCER TREATMENT

EACH YEAR, AND AS A RESULT, THESE WOMEN ARE LESS LIKELY TO SURVIVE. FOR

THIS REASON, KOMEN SUPPORTS PROGRAMS THAT CONNECT PEOPLE WITH LOCAL

RESOURCES, PSYCHOSOCIAL SUPPORT, AND PROVIDE CRITICAL FINANCIAL

ASSISTANCE.

THE IOWA AFFILIATE FUNDS THE BREAST CANCER ASSISTANCE PROGRAM OF VISITING

NURSES ASSOCIATION OF POTTAWATTAMIE COUNTY, WHICH SEEKS TO EASE THESE

HARDSHIPS BY ALLEVIATING IMMEDIATE FINANCIAL NEEDS ARISING FROM A BREAST

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


CANCER DIAGNOSIS, PROVIDING EMOTIONAL SUPPORT, AND CONNECTING PATIENTS

WITH COMMUNITY RESOURCES. SERVICES TO THE CLIENT ARE TAILORED TO THEIR

PARTICULAR NEED. EVALUATION INCLUDES THE USE OF SATISFACTION SURVEYS, AND

COLLECTION OF DATA REGARDING SERVICE PROVISION AND IMPACT. IT IS EXPECTED

THAT THE KOMEN GRANT WILL HELP FUND TRANSPORTATION SERVICES AND OTHER

SUPPORT FOR APPROXIMATELY 20-30 WOMEN IN IOWA, ENABLING THEM TO FOCUS

THEIR ENERGY ON RECOVERY.

THE TEXARKANA AFFILIATE PROVIDES A GRANT TO THE HOSPICE OF TEXARKANA

WHICH SUPPORTS PATIENTS WITH BREAST CANCER WHO ARE IN NEED OF END-OF-LIFE

SUPPORT, REGARDLESS OF THEIR GENDER, AGE, OR ABILITY TO PAY. THE HOSPICE

PROVIDES PROVIDE COMPREHENSIVE SERVICES AND DOES NOT SEND A BILL TO

PATIENTS, WHETHER OR NOT THEY HAVE INSURANCE BENEFITS. PATIENTS ARE

TYPICALLY REFERRED BY THEIR PHYSICIANS WHEN CURATIVE OPTIONS HAVE BEEN

EXHAUSTED AND SYMPTOMS NEED TO BE CONTROLLED SO THEY CAN HAVE QUALITY

TIME WITH FAMILY. ALSO, THE HOSPICE'S BEREAVEMENT DEPARTMENT OFFERS

CONSOLATION TO THE PATIENT'S FAMILY FOR A YEAR BEYOND THE DEATH.

THE CHICAGOLAND AFFILIATE PROVIDED A GRANT TO THE ROSELAND COMMUNITY

HOSPITAL (RCH) TO SUPPORT THE OPERATION OF A PATIENT NAVIGATION PROGRAM

THAT ASSISTS LOW-INCOME AFRICAN-AMERICAN WOMEN IN THE GREATER ROSELAND

COMMUNITY AREA RECEIVING BREAST HEALTH SERVICES. THE FIVE COMMUNITIES

COMPRISING GREATER ROSELAND COMMUNITY ARE ROSELAND, PULLMAN, WEST

PULLMAN, WASHINGTON HEIGHTS, AND RIVERDALE. THE COMMUNITIES ARE

APPROXIMATELY 95 PERCENT AFRICAN-AMERICAN AND AMONG THE MOST IMPOVERISHED

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


OF THE 77 COMMUNITY AREAS IN CHICAGO. THE KOMEN GRANT WILL SUPPORT A

PATIENT NAVIGATION PROGRAM FOR WOMEN RECEIVING MAMMOGRAPHY SCREENING,

DIAGNOSIS AND TREATMENT SERVICES IN THE HOSPITALS' NEWLY ESTABLISHED

"WOMEN'S MAMMOGRAPHY CENTER". WOMEN WITH POSITIVE FINDINGS WILL RECEIVE

THE SUPPORT AND GUIDANCE NEEDED TO NAVIGATE THROUGH AN OFTEN COMPLEX

MEDICAL SYSTEM FOR DIAGNOSIS AND TREATMENT IN A TIMELY MANNER. EVALUATION

WILL ASSURE THAT THE PATIENT NAVIGATION PROGRAM HAS THE DESIRED IMPACT BY

MEASURING OUTCOMES INCLUDED IN THE WORK PLAN, SUCH AS, THE NUMBER OF

WOMEN ASSISTED BY THE PATIENT NAVIGATION SERVICES RECEIVING TREATMENT.

NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY

FORM 990, PART VI, LINE 1A

THIS 1,267 REPRESENTS THE TOTAL NUMBER OF BOARD MEMBERS THAT SERVE ON THE

BOARDS OF THE 119 AFFILIATES THAT COMPRISE THE KOMEN GROUP RETURN.

DESCRIPTION OF RELATIONSHIPS

FORM 990, PART VI, QUESTION 2

INLAND EMPIRE AFFILIATE:

DEBBIE GILLIGAN, SECRETARY AND HERB KILLIAN, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP

HERB KILLIAN, BOARD MEMBER AND BARB KILLIAN, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP

NORTH DAKOTA AFFILIATE:

KELLY QUINTUS, BOARD MEMBER AND ERIN GREEN-GROM, BOARD MEMBER HAVE A

FAMILY RELATIONSHIP

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


SOUTH DAKOTA AFFILIATE:

BETH O'TOOLE, BOARD MEMBER AND SHANE MINER, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP

UPPER CUMBERLAND AFFILIATE:

EILEEN STUBER, PRESIDENT AND HARRY STUBER, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP

WABASH VALLEY AFFILIATE:

PATRICIA WILEY, BOARD MEMBER AND MICHELLE MCCREA, BOARD MEMBER HAVE A

FAMILY RELATIONSHIP.


EXPLANATION OF SIGNIFICANT CHANGES MADE TO THE BYLAWS OF SELECTED

AFFILIATES OF SUSAN G. KOMEN FOR THE CURE IN FY2013

ONE KOMEN AFFILIATE MADE SIGNIFICANT CHANGES TO ITS BYLAWS IN FY2013

("BYLAWS" SHALL MEAN THE GOVERNING BYLAWS OF THE RESPECTIVE AFFILIATE.):

1. DENVER METROPOLITAN AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION

- THE POSITION OF PRESIDENT-ELECT WAS ADDED TO THE BYLAWS.

DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY OTHER PERSONS

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


FORM 990, PART VI, LINE 7B

IN ADDITION TO RECEIVING APPROVAL FROM ITS BOARD OF DIRECTORS, A KOMEN

AFFILIATE MUST RECEIVE THE APPROVAL OF KOMEN PARENT PRIOR TO AMENDING ITS

ARTICLES/CERTIFICATE OF INCORPORATION AND BYLAWS. A KOMEN AFFILIATE IS

ALSO SUBJECT TO ITS AFFILIATION AGREEMENT WITH KOMEN PARENT AND OTHER

POLICIES PROMULGATED BY KOMEN PARENT.

DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW

990

FORM 990, PART VI, QUESTION 11B

AS PART OF THE YEAR END FINANCIAL STATEMENT AND 990 PREPARATION PROCESS,

THE MANAGEMENT OF EACH AFFILIATE PREPARES A WORKBOOK DETAILING KEY

INFORMATION NECESSARY TO ACCURATELY COMPLETE THE GROUP FORM 990. THIS

INFORMATION IS REVIEWED BY THE PARENT ORGANIZATION'S MANAGEMENT AND USED

TO PREPARE THE MATERIALS FOR THE FORM 990 WITH THE ASSISTANCE OF AND

REVIEW BY EXTERNAL ACCOUNTANTS. SENIOR LEVELS OF THE PARENT

ORGANIZATION'S MANAGEMENT REVIEW AND COMMENT ON THE FINAL DRAFT OF THE

FORM 990 WHICH IS THEN PRESENTED TO THE KOMEN PARENT AUDIT COMMITTEE OF

THE BOARD OF DIRECTORS. THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS

REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. THE PUBLIC DISCLOSURE

COPY OF THE GROUP 990 IS ALSO MADE AVAILABLE TO EACH AFFILIATE BOARD

PRIOR TO FILING.

DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


FORM 990, PART VI, QUESTION 12C

THE ORGANIZATION PRODUCES AN ANNUAL SURVEY REQUIRING ALL EMPLOYEES, BOARD

MEMBERS, COMMITTEE MEMBERS AND KEY VOLUNTEERS TO INFORM ON CONFLICTS. ANY

REPORTED CONFLICTS ARE REVIEWED BY KOMEN AFFILIATE STAFF AND REPORTED TO

EACH RESPECTIVE KOMEN AFFILIATE BOARD OF DIRECTORS FOR REVIEW AND

APPROPRIATE ACTION, SUCH AS RECUSAL FROM DECISIONS IMPACTED BY A CONFLICT

OF INTEREST. IN ADDITION, THOSE SAME PEOPLE HAVE THE OBLIGATION TO

UPDATE THE CONFLICT OF INTEREST STATEMENTS DURING THE YEAR.

OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN

FORM 990, PART VI, QUESTION 15A & 15B

EACH KOMEN AFFILIATE IS INDEPENDENTLY RESPONSIBLE FOR DETERMINING THE

COMPENSATION FOR ITS CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIALS,

OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION.

THE GENERAL PROCESS IS AS FOLLOWS:

THE INDEPENDENT MEMBERS OF THE BOARD, COMMITTEE OR DESIGNEE OF THE BOARD

RESEARCHES SALARY RANGES FOR COMPARABLE DESCRIPTIONS AND ACCORDINGLY SETS

THE SALARY TO A REASONABLE AND COMPARABLE LEVEL, TAKING INTO

CONSIDERATION FACTORS SUCH AS GEOGRAPHIC LOCATION, SKILL SET, EXPERIENCE

AND JOB REQUIREMENTS. THE INDEPENDENT MEMBERS OF THE BOARD BASE THEIR

FINAL DECISION ON THIS INFORMATION, SUCH DECISION BEING MADE PRIOR TO THE

PAYMENT OF ANY COMPENSATION. AS AN ADDITIONAL RESOURCE, THE SALARY

SURVEY INFORMATION OBTAINED BY THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC. ("THE PARENT") IS MADE AVAILABLE TO KOMEN AFFILIATES

UPON REQUEST.

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN

PUBLIC


THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND THE GROUP FORM 990

ARE PUBLICLY AVAILABLE AT WWW.KOMEN.ORG. THE ARTICLES OF INCORPORATION

ARE AVAILABLE IN THE STATE EACH AFFILIATE IS INCORPORATED AND OTHER

GOVERNING DOCUMENTS ARE MADE AVAILABLE AS REQUIRED BY STATE LAW. FORM

1023 IS NOT ONLINE BUT AVAILABLE TO THE PUBLIC UPON REQUEST.

PAYMENTS TO AFFILIATES

FORM 990, PART IX, LINE 21

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION AFFILIATES (THE KOMEN

AFFILIATES) PAY A PREDETERMINED PERCENTAGE (MINIMUM OF 25%) OF THEIR NET

MONIES RAISED TO THE FOUNDATION (THE KOMEN PARENT) TO HELP FUND THE KOMEN

PARENT RESEARCH AND TRAINING GRANT PROGRAM. THESE FUNDS ARE EARMARKED BY

THE KOMEN PARENT TO BE USED SPECIFICALLY FOR THE RESEARCH AND TRAINING

GRANT PROGRAM, WHICH PROVIDES FUNDING FOR INNOVATIVE BREAST CANCER

RESEARCH. THE KOMEN PARENT ADHERES TO A REVIEW PROCESS WHEN DETERMINING

WHO RECEIVES GRANT FUNDS. FOR FURTHER INFORMATION, SEE FORM 990, PART

III, PRIMARY EXEMPT PURPOSE AND PROGRAM SERVICE ACCOMPLISHMENTS.

OTHER CHANGES IN NET ASSETS

PART XI RECONCILIATION OF NET ASSETS

87855E 1385 V 12-7.10 GROUP



2E1228 1.000


PART XI, LINE 6

IN KIND SERVICE REVENUE 47,561,825

IN KIND SERVICE EXPENSE (49,252,713)

NET IN KIND SERVICES (1,690,888)

PART XI, LINE 9:

RESCINDED GRANTS 3,631,824

ROUNDING 2

TOTAL 3,631,826ATTACHMENT 1

FORM 990, PART VI, LINE 17 - STATES

AL,AZ,AR,CA,CO,CT,

FL,GA,HI,IL,IN,KS,KY,ME,MD,MA,MI,

MN,MS,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,

SC,TN,UT,VA,WA,WI,

ATTACHMENT 2

990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS

NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION

APPLE EVENTS RFTC & CHIP TIMING 108,742.8189 S. CENTRAL EXPRESSWAYDALLAS, TX 75241

LEAD DOG PRODUCTION RACE PRODUCTION 121,200.159 WEST 25TH STREETNEW YORK CITY, NY 10001

THE STAR GROUP CONSULTING 238,278.VOORHEES TOWN CENTER, 220 LAUREL ROADVOORHEES, NJ 08043

87855E 1385 V 12-7.10 GROUP



2E1228 1.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 2 (CONT'D)

990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS

NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION

CHRIS TATREAU CONSULTING, LTD CONSULTING 112,250.PO BOX 139GWYNEDD VALLEY, PA 19437

87855E 1385 V 12-7.10 GROUP

SUSAN G. KOMEN BREAST CANCER FOUNDATION - GROUP EIN# 75-2462834YEAR ENDED MARCH 31, 2013 2012 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization (A) Name (A) Title

(B) AVG HOURS/ WEEK

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable Compensation

from the Organization

(E) Reportable compensation from related

organizations

(F) Estimated amount of other compensation

from the organization and

related orgs

Acadiana Affiliate Toni Guillotte President (Thru 3/27/13) 17 X - X - - - 0 0 0Alice Dukes Board Member (Thru 12/1/12) 3 X - - - - - 0 0 0Susan Allardyce Board Member (Thru 6/1/12) 3 X - - - - - 0 0 0Liz Cole Secretary 3 X - X - - - 0 0 0Shalondra Hite-Lewis President (Beg 3/13) 3 X - X - - - 0 0 0Roxan Goudeau Board Member (Thru 2/1/13) 3 X - - - - - 0 0 0Mellisa Bowers Treasurer 17 X - X - - - 0 0 0Tyshaun James-Hart MD Board Member 3 X - - - - - 0 0 0Kylie Tahana Board Member 3 X - - - - - 0 0 0Susan Boudreaux Board Member 3 X - - - - - 0 0 0Mallory Acrey Board Member 3 X - - - - - 0 0 0Ayesha Martin Board Member 3 X - - - - - 0 0 0Lori Tursic Board Member 3 X - - - - - 0 0 0Courtney Blanchard Board Member 3 X - - - - - 0 0 0Tori Theriot Board Member 3 X - - - - - 0 0 0

The Arkansas Chapter Ellen Kreth President 4 X - X - - - 0 0 0Lisa Love Treasurer 4 X - X - - - 0 0 0Isabelle Monroe Vice President/Secretary 12 X - X - - - 0 0 0Alesa Garner Board Member 8 X - - - - - 0 0 0Mike Gavigan Board Member 4 X - - - - - 0 0 0Leila Alston Board Member 4 X - - - - - 0 0 0Tjuana Byrd Board Member 4 X - - - - - 0 0 0Errin Dean Board Member 4 X - - - - - 0 0 0Hope Keiser Board Member 4 X - - - - - 0 0 0Lynelle Lehman Board Member 4 X - - - - - 0 0 0Vickey Metrailer Board Member 4 X - - - - - 0 0 0Angela Parker Board Member 4 X - - - - - 0 0 0Matt Propst Board Member 4 X - - - - - 0 0 0Mattye Willis Board Member 4 X - - - - - 0 0 0Kristi Moody Board Member 4 X - - - - - 0 0 0

The Aspen Chapter Marcia Goshorn Board President 3 X - X - - - 0 0 0Barbara Newton Vice President 3 X - X - - - 0 0 0Liz Siegel Board Member 3 X - - - - - 0 0 0Lolly Kelly Board Member 1 X - - - - - 0 0 0Nancy Pickard Board Member 4 X - - - - - 0 0 0Sandra Menter Board Member 1 X - - - - - 0 0 0Denise Rock Board Member 3 X - - - - - 0 0 0RJ Gallagher Board Member 1 X - - - - - 0 0 0Chris George Board Member 2 X - - - - - 0 0 0David Eisenstat Board Member 1 X - - - - - 0 0 0Melissa Cook Board Member (Thru 3/15/13) 1 X - - - - - 0 0 0Rebecca Leutke Board Member (Thru 7/18/12) 1 X - - - - - 0 0 0Maurie Wolff Treasurer (Thru 6/7/12) 1 X - X - - - 0 0 0

The Austin Chapter Robert Notley Treasurer 8 X - X - - - 0 0 0Justin Krost Board Member 2 X - - - - - 0 0 0Rick Reeder President 8 X - X - - - 0 0 0Julie Sanders Board Member 2 X - - - - - 0 0 0Jennifer Stevens (Lustina) Vice President 2 X - X - - - 0 0 0Robin Thigpin Board Member 2 X - - - - - 0 0 0Courtney Dickey Secretary 2 X - X - - - 0 0 0T. Harper Board Member 2 X - - - - - 0 0 0Valerie Shaw Board Member 2 X - - - - - 0 0 0Kathleen Lucente Board Member 2 X - - - - - 0 0 0Karen Shultz Board Member 2 X - - - - - 0 0 0Deb Hastings Board Member 2 X - - - - - 0 0 0Sadaf Kahn Board Member (Thru 3/18/13) 2 X - - - - - 0 0 0Deborah O'Connell, MD Board Member (Thru 6/1/12) 2 X - - - - - 0 0 0

C Position - Mark All That Apply

Page 1 of 27 ATTACHMENT 2A



(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Karen Quintos Board Member (Thru 11/1/12) 2 X - - - - - 0 0 0Christie Barany Board Member (Thru 2/21/13) 2 X - - - - - 0 0 0

Baton Rouge Affiliate Angela Miller President 40 X - X - - - 0 0 0Toni Douglas Treasurer 15 X - X - - - 0 0 0Eulanda Batiste Secretary 5 X - X - - - 0 0 0Wendy Reeves Board Member 2 X - - - - - 0 0 0Danielle Bayham Board Member 2 X - - - - - 0 0 0Victoria Cooper Board Member 2 X - - - - - 0 0 0Laura Soileau Board Member 2 X - - - - - 0 0 0Lauren Modenback Board Member (Thru 12/9/12) 2 X - - - - - 0 0 0Renee Andre' Board Member (Thru 11/26/12) 2 X - - - - - 0 0 0Nancy Jones Board Member (Thru 11/30/12) 2 X - - - - - 0 0 0Ashley Bowers Board Member (Thru 5/8/12) 2 X - - - - - 0 0 0Susan Mittenforf Board Member (Thru 12/31/12) 2 X - - - - - 0 0 0

Bayou Region Affiliate Steve Gaubert Treasurer 2 X - X - - - 0 0 0Laura Roger Secretary 6 X - X - - - 0 0 0Greg Stock President 2 X - X - - - 0 0 0Susan Guidry Board Member 1 X - - - - - 0 0 0Dr. Alice Pecoraro Board Member 1 X - - - - - 0 0 0Marlo Tibbs Board Member 1 X - - - - - 0 0 0Earl Hernandez Board Member 6 X - - - - - 0 0 0Donna Callahan Board Member 1 X - - - - - 0 0 0Brenda Hansen Board Member 6 X - - - - - 0 0 0Wayne Arboneaux Board Member 1 X - - - - - 0 0 0Rachel Becnel Board Member 1 X - - - - - 0 0 0Monica Sanchez Board Member (Beg 12/6/12) 6 X - - - - - 0 0 0

Boise, Idaho Affiliate Jodi Brawley President 1 X - X - - - 0 0 0Vicki Masterson Treasurer 1 X - X - - - 0 0 0Cindy Baker Secretary 1 X - X - - - 0 0 0Judy Murray Board Member 1 X - - - - - 0 0 0Michelle Edmonds Board Member 1 X - - - - - 0 0 0Dr. Mark Wigod Board Member 1 X - - - - - 0 0 0Allison Bender Board Member (Beg 2/4/13) 1 X - - - - - 0 0 0Kathy Winn Board Member (Thru 5/5/12) 1 X - - - - - 0 0 0

Central and South Jersey Affiliate Jay Turchin President 6 X - X - - - 0 0 0Marcia Cohen Treasurer 4 X - X - - - 0 0 0Kathy Kivelson Hecht Secretary 5 X - X - - - 0 0 0Ken Berlin Board Member 2 X - - - - - 0 0 0Joe Cavone Board Member (Thru 11/12) 2 X - - - - - 0 0 0Rachel Dultz MD Board Member 2 X - - - - - 0 0 0Ann Marie Hill Board Member 4 X - - - - - 0 0 0Brian Markison Board Member 2 X - - - - - 0 0 0Jon Pearson Board Member 2 X - - - - - 0 0 0Michael Schaff Board Member 2 X - - - - - 0 0 0Eduardo Schur Board Member 2 X - - - - - 0 0 0

Central Oklahoma Chapter of the Sherry Barton President 5 X - X - - - 0 0 0Kevin Fosbenner Treasurer 5 X - X - - - 0 0 0Kyle Shoemaker Secretary 5 X - X - - - 0 0 0Mandy Hansen Board Member 5 X - - - - - 0 0 0Cristi Reiger Board Member 1 X - - - - - 0 0 0Natalie Rice Board Member 1 X - - - - - 0 0 0Phyllis Wahahrockah-Tasi Board Member 1 X - - - - - 0 0 0Dustin Davis Board Member 1 X - - - - - 0 0 0

Central Florida Affiliate Jeri Francoeur Board President 25 X - X - - - 0 0 0Jesica Anderson Board Vice-President 15 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Donna-Sue Sanders Board Member 5 X - - - - - 0 0 0Rachel Cataline Board Treasurer/Secretary 7 X - X - - - 0 0 0George Kastroulis Board Member (Thru 12/12) 5 X - - - - - 0 0 0Tracy Jacim Board Member 2 X - - - - - 0 0 0Tammy Marcotte Board Member 2 X - - - - - 0 0 0Cher Keller-Bodnar Board Member (Thru 11/12) 10 X - X - - - 0 0 0Donna Todd Board Member (Thru 10/12) 2 X - - - - - 0 0 0Paula Cariazzai Board Member (Thru 10/12) 15 X - - - - - 0 0 0

Central Georgia Affiliate Nicole Rinehart President 5 X - X - - - 0 0 0Carole Radney Secretary 2 X - X - - - 0 0 0Jeff Harris Board Member 2 X - - - - - 0 0 0Dawn Cole Board Member 2 X - - - - - 0 0 0Sarah Jones Board Member 2 X - - - - - 0 0 0Natasha Graddick Board Member 2 X - - - - - 0 0 0Susan Fry Board Member 2 X - - - - - 0 0 0Kristi Minor Board Member 2 X - - - - - 0 0 0Kalin Richardson Board Member 2 X - - - - - 0 0 0Shelia Henderson Board Member 2 X - - - - - 0 0 0Barbara Marshall Treasurer (6/1/12 - 11/1/12) 5 X - X - - - 0 0 0Amy Tarpley Board Member (Thru 11/1/12) 2 X - - - - - 0 0 0Dennis Whitaker Board Member (Thru 11/1/12) 2 X - - - - - 0 0 0

Central Mississippi Steel Magnolias Affiliate Dr. Wilma Mosley Clopton Board President 3 X - X - - - 0 0 0Jeanne Fortenberry Vice President 3 X - X - - - 0 0 0Michael Anthony Davis Treasurer 3 X - X - - - 0 0 0Dr. Emma Brooks Smith Board Member 3 X - - - - - 0 0 0Mrs. Odessa Hawkins Board Member 3 X - - - - - 0 0 0Christy Moore Secretary (6/1/12 - 12/1/12) 3 X - X - - - 0 0 0Kimberly Sweet Board Member (5/1/12 - 12/1/12) 3 X - - - - - 0 0 0Georganna Kennum Board Member (6/1/12 - 12/1/12) 3 X - - - - - 0 0 0Dr. Urseline Hawkins Board Member (6/1/12 - 12/1/12) 3 X - - - - - 0 0 0

Central New Mexico Affiliate Shannon Adragna Secretary 3 X - X - - - 0 0 0Julia Chong Treasurer 3 X - X - - - 0 0 0Michele Conners President 3 X - X - - - 0 0 0Reina Luna Board Member 3 x - - - - - 0 0 0Mike Rico Board Member 3 X - - - - - 0 0 0Cindy Adams Board Member (Thru 11/15/12) 3 X - - - - - 0 0 0David Baker Board Member (Thru 1/31/13) 3 X - - - - - 0 0 0

Central New York Affiliate Elaine Jacobs President, Board Member 5 X - X - - - 0 0 0Louise Hofmann Secretary,Board Member 5 X - X - - - 0 0 0Catherine Shamlian Vice President, Board Member 5 X - X - - - 0 0 0Susan St.Amour Treasurer, Board Member 5 X - X - - - 0 0 0Jeff Camanici Board Member 1 X - - - - - 0 0 0Mary Ann Drumm Board Member 1 X - - - - - 0 0 0Kim Hunter Board Member 1 X - - - - - 0 0 0Kristine Keeney, MD Board Member 1 X - - - - - 0 0 0Candice Lucas Board Member 1 X - - - - - 0 0 0Mary Market Board Member 1 X - - - - - 0 0 0Susan Meath Board Member 1 X - - - - - 0 0 0Karen Nasoni Board Member 1 X - - - - - 0 0 0Phil Reagan Board Member 1 X - - - - - 0 0 0Susan Swift Board Member 1 X - - - - - 0 0 0Kelly Vaccaro Board Member 1 X - - - - - 0 0 0Sheri Cohen Board Member 1 x - - - - - 0 0 0

Central Texas Affiliate Kay Huggins President 5 X - X - - - 0 0 0Gregory Barton Vice President 1 X - X - - - 0 0 0Jennifer Manning Treasurer 5 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Jane Allen Secretary 1 X - X - - - 0 0 0Cecilia Pena Board Member 1 X - - - - - 0 0 0Libby Cain Board Member 1 X - - - - - 0 0 0April Pullen Board Member 1 X - - - - - 0 0 0Sherry Lynn Trainer-Guardiola Board Member (Thru 4/25/12) 1 X - - - - - 0 0 0

Central Valley Affiliate Lisa Quiroz Secretary 5 X - X - - - 0 0 0Kim Fletcher Treasurer (5/15/12 - 3/31/13) 8 X - X - - - 0 0 0Kim Kaiser President Elect (3/19/13 - 3/31/13) 6 X - X - - - 0 0 0Darrellyn Colldar Board Member 2 X - - - - - 0 0 0DeLaine Pereida Board Member 5 X - - - - - 0 0 0Rowena Chu-Bacher Board Member 3 X - - - - - 0 0 0Marilyn Hickman Board Member (5/15/12 - 3/31/13) 1 X - - - - - 0 0 0Summer Johnson President (5/15/12 - 8/21/12) 2 X - X - - - 0 0 0Lindsey Scully Board Member (Thru 9/18/12) 2 X - X - - - 0 0 0Samantha Carroll Board Member (Thru 5/15/12) 8 X - - - - - 0 0 0Jamie Ledezma Board Member (Thru 5/8/12) 4 X - - - - - 0 0 0Eric Frazier Board Member (Thru 1/22/13) 2 X - - - - - 0 0 0Jen Thomas Board Member (Thru 9/6/12) 2 X - - - - - 0 0 0Jen Williams Board Member (Thru 9/18/12) 2 X - - - - - 0 0 0Debbie Young Board Member (Thru 6/19/12) 2 X - - - - - 0 0 0Lorenzo Neal Board Member (Thru 1/1/13) 1 X - - - - - 0 0 0

Central Wisconsin Affiliate Jennifer Smith Secretary 3 X - X - - - 0 0 0Sandy Draeger President 20 X - X - - - 0 0 0Tricia Nielson Treasurer 5 X - X - - - 0 0 0Deb Clements Board Member 4 X - - - - - 0 0 0Kathy Frierson Board Member 1 X - - - - - 0 0 0Tara Schessler Board Member 4 X - - - - - 0 0 0Patty Krug Board Member 3 X - - - - - 0 0 0John Willems Van Dijk Board Member 1 X - - - - - 0 0 0Tina Frey Board Member 2 X - - - - - 0 0 0Rick Reyer Board Member 2 X - - - - - 0 0 0Amanda Patterson Board Member 5 X - - - - - 0 0 0Carrie Sukup Board Member (Thru 1/1/13) 2 X - X - - - 0 0 0Pam Galloway Board Member (Thru 4/3/12) 1 X - - - - - 0 0 0Susan Ford-Hoffert Board Member (Thru 4/3/12) 1 X - - - - - 0 0 0Jill Depke Board Member (Thru 6/4/12) 1 X - - - - - 0 0 0Ann Jacobson Board Member (Thru 2/1/13) 2 X - - - - - 0 0 0John Prey Board Member (Thru 12/17/12) 1 X - - - - - 0 0 0Judi Coppock Board Member (Thru 1/3/13) 1 X - - - - - 0 0 0Linda Grilley Board Member (Thru 2/1/13) 1 X - - - - - 0 0 0

Charlotte Affiliate Mike Smiley President 10 X - X - - - 0 0 0Kathi Lucchesi Vice President 2 X - X - - - 0 0 0Joyce Reto Treasurer 5 X - X - - - 0 0 0Park Williams Secretary 3 X - X - - - 0 0 0Vetta Higgs Board Member 1 X - - - - - 0 0 0Curt Shaw Board Member 1 X - - - - - 0 0 0Lisa Crockett Moon Board Member 1 X - - - - - 0 0 0William Miller Board Member 1 X - - - - - 0 0 0Carin Ross Johnson Board Member 1 X - - - - - 0 0 0Sharon Matthews Board Member 1 X - - - - - 0 0 0Susan Stuppnig Board Member 1 X - - - - - 0 0 0Beatriz Suris Board Member 1 X - - - - - 0 0 0

Chattanooga Affiliate Barbara Marshall Secretary 1 X - X - - - 0 0 0Kimberly Hutchinson Treasurer 2 X - X - - - 0 0 0Sarah E. Bowen President 2 X - X - - - 0 0 0Carolyn Money Board Member 1 X - - - - - 0 0 0Muna Wagner Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Becky Reeves Board Member 1 X - - - - - 0 0 0Chris Hennen Board Member 1 X - - - - - 0 0 0Jay Hudson Board Member 1 X - - - - - 0 0 0Patty Holmes Board Member 1 X - - - - - 0 0 0Patti Sanders Board Member 1 X - - - - - 0 0 0Laura Reid Treasurer (Thru 6/5/12) 1 X - X - - - 0 0 0Dora Coker Board Member (Thru 10/16/12) 1 X - - - - - 0 0 0

The Chicagoland Area Chapter Bonnie Gordon Secretary 2 X - X - - - 0 0 0Brad Schneider Board Member 2 X - - - - - 0 0 0Dr. Robert Maganini Board Member 2 X - - - - - 0 0 0Joan Bailar Vice President / Governance Chair 2 X - X - - - 0 0 0Linda Borton Board Member 20 X - - - - - 0 0 0Liz Calhoun Board Member 8 X - - - - - 0 0 0Renee Blank Treasurer 2 X - X - - - 0 0 0Richard Biller Board President 5 X - X - - - 0 0 0Ruth Todd Board Member 6 X - - - - - 0 0 0Sean Tenner Board Member 3 X - - - - - 0 0 0

Colorado Springs Affiliate of the Dr. Laura Pomerenke President 2 X - X - - - 0 0 0Sharon McDermott Vice President 1 X - X - - - 0 0 0Debbie Griffin-Strickland Secretary 2 X - X - - - 0 0 0Lyrae Williams Treasurer 1 X - X - - - 0 0 0Mike Ensiminger Board Member 1 X - - - - - 0 0 0Doug Gibson Board Member 1 X - - - - - 0 0 0Sloan Maes Board Member 0.5 X - - - - - 0 0 0Joan Schulz Board Member 1 X - - - - - 0 0 0Joyce-Anne Velez Board Member 1.5 X - - - - - 0 0 0Jim Young Board Member 1 X - - - - - 0 0 0Zelna Joseph Board Member 1 X - - - - - 0 0 0

Columbus Affiliate Angela An Board member 1 X - - - - - 0 0 0Connie Browning President 4 X - x - - - 0 0 0Yvonne Burry Secertary 2 X - x - - - 0 0 0Susan Hosket Board member 1 X - - - - - 0 0 0Dr. Doug Knutson Board member 1 X - - - - - 0 0 0Darlene Matthews Board member 3 X - - - - - 0 0 0Holly Merry Treasurer 4 X - X - - - 0 0 0Judy Mobley Board member 1 X - - - - - 0 0 0Mark Rickel Board member 1 X - - - - - 0 0 0Tammy Weis Board member 1 X - - - - - 0 0 0Michelle Wong-Halabi Board member 1 X - - - - - 0 0 0AJ Poole Board member 1 X - - - - - 0 0 0Dr. Mysheika Williams Roberts Board member (Thru 2/28/13) 1 X - - - - - 0 0 0Joanne Pickrell Board member (Thru 7/1/12) 1 X - - - - - 0 0 0Brian King Board member (1/1/12 - 7/1/12) 1 X - - - - - 0 0 0

Connecticut Affiliate Gail Marcus President 2 X - X - - - 0 0 0Nancy Meyer Vice President 2 X - X - - - 0 0 0Donna Gilbert Treasurer 2 X - X - - - 0 0 0Kia Murrell Secretary 2 X - X - - - 0 0 0Richard Orr Board Member 1 X - - - - - 0 0 0Lillian Cruz Board Member 1 X - - - - - 0 0 0Reem Nouh Board Member 1 X - - - - - 0 0 0David Gruen Board Member 1 X - - - - - 0 0 0Christa Allen Board Member 1 X - - - - - 0 0 0Sonja Larkin-Thorne Board Member (Thru 11/30/12) 1 X - - - - - 0 0 0Ann Hogan Board Member 1 X - - - - - 0 0 0

Dallas County Affiliate Terri Swain President 5 X - X - - - 0 0 0Sharla Myers President Elect 2 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Linda Wilkins Secretary 2 X - X - - - 0 0 0Elsa Grivas Treasurer 2 X - X - - - 0 0 0Irvin Ashford Jr. Board Member 1 X - - - - - 0 0 0Stephanie Bowman Board Member 1 X - - - - - 0 0 0Linda Hardy Board Member 1 X - - - - - 0 0 0Elizabeth Hardy Board Member 1 X - - - - - 0 0 0Dr. Edwin Harrison Board Member 1 X - - - - - 0 0 0Dr. Cheryl Harth Board Member 1 X - - - - - 0 0 0Wendeline Jongenburger Board Member 1 X - - - - - 0 0 0Henda Salmeron Board Member 1 X - - - - - 0 0 0Perry Stephenson Board Member 1 X - - - - - 0 0 0Rebecca Whitacre Board Member 1 X - - - - - 0 0 0

The Denver Metropolitan Affiliate Sylvia Church Treasurer 4 X - X - - - 0 0 0Hollen Ferrendelli President/Secretary 4 X - X - - - 0 0 0Chris Armijo Board Member 4 X - - - - - 0 0 0Lora D Barke Board Member 4 X - - - - - 0 0 0Kristen Battenfield Board Member 4 X - - - - - 0 0 0Andres Chaparro Board Member 4 X - - - - - 0 0 0John DellaSalle Board Member 10 X - - - - - 0 0 0Dave Fisher Board Member 4 X - - - - - 0 0 0Brian Jumps Board Member 4 X - - - - - 0 0 0Mary McBride Board Member 4 X - - - - - 0 0 0Rhonda Mickelson Board Member 4 X - - - - - 0 0 0Carolyn Paul Board Member 4 X - - - - - 0 0 0Dianne Primavera Board Member 4 X - - - - - 0 0 0Jacquelynn McDaniel Board Member (Thru 4/26/12) 1 X - - - - - 0 0 0

The Des Moines Chapter Roni Schuling Board President 2 X - X - - - 0 0 0Greg Edwards President-Elect 1 X - X - - - 0 0 0Tami Synder Treasurer 2 X - X - - - 0 0 0Wendy Wall Secretary 1 X - X - - - 0 0 0Carma Herring Board Member 1 X - - - - - 0 0 0Giulia Jackson Board Member 1 X - - - - - 0 0 0Leslie Malcom Board Member 1 X - - - - - 0 0 0Kelly Schuler Board Member 1 X - - - - - 0 0 0Kara Urlis Board Member 1 X - - - - - 0 0 0Becki Brommel Board Member 1 X - - - - - 0 0 0Lori Howe Board Member 1 X - - - - - 0 0 0Greg Shireman Board Member 1 X - - - - - 0 0 0

Eastern Washington Affiliate Shelley Ripley President 8 X - X - - - 0 0 0Rancy Schwaegler Board Member 8 X - - - - - 0 0 0Kim Weller Treasurer 8 X - X - - - 0 0 0Sarah Beito Secretary 4 X - X - - - 0 0 0Cindy Corbett Board Member 4 X - - - - - 0 0 0Jennifer Miley Board Member 4 X - - - - - 0 0 0Stephanie Aden Board Member 4 X - - - - - 0 0 0Jara DeAugustino Board Member 4 X - - - - - 0 0 0Stephanie Moline, M.D. Board Member 4 X - - - - - 0 0 0Shae Fasbender Board Member 4 X - - - - - 0 0 0Shelly Barton Board Member 4 X - - - - - 0 0 0Stephanie Klein (aka Stephanie Bast) Past President (Thru 12/31/12) 8 X - X - - - 0 0 0Kim Koch Treasurer (Thru 12/6/12) 8 X - X - - - 0 0 0Bailee Neyland Board Member (Thru 12/6/12) 4 X - - - - - 0 0 0Joni Nichols, M.D. Board Member (Thru 12/31/12) 4 X - - - - - 0 0 0Laura Hill Board Member (Thru 12/31/12) 4 X - - - - - 0 0 0

Elmira Affiliate Ann Campbell Board President 40 X - X - - - 0 0 0Mila Meier Board Vice President 5 X - X - - - 0 0 0Mary Tucker Board Secretary 6 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Domenica Harris Board Treasurer 10 X - X - - - 0 0 0Susan Berry Board Member 6 X - - - - - 0 0 0Marché Brown Board Member 5 X - - - - - 0 0 0Kendra Castello Board Member 3 X - - - - - 0 0 0Diana Hughes Board Member 3 X - - - - - 0 0 0Mary Pat Learned Board Member 3 X - - - - - 0 0 0Charlette Smith Board Member 3 X - - - - - 0 0 0Jennifer Warner Board Member 5 X - - - - - 0 0 0Meg Aiosa Board Member (Thru 1/31/13) 5 X - - - - - 0 0 0Colleen Hurd Board Member (Thru 6/30/12) 6 X - - - - - 0 0 0Brooke Sherman-Schmieg Board Member (Thru 7/31/12) 5 X - - - - - 0 0 0

El Paso Affiliate Christina Velasco Board President 1 X - X - - - 0 0 0Roseanne Rueda Treasurer 2 X - X - - - 0 0 0Shelley King-D'Souza President-Elect 1 X - X - - - 0 0 0Davina Heredia Secretary 1 X - X - - - 0 0 0Cindy Aguilar-Davis Board Member 1 X - - - - - 0 0 0Carlos Dube Board Member 1 X - - - - - 0 0 0Robert Halter Board Member 1 X - - - - - 0 0 0Susie Stowe Board Member 1 X - - - - - 0 0 0Amanda Morrison Secretary (Thru 7/1/12) 1 X - X - - - 0 0 0Bill Young Board Member (Thru 10/1/12) 1 X - - - - - 0 0 0

Florida Suncoast Affiliate Susan Brown President 2 X - X - - - 0 0 0Gail Clark Vice President 1 X - X - - - 0 0 0Anne Hochsprung Treasurer 2 X - X - - - 0 0 0John Kiluk Secretary 1 X - X - - - 0 0 0Patrick Meehan Board Member 1 X - - - - - 0 0 0Lalitha Degala Board Member (Beg 8/9/12) 1 X - - - - - 0 0 0Cauney Bamberg Board Member 3 X - - - - - 0 0 0Pat Dupar Board Member 1 X - - - - - 0 0 0Teresa Honeycutt Board Member 2 X - - - - - 0 0 0Wayne Lewis Board Member 1 X - - - - - 0 0 0Catherine McGarry Board Member (Thru 10/31/12) 2 X - - - - - 0 0 0

Grand Rapids Affiliate of the Chuck Christmas Treasurer/Secretary 2 X - X - - - 0 0 0Carol Perschbacher President 12 X - X - - - 0 0 0Anna Konging-Ogg Board Member 2 X - - - - - 0 0 0Gregory Kilby Vice President 2 X - X - - - 0 0 0Melinda Tobias Board Member 2 X - - - - - 0 0 0Susan Hoppough Board Member 10 X - - - - - 0 0 0Bev Wall Board Member 2 X - - - - - 0 0 0Brian Behler Board Member 2 X - - - - - 0 0 0Dennis Zoet Board Member 2 X - - - - - 0 0 0Cara Ontiveros Past-President (thru 7/27/12) 12 X - - - - - 0 0 0Sylvia James Board Member (Thru 9/1/12) 2 X - - - - - 0 0 0

Greater Amarillo Affiliate of the Amy_Beth Morrison President 5 X - X - - - 0 0 0Sarah Caviness Secretary 1 X - X - - - 0 0 0Lizzie Mason Treasurer 3 X - X - - - 0 0 0Shannon Williams Board Member 1 X - - - - - 0 0 0Natalie Mahlberg Board Member 1 X - - - - - 0 0 0Kelly Whittenburg Board Member 1 X - - - - - 0 0 0Richard Walton Board Member 1 X - - - - - 0 0 0Betsy Kelley Board Member 5 X - - - - - 0 0 0Fararr Mansfield Board Member 5 X - - - - - 0 0 0Marjorie Chelly Board Member 1 X - - - - - 0 0 0Whitney Kelly Board Member 1 X - - - - - 0 0 0

The Greater Atlanta Affiliate Karen Bragman President 3 X - X - - - 0 0 0Kim Hartsock Treasurer 3 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Connie Dotzenrod Secretary 3 X - X - - - 0 0 0Joel Ballantyne Board Member 3 X - - - - - 0 0 0Lynn Baxter, MD Board Member 3 X - - - - - 0 0 0Karyn Cerulli Board Member 3 X - - - - - 0 0 0Tom Coley Board Member 3 X - - - - - 0 0 0Tricia Dempsey Board Member 3 X - - - - - 0 0 0Susan Hannan Board Member 3 X - - - - - 0 0 0Lila Hertz Board Member 3 X - - - - - 0 0 0Laurie King Board Member 3 X - - - - - 0 0 0Cam Teems Board Member 3 X - - - - - 0 0 0Sue Williams Board Member 3 X - - - - - 0 0 0Reinaldo Padua Board Member (Thru 11/6/12) 3 X - - - - - 0 0 0Loretta Walker Board Member (Thru 11/25/12) 3 X - - - - - 0 0 0

Greater Cincinnati Affiliate Karyn Ganaway President 5 X - X - - - 0 0 0Jackie Sweeney, MD Secretary 5 X - X - - - 0 0 0Gene Barber Board Member 2 X - - - - - 0 0 0Angela Norman Board Member 2 X - - - - - 0 0 0Diane Schneider Board Member 2 X - - - - - 0 0 0Megan McElheney Board Member 2 X - - - - - 0 0 0Tracey Johnson Board Member 2 X - - - - - 0 0 0

* Diana Veid Treasurer/CPA 10 X - X - - - 12,000 0 0Karen Naber Immediate Past President 10 X - - - - - 0 0 0

*Diana Veid serves as the treasurer of the Greater Cincinnati Affiliate. The compensation reported is for accounting services rendered to the Affiliateand not for her role as a board member

Greater Evansville Affiliate Carolyn Beck President 2 X - X - - - 0 0 0Elissa Shetler Secretary 1 X - X - - - 0 0 0Julie Jarvis Treasurer 2 X - X - - - 0 0 0Marty Custis Board Member 1 X - - - - - 0 0 0Georgiann Leonard Board Member 1 X - - - - - 0 0 0Deb McKinney-Huff Board Member 1 X - - - - - 0 0 0Marcia Minton Board Member 1 X - - - - - 0 0 0Brenda Phelps Board Member 1 X - - - - - 0 0 0Doris Razzano Board Member 1 X - - - - - 0 0 0Pilar Tirado Board Member 1 X - - - - - 0 0 0Kathy Dockery Board Member (11/1/12 - 12/31/12) 1 X - - - - - 0 0 0Joan Finch Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0Sheila Hauck Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0Kelly Howard Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0Steve Newman Board Member (11/1/12 - 12/31/12) 1 X - - - - - 0 0 0Jill Trautvetter Board Member (1/1/12 - 10/30/12) 1 X - - - - - 0 0 0

Greater Kansas City Affiliate Laurie Roberts President 4 X - X - - - 0 0 0Sharon Latimer Secretary/Treasurer 4 X - X - - - 0 0 0Debbie Schulte Vice President 4 X - X - - - 0 0 0George Verschelden Board Member 1 X - - - - - 0 0 0Denise Gilmore Board Member 1 X - - - - - 0 0 0Cheryl Jernigan Board Member 1 X - - - - - 0 0 0Shalina Gupta-Burt Board Member 1 X - - - - - 0 0 0Mary Buschmann Board Member 1 X - - - - - 0 0 0Katie Linden President (Thru 12/18/12) 4 X - - - - - 0 0 0Pam Mahoney Board Member (Thru 9/10/12) 1 X - - - - - 0 0 0

Greater Lansing Affiliate Kristin St. Marie President 1 X - X - - - 0 0 0Susan Schanski Treasurer 1 X - X - - - 0 0 0Barbara Fulton Secretary 1 X - X - - - 0 0 0Mary Jo Schultz Board Member 1 X - - - - - 0 0 0Lisa Dancsok Board Member 1 X - - - - - 0 0 0James Epolito Board Member 1 X - - - - - 0 0 0Ann Verhey-Henke Board Member 1 X - - - - - 0 0 0Julie Barrons Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Kim Hartman Board Member (thru 6/1/12) 1 X - - - - - 0 0 0

The Greater Nashville Chapter Lynn Edwards President 4 X - X - - - 0 0 0Nancy Mullen Treasurer 3 X - X - - - 0 0 0Melissa Smith Secretary 2 X - X - - - 0 0 0Lisa Zindel Vice President 2 X - X - - - 0 0 0Margaret P. Barker Board Member 2 X - - - - - 0 0 0Karen Fleming Board Member 2 X - - - - - 0 0 0Mike Gould Board Member 2 X - - - - - 0 0 0Lisa Tunstall Board Member 2 X - - - - - 0 0 0Kimberly Songy Board Member 2 X - - - - - 0 0 0Haden McWhorter Board Member 2 X - - - - - 0 0 0Julie Boswell Board Member 2 X - - - - - 0 0 0Evelyn Zerfoss Board Member 1 X - - - - - 0 0 0Dana Coleman Board Member 2 X - - - - - 0 0 0DeWayne Olive Board Member 2 X - - - - - 0 0 0Barb Sawyer Board Member 2 X - - - - - 0 0 0Shana Alford Board Member (Thru 1/31/13) 2 X - - - - - 0 0 0Julie Walker Board Member (Thru 1/31/13) 1 X - - - - - 0 0 0

Greater New York City Affiliate Laila Worrell Chairperson 2 X - X - - - 0 0 0Ivy Gamble Cobb Board Member 1.5 X - - - - - 0 0 0Grant Bokerman Board Member 1 X - - - - - 0 0 0Ayala Deutsch Treasurer / Secretary 0.5 X - X - - - 0 0 0Maurice DuBois Board Member 0.5 X - - - - - 0 0 0Joe Gold Board Member 0.5 X - - - - - 0 0 0Amy Tsui Luke Board Member 0.5 X - - - - - 0 0 0William Shelton Board Member 0.5 X - - - - - 0 0 0Sandra Kozlowski Board Member 1 X - - - - - 0 0 0Ahalya Nava Board Member 0.5 X - - - - - 0 0 0Nikki Tippins Board Member 0.5 X - - - - - 0 0 0Katherine Park Board Member 0.5 X - - - - - 0 0 0Martha Beard Board Member 0.5 X - - - - - 0 0 0Kathy Wilson Board Member 0.5 X - - - - - 0 0 0Renee N. Garbus Board Member 0.5 X - - - - - 0 0 0Blythe Masters Board Member (Thru 4/30/12) 2 X - - - - - 0 0 0Jeanne Mullgrav Board Member (Thru 5/31/12) 0.5 X - - - - - 0 0 0Linda Sage Board Member (Thru 4/30/12) 0.5 X - - - - - 0 0 0Dr. Ruth Oratz Board Member (Thru 4/30/12) 1 X - - - - - 0 0 0Dr. Robert Schneider Board Member (Thru 5/31/12) 0.5 X - - - - - 0 0 0

Greater Richmond, Virginia Affiliate Carla Harris Secretary 3 X - X - - - 0 0 0Lynn Jordan Treasurer 3 X - X - - - 0 0 0Lynn Kirk Vice President 2 X - X - - - 0 0 0Meredith Beadles President 5 X - X - - - 0 0 0Melissa Damiano Board Member 1 X - - - - - 0 0 0Melissa Monk Board Member 1 X - - - - - 0 0 0Vivian Robles Board Member 1 X - - - - - 0 0 0Wanda Johnson Board Member 1 X - - - - - 0 0 0

Greater Roanoke Valley Area Affiliate ETHAN COOK Treasurer 4 X - X - - - 0 0 0JANET FRANTZ President 10 X - X - - - 0 0 0HEATHER FERGUSON Secretary 4 X - X - - - 0 0 0LIZ FRANKL Board Member 5 X - - - - - 0 0 0MARTHA GLASS Board Member 3 X - - - - - 0 0 0ALICIA MULLINS Board Member 3 X - - - - - 0 0 0LISA MITCHELL Board Member (Beg 11/1/12) 3 X - - - - - 0 0 0JOEY BECK Board Member 8 X - - - - - 0 0 0ELLEN DEHAVEN Board Member 3 X - - - - - 0 0 0DECCA KNIGHT Board Member 3 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


MARGARET NELSON Board Member 3 X - - - - - 0 0 0JOHN ROGERS Board Member 3 X - - - - - 0 0 0BOB WILLIAMS Board Member 3 X - - - - - 0 0 0JANET SCHEID Vice President 10 X - - - - - 0 0 0KATHLEEN WERNER Board Member (Thru - 9/23/12) 3 X - - - - - 0 0 0RUTH ELLEN KUHNEL Secretary (Thru - 12/31/12) 3 X - - - - - 0 0 0JANET LEMONS Board Member (Thru - 4/18/12) 3 X - - - - - 0 0 0VICKI LIONBERGER Board Member (Thru - 5/2/12) 3 X - - - - - 0 0 0

Hawaii Affiliate Anne Harpham President 5 X - X - - - 0 0 0Camonia Long Secretary 5 X - X - - - 0 0 0Kim Huber Treasurer 5 X - X - - - 0 0 0Chimaine Pouteau Board Member 5 X - - - - - 0 0 0Paulette Williams Board Member 5 X - - - - - 0 0 0Miriam Loui Board Member 5 X - - - - - 0 0 0Linda Mitchell Board Member 5 X - - - - - 0 0 0Nina Rappeline Board Member (4/1/12 - 2/1/13) 5 X - - - - - 0 0 0

Houston Affiliate Betsy Kamin President 5 X - X - - - 0 0 0Carol Helliker Secretary 5 X - X - - - 0 0 0Jill Cude Vice President 5 X - X - - - 0 0 0Cal Leeke Treasurer 5 X - X - - - 0 0 0Jayne Homco Board Member 5 X - - - - - 0 0 0Anne Meyn Board Member 5 X - - - - - 0 0 0Debbie Scanlon Board Member 5 X - - - - - 0 0 0Molly Bobrow Board Member 5 X - - - - - 0 0 0Debbie Kearns Board Member 5 X - - - - - 0 0 0Jan Miller Board Member 5 X - - - - - 0 0 0Margo Scholin Board Member 5 X - - - - - 0 0 0Margaret Cazalot Board Member 5 X - - - - - 0 0 0Ann Masel Board Member 5 X - - - - - 0 0 0Kathy Nicholson Board Member 5 X - - - - - 0 0 0Allen Wilson Board Member 5 X - - - - - 0 0 0

Indianapolis Affiliate Julie Meek Vice President 1 X - X - - - 0 0 0John Papageorge President 2 X - X - - - 0 0 0Amadou Yattassaye Secretary 1 X - X - - - 0 0 0Terri Bendes Board Member 1 X - - - - - 0 0 0Lyle Browne Board Member 1 X - - - - - 0 0 0Tory Callaghan Castor Board Member 1 X - - - - - 0 0 0Robort Goulet Board Member 1 X - - - - - 0 0 0Lynnette Hanes Board Member 1 X - - - - - 0 0 0Hammoudeh Fuad Board Member 1 X - - - - - 0 0 0Larry Keyler Board Member 1 X - - - - - 0 0 0Christina Kim Board Member 1 X - - - - - 0 0 0Beth Lux Board Member 1 X - - - - - 0 0 0Mike Marker Board Member 1 X - - - - - 0 0 0Annmarie Novotney Treasurer 1 X - X - - - 0 0 0Patrick Wooten Board Member 1 X - - - - - 0 0 0Ann Hamilton Board Member (Thru 11/1/12) 1 X - - - - - 0 0 0James Burnes Board Member (Thru 9/1/12) 1 X - - - - - 0 0 0

Inland Empire Affiliate Sandy Finestone President 15 X - X - - - 0 0 0Jacquin Davidson Treasurer 22 X - X - - - 0 0 0Cindy Golden Secretary 10 X - X - - - 0 0 0Debbie Gilligan President Elect 25 X - X - - - 0 0 0Barb Killian Board Member 15 X - - - - - 0 0 0Herb Killian Board Member 15 X - - - - - 0 0 0Dorcy Bowman Rose Board Member 2 X - - - - - 0 0 0Craig Webber Board Member (6/27/12 - 3/31/13) 3 X - - - - - 0 0 0Aimee Salzmann Board Member (7/25/12 - 3/31/13) 5 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Johnny Montes Board Member (6/27/12 - 3/31/13) 2 X - - - - - 0 0 0Allison De Tal Board Member (6/27/12 - 3/31/13) 2 X - - - - - 0 0 0Cindy Fitch Board Member(12/1/12 - 3/31/13) 10 X - - - - - 0 0 0Micki Greenspan Board Member (Thru 10/30/12) 2 X - - - - - 0 0 0Natalee Boggs Board Member (Thru 6/27/12) 3 X - - - - - 0 0 0

Knoxville Affiliate Lynn W. Akers President 2 X - X - - - 0 0 0Lytle Brown IV Board Member 1 X - - - - - 0 0 0Katie Coffey Board Member 1 X - - - - - 0 0 0Kathy Cummins Treasurer 1 X - X - - - 0 0 0Allison Dooley Board Member 1 X - - - - - 0 0 0Kelly Fletcher Board Member 1 X - - - - - 0 0 0Misty Monday Secretary 1 X - X - - - 0 0 0Pat Murphy Board Member 1 X - - - - - 0 0 0Lisa Stearns Board Member 1 X - - - - - 0 0 0Kristi Sykes Board Member 1 X - - - - - 0 0 0Rosa Thomas Board Member 1 X - - - - - 0 0 0Michele Wall Board Member 1 X - - - - - 0 0 0

The Las Vegas Chapter Rachelle Crupi President (Thru 6/19/12) 2 X - X - - - 0 0 0Diane Allison President 4 X - X - - - 0 0 0Kelly Tate Treasurer 2 X - X - - - 0 0 0Dr. James Sanchez Board Member 1 X - - - - - 0 0 0Jennifer Lazovich Board Member 2 X - - - - - 0 0 0Tonya Carpenter Board Member 1 X - - - - - 0 0 0Aimee Romero Board Member 1 X - - - - - 0 0 0Sharice Lance Board Member 1 X - - - - - 0 0 0Karen Zehner Secretary 3 X - X - - - 0 0 0Tanya Flanagan Board Member 1 X - - - - - 0 0 0

Lexington Affiliate Stuart Hurt President 4 X - X - - - 0 0 0Billie Dollins Board Member 4 X - - - - - 0 0 0Linda Gilker Secretary 2 X - X - - - 0 0 0Cathryn Gibson Board Member 4 X - - - - - 0 0 0Nancy Elliott Board Member 2 X - - - - - 0 0 0Pam Nystrom Board Member 1 X - - - - - 0 0 0Chris Young Vice President 2 X - X - - - 0 0 0Cindy Hicks Board Member 2 X - - - - - 0 0 0Yajaira West Board Member 2 X - - - - - 0 0 0Morgan Daulton Treasurer 4 X - X - - - 0 0 0Mary Layton Board Member 2 X - - - - - 0 0 0Shana Carr Board Member 2 X - - - - - 0 0 0Bret Melrose Board Member 1 X - - - - - 0 0 0Wayne Thompson Board Member (Thru 8/20/12) 2 X - - - - - 0 0 0Adam English Board Member (Thru 3/21/13) 1 X - - - - - 0 0 0

The Los Angeles County Chapter Elizabeth Berger President 3 X - X - - - 0 0 0Patricia Buske Treasurer 3 X - X - - - 0 0 0Lisa Demsky Secretary 3 X - X - - - 0 0 0Linda Pura Board Member 3 X - - - - - 0 0 0Kelli Brooks Board Member 1.5 X - - - - - 0 0 0Paulette Pasciuti Board Member (Thru 9/30/12) 1.5 X - - - - - 0 0 0Nancy Miller Board Member (Thru 9/30/12) 1 X - - - - - 0 0 0Leslie Haas Board Member (Thru 5/1/12) 1 X - - - - - 0 0 0Lee Halarewicz Board Member (Thru 6/30/12) 1 X - - - - - 0 0 0Jerri Johnson Board Member 3 X - - - - - 0 0 0Andrea Scott Board Member (Thru 6/1/12) 1 X - - - - - 0 0 0

Louisville, Kentucky Affiliate Bob Silverthorn President 15 X - X - - - 0 0 0Karen Blaiklock Vice-President 2 X - X - - - 0 0 0Christopher Hatcher Treasurer 7 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Mike Woerner Secretary 2 X - X - - - 0 0 0John Applegate Board Member 1 X - - - - - 0 0 0Judy Breitenstein Board Member 1 X - - - - - 0 0 0Linda Goss Board Member 1 X - - - - - 0 0 0Sabrina Hackett Board Member 3 X - - - - - 0 0 0Melinda McKinley Board Member 2 X - - - - - 0 0 0Art McLaughlin Board Member 1 X - - - - - 0 0 0Brian Nochols Board Member 1 X - - - - - 0 0 0Mary Schneider Board Member 3 X - - - - - 0 0 0Gerina Whethers Board Member 1 X - - - - - 0 0 0Sarah Malone Board Member (Thru 5/7/12) 1 X - - - - - 0 0 0

Lowcountry Affiliate Patricia Simon President 2 X - X - - - 0 0 0Jennifer Fiorini President Elect 1 X - X - - - 0 0 0Paulette Van Fleet Treasurer 2 X - X - - - 0 0 0Shirly Nilsen Secretary 1 X - X - - - 0 0 0Elizabeth Ricciardone Board Member 2 X - - - - - 0 0 0Bonnie Hancock Board Member 2 X - - - - - 0 0 0Leslie Haywood Board Member 1 X - - - - - 0 0 0Helena Bastian Board Member 1 X - - - - - 0 0 0Loretta Mozon Board Member (Thru 2/12/13) 1 X - - - - - 0 0 0Jack Hensel Board Member 1 X - - - - - 0 0 0Lynn Anne Gillen Board Member 1 X - - - - - 0 0 0Laura Simons Greavy Board Member 1 X - - - - - 0 0 0

Lubbock Area Affiliate Jennifer Bell Riley Board Member 2 X - - - - - 0 0 0Cindy Best Secretary 3 X - X - - - 0 0 0Renee Davis Vice President 5 X - X - - - 0 0 0Nancy Drerup Board Member (Thru 11/1/13) 1 X - - - - - 0 0 0Linda Greetstreet Board Member (Thru 6/5/12) 1 X - - - - - 0 0 0Julie Holladay President 15 X - X - - - 0 0 0Becky Jones Board Member 2 X - - - - - 0 0 0Amy McCallister Board Member 2 X - - - - - 0 0 0Ronda Menefee Board Member 1 X - - - - - 0 0 0Sandy Muff Treasurer 4 X - X - - - 0 0 0Christie Pare Board Member 2 X - - - - - 0 0 0Bruce Sifrit Board Member 1 X - - - - - 0 0 0Joe Velasquez Board Member 1 X - - - - - 0 0 0Brenda Wilson Board Member 1 X - - - - - 0 0 0

Madison Affiliate Mike Fahey President 3 X - X - - - 0 0 0Mary Carr Lee Immediate Past President 1 X - - - - - 0 0 0Toni Gnewuch Vice Pres., Board President Elect 1 X - - - - - 0 0 0Rebecca Orvick Secretary 2 X - X - - - 0 0 0Tim Koechel Treasurer 3 X - X - - - 0 0 0Pamela Bean Board Member 1 X - - - - - 0 0 0Emilie Fedorov Board Member 1 X - - - - - 0 0 0Alexander Herring Board Member 1 X - - - - - 0 0 0Laura Jelle Board Member 1 X - - - - - 0 0 0Linda Plourde Board Member 1 X - - - - - 0 0 0Dr. Gale Sisney Board Member 1 X - - - - - 0 0 0Melissa Warner Board Member (Thru 12/31/12 2 X - - - - - 0 0 0Mary Pat Berry Board Member (Thru 12/31/12 3 X - - - - - 0 0 0

Maine Affiliate Victoria Abbott Board Member 3 X - - - - - 0 0 0Cathy Dow Treasurer 5 X - X - - - 0 0 0Denise Hodsdon Board Member 3 X - - - - - 0 0 0Holly Korda President 5 X - X - - - 0 0 0Noreen Patient Secretary 3 X - X - - - 0 0 0Jeff Bennett Board Member 3 X - - - - - 0 0 0Patsy Wiggins Board Member (Thru 6/15/12) 3 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Carrie Meo Board Member 3 X - - - - - 0 0 0

Maryland Affiliate Amy Heinrich President 10 X - X - - - 0 0 0Bryant Cargile VP Finance-Treasurer 10 X - X - - - 0 0 0Kelly Swoope-Holloway VP Board Governance-Secretary 1 X - X - - - 0 0 0Julie Thomas Board Member 1 X - - - - - 0 0 0Elaine Bonneau Board Member 1 X - - - - - 0 0 0Lisa Adkins Board Member 1 X - - - - - 0 0 0Susan Forlifer Board Member 1 X - - - - - 0 0 0Sharon Mirabelle Board Member 1 X - - - - - 0 0 0Neil Christ Board Member 1 X - - - - - 0 0 0Aliza Rothenberg Board Member 1 X - - - - - 0 0 0Nicholas Geier Board Member (Thru 1/1/13) 1 X - - - - - 0 0 0Kimberly Neal Board Member (Thru 11/1/12) 1 X - - - - - 0 0 0Ann Musser Board Member (Thru 11/1/12) 1 X - - - - - 0 0 0Michelle Levin Board Member (Thru 1/1/13) 1 X - - - - - 0 0 0

Massachusetts Affiliate Margery Cole Board Member (Thru 12/31/12) 2 X - - - - - 0 0 0Tracy Curley Treasurer 3 X - X - - - 0 0 0Ann Donner Secretary 2 X - X - - - 0 0 0Phil Graceffa Board Member 2 X - - - - - 0 0 0Alison Kennedy Board Member 2 X - - - - - 0 0 0Karen Sundermier Mankes Board Member 3 X - - - - - 0 0 0Rich Meagher Board Member (Thru 6/30/12) 2 X - - - - - 0 0 0Christian Megliola Board Member 2 X - - - - - 0 0 0Jane Mendez Board Member 3 X - - - - - 0 0 0Chris O’Connor President 8 X - X - - - 0 0 0Linda Ruberto Board Member (Thru 6/30/12) 2 X - - - - - 0 0 0Joan Schloss Delena Board Member 3 X - - - - - 0 0 0Christine George Vice President 5 X - X - - - 0 0 0

Memphis-Midsouth Affiliate Alyssa Throckmorton President 1 X - X - - - 0 0 0Billie White Secretary and IT Chair 1 X - X - - - 0 0 0Eric Lucka Treasurer 1 X - X - - - 0 0 0Jeanette O'Bryant Board Member 1 X - - - - - 0 0 0Lorraine Wolf Board Member 1 X - - - - - 0 0 0Meredith Williams Board Member 1 X - - - - - 0 0 0Michael Thannum Board Member 1 X - - - - - 0 0 0Michelle Epps Board Member 1 X - - - - - 0 0 0Mollie Baltimore Board Member 1 X - - - - - 0 0 0Nikk Huffman Board Member 1 X - - - - - 0 0 0Sara Thatcher President - Elect 1 X - - - - - 0 0 0Cheri Rudner Board Member (Thru 7/30/12) 1 X - - - - - 0 0 0Holly Ford Board Member (Thru 6/18/12) 1 X - - - - - 0 0 0

Miami Affiliate Kim Heard Board Member 8 X - - - - - 0 0 0Monica Cepero Board Member 1 X - - - - - 0 0 0Jennifer Jarema Secretary 3 X - X - - - 0 0 0Grace Lopez President 10 X - X - - - 0 0 0Felicity Fang Treasurer 1 X - X - - - 0 0 0Sharon Philip Board Member 3 X - - - - - 0 0 0Pat Thomson Board Member 2 X - - - - - 0 0 0Odalys Smith Board Member 4 X - - - - - 0 0 0Sherri Martens-Curtis Board Member 20 X - - - - - 0 0 0Alison Pages Board Member 2 X - - - - - 0 0 0Diane Danois Board Member 2 X - - - - - 0 0 0

Mid-Kansas Chapter Pam Palmer President 1 X - X - - - 0 0 0Brian Clark Secretary 1 X - X - - - 0 0 0Debbie Christiansen Treasurer 1 X - X - - - 0 0 0Vicki Carter Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Jan Davis Board Member 1 X - - - - - 0 0 0Karla Goewert Board Member 1 X - - - - - 0 0 0Nancy Harman Board Member (Beg 7/23/12) 1 X - - - - - 0 0 0Rob Burton Board Member 1 X - - - - - 0 0 0Steve Carr Board Member 1 X - - - - - 0 0 0Sara Monger Board Member (5/21/12 - 8/31/12) 1 X - - - - - 0 0 0Teresa Wallweber Board Member (Thru 5/21/12) 1 X - - - - - 0 0 0

Mid-Missouri Affiliate Susan McClintic Secretary 2 X - X - - - 0 0 0Johanna Cox-Littrell Vice President 2 X - X - - - 0 0 0Jane McElroy President 5 X - X - - - 0 0 0Kim Oxenhandler Treasurer 3 X - X - - - 0 0 0Mitzi Clayton Board Member 2 X - - - - - 0 0 0Kat Cunningham Board Member 2 X - - - - - 0 0 0Robin Corderman Board Member (Beg 6/6/12) 3 X - - - - - 0 0 0Matt Melton Board Member (Beg 6/6/12) 3 X - - - - - 0 0 0Pam Neugeberger Board Member 2 X - - - - - 0 0 0Laura Lewis Board Member 2 X - - - - - 0 0 0Julie Hampton Board Member 2 X - - - - - 0 0 0

Milwaukee Affiliate Meghan Shannon President 6 X - X - - - 0 0 0Rebecca Gottfried Treasurer 3 X - X - - - 0 0 0Anne Ballentine Secretary 1 X - X - - - 0 0 0Lisa Gingerich Board Member 1 X - - - - - 0 0 0Laurie Stencel Board Member 1 X - - - - - 0 0 0Guillermo Martinez-Torres Board Member 1 X - - - - - 0 0 0Ryan Johnson Board Member 1 X - - - - - 0 0 0Cynthia Hooker Board Member 1 X - - - - - 0 0 0Wendy Carlson Board Member 0 X - - - - - 0 0 0Suzanee Rapp Board Member (Thru 2/28/13) 2 X - - - - - 0 0 0Debra Tews Board Member (Thru 2/28/13) 2 X - - - - - 0 0 0Dawn Regner Board Member (Thru 10/18/12) 1 X - - - - - 0 0 0Floyd Breztman Board Member (Thru 4/19/12) 0 X - - - - - 0 0 0

Minnesota Affiliate Val Hallgren President 10 X - X - - - 0 0 0Susan Klasen Albrecht Treasurer 4 X - X - - - 0 0 0Beth Pulsipher Board Member 10 X - X - - - 0 0 0Drew Backstrand Board Member 2 X - - - - - 0 0 0Larry Berg Board Member 4 X - - - - - 0 0 0Peter Hasselquist Board Member 2 X - - - - - 0 0 0Doug Yee Board Member 2 X - - - - - 0 0 0Tufia Haddad Board Member 2 X - - - - - 0 0 0

Montana Affiliate Eddie Black President 2 X - X - - - 0 0 0Jullie Heller Treasurer 4 X - X - - - 0 0 0Katherine Berry Vice-President 2 X - X - - - 0 0 0Dianne Page Secretary 2 X - X - - - 0 0 0Debera Charlton Board Member 2 X - - - - - 0 0 0Kevin Skaalure Board Member 2 X - - - - - 0 0 0Mary George Board Member 2 X - - - - - 0 0 0Kari Parmer Board Member 2 X - - - - - 0 0 0Cynthia Gustafson Board Member 2 X - - - - - 0 0 0Anastasia Burton Board Member(Beg 11/30/12) 2 X - - - - - 0 0 0Casy Kyler-West Board Member 1 X - - - - - 0 0 0Molly Mosness President (Thru 9/21/13) 2 X - X - - - 0 0 0Marilyn Aberle Board Member (Thru 2/15/13) 1 X - - - - - 0 0 0

North Carolina Foothills Affiliate Angie Glazebrooks Secretary 1 X - X - - - 0 0 0Libby Stroud Treasurer 2 X - X - - - 0 0 0Susan Secrest Board Member 1 X - X - - - 0 0 0Teresa Jarrett President 15 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Brenda Putnam Board Member 3 X - - - - - 0 0 0Deborah Burgess Board Member 5 X - - - - - 0 0 0JoAnn Smith Board Member 1 X - - - - - 0 0 0Pamela Hemphill Board Member 1 X - - - - - 0 0 0Patricia Kokoszka Board Member 2 X - - - - - 0 0 0Regina Kilby Board Member 1 X - - - - - 0 0 0Sandra Holman Board Member 2 X - - - - - 0 0 0Suan Dickens Board Member 1 X - - - - - 0 0 0Susan Ratcliff Board Member 1 X - - - - - 0 0 0Wanda Mace Board Member 1 X - - - - - 0 0 0

North Carolina Triad Affiliate Natasha Gore President 1 X - X - - - 0 0 0Stephanie Billings Vice President 1 X - X - - - 0 0 0JoAnn Gibson Treasurer 1 X - X - - - 0 0 0Mary T. Perkins Secretary 1 X - X - - - 0 0 0Karen Jarvis Board Member 1 X - - - - - 0 0 0Whitney Webster Board Member 1 X - - - - - 0 0 0Chrystal Parnell Board Member 1 X - - - - - 0 0 0Jan Knox Board Member 1 X - - - - - 0 0 0Leslie Conway Board Member 1 X - - - - - 0 0 0Mike Reeves Board Member 1 X - - - - - 0 0 0Carla Strom Board Member 1 X - - - - - 0 0 0Ashley Kohlrus Board Member 1 X - - - - - 0 0 0Roberta King Latham Board Member 1 X - - - - - 0 0 0Marissa McNatt Board Member 1 X - - - - - 0 0 0Enid Bonilla Board Member (Thru 5/31/12) 1 X - - - - - 0 0 0

NC Triangle Affiliate Becky George Treasurer 5 X - X - - - 0 0 0Carlyn Sue Haney Secretary 5 X - X - - - 0 0 0Kathy Barger Vice President 5 X - X - - - 0 0 0Ted Smyth President 10 X - X - - - 0 0 0Bill Roberts Board Member 5 X - - - - - 0 0 0John Eastman Board Member 5 X - - - - - 0 0 0Julie McQueen Board Member 5 X - - - - - 0 0 0Kathy O'Brien Board Member 5 X - - - - - 0 0 0Keith Amos Board Member 5 X - - - - - 0 0 0Kevin Sowers Board Member 5 X - - - - - 0 0 0Kolby Sidhu, MD Board Member 5 X - - - - - 0 0 0Marian Johnston-Thompson Board Member 5 X - - - - - 0 0 0Jessie Wei Assistant Treasurer 5 X - - - - - 0 0 0

Nebraska Affiliate Angie Miller President 3 X - X - - - 0 0 0Andrea Heffelfinger Secretary 2 X - X - - - 0 0 0Robert Langdon Board Member 1 X - - - - - 0 0 0Natalie Mandolfo Board Member 2 X - - - - - 0 0 0Kate Sommer Board Member 3 X - - - - - 0 0 0Janet Osborn Treasurer 3 X - X - - - 0 0 0Paula Porzelt Board Member 1 X - - - - - 0 0 0Madeline Roebke Board Member 1 X - - - - - 0 0 0Stephen Jackson Board Member 1 X - - - - - 0 0 0Cristina Castro-Matukewicz Board Member 3 X - - - - - 0 0 0Deidra Andrews Board Member 1 X - - - - - 0 0 0Geneva Dourisseau Board Member 1 X - - - - - 0 0 0Susan Westcott Board Member 1 X - - - - - 0 0 0Mike Demman Board Member 1 X - - - - - 0 0 0Renee Franklin Board Member 2 X - - - - - 0 0 0

New Orleans Chapter Frank Liantonio President 10 X - X - - - 0 0 0Christina Chifici Treasurer 15 X - X - - - 0 0 0Lori Barthelemy Secretary 12 X - X - - - 0 0 0Paula Brown Board Member 6 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Jennifer Greene Board Member 6 X - - - - - 0 0 0Henry Kothmann Board Member 6 X - - - - - 0 0 0Elly Zakris Board Member 6 X - - - - - 0 0 0Bridgette Collins-Burow Board Member 6 X - - - - - 0 0 0Joe Briand Board Member 6 X - - - - - 0 0 0

North Central Alabama Affiliate Claudia Hardy President 5 X - X - - - 0 0 0Rebecaa DiPiazza Board Member 2 X - X - - - 0 0 0Kay Wilburn Board Member (Beg 8/1/12) 2 X - - - - - 0 0 0Lori Elrod Board Member (Beg 8/1/12) 1 X - - - - - 0 0 0Thelma Perry Brown Board Member (Beg 8/1/12) 3 X - - - - - 0 0 0Jeannine Jersey Bailey Board Member 2 X - - - - - 0 0 0Kerry McInerney Secretary/Treasurer 1 X - X - - - 0 0 0Joe O'Donnell Board Member 1 X - - - - - 0 0 0Beverly Laird Vice President 5 X - X - - - 0 0 0

North Dakota Affiliate Shari Hahn President (Thru 3/1/13) 1 X - X - - - 0 0 0Lori Finken Treasurer (Thru 7/1/12) 1 X - X - - - 0 0 0Melanie Carvell Board Member (Thru 8/1/12) 1 X - - - - - 0 0 0Julie Jeske Board Member (Thru 7/9/12) 1 X - - - - - 0 0 0Beth Schoenbeg Board Member (Thru 7/9/12) 1 X - - - - - 0 0 0Linda Pahlke Board Member (Thru 5/1/12) 1 X - - - - - 0 0 0Nicole Poolman Board Member (Thru 7/9/12) 1 X - - - - - 0 0 0Kelly Quintus Board Member (Thru 3/1/13) 1 X - - - - - 0 0 0Erin Green-Grom Board Member (Thru 8/1/12) 1 X - - - - - 0 0 0

North Florida Affiliate Linda Hansen-Allen President 5 X - X - - - 0 0 0Scott Mattson Treasurer 4 X - X - - - 0 0 0Dr. John Murray Board Member 4 X - - - - - 0 0 0Dr. Ankit Desai Fund Development 4 X - - - - - 0 0 0Henry R. Maly Board Development 4 X - - - - - 0 0 0Benivia Forester Board Member 5 X - - - - - 0 0 0Michelle Kargbo Board Member 5 X - - - - - 0 0 0Tammy Molter Board Member 5 X - - - - - 0 0 0Trishna Patel Board Member 2 X - - - - - 0 0 0Christopher Quevedo Treasurer 5 X - X - - - 0 0 0B. Tyler White Board Member 2 X - - - - - 0 0 0

The North Jersey Affiliate Robin Bloink Ventura President 2 X - X - - - 0 0 0Karen Meleta Vice President 1 X - X - - - 0 0 0Kristen Olson Secretary 1 X - X - - - 0 0 0Charles Wolf Treasurer 1 X - X - - - 0 0 0Shawn Leyden Board Member 1 X - - - - - 0 0 0Frank D. Isoldi Board Member 1 X - - - - - 0 0 0Wendy Lemke Board Member 1 X - - - - - 0 0 0Kristin Wenger Board Member 1 X - - - - - 0 0 0

North Mississippi Affiliate Ellen Friloux Secretary 2.0 X - X - - - 0 0 0Janie Lee Treasurer 3.0 X - X - - - 0 0 0Paula Turner President 0.5 X - X - - - 0 0 0Pam Hadley Board Member 1.0 X - - - - - 0 0 0Mike Tapscott Board Member 0.5 X - - - - - 0 0 0Mary Walden Board Member 0.5 X - - - - - 0 0 0Shannon Fryery Board Member 1.0 X - - - - - 0 0 0Patsy Brandon Board Member 0.5 X - - - - - 0 0 0Liz Dawson Board Member 3.0 X - - - - - 0 0 0Sergio Warren Board Member 0.5 X - - - - - 0 0 0

North Texas Affiliate David Aiello Board Member 1 X - - - - - 0 0 0Debbie Thomas Board Member 1 X - - - - - 0 0 0James Polfreman Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Jean Evans Secretary 1 X - X - - - 0 0 0Kevin Housing Board Member 1 X - - - - - 0 0 0Mackenzie DeWerff Board Member 1 X - - - - - 0 0 0Nat Cohen Treasurer 1 X - X - - - 0 0 0Robbie Collins Board Member 1 X - - - - - 0 0 0Rozalind Dickerson Past President 1 X - - - - - 0 0 0Sherri Bishop Vice President 1 X - X - - - 0 0 0Steve Watten President 1 X - X - - - 0 0 0Jennifer Edwards Board Member 1 X - - - - - 0 0 0

The Northeast Louisiana Chapter Rachel Riser President 2 X - X - - - 0 0 0Lacy Miletello-McCarthy Board Member 2 X - - - - - 0 0 0Tomi Tharp Board Member 2 X - - - - - 0 0 0James Adams Treasurer 2 X - X - - - 0 0 0Donna Nolan Board Member 2 X - - - - - 0 0 0Tommi Bratton Secretary 2 X - X - - - 0 0 0Pamela Bratton Board Member 2 X - - - - - 0 0 0Kelli Blakely Board Member 2 X - - - - - 0 0 0

The Northeast Ohio Chapter Adam Chafe Board Member 2 X - - - - - 0 0 0Denise Grcevich President 15 X - X - - - 0 0 0Eileen Korey Vice President 2 X - X - - - 0 0 0Greg Boone Board Member 2 X - - - - - 0 0 0Jennifer Boland Vice President 3 X - X - - - 0 0 0Jennifer Deutsch Board Member 2 X - - - - - 0 0 0John Ertz Board Member 2 X - - - - - 0 0 0Kelly Linson Treasurer 2 X - X - - - 0 0 0Lee Giller Secretary 2 X - X - - - 0 0 0Lolita McDavid Board Member 2 X - - - - - 0 0 0Mike Gall Board Member 3 X - - - - - 0 0 0Najeebah Shine Board Member 2 X - - - - - 0 0 0Sue Kurzweil Board Member 5 X - - - - - 0 0 0

Northeastern New York Affiliate Nancy Sciocchetti Board President 3 X - X - - - 0 0 0Deb Sottolano Board Vice President 2 X - X - - - 0 0 0Barbara Wayman Board Treasurer 3 X - X - - - 0 0 0Arsyl DeJesus Board Member 1 X - - - - - 0 0 0Francesca Durand Board Member 1 X - - - - - 0 0 0Monica Minor Board Member 1 X - - - - - 0 0 0Ryan Burke Board Member 1 X - - - - - 0 0 0Pam Demers Secretary 2 X - X - - - 0 0 0Jan Opal Board Member 1 X - - - - - 0 0 0Katie Slater Board Member 1 X - - - - - 0 0 0Rodi Marcelle Board Member 1 X - - - - - 0 0 0

Northeastern Pennsylvania Chapter Richard G. Emanuelson, M. D. President 2 X - X - - - 0 0 0Marion L. Farrell, Ph.D. Vice President 1 X - X - - - 0 0 0Daniel J. West., Ph.D. Board Member 1 X - - - - - 0 0 0Joann Marsili Secretary/Treasurer 1 X - X - - - 0 0 0Laurie LaMaster Board Member 1 X - - - - - 0 0 0Sister Ruth Neely Board Member 1 X - - - - - 0 0 0Maria E. Scopelliti Board Member 1 X - - - - - 0 0 0John R. O'Brien Esq. Board Member 1 X - - - - - 0 0 0

Northern Indiana Affiliate Pam Jarrett President 15 X - X - - - 0 0 0Cathy Lance Treasurer 5 X - X - - - 0 0 0Sandi Rousseve Secretary 1 X - X - - - 0 0 0Fr. Austin Collins Board Member 1 X - - - - - 0 0 0Lisa Martell Board Member 3 X - - - - - 0 0 0Patty Brady Board Member 3 X - - - - - 0 0 0Bonnie Raine Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Christopher Kiefer Board Member 1 X - - - - - 0 0 0Linda Herter Board Member 3 X - - - - - 0 0 0Lynn Kachmarik Board Member (Thru 1/31/13) 1 X - - - - - 0 0 0Danny Conroy Board Member (Thru 1/31/13) 1 X - - - - - 0 0 0Glynda Harris Board Member (Thru 9/30/12) 1 X - - - - - 0 0 0Sharon Simmons Board Member (Thru 9/30/12) 1 X - - - - - 0 0 0Mikki Dobski Board Member 10 X - - - - - 0 0 0Mindy McIntire Board Member 1 X - - - - - 0 0 0Sheri Miller Story Board Member (Thru 7/27/12) 10 X - - - - - 0 0 0

Northern Nevada Affiliate Emily Nelson President 7 X - X - - - 0 0 0Leslie Bittleson Secretary 1 X - X - - - 0 0 0Fran Culverhouse Treasurer 1 X - X - - - 0 0 0Cindy Lain Board Member 2 X - - - - - 0 0 0Amanda Parks Board Member 2 X - - - - - 0 0 0Janet Ravey Board Member 1 X - - - - - 0 0 0Amber Barnes Board Member 2 X - - - - - 0 0 0Heather Goulding Board Member 2 X - - - - - 0 0 0Shannon Hogan Board Member 1 X - - - - - 0 0 0Bianca Ayala Board Member 1 X - - - - - 0 0 0Amanda Horn Board Member 1 X - - - - - 0 0 0Abbi Whitaker Board Member (Thru 2/13) 2 X - - - - - 0 0 0Tina Davis Board Member (Thru 3/13) 1 X - - - - - 0 0 0Rhonda Walker Board Member (Thru 11/12) 4 X - - - - - 0 0 0Nancy O'Neal Board Member (Thru 8/12) 2 X - - - - - 0 0 0Sue Leaonard Vice-President (Thru 7/12) 1 X - X - - - 0 0 0Melanie Richard Secretary (Thru 7/12) 4 X - X - - - 0 0 0

Northwest Ohio Affiliate Mark Evans Treaurer 1 X - X - - - 0 0 0Mary Chris Skeldon President 5 X - X - - - 0 0 0Karen Cline Board Member 1 X - - - - - 0 0 0Anne Loochtan, Ph.D. Board Member 1 X - - - - - 0 0 0Christy Contardi Stone Board Member 1 X - - - - - 0 0 0Deborah Barnett Board Member 1 X - - - - - 0 0 0Lori Decker Secretary 1 X - X - - - 0 0 0Shaneli Fernando, M.D. Board Member 1 X - - - - - 0 0 0Brian Fink Ph. D. Board Member 1 X - - - - - 0 0 0Teresa McHugh Board Member 1 X - - - - - 0 0 0Phillip Platz Board Member 1 X - - - - - 0 0 0Michele Rice Board Member 1 X - - - - - 0 0 0Judge Lynn Howard Schaefer, Retired Board Member 1 X - - - - - 0 0 0Robin Shermis, M.D. Board Member 1 X - - - - - 0 0 0

Ozark Affiliate Kari Nikolish President 2 X - X - - - 0 0 0Larry Shackelford Treasurer 4 X - X - - - 0 0 0Kathleen Dalton Secretary 2 X - X - - - 0 0 0Rich Reaves Board Member 2 X - - - - - 0 0 0Dr. Stephen Rosenfeld Board Member 2 X - - - - - 0 0 0Dr. Danna Grear Board Member 2 X - - - - - 0 0 0Michelle Gloeckler Board Member 2 X - - - - - 0 0 0Betsy Reithemeyer Board Member 2 X - - - - - 0 0 0De De Priest Board Member 2 X - - - - - 0 0 0Sara Lilygren Board Member 2 X - - - - - 0 0 0Adriana Wilhelm Board Member 2 X - - - - - 0 0 0Sean Keith Board Member 2 X - - - - - 0 0 0Mike Turner Board Member 2 X - - - - - 0 0 0Mary Zettle Board Member 2 X - - - - - 0 0 0Sissy Pederson Board Member (Thru 10/12) 2 x - - - - - 0 0 0

The Peoria Memorial Affiliate Craig Gilson Board Member 1 X - - - - - 0 0 0Helene Peterson Board Member 2 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Lisa Hansen Secretary/Treasurer 2 X - X - - - 0 0 0Nick Esser Board Member 2 X - - - - - 0 0 0Dr. Denise Mammolito Board Member 1 X - - - - - 0 0 0Dr. John Miller Board Member 1 X - - - - - 0 0 0Greg Miller Board Member 1 X - - - - - 0 0 0Jeanne Buysee Board Member 1 X - - - - - 0 0 0Jennifer Robin Board Member 1 X - - - - - 0 0 0Kate Van Beek President 1 X - X - - - 0 0 0Linda Washkuhn-Sutkowski Board Member 1 X - - - - - 0 0 0Margo Rozell Board Member 1 X - - - - - 0 0 0Wilma Bates Board Member 1 X - - - - - 0 0 0

Philadelphia Affiliate Joanne Calabria President 5 X - X - - - 0 0 0Lisa Wollan Vice President 3 X - X - - - 0 0 0Ronald B Morris, CPA Treasurer 4 X - X - - - 0 0 0Barbara A Orr Secretary 3 X - X - - - 0 0 0Ellen M Cavanuagh Board Member 5 X - - - - - 0 0 0Rabbi Jerome P. David Board Member 2 X - - - - - 0 0 0Tangee E. Gibson Board Member 2 X - - - - - 0 0 0Judy Kellem Board Member 2 X - - - - - 0 0 0Sue Schick Board Member 2 X - - - - - 0 0 0Sloane R. Six Board Member 2 X - - - - - 0 0 0Lawrence A. Smith Board Member 2 X - - - - - 0 0 0Fred Stein Board Member 2 X - - - - - 0 0 0Meryl Weinreb Board Member 2 X - - - - - 0 0 0Harris Bock Board Member 2 X - - - - - 0 0 0

Phoenix Affiliate of the Dan Costello Board Member 8 X - - - - - 0 0 0Luisa Salcedo Secretary / Treasurer 8 X - X - - - 0 0 0Anabell Casto-Thompson Board Member 4 X - - - - - 0 0 0Barbara Watson-Riley Board Member 4 X - - - - - 0 0 0Carolyn Evani President 4 X - X - - - 0 0 0Lisa Levi-Schmidke Board Member 4 X - - - - - 0 0 0Cristina Lenko Board Member 2 X - - - - - 0 0 0Jeff Gauvin Board Member 2 X - - - - - 0 0 0Jill Bray Vice President 2 X - X - - - 0 0 0Katherine Yu Board Member 2 X - - - - - 0 0 0Michael Sherman Board Member 2 X - - - - - 0 0 0Pam Giannonatti Board Member 2 X - - - - - 0 0 0Tonsa Price-Edwards Board Member 2 X - - - - - 0 0 0

Pittsburgh Affiliate Sue Ely Board First Vice President 1 X - X - - - 0 0 0Judy Herstine Board Secretary/Treasurer 2 X - X - - - 0 0 0Holly Wald Board Second Vice President 1 X - X - - - 0 0 0Michael Barfield Board Member 1 X - - - - - 0 0 0Annette Dudash Boyer Board Member 1 X - - - - - 0 0 0Karen Hartley Board Member 1 X - - - - - 0 0 0Jeremy Hartzell Board President 4 X - X - - - 0 0 0Dina Johnson Board Member 1 X - - - - - 0 0 0Eric Kulikowski Board Member 1 X - - - - - 0 0 0Debbi Linhart Board Member 1 X - - - - - 0 0 0Carmelle Nickens Board Member 1 X - - - - - 0 0 0Gina Pferdehirt Board Member 1 X - - - - - 0 0 0William Poller Board Member 1 X - - - - - 0 0 0Lynda Saxon Board Member 1 X - - - - - 0 0 0

Quad Cities Affiliate Martha Watters Treasurer 15 X - X - - - 0 0 0Sheila Soltow President 1 X - X - - - 0 0 0Amy Westfall Board Member 1 X - - - - - 0 0 0Andrea Schelin Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Cathie Whiteside Board Member 10 X - - - - - 0 0 0Karen Roebuck Board Member 1 X - - - - - 0 0 0Kathy Daily Board Member 1 X - - - - - 0 0 0Shelly Rosa-Gastaldo Board Member 1 X - - - - - 0 0 0Cyndi Ashmun Past President (Thru 8/9/12) 1 X - - - - - 0 0 0Jodi Scharer Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0Laura Erntzen Board Member 10 X - - - - - 0 0 0Wendy Meyer Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0

Sacramento Valley Affiliate Diane Pearson-Brown President 10 X - X - - - 0 0 0Karen Moreno Secretary 4 X - X - - - 0 0 0Ann Yoshimoto Vice President 8 X - X - - - 0 0 0Jennifer Glass Treasurer 15 X - X - - - 0 0 0Jennifer Solorio Board Member 2 X - - - - - 0 0 0Emily Leff Board Member (4/1/12 - 6/1/12) 1 X - - - - - 0 0 0

Salt Lake City Affiliate Lisa Schneider President 6 X - X - - - 0 0 0Kimberly Neville Treasurer 1 X - X - - - 0 0 0Coralie Alder Board member 2 X - - - - - 0 0 0Terri Borg Board member 5 X - - - - - 0 0 0Susan Couch Board member 3 X - - - - - 0 0 0Christina DeVore Board member 3 X - - - - - 0 0 0David Gaffney, M.D. Board member 1 X - - - - - 0 0 0Gail Winterfeld Board member 4 X - - - - - 0 0 0Sally Brown Board member 2 X - - - - - 0 0 0Patricia Thompson Board member 2 X - - - - - 0 0 0Rebecca Chambers Treasurer (Thru 7/12) 1 X - X - - - 0 0 0Thomas Tsai Treasurer 2 X - X - - - 0 0 0Megan Corrent Secretary (Thru 7/12) 1 X - X - - - 0 0 0Patricia Bair Board Member (Thru 6/12) 1 X - - - - - 0 0 0David Goldsmith Board Member (Thru 10/12) 1 X - - - - - 0 0 0

The San Antonio Chapter of the Jessica Huff President 5 X - X - - - 0 0 0Irene Hahn Vice President 1 X - X - - - 0 0 0Susan Schott Treasurer 1 X - X - - - 0 0 0Tanya Sammis Board Member 1 X - - - - - 0 0 0Debra Acosta Board Member 1 X - - - - - 0 0 0Kathy Humphries Board Member 2 X - - - - - 0 0 0Sandra San Miguel Board Member 1 X - - - - - 0 0 0Lauren McLaughlin Board Member 2 X - - - - - 0 0 0Eileen Lundin Board Member 1 X - - - - - 0 0 0Tyler Davies President (Thru 7/31/12) 5 X - X - - - 0 0 0Brian Mathers Board Member (Thru 10/1/12) 1 X - - - - - 0 0 0Anne Blantyne Board Member (Thru 2/1/13) 1 X - - - - - 0 0 0Elsa Perez Board Member (Thru 2/1/13) 1 X - - - - - 0 0 0Joan Lawhon Board Member (Thru 10/1/12) 1 X - - - - - 0 0 0

The San Diego Chapter of the Linda Amaro President 6 X - X - - - 0 0 0Susan Halliday Treasurer 2 X - X - - - 0 0 0Risto Mitrovich Secretary 2 X - X - - - 0 0 0Catherine Blair Board Member 6 X - - - - - 0 0 0Irene Oberbauer Board Member 1 X - - - - - 0 0 0Elle Peji Board Member 1 X - - - - - 0 0 0Jenee Peevy Board Member 1 X - - - - - 0 0 0Craig Pobst Board Member 1 X - - - - - 0 0 0Dinah Smith Board Member 1 X - - - - - 0 0 0Jeremy Ross Board Member 1 X - - - - - 0 0 0Nykia Wilson Board Member 1 X - - - - - 0 0 0Drew Scholssberg Board Member 1 X - - - - - 0 0 0Elaine Bellock Board Member (4/1/12 - 10/17/12) 1 X - - - - - 0 0 0Carolyn Clark Board Member (4/1/12 - 9/12/12) 2 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Theresa Fox Board Member (4/1/12 - 10/17/12) 2 X - - - - - 0 0 0Patty Alvarez Board Member (4/1/12 - 2/20/13) 2 X - - - - - 0 0 0

The San Francisco Bay Area Affiliate Anita Brink President 2 X - X - - - 0 0 0Patrick Barber Vice President 2 X - X - - - 0 0 0Claudia Owen Treasurer 2 X - X - - - 0 0 0Carol Benz Board Member 1 X - - - - - 0 0 0Caolyn Chang, MD Board Member 1 X - - - - - 0 0 0Jenner Morrison Board Member 1 X - - - - - 0 0 0Charles Rashall Board Member 1 X - - - - - 0 0 0Amanda Peters Board Member 1 X - - - - - 0 0 0Jackie Schneider President (Thru 9/18/12) 2 X - X - - - 0 0 0

Shreveport Affiliate Alice Jett Board Member 2 X - - - - - 0 0 0Sarona Snyder Vice President 3 X - X - - - 0 0 0Catherine Jones Board Member 2 X - - - - - 0 0 0Deborah Roberts Treasurer 2 X - X - - - 0 0 0Sherin Mercer Board Member 2 X - - - - - 0 0 0Suzanne Sims President 2 X - X - - - 0 0 0Rhonda McIssac Board Member 2 X - - - - - 0 0 0Julia Watson Board Member 1 X - - - - - 0 0 0Julie Mook Board Member 1 X - - - - - 0 0 0Karin Oathout Board Member 1 X - - - - - 0 0 0Kathy Crow Board Member 1 X - - - - - 0 0 0Lyndsay Catlett Board Member 1 X - - - - - 0 0 0Mark Kraemer Board Member 1 X - - - - - 0 0 0Michelle Jobe Board Member 1 X - - - - - 0 0 0Paula Rembert Secretary 1 X - X - - - 0 0 0Melissa Washington Board Member (5/15/12 - 7/31/12) 2 X - - - - - 0 0 0

Siouxland Affiliate Angie Schneiderman President 5 X - X - - - 0 0 0Michelle Holmes Treasurer 5 X - X - - - 0 0 0Deena Townley Secretary 2 X - X - - - 0 0 0Birgit Flom Board Member 5 X - - - - - 0 0 0Cindy Brewer Board Member 5 X - - - - - 0 0 0Stephanie Myres Board Member 5 X - - - - - 0 0 0Teresa Ramold President Elect 5 X - - - - - 0 0 0Gary Richardson Board Member 1 X - - - - - 0 0 0Lynn Peterson Board Member 1 X - - - - - 0 0 0Marcia Moore Board Member 1 X - - - - - 0 0 0Barb Pieper President (Thru 11/18/12) 5 X - X - - - 0 0 0

South Dakota Affiliate Kathy A Manning President 10 X - X - - - 0 0 0Daisy Halvorson Treasurer 10 X - X - - - 0 0 0Rod Goeman Vice-President 5 X - X - - - 0 0 0Paul Clemments Secretary 1 X - X - - - 0 0 0Julie Hanisch Board Member 1 X - - - - - 0 0 0Beth O'Toole Board Member 1 X - - - - - 0 0 0Shane Miner Board Member 1 X - - - - - 0 0 0Colleen Schurrer Board Member 1 X - - - - - 0 0 0Vanessa Shortbull Board Member 1 X - - - - - 0 0 0April Sorrensen Board Member 1 X - - - - - 0 0 0Sherri Basley Board Member 1 X - - - - - 0 0 0Heather Keeler Board Member (4/26/12 - 1/11/13) 5 X - - - - - 0 0 0Tinka Duran Board Member (Thru 9/21/12) 1 X - - - - - 0 0 0

The South Florida Chapter George M Bachman Board Member 2 X - - - - - 0 0 0Kathleen Bocek Vice-President 2 X - X - - - 0 0 0Teresa A. Licamara Treasurer 2 X - X - - - 0 0 0P. Kristen Pressly Secretary 2 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Dave Ragsdale President 2 X - X - - - 0 0 0Michael Becker Board Member 1 X - - - - - 0 0 0Carlos Berrocal Board Member 1 X - - - - - 0 0 0Fern Duberman Board Member 1 X - - - - - 0 0 0Jane Herring-Choate Board Member 1 X - - - - - 0 0 0Dr. Fausta Nazaire Board Member 1 X - - - - - 0 0 0Dr. Carisa Pearce Board Member 1 X - - - - - 0 0 0Dr. Marilyn Raymond Board Member 1 X - - - - - 0 0 0Jill G. Weiss Board Member 1 X - - - - - 0 0 0Deborah Wienke Board Member 1 X - - - - - 0 0 0Marc Yavinsky Board Member 1 X - - - - - 0 0 0

Southeast Georgia Affiliate Susie Massey Treasurer 8 X - X - - - 0 0 0Sue Adler Board Member (Thru 5/31/12) 5 X - - - - - 0 0 0Pam Cowart Board Member (Thru 5/31/12) 2 X - - - - - 0 0 0Laura Hagan Board Member (Thru 5/31/12) 6 X - - - - - 0 0 0Amy Hughes Board Member (Thru 5/31/12) 2 X - - - - - 0 0 0Caroline Keller President 8 X - X - - - 0 0 0Jennifer Mafera Secretary 2 X - X - - - 0 0 0Elizabeth Myers Board Member 2 X - - - - - 0 0 0Russ Toal Board Member (Thru 4/30/12) 2 X - - - - - 0 0 0Amos Timna Board Member 8 X - - - - - 0 0 0Julie Cyr Board Member 2 X - - - - - 0 0 0Sarah Denmark Board Member 2 X - - - - - 0 0 0Julie Grimm Board Member 2 X - - - - - 0 0 0Nikki Troxclair Board Member (Thru 5/31/12) 2 X - - - - - 0 0 0Andres Montes Board Member 2 X - - - - - 0 0 0Donna Williams Board Member 2 X - - - - - 0 0 0DelRia Baisden Board Member 2 X - - - - - 0 0 0

Southeast Iowa Affiliate of the Pam Kesselring President 20 X - X - - - 0 0 0Laurie Hornback Board Member 20 X - - - - - 0 0 0Janet Paulson Treasurer 10 X - X - - - 0 0 0Eve Schindler Board Member 10 X - - - - 0 0 0Krista Burton Treasurer 10 X - X - - - 0 0 0Gayla Harrison Vice-President 5 X - X - - - 0 0 0Marie Zoromski Board Member 5 X - - - - - 0 0 0Tracy Hatfield Board Member 2 X - - - - - 0 0 0Cecile Van Winkle Board Member 2 X - - - - - 0 0 0Debbie Maloy Board Member 2 X - - - - - 0 0 0Camilla Crumes Board Member 2 X - - - - - 0 0 0Maggie Fuller Secretary 1 X - X - - - 0 0 0Amber Kephart Board Member (Thru 1/15/13) 2 X - - - - - 0 0 0Mabel Hart Board Member (Thru 10/23/12) 1 X - - - - - 0 0 0Ashley Marshall-Lowenberg Board Member (Thru 10/23/12) 1 X - - - - - 0 0 0

Southern Arizona Affiliate of the Bimi Huebner President 2 X - X - - - 0 0 0Deborah Friedman Board Member 1 X - - - - - 0 0 0Elaine Walsh Secretary 1 X - X - - - 0 0 0Mark Channell Treasurer 1 X - X - - - 0 0 0Debbie Bush Board Member 1 X - - - - - 0 0 0Tay Fitzgerald Board Member 1 X - - - - - 0 0 0Marian LaLonde Board Member 1 X - - - - - 0 0 0Ali Madani Board Member 1 X - - - - - 0 0 0Pearle Merriner Board Member 1 X - - - - - 0 0 0Gigi Schneppat Board Member 1 X - - - - - 0 0 0Catrina Baird Board Member (4/1/12 - 11/27/12) 1 X - - - - - 0 0 0

Southwest Florida Affiliate of the Mariann MacDonald President 2 X - X - - - 0 0 0Heather Turco Vice President 2 X - X - - - 0 0 0Dorothy Taylor Secretary 2 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Robert Mangene Secretary (4/1/12 - 7/13/12) 2 X - X - - - 0 0 0Janus King Treasurer (4/1/12 - 1/15/13) 2 X - X - - - 0 0 0Thomas Fabian, MD Board Member 1 X - - - - - 0 0 0Gayla Wright Board Member 1 X - - - - - 0 0 0Noreen Thomas Board Member 3 X - - - - - 0 0 0David Rock, MD Board Member 1 X - - - - - 0 0 0Connie Dillon Board Member 1 X - - - - - 0 0 0Steve Ershowsky Board Member 1 X - - - - - 0 0 0Marci Sanders Board Member 1 X - - - - - 0 0 0Deborah Solomon Board Member 1 X - - - - - 0 0 0

The Southwest Michigan Affiliate of the Lucinda Stinson President 2 X - X - - - 0 0 0Patricia Adams Vice President 2 X - X - - - 0 0 0Kristin Sauerhoff Secretary 2 X - X - - - 0 0 0Nathan Bolton Treasurer 2 X - X - - - 0 0 0Terry McKay Board Member 1 X - - - - - 0 0 0Denise Stewart Board Member 1 X - - - - - 0 0 0Janet Miles Board Member (Thru 7/1/12) 1 X - - - - - 0 0 0

St. Louis Affiliate of the DEDE HOFFMANN President 2 X - X - - - 0 0 0CARRIE BUCHANAN Board Member 1 X - - - - - 0 0 0DAN BINDLER Board Member 1 X - - - - - 0 0 0JENNIFER KINGSTON Board Member 1 X - - - - - 0 0 0JOAN SEHL Secretary 1 X - X - - - 0 0 0KATE WALL Board Member 1 X - - - - - 0 0 0LILLIE THOMAS Board Member 1 X - - - - - 0 0 0MIKKI BREWSTER Board Member 1 X - - - - - 0 0 0PAUL LOVELL Board Member 1 X - - - - - 0 0 0PHYLECCIA REED COLE Board Member 1 X - - - - - 0 0 0RENEE HALL Treasurer 1 X - X - - - 0 0 0SUSIE KNOPF Board Member 1 X - - - - - 0 0 0

Tarrant County Affiliate Julie Porter-Mayfield Board Member 1 X - - - - - 0 0 0Sarah Erekson Board Member (Thru 10/22/12) 1 X - - - - - 0 0 0Gynna Harlin Board Member 2 X - - - - - 0 0 0Barbara Lander President 3 X - X - - - 0 0 0Jackie Meeks Board Member 2 X - - - - - 0 0 0Tracy Reed Board Member 10 X - - - - - 0 0 0Michael Rendon Board Member 4 X - - - - - 0 0 0Beth Rivers Treasurer 2 X - X - - - 0 0 0Joan Mason Board Member 1 X - - - - - 0 0 0Dori Boone-Constantino Secretary (Thru 2/28/13) 2 X - X - - - 0 0 0Steve Peglar Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0Kara Rariden Board Member (Thru 1/18/13) 2 X - - - - - 0 0 0

Texarkana Affiliate Ashley Loftin Treasurer 10 X - X - - - 0 0 0Bruce Ramsey Board Member 6 X - - - - - 0 0 0Julie Sanderson President 5 X - X - - - 0 0 0Katie Andrus Secretary 5 X - X - - - 0 0 0DeAnn Goins Board Member 5 X - - - - - 0 0 0William Wright Board Member 2 X - - - - - 0 0 0Buddy Allen Board Member 1 X - - - - - 0 0 0Pam Beck Board Member 1 X - - - - - 0 0 0Jeanie Conway Board Member 1 X - - - - - 0 0 0Don Morriss Board Member 1 X - - - - - 0 0 0Randy Sarrett, MD Board Member 1 X - - - - - 0 0 0Melinda Vammen Board Member 1 X - - - - - 0 0 0

The Orange County Affiliate Sue Parks President 3 X - X - - - 0 0 0Gretchen Valentine Treasurer 2 X - X - - - 0 0 0Carrie Bollwinkle Secretary 2 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Lynn Jolliffe President Elect 1 X - X - - - 0 0 0Regino Diaz Board Member 1 X - - - - - 0 0 0Lisa E. Guerra Board Member 2 X - - - - - 0 0 0Dennis Kuhl Board Member 2 X - - - - - 0 0 0Sora Park Tanjasiri Board Member 2 X - - - - - 0 0 0Sol Reyes Roberts Board Member 3 X - - - - - 0 0 0Lynn Salo Board Member 1 X - - - - - 0 0 0

The Oregon and Southwest Washington Aff Marta Monetti President 1 X - X - - - 0 0 0Michael Phillips Vice President 2 X - X - - - 0 0 0Shirley Cry Treasurer 5 X - X - - - 0 0 0Alec Vesely Board Member 1 X - - - - - 0 0 0Celia Austin Board Member 2 X - - - - - 0 0 0Chery Pape Board Member 1 X - - - - - 0 0 0Don Pearson Board Member 1 X - - - - - 0 0 0Gale Castillo Board Member 1 X - - - - - 0 0 0Gloria Coronado Board Member 1 X - - - - - 0 0 0Jen Williamson Board Member 1 X - - - - - 0 0 0Josh Kermisch Board Member 1 X - - - - - 0 0 0Laurie Reser Board Member 1 X - - - - - 0 0 0Lillian Nail Board Member 1 X - - - - - 0 0 0Nathalie Johnson Board Member 1 X - - - - - 0 0 0Pat Brown Board Member 1 X - - - - - 0 0 0Robert Dove Board Member 1 X - - - - - 0 0 0Sarah Couey Board Member 1 X - - - - - 0 0 0Tina Foster Board Member 2 X - - - - - 0 0 0Gail Houck Secretary (Thru 2/28/13) 2 X - X - - - 0 0 0Cynthia Grant Board Member (Thru 2/20/13) 1 X - - - - - 0 0 0Linda Williams Board Member (Thru 10/17/12) 1 X - - - - - 0 0 0

The Puget Sound Chapter Jim Havens President 2 X - X - - - 0 0 0Stephen Sommerville Treasurer 2 X - X - - - 0 0 0Nancy Koeper Secretary 2 X - X - - - 0 0 0Kathy Bressler Board Member 1 X - - - - - 0 0 0Nicole Grogan Board Member 1 X - - - - - 0 0 0Juli Farris Board Member 1 X - - - - - 0 0 0Kathleen Hogan Board Member 1 X - - - - - 0 0 0Michael Hunter Board Member 1 X - - - - - 0 0 0Brenda Glasgow Board Member 1 X - - - - - 0 0 0Dilip Wagle Board Member 1 X - - - - - 0 0 0Wendy Grover Board Member 1 X - - - - - 0 0 0Camila Santistevan Board Member 1 X - - - - - 0 0 0Albert Shen Board Member 1 X - - - - - 0 0 0Kathi Malone Board Member 1 X - - - - - 0 0 0Lisa Wissner-Slivka Board Member (Thru 11/13/13) 1 X - - - - - 0 0 0

Tidewater Affiliate Maria Williamson President 2 X - X - - - 0 0 0Sheena Boston Treasurer 2 X - X - - - 0 0 0Barb Geraghty Board Member 2 X - - - - - 0 0 0Cliff Yellen Board Member 2 X - - - - - 0 0 0Grace Pearson Board Member 2 X - - - - - 0 0 0Dr. Mike Petruschak Board Member 2 X - - - - - 0 0 0Marcus Calabrese Board Member 2 X - - - - - 0 0 0Jodi Butler Board Member 2 X - - - - - 0 0 0

Tri-Cities Affiliate Curt Rose President 8 X - X - - - 0 0 0Leslie Gilliam Secretary 2 X - X - - - 0 0 0Vanessa Bramble Board Member 1 X - - - - - 0 0 0Martha Chill Board Member 1 X - - - - - 0 0 0Beth Cox Board Member 1 X - - - - - 0 0 0Stephanie D. Werner Treasurer 1 X - X - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Pat Hale Board Member 1 X - - - - - 0 0 0Ken Harris Board Member 1 X - - - - - 0 0 0Sue Lindenbusch Board Member 1 X - - - - - 0 0 0Sandra McGlothlin Board Member 1 X - - - - - 0 0 0Mara Owens Board Member 1 X - - - - - 0 0 0

Tulsa Affiliate Dawne Stafford President 4 X - X - - - 0 0 0Diana Lowe Secretary 2 X - X - - - 0 0 0Tony Otto Treasurer 2 X - X - - - 0 0 0Debbie Ritchie Board Member 2 X - - - - - 0 0 0Kristen Turley Board Member 1 X - - - - - 0 0 0Kim Tryon Board Member 1 X - - - - - 0 0 0Dr. Melisa Boersma Board Member 1 X - - - - - 0 0 0Melody McCloud Board Member 1 X - - - - - 0 0 0David Losacco Board Member 1 X - - - - - 0 0 0LToya Knighten Board Member 1 X - - - - - 0 0 0Patrice Brown Board Member (Thru 12/31/12) 1 X - - - - - 0 0 0Michael Allen Board Member (Thru 6/23/12) 1 X - - - - - 0 0 0Andrew Malati Board Member (Thru 8/9/12) 1 X - - - - - 0 0 0

Tyler Chapter Connie Greenberg President 15 X - X - - - 0 0 0Kristy Everitt Treasurer 15 X - X - - - 0 0 0Anna Malone Secretary 10 X - X - - - 0 0 0Chelli Warren Board Member 5 X - - - - - 0 0 0Suzanne Booher Board Member 5 X - - - - - 0 0 0Ellen Peirce Board Member 5 X - - - - - 0 0 0Steve Countryman Board Member 5 X - - - - - 0 0 0Jo Ellen Callahan Board Member 5 X - - - - - 0 0 0Mike Hines Board Member 5 X - - - - - 0 0 0Karla Hutchison Board Member 5 X - - - - - 0 0 0Regina Davis Board Member 5 X - - - - - 0 0 0Wendy Johnston Board Member 5 X - - - - - 0 0 0Ed Sauter Board Member 5 X - - - - - 0 0 0Autumn King Board Member (Thru 6/1/12) 5 X - - - - - 0 0 0

Upper Cumberland Affiliate Pam Cummins Secretary 4 X - X - - - 0 0 0Robert N. Spence Treasurer 15 X - X - - - 0 0 0Ashley Wright Board Member 4 X - - - - - 0 0 0Marie Ferran President 10 X - X - - - 0 0 0Nancy Himmel Board Member 1 X - - - - - 0 0 0Nancy Judd Vice President 8 X - X - - - 0 0 0Marty Lewis Board Member 7 X - - - - - 0 0 0Lora Looper Board Member 5 X - - - - - 0 0 0Vickie Wilson Board Member 4 X - - - - - 0 0 0Laura Wolf Board Member 5 X - - - - - 0 0 0Heather Mullinix Board Member 3 X - - - - - 0 0 0Eileen Stuber President (Thru 1/1/13) 20 X - X - - - 0 0 0Jane Gray Vice President (Thru 1/31/13) 12 X - X - - - 0 0 0Angela Regikto Board Member (Thru 1/31/13) 5 X - - - - - 0 0 0Harry Stuber, MD Board Member (Thru 1/31/13) 2 X - - - - - 0 0 0Gay McNab Board Member (Thru 1/31/13) 5 X - - - - - 0 0 0

Upstate South Carolina Affiliate Cynthia Fryer President 5 X - X - - - 0 0 0Diana Ivankovic Board Member 1 X - - - - - 0 0 0Glen Innman-Williamson Board Member 1 X - - - - - 0 0 0Liza Owens West Board Member 2 X - - - - - 0 0 0Roger Beasley Board Member 1 X - - - - - 0 0 0Tammy Van Gieson Board Member 5 X - - - - - 0 0 0Mei Au Treasurer 3 X - X - - - 0 0 0Donna Winbrenner Board Member 3 X - - - - - 0 0 0Barbara Rhodes Board Member 2 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Katrina Daniel Secretary 2 X - X - - - 0 0 0

Vermont-New Hampshire Affiliate Becky Burke President 20 X - X - - - 0 0 0Judi Fox Treasurer 5 X - X - - - 0 0 0Valerie Rochon Board Member 5 X - - - - - 0 0 0Maureen Stannard Secretary 5 X - X - - - 0 0 0Lois Whidden Board Member 5 X - - - - - 0 0 0Kathy Murphy Vice President 5 X - X - - - 0 0 0Wendy Gawlik Board Member 10 X - - - - - 0 0 0Kimberly Luebbers Board Member 5 X - - - - - 0 0 0Terri Hathaway Board Member (Thru 12/31/12) 10 X - - - - - 0 0 0Debbie Peretz President (Thru 12/31/12) 15 X - X - - - 0 0 0

Wabash Valley Affiliate Jana James Board Member 5 X - - - - - 0 0 0Jill Ferres Vice President 5 X - X - - - 0 0 0Leesa Nesty Board Member 5 X - - - - - 0 0 0Lorrie Heber Board Member 5 X - - - - - 0 0 0Phylis Fouts Treasurer 10 X - X - - - 0 0 0Sally Roetker President 1 X - X - - - 0 0 0Stan Hobbs Board Member 5 X - - - - - 0 0 0Terry Hogan Board Member 1 X - - - - - 0 0 0Michelle McCrea Board Member 1 X - - - - - 0 0 0Vickie Wallace Treasurer 1 X - X - - - 0 0 0Barbara Lloyd Board Member (Thru 1/1/13) 10 X - - - - - 0 0 0Jeri Humphrey Treasurer (Thru 3/1/13) 20 X - X - - - 0 0 0Patricia Wiley Board Member (Thru 3/1/13) 1 X - - - - - 0 0 0

West Virginia Affiliate Cathy McAlister President 15 X - X - - - 0 0 0Pastor Bob Wood Board Member 8 X - - - - - 0 0 0Angela Brown Board Member 8 X - - - - - 0 0 0Kari Clark Board Member 5 X - - - - - 0 0 0Adam Carr Treasurer 20 X - X - - - 0 0 0Natalie Luppold Board Member 8 X - - - - - 0 0 0Shanen Wright Board Member 10 X - - - - - 0 0 0Dennie Large Board Member 8 X - - - - - 0 0 0Rachel Schmidt Vice President 15 X - X - - - 0 0 0Holly Cowie Board Member 8 X - - - - - 0 0 0Kim Couch Board Member 5 X - - - - - 0 0 0Rebecca Newhouse President (Thru 8/11/12) 37 X - X - - - 0 0 0Jennifer Greenlief President President (8/11/12 - 12/11/12) 7 X - X - - - 0 0 0Kim Johnson Secretary (thru 1/11/13) 5 X - X - - - 0 0 0

The Western New York Affiliate Colleen Nossavage President 10 X - X - - - 0 0 0Dr. Stephen Edge Board Member 3 X - - - - - 0 0 0Patricia Stewart Board Member 3 X - - - - - 0 0 0Marylou Borowiak Board Member 3 X - - - - - 0 0 0Althea Luehrsen Vice-President 5 X - X - - - 0 0 0James Kincaid Secreatry/Treasurer 5 X - X - - - 0 0 0Dr. Robert Moskowitz Board Member 3 X - - - - - 0 0 0Donna Perna Board Member 3 X - - - - - 0 0 0Angel Beiter Board Member 3 X - - - - - 0 0 0Gerry Glose Board Member 3 X - - - - - 0 0 0Heather Ochs-Balcom Board Member (5/1/12 - 9/1/12) 3 X - - - - - 0 0 0Mary Montani Board Member (Thru 1/31/13) 3 X - - - - - 0 0 0

Wichita Falls Affiliate Laura Schlager Board Member 1 X - - - - - 0 0 0Tamara Bowersock Secretary 1 X - X - - - 0 0 0Andy Stanford Board Member 1 X - - - - - 0 0 0James Johnston Board Member 1 X - - - - - 0 0 0Jeff Killion Board Member 1 X - - - - - 0 0 0Janice Sons Board Member 1 X - - - - - 0 0 0




(B) AVG HOURS/ WEEK



Key Employee

Highest-Compensated

Employee Former




organizations



related orgs


Linda Boyd Board Member 1 X - - - - - 0 0 0Fran Lindemann Co-Treasurer 1 X - X - - - 0 0 0Mark Henderson President 5 X - X - - - 0 0 0Stormi Bryant Treasurer 5 X - X - - - 0 0 0

Wyoming Chapter Suzanne Esquibel President 2 X - X - - - 0 0 0Mark Hicks Treasurer 3 X - X - - - 0 0 0Whitney Swieter - Lamb Board Member 2 X - - - - - 0 0 0Antoinette Brown Board Member 2 X - - - - - 0 0 0Keith Howard Board Member 2 X - - - - - 0 0 0Jan Drury Board Member 2 X - - - - - 0 0 0Nancy Knaub Board Member 2 X - - - - - 0 0 0Jayne Mockler Board Member 2 X - - - - - 0 0 0Laurie Heath Board Member 6 X - - - - - 0 0 0Charlotte Carr President (4/1/12 - 6/27/12) 8 X - X - - - 0 0 0Roxanne Homar Secretary (4/1/12 - 6/28/12) 2 X - X - - - 0 0 0Sandy Pederson Treasurer (4/1/12 - 7/1/12) 5 X - X - - - 0 0 0Stacey Caesar Board Member (4/1/12 - 6/28/12) 2 X - - - - - 0 0 0Caryn Young Board Member (4/1/12 - 6/28/12) 2 X - - - - - 0 0 0Michelle Kren Board Member (4/1/12 - 6/28/12) 2 X - - - - - 0 0 0Vicki Sopr Secretary (8/27/12 - 3/15/13) 2 X - X - - - 0 0 0

Totals 12,000 0 0


The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2013

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342012 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

Susan G. Komen Breast Cancer Foundation Address for parent and all affiliates is:5005 LBJ Freeway, Suite 250, Dallas, Texas 75244

1 Acadiana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 860,297 860,297 EIN #72-1436764

2 The Arkansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,152,161 2,152,161 EIN# 71-0724439

3 The Aspen Chapter of the Susan G. Komen Breast Cancer Foundation - - - 453,102 453,102 EIN# 84-1160739

4 Austin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,846,203 1,846,203 EIN # 75-2854966

5 Baton Rouge Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 698,601 698,601 EIN # 75-2854972

6 Bayou Region Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 229,943 229,943 EIN # 75-2854976

7 Boise, Idaho Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 726,407 726,407 EIN # 75-2854965

8 Central Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 7,441 1,106 8,547 805,594 814,141 EIN # 75-2854957

9 Central Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation 1,051 - 1,051 327,871 328,922 EIN # 75-2881536

10 Central Mississippi Steel Magnolias Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,674 - 1,674 378,310 379,984 EIN # 75-2875174

11 Central New Mexico Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 475,284 475,284 EIN# 85-0462625

12 Central New York Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 894,004 894,004 EIN# 16-1389666

13 Central Oklahoma Chapter of the Komen Foundation, Inc. - - - 910,385 910,385 EIN# 73-1372249

14 Central and South Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,206,673 2,206,673 EIN# 43-2052349

15 Central Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 661 - 661 224,430 225,091 EIN# 74-2906528

16 Central Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 127 - 127 373,273 373,400 EIN # 75-2854970

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EIN: 75-24628342012 Form 990


17 Central Wisconsin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 243,021 243,021 EIN # 56-2613151

18 Charlotte Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 231 231 3,458,914 3,459,145 EIN # 75-2854959

19 Chattanooga Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 630,642 630,642 EIN # 75-2875175

20 The Chicagoland Area Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 1,317 - 1,317 2,866,388 2,867,705 EIN# 36-4111723

21 Colorado Springs Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 640,853 640,853 EIN# 75-2844654

22 Columbus Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,320 2,500 4,820 2,849,988 2,854,808 EIN# 75-2844651

23 Connecticut Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,483,998 2,483,998 EIN# 75-2844629

24 Dallas County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,350,526 3,350,526 EIN# 75-2444724

25 The Denver Metropolitan Affiliate of the Susan G. Komen Breast Cancer Foundation 85 884 969 4,463,894 4,464,863 EIN# 84-1199858

26 The Des Moines Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,079,206 1,079,206 EIN # 42-1438018

27 Eastern Washington Affiliate of the Susan G. Komen Foundation, Inc. - - - 605,730 605,730 EIN# 81-0578449

28 Elmira Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 254,968 254,968 EIN# 75-2844630

29 El Paso Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 551,788 551,788 EIN# 74-2723408

30 Florida Suncoast Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 5,392 - 5,392 1,297,407 1,302,799 EIN# 75-2870702

31 The Greater Atlanta Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,042,800 3,042,800 EIN# 58-1959763

32 Grand Rapids Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 669 5 674 580,328 581,002 EIN# 75-2844631

33 Greater Amarillo Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 434,731 434,731 EIN # 72-1562627

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EIN: 75-24628342012 Form 990


34 Greater Cincinnati Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,635,127 1,635,127 EIN # 75-2855038

35 Greater Evansville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 923,021 923,021 EIN # 75-2844632

36 Greater Kansas City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 42 4,087 4,129 1,955,951 1,960,080 EIN # 75-2844634

37 Greater Lansing Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 675,601 675,601 EIN# 75-2915870

38 The Greater Nashville Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,225,090 1,225,090 EIN# 62-1671774

39 Greater New York City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 4,988 - 4,988 4,797,421 4,802,409 EIN # 91-2049420

40 Greater Richmond, Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,011,857 1,011,857 EIN# 75-2844659

41 Greater Roanoke Valley Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 622,036 622,036 EIN# 56-2619425

42 Hawaii Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 632,840 632,840 EIN # 75-2844635

43 Houston Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 73 73 5,087,496 5,087,569 EIN# 76-0360372

44 Indianapolis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,387,717 2,387,717 EIN# 75-2941627

45 Inland Empire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,218,642 1,218,642 EIN# 33-0802964

46 Knoxville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 989,448 989,448 EIN # 75-2854955

47 The Las Vegas Chapter of the Susan G. Komen Breast Cancer Foundation - - - 1,156,850 1,156,850 EIN# 88-0372386

48 Lexington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 668,575 668,575 EIN # 75-2854969

49 The Los Angeles County Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 5,270 4,436 9,706 1,313,086 1,322,792 EIN# 95-4582064

50 Louisville, Kentucky Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,019,765 1,019,765 EIN # 75-2855046

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EIN: 75-24628342012 Form 990


51 Lowcountry Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,069,410 1,069,410 EIN# 75-2844655

52 Lubbock Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 547,041 547,041 EIN# 75-2509762

53 Madison Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,003,491 1,003,491 EIN # 75-2855043

54 Maine Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 89 89 523,282 523,371 EIN #75-2844637

55 Maryland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,694,823 2,694,823 EIN# 52-2053491

56 Massachusetts Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 6,296 25 6,321 1,253,025 1,259,346 EIN# 75-2854961

57 Memphis-Midsouth Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,159,235 1,159,235 EIN # 75-2942859

58 Miami Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 4,806 25 4,831 1,956,955 1,961,786 EIN # 75-2844638

59 Mid-Kansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 747,919 747,919 EIN# 48-1120492

60 Mid-Missouri Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 277,629 277,629 EIN# 56-2583638

61 Milwaukee Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,220,830 2,220,830 EIN# 75-2844639

62 Minnesota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,568,722 2,568,722 EIN# 41-1924790

63 Montana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 253,831 253,831 EIN# 75-2845067

64 Nebraska Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,289,497 1,289,497 EIN# 26-0056671

65 New Orleans Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - 28 28 957,955 957,983 EIN# 72-1222127

66 North Carolina Foothills Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 278,707 278,707 EIN # 75-2875177

67 North Carolina Triad Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,082,415 1,082,415 EIN # 75-2891104

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EIN: 75-24628342012 Form 990


68 NC Triangle Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,444 - 2,444 2,174,004 2,176,448 EIN# 75-2845066

69 North Central Alabama Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,198,144 1,198,144 EIN# 75-2844656

70 Northeastern New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 13 - 13 402,136 402,149 EIN# 75-2854968

71 The Northeastern Pennsylvania Chapter of the Susan G. Komen Breast Cancer Foundation - - - 534,757 534,757 EIN# 23-2657570

72 The Northeast Louisiana Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 2,382 - 2,382 341,313 343,695 EIN# 93-1225877

73 The Northeast Ohio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 114 3 117 1,838,247 1,838,364 EIN# 34-1793460

74 Northern Indiana Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 364,004 364,004 EIN # 56-2583682

75 Northern Nevada Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 287 287 483,603 483,890 EIN # 75-2855035

76 North Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 168,158 168,158 EIN# 26-4810260

77 North Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 18,851 18,851 528,472 547,323 EIN# 75-2844636

78 The North Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,716,274 1,716,274 EIN# 22-3528454

79 North Mississippi Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 292,060 292,060 EIN# 75-2844621

80 North Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,440,854 1,440,854 EIN# 75-2356437

81 Northwest Ohio Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 7,701 4,243 11,944 1,428,670 1,440,614 EIN# 75-2845063

82 The Orange County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 896 3,632 4,528 3,602,392 3,606,920 EIN# 33-0487943

83 The Oregon and Southwest Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, In 250 1,919 2,169 2,932,048 2,934,217 EIN# 93-1068897

84 Ozark Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,284,018 1,284,018 EIN# 75-2845062

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EIN: 75-24628342012 Form 990


85 Philadelphia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc - - - 4,506,790 4,506,790 EIN# 75-2949264

86 Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 375 - 375 2,661,504 2,661,879 EIN# 75-2845061

87 Pittsburgh Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 1,817 1,817 2,263,838 2,265,655 EIN# 81-0665396

88 The Peoria Memorial Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,596,135 1,596,135 EIN# 37-1286285

89 The Puget Sound Chapter of the Susan G. Komen Foundation, Inc. - - - 3,624,474 3,624,474 EIN# 91-1624040

90 Quad Cities Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 495,597 495,597 EIN# 75-2844660

91 Sacramento Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 16,854 7,023 23,877 1,621,882 1,645,759 EIN# 94-3169358

92 Siouxland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 244,962 244,962 EIN# 86-1102587

93 St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,535,966 3,535,966 EIN# 75-2844650

94 The San Francisco Bay Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,282 1,523 3,805 1,017,299 1,021,104 EIN# 94-3047626

95 Salt Lake City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 911,431 911,431 EIN # 75-2855032

96 The San Antonio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,481,872 1,481,872 EIN# 74-2856696

97 The San Diego Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 4,565 1,062 5,627 2,089,558 2,095,185 EIN# 33-0638911

98 Shreveport Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 467,624 467,624 EIN# 75-2844653

99 Southeast Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 567,258 567,258 EIN # 56-2583644

100 Southeast Iowa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 204,808 204,808 EIN # 75-2854980

101 Southern Arizona Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 727,740 727,740 EIN# 75-2844652

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EIN: 75-24628342012 Form 990


102 South Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 436,696 436,696 EIN# 33-1114233

103 The South Florida Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - 256 256 1,691,060 1,691,316 EIN# 65-0254225

104 Southwest Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,452 - 1,452 1,152,212 1,153,664 EIN# 68-0523074

105 The Southwest Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 504 504 397,281 397,785 EIN# 38-3437505

106 Tarrant County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 41 - 41 1,835,919 1,835,960 EIN# 75-2445070

107 Texarkana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 542,871 542,871 EIN# 75-2844649

108 Tidewater Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,332 2,332 4,664 1,152,320 1,156,984 EIN # 75-2875178

109 Tri-Cities Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 564,055 564,055 EIN # 84-1689067

110 Tulsa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 901,833 901,833 EIN# 75-2854974

111 Tyler Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 416,834 416,834 EIN# 74-2764235

112 Upper Cumberland Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 241,294 241,294 EIN# 20-5956855

113 Upstate South Carolina Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 665,931 665,931 EIN # 75-2854973

114 Vermont-New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 686,659 686,659 EIN# 75-2844657

115 Wabash Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 240,314 240,314 EIN# 75-2844615

116 The Western New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 628,412 628,412 EIN # 75-2875179

117 West Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 498,669 498,669 EIN # 75-2885304

118 Wichita Falls Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 206,080 206,080 EIN# 75-2844658

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119 Wyoming Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 567,581 567,581 EIN# 84-1387410

Totals - Affiliates 83,839 56,942 140,781 151,176,923 151,317,704

Susan G. Komen Breast Cancer Foundation, Inc. (Parent) - 4,053 4,053 151,155,333 151,159,386 EIN# 75-1835298

Totals for Parent and Affiliates 83,839 60,995 144,834 302,332,256 302,477,090

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Susan G. Komen Breast Cancer Foundation ‐ GroupYear Ended March 31, 2013Schedule I, Part II

EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantAL100 ‐ North Central Alabama Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.UAB‐Deep South Network for Cancer Contro 3201 1st Ave. South, AB 990 Birmingham AL 35294‐0109 16‐3605396 501c3 54,000 EducationUAB‐University of Alabama at Birmingham 1530 3rd Ave. South, AB1170 Birmingham AL 35294 16‐3605396 501c3 28,000 EducationUAB‐University of Alabama at Birmingham 1530 3rd Ave. South, NP2510 Birmingham AL 35294 16‐3605396 501c3 25,000 EducationUAB‐University of Alabama at Birmingham 1675 University Blvd., Webb346 Birmingham AL 35294 16‐3605396 501c3 25,546 TreatmentRussell Hill Cancer 3601 CCI Drive Huntsville AL 35805 20‐5015568 501c3 50,000 EducationAlabama Dept. of Public Health RSA Tower, 201 Monroe St Suite 1364 Montgomery AL 36130‐3017 63‐1106545 501c3 412,532 ScreeningAmerican Cancer Society 1100 Ireland Way, Suite 201 Birmingham AL 35205 74‐1185665 501c3 40,000 Treatment

635,078AR100 ‐ Ozark Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.St. Edward Mercy Foundation Michelle Bonds 7301 Rogers Ave Fort Smith AR 72903 23‐7330425 501c3 15,120 ScreeningSt. Edward Mercy Foundation Michelle Bonds 7301 Rogers Ave Fort Smith AR 72903 23‐7330425 501c3 8,880 Education, TreatmentSkaggs Foundation/Skaggs Regional Medica PO Box 650 Branson MO 65615‐0650 30‐0107007 501c3 20,000 Education, ScreeningCommunity Clinic Rogers Medical Attn: Chanita Neal 614 E Emma Street Suit 300 Springdale AR 72764 31‐1553455 501c3 19,600 Education, ScreeningCommunity Clinic Rogers Medical Attn: Chanita Neal 614 E Emma Street Suit 300 Springdale AR 72764 31‐1553455 501c3 20,400 TreatmentCommunity Clinic Springdale Medical Attn: Chanita Neal 614 E. Emma Avenue, Suite 300 Springdale AR 72764 31‐1553455 501c3 19,600 Education, ScreeningCommunity Clinic Springdale Medical Attn: Chanita Neal 614 E. Emma Avenue, Suite 300 Springdale AR 72764 31‐1553455 501c3 20,400 TreatmentCommunity Clinic‐Siloam Springs 500 Mount Olive, Suite 200 Siloam Springs AR 72761 31‐1553455 501c3 36,600 Education, ScreeningCommunity Clinic‐Siloam Springs 500 Mount Olive, Suite 200 Siloam Springs AR 72761 31‐1553455 501c3 23,400 TreatmentHope Cancer Resources Attn: Gay Prescott 5835 W Sunset Ave Springdale AR 72762 31‐1637431 501c3 8,800 ScreeningHope Cancer Resources Attn: Gay Prescott 5835 W Sunset Ave Springdale AR 72762 31‐1637431 501c3 71,200 TreatmentMercy Health System 3101 SE 14th Street Bentonville AR 72712 39‐0816848 501c3 15,960 EducationMercy Health System 3101 SE 14th Street Bentonville AR 72712 39‐0816848 501c3 13,020 ScreeningMercy Health System 3101 SE 14th Street Bentonville AR 72712 39‐0816848 501c3 13,020 TreatmentSummit Medical Center Auxilliary East Main & S. 20th Streets Van Buren AR 72956 45‐0593476 501c3 7,500 EducationSummit Medical Center Auxilliary East Main & S. 20th Streets Van Buren AR 72956 45‐0593476 501c3 17,500 ScreeningNorth Arkansas Partnership for Health Ed 1515 Pioneer Drive Harrison AR 72601 62‐1682626 501c3 18,270 EducationNorth Arkansas Partnership for Health Ed 1515 Pioneer Drive Harrison AR 72601 62‐1682626 501c3 41,760 ScreeningNorth Arkansas Partnership for Health Ed 1515 Pioneer Drive Harrison AR 72601 62‐1682626 501c3 26,970 TreatmentSparks Health System Foundation PO Box 2406 Fort Smith AR 72902 71‐0236920 501c3 44,100 Education, ScreeningSparks Health System Foundation PO Box 2406 Fort Smith AR 72902 71‐0236920 501c3 25,900 TreatmentWashington Regional 1101 N. Woolsey Avenue Fayetteville AR 72703 71‐0664687 501c3 17,280 EducationWashington Regional 1101 N. Woolsey Avenue Fayetteville AR 72703 71‐0664687 501c3 15,360 ScreeningWashington Regional 1101 N. Woolsey Avenue Fayetteville AR 72703 71‐0664687 501c3 15,360 TreatmentWashington Regional 1101 N. Woolsey Avenue Fayetteville AR 72703 71‐0664687 501c3 13,430 EducationWashington Regional 1101 N. Woolsey Avenue Fayetteville AR 72703 71‐0664687 501c3 55,300 ScreeningWashington Regional 1101 N. Woolsey Avenue Fayetteville AR 72703 71‐0664687 501c3 10,270 TreatmentThe Merlin Foundation Dr. Merlin Leach 12825 Hwy 412 Alpena AR 72611 71‐0747717 501c3 13,300 EducationThe Merlin Foundation Dr. Merlin Leach 12825 Hwy 412 Alpena AR 72611 71‐0747717 501c3 41,300 ScreeningThe Merlin Foundation Dr. Merlin Leach 12825 Hwy 412 Alpena AR 72611 71‐0747717 501c3 15,400 TreatmentMadison County Health Coalition Donna Graham PO Box 336 Huntsville AR 72740 71‐0842427 501c3 14,950 EducationMadison County Health Coalition Donna Graham PO Box 336 Huntsville AR 72740 71‐0842427 501c3 28,600 ScreeningMadison County Health Coalition Donna Graham PO Box 336 Huntsville AR 72740 71‐0842427 501c3 21,450 Treatment

750,000AR101 ‐ The Arkansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Baptist Health Medical Center 9601 Interstate 630, Exit 7 Little Rock AR 72205 23‐7169407 501c3 10,000 ScreeningBaptist Health Women's Resource Center 9601 Interstate 630, Exit 7 Little Rock AR 72205 23‐7169407 501c3 52,939 Education, ScreeningBaptist Health Women's Resource Center 9601 Interstate 630, Exit 7 Little Rock AR 72205 23‐7169407 501c3 19,313 TreatmentEncore for Women's Health 1200 Westpark Drive, Suite 400 Little Rock AR 72204 26‐2680239 501c3 46,523 EducationEncore for Women's Health 1200 Westpark Drive, Suite 400 Little Rock AR 72204 26‐2680239 501c3 40,683 ScreeningEncore for Women's Health 1200 Westpark Drive, Suite 400 Little Rock AR 72204 26‐2680239 501c3 54,242 TreatmentGreater Delta Alliance for Health 2729 Highway 65 & 82 South Lake Village AR 71653 26‐3424681 501c3 16,216 EducationGreater Delta Alliance for Health 2729 Highway 65 & 82 South Lake Village AR 71653 26‐3424681 501c3 127,963 ScreeningLawrence Memorial Hospital 1309 West Main St. Walnut Ridge AR 72476 37‐1080255 501c3 8,390 ScreeningSt. Vincent Health System 2 St. Vincent Circle Little Rock AR 72205 51‐0169537 501c3 112,500 TreatmentArcare 623 North 9th Street Augusta AR 72006 58‐1666179 501c3 10,302 EducationArcare 623 North 9th Street Augusta AR 72006 58‐1666179 501c3 134,228 ScreeningArcare 623 North 9th Street Augusta AR 72006 58‐1666179 501c3 11,495 TreatmentBaxter Regional Medical Center 624 Hospital Drive Mountain Home AR 72653 58‐1805265 501c3 133,243 Education, ScreeningBaxter Regional Medical Center 624 Hospital Drive Mountain Home AR 72653 58‐1805265 501c3 5,500 TreatmentJefferson Regional Medical Center 1600 West 40th St. Pine Bluff AR 71603 71‐0329353 501c3 77,013 Education, ScreeningWhite River Health System 1710 Harrison St. Batesville AR 72501 71‐0411459 501c3 35,868 Education, ScreeningLee County Cooperative Clinic 530 W. Atkins Blvd. Marianna AR 72360 71‐0413798 501c3 15,274 Education, ScreeningSt. Bernards Medical Center 400 East Street Jonesboro AR 72401 71‐0563245 501c3 30,280 EducationSt. Bernards Medical Center 400 East Street Jonesboro AR 72401 71‐0563245 501c3 269,512 ScreeningCARTI P.O. Box 55011 Little Rock AR 72215 71‐0589907 501c3 66,485 TreatmentCorning Area Healthcare, Inc 1300 Creason Road; P.O. Box 83 Corning AR 72422 71‐0715998 501c3 29,329 ScreeningCorning Area Healthcare, Inc 1300 Creason Road; P.O. Box 83 Corning AR 72422 71‐0715998 501c3 6,196 Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantBoston Mountain Rural Health Center P.O. Box 1030 Marshall AR 72650 71‐0717967 501c3 6,855 Education, TreatmentQuachita County Medical Center 638 California Avenue Camden AR 71701 71‐0766341 501c3 9,116 ScreeningHealthy Connections, Inc. P.O. Box 1848 Mena AR 71953 71‐0807744 501c3 5,819 EducationHealthy Connections, Inc. P.O. Box 1848 Mena AR 71953 71‐0807744 501c3 37,004 ScreeningCrossRidge Community Hospital 310 South Falls Blvd. Wynne AR 72396 71‐0835247 501c3 31,983 Education, ScreeningArkansas Department of Health Geray Pickle 4815 West Markham, Slot 6 Little Rock AR 72205 71‐0847443 501c3 197,500 ScreeningBreastCare 4815 West Markham, Slot 11 Little Rock AR 72205 71‐0847443 501c3 67,299 Education, ScreeningUniv of Arkansas for Medical Sci Treasurer's Office 4301 West Markham, #812 Little Rock AR 72205 71‐6003252 501c3 103,097 ScreeningUniv of Arkansas for Medical Sci Treasurer's Office 4301 West Markham, #812 Little Rock AR 72205 71‐6003252 501c3 9,364 Treatment

1,781,530AZ100 ‐ Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Casa Grande Regional Med Ctr Foundation 1800 E Florence Blvd Casa Grande AZ 85122 31‐1726569 501c3 75,000 ScreeningBanner Health Foundation Laura Dreier Breast Center 2025 N. 3rd Street Phoenix AZ 85004 45‐0233470 501c3 74,250 ScreeningBanner Health Foundation Laura Dreier Breast Center 2025 N. 3rd Street Phoenix AZ 85004 45‐0233470 501c3 200,750 TreatmentAsian Pacific Community in Action 6741 N 7th St Phoenix AZ 85014‐1004 75‐3040117 501c3 47,135 EducationNavajo Nation Division of Health P.O. Box 1390 Window Rock AZ 86515 86‐0092335 501c3 25,000 EducationArizona's Children Assoc. ‐ Golden Gate 2833 N. Third Street Phoenix AZ 85004 86‐0096772 501c3 44,000 ScreeningDesert Mission 9100 North 2nd Street Phoenix AZ 85020 86‐0096941 501c3 24,225 ScreeningJohn C. Lincoln Health Network 9100 N 2nd Street, Suite 301 Phoenix AZ 85020 86‐0096941 501c3 50,270 EducationJohn C. Lincoln Health Network 9100 N 2nd Street, Suite 301 Phoenix AZ 85020 86‐0096941 501c3 80,431 ScreeningJohn C. Lincoln Health Network 9100 N 2nd Street, Suite 301 Phoenix AZ 85020 86‐0096941 501c3 120,647 TreatmentPlanned Parenthood of Central & Northern 5651 N 7th St Phoenix AZ 85014‐2500 86‐0146520 501c3 21,430 ScreeningJunior League of Phoenix, Inc. 2505 N. Central Avenue Phoenix AZ 85004 86‐0178631 501c3 7,030 ScreeningLa Paz Regional Hospital 1200 W Mohave Rd Parker AZ 85344 86‐0260959 501c3 49,832 ScreeningLa Casa De Cristo Lutheran Church 6300 E Bell Rd Scottsdale AZ 85254 86‐0326047 501c3 12,000 ScreeningMountain Park Health Cntr. 2702 N 3rd St,Ste 4020 Phoenix AZ 85004 86‐0498020 501c3 75,000 ScreeningMountain Park Health Cntr. 2702 N 3rd St,Ste 4020 Phoenix AZ 85004 86‐0498020 501c3 150,000 TreatmentNorth Country Community Health Center P.O. Box 3630 Flagstaff AZ 86003‐3630 86‐0663432 501c3 150,000 TreatmentGila River Health Care Corporation PO Box 38 Sacaton AZ 85147 86‐0810876 501c3 66,870 ScreeningMaricopa County Dept.of Public Health Attn: Abby Maestas 4041 N. Central Ave,Suite 700 Phoenix AZ 85012 86‐6000472 501c3 75,000 ScreeningMaricopa County Dept.of Public Health Attn: Abby Maestas 4041 N. Central Ave,Suite 700 Phoenix AZ 85012 86‐6000472 501c3 150,000 TreatmentYavapai Community Health Services 1090 Commerce Drive Prescott AZ 86305 86‐6000561 501c3 54,911 Screening

1,553,781AZ101 ‐ Southern Arizona Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.St. Elizabeth's Health Center 140 W Speedway Blvd, Suite 100 Tucson AZ 85705 08‐0100880 501c3 57,373 EducationSt. Elizabeth's Health Center 140 W Speedway Blvd, Suite 100 Tucson AZ 85705 08‐0100880 501c3 57,373 ScreeningSt. Elizabeth's Health Center 140 W Speedway Blvd, Suite 100 Tucson AZ 85705 08‐0100880 501c3 59,112 TreatmentArizona Orthopaedic Research Center 2424 N. Wyatt Drive, Suite 130 Tucson AZ 85712‐6113 20‐0301903 501c3 7,500 EducationArizona Orthopaedic Research Center 2424 N. Wyatt Drive, Suite 130 Tucson AZ 85712‐6113 20‐0301903 501c3 14,200 TreatmentBreast Assured Foundation 7717 N Hartman Lane Tucson AZ 85743 27‐2194906 501c3 40,000 ScreeningFoundation of Yuma Regional Medical Ctr 2400 S. Ave A Yuma AZ 85364‐7170 51‐0179146 501c3 40,000 ScreeningAmerican Cancer Society 1636 N. Swan Rd, Suite 151 Tucson AZ 85712 74‐1185665 501c3 8,000 TreatmentArizona Board of Regents, Univ.of Arizon 1501 N. Campbell Ave. Tucson AZ 85724 74‐2652689 501c3 40,000 ScreeningTucson Medical Center 2100 N. Rosemont Ave., Suite 100 Tucson AZ 85712‐2805 86‐0137567 501c3 40,000 ScreeningMariposa Community Health Center 1852 N. Mastick Way Nogales AZ 85621 86‐0524321 501c3 48,530 TreatmentRegional Center for Border Health P.O. Box 617 214 W Main St Somerton AZ 85350 86‐0561847 501c3 45,000 EducationChiricahua Comm Health Centers, Inc. 1205 F Avenue Douglas AZ 85607‐1920 86‐0814898 501c3 90,000 TreatmentPima County Health Department 332 S. Freeway Tucson AZ 85745 86‐6000543 501c3 20,000 ScreeningPima County Health Department 332 S. Freeway Tucson AZ 85745 86‐6000543 501c3 50,000 TreatmentU of A Foundation for Arizona Cancer Ctr 3838 N. Campbell Ave.,Room #129 Tucson AZ 85719 86‐6050388 501c3 44,987 Education

662,076CA100 ‐ The Orange County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Pacific Islander Health Partnership 1505 E. 17th Street, Suite 220 Santa Ana CA 92705 14‐1911866 501c3 13,365 EducationServe the People Community Health Center 1206 E. 17th Street, Suite 101 Santa Ana CA 92701 27‐0421556 501c3 108,412 ScreeningAsian American Senior Citizens Service 850 N. Birch St. Santa Ana CA 92701 33‐0396096 501c3 30,000 EducationNhan Hoa Comprehensive Health Care Clini 7761 Garden Grove Blvd. Garden Grove CA 92841 33‐0477323 501c3 107,720 ScreeningLatino Center for Prevention and Action 450 W Fourth Street Suite130 Santa Ana CA 92701 33‐0562943 501c3 67,500 EducationBreast Cancer Solutions 2691 Richter Avenue, Suite 114 Irvine CA 92606 33‐0765783 501c3 18,150 EducationBreast Cancer Solutions 2691 Richter Avenue, Suite 114 Irvine CA 92606 33‐0765783 501c3 100,000 TreatmentHurtt Family Health Clinic, Inc 1 Hope Drive Tustin CA 92782 33‐0906866 501c3 119,263 ScreeningThe G.R.E.E.N. Foundation c/o Ernesta Wright P.O. Box 82 Brea CA 92821 33‐1143366 501c3 41,250 EducationOrange County Asian & Pacific Islander 12900 Garden Grove Blvd., Suite 214A Garden Grove CA 92843 91‐2047245 501c3 25,000 ScreeningVietnamese American Cancer Foundation 17150 Newhope St. Suite #502 Fountain Valley CA 92708 91‐2170415 501c3 75,000 EducationVietnamese American Cancer Foundation 17150 Newhope St. Suite #502 Fountain Valley CA 92708 91‐2170415 501c3 18,750 ScreeningYWCA of North Orange County 215 East Commonwealth Ave., Suite E Fullerton CA 92832 95‐1687482 501c3 75,000 EducationYWCA of North Orange County 215 East Commonwealth Ave., Suite E Fullerton CA 92832 95‐1687482 501c3 25,000 ScreeningLaguna Beach Community Clinic 362 Third Street Laguna Beach CA 92651 95‐2637633 501c3 80,000 ScreeningAltaMed Health Services Corporation Attn: Aggie Williams, Finance Dept. 2040 Camfield Avenue Los Angeles CA 90040 95‐2810095 501c3 150,000 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantAltaMed Health Services Corporation Attn: Aggie Williams, Finance Dept. 2040 Camfield Avenue Los Angeles CA 90040 95‐2810095 501c3 43,750 ScreeningShare Our Selves (SOS) Corporation 1550 Superior Avenue Costa Mesa CA 92627 95‐3222316 501c3 117,500 ScreeningCentral City Community Health Center 5233 E. Beverly Blvd. Los Angeles CA 90022 95‐4492570 501c3 12,500 ScreeningPlanned Parenthood of Orange & SB County 700 S. Tustin St. Orange CA 92866 95‐6152773 501c3 153,713 ScreeningRegents of UC ‐ UC Irvine Medical Center 101 The City Drive Building #23 Orange CA 92868 95-2585792 501c3 60,078 Screening

1,441,950CA101 ‐ Sacramento Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Clara's House 2715 K Street, Suite D Sacramento CA 95816 61‐1591265 501c3 15,000 EducationClara's House 2715 K Street, Suite D Sacramento CA 95816 61‐1591265 501c3 35,000 ScreeningSierra Nevada Memorial Hospital Attn: Kimberly Parker PO Box 1810 Grass Valley CA 95945 68‐0005939 501c3 58,752 EducationSierra Nevada Memorial Hospital Attn: Kimberly Parker PO Box 1810 Grass Valley CA 95945 68‐0005939 501c3 18,449 ScreeningHmong Women's Heritage Association 7275 E. Southgate Drive, Suite 306 Sacramento CA 95823 68‐0350323 501c3 37,500 EducationPeach Tree Healthcare 5730 Packard Ave, Suite 600 Marysville CA 95901 68‐0371679 501c3 36,500 ScreeningPeach Tree Healthcare 5730 Packard Ave, Suite 600 Marysville CA 95901 68‐0371679 501c3 13,500 TreatmentSierra Nevada Community Health Plan 900 East Main Street, Suite 301 Grass Valley CA 95945 68‐0482483 501c3 11,924 EducationSierra Nevada Community Health Plan 900 East Main Street, Suite 301 Grass Valley CA 95945 68‐0482483 501c3 35,771 Screening, TreatmentSt. Joseph's Medical Center of Stockton 1800 N. California Street Stockton CA 95204 94‐1196203 501c3 11,000 EducationSt. Joseph's Medical Center of Stockton 1800 N. California Street Stockton CA 95204 94‐1196203 501c3 25,009 Screening, TreatmentMarshall Medical Center Attn: Kim Cramer 1095 Marshall Way 2nd Floor Placerville CA 95667 94‐1450151 501c3 7,500 EducationMarshall Medical Center Attn: Kim Cramer 1095 Marshall Way 2nd Floor Placerville CA 95667 94‐1450151 501c3 25,000 ScreeningMarshall Medical Center Attn: Kim Cramer 1095 Marshall Way 2nd Floor Placerville CA 95667 94‐1450151 501c3 17,500 TreatmentCenter for Human Services 1700 McHenry Village Way, #11 Modesto CA 95350 94‐1725620 501c3 10,000 EducationCenter for Human Services 1700 McHenry Village Way, #11 Modesto CA 95350 94‐1725620 501c3 40,000 ScreeningCommunicare Health Centers Attn: Robin Affrime P.O. Box 1260 Davis CA 95616 94‐2188574 501c3 7,500 EducationCommunicare Health Centers Attn: Robin Affrime P.O. Box 1260 Davis CA 95616 94‐2188574 501c3 68,012 ScreeningChapa‐De Indian Health Program, Inc. 11670 Atwood Road Auburn CA 95603‐9522 94‐2583156 501c3 35,000 EducationChapa‐De Indian Health Program, Inc. 11670 Atwood Road Auburn CA 95603‐9522 94‐2583156 501c3 15,000 Screening, TreatmentCalifornia Health Collaborative 1680 West Shaw Avenue Fresno CA 93711‐3504 94‐2862660 501c3 7,500 EducationCalifornia Health Collaborative 1680 West Shaw Avenue Fresno CA 93711‐3504 94‐2862660 501c3 48,840 ScreeningCalifornia Health Collaborative 1680 West Shaw Avenue Fresno CA 93711‐3504 94‐2862660 501c3 22,500 TreatmentCalifornia Health Collaborative Barbara Clifford 25 Jan Ct., Suite 130 Chico CA 95928 94‐2862660 501c3 45,858 ScreeningCalifornia Health Collaborative Barbara Clifford 25 Jan Ct., Suite 130 Chico CA 95928 94‐2862660 501c3 33,750 TreatmentUniversity of California‐Davis UC Davis Cancer Center 4501 X Street, Ste. 3016 Sacramento CA 95817 94‐6036494 501c3 20,000 EducationUniversity of California‐Davis UC Davis Cancer Center 4501 X Street, Ste. 3016 Sacramento CA 95817 94‐6036494 501c3 10,000 ScreeningUniversity of California‐Davis UC Davis Cancer Center 4501 X Street, Ste. 3016 Sacramento CA 95817 94‐6036494 501c3 20,000 TreatmentYWCA of Contra Costa County, Sac 1320 Arnold Drive, Suite 170 Martinez CA 94553 94-1156364 501c3 75,000 Screening, EducationThe Regents of University of California 417 V Street Sacramento CA 95818 94‐6036497 501c3 10,000 Screening, EducationUniversity of California‐Davis UC Davis Cancer Center 4501 X Street, Ste. 3016 Sacramento CA 95817 94‐6036494 501c3 27,300 EducationUniversity of California‐Davis UC Davis Cancer Center 4501 X Street, Ste. 3016 Sacramento CA 95817 94‐6036494 501c3 22,700 Screening, TreatmentHealing Journeys P.O. Box 221417 Sacramento CA 95822 77‐0379046 501c3 10,000 Education

877,364CA102 ‐ Central Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Hinds Hospice 1616 W. Shaw Ave, C‐1 Fresno CA 93711 77‐0071360 501c3 45,601 TreatmentClovis Comm. Medical Ctr‐Lymphedema Clin Out Patient Physical Therapy Dept. 688 Medical Ctr Drive East, Ste 101 Clovis CA 93611‐6800 77‐0191730 501c3 48,052 Education, TreatmentWest Fresno Health Care Coalition 302 Fresno Street Ste 205 Fresno CA 93706 77‐0577093 501c3 48,041 EducationCentral California Legal Services 2115 Kern Street, Suite 1 Fresno CA 93721 94‐1631809 501c3 33,742 EducationCentral California Legal Services 2115 Kern Street, Suite 1 Fresno CA 93721 94‐1631809 501c3 11,247 ScreeningCalifornia Health Collaborative 1680 West Shaw Avenue Fresno CA 93711‐3504 94‐2862660 501c3 7,396 EducationCalifornia Health Collaborative 1680 West Shaw Avenue Fresno CA 93711‐3504 94‐2862660 501c3 31,897 ScreeningCalifornia Health Collaborative 1680 West Shaw Avenue Fresno CA 93711‐3504 94‐2862660 501c3 6,934 TreatmentDisability Rights Legal Center 800 S Figueroa St. #1120 Los Angeles CA 90017‐2759 95‐2960607 501c3 47,090 Education

280,000CA103 ‐ Inland Empire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Kommah Seray Inflammatory Breast 536 S. 2nd Ave., Suite L Covina CA 91723 20‐5968227 501c3 33,400 TreatmentInland Agency The Pink Ribbon Place 1737 Atlanta Ave. Suite H5 Riverside CA 92507 23‐7058717 501c3 28,047 EducationInland Agency The Pink Ribbon Place 1737 Atlanta Ave. Suite H5 Riverside CA 92507 23‐7058717 501c3 51,726 TreatmentSt. Bernardine Medical Center Foundation 2101 North Waterman Avenue San Bernardino CA 92404‐4836 23‐7440086 501c3 25,000 TreatmentFoundation for Community & Family Hlth 815 W. Sixth Street, Suite 110 Corona CA 92882‐3289 33‐0071575 501c3 23,650 TreatmentQuinn Community Outreach Corporation 25400 Alessandro Boulevard, Suite 101 Moreno Valley CA 92553 33‐0637525 501c3 36,998 EducationDesert Cancer Foundation 74091 Larrea Street Palm Desert CA 92260‐4466 33‐0648823 501c3 45,000 TreatmentCommunity Clinics Health Network P.O. Box 880969 San Diego CA 92168‐0969 33‐0759107 501c3 12,500 TreatmentBreast Cancer Solutions 130 McCormick Ave., Suite 102 Costa Mesa CA 92626‐3316 33‐0765783 501c3 60,000 TreatmentGilda's Club Desert Cities 67‐625 E. Palm Canyon Drive #7A Cathedral City CA 92234‐5462 33‐0911108 501c3 14,237 TreatmentMichelle's Place Attn: Kim Goodnough 27645 Jefferson Ave, #117 Temecula CA 92590 33‐0951216 501c3 24,530 EducationMichelle's Place Attn: Kim Goodnough 27645 Jefferson Ave, #117 Temecula CA 92590 33‐0951216 501c3 45,000 TreatmentSan Antonio Community Hospital 999 San Bernardino Road Upland CA 91786‐4992 95‐1183919 501c3 70,000 Education, TreatmentRedlands Community Hospital 350 Terracina Blvd., P.O. Box 3080 Redlands CA 92373‐4897 95‐1643347 501c3 40,000 TreatmentSSG/PALS for Health 605 W. Olympic Blvd., Suite 600 Los Angeles CA 90015 95‐1716914 501c3 30,622 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantCommunity Connect 2060 University Ave., Suite 212 Riverside CA 92507 95‐2287250 501c3 13,369 Education

554,079CA104 ‐ The Los Angeles County Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Herald Christian Health Center 923 S. San Gabriel Blvd. San Gabriel CA 91776 20‐3492620 501c3 16,455 EducationHerald Christian Health Center 923 S. San Gabriel Blvd. San Gabriel CA 91776 20‐3492620 501c3 24,682 ScreeningSt Mary Med Ctr Found‐Fam in Good Health 1050 Linden Avenue Long Beach CA 90813 23‐7153876 501c3 11,000 EducationSt Mary Med Ctr Found‐Fam in Good Health 1050 Linden Avenue Long Beach CA 90813 23‐7153876 501c3 29,000 ScreeningMy Sister My Friend Breast Cancer Suppor P. O. Box 3272 Long Beach CA 90807 30‐0315743 501c3 9,925 EducationSt. Vincent Medical Center 2200 W. Third Street, Suite 200 Los Angeles CA 90057 91‐2154438 501c3 36,329 EducationMethodist Hospital 300 West Huntington Drive Arcadia CA 92834 95‐1643336 501c3 19,250 EducationGlendale Memorial Health Hospital 1420 S. Central Ave Glendale CA 91204 95‐1648194 501c3 8,250 EducationGlendale Memorial Health Hospital 1420 S. Central Ave Glendale CA 91204 95‐1648194 501c3 24,750 ScreeningThe Saban Free Clinic 8405 Beverly Blvd Los Angeles CA 90048 95‐2539105 501c3 20,000 Education, ScreeningVenice Family Clinic 604 Rose Ave Venice CA 90291 95‐2769432 501c3 9,880 EducationVenice Family Clinic 604 Rose Ave Venice CA 90291 95‐2769432 501c3 29,639 ScreeningDisability Rights Legal Center 800 S. Figueroa St., Suite 1120 Los Angeles CA 90017 95‐2960607 501c3 16,000 EducationHenry Mayo Newhall Memorial Health Fndtn 23929 McBean Parkway, Suite 101 Valencia CA 91355 95‐3849903 501c3 10,000 EducationHenry Mayo Newhall Memorial Health Fndtn 23929 McBean Parkway, Suite 101 Valencia CA 91355 95‐3849903 501c3 30,000 Screening

295,158CA105 ‐ The San Diego Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Jewish Family Service Jewish Family Service of San Diego 8804 Balboa Ave San Diego CA 92123‐1506 22‐2119902 501c3 50,000 EducationMama's Kitchen 3960 Home Avenue San Diego CA 92105 33‐0434246 501c3 50,000 TreatmentLa Maestra Family Clinic, Inc. 4060 Fairmount Ave San Diego CA 92104 33‐0473171 501c3 89,561 EducationCommunity Clinics Health Network 7535 Metropolitan Drive San Diego CA 92108 33‐0759107 501c3 325,850 ScreeningCommunity Clinics Health Network 7535 Metropolitan Drive San Diego CA 92108 33‐0759107 501c3 80,150 TreatmentBreast Cancer Solutions 2691 Richter Avenue, #114 Irvine CA 92606 33‐0765783 501c3 125,000 Education2‐1‐1 San Diego P.O. Box 420039, 5251 Viewridge Court San Diego CA 92123 33‐1029843 501c3 50,000 EducationSomali Family Somali Family Service of San Diego 6035 University Avenue #6 San Diego CA 92115 91‐2065038 501c3 39,100 EducationThe Regents of University of California 9500 Gilman Drive #0696 La Jolla CA 92093‐0696 94‐6036497 501c3 50,000 EducationScripps Mercy Hospital Chula Vista 237 Church Ave. Chula Vista CA 91910 95‐1684089 501c3 40,000 EducationSan Ysidro Health Center 1275 30th Street San Diego CA 92154 95‐2801772 501c3 90,000 EducationVista Community Clinic 1000 Vale Terrace Vista CA 92084 95‐2815615 501c3 40,000 EducationFamily Health Centers of San Diego 823 Gateway Center Way San Diego CA 92102 95‐2833205 501c3 100,000 EducationSharp Chula Vista Medical Center Sharp Rehabilitation Services, SCVMC Lorna McGrory Chula Vista CA 91911 95‐3492461 501c3 69,010 EducationChula Vista Community Collaborative 511 G Street Chula Vista CA 91910 95‐6000613 501c3 40,000 EducationMoore's UCSD Cancer Ctr,Patient & Family 3855 Health Sciences Drive #0850 La Jolla CA 92037‐0658 95‐6006144 501c3 40,000 Education

501c3 1,278,671CA106 ‐ The San Francisco Bay Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 501c3Latina Breast Cancer Agency 4271 Mission Street, 2nd Floor San Francisco CA 94112 01‐0628124 501c3 27,000 Education, Treatment, ScreeningBreast Cancer Emergency Fund 12 Grace Street, Suite 300 San Francisco CA 94103 20‐3203899 501c3 275,000 TreatmentTri‐City Health Center 39500 Liberty Street Fremont CA 94538 23‐7255435 501c3 19,531 EducationTri‐City Health Center 39500 Liberty Street Fremont CA 94538 23‐7255435 501c3 15,981 Screening, TreatmentSamaritan House 1511 S. Claremont Street San Mateo CA 94402 23‐7416272 501c3 5,695 EducationSamaritan House 1511 S. Claremont Street San Mateo CA 94402 23‐7416272 501c3 8,542 ScreeningAlta Bates Summit Foundation 2450 Ashby Ave. Berkeley CA 94705 51‐0160184 501c3 8,261 EducationAlta Bates Summit Foundation 2450 Ashby Ave. Berkeley CA 94705 51‐0160184 501c3 41,305 ScreeningAlta Bates Summit Foundation 2450 Ashby Ave. Berkeley CA 94705 51‐0160184 501c3 5,507 TreatmentCirculo de Vida Cancer Support & Resourc 2601 Mission Street, Suite 702 San Francisco CA 94110 51‐0471693 501c3 7,200 EducationCirculo de Vida Cancer Support & Resourc 2601 Mission Street, Suite 702 San Francisco CA 94110 51‐0471693 501c3 10,800 TreatmentTaulama for Tongans 1650 S. Amphlett Blvd., Ste. 105 San Mateo CA 94402 68‐0488293 501c3 36,800 EducationTaulama for Tongans 1650 S. Amphlett Blvd., Ste. 105 San Mateo CA 94402 68‐0488293 501c3 9,200 ScreeningSamoan Community Development Center 2055 Sunnydale Ave. San Francisco CA 94134 77‐0290646 501c3 55,000 Education, ScreeningAsociacion Hispana del Cancer P O Box 245 Walnut Creek CA 94597‐0245 84‐1690144 501c3 27,607 EducationAsociacion Hispana del Cancer P O Box 245 Walnut Creek CA 94597‐0245 84‐1690144 501c3 27,607 Screening, TreatmentLa Clinica de la Raza, lead agency: Lati PO Box 22210 Oakland CA 94623 94‐1744108 501c3 20,698 EducationLa Clinica de la Raza, lead agency: Lati PO Box 22210 Oakland CA 94623 94‐1744108 501c3 13,799 TreatmentMission Neighborhood Health Center 240 Shotwell Street San Francisco CA 94110 94‐2284365 501c3 8,515 EducationMission Neighborhood Health Center 240 Shotwell Street San Francisco CA 94110 94‐2284365 501c3 32,033 ScreeningShanti Project Inc. 730 Polk Street, Floor 3 San Francisco CA 94109 94‐2297147 501c3 11,690 TreatmentIndian Health Cntr of Santa Clara Valley 1333 Meridian Avenue San Jose CA 95125 94‐2476242 501c3 20,851 Education, Treatment, ScreeningLyon‐Martin Health Services 1748 Market Street, #201 San Francisco CA 94102 94‐2597707 501c3 8,969 EducationLyon‐Martin Health Services 1748 Market Street, #201 San Francisco CA 94102 94‐2597707 501c3 70,405 ScreeningMarin Center for Independent Living 710 Fourth Street San Rafael CA 94901 94‐2605669 501c3 22,500 EducationMarin Center for Independent Living 710 Fourth Street San Rafael CA 94901 94‐2605669 501c3 22,500 TreatmentSan Mateo County Health Foundation 222 West 39th Ave. San Mateo CA 94403 94‐3116070 501c3 26,496 EducationSan Mateo County Health Foundation 222 West 39th Ave. San Mateo CA 94403 94‐3116070 501c3 26,496 ScreeningSan Mateo County Health Foundation 222 West 39th Ave. San Mateo CA 94403 94‐3116070 501c3 13,248 TreatmentWomen's Cancer Resource Center 5741 Telegraph Avenue Oakland CA 94609 94‐3131204 501c3 13,500 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantWomen's Cancer Resource Center 5741 Telegraph Avenue Oakland CA 94609 94‐3131204 501c3 13,500 ScreeningWomen's Cancer Resource Center 5741 Telegraph Avenue Oakland CA 94609 94‐3131204 501c3 18,000 TreatmentHospice By The Bay 17E Sir Frances Drake Blvd Larkspur CA 94939 94‐2890791 501c3 8,000 TreatmentRavenswood Family Health Center South County Community Health Center 1798A Bay Road East Palo Alto CA 94303 94‐3372130 501c3 10,000 EducationRavenswood Family Health Center South County Community Health Center 1798A Bay Road East Palo Alto CA 94303 94‐3372130 501c3 15,000 Treatment

957,236CO100 ‐ The Aspen Chapter of the Susan G. Komen Breast Cancer FoundationPathfinders for Cancer PO Box 11799 Aspen CO 81612 20‐1710899 501c3 45,000 EducationPlanned Parenthood of the Rocky 7155 E 38th Ave Denver CO 80207 84‐0404253 501c3 37,615 ScreeningCommunity Health Services Attn: Tazi Lutgring 0405 Castle Creek Rd. #6 Aspen CO 81611 84‐0609057 501c3 51,543 ScreeningAspen Valley Hospital Attn:Debby Essex 0401 Castle Creek Road Aspen CO 81611 84‐0643721 501c3 47,645 ScreeningEagle Care Medical PO Box 1529 Vail CO 81658 84‐0742145 501c3 52,847 ScreeningMountain Family Health 1905 Blake Ave., Suite 101 Glenwood Springs CO 81601 84‐0742145 501c3 58,535 ScreeningFamily Visitor Attn: Saundra Swanson PO Box 1845 Glenwood Springs CO 81602 84‐1001484 501c3 10,000 EducationCO Dept. of Public Health & Environment 4300 Cherry Creek Drive South Denver CO 80246 84‐0644739 501c3 21,405 Screening

501c3 324,590CO101 ‐ Colorado Springs Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 501c3Peak Vista Community Health Ctrs 722 S. Wahsatch Ave. Colorado Springs CO 80903 84‐0617567 501c3 25,957 EducationPeak Vista Community Health Ctrs 722 S. Wahsatch Ave. Colorado Springs CO 80903 84‐0617567 501c3 59,500 TreatmentSt Mary‐Corwin Health Foundation 1008 Minnequa Avenue Pueblo CO 81004 84‐0902211 501c3 15,125 EducationSt Mary‐Corwin Health Foundation 1008 Minnequa Avenue Pueblo CO 81004 84‐0902211 501c3 31,315 ScreeningSt Mary‐Corwin Health Foundation 1008 Minnequa Avenue Pueblo CO 81004 84‐0902211 501c3 13,980 TreatmentPueblo Community Health Center Attn: Bernadete Lujan 110 E Routt Ave Pueblo CO 81004 84‐0921521 501c3 23,925 EducationPueblo Community Health Center Attn: Bernadete Lujan 110 E Routt Ave Pueblo CO 81004 84‐0921521 501c3 35,887 ScreeningSense of Security 1385 S Colorado Blvd, Ste A‐302 Denver CO 80222 84‐1539558 501c3 34,000 TreatmentTeller County Public Health 11115 W Highway 24, Unit 2C Divide CO 80814 84‐6000809 501c3 35,027 Education, Treatment, Screening

274,715CO102 ‐ The Denver Metropolitan Affiliate of Susan G. Komen Breast Cancer FoundationSt. Joseph Hospital Foundation 1835 Franklin St Denver CO 80218 53‐0196617 501c3 473,805 ScreeningSt. Joseph Hospital Foundation 1835 Franklin St Denver CO 80218 53‐0196617 501c3 378,000 TreatmentPoudre Valley Health System Foundation 2315 E Harmony Rd Ste 200 Ft. Collins CO 80528 74‐1894581 501c3 104,393 TreatmentMcKee Medical Center Foundation 1805 E 18th St Ste 9 Loveland CO 80538 74‐2182919 501c3 75,000 TreatmentBoulder Community Hospital P.O. Box 9047 4715 Arapahoe Ave. Boulder CO 80303 84‐0175870 501c3 20,566 TreatmentPlanned Parenthood 7155 E 38th Ave Denver CO 80207 84‐0404253 501c3 115,290 ScreeningColo Dept of Public Health & Environment 4300 Cherry Creek Drive South Denver CO 80246 84‐0644739 501c3 586,781 ScreeningWomen's Resource Center 424 Pine Street, Suite 201 Fort Collins CO 80524‐2421 84‐0732631 501c3 57,611 EducationMount Evans Hospice, Inc. 3081 Bergen Peak Drive Evergreen CO 80439 84‐0831843 501c3 32,000 TreatmentSt. Anthony Health Foundation 4231 W. 16th Ave Denver CO 80204 84‐0902211 501c3 84,125 TreatmentColorado Community Health Network 600 Grant Street, Suite 800 Denver CO 80203 84‐0910590 501c3 252,994 ScreeningColorado Coalition for the Homeless 2111 Champa St. Denver CO 80205 84‐0951575 501c3 41,842 ScreeningDenver Health Foundation 655 Broadway MC 1925 Denver CO 80203 84‐1085196 501c3 8,150 EducationDenver Health Foundation 655 Broadway MC 1925 Denver CO 80203 84‐1085196 501c3 33,304 ScreeningDenver Health Foundation 655 Broadway MC 1925 Denver CO 80203 84‐1085196 501c3 166,464 TreatmentRocky Mountain Rural Health P.O. Box 1600 525 Hathaway Fairplay CO 80440 84‐1106335 501c3 17,901 ScreeningColorado Foundation for Public Health and The Environment 9457 S. University Blvd., #513 Highlands Ranch CO 80126 84‐1267213 501c3 55,728 EducationGrand County Rural Health Network, Inc. P.O. Box 95 Hot Sulpher Springs CO 80451 84‐1587575 501c3 9,500 Screening, TreatmentThe Raymond Wentz Foundation P.O. Box 9039 Denver CO 80209 27‐0029283 501c3 77,593 TreatmentYuma District Hospital 1000 W. 8th Avenue Yuma CO 80759 84‐1149702 501c3 32,372 Treatment

2,623,417CT100 ‐ Connecticut Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Yale‐New Haven Hospital 20 York Street, MCS New Haven CT 06504‐0000 06‐0646652 501c3 50,000 EducationHartford Hospital 80 Seymour Street, P. O. Box 5037 Hartford CT 06102‐5037 06‐0646668 501c3 50,000 ScreeningCharlotte Hungerford Hospital 1598 East Main Street Torrington CT 06790‐0000 06‐0646678 501c3 25,000 EducationCharlotte Hungerford Hospital 1598 East Main Street Torrington CT 06790‐0000 06‐0646678 501c3 25,000 ScreeningMiddlesex Hospital 540 Saybrook Road, Suite 280 Middletown CT 06457‐0000 06‐0646718 501c3 25,000 EducationMiddlesex Hospital 540 Saybrook Road, Suite 280 Middletown CT 06457‐0000 06‐0646718 501c3 25,000 ScreeningHospital of Central Connecticut Development Office 100 Grand Street New Britain CT 06050 06‐0646768 501c3 25,000 EducationHospital of Central Connecticut Development Office 100 Grand Street New Britain CT 06050 06‐0646768 501c3 25,000 ScreeningSaint Francis Hospital & Medical Center 95 Woodland Street Hartford CT 06105 06‐0646813 501c3 50,000 EducationStamford Hospital 30 Shelburne Road P.O. Box 9317 Stamford CT 06904 06‐0646917 501c3 50,000 ScreeningGriffin Hospital 130 Division Street Derby CT 06418‐0000 06‐0647014 501c3 50,000 EducationHospital of St. Raphael 1450 Chapel Street New Haven CT 06511‐0000 06‐0653171 501c3 25,000 EducationHospital of St. Raphael 1450 Chapel Street New Haven CT 06511‐0000 06‐0653171 501c3 25,000 ScreeningNew Milford Hospital Attn: Katherine Sullivan 21 Elm Street New Milford CT 06776‐3029 06‐0669121 501c3 50,000 ScreeningCornell Hill Scott 400 Columbus Ave New Haven CT 06519 06‐0870990 501c3 25,000 EducationCornell Hill Scott 400 Columbus Ave New Haven CT 06519 06‐0870990 501c3 25,000 ScreeningFair Haven Community Health Center 374 Grand Avenue New Haven CT 06513‐0000 06‐0883545 501c3 25,000 EducationFair Haven Community Health Center 374 Grand Avenue New Haven CT 06513‐0000 06‐0883545 501c3 25,000 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantHispanic Health Council Center of Grtr D 175 Main Street Hartford CT 06106 06‐1056978 501c3 50,000 EducationNorwalk Smilow 34 Maple Street Norwalk CT 06856 06‐6068853 501c3 50,000 ScreeningNat'l Assoc. for the Advncmnt of Colored 262 Main Street Norwich CT 06360 06‐6099300 501c3 50,000 EducationCancer Care of Connecticut 535 Connecticut Avenue, Suite 104 Norwalk CT 06854 13‐1825919 501c3 50,000 EducationUniversity of Connecticut Health Center Attn: David Larkin 263 Farmington Avenue Farmington CT 06030‐5335 23‐7187838 501c3 25,000 EducationUniversity of Connecticut Health Center Attn: David Larkin 263 Farmington Avenue Farmington CT 06030‐5335 23‐7187838 501c3 25,000 ScreeningCommunity Health Center 2823 N Austrailian Avenue West Palm Beach FL 33407 26‐3611337 501c3 50,000 EducationCommunity Health Services Attn: Tazi Lutgring 0405 Castle Creek Rd. #6 Aspen CO 81611 84‐0609057 501c3 25,000 EducationCommunity Health Services Attn: Tazi Lutgring 0405 Castle Creek Rd. #6 Aspen CO 81611 84‐0609057 501c3 25,000 ScreeningSt Vincent Medical Center 2131 W. Third St Los Angeles CA 90057 91‐2154438 501c3 50,000 Screening

1,000,000FL100 ‐ Southwest Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Lymphedema Resources, Inc. PO Box 1115 Estero FL 33928 20‐2246162 501c3 8,762 EducationLymphedema Resources, Inc. PO Box 1115 Estero FL 33928 20‐2246162 501c3 31,064 TreatmentL.I.G.H.T. 12478 Green Stone Ct Ft Myers FL 33913‐6737 20‐8860104 501c3 10,728 TreatmentCancer Alliance of Naples 990 First Avenue South, Suite 200 Naples FL 34102 22‐3879709 501c3 10,271 EducationCancer Alliance of Naples 990 First Avenue South, Suite 200 Naples FL 34102 22‐3879709 501c3 30,813 TreatmentREGIONAL CANCER CENTER 8931 Colonial Center Drive, Suite 200 Fort Myers FL 33905‐7809 25‐1385075 501c3 35,750 ScreeningREGIONAL CANCER CENTER 8931 Colonial Center Drive, Suite 200 Fort Myers FL 33905‐7809 25‐1385075 501c3 107,250 TreatmentSenior Friendship Centers 2350 Scenic Drive Venice FL 33952 59‐1522614 501c3 12,860 Education, ScreeningFamily Health Centers of SW Florida Po Box 1357 (2232 Grand Ave ) Fort Myers FL 33902 59‐1741273 501c3 18,042 EducationFamily Health Centers of SW Florida Po Box 1357 (2232 Grand Ave ) Fort Myers FL 33902 59‐1741273 501c3 71,108 ScreeningFamily Health Centers of SW Florida Po Box 1357 (2232 Grand Ave ) Fort Myers FL 33902 59‐1741273 501c3 16,981 TreatmentCollier Health Services, Inc. 1454 West Madison Ave Immokalee FL 34142‐1454 59‐1741277 501c3 5,352 EducationCollier Health Services, Inc. 1454 West Madison Ave Immokalee FL 34142‐1454 59‐1741277 501c3 43,408 ScreeningCollier Health Services, Inc. 1454 West Madison Ave Immokalee FL 34142‐1454 59‐1741277 501c3 10,703 TreatmentNCH Healthcare System 350 7th Street Naples FL 34102 59‐2314655 501c3 5,488 EducationNCH Healthcare System 350 7th Street Naples FL 34102 59‐2314655 501c3 21,954 ScreeningNCH Healthcare System 350 7th Street Naples FL 34102 59‐2314655 501c3 27,442 TreatmentNeighborhood Health Clinic 120 Goodlette Rd N Naples FL 34102 59‐3546884 501c3 26,389 ScreeningNeighborhood Health Clinic 120 Goodlette Rd N Naples FL 34102 59‐3546884 501c3 33,585 TreatmentPartners For Breast Care 9470 HealthPark Circle Fort Myers FL 33908 65‐0290568 501c3 111,642 ScreeningPartners For Breast Care 9470 HealthPark Circle Fort Myers FL 33908 65‐0290568 501c3 26,188 TreatmentVirginia B Andes 21297 Olean Blvd Unit B Port Charlotte FL 33952 65‐0958642 501c3 30,263 EducationVirginia B Andes 21297 Olean Blvd Unit B Port Charlotte FL 33952 65‐0958642 501c3 101,314 Screening

797,358FL101 ‐ Central Florida Affiliate of the of the Susan G. Komen Breast Cancer Foundation, Inc.Libby's Legacy Breast Cancer Foundation 1718 S Orange Ave Orlando FL 32806 11‐3812766 501c3 12,949 ScreeningLibby's Legacy Breast Cancer Foundation 1718 S Orange Ave Orlando FL 32806 11‐3812766 501c3 37,500 ScreeningLibby's Legacy Breast Cancer Foundation 1718 S Orange Ave Orlando FL 32806 11‐3812766 501c3 12,500 Education, TreatmentRibbon Riders, Inc. PO Box 952283 Lake Mary FL 32795 26‐2717017 501c3 50,000 TreatmentOsceola Council on Aging, Inc. Attn: Warren Hougland 700 Generation Point Kissimmee FL 34744 59‐1595398 501c3 50,000 ScreeningHalifax Medical Center Attn: Catherine McQuade 303 N. Clyde Morris Blvd. Daytona Beach FL 32114 59‐2893051 501c3 50,000 ScreeningFlorida Hospital ‐ Waterman Community 2300 Kurt St Eustis FL 32726 59‐3140669 501c3 19,000 ScreeningHealth Care Center for the Homeless 232 N. Orange Blossom Trail Orlando FL 32805 59‐3185020 501c3 50,000 ScreeningSouth Lake Hospital 1900 Don Wickham Drive Clermont FL 34711 59‐3322533 501c3 28,690 Education, ScreeningBrevard County Health Department 2575 N. Courtenay Pkwy Merritt Island FL 32953 59‐3502843 501c3 20,000 EducationBrevard County Health Department 2575 N. Courtenay Pkwy Merritt Island FL 32953 59‐3502843 501c3 20,000 ScreeningBrevard County Health Department 2575 N. Courtenay Pkwy Merritt Island FL 32953 59‐3502843 501c3 10,000 TreatmentSeminole County Health Department 400 West Airport Blvd Sanford FL 32773 59‐3502843 501c3 50,000 Education, Screening

410,639FL102 ‐ North Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Women's Center of Jacksonville 5644 Colcord Avenue Jacksonville FL 32211 23‐7437216 501c3 20,000 EducationVolunteers in Medicine 41 E Duval Street Jacksonville FL 32202‐3201 57‐0959206 501c3 20,000 ScreeningBaker County Health Department 480 W Lowder St. MacClenny FL 32063‐2664 59‐3502843 501c3 20,000 Screening, EducationBaptist Medical Center Hill Breast Center 1235 San Marco Boulevard #419 Jacksonville FL 32207 59‐3614273 501c3 29,900 ScreeningWay Free Clinic 479 Houston Street Green Cove Springs FL 32043‐2411 72‐0828154 501c3 20,000 ScreeningST VINCENT HEALTH CENTER c/o St. Vincents Medical Center Attn: Elaine Murtha Jacksonville FL 32204 26‐0479484 501c3 20,000 Screening

129,900FL103 ‐ Miami Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Lymphedema Foundation 7800 SW 57th Avenue Suite 300 Miami FL 33143 11‐3828375 501c3 35,000 TreatmentThe Beautiful Gate Inc. P.O. Box 382035 Miami FL 33150‐3064 20‐4260216 501c3 10,000 EducationSandy B. Muller Breast Cancer Foundation P.O. Box 565371 Miami FL 33256‐5371 26‐2346144 501c3 10,000 TreatmentWell Come Center 7241 SW 63 AVE Suite 102 South Miami FL 33143 26‐5461984 501c3 12,000 TreatmentSave Our Sisters DBT 7200 SW 108 Terrace Pinecrest FL 33156 37‐1571296 501c3 7,000 TreatmentArrow, Inc. 8484 SW 42 Ct. Davie FL 33328 56‐2290370 501c3 9,965 EducationBaptist Health 6200 SW 72 Avenue, Suite 302 South Miami FL 33143 56‐2290370 501c3 10,000 Education, TreatmentBaptist Outpatient Services, Inc. 6200 SW 72 Avenue #302 South Miami FL 33143 56‐2290370 501c3 26,250 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantWomen's Breast Health Initiative, Florid 2000 Ponce de Leon Blvd., suite 1300 Coral Gables FL 33134 56‐2540735 501c3 15,000 Education, ScreeningBroward County Health Department 780 SW 24th Street Ft. Lauderdale FL 33315 59‐0502843 501c3 29,948 Education, ScreeningYWCA of Greater Miami‐Dade 351 NW 5th Street Miami FL 33128 59‐0624450 501c3 16,650 EducationYWCA of Greater Miami‐Dade 351 NW 5th Street Miami FL 33128 59‐0624450 501c3 28,350 ScreeningUniversity of Miami 1400 NW 10th Avenue, Room 1007 Miami FL 33136 59‐0624458 501c3 45,000 ScreeningUniversity of Miami 1400 NW 10th Avenue, Room 1007 Miami FL 33136 59‐0624458 501c3 37,500 TreatmentHoly Cross Hospital 4725 North Federal Hwy Fort Lauderdale FL 33308 59‐0791028 501c3 40,000 Education, ScreeningLa Liga Contra el Cancer 2180 SW 12th Avenue Miami FL 33129 59‐1629554 501c3 45,000 TreatmentPublic Health Trust of Miami‐Dade County 1500 NW 12 Ave Miami FL 33136 59‐1713947 501c3 77,125 ScreeningMemorial Foundation For Cancer Institute (Genetics) 3711 Garfield St Hollywood FL 33021 59‐2082218 501c3 26,250 ScreeningMemorial Foundation For Cancer Institute (Genetics) 3711 Garfield St Hollywood FL 33021 59‐2082218 501c3 150,000 ScreeningBroward Public Library Foundation 100 S. Andrews Avenue Ft. Lauderdale FL 33301 59‐2224746 501c3 10,000 EducationNorth Broward Hospital District 303 SE 17th Street #309 Ft. Lauderdale FL 33316 59‐6012065 501c3 80,000 ScreeningMiami‐Dade Area Health Educ Ctr AHEC 1200 N.W. 78 Avenue, Suite 209 Miami FL 33126 65‐0009277 501c3 43,645 EducationFlorida Keys Area Health Education Ctr. 5800 Overseas Hwy #38 Marathon FL 33050 65‐0183810 501c3 11,670 EducationFlorida Keys Area Health Education Ctr. 5800 Overseas Hwy #38 Marathon FL 33050 65‐0183810 501c3 7,780 ScreeningFANM Ayisyen Nan Miyami, Inc. 181 NE 82 Street Miami FL 33138 65‐0334201 501c3 10,000 EducationSaint John Bosco Clinic 3661 S. Miami Ave #103 Miami FL 33133 65‐0435764 501c3 30,000 Screening, TreatmentGilda's Club ‐ South Florida 119 Rose Drive Fort Lauderdale FL 33316 65‐0528626 501c3 24,918 EducationHuman Services Coalition 1900 Biscayne Blvd. Miami FL 33132 65‐0690368 501c3 16,000 EducationCancer Support Community Greater Miami 8609 S. Dixie Highway Miami FL 33143 65‐0930551 501c3 15,795 EducationCancer Support Community Greater Miami 8609 S. Dixie Highway Miami FL 33143 65‐0930551 501c3 30,662 TreatmentWomankind, Inc. 1511 Truman Avenue Key West FL 33040 65‐1003208 501c3 31,000 Education, Screening, TreatmentProject Access Foundation, Inc. 11865 SW 26th Street Unit G‐10 Miami FL 33175 65‐1073105 501c3 90,000 Education, Screening, TreatmentCommunity Life Support 490 Fisherman Street Opa Locka FL 33054 65‐1128302 501c3 12,000 EducationCommunity Life Support 490 Fisherman Street Opa Locka FL 33054 65‐1128302 501c3 18,000 ScreeningOpen Door Health Center 1350 SW 4th Street Homestead FL 33030 83‐0375996 501c3 20,000 EducationOpen Door Health Center 1350 SW 4th Street Homestead FL 33030 83‐0375996 501c3 20,000 Screening

1,102,508FL104 ‐ Florida Suncoast Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.St Joseph's Women's Hospital Project Reach ‐ St Joseph's Women's 3030 W Dr MLK, Jr., Blvd #3201 Tampa FL 33607 16‐0743163 501c3 154,937 ScreeningMorton Plant Mease Health Care Mammography Voucher Program 205 Dr. Martin Luther King Jr. Street N. St. Petersburg FL 33701 59‐2374556 501c3 195,373 ScreeningFarmworkers Self‐Help, Inc. 37240 Lock Street Dade City FL 33523 59‐2382744 501c3 51,000 EducationH Lee Moffitt Cancer Center 12902 Magnolia Drive Tampa FL 33612 59‐3238636 501c3 160,057 ScreeningGulfcoast South Area Health Educ. Cntr. 2201 Cantu Court, Suite 220 Sarasota FL 34232 59‐3342312 501c3 31,164 EducationPasco County Health Dept 10841 Little Road New Port Richey FL 34654 59‐3502843 501c3 160,000 ScreeningSarasota County Health Dept. 6950 Outreach Way North Port FL 34287 65‐0945355 501c3 25,027 ScreeningWe Care of Polk County 5110 S. Florida Ave. #111 Lakeland FL 33813 59‐3529279 501c3 199,110 ScreeningWe Care of Manatee 300 Riverside Drive East, Ste 2000 Bradenton FL 34208 59‐3606103 501c3 200,000 ScreeningSarasota Memorial Health Care System 1700 S. Tamiami Trail Sarasota FL 34939 59‐6012500 501c3 263,152 Screening

1,439,820FL105 ‐ The South Florida Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Marie Louis Cancer Foundation 112 SE 23rd Avenue Boynton Beach FL 33435 20‐5248662 501c3 13,550 EducationPink Tie Friends PO Box 209 Stuart FL 34995 27‐0122917 501c3 102,566 TreatmentIndiantown Community Outreach Attn: Jacqueline Clark P.O. Box 1696, 15161 SW 169th Indiantown FL 34956 30‐0033778 501c3 44,764 EducationIndiantown Community Outreach Attn: Jacqueline Clark P.O. Box 1696, 15161 SW 169th Indiantown FL 34956 30‐0033778 501c3 17,042 ScreeningLakeside Medical Center 39200 Hooker Hwy Belle Glades FL 33430 35‐2226306 501c3 27,050 Education, Screening, TreatmentVolunteers in Medicine 417 SE Balboa Avenue Stuart FL 34994 57‐0959206 501c3 25,200 ScreeningMartin Memorial Cancer Center 2396 S.E. Ocean Blvd Stuart FL 34996 59‐0637874 501c3 15,375 EducationMartin Memorial Cancer Center 2396 S.E. Ocean Blvd Stuart FL 34996 59‐0637874 501c3 53,628 ScreeningMartin Memorial Cancer Center 2396 S.E. Ocean Blvd Stuart FL 34996 59‐0637874 501c3 96,004 TreatmentMartin Memorial Cancer Center P.O. Box 9010 Stuart FL 34995 59‐0637874 501c3 40,810 EducationBoca Raton Community Hospital 690 Meadows Way Boca Raton FL 33486 59‐1006663 501c3 59,008 EducationBoca Raton Community Hospital 690 Meadows Way Boca Raton FL 33486 59‐1006663 501c3 119,537 ScreeningBoca Raton Community Hospital 690 Meadows Way Boca Raton FL 33486 59‐1006663 501c3 43,306 TreatmentPlanned Parenthood of South Florida Attn: Maria Kulp 2300 N. Florida Mango Road West Palm Beach FL 33409 59‐1391115 501c3 20,000 EducationJupiter Medical Center 1240 S Old Dixie Hwy Jupiter FL 33458 59‐1460239 501c3 55,315 Education, Screening, TreatmentFlorida Community Health Centers (RIA) 4450 S. Tiffany Drive West Palm Beach FL 33407 59‐1671640 501c3 5,563 EducationFlorida Community Health Centers (RIA) 4450 S. Tiffany Drive West Palm Beach FL 33407 59‐1671640 501c3 60,519 ScreeningPalm Beach Cancer Intstitute Foundation 1411 North Flagler Drive, Ste 8900‐B West Palm Beach FL 33401 59‐2541781 501c3 24,250 Education, TreatmentBethesda Women's Health Center 10301 Hagen Ranch Road, Suite 920A Boynton Beach FL 33437 59‐2771779 501c3 66,710 EducationBethesda Women's Health Center 10301 Hagen Ranch Road, Suite 920A Boynton Beach FL 33437 59‐2771779 501c3 261,226 ScreeningBethesda Women's Health Center 10301 Hagen Ranch Road, Suite 920A Boynton Beach FL 33437 59‐2771779 501c3 46,647 TreatmentWest Palm Beach Co. Health Dept. PO Box 29 West Palm Beach FL 33402‐0029 59‐3502843 501c3 8,500 Education, ScreeningCaridad Center, Inc. 8645 W Boynton Beach Blvd. Boynton Beach FL 33472 65‐0149423 501c3 38,799 EducationH.O.P.E. Project Attn: Maryanne Bohartritz, Executive Dir. 621 Clearwater Park Road West Palm Beach FL 33401 65‐0859412 501c3 32,330 ScreeningIn The Image of Christ, Inc. P.O. Box 12397, 777 North 7th Street Fort Pierce FL 34979‐2397 65‐1104332 501c3 24,562 EducationMolly's House, Inc. 430 SE Osceola Street Stuart FL 34007 65‐0407242 501c3 5,400 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantCancer Alliance of Help & Hope 15 Shady Lane Tequesta FL 33469 90‐0101236 501c3 7,625 EducationCancer Alliance of Help & Hope 15 Shady Lane Tequesta FL 33469 90‐0101236 501c3 24,705 Education

1,339,990GA100 ‐ The Greater Atlanta Affiliate of the Susan G. Komen Brea DeKalb Medical Foundation 2675 N. Decatur Rd, Suite 312 Decatur GA 30033 53‐1924605 501c3 150,000 ScreeningBoat People, SOS 6066 Leesburg Pike, Ste. 100 Falls Church GA 22041 54‐1563619 501c3 50,000 EducationTurningPoint Women's Healthcare 11180 State Bridge Rd, Ste 503 Alpharetta GA 30022 56‐2318721 501c3 50,000 TreatmentPiedmont Hospital Piedmont Hospital Attn: Robert DiVito Atlanta GA 30309 58‐0566213 501c3 216,007 ScreeningAtlanta Legal Aid Society,Inc. 151 Spring Street, NW Atlanta GA 30303 58‐0568691 501c3 50,000 EducationYWCA of Greater Atlanta 957 N. Highland Ave NE Atlanta GA 30306 58‐0593442 501c3 50,000 EducationEast Metro Health District P.O. Box 897 Lawrenceville GA 30046 58‐0964522 501c3 150,000 ScreeningClayton County Board of Health 1117 Battle Creek Road Jonesboro GA 30236‐2407 58‐1108112 501c3 127,211 ScreeningWest End Medical Centers, Inc. 868 York Ave SW Atlanta GA 30310 58‐1233448 501c3 150,000 ScreeningCenter for Pan Asian Community Service 3510 Shallowford Rd NE Atlanta GA 30341 58‐1437980 501c3 74,648 ScreeningCobb and Douglas County Boards of Health Cobb Public Health 1650 County Services Pkwy Marietta GA 30008 58‐1517015 501c3 75,000 ScreeningWellStar Foundation 2000 South Park Place, Suite 202 Atlanta GA 30339 58‐1627413 501c3 27,000 ScreeningNorthside Hospital Foundation Northside Hospital ‐ Dale Israel 1000 Johnson Ferry Road NE Atlanta GA 30342‐1611 58‐1653541 501c3 189,627 ScreeningSaint Joseph's Mercy Care Services, Inc. 424 Decatur St, SE Atlanta GA 30312‐1848 58‐1752700 501c3 94,135 ScreeningSouthern Regional Medical Center 7823 Spivey Station Blvd, Ste 250 Jonesboro GA 30236 58‐1983516 501c3 148,135 ScreeningHenry W. Grady Foundation 191 Peachtree Street,Suite 820 Atlanta GA 30303 58‐2130437 501c3 150,000 ScreeningFamily Health Enterprise 634 McDonough Blvd SE Atlanta GA 30315 58‐2155835 501c3 150,000 ScreeningCenter for Black Womens Wellness, Inc. 477 Windsor St, SW, Suite 309 Atlanta GA 30312 58‐2212203 501c3 75,547 ScreeningGood Samaritan Health Center Attn: Erin Parker 1015 Donald Lee Hollowell Parkway, NW Atlanta GA 30318 58‐2373395 501c3 149,138 ScreeningFulton County Dept. of Health & Wellness 137 Mitchell Street Atlanta GA 30313 58‐6001729 501c3 74,398 Screening

2,200,846GA101 ‐ Central Georgia Affiliate of the Susan G. Komen Breast Cancer FoundationHouston Healthcare c/o Beth Jones 233 North Houston Road Ste 140‐D Warner Robins GA 31093 07‐6991628 501c3 9,500 EducationHouston Healthcare c/o Beth Jones 233 North Houston Road Ste 140‐D Warner Robins GA 31093 07‐6991628 501c3 25,500 ScreeningFirst Choice Primary Katherine McLeod P.O. Box 4363 Macon GA 31208 20‐4391090 501c3 20,000 Education, ScreeningCentral Georgia Breast Care Center w/Med 1014 Forsyth St., MSC #166 Macon GA 31201 23‐7363555 501c3 32,500 Education, ScreeningThe Medical Ctr of Central GA‐Cancer Wel Cancer Well‐Fit 3797 Northside Dr. Macon GA 31210 58‐2149128 501c3 10,000 Education, TreatmentMacon Volunteer Clinic1 c/o Cile Lind 376 Rogers Ave. Macon GA 31204 74‐3055376 501c3 40,000 Education. Screening

137,500GA102 ‐ Southeast Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Memorial Health Univ. Medical Ctr Inc. 4700 Waters Ave. Savannah GA 31404 31‐1126469 501c3 19,900 EducationMemorial Health Univ. Medical Ctr Inc. 4700 Waters Ave. Savannah GA 31404 31‐1126469 501c3 59,920 ScreeningSt. Joseph's / Candler Hospital 5353 Reynolds Street Savannah GA 31405 58‐1553254 501c3 45,000 ScreeningCommunity Health Mission 310 Eisenhower Drive Bldg 5 Savannah GA 31406 58‐2611264 501c3 31,669 EducationCommunity Health Mission 310 Eisenhower Drive Bldg 5 Savannah GA 31406 58‐2611264 501c3 10,556 ScreeningSoutheast Georgia Health System‐Brunswic 2500 Starling Street, Suite 202 Brunswick GA 31520 58‐6000498 501c3 46,000 Education, ScreeningLiberty County Health Department P O Box 231 Hinesville GA 31313 58‐6001384 501c3 7,688 EducationLiberty County Health Department P O Box 231 Hinesville GA 31313 58‐6001384 501c3 23,063 ScreeningCurtis V. Cooper Primary Health Care 106 E. Broad Street Savannah GA 31402 58‐1136296 501c3 30,000 ScreeningHearts and Hands Clinic 127 North College Street Statesboro GA 30458 26‐4597700 501c3 16,000 Screening, Education

289,795HI100 ‐ Hawaii Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Pacific Cancer Center Foundation 95 Mahalani St, Ste 8 Wailuku HI 96793 51‐0548338 501c3 10,000 Education, Screening, TreatmentKoolauloa Comm Health & Wellness Center P.O. Box 395 56‐565 Kam Hwy Kahuku HI 96731 73‐1681833 501c3 10,274 EducationKoolauloa Comm Health & Wellness Center P.O. Box 395 56‐565 Kam Hwy Kahuku HI 96731 73‐1681833 501c3 9,110 ScreeningQueen's Medical Center, Cancer Center 1301 Punchbowl Street Honolulu HI 96813 99‐0073524 501c3 44,100 EducationQueen's Medical Center, Cancer Center 1301 Punchbowl Street Honolulu HI 96813 99‐0073524 501c3 12,475 ScreeningQueen's Medical Center, Cancer Center 1301 Punchbowl Street Honolulu HI 96813 99‐0073524 501c3 41,100 TreatmentHamakua Health Center 45‐549 Plumeria Honokaa HI 96727 99‐0115515 501c3 5,500 EducationHamakua Health Center 45‐549 Plumeria Honokaa HI 96727 99‐0115515 501c3 19,500 ScreeningKokua Kalihi Valley Comprehensive Family 2239 North School Street Honolulu HI 96819 99‐0149797 501c3 25,000 EducationWaikiki Health Center 277 Ohua Ave. Honolulu HI 96815 99‐0159253 501c3 7,500 EducationWaikiki Health Center 277 Ohua Ave. Honolulu HI 96815 99‐0159253 501c3 17,500 ScreeningKalihi‐Palama Health Ctr Breast Screenin 915 North King Street Honolulu HI 96817 99‐0161221 501c3 25,000 Education, ScreeningBay Clinic, Inc. 224 Haili Street, Bldg. B Hilo HI 96771 99‐0222784 501c3 25,000 Education, Screening, TreatmentMolokai General Hosp., Rural Health Clin PO Box 408280 Home Olu Place Kaunakakai HI 96748 99‐0251372 501c3 25,000 Education, Screening, TreatmentWaimanalo Health Center 41‐1347 Kalanianaole Hwy Waimanalo HI 96795 99‐0273205 501c3 13,500 EducationWaimanalo Health Center 41‐1347 Kalanianaole Hwy Waimanalo HI 96795 99‐0273205 501c3 11,500 ScreeningPapa Ola Lokahi 894 Queen Street Honolulu HI 96813 99‐0273735 501c3 24,750 EducationHui Malama Ola Na Oiwi 69A Railroad Avenue Hilo HI 96720 99‐0286468 501c3 15,000 Education, ScreeningHui Malama Ola Na Oiwi 69A Railroad Avenue Hilo HI 96720 99‐0286468 501c3 10,000 Treatment

351,809IA100 ‐ Quad Cities Affiliate of the Susan G. Komen Breast Cancer Genesis Medical Center 1227 East Rusholme St Attn: Stef Dreher Davenport IA 52803 42‐1418847 501c3 222,000 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantLouisa County Public Health 805 J.L. Hodges Ave N. Wapello IA 52653 42‐6005313 501c3 5,540 EducationLouisa County Public Health 805 J.L. Hodges Ave N. Wapello IA 52653 42‐6005313 501c3 6,341 Screening

233,881IA101 ‐ Southeast Iowa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Iowa Department of Public Health Lucas State Office Building 321 E 12 Street Des Moines IA 50319‐0075 42‐6004523 501c3 36,954 Education, ScreeningMonroe County Hospital 6580 165th Street Albia IA 52531 42‐6037692 501c3 10,800 Education, Screening, TreatmentMahaska Health Partnership 1229 C. Ave E. Oskaloosa IA 52577 42‐6038099 501c3 20,000 Education, Screening, TreatmentLucas County Health Center 1200 North 7th Street Chariton IA 50049 42‐6039708 501c3 7,120 Education, Screening

74,874IA102 ‐ Siouxland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.June E Nylen Cancer Center 230 Nebraska Street Sioux City IA 51101 42‐1411233 501c3 79,268 Education, Screening, TreatmentIowa Department of Public Health 321 E. 12th Street Des Moines IA 50319 42‐6004523 501c3 30,635 ScreeningGreater Sioux Community Health Center 338 1st Avenue NW Sioux Center IA 51250 20‐5896415 501c3 30,000 EducationGreater Sioux Community Health Center 338 1st Avenue NW Sioux Center IA 51250 20‐5896415 501c3 12,500 ScreeningGreater Sioux Community Health Center 338 1st Avenue NW Sioux Center IA 51250 20‐5896415 501c3 7,500 Treatment

159,903IA103 ‐ The Des Moines Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Jennie Edmundson Hospital Jennie Edmundson Cancer Center Attn: Steve Baumert Council Bluffs IA 51503 42‐0680355 501c3 31,500 EducationJennie Edmundson Hospital Jennie Edmundson Cancer Center Attn: Steve Baumert Council Bluffs IA 51503 42‐0680355 501c3 58,500 ScreeningPeoples Community Health Clinic, Inc. 905 Franklin Street Waterloo IA 50703‐4407 42‐1058629 501c3 93,666 Education, ScreeningPolk County Health Department Attn: Scott Slater/ Terrii Henkels 1907 Carpenter Ave. Des Moines IA 50314‐1310 42‐1063074 501c3 199,951 ScreeningCerro Gordo County Dept of Public Health 22 N. Georgia Ave Suite 300 Mason City IA 50401‐3435 42‐1351175 501c3 11,157 EducationCerro Gordo County Dept of Public Health 22 N. Georgia Ave Suite 300 Mason City IA 50401‐3435 42‐1351175 501c3 63,223 ScreeningLoring Hospital 211 Highland Ave. Sac City IA 50583 42‐1418132 501c3 8,425 EducationLoring Hospital 211 Highland Ave. Sac City IA 50583 42‐1418132 501c3 8,425 ScreeningBroadlawns Medical Center 1801 Hickman Road Des Moines IA 50314 42‐1527407 501c3 7,500 EducationIowa Department of Public Health Lucas State Office Building 321 E 12 Street Des Moines IA 50319‐0075 42‐6004523 501c3 19,685 EducationIowa Department of Public Health Lucas State Office Building 321 E 12 Street Des Moines IA 50319‐0075 42‐6004523 501c3 177,165 ScreeningBuena Vista Regional Medical Center 1525 West Fifth St. Box 309 Storm Lake IA 50588 42‐6037827 501c3 8,100 ScreeningIowa Mind Body Institute 350 North Grandview Avenue Dubuque IA 52001 45‐5361915 501c3 10,000 EducationVisiting Nurse Association 822 S. Main Street Council Bluffs IA 51503 74‐6087587 501c3 24,803 Treatment

722,101ID100 ‐ Boise, Idaho Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. North Canyon Medical Center 267 North Canyon Drive Gooding ID 83330 26‐1938641 501c3 10,000 Education, ScreeningSt. Luke's MSTI ‐ Boise 3080 Gentry Way, Suite 150 Meridian ID 83642 56‐2570681 501c3 5,090 TreatmentSt. Luke's MSTI ‐ Breast Care Services 100 East Idaho Street Boise ID 83712 82‐0295026 501c3 4,499 ScreeningAmerican Cancer Society 2676 S. Vista Ave. Boise ID 83705 58‐0659875 501c3 8,497 TreatmentSt. Luke's MSTI‐MOBILE/BCD 3525 E. Louise Drive, Suite 320 Meridian ID 83642 56‐2570681 501c3 20,000 ScreeningSt. Alphonsus Breast Care Center 1055 North Curtis Boise ID 83706 82‐0200895 501c3 39,915 ScreeningSt. Alphonsus Cancer Care Center 1055 N. Curtis Road Boise ID 83706 82‐0200895 501c3 10,000 TreatmentSt. Alphonsus 1512 12th Ave. Road Nampa ID 83686 82‐0200896 501c3 12,305 Education, ScreeningTreasure Valley Family YMCA 1177 W. State Street Boise ID 83702 82‐0200908 501c3 10,000 TreatmentMinidoka Memorial Hospital 1224 8th Street Rupert ID 83350 82‐0291854 501c3 11,150 ScreeningTerry Reilly Health Services PO Box 9 211 16th Avenue N Nampa ID 83653‐0009 82‐0300537 501c3 29,970 ScreeningSt. Luke's Magic Valley Health P.O. Box AK, 775 Pole Twin Falls ID 83301 82‐0342863 501c3 9,990 ScreeningGlenns Ferry Health Clinic PO Box 266 486 W. First Avenue Glenns Ferry ID 83623 82‐0372009 501c3 10,000 ScreeningSt. Luke's McCall Foundation 1000 State Street McCall ID 83638 82‐0384205 501c3 10,000 ScreeningPlanned Parenthood of Idaho 2001 E Madison Street Seattle WA 98122 82‐0597551 501c3 10,000 Education, ScreeningPanhandle Health District #1 8500 N. Atlas Hayden ID 83835 82‐0537262 501c3 59,702 ScreeningCassia Regional Medical Center 1501 Hiland Ave. Burley ID 83318 94‐2854057 501c3 10,000 Education, Screening

271,119IL101 ‐ The Chicagoland Area Chapter of the Susan G. Komen Brea Metropolitan Chicago Breast Cancer 1645 W. Jackson, Suite 450 Chicago IL 60612 26‐2264895 501c3 75,000 EducationSisters Working It Out 4336 S. Greenwood Avenue Chicago IL 60653 26‐2862273 501c3 10,000 EducationAsian Health Coalition 180 W. Washington, Suite 1000 Chicago IL 60602 31‐1607193 501c3 75,000 ScreeningSt Francis Hospital 355 Ridge Ave Evanston IL 60202 36‐2167800 501c3 75,000 ScreeningPresence Saints Mary and Elizabeth Medic 2233 W Division Street Chicago IL 60602 36‐2171079 501c3 75,000 ScreeningRush University Medical Center Attn: Sophia Worobec 1700 W Van Buren St, Suite 250 Chicago IL 60612 36‐2174823 501c3 75,000 EducationSwedish Covenant Hospital 5145 N. California Ave Chicago IL 60625 36‐2179813 501c3 75,000 ScreeningLoretto Hospital 645 S. Central Chicago IL 60544 36‐2200248 501c3 10,000 EducationHektoen Institute of Medicine 2240 W. Ogden Avenue ‐ 2nd floor Chicago IL 60612 36‐2244897 501c3 75,000 ScreeningKorean American Community Services 4300 N California Ave Chicago IL 60618 36‐2746468 501c3 75,000 EducationRush‐Copley Foundation 2000 Ogden Ave Aurora IL 60504 36‐3093877 501c3 75,000 EducationMercy Hospital & Medical Center Attn: Maria Milcahy, L.A.C., MSOM 2525 S. Michigan Ave. Chicago IL 60616 36‐3227350 501c3 75,000 TreatmentMichael Reese Education & Research Found 2240 W. Ogden Ave., 2nd Floor Chicago IL 60612 36‐3731674 501c3 75,000 ScreeningWestside Health Authority 5417 W. Division St. Chicago IL 60651 36‐3789879 501c3 75,000 ScreeningXilin Association Attn: Babara Jia 1163 E Ogden Ave, Suite 301 Naperville IL 60563 36‐3890616 501c3 10,000 EducationHamdard Center 228 East Lake Street Addison IL 60101 36‐3917885 501c3 8,220 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantFamily Health Partnership Clinic 13707 W Jackson Woodstock IL 60098 36‐4277029 501c3 75,000 ScreeningVisiting Nurses Assoc of Fox Valley 400 North Highland Avenue Aurora IL 60506 36‐6086742 501c3 75,000 ScreeningAccess Community Health Center 600 W. Fulton St. Chicago IL 60661 39‐1391134 501c3 75,000 EducationA Silver Lining Foundation Attn: Sandra Goldberg, PhD 134 N LaSalle Street, Suite 1218 Chicago IL 60602 90‐0097495 501c3 75,000 ScreeningCancer Legal Resource Foundation C/O McDermott Will & Emery 227 W. Monroe St., 44th FL Chicago IL 60606‐5096 95‐2960607 501c3 50,000 EducationHealthcare Alternative Systems, Inc. 2755 W. Armitage Avenue Chicago IL 60647 23‐7432930 501c3 20,000 Education

1,308,220IL102 ‐ The Peoria Memorial Affiliate of the Susan G. Komen Brea Douglas County Health Department 1250 E US Hwy 36 Tuscola IL 61953‐8020 03‐7600728 501c3 6,076 Education, ScreeningSarah Bush Lincoln Health Center 1000 Health Center Drive Mattoon IL 61938 23‐7098532 501c3 7,100 ScreeningVNA of Fox Valley 400 North Highland Ave. Aurora IL 60506 36‐2182095 501c3 7,100 ScreeningChicago Family Health Center 9119 S. Exchange Ave. Chicago IL 60617 36‐2893854 501c3 5,500 Education, ScreeningHult Health Education Center Attn: Anne Bowman 5215 N. Knoxville, Suite 209 Peoria IL 61614 36‐3510390 501c3 16,210 EducationCommunity Cancer Center 407 E. Vernon Avenue Normal IL 61761 36‐4425147 501c3 24,300 EducationCommunity Cancer Center 407 E. Vernon Avenue Normal IL 61761 36‐4425147 501c3 8,100 ScreeningWinnebago County Health Department 401 Division St. Rockford IL 61104‐2096 36‐4529968 501c3 11,000 ScreeningKankakee County Health Department 2390 W. Station Street Kankakee IL 60901 36‐6006595 501c3 7,000 ScreeningStephenson County Health Department Well Women of Northwest Illinois 10 W. Linden Street Freeport IL 61032 36‐6006654 501c3 8,100 ScreeningShelby Memorial Hospital 200 S. Cedar Shelbyville IL 62565‐1838 37‐0512290 501c3 12,150 Education, ScreeningFriends of St. John’s Hospital 800 E. Carpenter Street Springfield IL 62769‐0002 37‐0661238 501c3 17,820 Education, ScreeningBoys & Girls Clubs of Greater Peoria 806 E. Kansas Peoria IL 61603 37‐0800010 501c3 8,100 EducationSouthern Seven Health Department 515 1/2 East Vine Vienna IL 62995‐1615 37‐1069423 501c3 6,600 ScreeningInstitute of Physical Medicine & Rehab 6501 N. Sheridan Road, Suite 209 Peoria IL 61614 37‐1089050 501c3 6,050 Education, TreatmentHancock County Health Department P.O. Box 357, 671 Wabash Ave. Carthage IL 62321 37‐1096249 501c3 9,233 EducationHancock County Health Department P.O. Box 357, 671 Wabash Ave. Carthage IL 62321 37‐1096249 501c3 9,233 EducationOSF‐St Francis Medical Center 530 NE Glen Oak Ave. Peoria IL 61637 37‐1259284 501c3 16,989 EducationOSF‐St Francis Medical Center 530 NE Glen Oak Ave. Peoria IL 61637 37‐1259284 501c3 18,031 ScreeningOSF‐St Francis Medical Center 530 NE Glen Oak Ave. Peoria IL 61637 37‐1259284 501c3 15,299 TreatmentHeartland Community Health Clinic 1701 W. Garden Street Peoria IL 61605 37‐1270794 501c3 63,796 EducationHeartland Community Health Clinic 1701 W. Garden Street Peoria IL 61605 37‐1270794 501c3 27,994 ScreeningCancer Center for Healthy Living 5215 N. Knoxville Peoria IL 61614 37‐1363257 501c3 39,557 EducationFulton County Health Department 700 East Oak Street Canton IL 61520 37‐6000896 501c3 12,636 EducationFulton County Health Department 700 East Oak Street Canton IL 61520 37‐6000896 501c3 10,527 ScreeningKnox County Health Department 1361 W. Fremont St., Suite 209 Galesburg IL 61401‐2436 37‐6001167 501c3 16,202 EducationKnox County Health Department 1361 W. Fremont St., Suite 209 Galesburg IL 61401‐2436 37‐6001167 501c3 5,992 ScreeningLivingston County Health Department P.O. Box 650, 310 E. Torrance Pontiac IL 61764 37‐6001248 501c3 8,262 EducationLivingston County Health Department P.O. Box 650, 310 E. Torrance Pontiac IL 61764 37‐6001248 501c3 10,938 ScreeningLogan County Health Department 109 Third Street PO Box 508 Lincoln IL 62656 37‐6001284 501c3 9,680 EducationLogan County Health Department 109 Third Street PO Box 508 Lincoln IL 62656 37‐6001284 501c3 8,225 ScreeningMcDonough County Health Department 505 E Jackson Street Macomb IL 61455 37‐6001537 501c3 8,019 EducationMcDonough County Health Department 505 E Jackson Street Macomb IL 61455 37‐6001537 501c3 5,931 ScreeningMclean County Health Department 200 W. Front St., Room 304 Bloomington IL 61701 37‐6001569 501c3 24,300 EducationMontgomery County Health Department 11191 IL Rte 185 Hillsboro IL 62049 37‐6001661 501c3 12,990 ScreeningSangamon County Dept of Public Health 2833 South Grand Avenue East Springfield IL 62703 37‐6002039 501c3 10,075 Education, ScreeningTazewell County Health Department 21306 Illinois Rt 9 Tremont IL 61568‐9252 37‐6002170 501c3 10,692 EducationTazewell County Health Department 21306 Illinois Rt 9 Tremont IL 61568‐9252 37‐6002170 501c3 45,408 ScreeningChampaign‐Urbana Public Health Dept Attn: Cathy Propst 201 W. Kenyon Road Champaign IL 61820 37‐6005435 501c3 40,850 ScreeningSouthern Illinois University Board of Trustees 327 W. Calhoun Springfield IL 62794‐9616 37‐6005961 501c3 5,468 Education, TreatmentMethodist Medical Center Foundation 120 NE Glen Oak, Ste 209 Peoria IL 61603 51‐0186460 501c3 24,149 EducationMethodist Medical Center Foundation 120 NE Glen Oak, Ste 209 Peoria IL 61603 51‐0186460 501c3 53,751 ScreeningMethodist Medical Center Foundation 120 NE Glen Oak, Ste 209 Peoria IL 61603 51‐0186460 501c3 9,474 TreatmentCentral Illinois Chapter, The Links Inc. 3402 Stephanie Road Bloomington IL 61704 52‐1170830 501c3 13,021 EducationLake County Health Department 415 E. Washington Street, Suite 112 Waukegan IL 60085 59‐3502843 501c3 10,750 Education, ScreeningCancer Legal Resource Foundation 919 Albany Street Los Angeles CA 90015 95‐2960607 501c3 5,427 Education

714,105IN100 ‐ Greater Evansville Affiliate of the Susan G. Komen Breast Touch, Inc. 2401 E. Chandler Evansville IN 47714 26‐3989768 501c3 15,000 TreatmentDeaconess Foundation 421 Chestnut Attn: Michelle Kuenzli Evansville IN 47713 35‐0593390 501c3 14,373 EducationDeaconess Foundation 421 Chestnut Attn: Michelle Kuenzli Evansville IN 47713 35‐0593390 501c3 33,538 ScreeningSt. Mary's Foundation 3700 Washington Avenue Evansville IN 47750 35‐0869065 501c3 99,999 ScreeningMemorial Hospital & Health Care Center 800 West 9th Street Jasper IN 47546 35‐0985964 501c3 6,638 Education, ScreeningDubois‐Pike‐Warrick Economic Opportunity Attn: Susan Reichard P.O. Box 729 Jasper IN 47547 35‐1121163 501c3 95,908 TreatmentPerry Memorial Hospital One Hospital Road Attn: Jennifer Scherzinger Tell City IN 47586 35‐1121699 501c3 32,020 Education, ScreeningGood Samaritan Hospital P.O. Box 1990 Kearney NE 68848‐1990 35‐6001532 501c3 60,608 Education, ScreeningFairfield Memorial Hospital 303 NW 11th Street Attn: Michael Brown Fairfield IL 62837 37‐1185754 501c3 6,610 Education, ScreeningRichland Memorial Hospital 800 East Locust Street Olney IL 62450 37‐1363001 501c3 5,470 Education, ScreeningTrover Health System 800 Hospital Drive Madisonville KY 42431 61‐0654587 501c3 6,530 Education, ScreeningUniversity of Louisville Dottie Davidson 521 Stevenson Hall Louisville KY 40292 61‐1029626 501c3 14,239 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantFoundation for Health P.O. Box 22505 Owensboro KY 42304‐2505 61‐1251763 501c3 57,833 Education, ScreeningIndiana Women in Need Fdtn 6507 Carrolton Av ‐ Ste B Indianapolis IN 46220 91‐2057735 501c3 15,000 TreatmentMethodist Hospital 300 West Huntington Drive Arcadia CA 92834 95‐1643336 501c3 28,608 Education, Screening

492,374IN101 ‐ Indianapolis Affiliate of the Susan G. Komen Breast Cance Rush Memorial Hospital 1300 N Main St PO Box 608 Rushville IN 46173 20‐3199892 501c3 60,764 Education, Screening, TreatmentYWCA Greater Lafayette 605 North 6th Street Lafayette IN 47901 35‐0868224 501c3 15,100 EducationYWCA Greater Lafayette 605 North 6th Street Lafayette IN 47901 35‐0868224 501c3 223,485 ScreeningYWCA Greater Lafayette 605 North 6th Street Lafayette IN 47901 35‐0868224 501c3 63,421 TreatmentSt. Vincent Hospital & Health Care Ctr. 2001 W 86 St. Indianapolis IN 46260 35‐0869066 501c3 96,793 Education, Screening, TreatmentLittle Red Door Cancer Agency 1801 N Meridian Street Indianapolis IN 46202 35‐0914096 501c3 9,910 EducationLittle Red Door Cancer Agency 1801 N Meridian Street Indianapolis IN 46202 35‐0914096 501c3 336,931 ScreeningLittle Red Door Cancer Agency 1801 N Meridian Street Indianapolis IN 46202 35‐0914096 501c3 49,549 TreatmentCancer Services of East Central IN 2311 W. Jackson St. Muncie IN 47303 35‐0988703 501c3 16,311 EducationCancer Services of East Central IN 2311 W. Jackson St. Muncie IN 47303 35‐0988703 501c3 27,774 ScreeningCancer Services of Grant County 305 S Norton Avenue Marion IN 46952 35‐1058216 501c3 87,807 Education, Screening, TreatmentInterlocal Community Action Program 615 SR 38West PO Box 449 New Castle IN 47362 35‐1116629 501c3 16,083 EducationInterlocal Community Action Program 615 SR 38West PO Box 449 New Castle IN 47362 35‐1116629 501c3 24,124 ScreeningDecatur County Memorial Hosp 720 N Lincoln St Greensburg IN 47240 35‐1141109 501c3 15,580 Education, ScreeningHancock Regionall Hospital‐Andi 801 North State Street Greenfield IN 46140 35‐1543491 501c3 12,920 EducationHancock Regionall Hospital‐Andi 801 North State Street Greenfield IN 46140 35‐1543491 501c3 19,709 ScreeningHancock Regionall Hospital‐Andi 801 North State Street Greenfield IN 46140 35‐1543491 501c3 11,168 TreatmentGennesart Free Clinics Inc 615 N Alabama Str. Ground Flr., Ste B Indianapolis IN 46204 35‐1776518 501c3 16,060 EducationGennesart Free Clinics Inc 615 N Alabama Str. Ground Flr., Ste B Indianapolis IN 46204 35‐1776518 501c3 16,060 ScreeningGennesart Free Clinics Inc 615 N Alabama Str. Ground Flr., Ste B Indianapolis IN 46204 35‐1776518 501c3 16,546 TreatmentBoone County Community Clinic 404 W Camp St Lebanon IN 46052 35‐2127378 501c3 41,379 Education, Screening, TreatmentWishard Health Services 1001 W 10th St , OPE 303 Indianapolis IN 46202‐2859 35‐6005697 501c3 44,679 Education, Screening, TreatmentColumbus Regional Hospital Deana Tuell 2326 18th Street, Suite 110 Columbus IN 47201 35‐6023714 501c3 15,884 Education, ScreeningCommunity Hospital Anderson 1515 N. Madison Ave. Anderson IN 46011 35‐1069822 501c3 36,468 ScreeningCommunity Hospital Anderson 1515 N. Madison Ave. Anderson IN 46011 35‐1069822 501c3 36,468 Treatment

1,310,974IN102 ‐ Northern Indiana Affiliate of the Susan G.Komen Breast C La Porte Hospital Foundation PO Box 250 La Porte IN 46350 31‐0952775 501c3 30,000 Education, Screening, TreatmentParkview Hospital Comp Cancer Center 2200 Randallia Dr Ft Wayne IN 46805 35‐0868085 501c3 7,050 ScreeningParkview Hospital Comp Cancer Center 2200 Randallia Dr Ft Wayne IN 46805 35‐0868085 501c3 7,950 TreatmentBeacon Health System, Inc. 615 North Michigan South Bend IN 46601 35‐0868132 501c3 8,265 EducationRiver Bend Cancer Services 919 East Jefferson Blvd, Suite 401 South Bend IN 46617 35‐0872359 501c3 7,500 EducationRiver Bend Cancer Services 919 East Jefferson Blvd, Suite 401 South Bend IN 46617 35‐0872359 501c3 7,500 TreatmentCancer Services of Northeast Indiana 6316 Mutual Drive Ft Wayne IN 46825 35‐0965609 501c3 15,000 TreatmentMaple City Health Care Center, Inc. 213 Middlebury Street Goshen IN 46528 35‐1749398 501c3 15,000 Education, Screening, TreatmentUnited Cancer Services of Elkhart County 23971 US Highway 33 Elkhart IN 46517 35‐2960607 501c3 15,000 TreatmentElkhart General Hospital Fountation, Inc 600 East Boulevard Elkhart IN 46514 35‐6061200 501c3 15,000 Screening, TreatmentFoundation of SJRMC 6910 North Main Street, Suite 300 Mishawaka IN 46545 53‐0196617 501c3 15,000 Screening, TreatmentIndiana Women in Need Fdtn 6507 Carrolton Av ‐ Ste B Indianapolis IN 46220 91‐2057735 501c3 15,000 TreatmentUnited Health Systems 6910 North Main St Bldg 9 Unit 10 Granger IN 46530 35‐1118647 501c3 13,640 Education

171,905IN103 ‐ Wabash Valley Affiliate of the Susan G. Komen Breast Can Sarah Bush Lincoln Health Center 1000 Health Center Drive Mattoon IL 61938 23‐7098532 501c3 19,736 Education, ScreeningClara Fairbanks Center, Inc. 1711 N. 6 1/2 Street Suite 300 Terre Haute IN 47804 35‐6042734 501c3 5,553 ScreeningClara Fairbanks Center, Inc. 1711 N. 6 1/2 Street Suite 300 Terre Haute IN 47804 35‐6042734 501c3 22,211 Treatment

47,500KS100 ‐ Mid‐Kansas Chapter of the Susan G. Komen Foundation Witness Project Witness Project of Kansas 1135 N Cleveland Wichita KS 67214‐3031 27‐3955402 501c3 41,759 EducationE. C. Tyree Clinic 1525 N Lorraine Wichita KS 67214 37‐1540007 501c3 23,050 EducationUnited Methodist Mexican‐American Minist Jacquelyn Smith 712A St. John Garden City KS 67846 47‐1049519 501c3 21,700 EducationUnited Methodist Mexican‐American Minist Jacquelyn Smith 712A St. John Garden City KS 67846 47‐1049519 501c3 9,300 ScreeningKansas Dept of Health & Environment 1000 SW Jackson St., Ste 230 Topeka KS 66612 48‐0299250 501c3 13,742 EducationKansas Dept of Health & Environment 1000 SW Jackson St., Ste 230 Topeka KS 66612 48‐0299250 501c3 84,414 ScreeningKansas Dept of Health & Environment 1000 SW Jackson, Ste 230 Topeka KS 66612‐1274 48‐0299250 501c3 7,130 EducationKansas Dept of Health & Environment 1000 SW Jackson, Ste 230 Topeka KS 66612‐1274 48‐0299250 501c3 111,706 ScreeningUKSM‐W Medical Practice Association c/o Lorene R Valentine 1010 N. Kansas Wichita KS 67214 48‐0805658 501c3 32,501 EducationVia‐Christi‐ Pittsburg 1 Mount Carmel Way Pittsburg KS 66762 48‐0961283 501c3 12,558 EducationVia‐Christi‐ Pittsburg 1 Mount Carmel Way Pittsburg KS 66762 48‐0961283 501c3 12,558 ScreeningCrawford County Health Dept. 410 E. Atkinson Pittsburg KS 66762 48‐1103608 501c3 14,500 Education, ScreeningHays Cancer Center Anne O'Dea, MD 2220 Canterbury Drive Hays KS 67601 48‐1179684 501c3 37,570 EducationJunction City‐Geary County Health Dept. Gayle Stallcup 1212 W Ash, PO Box 282 Junction City KS 66441‐3344 48‐6075585 501c3 19,800 EducationJunction City‐Geary County Health Dept. Gayle Stallcup 1212 W Ash, PO Box 282 Junction City KS 66441‐3344 48‐6075585 501c3 13,200 ScreeningAmerican Cancer Society 1315 SW Arrowhead Raod Topeka KS 66604‐4056 74‐1185665 501c3 20,500 Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of Grant475,988

KY100 ‐ Lexington Affiliate of the Susan G. Komen Breast Cancer F Madison County Health Department Ensuring Access P.O.Box 1208 Richmond KY 40476 24‐0000119 501c3 10,000 ScreeningPink Connection KY Pink Connection Patient Navigation P.O.Box 25088 Lexington KY 40524 26‐2704188 501c3 15,000 EducationPink Connection KY Pink Connection Patient Navigation P.O.Box 25088 Lexington KY 40524 26‐2704188 501c3 25,000 ScreeningPink Connection KY Pink Connection Patient Navigation P.O.Box 25088 Lexington KY 40524 26‐2704188 501c3 60,000 TreatmentMarcum & Wallace Memorial Hospital Found 60 Mercy Court Irvine KY 40336 32‐0026557 501c3 6,157 Education, Screening, TreatmentSt. Elizabeth's Medical Center Digital Mobile Mammmography Unit 1 Medical Village Dr. Edgewood KY 41017 61‐0445850 501c3 28,500 ScreeningKing's Daughters Medical Center 2201 Lexington Ave. Ashland KY 41101 61‐0503715 501c3 16,225 EducationKing's Daughters Medical Center 2201 Lexington Ave. Ashland KY 41101 61‐0503715 501c3 36,115 ScreeningSt. Claire Regional Medical Center 222 Medical Circle Morehead KY 40351 61‐0605336 501c3 10,000 Education, ScreeningLexington Fayette County Health Dept. 650 Newtown Pike Lexington KY 40508 61‐0920825 501c3 6,250 EducationLexington Fayette County Health Dept. 650 Newtown Pike Lexington KY 40508 61‐0920825 501c3 18,750 ScreeningSaint Joseph Breast Center One Saint Joseph Drive Lexington KY 40504 61‐1334601 501c3 10,000 Education, Screening, TreatmentSaint Joseph‐Martin "Yes, Mamm!" 11203 Main Street P.O.Box 910 Martin KY 41649 61‐1012503 501c3 13,899 Education, ScreeningOur Lady of Bellefonte Hospital 1000 St. Christopher Drive Ashland KY 41101 61‐1381952 501c3 12,660 ScreeningAmerican Cancer Society Breast Cancer Access to Health Care 1504 College Way Lexington KY 40502 74‐1185665 501c3 9,970 Education, Treatment

278,526KY101 ‐ Louisville, Kentucky Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Casting for Recovery, Inc. PO Box 1123 Manchester VT 05254 03‐0354382 501c3 12,600 EducationGilda's Club 633 Baxter Ave Louisville KY 40204 06‐1662883 501c3 35,000 EducationClark Memorial Hospital Foundation 1206 Spring Street Jeffersonville IN 47130 35‐0944638 501c3 24,000 EducationClark Memorial Hospital Foundation 1206 Spring Street Jeffersonville IN 47130 35‐0944638 501c3 6,000 ScreeningScott Memorial Hospital 1451 N Gardner St Scottsburg IN 47170 35‐1089437 501c3 10,000 Education, ScreeningFamily Health Center of Clark County 1319 Duncan Avenue Jeffersonville IN 47130 35‐1842342 501c3 30,186 EducationFamily Health Center of Clark County 1319 Duncan Avenue Jeffersonville IN 47130 35‐1842342 501c3 17,728 ScreeningBoat People, SOS 6066 Leesburg Pike, Suite 100 Falls Church VA 22041 54‐1563619 501c3 32,000 Education, Screening, TreatmentFlaget Memorial Hospital Foundation, Inc 4305 New Shepherdsville Road Bardstown KY 40004 56‐2351341 501c3 13,212 EducationFlaget Memorial Hospital Foundation, Inc 4305 New Shepherdsville Road Bardstown KY 40004 56‐2351341 501c3 32,014 ScreeningFlaget Memorial Hospital Foundation, Inc 4305 New Shepherdsville Road Bardstown KY 40004 56‐2351341 501c3 5,590 TreatmentBaptist Hospital East 4000 Kresge Way Louisville KY 40207 61‐0444707 501c3 11,080 EducationNorton Cancer Institute 4001 Dutchmans Lane Suburban Plaza II Louisville KY 40207 61‐1028725 501c3 6,370 Education, TreatmentNorton Cancer Institute Suburban Medical Plaza II 3991 Dutchmans Lane, Ste 405 Louisville KY 40207 61‐1028725 501c3 19,200 TreatmentNorton Cancer Institute Suburban Medical Plaza II 3991 Dutchmans Lane, Ste 405 Louisville KY 40207 61‐1028725 501c3 12,000 EducationNorton Cancer Institute Suburban Medical Plaza II 3991 Dutchmans Lane, Ste 405 Louisville KY 40207 61‐1028725 501c3 48,000 ScreeningJunior League of Louisville 982 Eastern Parkway Suite 7 Louisville KY 40217 61‐6000295 501c3 27,199 EducationJunior League of Louisville 982 Eastern Parkway Suite 7 Louisville KY 40217 61‐6000295 501c3 9,066 ScreeningUniversity of Louisville Dottie Davidson 521 Stevenson Hall Louisville KY 40292 61‐1029626 501c3 17,500 EducationUniversity of Louisville Dottie Davidson 521 Stevenson Hall Louisville KY 40292 61‐1029626 501c3 17,500 TreatmentUniversity of Louisville Interdisciplinary Program for Palliative Care & Chronic Care Louisville KY 40292 61‐1029626 501c3 14,263 EducationUniversity of Louisville Univ of Louisville Research Foundation Med Center One Suite 315 Louisville KY 40202 61‐1029626 501c3 86,601 EducationUniversity of Louisville Univ of Louisville Research Foundation Med Center One Suite 315 Louisville KY 40202 61‐1029626 501c3 56,175 TreatmentFriend For Life 163 Ridgewood Dr. Pewee Valley KY 40056 61‐1139410 501c3 25,000 EducationLouisville Metro Government Louisville Metro Department of Public Health & Wellness 400 East Gray Street Louisville KY 40202 27‐3175977 501c3 75,000 Screening

643,283LA100‐Acadiana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Breast Center of Acadiana Foundation 935 Camelia Blv d. Suite 100 Lafayette LA 70508 37‐1584294 501c3 8,000 EducationBreast Center of Acadiana Foundation 935 Camelia Blv d. Suite 100 Lafayette LA 70508 37‐1584294 501c3 42,000 ScreeningSW LA Primary Health Care Ctr, Inc. 8762 Hwy 182 Opelousas LA 70570 58‐2003179 501c3 35,000 Education, ScreeningIberia Comprehensive Health Center, Inc. 806 Jefferson Terrace Blvd. New Iberia LA 70560 58‐2164455 501c3 7,500 EducationIberia Comprehensive Health Center, Inc. 806 Jefferson Terrace Blvd. New Iberia LA 70560 58‐2164455 501c3 42,500 ScreeningSallie Astor Burdine Foundation 917 General Mouton Ave. Lafayette LA 70501 59‐7800251 501c3 35,000 TreatmentAcadiana Medical Research Foundation 1204 Johnston St Lafayette LA 70506 72‐0876773 501c3 25,000 ScreeningLafayette Community Health Care Clinic 1317 Jefferson St Lafayette LA 70501 72‐1221982 501c3 16,866 EducationLafayette Community Health Care Clinic 1317 Jefferson St Lafayette LA 70501 72‐1221982 501c3 23,425 ScreeningLafayette Community Health Care Clinic 1317 Jefferson St Lafayette LA 70501 72‐1221982 501c3 6,559 Treatment

241,850LA101‐Baton Rouge Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Mary Bird Perkins Cancer Center Attn: Jesse Rodrigue 4950 Essen Lane Baton Rouge LA 70809 23‐7010520 501c3 75,000 ScreeningPointe Coupee Homebound Health Services Attn: Tammy Riviere 350 Hospital Road New Roads LA 70760 41‐2157300 501c3 7,310 EducationPointe Coupee Homebound Health Services Attn: Tammy Riviere 350 Hospital Road New Roads LA 70760 41‐2157300 501c3 35,690 Screening, TreatmentYWCA of Greater Baton Rouge Attn: Ramona Boatner 4950 Essen Lane, Suite 611 Baton Rouge LA 70809 72‐0650993 501c3 54,000 EducationWomen's Hospital 100 Woman's Way Baton Rouge LA 70817‐1300 72‐0652905 501c3 77,225 ScreeningRiver Region Cancer Screening Center Attn: Karen Banks P.O. Box 335 Sorrento LA 70809 72‐6087770 501c3 54,508 Screening

303,733LA102‐New Orleans Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.St. Thomas Community Health Center 1020 St. Andrew St. New Orleans LA 70130 14‐1958494 501c3 126,153 ScreeningMary Bird Perkins Cancer Center 1203 S. Tyler St. Covington LA 70433 23‐7010520 501c3 21,000 Education, Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantCancer Assoc of Greater New Orleans 824 Elmwood Pkwy. Blvd. Suite 240 New Orleans LA 70123 72‐0517802 501c3 8,100 Education, TreatmentWest Jefferson Medical Center Outpatient Rehab Dept. 4519 Westbank Expressway Marrero LA 70072 72‐6014898 501c3 29,400 TreatmentWest Jefferson Medical Center Women's Imaging & Breast Care Ctr 1111 Medcial Center Blvd SUite 201 Marrero LA 70072‐3191 72‐6014898 501c3 35,025 ScreeningLSUHSC School of Public Health 2025 Gravier St., 3rd floor New Orleans LA 70112 72‐6087770 501c3 165,322 ScreeningSt. Charles Community Health Center 843 Milling Ave. Luling LA 70070 47‐0852944 501c3 25,000 Education, ScreeningThomas/McMahan Cancer Foundation 1120 Robert Road Slidell LA 70458 72‐1423840 501c3 7,500 Treatment

417,500LA103‐Shreveport Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.DeSoto Regional Health System 20 Jefferson Street Mansfield LA 71052 72‐0500565 501c3 9,791 Education, ScreeningFeist Weiller Cancer Center 1501 Kings Hwy Shreveport LA 71130 72‐0702002 501c3 115,922 Education, Screening, TreatmentChristus Cabrini Fdtn. FBO Christus Cous 1635 Marvel St. Coushatta LA 71019 72‐0998302 501c3 5,679 EducationChristus Cabrini Fdtn. FBO Christus Cous 1635 Marvel St. Coushatta LA 71019 72‐0998302 501c3 27,724 ScreeningMartin Luther King Health Center Attn: Janet Menteseane 827 Margaret Pl., Suite 201 Shreveport LA 71101 72‐1079721 501c3 72,884 EducationMartin Luther King Health Center Attn: Janet Menteseane 827 Margaret Pl., Suite 201 Shreveport LA 71101 72‐1079721 501c3 8,098 Screening

240,098LA104‐Bayou Region Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Mary Bird Perkins Cancer Center Attn: Jesse Rodrigue 4950 Essen Lane Baton Rouge LA 70809 23‐7010520 501c3 7,000 ScreeningThibodaux Regional Medical Center 602 North Acadia Road Thibodaux LA 70302 72‐0763512 501c3 7,500 ScreeningThibodaux Regional Medical Center 602 North Acadia Road Thibodaux LA 70302 72‐0763512 501c3 12,500 TreatmentLeonard J. Chabert Medical Center 1978 Industrial Blvd. Houma LA 70343 72‐0824119 501c3 15,000 TreatmentSt. James Parish Hospital Mammogram Assist & Breast Cancer Edu Attn: Tracy George, CFO Lutcher LA 70071 72‐6010747 501c3 7,000 Education, ScreeningNicholls State University P. O. Box 2054 Thibodaux LA 70310 72‐6011797 501c3 8,000 EducationLady of the Sea General Hospital 200 W. 134th Place Cut Off LA 70345 72‐6012041 501c3 8,000 Screening

65,000LA105‐The Northeast Louisiana Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.St. Francis Cabrini Hospital 3330 Masonic Drive Alexandria LA 71301 72‐0408984 501c3 10,028 EducationSt. Francis Cabrini Hospital 3330 Masonic Drive Alexandria LA 71301 72‐0408984 501c3 48,960 ScreeningFranklin Medical Center P.O. Box 1300 Winnsboro LA 71295 72‐0685044 501c3 41,639 ScreeningDelhi Hospital 407 Cincinnati Street Delhi LA 71232 72‐1179027 501c3 33,405 Education, ScreeningRichardson Medical Center 254 Hwy 3048 P.O. box 388 Rayville LA 71269 72‐1179028 501c3 30,000 Education, ScreeningLouisiana Cancer Foundation 411 Calypso Street Monroe LA 71201 72‐1461890 501c3 7,500 EducationLouisiana Cancer Foundation 411 Calypso Street Monroe LA 71201 72‐1461890 501c3 7,500 ScreeningLouisiana Cancer Foundation 411 Calypso Street Monroe LA 71201 72‐1461890 501c3 75,000 TreatmentMorehouse General Hospital 323 W Walnut Street Bastrop LA 71221 72‐6011528 501c3 52,500 ScreeningCenla Medication Access Program 1101 Fourth Street, Suite 101A Alexandria LA 71301 02‐0751416 501c3 6,919 EducationCenla Medication Access Program 1101 Fourth Street, Suite 101A Alexandria LA 71301 02‐0751416 501c3 20,756 ScreeningJackson Parish Hospital 165 Beech Springs Road Jonesboro LA 71251 72‐1164536 501c3 10,500 Screening, Treatment

344,707MA100‐Massachusetts Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.YWCA Boston 140 Clarendon Street, Suite 403 Boston MA 02116‐0000 04‐2103548 501c3 40,000 Education, Screening, TreatmentMilford Regional Medical Center Inc. 14 Prospect Street Milford MA 01757 04‐2103602 501c3 25,593 Education, Screening, TreatmentVNA HEALTH CENTER, INC. VNA Care Network & Hospice 5 Federal Street Danvers MA 01923 04‐2103825 501c3 13,438 EducationVNA HEALTH CENTER, INC. VNA Care Network & Hospice 5 Federal Street Danvers MA 01923 04‐2103825 501c3 26,550 TreatmentYWCA Malden 54 Washington Street Malden MA 02148‐0000 04‐2125009 501c3 40,000 Education, Screening, TreatmentFamily Health Center of Worcester 26 Queen Street Worcester MA 01610‐0000 04‐2485308 501c3 48,694 Education, Screening, TreatmentRoxbury Comprehensive Comm. Health Ctr. 435 Warren Street Roxbury MA 02119 04‐2501921 501c3 34,599 Education, Screening, TreatmentSteppingstone Incorporated 522 North Main Street Fall River MA 02720‐0000 04‐2505146 501c3 22,821 EducationSteppingstone Incorporated 522 North Main Street Fall River MA 02720‐0000 04‐2505146 501c3 13,751 ScreeningLynn Community Health Center 269 Union Street Lynn MA 01901‐0000 04‐2525066 501c3 32,000 Education, ScreeningMass. Alliance of Portuguese Speakers 322 Tremont Street Boston MA 02116 04‐2596270 501c3 6,000 Education, ScreeningWhittier Street Health Center 1125 Tremont Street Roxbury MA 02120‐0000 04‐2619517 501c3 27,892 EducationWhittier Street Health Center 1125 Tremont Street Roxbury MA 02120‐0000 04‐2619517 501c3 11,964 ScreeningGandara Center 147 Norman Street West Springfield MA 01089‐0000 04‐2622756 501c3 8,000 EducationMassachusetts General Hospital Attn: Sanja Percac‐Lima Chelsea Healthcare Center Boston MA 02114 04‐2697983 501c3 19,940 ScreeningMassachusetts General Hospital Attn: Sanja Percac‐Lima Chelsea Healthcare Center Boston MA 02114 04‐2697983 501c3 19,940 EducationMassachusetts General Hospital Attn: Sanja Percac‐Lima Chelsea Healthcare Center Chelsea MA 02150‐0000 04‐2697983 501c3 7,860 Education, ScreeningYWCA Greater Lawrence 38 Lawrence Street Lawrence MA 01840‐0000 04‐2130847 501c3 15,200 EducationYWCA Greater Lawrence 38 Lawrence Street Lawrence MA 01840‐0000 04‐2130847 501c3 14,400 ScreeningYWCA Greater Lawrence 38 Lawrence Street Lawrence MA 01840‐0000 04‐2130847 501c3 10,400 TreatmentWomen's Imaging 777 North Street Pittsfield MA 01201‐0000 04‐2733429 501c3 11,347 EducationWomen's Imaging 777 North Street Pittsfield MA 01201‐0000 04‐2733429 501c3 15,667 ScreeningWomen's Imaging 777 North Street Pittsfield MA 01201‐0000 04‐2733429 501c3 17,987 TreatmentHallmark Health System, Inc. 585 Lebannon Street Melrose MA 02176‐0000 04‐2767880 501c3 33,158 Education, Screening, TreatmentRussian Community Association of MA Western MA Office 425 Union Street, Executive Office Bldg. W. Springfield MA 01089‐0000 04‐3102943 501c3 8,000 EducationRussian Community Association of MA Western MA Office 425 Union Street, Executive Office Bldg. W. Springfield MA 01089‐0000 04‐3102943 501c3 8,000 ScreeningRussian Community Association of MA Western MA Office 425 Union Street, Executive Office Bldg. W. Springfield MA 01089‐0000 04‐3102943 501c3 16,000 TreatmentMassachusetts Asian & Pacific Islanders 888 Washington Street Suite 102 Boston MA 02111‐1446 04‐3294008 501c3 19,544 EducationMassachusetts Asian & Pacific Islanders 888 Washington Street Suite 102 Boston MA 02111‐1446 04‐3294008 501c3 8,964 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantMassachusetts Asian & Pacific Islanders 888 Washington Street Suite 102 Boston MA 02111‐1446 04‐3294008 501c3 10,325 TreatmentBoston Medical Center 660 Harrison Avenue 2nd Floor Boston MA 02118 04‐3314093 501c3 10,000 ScreeningDorchester Nazarene 130 River Street Mattapan MA 02126‐0000 04‐3335808 501c3 8,000 EducationNorth Adams Regional Hospital REACH Community Health 71 Hospital Avenue North Adams MA 01247‐0000 04‐3470287 501c3 13,600 EducationNorth Adams Regional Hospital REACH Community Health 71 Hospital Avenue North Adams MA 01247‐0000 04‐3470287 501c3 13,600 ScreeningNorth Adams Regional Hospital REACH Community Health 71 Hospital Avenue North Adams MA 01247‐0000 04‐3470287 501c3 12,800 TreatmentMassachusetts Community Health Services 1106 Main Street ‐ Suite 109 Brockton MA 02301‐0000 04‐3492530 501c3 28,962 Education, Screening, TreatmentLatino American Health Institute 95 Berkeley Street, Suite 600 Boston MA 02116‐0000 22‐2979908 501c3 7,677 EducationCommunity Servings, Inc. 18 Marbury Terrace Jamaica Plain MA 02130 22‐3154028 501c3 23,960 EducationCommunity Servings, Inc. 18 Marbury Terrace Jamaica Plain MA 02130 22‐3154028 501c3 15,960 TreatmentJoseph M. Smith Community Health Center 1380 Soldiers Field Rd Boston MA 02135 23‐7221597 501c3 9,600 EducationJoseph M. Smith Community Health Center 1380 Soldiers Field Rd Boston MA 02135 23‐7221597 501c3 22,400 ScreeningLaEsperanza /The Hope of the Pioneer Vly 237 South Street North Hampton MA 01060 27‐2760538 501c3 7,003 Education, ScreeningLa Esperanza, Inc. The Hope of the Pioneer Valley, Inc. 237 South Street Northampton MA 01060‐4111 31‐1606956 501c3 18,400 EducationLa Esperanza, Inc. The Hope of the Pioneer Valley, Inc. 237 South Street Northampton MA 01060‐4111 31‐1606956 501c3 11,400 ScreeningLa Esperanza, Inc. The Hope of the Pioneer Valley, Inc. 237 South Street Northampton MA 01060‐4111 31‐1606956 501c3 12,200 TreatmentA Little Easier Recovery 43 High Street, Suite 120 North Andover MA 00000 90‐1403400 501c3 7,998 EducationA Little Easier Recovery 43 High Street, Suite 120 North Andover MA 00000 90‐1403400 501c3 23,994 TreatmentAlliance Foundation For Community Health Cambridge Health Alliance 230 Highland Ave. Son 509 Cambridge MA 02143 01‐0676306 501c3 20,240 EducationAlliance Foundation For Community Health Cambridge Health Alliance 230 Highland Ave. Son 509 Cambridge MA 02143 01‐0676306 501c3 12,240 ScreeningAlliance Foundation For Community Health Cambridge Health Alliance 230 Highland Ave. Son 509 Cambridge MA 02143 01‐0676306 501c3 7,520 TreatmentHolyoke Health Center 240 Maple Street‐PO Box 6260 Holyoke MA 01040‐0000 22‐2520073 501c3 40,000 Education, Screening, TreatmentThe Ellie Fund 475 Hillside Avenue Needham MA 02494 04‐3280390 501c3 10,000 Screening, TreatmentYWCA Southeastern Massachusets 20 South Sixth Street New Bedford MA 02740 04‐2104747 501c3 33,651 EducationYWCA Southeastern Massachusets 20 South Sixth Street New Bedford MA 02740 04‐2104747 501c3 8,155 Screening

967,393MD100‐Maryland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Meritus Healthcare Foundation 11110 Medical Campus Road, Suite 229 Hagerstown MD 21742 01‐0639265 501c3 47,798 EducationMeritus Healthcare Foundation 11110 Medical Campus Road, Suite 229 Hagerstown MD 21742 01‐0639265 501c3 71,697 ScreeningCancer Support Foundation 8268 Academy Road Ellicott City MD 21042 20‐3112832 501c3 10,000 TreatmentUniversity of Maryland‐Baltimore" 22 South Greene Street Baltimore MD 21209 31‐1678679 501c3 75,000 TreatmentPeninsula Regional Medical Center 100 E. Carroll Street Salisbury MD 21801 52‐0591628 501c3 85,000 TreatmentMercy Medical Center 227 St Paul Place Weinberg 6th floor Baltimore MD 21202 52‐0591658 501c3 30,000 EducationMercy Medical Center 227 St Paul Place Weinberg 6th floor Baltimore MD 21202 52‐0591658 501c3 45,000 TreatmentMercy Medical Center Prevention and Research Center 227 St. Paul Place Baltimore MD 21202 52‐0591658 501c3 75,000 TreatmentMaryland General Hospital 827 Linden Ave Baltimore MD 21201 52‐0591667 501c3 33,974 EducationMaryland General Hospital 827 Linden Ave Baltimore MD 21201 52‐0591667 501c3 50,961 ScreeningJohns Hopkins University, School of Medi 1650 Orleans Street, CRB 1‐189 Baltimore MD 21287‐0013 52‐0595110 501c3 45,000 EducationJohns Hopkins University, School of Medi 1650 Orleans Street, CRB 1‐189 Baltimore MD 21287‐0013 52‐0595110 501c3 30,000 TreatmentFranklin Square Hospital 9103 Franklin Square Drive Suite 2200 Baltimore MD 21237 52‐0608007 501c3 29,918 EducationFranklin Square Hospital 9103 Franklin Square Drive Suite 2200 Baltimore MD 21237 52‐0608007 501c3 44,877 TreatmentCalvert Memorial Hospital 130 Hospital Road, Suite 102 Prince Frederick MD 20678 52‐0619000 501c3 13,374 EducationCalvert Memorial Hospital 130 Hospital Road, Suite 102 Prince Frederick MD 20678 52‐0619000 501c3 20,061 TreatmentSt Mary's Hospital 25500 Point Lookout Road PO Box 527 Leonardtown MD 20650 52‐0619006 501c3 13,383 EducationSt Mary's Hospital 25500 Point Lookout Road PO Box 527 Leonardtown MD 20650 52‐0619006 501c3 20,075 ScreeningMAC, Incorporated 909 Progress Circle Suite 100 Salisbury MD 21804 52‐0992005 501c3 85,000 TreatmentCenter for a Healthy Maryland, Inc. 1211 Cathedral St. Baltimore MD 21201 52‐1110642 501c3 56,589 EducationHarbor Hospital Foundation 3001 South Hanover Street LRC 105 Baltimore MD 21225 52‐1284532 501c3 69,911 EducationHarbor Hospital Foundation 3001 South Hanover Street LRC 105 Baltimore MD 21225 52‐1284532 501c3 79,911 ScreeningBaltimore Medical Systems 3501 Sinclair Lane Baltimore MD 21213 52‐1358241 501c3 74,993 EducationBaltimore Medical Systems 3501 Sinclair Lane Baltimore MD 21213 52‐1358241 501c3 74,993 ScreeningNorthwest Hospital Center 5401 Old Court Road Randallstown MD 21133 52‐1372665 501c3 42,302 EducationNorthwest Hospital Center 5401 Old Court Road Randallstown MD 21133 52‐1372665 501c3 42,302 ScreeningChase Brexton Health Services 1001 Cathedral Street Baltimore MD 21201 52‐1638592 501c3 32,304 EducationChase Brexton Health Services 1001 Cathedral Street Baltimore MD 21201 52‐1638592 501c3 48,456 ScreeningMoveable Feast, Inc. PO Box 2298 Baltimore MD 21203 52‐1663825 501c3 85,000 TreatmentPro Bono Counseling Projects 110 West Road, Suite 202 Baltimore MD 21204 52‐1784604 501c3 16,074 EducationPro Bono Counseling Projects 110 West Road, Suite 202 Baltimore MD 21204 52‐1784604 501c3 64,294 TreatmentHoward County Health Department 7180 Columbia Gateway Drive Columbia MD 21046 52‐1892929 501c3 34,000 EducationHoward County Health Department 7180 Columbia Gateway Drive Columbia MD 21046 52‐1892929 501c3 51,000 ScreeningWicomico County Health Department 108 E. Main Street Salisbury MD 21801 52‐2046019 501c3 30,000 EducationWicomico County Health Department 108 E. Main Street Salisbury MD 21801 52‐2046019 501c3 45,000 ScreeningCecil County Health Department 401 Bow Street Elkton MD 21921 52‐2046029 501c3 34,000 EducationCecil County Health Department 401 Bow Street Elkton MD 21921 52‐2046029 501c3 42,500 ScreeningCecil County Health Department 401 Bow Street Elkton MD 21921 52‐2046029 501c3 8,500 TreatmentAllegany Cnty Health Dept. 12501 Willowbrook Road SE Cumberland MD 21501 52‐2046033 501c3 15,163 EducationAllegany Cnty Health Dept. 12501 Willowbrook Road SE Cumberland MD 21501 52‐2046033 501c3 22,745 ScreeningUniversity of Maryland' Medical System Foundation 110 S. Paca St. 9th Fl. Baltimore MD 21201 52‐2238893 501c3 74,977 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantUniversity of Maryland' Medical System Foundation 110 S. Paca St. 9th Fl. Baltimore MD 21201 52‐2238893 501c3 74,977 ScreeningBaltimore County Drumcastle Government Center 6401 York Road, 3rd Floor Baltimore MD 21212 52‐6000889 501c3 30,000 EducationBaltimore County Drumcastle Government Center 6401 York Road, 3rd Floor Baltimore MD 21212 52‐6000889 501c3 55,000 ScreeningCarroll County Health Department Ms. Judy Trickett PO Box 845 Westminster MD 21158‐0845 52‐6002033 501c3 10,000 TreatmentNueva Vida, Inc. 2000 P Street NW, Suite 300 Washington DC 20036 54‐1943145 501c3 75,000 EducationNueva Vida, Inc. 2000 P Street NW, Suite 300 Washington DC 20036 54‐1943145 501c3 75,000 ScreeningRed Devils PO Box 36291 Towson MD 21286 74‐3070929 501c3 85,000 TreatmentQueen Anne's County Health Department 206 North Commerce Street Centreville MD 21617 52‐1839026 501c3 10,000 ScreeningThe Red Devils Attn: Janice Wilson P.O. Box 36291 Towson MD 21286 74‐3070929 501c3 10,000 Treatment

2,296,107ME100‐Maine Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Western Maine Community Action, Inc PO Box 200 East Wilton ME 04234 01‐0275156 501c3 19,663 Education, ScreeningCommunity Concepts, Inc. 240 Bates Street Lewiston ME 04240 01‐0424969 501c3 25,000 Education, TreatmentFish‐River Rural Health Norman Fournier, Exec Dir P.O. Box 309 Eagle Lake ME 04739‐0309 01‐0452749 501c3 26,196 Education, Screening, TreatmentMaine Breast Cancer Coalition 499 Broadway, PMB362 Bangor ME 04401 01‐0483084 501c3 7,500 ScreeningMaine Breast Cancer Coalition 499 Broadway, PMB362 Bangor ME 04401 01‐0483084 501c3 42,500 TreatmentBangor Y Rob Reeves, Exec Dir 17 Second Street Bangor ME 04401‐6133 01‐2111485 501c3 34,182 EducationBangor Y Rob Reeves, Exec Dir 17 Second Street Bangor ME 04401‐6133 01‐2111485 501c3 12,156 ScreeningBangor Y Rob Reeves, Exec Dir 17 Second Street Bangor ME 04401‐6133 01‐2111485 501c3 7,786 TreatmentMaine General Medical Center 149 North Street Waterville ME 04901‐4974 04‐3369649 501c3 8,784 EducationMaine General Medical Center 149 North Street Waterville ME 04901‐4974 04‐3369649 501c3 40,016 ScreeningMabel Wadsworth Women's Health Center 700 Mount Hope Ave Suite 420 Bangor ME 04401 22‐2667466 501c3 14,212 EducationMabel Wadsworth Women's Health Center 700 Mount Hope Ave Suite 420 Bangor ME 04401 22‐2667466 501c3 14,212 ScreeningWashington Hancock Community Agency PO Box 299 Ellsworth ME 04605 23‐7226828 501c3 57,361 TreatmentPenquis CAP 262 Harlow St Bangor ME 04401 16‐023748 501c3 14,755 ScreeningPenquis CAP 262 Harlow St Bangor ME 04401 16‐023748 501c3 22,132 Treatment

346,454MI100‐Greater Lansing Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Cancer Support Comm. of Greater Ann Arbo 2010 Hogback Road, Suite 3 Ann Arbor MI 48105 05‐0597871 501c3 12,074 Education, TreatmentThe Oldham Project 9970 Winegar Road Laingsburg MI 48848 26‐3862784 501c3 7,311 Education, TreatmentYMCA of Metro Lansing 119 N. Washington Square Lansing MI 48933 38‐1359576 501c3 16,800 EducationYMCA of Metro Lansing 119 N. Washington Square Lansing MI 48933 38‐1359576 501c3 25,200 TreatmentAllegiance Women's Health Center 3305 Spring Arbor Road, Suite 400 Jackson MI 49203‐3796 38‐2027689 501c3 43,297 Education, Screening, TreatmentSaint Joseph Mercy Health System P.O. Box 995 Ann Arbor MI 48106‐0995 38‐2113393 501c3 20,844 EducationSaint Joseph Mercy Health System P.O. Box 995 Ann Arbor MI 48106‐0995 38‐2113393 501c3 48,637 ScreeningAllen Neighborhood Center 1619 E. Kalamazoo St. Lansing MI 48912‐2701 38‐3502484 501c3 22,443 EducationMSU Department of Surgery 1200 E. Michigan Ave. Ste 655 Lansing MI 48912 38‐6005984 501c3 9,088 EducationMSU Department of Surgery 1200 E. Michigan Ave. Ste 655 Lansing MI 48912 38‐6005984 501c3 27,263 ScreeningMSU Department of Surgery 1200 E. Michigan Ave. Ste 655 Lansing MI 48912 38‐6005984 501c3 9,088 TreatmentUniversity of Michigan 2800 Plymouth Road Building 100, Room 104 Ann Arbor MI 48109‐2800 38‐6006309 501c3 7,000 EducationGrass Lake Sanctuary P.O. Box 10842 Ann Arbor MI 48113 42‐1714363 501c3 37,565 EducationGrass Lake Sanctuary P.O. Box 10842 Ann Arbor MI 48113 42‐1714363 501c3 37,565 TreatmentEastern Michigan University 328 Marshall Ypsilanti MI 48197 38‐6005986 501c3 30,136 EducationEastern Michigan University 328 Marshall Ypsilanti MI 48197 38‐6005986 501c3 30,136 Screening

384,446MI101‐Grand Rapids Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Gilda's Club 1806 Bridge Street NW Grand Rapids MI 49504 06‐1662883 501c3 10,000 EducationCatherine's Care Center 1211 Lafayette Ave. NE Grand Rapids MI 49505 20‐3572418 501c3 10,000 EducationCity on a Hill Clinic Breast Health for the Uninsured 100 S Pine St Ste 140 Zeeland MI 49464 20‐3901260 501c3 48,940 ScreeningSaint Mary's Health Care. 250 Cherry Street SE Grand Rapids MI 49503 38‐2113393 501c3 50,000 Education, ScreeningSpectrum Health Services 145 Michigan Street NE MC202 Grand Rapids MI 49503 38‐2752328 501c3 9,309 EducationSpectrum Health Services 145 Michigan Street NE MC202 Grand Rapids MI 49503 38‐2752328 501c3 17,289 ScreeningSpectrum Health Services 25 Michigan St. NE MC 004 Grand Rapids MI 49503 38‐2752328 501c3 49,800 ScreeningHackley Community Care Center 2700 Baker Street 3rd Floor Muskegon Heights MI 49444 38‐3014011 501c3 19,184 EducationHackley Community Care Center 2700 Baker Street 3rd Floor Muskegon Heights MI 49444 38‐3014011 501c3 17,709 ScreeningMetro Health Hospital Foundation 5900 Byron Center Avenue SW Wyoming MI 49519 38‐3033329 501c3 34,092 ScreeningMuskegon Family Care 2201 S. Getty St Muskegon Heights MI 49444 38‐3324611 501c3 27,933 Education, Screening

294,256MI102‐The Southwest Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Lakeland HealthCare 1234 Napier Ave. St. Joseph MI 49085 38‐2539929 501c3 40,000 ScreeningWest Michigan Cancer Center 200 North Park Street Kalamazoo MI 49007 38‐3061574 501c3 150,000 ScreeningKalamazoo Health and Community Services 3299 Gull Road, PO Box 42 Nazareth MI 49074‐0042 38‐6004880 501c3 64,125 ScreeningKalamazoo Health and Community Services 3299 Gull Road, PO Box 42 Nazareth MI 49074‐0042 38‐6004880 501c3 21,375 TreatmentAccess Breast Cancer Screening 1000 Oakland Drive P. O. Box 51365 Kalamazoo MI 49005 80‐0633085 501c3 16,979 Education, ScreeningAccess Breast Cancer Screening 1000 Oakland Drive P. O. Box 51365 Kalamazoo MI 49005 80‐0633085 501c3 11,979 Treatment

304,458MN101‐Minnesota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Cancer Legal Line 366 Jackson Street, Suite 400 Saint Paul MN 55101 02‐0736402 501c3 100,000 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantNorthPoint Health & Wellness Center Inc. 1315 Penn Avenue North Minneapolis MN 55411‐3047 20‐0898277 501c3 100,000 EducationSouthside Community Health Services, Inc 4243 4th Avenue South Minneapolis MN 55409‐2113 23‐7113799 501c3 68,368 EducationSouthside Community Health Services, Inc 4243 4th Avenue South Minneapolis MN 55409‐2113 23‐7113799 501c3 29,301 ScreeningWest Side Community Health Service 153 Cesar Chavez St. St. Paul MN 55107 23‐7156236 501c3 35,264 EducationWest Side Community Health Service 153 Cesar Chavez St. St. Paul MN 55107 23‐7156236 501c3 26,448 ScreeningWest Side Community Health Service 153 Cesar Chavez St. St. Paul MN 55107 23‐7156236 501c3 26,448 TreatmentSt. Joseph's Foundation 523 North Third Street Brainerd MN 56401 26‐3359418 501c3 30,000 TreatmentAmerican Indian Cancer Foundation 80 S 8th St., Ste 800 Minneapolis MN 55402 27‐0300026 501c3 75,000 EducationAmerican Indian Cancer Foundation 80 S 8th St., Ste 800 Minneapolis MN 55402 27‐0300026 501c3 10,000 ScreeningAmerican Indian Cancer Foundation 80 S 8th St., Ste 800 Minneapolis MN 55402 27‐0300026 501c3 15,000 TreatmentAllina Associated Foundation 701 South Dellwood Street Cambridge MN 55008 27‐4116873 501c3 89,000 Education, TreatmentMercy & Unity Hospitals Foundation 7590 Lyric Lane NE Fridley MN 55432‐3251 30‐0086426 501c3 16,500 TreatmentYWCA of Duluth 32 East 1st Street, Suite 202 Duluth MN 55802 41‐0696493 501c3 12,000 EducationYWCA of Duluth 32 East 1st Street, Suite 202 Duluth MN 55802 41‐0696493 501c3 12,000 ScreeningYWCA of Duluth 32 East 1st Street, Suite 202 Duluth MN 55802 41‐0696493 501c3 6,000 TreatmentComunidades Latinas Unidas En Servicio 720 East Lake Street Minneapolis MN 55407‐1547 41‐1386986 501c3 50,000 EducationComunidades Latinas Unidas En Servicio 720 East Lake Street Minneapolis MN 55407‐1547 41‐1386986 501c3 50,000 ScreeningOpen Arms of Minnesota 2500 Bloomington Avenue South Minneapolis MN 55414 41‐1681317 501c3 86,245 TreatmentRiverwood Foundation 200 Bunker Hill Drive Aitkin MN 56431‐1865 41‐1738787 501c3 12,000 EducationRiverwood Foundation 200 Bunker Hill Drive Aitkin MN 56431‐1865 41‐1738787 501c3 24,000 ScreeningRiverwood Foundation 200 Bunker Hill Drive Aitkin MN 56431‐1865 41‐1738787 501c3 44,000 TreatmentNorth Memorial Health Care Foundation 3300 Oakdale Avenue N. Robbinsdale MN 55422‐2926 41‐1777966 501c3 100,000 TreatmentAngel Foundation 700 South Third Street, Suite 106W Minneapolis MN 55415‐1116 41‐1990883 501c3 100,000 EducationCare Partners, Inc. P.O. Box 217 Eveleth MN 55734‐0217 41‐2011488 501c3 75,000 TreatmentMinnesota Department of Health 85 E 7th Place St. Paul MN 55164‐0882 41‐6007162 501c3 855,989 ScreeningAbbott Northwestern Hospital MR 16509, 800 East 28th Street Minneapolis MN 55407‐3799 04‐3643816 501c3 5,231 EducationAbbott Northwestern Hospital MR 16509, 800 East 28th Street Minneapolis MN 55407‐3799 04‐3643816 501c3 20,926 TreatmentEssentia Health St. Joseph's Medical Cen 523 North 3rd Street Brainerd MN 56401 26‐3359418 501c3 74,029 EducationEssentia Health St. Joseph's Medical Cen 523 North 3rd Street Brainerd MN 56401 26‐3359418 501c3 18,507 Treatment

2,167,256MO100‐Mid‐Missouri Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Vincent P. Gurucharri MD Foundation 3220 Bluff Creek Dr, Suite 100 Columbia MO 65201 22‐3960959 501c3 15,000 TreatmentUniversity of Missouri P.O. Box 807012 Kansas City MO 64180‐7012 43‐6003859 501c3 37,309 EducationUniversity of Missouri P.O. Box 807013 Kansas City MO 64180‐7013 43‐6003859 501c3 23,626 EducationUniversity of Missouri P.O. Box 807013 Kansas City MO 64180‐7013 43‐6003859 501c3 50,960 ScreeningUniversity of Missouri P.O. Box 807013 Kansas City MO 64180‐7013 43‐6003859 501c3 45,106 TreatmentDepartment of Health and Senior Services PO Box 570 Jefferson MO 65102‐0570 44‐6000987 501c3 40,000 ScreeningLincoln Univ. Coop Ext. Paula J.Carter C 900 Leslie Blvd, South Campus Bldg Jefferson City MO 65101 44‐6001089 501c3 29,448 EducationRandolph County Caring Community Partner 423 E Logan St Moberly MO 65270 52‐2199775 501c3 37,500 EducationRandolph County Caring Community Partner 423 E Logan St Moberly MO 65270 52‐2199775 501c3 12,500 Treatment

291,449MO101‐Greater Kansas City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Northland Health Care Access PO Box 14414 Parkville MO 64154 43‐0545808 501c3 19,147 EducationNorthland Health Care Access PO Box 14414 Parkville MO 64154 43‐0545808 501c3 11,488 ScreeningNorthland Health Care Access PO Box 14414 Parkville MO 64154 43‐0545808 501c3 7,659 TreatmentSamuel U.Rodgers Health Center 825 Euclid Kansas Ctiy MO 64124 43‐0899356 501c3 11,273 EducationSamuel U.Rodgers Health Center 825 Euclid Kansas Ctiy MO 64124 43‐0899356 501c3 59,184 ScreeningSwope Health Services 3801 Blue Parkway Kansas City MO 64130 43‐0957840 501c3 31,973 EducationSwope Health Services 3801 Blue Parkway Kansas City MO 64130 43‐0957840 501c3 59,379 ScreeningTruman Medical Center Charitable Found 2310 Holmes, Suite 735 Kansas City MO 64108 43‐1194064 501c3 39,020 EducationTruman Medical Center Charitable Found 2310 Holmes, Suite 735 Kansas City MO 64108 43‐1194064 501c3 21,011 TreatmentBlack Health Care Coalition 66675 Holmes, Suite 650 Kansas City MO 64132 43‐1515059 501c3 6,750 Education, ScreeningSaint Luke's Hospital Foundation 4225 Baltimore Ave. Kansas City MO 64111 43‐1933950 501c3 233,575 ScreeningCabot Westside Health Center 2121 Summit Street Kansas City MO 64108 44‐0546280 501c3 6,000 Education, ScreeningKansas Dept of Health & Environment 1000 SW Jackson St., Ste 230 Topeka KS 66612 48‐0299250 501c3 7,679 EducationKansas Dept of Health & Environment 1000 SW Jackson St., Ste 230 Topeka KS 66612 48‐0299250 501c3 54,923 ScreeningAtchison Hospital Association 800 Raven Hill Drive Atchison KS 66002 48‐0561974 501c3 25,654 EducationCancer Action Inc. 10520 Barkley, Suite 100 Overland Park KS 66212‐1811 48‐0650257 501c3 5,200 EducationCancer Action Inc. 10520 Barkley, Suite 100 Overland Park KS 66212‐1811 48‐0650257 501c3 98,800 TreatmentUnified Government KC,KS Public Health 619 Ann Avenue, Rm112 Kansas City KS 66101 48‐1194075 501c3 71,594 ScreeningCoalition of Hispanic Women Against Canc 1333 South 27th St., Suite 10 Kansas City KS 66106‐2124 48‐1230884 501c3 6,000 Education, ScreeningSocial Welfare Board St. Joseph 904 S. 10th St., Suite A St. Joseph MO 64503 80‐0308973 501c3 47,791 EducationSocial Welfare Board St. Joseph 904 S. 10th St., Suite A St. Joseph MO 64503 80‐0308973 501c3 88,754 Screening

912,851MO102‐St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Gateway to Hope Cynthia Frank 845 N. New Ballas Ct., Ste. 380 St. Louis MO 63141 20‐2737792 501c3 12,000 EducationGateway to Hope Cynthia Frank 845 N. New Ballas Ct., Ste. 380 St. Louis MO 63141 20‐2737792 501c3 68,000 TreatmentFamily Care Health Centers Laverne Lewis 401 Holly Hills Ave. St. Louis MO 63111 23‐7076112 501c3 48,105 Education, Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantMadison County Health Department Amy J. Yeager, MPH 101 E. Edwardsville Road Wood River IL 62095 24‐0000119 501c3 32,372 ScreeningAlton Memorial Hospital One Memorial Drive Alton IL 62002 37‐0661172 501c3 7,050 EducationAlton Memorial Hospital One Memorial Drive Alton IL 62002 37‐0661172 501c3 29,375 ScreeningAlton Memorial Hospital One Memorial Drive Alton IL 62002 37‐0661172 501c3 10,575 TreatmentSouthern Illinois Healthcare Foundation Paul Kaiser 2041 Goose Lake Rd. Sauget IL 62206 37‐1158318 501c3 57,473 EducationSouthern Illinois Healthcare Foundation Paul Kaiser 2041 Goose Lake Rd. Sauget IL 62206 37‐1158318 501c3 57,473 ScreeningSouthern Illinois Healthcare Foundation Paul Kaiser 2041 Goose Lake Rd. Sauget IL 62206 37‐1158318 501c3 172,420 TreatmentSt. Clair County Health Department Jan Nevois 19 Public Square, Suite 150 Belleville IL 62220 37‐6001924 501c3 70,501 ScreeningWashington University at St. Louis, Scho Nicole Nichols/Sarah Gehlert 660 S. Euclid Ave., Campus Box 8056 St. Louis MO 63110 43‐0653611 501c3 95,927 Education, TreatmentSaint Louis University Suzanne M. Mahon Ofc of Rsrch Development & Serv. St. Louis MO 63108‐3306 43‐0654872 501c3 72,391 EducationSaint Louis University Suzanne M. Mahon Ofc of Rsrch Development & Serv. St. Louis MO 63108‐3306 43‐0654872 501c3 69,960 ScreeningSaint Louis University Suzanne M. Mahon Ofc of Rsrch Development & Serv. St. Louis MO 63108‐3306 43‐0654872 501c3 289,027 TreatmentGrace Hill Neighborhood Health Center Glynis Rodgers 2524 Hadley Street St. Louis MO 63106‐4019 43‐0817642 501c3 40,000 EducationEast Missouri Action Agency P.O. Box 308 403 Parkway Drive Park Hills MO 63601 43‐0838255 501c3 40,637 EducationEast Missouri Action Agency P.O. Box 308 403 Parkway Drive Park Hills MO 63601 43‐0838255 501c3 33,249 ScreeningPeople's Health Centers Tyrrell Rogers 5701 Delmar Blvd St. Louis MO 63112‐0937 43‐1036785 501c3 23,480 EducationPeople's Health Centers Tyrrell Rogers 5701 Delmar Blvd St. Louis MO 63112‐0937 43‐1036785 501c3 93,921 ScreeningFood Outreach, Inc. Greg Lukeman 3117 Olive Street St. Louis MO 63103 43‐1492878 501c3 95,945 TreatmentCancer Support Comm. of Grtr St. Louis 1058 Old Des Peres Road St. Louis MO 63110 43‐1587517 501c3 31,500 TreatmentCHIPS Margie Diekemper, RN, MSN 2431 N. Grand Blvd. St. Louis MO 63106 43‐1589851 501c3 40,500 Education, Screening, TreatmentSSM St. Joseph Foundation 477 North Lindbergh St. Louis MO 63141‐7813 43‐1591556 501c3 248,540 Screening, TreatmentBarnes‐Jewish Hospital 1001 Highlands Plaza West Suite 140 St. Louis MO 63110 43‐1617558 501c3 50,000 EducationBarnes‐Jewish Hospital 1001 Highlands Plaza West Suite 140 St. Louis MO 63110 43‐1617558 501c3 425,000 ScreeningBarnes‐Jewish Hospital 1001 Highlands Plaza West Suite 140 St. Louis MO 63110 43‐1617558 501c3 25,000 TreatmentBarnes‐Jewish Hospital 510 South Kingshighway Blvd, Box 8131 St. Louis MO 63110 43‐1617558 501c3 97,802 EducationBarnes‐Jewish Hospital 510 South Kingshighway Blvd, Box 8131 St. Louis MO 63110 43‐1617558 501c3 24,451 TreatmentMissouri Baptist Medical Center 1001Highlands Plaza Drive, West Suite 140 Mailstop: 84‐84‐105 St. Louis MO 63110‐1339 43‐1617558 501c3 74,017 EducationMissouri Baptist Medical Center 1001Highlands Plaza Drive, West Suite 140 Mailstop: 84‐84‐105 St. Louis MO 63110‐1339 43‐1617558 501c3 172,705 ScreeningThe Breakfast Club, Inc. 3935 Galaxie Drive Florissant MO 63034 43‐1892689 501c3 38,250 Education, Screening, TreatmentChristian Hospital NE‐NW Michele Hoeft 11133 Dunn Rd, Suite 300N St. Louis MO 63136 43‐6057893 501c3 93,564 Education, Screening, TreatmentMercy Health Foundation St. Louis 615 S. New Ballas Road, Suite 1440 St. Louis MO 63141 52‐2440020 501c3 34,061 EducationMercy Health Foundation St. Louis 615 S. New Ballas Road, Suite 1440 St. Louis MO 63141 52‐2440020 501c3 193,012 ScreeningJefferson Regional Medical Center 1400 US Highway 61 S Festus MO 63028 71‐0329353 501c3 30,524 EducationJefferson Regional Medical Center 1400 US Highway 61 S Festus MO 63028 71‐0329353 501c3 43,604 ScreeningJefferson Regional Medical Center 1400 US Highway 61 S Festus MO 63028 71‐0329353 501c3 13,081 TreatmentMercy Hospital 901 E. Fifth Street Washington MO 63090 24‐0795456 501c3 18,281 EducationMercy Hospital 901 E. Fifth Street Washington MO 63090 24‐0795456 501c3 30,469 Treatment

3,104,242MS100‐Central Mississippi Steel Magnolias Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.HealthTrust Found., Magee Gen Hosp 300 Third Avenue Southeast Magee MS 39111 27‐0031018 501c3 45,000 ScreeningHealthTrust Found., Magee Gen Hosp 300 Third Avenue Southeast Magee MS 39111 27‐0031018 501c3 9,000 TreatmentKing's Daughter Medical Center 427 Hwy 51 North Brookhaven MS 39601 62‐1373067 501c3 20,000 Education, Screening, TreatmentDelta State University CCED 1417 College Street Cleveland MS 38733 64‐6026565 501c3 34,400 EducationDelta State University CCED 1417 College Street Cleveland MS 38733 64‐6026565 501c3 5,600 Screening

114,000MS101‐North Mississippi Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Sisters Network 3249 Craigmont Circle Tupelo MS 38801 32‐0071835 501c3 25,000 Education, ScreeningAntone Tannehill Good Samaritan Free Cli P. O. Box 1821 420 Magazine Street Tupelo MS 38802‐1821 58‐1986683 501c3 17,000 ScreeningAccess Family Health Services P.O. Box 179 63450 Hwy. 25 North, Smithville MS 38870‐4670 64‐0612902 501c3 5,250 EducationAccess Family Health Services P.O. Box 179 63450 Hwy. 25 North, Smithville MS 38870‐4670 64‐0612902 501c3 9,750 ScreeningMagnolia Regional Health Center 611 Alcorn Drive Corinth MS 38834 64‐0640292 501c3 7,000 EducationNorth Mississippi Med. Ctr. Breast Care 830 South Gloster St. Tupelo MS 38801‐6516 64‐0662976 501c3 10,580 EducationNorth Mississippi Med. Ctr. Breast Care 830 South Gloster St. Tupelo MS 38801‐6516 64‐0662976 501c3 12,420 ScreeningNorth Mississippi Medical Center‐Spirit 820 Ridgecrest Drive Tupelo MS 38801 64‐0662976 501c3 8,000 EducationBaptist Memorial Hospital‐Booneville 350 N. Humphreys Blvd. Memphis MS 38120 64‐0663760 501c3 48,000 Education, ScreeningNorth Mississippi Medical Center‐West Po 835 Medical Center West Point MS 39773 64‐0668465 501c3 5,000 Education, ScreeningTishomingo Health Services 1777 Curtis Drive Iuka MS 38852‐0860 64‐0741047 501c3 8,000 Education, ScreeningThe Good Samaritan Medical Clinic 520 College Street, P. O. Box 661 Columbus MS 39703‐0661 64‐0926626 501c3 11,000 Screening

167,000MT100‐Montana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Montana Cancer Institute Foundation 500 W. Broadway Missoula MT 59802 02‐0768250 501c3 30,000 EducationMessengers for Health 335 Makawasha Avenue Crow Agency MT 59022 27‐0566321 501c3 15,000 EducationNorthern Montana Health Care Foundation P.O. Box 1231 Havre MT 59501 36‐3464641 501c3 14,977 ScreeningSt Vincent Healthcare Foundation 1105 North 30th Billings MT 59101 53‐0196617 501c3 30,000 Education, ScreeningSt. Joseph Medical Center 6 13th Ave East Polson MT 59860 53‐0196617 501c3 12,907 EducationSt. Joseph Medical Center 6 13th Ave East Polson MT 59860 53‐0196617 501c3 12,907 ScreeningBig Horn County Hospital 17 North Miles Hardin MT 59034 81‐0384618 501c3 15,000 ScreeningBillings Clinic Foundation PO Box 31031 Billings MT 59107‐1031 81‐0407289 501c3 29,988 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantBarrett Hospital 600 MT Highway 91 South Dillon MT 59725‐3597 86‐3597000 501c3 6,785 Screening

167,563NC100‐Charlotte Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Carolinas Medical Center ‐ NorthEast 920 Church Street North Concord NC 28025 20‐8776473 501c3 142,500 ScreeningCarolinas Medical Center ‐ NorthEast 920 Church Street North Concord NC 28025 20‐8776473 501c3 7,500 TreatmentKannapolis Church of God 2211 West A Street Kannapolis NC 28081 56‐0543258 501c3 34,346 ScreeningRowan Regional Medical Center 514 Corporate Circle Salisbury NC 28147 56‐0547479 501c3 6,032 EducationRowan Regional Medical Center 514 Corporate Circle Salisbury NC 28147 56‐0547479 501c3 54,289 ScreeningStanly Regional Medical Center 301 Yadkin Street PO Box 1489 Albemarle NC 28802 56‐0556760 501c3 13,869 Education, Screening, TreatmentStanly Regional Medical Center PO Box 1489 Albemarle NC 28002 56‐0556760 501c3 13,088 EducationStanly Regional Medical Center PO Box 1489 Albemarle NC 28002 56‐0556760 501c3 117,788 ScreeningGirl Scouts Hornets Nest Council 7007 Idlewild Road Charlotte NC 28212 56‐0563842 501c3 13,100 EducationCancer Services of Gaston County, Inc. 306 S Columbia Street Gastonia NC 28054 56‐1164253 501c3 29,000 Education, Screening, TreatmentCW Williams PO Box 668093 Charlotte NC 28266 56‐1262478 501c3 38,340 ScreeningCarolina's Rehab 10620 Park Road, Suite 200 Charlotte NC 28210 56‐1398930 501c3 5,470 TreatmentCarolina's Rehab 1100 Blythe Blvd Charlotte NC 28203 56‐1398930 501c3 35,915 TreatmentCabarrus Health Alliance 1307 S. Cannon Blvd. Kannapolis NC 28083 56‐2016594 501c3 11,027 EducationCabarrus Health Alliance 1307 S. Cannon Blvd. Kannapolis NC 28083 56‐2016594 501c3 15,868 ScreeningCharlotte Community Health Clinic 6900 Farmingdale Drive Charlotte NC 28212 56‐2274174 501c3 20,318 EducationCharlotte Community Health Clinic 6900 Farmingdale Drive Charlotte NC 28212 56‐2274174 501c3 38,830 ScreeningLincoln County Health Department 151 Sigmon Rd Lincolnton NC 28092 56‐6000315 501c3 5,818 EducationLincoln County Health Department 151 Sigmon Rd Lincolnton NC 28092 56‐6000315 501c3 38,399 ScreeningLincoln County Health Department 151 Sigmon Rd Lincolnton NC 28092 56‐6000315 501c3 13,963 TreatmentMecklenburg County Health Department 600 E Fourth St, 11th Floor, Charlotte NC 28202 56‐6000319 501c3 66,300 ScreeningMecklenburg County Health Department 600 E Fourth St, 11th Floor, Charlotte NC 28202 56‐6000319 501c3 63,700 TreatmentUnion County Health Dept 1224 W. Roosevelt Blvd Monroe NC 28110 56‐6000345 501c3 5,147 EducationUnion County Health Dept 1224 W. Roosevelt Blvd Monroe NC 28110 56‐6000345 501c3 97,784 ScreeningStanly County Health Department 1000 N. First St., Suite 3 Albemarle NC 28001 56‐6001537 501c3 42,826 Education, ScreeningPresbyterian Cancer Center Matthews Breast Center PO Box 33549, 200 Hawthorne Lane Charlotte NC 28233 58‐1413074 501c3 56,251 Education, Screening, TreatmentPresbyterian Cancer Center P. O. Box 33549, 200 Hawthorne Lane Charlotte NC 28233‐3549 58‐1413074 501c3 164,800 Education, Screening, TreatmentPresbyterian Cancer Center Rehab 125 Baldwin Ave., Suite 100 Charlotte NC 28233 58‐1413074 501c3 9,620 Education, TreatmentChestnut Grove Community Center c/o 105 Stone House Drive Statesville NC 28625 58‐1481755 501c3 24,059 Education, ScreeningCaromont Cancer Center @ GMH 2525 Court Drive Gastonia NC 28054 58‐1636959 501c3 25,036 EducationCaromont Cancer Center @ GMH 2525 Court Drive Gastonia NC 28054 58‐1636959 501c3 100,144 ScreeningCatawba Service Unit ‐ Indian Health Service 2893 Sturgis Road Rock Hill SC 29730 34‐2061903 501c3 7,200 ScreeningGaston County Health Department 991 West Hudson Boulevard Gastonia NC 28052 56‐6000300 501c3 7,131 EducationGaston County Health Department 991 West Hudson Boulevard Gastonia NC 28052 56‐6000300 501c3 7,048 ScreeningLake Norman Free Clinic 14230 Hunters Road Huntersville NC 28078 43‐723062 501c3 7,062 Education, Screening, Treatment

1,339,566NC101‐NC Triangle Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Moore Free Care Clinic, Inc. 211 Trimble Plant Road Southern Pines NC 28387 01‐0781234 501c3 9,956 EducationCaring Community Foundation, Inc. 310 Nantucket Drive Cary NC 27513 20‐0036976 501c3 10,000 EducationCaring Community Foundation, Inc. PO Box 1364 Cary NC 27605 20‐0036976 501c3 21,631 TreatmentWarren County Free Clinic, Inc. 546 West Ridgeway Street Warrenton NC 27589 20‐4307481 501c3 21,921 EducationWarren County Free Clinic, Inc. 546 West Ridgeway Street Warrenton NC 27589 20‐4307481 501c3 49,982 ScreeningNash Health Care 2460 Curtis Ellis Drive Rocky Mount NC 27804 31‐1802814 501c3 50,126 EducationNash Health Care 2460 Curtis Ellis Drive Rocky Mount NC 27804 31‐1802814 501c3 16,709 ScreeningDuke University Medical Center. Duke ORA, Box 104008 Erwin Square, Suite 820 Durham NC 27710 56‐0532129 501c3 14,773 EducationDuke University Medical Center. Duke ORA, Box 104008 Erwin Square, Suite 820 Durham NC 27710 56‐0532129 501c3 28,847 ScreeningDuke University Medical Center. Duke ORA, Box 104008 Erwin Square, Suite 820 Durham NC 27710 56‐0532129 501c3 28,847 TreatmentPiedmont Health Services, Inc. 299 Lloyd Street Carrboro NC 27510 56‐0952737 501c3 30,000 EducationPiedmont Health Services, Inc. 299 Lloyd Street Carrboro NC 27510 56‐0952737 501c3 70,000 ScreeningLincoln Community Health Center 1301 Fayetteville Street Durham NC 27707 56‐1031244 501c3 24,068 EducationLincoln Community Health Center 1301 Fayetteville Street Durham NC 27707 56‐1031244 501c3 52,174 ScreeningEl Pueblo, Inc. 4 N. Blount Street,Suite 200 Raleigh NC 27601 56‐1934310 501c3 95,739 EducationFirst Health of the Carolinas Inc. PO Box 3000 Pinehurst NC 28374 56‐1936354 501c3 34,095 EducationFirst Health of the Carolinas Inc. PO Box 3000 Pinehurst NC 28374 56‐1936354 501c3 34,095 ScreeningVidant Edgecombe Hospital 111 Hospital Drive Tarboro NC 27886 56‐2003393 501c3 36,388 Education, TreatmentEl Centro Hispano 600 E Main St Durham NC 27701 56‐2011661 501c3 40,350 EducationCommunity Health Coalition 407 Crutchfield Street Durham NC 27704 56‐2269385 501c3 21,140 EducationCommunity Health Coalition 407 Crutchfield Street Durham NC 27704 56‐2269385 501c3 49,328 ScreeningLee County Health Dept. 106 Hillcrest Street Sanford NC 27331 56‐6000313 501c3 41,989 Education, ScreeningNash County Health Department Attn: Karen Ramsey 214 S. Barnes Street Nashville NC 27856 56‐6000323 501c3 15,000 EducationNash County Health Department Attn: Karen Ramsey 214 S. Barnes Street Nashville NC 27856 56‐6000323 501c3 30,000 ScreeningWake County Human Services Wake County Finance Department, AR PO Box 550 Raleigh NC 27602‐0550 56‐6000347 501c3 70,172 Education, ScreeningUniv of North Carolina at Chapel Hill. Div of Heme/Oncology Cecile Skrzynia Chapel Hill NC 27599‐7264 56‐6001393 501c3 64,529 ScreeningUniv of North Carolina at Chapel Hill. Get Real and Heel Impacting Survivorship OSR 104 Airport Drive, Suite 2200 Chapel Hill NC 27599‐1350 56‐6001393 501c3 68,818 EducationREX Healthcare Foundation 2500 Blue Ridge Road #325 Raleigh NC 27607 56‐6052117 501c3 15,500 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantREX Healthcare Foundation 2500 Blue Ridge Road #325 Raleigh NC 27607 56‐6052117 501c3 30,000 ScreeningREX Healthcare Foundation 2500 Blue Ridge Road #325 Raleigh NC 27607 56‐6052117 501c3 55,000 TreatmentScotland Memorial Foundation 500 Lauchwood Drive Laurinburg NC 28352 58‐1828201 501c3 75,000 ScreeningEdgecombe County Health Dept. 2909 Main Street Tarboro NC 27886 56‐6000298 501c3 25,901 Education, ScreeningGregory B. Davis Foundation 11404 December Way Suite 103 Silver Spring MD 20904 52‐2257352 501c3 10,500 EducationHealth Connections Network P.O. Box 10013 Wilmington NC 28404 80‐0722080 501c3 7,700 Education

1,250,278NC102‐North Carolina Foothills Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Frye Regional Medical Center 420 North Center St. Hickory NC 28601 56‐1497360 501c3 20,000 Education, ScreeningGood Samaritan Clinic 305 West Union Street Morganton NC 28655 56‐1939030 501c3 10,000 Education, ScreeningHelping Hands Clinic 810 Harper Avenue NW Lenoir NC 28645 56‐2076541 501c3 15,000 Education, ScreeningCatawba County Hispanic Ministry 737 12th St SW Hickory NC 28602 56‐2170931 501c3 10,000 ScreeningCatawba County Health Department 3070 11th Ave Dr SE Hickory NC 28602 56‐6001814 501c3 7,500 Education, ScreeningCatawba County Health Department 3070 11th Ave Dr SE Hickory NC 28602 56‐6001814 501c3 22,500 TreatmentCaldwell County Health Dept. 2345 Morganton Blvd., SW, Suite B Lenoir NC 28645 56‐6001967 501c3 36,000 Education, ScreeningBlue Ridge Healthcare Foundation 2201 S. Sterling St. Morganton NC 28655 58‐2063920 501c3 13,000 EducationBlue Ridge Healthcare Foundation 2201 S. Sterling St. Morganton NC 28655 58‐2063920 501c3 18,000 Screening

152,000NC103‐North Carolina Triad Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Randolph Hospital 364 White Oak Street Asheboro NC 27203 56‐0530234 501c3 45,000 ScreeningHigh Point Regional Health System Post Office Box HP‐5 High Point NC 27265 56‐0532309 501c3 25,000 Education, Screening, TreatmentNorth Carolina Baptist Hospital Med Ctr Treas, WFBMC, Medical Ctr Blvd. Winston‐Salem NC 27157 56‐0552787 501c3 55,000 Education, Screening, TreatmentMorehead Memorial Hospital 117 East Kings Highway Eden NC 27288 56‐0591294 501c3 40,000 ScreeningCancer Services, Inc. 3175 Maplewood Avenue Winston‐Salem NC 27103 56‐0656375 501c3 50,000 Education, TreatmentCommunity Care Center of Forsyth Co. 2135 New Walkertown Road Winston‐Salem NC 27101 56‐1403699 501c3 24,750 ScreeningCommunity Care Center of Forsyth Co. 2135 New Walkertown Road Winston‐Salem NC 27101 56‐1403699 501c3 20,250 TreatmentForsyth Medical Center Foundation 3333 Silas Creek Parkway Winston‐Salem NC 27103 56‐2120959 501c3 17,500 EducationForsyth Medical Center Foundation 3333 Silas Creek Parkway Winston‐Salem NC 27103 56‐2120959 501c3 34,200 ScreeningForsyth Medical Center Foundation 3333 Silas Creek Parkway Winston‐Salem NC 27103 56‐2120959 501c3 10,800 TreatmentDavidson County Health Dept. P.O. Box 439 Lexington NC 27293 56‐6000294 501c3 25,000 ScreeningDavie County Health Department Post Office Box 848 Mocksville NC 27028 56‐6000295 501c3 15,000 Education, ScreeningStokes Family Health Center Post Office Box 187 Danbury NC 27016 56‐6000340 501c3 9,000 Education, ScreeningWilkes County Health Department 306 College Street Wilkesboro NC 28697 56‐6000350 501c3 25,000 Education, Screening, TreatmentYadkin County Health Department P.O. Box 457 Yadkinville NC 27055 56‐6000352 501c3 15,000 Education, ScreeningNorthern Hospital of Surry County 830 Rockford Street Mt. Airy NC 27030‐5322 56‐6015416 501c3 45,000 Education, ScreeningMoses Cone Health System Reg. Cancer Ctr 1200 N. Elm St, Fund Development Greensboro NC 27401 58‐1588823 501c3 50,000 TreatmentNorville Breast Care Center/ARMC 1240 Huffman Mill Road Burlington NC 27216 58‐1681363 501c3 50,000 Screening

556,500ND100‐North Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, IncCuster Health 210 2nd Avenue NW Mandan ND 58554 45‐6004343 501c3 6,223 ScreeningWest River Health Services 1000 Highway 12 Hettinger ND 58650‐7530 45‐0340688 501c3 8,550 Education, Screening, Treatment

14,773NE100‐Nebraska Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.A Time to Heal 7637 Grover St. Omaha NE 68124 27‐0297726 501c3 5,270 EducationA Time to Heal 7637 Grover St. Omaha NE 68124 27‐0297726 501c3 16,200 TreatmentJohnson County Hospital Foundation 202 High Street Tecumseh NE 68450 27‐0317629 501c3 5,624 EducationJohnson County Hospital Foundation 202 High Street Tecumseh NE 68450 27‐0317629 501c3 31,867 ScreeningBoard of Regents 984030 NE Medical Ctr, 5555 no place Omaha NE 68198‐0000 47‐0049123 501c3 65,000 EducationCentral Nebraska Community Services 626 N Street, P.O. Box 509 Loup City NE 68853 47‐0495122 501c3 36,127 EducationOne World Community Health Center, Inc 4920 South 30th Street, Ste. 103 Omaha NE 68107 47‐0548990 501c3 13,249 EducationOne World Community Health Center, Inc 4920 South 30th Street, Ste. 103 Omaha NE 68107 47‐0548990 501c3 95,499 ScreeningOne World Community Health Center, Inc 4920 South 30th Street, Ste. 103 Omaha NE 68107 47‐0548990 501c3 5,250 TreatmentCentral Health Center 217 E. Stolley Park Road, Ste. E PO Box 2539 Grand Island NE 68801 47‐0562234 501c3 28,520 EducationCentral Health Center 217 E. Stolley Park Road, Ste. E PO Box 2539 Grand Island NE 68801 47‐0562234 501c3 63,480 ScreeningAlegent Health Image Recovery Center 12809 West Dodge Road Omaha NE 68154 47‐0757164 501c3 26,960 TreatmentCATCH, Inc P.O. Box 212 York NE 68467 47‐0812317 501c3 33,750 EducationCATCH, Inc P.O. Box 212 York NE 68467 47‐0812317 501c3 11,250 ScreeningVisiting Nurse Association 12565 West Center Road, Ste. 100 Omaha NE 68144 74‐6087587 501c3 148,297 TreatmentNebraska Cancer Coalition 233 S 13th Street Suite 1200 Lincoln NE 68508 27‐3176291 501c3 13,486 EducationNebraska Cancer Coalition 233 S 13th Street Suite 1200 Lincoln NE 68508 27‐3176291 501c3 40,458 ScreeningWest Central District Health Department PO Box 648 North Platte NE 69103 47‐0879835 501c3 55,166 EducationWest Central District Health Department PO Box 648 North Platte NE 69103 47‐0879835 501c3 36,777 Screening

732,230NJ100‐Central and South Jersey Affiliate of Susan G. Komen Breast Cancer Foundation, Inc.Lakewood Resource and Referral Center 1771 Madison Avenue Lakewood NJ 08701 20‐1324142 501c3 20,400 EducationLakewood Resource and Referral Center 1771 Madison Avenue Lakewood NJ 08701 20‐1324142 501c3 30,600 ScreeningClark Family Breast Cancer Fdn. 660 N. Princeton Avenue Cherry Hill NJ 08002 20‐3735151 501c3 23,784 EducationClark Family Breast Cancer Fdn. 660 N. Princeton Avenue Cherry Hill NJ 08002 20‐3735151 501c3 10,193 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantCooper Cancer Institute Cooper Univ Hospital 3 Cooper Plaza, Suite 310 Camden NJ 08103 21‐0634462 501c3 35,020 EducationCooper Cancer Institute Cooper Univ Hospital 3 Cooper Plaza, Suite 310 Camden NJ 08103 21‐0634462 501c3 65,036 ScreeningAtlantiCare Regional Medical Center 2500 English Creek Ave. Egg Harbor Twp. NJ 08234 21‐0634549 501c3 21,627 EducationAtlantiCare Regional Medical Center 2500 English Creek Ave. Egg Harbor Twp. NJ 08234 21‐0634549 501c3 64,881 ScreeningPrinceton HealthCare System 300B Princeton Hightstown Rd Suite 102 East Windsor NJ 08520 21‐0635009 501c3 6,325 EducationPrinceton HealthCare System 300B Princeton Hightstown Rd Suite 102 East Windsor NJ 08520 21‐0635009 501c3 25,298 ScreeningBreast Cancer Resource Center YWCA Princeton 59 Paul Robeson Place Princeton NJ 08540 21‐0635056 501c3 20,316 EducationBreast Cancer Resource Center YWCA Princeton 59 Paul Robeson Place Princeton NJ 08540 21‐0635056 501c3 8,707 ScreeningCape Regional Medical Center 2 Stone Harbor Boulevard Cape May Court House NJ 08210 21‐0662542 501c3 27,415 EducationCape Regional Medical Center 2 Stone Harbor Boulevard Cape May Court House NJ 08210 21‐0662542 501c3 22,431 ScreeningGateway Community Action Partner 110 Cohansey Street Bridgeton NJ 08032 22‐1942357 501c3 75,316 EducationGateway Community Action Partner 110 Cohansey Street Bridgeton NJ 08032 22‐1942357 501c3 32,278 ScreeningPuerto Rican Action Committee 114 East Main Street Penns Grove NJ 08069 22‐1970239 501c3 35,083 EducationPuerto Rican Action Committee 114 East Main Street Penns Grove NJ 08069 22‐1970239 501c3 23,389 ScreeningJewish Family Service 607 North Jerome Avenue Margate City NJ 08402 22‐2119902 501c3 22,323 EducationJewish Family Service 607 North Jerome Avenue Margate City NJ 08402 22‐2119902 501c3 41,456 ScreeningSouth Jersey Family Medical Center 1 North White Horse Pike Hammonton NJ 08037 22‐2159336 501c3 89,985 EducationSouth Jersey Family Medical Center 1 North White Horse Pike Hammonton NJ 08037 22‐2159336 501c3 48,454 ScreeningSaint Peter's University Hospital 254 Easton Avenue New Brunwick NJ 08901 22‐2329197 501c3 37,000 EducationJersey Shore University Medical Center 1345 Campus Parkway, Suite A2 Neptune NJ 07753 22‐2342452 501c3 11,736 EducationJersey Shore University Medical Center 1345 Campus Parkway, Suite A2 Neptune NJ 07753 22‐2342452 501c3 35,209 ScreeningOcean Medical Center Foundation 1345 Campus Parkway, Suite A2 Neptune NJ 07753 22‐2361311 501c3 9,078 Education, ScreeningSouthern Ocean Medical Center 425 Jack Martin Blvd. Brick NJ 08724 22‐2666099 501c3 17,742 EducationSouthern Ocean Medical Center 425 Jack Martin Blvd. Brick NJ 08724 22‐2666099 501c3 7,604 ScreeningRobert Wood Johnson University Hospital RWJ University Hospital Foundation 10 Plum Street, Suite 910 New Brunswick NJ 08901 22‐2378007 501c3 19,265 EducationRobert Wood Johnson University Hospital RWJ University Hospital Foundation 10 Plum Street, Suite 910 New Brunswick NJ 08901 22‐2378007 501c3 44,951 ScreeningMonmouth Medical Center Foundation 300 Second Avenue Longbranch NJ 07740 22‐2456079 501c3 56,625 EducationMonmouth Medical Center Foundation 300 Second Avenue Longbranch NJ 07740 22‐2456079 501c3 169,875 ScreeningHunterdon Regional Cancer Ctr 2100 Wescott Drive Flemington NJ 08822 22‐2516895 501c3 13,007 EducationHunterdon Regional Cancer Ctr 2100 Wescott Drive Flemington NJ 08822 22‐2516895 501c3 7,004 ScreeningCommunity Medical Center Foundation 99 Highway 37 West Toms River NJ 08755 22‐2597592 501c3 16,086 EducationCommunity Medical Center Foundation 99 Highway 37 West Toms River NJ 08755 22‐2597592 501c3 37,534 ScreeningSomerset Medical Center 110 Rehill Avenue Somerville NJ 08876 22‐3294408 501c3 11,765 EducationSomerset Medical Center 110 Rehill Avenue Somerville NJ 08876 22‐3294408 501c3 6,335 ScreeningSt. Francis Medical Center 601 Hamilton Ave. Trenton NJ 08629 22‐3431049 501c3 47,050 Education, ScreeningVirtua Health 2225 Evesham Road, Suite 104 Voorhees NJ 08043 22‐3524939 501c3 5,917 EducationVirtua Health 2225 Evesham Road, Suite 104 Voorhees NJ 08043 22‐3524939 501c3 23,667 ScreeningJFK Medical Center, Edison 80 James Street Edison NJ 08820 22‐6019101 501c3 23,598 EducationJFK Medical Center, Edison 80 James Street Edison NJ 08820 22‐6019101 501c3 28,842 ScreeningAmerican Cancer Society 2600 US Highway 1 North Brunswick NJ 08902 58‐0659875 501c3 20,000 Education, ScreeningSisters Network, Inc. 1210 Hamilton Street Somerset NJ 08873 76‐0480069 501c3 18,577 EducationSisters Network, Inc. 1210 Hamilton Street Somerset NJ 08873 76‐0480069 501c3 7,962 Screening

1,426,745NJ101‐The North Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Breast Cancer Emergency Aid Foundation PO Box 527 Morristown NJ 07963‐0527 03‐0600624 501c3 75,000 TreatmentCancer Care of New Jersey 141 Dayton Street Ridgewood NJ 07450 13‐1825919 501c3 11,700 EducationCancer Care of New Jersey 141 Dayton Street Ridgewood NJ 07450 13‐1825919 501c3 42,500 TreatmentMetropolitan Family Health Network, Inc 935 Garfield Avenue Jersey City NJ 07304‐2731 20‐4904872 501c3 19,572 Education, ScreeningSt Joseph's Regional Medical Center 400 Hospital Plaza Paterson NJ 07503 22‐1487602 501c3 75,000 TreatmentSt Joseph's Regional Medical Center Rainbows of Hope CEED Program 703 Main Street Paterson NJ 07503‐2621 22‐1487602 501c3 15,484 EducationSt Joseph's Regional Medical Center Rainbows of Hope CEED Program 703 Main Street Paterson NJ 07503‐2621 22‐1487602 501c3 40,393 ScreeningSt Joseph's Regional Medical Center Rainbows of Hope CEED Program 703 Main Street Paterson NJ 07503‐2621 22‐1487602 501c3 11,445 TreatmentClara Maass Medical Center One Clara Maass Drive Belleville NJ 07109 22‐1500556 501c3 12,581 EducationClara Maass Medical Center One Clara Maass Drive Belleville NJ 07109 22‐1500556 501c3 29,355 TreatmentHoboken Family Planning Inc 124 Grand Street Hoboken NJ 07030‐2510 22‐2051458 501c3 9,093 EducationHoboken Family Planning Inc 124 Grand Street Hoboken NJ 07030‐2510 22‐2051458 501c3 51,529 TreatmentTrinitas Hospital Trinitas Health Foundation PO Box 259 Elizabeth NJ 07207‐0259 22‐2353773 501c3 21,537 EducationTrinitas Hospital Trinitas Health Foundation PO Box 259 Elizabeth NJ 07207‐0259 22‐2353773 501c3 39,998 ScreeningTrinitas Hospital Trinitas Health Foundation PO Box 259 Elizabeth NJ 07207‐0259 22‐2353773 501c3 27,000 TreatmentSaint Barnabas Medical Center Access to Digital Breast Screening Srvcs. 200 South Orange Avenue Livingston NJ 07039‐5817 22‐2378422 501c3 22,580 EducationSaint Barnabas Medical Center Lymphedema Grmnts & Lymph Educ. 200 South Orange Avenue Livingston NJ 07039‐0000 22‐2378422 501c3 53,896 TreatmentProject Self Sufficiency Project Self Sufficiency of SussexCounty 127 Mill Street Newton NJ 07860‐1456 22‐2727412 501c3 44,845 EducationProject Self Sufficiency Project Self Sufficiency of SussexCounty 127 Mill Street Newton NJ 07860‐1456 22‐2727412 501c3 44,845 ScreeningZufall Health Center 17 South Street Dover NJ 07801‐4506 22‐3125397 501c3 9,523 EducationZufall Health Center 17 South Street Dover NJ 07801‐4506 22‐3125397 501c3 38,094 ScreeningHudson Perinatal Consortium 242 10th Street Jersey City NJ 07306 22‐3205376 501c3 15,054 EducationHudson Perinatal Consortium 242 10th Street Jersey City NJ 07306 22‐3205376 501c3 22,581 TreatmentFoundation for Morristown Medical Center P.O. Box 1956,475 South Street Morristown NJ 07960 22‐3392808 501c3 61,450 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantFoundation for Morristown Medical Center P.O. Box 1956,475 South Street Morristown NJ 07960 22‐3392808 501c3 8,380 ScreeningNewark Beth Israel Medical Center 201 Lyons Ave Newark NJ 07112‐2027 22‐3452311 501c3 41,987 EducationNewark Beth Israel Medical Center 201 Lyons Ave Newark NJ 07112‐2027 22‐3452311 501c3 21,750 TreatmentUMDNJ Robert Wood Johnson MC Foundation of UMDNJ 120 Albany Street Tower Two, Suite 850 New Brunswick NJ 08901 23‐7313160 501c3 31,406 EducationUMDNJ Robert Wood Johnson MC Foundation of UMDNJ 120 Albany Street Tower Two, Suite 850 New Brunswick NJ 08901 23‐7313160 501c3 94,219 ScreeningUMDNJ Robert Wood Johnson MC Foundation of UMDNJ 120 Albany Street Tower Two, Suite 850 New Brunswick NJ 08901 23‐7313160 501c3 31,406 TreatmentOverlook Foundation 36 Upper Overlook Road Summit NJ 07902 51‐0194054 501c3 16,650 EducationOverlook Foundation 36 Upper Overlook Road Summit NJ 07902 51‐0194054 501c3 36,629 ScreeningOverlook Foundation 36 Upper Overlook Road Summit NJ 07902 51‐0194054 501c3 13,320 TreatmentPlanned Parenthood Planned Parenthood of Grtr NJ 196 Speedwell Ave. Morristown NJ 07960‐2934 74‐1005756 501c3 20,004 EducationSister's Network PO Box 66 Paterson NJ 07544 76‐0480063 501c3 11,397 Education, Treatment

1,122,200NM100‐Central New Mexico Affiliate of the Susan G. Komen Brea Cancer Institute Foundation Attn: Corinne Collins P.O. Box 5038 Santa Fe NM 87502 41‐2079799 501c3 6,000 EducationCancer Institute Foundation Attn: Corinne Collins P.O. Box 5038 Santa Fe NM 87502 41‐2079799 501c3 14,000 TreatmentAmerican Cancer Society 10501 Montgomery Blvd. NE, Ste 300 Albuquerque NM 87111 74‐1185665 501c3 19,500 TreatmentYWCA YWCA Middle Rio Grande 210 Truman NE Albuquerque NM 87108 85‐0107101 501c3 35,000 Education, ScreeningPlanned Parenthood of New Mexcio 7155 E 38th Ave Denver CO 80207 85‐0197745 501c3 27,300 Education, ScreeningAnita Salas Memorial fund 5301 Central NE #800 Albuquerque NM 87108 85‐0311210 501c3 20,000 TreatmentPeople Living Through Cancer 3411 Candelaria Rd. NE Suite M Albuquerque NM 87107 85‐0324330 501c3 30,000 EducationNew Mexico Department of Health Breast and Cervical Cancer 5301 Central Ave. Suite 800 Albuquerque NM 87108 85‐6000565 501c3 48,200 Screening

200,000NV100‐The Las Vegas Chapter of the Susan G. Komen Breast Canc R.E.A.C.H. 823 South 6th Street Las Vegas NV 89101 26‐4575003 501c3 21,736 EducationR.E.A.C.H. 823 South 6th Street Las Vegas NV 89101 26‐4575003 501c3 21,736 TreatmentORION O'Callaghan Integrated Oncology Network 2021 Park Way North Las Vegas NV 89106 27‐1732991 501c3 24,308 ScreeningORION O'Callaghan Integrated Oncology Network 2021 Park Way North Las Vegas NV 89106 27‐1732991 501c3 137,746 TreatmentVolunteers In Medicine of Southern Nevad 4770 Harrison Road Suite 200 Las Vegas NV 89121 39‐2072453 501c3 12,541 EducationVolunteers In Medicine of Southern Nevad 4770 Harrison Road Suite 200 Las Vegas NV 89121 39‐2072453 501c3 71,064 ScreeningCenter for Compassionate Care 4131 Swenson Street Las Vegas NV 89119 45‐0473026 501c3 57,255 TreatmentSt Rose Dominican Health Foundation R.E.D. Rose Program‐Holly Lyman 3001 St. Rose Parkway Henderson NV 89015 88‐0349432 501c3 150,000 ScreeningSt Rose Dominican Health Foundation R.E.D. Rose Program‐Holly Lyman 3001 St. Rose Parkway Henderson NV 89015 88‐0349432 501c3 150,000 TreatmentSt. Rose Dominican Health Foundation WomensCare Breast Cancer Support 3001 St. Rose Parkway Henderson NV 89052 88‐0349432 501c3 39,390 TreatmentNevada Health Centers 3223 Research Way Carson City NV 89706 94‐3199117 501c3 44,634 EducationNevada Health Centers 3223 Research Way Carson City NV 89706 94‐3199117 501c3 89,267 ScreeningNevada Health Centers 3223 Research Way Carson City NV 89706 94‐3199117 501c3 14,878 TreatmentNye County Health and Human Services 250 N. Highway 160 Suite 4 Pahrump NV 89060 88‐6000111 501c3 6,000 Education, ScreeningSmiles for Survivors 1930 Village Center Circle Suite #3‐531 Las Vegas NV 89134 26‐4749691 501c3 7,500 Treatment

848,055NV101‐Northern Nevada Affiliate of the Susan G. Komen Breast C HAWC Community Health Center 1450 Ridgeview Drive, Suite 200 Reno NV 89519 88‐0293149 501c3 18,856 EducationHAWC Community Health Center 1450 Ridgeview Drive, Suite 200 Reno NV 89519 88‐0293149 501c3 33,522 ScreeningReno Cancer Foundation 1155 Mill Street Reno NV 89502‐1576 88‐6002500 501c3 35,091 TreatmentTahoe Forest Health System Foundation P. O. Box 2508 Truckee CA 96160 94‐3047869 501c3 9,188 Education, ScreeningNevada Health Centers 3223 Research Way Carson City NV 89706 94‐3199117 501c3 41,344 Screening

138,001NY100‐The Western New York Affiliate of the Susan G. Komen Bre Research foundation of state univ. of NY 35 State Street Albany NY 12207‐2826 14‐1368361 501c3 6,429 Education, ScreeningInternational Institute of Buffalo 864 Delaware Ave Buffalo NY 14209 16‐0743052 501c3 16,327 EducationInternational Institute of Buffalo 864 Delaware Ave Buffalo NY 14209 16‐0743052 501c3 6,531 ScreeningInternational Institute of Buffalo 864 Delaware Ave Buffalo NY 14209 16‐0743052 501c3 9,796 TreatmentWCA Hospital ‐ Jamestown 207 Foote Avenue Jamestown NY 14701 16‐0743226 501c3 25,087 EducationWCA Hospital ‐ Jamestown 207 Foote Avenue Jamestown NY 14701 16‐0743226 501c3 15,052 ScreeningWCA Hospital ‐ Jamestown 207 Foote Avenue Jamestown NY 14701 16‐0743226 501c3 10,035 TreatmentNational Witness Project Elm & Carlton Sts Buffalo NY 14263 16‐1391608 501c3 39,278 EducationNational Witness Project Elm & Carlton Sts Buffalo NY 14263 16‐1391608 501c3 39,278 ScreeningRoswell Park Alliance Foundation. Elm & Carlton Sts, RSC 234 Buffalo NY 14263 16‐1391608 501c3 48,647 EducationRoswell Park Alliance Foundation. Elm & Carlton Sts, RSC 234 Buffalo NY 14263 16‐1391608 501c3 22,452 ScreeningRoswell Park Alliance Foundation. Elm & Carlton Sts, RSC 234 Buffalo NY 14263 16‐1391608 501c3 5,742 Treatment, EducationDeaf Adult Services Inc. 2495 Main St., Suite 446 Buffalo NY 14214 16‐1433932 501c3 14,000 EducationDeaf Adult Services Inc. 2495 Main St., Suite 446 Buffalo NY 14214 16‐1433932 501c3 6,000 TreatmentGenesee Cancer Assistance 16 Bank Street Batavia NY 14020 16‐1510816 501c3 10,150 Education, ScreeningGenesee Cancer Assistance 16 Bank Street Batavia NY 14020 16‐1510816 501c3 18,850 TreatmentErie County Dept of Health 95 Franklin Street, Room 979 Buffalo NY 14202 16‐6002558 501c3 22,455 Education, ScreeningErie County Dept of Health 95 Franklin Street, Room 979 Buffalo NY 14202 16‐6002558 501c3 47,717 TreatmentAllegany Cnty Health Dept. County Office Bldg., 7 Court Street Belmont NY 14813 52‐2046033 501c3 10,612 EducationAllegany Cnty Health Dept. County Office Bldg., 7 Court Street Belmont NY 14813 52‐2046033 501c3 11,117 ScreeningAllegany Cnty Health Dept. County Office Bldg., 7 Court Street Belmont NY 14813 52‐2046033 501c3 28,803 Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantGreater Emmanuel Temple Church 151‐161 Richmond Avenue Buffalo NY 14222 16‐6083033 501c3 6,233 EducationNiagara Falls Memorial Medical Center 621 Tenth St. Niagara Falls NY 14302 16‐0743094 501c3 7,500 Education, Screening

428,090NY101‐Central New York Affiliate of the Susan G. Komen Breast C Carthage Area Hospital 1001 West Street Carthage NY 13619 15‐0622079 501c3 20,773 EducationCayuga Cty Dept: Health & Human Services 8 Dill Street Auburn NY 13021 15‐6000450 501c3 21,018 Education, ScreeningLewis County Health Department 7785 North State St. Lowville NY 13367 15‐6000458 501c3 10,000 EducationLewis County Health Department 7785 North State St. Lowville NY 13367 15‐6000458 501c3 8,000 ScreeningLewis County Health Department 7785 North State St. Lowville NY 13367 15‐6000458 501c3 22,000 TreatmentOneida County Department of Health 185 Genesee Street, 5th Floor Utica NY 13501 15‐6000460 501c3 15,600 EducationOneida County Department of Health 185 Genesee Street, 5th Floor Utica NY 13501 15‐6000460 501c3 14,400 Screening, TreatmentOnondaga County Health Department 421 Montgomery St., 9th Floor,Civic Ctr. Syracuse NY 13202 15‐6000458 501c3 57,850 EducationOnondaga County Health Department 421 Montgomery St., 9th Floor,Civic Ctr. Syracuse NY 13202 15‐6000458 501c3 7,150 ScreeningSt Lawrence County Public Health Dept Attn. Kindra Cousineau 80 State Highway 310, Suite 2 Canton NY 13617‐1476 15‐6000465 501c3 15,000 Screening, TreatmentHighland Hospital & Partners Attn. Stacy Portella 500 Red Creek Dr., Suite 130 Rochester NY 14623 16‐0743037 501c3 30,000 Education, Screening, TreatmentUniversity of Rochester Cancer Service Prgrm of Monroe County 46 Prince Street Rochester NY 14607 16‐0743209 501c3 28,636 Education, Screening, TreatmentCanton‐Potsdam Hospital 50 Leroy Street Potsdam NY 13676 16‐1012691 501c3 10,000 Education, TreatmentSpanish Action League 700 Oswego St Syracuse NY 13204 16‐1023352 501c3 25,000 EducationARISE 635 James Street Syracuse NY 13203‐2226 16‐1186293 501c3 29,066 EducationARISE 635 James Street Syracuse NY 13203‐2226 16‐1186293 501c3 7,267 TreatmentCrouse Hospital 736 Irving Avenue Syracuse NY 13210 16‐1576637 501c3 27,495 EducationCrouse Hospital 736 Irving Avenue Syracuse NY 13210 16‐1576637 501c3 14,805 ScreeningChenango Health Network 24 Conkey Avenue Norwich NY 13815 52‐1987010 501c3 8,800 EducationChenango Health Network 24 Conkey Avenue Norwich NY 13815 52‐1987010 501c3 19,360 ScreeningChenango Health Network 24 Conkey Avenue Norwich NY 13815 52‐1987010 501c3 7,040 TreatmentSt Joseph's Hosp. Health Cntr Foundation 973 James St., Suite 250 Syracuse NY 13203 55‐0810542 501c3 21,755 Education, Screening, Treatment

421,015NY102‐Elmira Affiliate of the Susan G. Komen Breast Cancer Foun YWCA of Binghamton/Broome 80 Hawley Street Binghamton NY 13901 15‐0564074 501c3 15,000 EducationArnot Ogden Medical Center Falck Cancer Center 600 Roe Avenue Elmira NY 14905 16‐0743905 501c3 20,000 TreatmentYWCA of Elmira 211 Lake Street Elmira NY 14901 16‐0767225 501c3 13,745 Education, Screening, TreatmentMaternal & Family Health Services 15 Public Square, Suite 600 Wilkes‐Barre PA 18701 23‐1856766 501c3 18,680 Education, ScreeningAdagio Health Inc 960 Penn Avenue, Suite 600 Pittsburgh PA 15222‐3812 23‐7104168 501c3 5,708 EducationAdagio Health Inc 960 Penn Avenue, Suite 600 Pittsburgh PA 15222‐3812 23‐7104168 501c3 13,318 ScreeningS'AY Rural Health Network PO Box 97 Conring NY 14830 55‐0810542 501c3 7,280 EducationS'AY Rural Health Network PO Box 97 Conring NY 14830 55‐0810542 501c3 6,240 ScreeningS'AY Rural Health Network PO Box 97 Conring NY 14830 55‐0810542 501c3 7,280 Treatment

107,250NY103‐Northeastern New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Glens Falls Hospital 100 Park Street Glens Falls NY 12801 14‐1338413 501c3 24,200 EducationGlens Falls Hospital 100 Park Street Glens Falls NY 12801 14‐1338413 501c3 5,800 TreatmentNE Health/Samaritan Hospital Women's Health Center 2212 Burdett Ave. Rensselaer NY 12180 14‐1338544 501c3 18,900 EducationNE Health/Samaritan Hospital Women's Health Center 2212 Burdett Ave. Rensselaer NY 12180 14‐1338544 501c3 11,100 ScreeningYWCA of Schenectady 44 Washington Ave. Schenectady NY 12305 14‐1340139 501c3 30,000 EducationCommunity Link Mobile Health 450 Salmon River Road Platttsburgh NY 12901 14‐1603303 501c3 12,500 EducationCommunity Link Mobile Health 450 Salmon River Road Platttsburgh NY 12901 14‐1603303 501c3 12,500 ScreeningTo Life! Image Enhancement & Other Support 410 Kenwood Ave Delmar NY 12054 14‐1808431 501c3 30,000 EducationCamp Bravehearts, Inc. 19 Cambridge Road Albany NY 12203 23‐3066704 501c3 30,000 EducationPeaceful Acres Horses, Inc. 3740 Rynex Corners Rd Pattersonville NY 12137 26‐2219064 501c3 30,000 TreatmentAmerican Cancer Society 2 Lyon Place White Plains NY 10601 58‐0659875 501c3 12,000 EducationAmerican Cancer Society 2 Lyon Place White Plains NY 10601 58‐0659875 501c3 9,000 ScreeningAmerican Cancer Society 2 Lyon Place White Plains NY 10601 58‐0659875 501c3 9,000 TreatmentCap. Reg. Action Against Breast Cancer 125 Wolf Road Suite 124 Albany NY 12205 14-1807124 501c3 34,923 Education, TreatmentCreative Healing Connections PO Box 167 Keene, NY 12942 26-1788222 501c3 12,224 EducationPlanned Parenthood of the North Country 160 Stone Street Watertown NY 13601 16‐0919175 501c3 16,139 Education

298,286NY104‐Greater New York City Affiliate of the Susan G. Komen Bre Adelphi NY Statewide Hotline & Support 1 South Avenue P.O. Box 701 Garden City NY 11530‐0701 11‐1630741 501c3 96,870 TreatmentKingsbrook Jewish Medical Center 585 Schnectady Avenue Brooklyn NY 11203 11‐1631759 501c3 72,675 EducationFlushing Hospital Medical Center 4500 Parsons Blvd. Flushing NY 11355 11‐1631781 501c3 99,908 EducationPeconic Bay Medical Center Central Suffolk Hospital 1300 Roanoke Avenue Riverhead NY 11901 11‐1661359 501c3 99,999 ScreeningPlanned Parenthood of Nassau Cty, Inc 540 Fulton Avenue Hempstead NY 11550 11‐1776035 501c3 100,000 EducationNassau/Suffolk Law Svcs Committee, Inc One Helen Keller Way, 5th Fl Hempstead NY 11550 11‐2125411 501c3 94,300 TreatmentBrooklyn Hospital Center 121 Dekalb Avenue Brooklyn NY 11201 11‐2936410 501c3 97,800 TreatmentMontefiore Medical Center Jack D. Weiler Hospital 1825 Eastchester Road Bronx NY 10461 13‐1740114 501c3 99,205 TreatmentNyack Hospital 160 North Midland Avenue Nyack NY 10960‐1998 13‐1740119 501c3 99,866 ScreeningSt Barnabas Hospital 4422 Third Avenue Bronx NY 10457 13‐1740122 501c3 85,580 EducationSt Barnabas Hospital 4422 Third Avenue Bronx NY 10457 13‐1740122 501c3 29,867 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantSt. John's Riverside Health System 967 N. Broadway Yonkers NY 10701 13‐1740128 501c3 77,000 ScreeningYWCA White Plains & Central Westchester 515 North Street White Plains NY 10605 13‐1740519 501c3 44,276 EducationCancer Care Inc. 275 Seventh Ave New York NY 10001 13‐1825919 501c3 100,000 TreatmentMemorial Sloan Kettering Cancer Center 633 Third Avenue, 28th Floor New York NY 10017 13‐1924236 501c3 91,220 EducationMemorial Sloan Kettering Cancer Center 633 Third Avenue, 28th Floor New York NY 10017 13‐1924236 501c3 50,000 TreatmentProject Renewal 200 Varick Street, 9th Fl New York NY 10014 13‐2602882 501c3 100,000 ScreeningLincoln Medical & Mental Health Center 234 East 149th Street Room 9A‐5I Bronx NY 10451 13‐2655001 501c3 100,000 TreatmentWoodhull Medical & Mental Health Center 760 Broadway Brooklyn NY 11206 13-2655001 501c3 79,730 ScreeningOpen Door Family Medical Centers 165 Main Street Ossining NY 10562 13‐2813113 501c3 100,000 ScreeningRyan ‐ NENA Community Health Center 110 West 97th Street New York NY 10025 13‐2884976 501c3 75,000 ScreeningSt. Luke's ‐ Roosevelt Hospital 1090 Amsterdam Ave. Suite 10A New York NY 10025 13‐2997301 501c3 88,121 TreatmentGod's Love We Deliver 166 Avenue of the Americas New York NY 10013 13‐3366846 501c3 100,000 TreatmentNew York Legal Assistance Group Legalhealth 7 Hanover Square, 18th Floor New York NY 10004 13‐3505428 501c3 100,000 TreatmentThe Family Center 315 West 36th Street 4th Floor New York NY 10018 13‐3910716 501c3 95,000 TreatmentIndependence Care System 275 Park Avenue South 2nd Floor New York NY 10010‐7304 13‐3964284 501c3 80,000 ScreeningGilda's Club New York City Inc. 195 West Houston Street New York NY 10014‐4803 13‐4046652 501c3 76,350 TreatmentColumbia University Office of Grants & Contracts 722 West 168rh St, RM 734 New York NY 10032 13‐5598093 501c3 100,000 TreatmentUnited Cerebral Palsy of NYC, Inc 80 Maiden Lane New York NY 10038 13‐5654532 501c3 84,033 EducationCity Bar Justice Center 42 West 44th Street New York NY 10036 13‐6003018 501c3 60,000 TreatmentKorean Community Services 2 West 32nd St. #604 New York NY 10001 23‐7348989 501c3 83,000 ScreeningChemo Comfort, Inc. 81 Bedford St., Suite 1A New York NY 10014 65‐1169320 501c3 16,485 TreatmentRichmond University Medical Center 355 Bard Avenue Room 625 Staten Island NY 10310 74‐3177454 501c3 100,000 TreatmentChai Lifeline, Inc. 151 West 30th Streeet, 3rd Floor New York NY 10001 11-2940331 501c3 76,876 TreatmentCharles B Wang Community Health Ctr Inc 268 Canal St New York NY 10013 11‐2940331 501c3 68,000 EducationMichael Callen‐Audre Lorde Community Health Center 356 West 18th Street New York NY 10011 13-3409680 501c3 72,500 ScreeningNorth Shore LI Jewish Health System 270‐05 76th Avenue New Hyde Park NY 11040 11‐3418133 501c3 90,039 ScreeningThe Ralph Lauren Center for Cancer Care Cancer Care and Preventtion 1919 Madison Avenue New York NY 10035 20‐597827 501c3 84,649 Screening

3,168,349OH100‐Greater Cincinnati Affiliate of the Susan G. Komen Breast Barrett Cancer Ctr., University Hospital 234 Goodman Street, ML#0772 Cincinnati OH 45219 26‐1594868 501c3 49,364 EducationMercy Hospital Anderson 7500 State Road Cincinnnati OH 45255 31‐0537085 501c3 19,753 EducationMercy Hospital Anderson 7500 State Road Cincinnnati OH 45255 31‐0537085 501c3 28,011 ScreeningYWCA of Greater Cincinnati 898 Walnut Street Cincinnati OH 45202 31‐0537518 501c3 10,467 EducationYWCA of Greater Cincinnati 898 Walnut Street Cincinnati OH 45202 31‐0537518 501c3 50,144 ScreeningKettering Health Network 580 Lincoln Park Blvd., Suite 200 Kettering OH 45429 31‐0621866 501c3 20,000 EducationHighland District Hospital 1275 North High St. Hillsboro OH 45133 31‐0653685 501c3 24,000 EducationCancer Family Care, Inc. Attn: Lisa Western 2421 Auburn Avenue Cincinnati OH 45219 31‐0805286 501c3 44,440 EducationCancer Family Care, Inc. Attn: Lisa Western 2421 Auburn Avenue Cincinnati OH 45219 31‐0805286 501c3 436,440 TreatmentCincinnati Children's Hospital Medical 3333 Burnet Avenue, ML 7030 Cincinnati OH 45229 31‐0833936 501c3 12,025 EducationCincinnati Children's Hospital Medical 3333 Burnet Avenue, ML 7030 Cincinnati OH 45229 31‐0833936 501c3 21,725 ScreeningPremier Health Network 23 Jasper St. Dayton OH 45409 31‐1122883 501c3 20,000 EducationCancer Support Community Ohio 4918 Cooper Road Cincinnati OH 45242 31‐1287785 501c3 36,280 EducationBrown County Health and Wellness Foundat 425 Home Street Georgetown OH 45167 31‐6001668 501c3 15,000 EducationDearborn County Hospital 600 Wilson Creek Road Lawrence IN 47025 35‐6006595 501c3 14,352 EducationDearborn County Hospital 600 Wilson Creek Road Lawrence IN 47025 35‐6006595 501c3 46,775 ScreeningDearborn County Hospital 600 Wilson Creek Road Lawrence IN 47025 35‐6006595 501c3 28,704 TreatmentCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788 45‐0678814 501c3 9,334 EducationCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788 45‐0678814 501c3 21,778 ScreeningSt. Elizabeth Healthcare One Medical Village Drive Edgewood KY 41017 61‐0445850 501c3 8,873 EducationSt. Elizabeth Healthcare One Medical Village Drive Edgewood KY 41017 61‐0445850 501c3 272,753 ScreeningAdams County Medical Foundation, Inc. 230 Medical Center Dr. Seaman OH 45693 76‐0801729 501c3 20,000 Education

1,210,217OH101‐The Northeast Ohio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Akron General Medical Center 224 W. Exchange Street Akron OH 44307 34‐0714478 501c3 17,052 EducationAkron General Medical Center 224 W. Exchange Street Akron OH 44307 34‐0714478 501c3 60,458 ScreeningAsian Services in Action 3631 Perkins Ave., Suite 2A‐W Cleveland OH 44114 34‐1798850 501c3 24,726 Education, ScreeningCanton Community Clinic, Inc. 2725 Lincoln Street East Canton OH 44707 34‐1709801 501c3 18,000 EducationCanton Community Clinic, Inc. 2725 Lincoln Street East Canton OH 44707 34‐1709801 501c3 18,000 ScreeningCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788‐5169 45‐0678814 501c3 40,908 EducationCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788‐5169 45‐0678814 501c3 61,363 ScreeningColumbiana County Health Dept P.O. Box 309 SR 45 Lisbon OH 44432 34‐6000745 501c3 28,252 EducationColumbiana County Health Dept P.O. Box 309 SR 45 Lisbon OH 44432 34‐6000745 501c3 15,213 ScreeningCuyahoga County Board of Health 5550 Venture Drive Parma OH 44130 34‐6000817 501c3 18,600 EducationCuyahoga County Board of Health 5550 Venture Drive Parma OH 44130 34‐6000817 501c3 105,400 ScreeningJourney of Hope 21139 Lorain Rd., Ste. 1 Cleveland OH 44126 34‐1936925 501c3 32,180 TreatmentMercy Medical Center 1320 Mercy Drive NW Canton OH 44708‐2614 52‐0591658 501c3 30,000 EducationMercy Medical Center 1320 Mercy Drive NW Canton OH 44708‐2614 52‐0591658 501c3 30,000 ScreeningMercy Medical Center 1320 Mercy Drive NW Canton OH 44708‐2614 52‐0591658 501c3 30,000 Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantMercy Regional Medical Center 3700 Kolbe Rd. Lorain OH 44053‐1697 34‐0714704 501c3 13,800 EducationMercy Regional Medical Center 3700 Kolbe Rd. Lorain OH 44053‐1697 34‐0714704 501c3 9,200 ScreeningMetroHealth Foundation 2500 Metro Health Drive Cleveland OH 44109 34‐6607695 501c3 72,569 EducationMetroHealth Foundation 2500 Metro Health Drive Cleveland OH 44109 34‐6607695 501c3 46,180 ScreeningMetroHealth Foundation 2500 Metro Health Drive Cleveland OH 44109 34‐6607695 501c3 13,194 TreatmentNortheast Ohio Neighborhood Services 4800 Payne Avenue Cleveland OH 44103 34‐1014291 501c3 44,000 EducationNortheast Ohio Neighborhood Services 4800 Payne Avenue Cleveland OH 44103 34‐1014291 501c3 16,000 ScreeningNortheast Ohio Neighborhood Services 4800 Payne Avenue Cleveland OH 44103 34‐1014291 501c3 20,000 TreatmentSouth Pointe Hospital 20000 Harvard Road Warrensville Heights OH 44122 34‐0714585 501c3 57,332 EducationSouth Pointe Hospital 20000 Harvard Road Warrensville Heights OH 44122 34‐0714585 501c3 29,535 ScreeningSumma Health System Hospitals 75 Arch Street, Suite 105 Akron OH 44304 34‐6002767 501c3 35,000 EducationSumma Health System Hospitals 75 Arch Street, Suite 105 Akron OH 44304 34‐6002767 501c3 15,000 Screening, TreatmentTrinity Medical Health System 380 Summit Avenue Steubenville OH 43952 34‐0875691 501c3 17,175 EducationTrinity Medical Health System 380 Summit Avenue Steubenville OH 43952 34‐0875691 501c3 51,525 ScreeningUniversity Hospital Seidman Cancer Center Attn: Hermione Malone Cleveland OH 44106‐5065 34‐0714775 501c3 54,874 EducationUniversity Hospital Seidman Cancer Center Attn: Hermione Malone Cleveland OH 44106‐5065 34‐0714775 501c3 23,517 ScreeningUniversity Hospital c/o Komen Northeast Ohio 26210 Emery Road, Suite 307 Cleveland OH 44128 34‐0714775 501c3 9,093 EducationUniversity Hospital c/o Komen Northeast Ohio 26210 Emery Road, Suite 307 Cleveland OH 44128 34‐0714775 501c3 51,529 ScreeningUniversity Hospitals Geneva Medical 870 West Main Street Geneva OH 44041 34‐0714461 501c3 48,667 EducationUniversity Hospitals Geneva Medical 870 West Main Street Geneva OH 44041 34‐0714461 501c3 20,857 ScreeningWheeling Hospital Inc. Breast Center Wheeling Hospital One Medical Park Wheeling WV 26003‐6379 55‐0357057 501c3 8,600 Screening

1,187,800OH102‐Columbus Affiliate of the Susan G. Komen Breast Cancer F Adena Health System 272 Hospital Road Chillicothe OH 45601 31‐4379443 501c3 15,944 EducationAdena Health System 272 Hospital Road Chillicothe OH 45601 31‐4379443 501c3 44,933 ScreeningAdena Health System 272 Hospital Road Chillicothe OH 45601 31‐4379443 501c3 11,596 TreatmentAmerican Cancer Society 5555 Frantz Road Dublin OH 43017 74‐1185665 501c3 75,000 ScreeningAsian‐American Community Service Council 454 E. Clearview Ave. Worthington OH 43085 31‐1422583 501c3 40,203 EducationAsian‐American Community Service Council 454 E. Clearview Ave. Worthington OH 43085 31‐1422583 501c3 30,328 ScreeningBerger Hosptial 1280 North Court Street Circleville OH 43113 33‐1031454 501c3 20,000 Screening, TreatmentCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788 45‐0678814 501c3 19,622 EducationCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788 45‐0678814 501c3 29,432 ScreeningFairfield Medical Center Foundation 401 North Ewing Lancaster OH 43130 20‐8952945 501c3 6,245 EducationFairfield Medical Center Foundation 401 North Ewing Lancaster OH 43130 20‐8952945 501c3 45,799 Screening, TreatmentFayette County Memorial Hospital 1430 Columbus Avenue Washington Court House OH 43160 31‐1526002 501c3 29,447 Education, ScreeningGenesis Healthcare System 1135 Maple Ave Zanesville OH 43701 31‐1480941 501c3 45,723 Education, ScreeningGuernsey Health Systems Southeastern Ohio Reg. Med. Ctr. 1341 Clark Street Cambridge OH 43725 31‐1148352 501c3 66,330 Education, Screening, TreatmentHolzer Medical Center 100 Jackson Pike Gallipolis OH 45631 31‐0927482 501c3 15,453 EducationHolzer Medical Center 100 Jackson Pike Gallipolis OH 45631 31‐0927482 501c3 37,086 ScreeningHolzer Medical Center 100 Jackson Pike Gallipolis OH 45631 31‐0927482 501c3 9,272 TreatmentJames Cancer Hospital 660 Ackerman Road Columbus OH 43218 31‐1301428 501c3 8,079 EducationJames Cancer Hospital 660 Ackerman Road Columbus OH 43218 31‐1301428 501c3 32,314 ScreeningKing's Daughters Medical Center 2201 Lexington Ave. Ashland KY 41101 61‐0503715 501c3 19,075 ScreeningKnox Community Hospital 1330 Coshocton Avenue Mount Vernon OH 43050 31‐0929576 501c3 6,715 EducationKnox Community Hospital 1330 Coshocton Avenue Mount Vernon OH 43050 31‐0929576 501c3 58,756 ScreeningKnox Community Hospital 1330 Coshocton Avenue Mount Vernon OH 43050 31‐0929576 501c3 18,466 TreatmentLicking County Health Department 675 Price Road Newark OH 43055 30‐0332439 501c3 87,944 Education, Screening, TreatmentLifecare Alliance 1699 W. Mound Street Columbus OH 43223 31‐4379494 501c3 9,406 EducationLifecare Alliance 1699 W. Mound Street Columbus OH 43223 31‐4379494 501c3 58,840 ScreeningLifecare Alliance 1699 W. Mound Street Columbus OH 43223 31‐4379494 501c3 16,811 TreatmentMadison County Health Partners 210 North Main Street PO Box 651 London OH 43140 20‐2375865 501c3 8,319 EducationMadison County Health Partners 210 North Main Street PO Box 651 London OH 43140 20‐2375865 501c3 33,277 ScreeningMadison County Hospital 210 N Main Street London OH 43140‐1115 23‐7423524 501c3 14,717 EducationMadison County Hospital 210 N Main Street London OH 43140‐1115 23‐7423524 501c3 19,812 ScreeningMadison County Hospital 210 N Main Street London OH 43140‐1115 23‐7423524 501c3 22,076 TreatmentMarietta Memorial Health Foundation PO Box 97 Marietta OH 45750 31‐1011321 501c3 9,155 Education, ScreeningMeigs County Cancer Initiative 117 East Memorial Dr. Ste. 5, PO Box 85 Pomeroy OH 45769 31‐1712900 501c3 20,910 EducationMeigs County Cancer Initiative 117 East Memorial Dr. Ste. 5, PO Box 85 Pomeroy OH 45769 31‐1712900 501c3 21,763 ScreeningMemorial Hospital of Union County 500 London Avenue Marysville OH 43040 31‐6402480 501c3 7,105 EducationMemorial Hospital of Union County 500 London Avenue Marysville OH 43040 31‐6402480 501c3 33,493 ScreeningMemorial Hospital of Union County 500 London Avenue Marysville OH 43040 31‐6402480 501c3 10,149 TreatmentMount Carmel Health System Foundation 6150 East Broad Street Columbus OH 43213 31‐1113966 501c3 36,836 EducationMount Carmel Health System Foundation 6150 East Broad Street Columbus OH 43213 31‐1113966 501c3 28,871 ScreeningMount Carmel Health System Foundation 6150 East Broad Street Columbus OH 43213 31‐1113966 501c3 33,849 TreatmentOhio University Research & Sponsored Programs 105 Research & Technology Athens OH 45701 31‐6402113 501c3 9,970 EducationOhio University Research & Sponsored Programs 105 Research & Technology Athens OH 45701 31‐6402113 501c3 56,496 ScreeningOhioHealth Foundation 180 East Broad Street, 31st Floor Columbus OH 43215 23‐7446919 501c3 31,037 EducationOhioHealth Foundation 180 East Broad Street, 31st Floor Columbus OH 43215 23‐7446919 501c3 152,780 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantOhioHealth Foundation 180 East Broad Street, 31st Floor Columbus OH 43215 23‐7446919 501c3 67,118 TreatmentOhiohealth Research Institute 3545 Olentangy River Road Suite 414 Columbus OH 43214 31‐6059784 501c3 63,215 Education, TreatmentPerry County Health Department 212 South Main Street,P.O. Box 230 New Lexington OH 43764 31‐6400082 501c3 16,319 EducationPerry County Health Department 212 South Main Street,P.O. Box 230 New Lexington OH 43764 31‐6400082 501c3 19,755 ScreeningPerry County Health Department 212 South Main Street,P.O. Box 230 New Lexington OH 43764 31‐6400082 501c3 6,871 TreatmentRoss County Health District 475 Western Avenue Suite A Chillicothe OH 45601 31‐6400085 501c3 10,130 EducationRoss County Health District 475 Western Avenue Suite A Chillicothe OH 45601 31‐6400085 501c3 91,168 ScreeningSisters Network Columbus OH P.O. Box 137 Brice OH 43109 26‐2114262 501c3 10,000 Education, ScreeningSouthern Ohio Medical Center 1121 Kinneys Lane Portsmouth OH 45662 31‐0678022 501c3 8,341 EducationSouthern Ohio Medical Center 1121 Kinneys Lane Portsmouth OH 45662 31‐0678022 501c3 55,824 ScreeningThe Community Mercy Foundation 1 South Limestone Street Suite 700 Springfield OH 45502 31‐1443778 501c3 21,000 ScreeningThe Ohio State University College Office of Sponsored Programs 1960 Kenny Rd. Columbus OH 43210‐1016 38‐1746722 501c3 7,721 Education, ScreeningVinton County Health dept 31927 State Route 93 McArthur OH 45651 31‐6400088 501c3 23,634 EducationVinton County Health dept 31927 State Route 93 McArthur OH 45651 31‐6400088 501c3 15,953 ScreeningVinton County Health dept 31927 State Route 93 McArthur OH 45651 31‐6400088 501c3 19,498 TreatmentYMCA 100 Mill Street Chillicothe OH 45601 24‐0795516 501c3 19,120 EducationYMCA 100 Mill Street Chillicothe OH 45601 24‐0795516 501c3 8,194 TreatmentYoung Survival Coalition 6990 Hillsdale Ct Indianapolis IN 46250 13‐4057685 501c3 19,157 EducationYoung Survival Coalition 6990 Hillsdale Ct Indianapolis IN 46250 13‐4057685 501c3 6,386 Treatment

1,898,838OH103‐Northwest Ohio Affiliate of the Susan G. Komen Breast Ca Parkview Foundation, Inc. 2200 Randallia Drive Fort Wayne IN 46805 23‐7220589 501c3 15,600 Screening, TreatmentNorth Coast Cancer Foundation Attn: Deborah Miller 417 Quarry Lakes Drive Sandusky OH 44870 26‐0270967 501c3 40,000 EducationBucyrus Community Hospital LLC 269 Portland Way South Galion OH 44833‐2312 27‐4283931 501c3 20,000 Education, Screening, TreatmentHospital Council of Northwest Ohio, Inc. 3231 Central Park West Drive, Suite 200 Toledo OH 43617 34‐1116795 501c3 6,200 EducationHospital Council of Northwest Ohio, Inc. 3231 Central Park West Drive, Suite 200 Toledo OH 43617 34‐1116795 501c3 91,760 ScreeningHospital Council of Northwest Ohio, Inc. 3231 Central Park West Drive, Suite 200 Toledo OH 43617 34‐1116795 501c3 26,040 TreatmentBlanchard Valley Health System 1900 South Main Street Findlay OH 45840 34‐1370522 501c3 31,355 Education, Screening, TreatmentThe Victory Center 5532 W. Central Ave., Suite B Toledo OH 43615 34‐1767997 501c3 17,000 EducationRaven's Care, Inc. 511 Perry Street Definance OH 43512 34‐1809898 501c3 8,000 EducationMercy Health Partners 2213 Cherry Str., ACC Bldg, Ste 307 Toledo OH 43608 34‐4428250 501c3 7,500 EducationMercy Health Partners 2213 Cherry Str., ACC Bldg, Ste 307 Toledo OH 43608 34‐4428250 501c3 42,500 ScreeningSt. Rita's Medical Center 730 W. Market Lima OH 45801 34‐4428265 501c3 8,000 TreatmentFlower Hospital Attn: Bonnie Gratop, LSW, OSW‐C 5200 Harroun Rd. Sylvania OH 43560 34‐4428794 501c3 34,850 ScreeningFlower Hospital Attn: Bonnie Gratop, LSW, OSW‐C 5200 Harroun Rd. Sylvania OH 43560 34‐4428794 501c3 50,150 TreatmentAllen County Health Department 219 E Market Street Lima OH 45801 34‐6400019 501c3 10,100 ScreeningPutnam County Health Department 256 Williamstown Rd. P.O. Box 330 Ottawa OH 45875‐0330 34‐6401116 501c3 10,100 Education, Screening, TreatmentSeneca County General Health District 71 S. Washington St. Suite 1102 Tiffin OH 44883 34‐6401331 501c3 6,000 EducationThe University of Toledo Grants Accounting MS‐455 2801 West Bancroft Toledo OH 43606 34‐6401483 501c3 10,100 Education, ScreeningWood County Health Department 1840 E. Gypsy Lane Road Bowling Green OH 43402 34‐6401607 501c3 10,100 Education, ScreeningWyandot County General Health District 127‐A South Sandusky Avenue Upper Sandusky OH 43351 34‐6401620 501c3 16,964 Education, Screening, TreatmentMercy Memorial Hospital Attn: Gail Gedelian 718 N. Macomb St. Monroe MI 48162 38‐1984289 501c3 19,454 Screening, TreatmentToledo‐Lucas County CareNet 3231 Central Park West, Suite 200 Toledo OH 43617 43‐1986672 501c3 6,626 EducationToledo‐Lucas County CareNet 3231 Central Park West, Suite 200 Toledo OH 43617 43‐1986672 501c3 53,008 ScreeningToledo‐Lucas County CareNet 3231 Central Park West, Suite 200 Toledo OH 43617 43‐1986672 501c3 6,626 TreatmentCenter for Appalachian Research in Cance 8385 State Route 821 Whipple OH 45788 45‐0678814 501c3 16,000 Education, ScreeningNIghtingale's Harvest 4727 Sylvania Avenue Toledo OH 43623 61‐1647237 501c3 8,000 EducationBowling Green State University Student Recreation Center 1411 Ridge Street Bowling Green OH 43403 34‐6402018 501c3 10,000 EducationFirelands Regional Medical Center 1111 Hayes Avenue Sandusky OH 44870 34‐1401660 501c3 25,000 Education, Screening, TreatmentLima Memorial Health System 1001 Bellfontaine Avenue Lima OH 45804 34‐1883284 501c3 68,000 Education, Screening

675,033OK100‐Central Oklahoma Chapter of the Komen Foundation, Inc.Community Health Centers, Inc P.O. Box 30589 Midwest City OK 73140‐3589 73‐0930123 501c3 11,846 EducationCommunity Health Centers, Inc P.O. Box 30589 Midwest City OK 73140‐3589 73‐0930123 501c3 106,618 ScreeningOklahoma City Indian Clinic 4913 W. Reno Ave. Oklahoma City OK 73127 73‐0955756 501c3 40,791 EducationOklahoma City Indian Clinic 4913 W. Reno Ave. Oklahoma City OK 73127 73‐0955756 501c3 61,187 ScreeningLatino Community Development Agency 420 SW 10th Oklahoma City OK 73109 73‐1424239 501c3 44,250 EducationOU Health Sciences Cntr‐OU Breast Instit 825 N.E. 10th Street OUPB 3500 Oklahoma City OK 73104 73‐1477155 501c3 47,455 EducationOU Health Sciences Cntr‐OU Breast Instit 825 N.E. 10th Street OUPB 3500 Oklahoma City OK 73104 73‐1477155 501c3 142,366 ScreeningMercy Health Center 4300 W. Memorial Rd, Tower Suite 301 Oklahoma City OK 73120 73‐1593024 501c3 124,786 ScreeningOU Womens Outreach Center 900 Asp Avenue Room 247 Norman OK 73069 73‐6017987 501c3 29,402 Education

608,701OK101‐Tulsa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Indian Health Care Resource Ctr of Tulsa 550 South Peoria Tulsa OK 74120‐3820 73‐1042545 501c3 26,990 EducationIndian Health Care Resource Ctr of Tulsa 550 South Peoria Tulsa OK 74120‐3820 73‐1042545 501c3 152,944 ScreeningMorton Comprehensive Health Services 1334 N. Lansing Avenue Tulsa OK 74106 73‐1177858 501c3 90,000 EducationMorton Comprehensive Health Services 1334 N. Lansing Avenue Tulsa OK 74106 73‐1177858 501c3 90,000 ScreeningTulsa Project Women Inc. P. O. Box 14026 Tulsa OK 74159 73‐1616817 501c3 45,000 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantTulsa Project Women Inc. P. O. Box 14026 Tulsa OK 74159 73‐1616817 501c3 135,000 Screening

539,934OR100‐The Oregon and Southwest Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, IncSaint Alphonsus Medical center ‐ Ontario 351 SW 9th St. Ontario OR 97914 27‐1789847 501c3 35,000 EducationAsher Community Health 712 Jay St. PO Box 307 Fossil OR 97830 38‐3692646 501c3 32,000 EducationAmerican Cancer Society 0330 SW Curry St. Portland OR 97239 84‐1316555 501c3 110,000 TreatmentSea‐Mar Community Health Centers 1040 S. Henderson St. Seattle WA 98108 91‐1020139 501c3 35,000 EducationState of Washington DOH ATTN: Summer Goff PO Box 47855 Olympia WA 98504‐7855 91‐1444603 501c3 65,000 ScreeningMid‐Columbia Health Foundation 1700 East 19th Street The Dalles OR 97058 93‐0854433 501c3 32,760 EducationFamilias en Accion 2710 NE 14th Avenue Portland OR 97212 93‐1284335 501c3 34,914 EducationOBCCP Department of Human Services 800 NE Oregon St., Ste 370 Portland OR 97232 93‐6001752 501c3 547,917 ScreeningCorvallis Clinic Foundation 444 NW Elks Drive Attn: Judy Corwin Corvallis OR 97330 93‐6021898 501c3 31,071 EducationEmanuel Medical Center Foundation PO Box 4484 Portland OR 97208‐4484 93‐6095667 501c3 35,000 EducationCatholic Charities 2740 SE Powell Blvd., #5 Attn: Director of Social Services Portland OR 97202 93‐0386801 501c3 44,000 TreatmentCatholic Charities El Programa Hispano 138 NE 3rd St. Suite 140 Gresham OR 97030 93-0386801 501c3 35,000 EducationCommunity Cancer Foundation 2880 NW Stewart Parkway, Suite 100 Roseburg OR 97471 93-0748388 501c3 95,000 EducationEcumenical Ministries of Oregon 4033 SE Woodstock Blvd. Portland OR 97202 93-0625359 501c3 35,000 EducationHarney District Hospital 557 W. Washington Burns OR 97720 93-6002332 501c3 25,615 EducationRinehart Clinic 230 Rowe St., P.O. Box 176 Wheeler OR 97147 93-1191793 501c3 35,000 EducationSacred Heart Medical 123 International Way Springfield OR 97447 94-3076293 501c3 35,000 EducationSamaritan Health Services INC 815 NW 9th St., Suite 136 Corvallis OR 97330 93-0951989 501c3 60,000 Education

1,323,277PA100‐Philadelphia Affiliate of the Susan G. Komen Breast Cancer Foundation, IncAbington Health ‐ Lansdale Hospital 100 Medical Campus Dr. 2nd Flr. Founder's Building Lansdale PA 19446 26‐3359979 501c3 22,500 EducationAbington Memorial Hosp Attn: Monica Simon 1200 Old York Road Abington PA 19001 23‐1352152 501c3 100,000 ScreeningAlbert Einstein Medical Center Development Ofc, Einstein Medical Ctr 5401 Old York Road Philadelphia PA 19141 23‐2290323 501c3 100,000 Education, Screening, TreatmentAllentown Health Bureau 245 North 6th Street Allentown PA 18102 23‐6003116 501c3 30,000 EducationArab‐American Development 1501 Germantown Avenue Philadelphia PA 19122 31‐1620684 501c3 7,210 EducationBayhealth Medical Center 640 South State Street Dover DE 19901‐3530 22‐2559843 501c3 67,485 Education, Screening, TreatmentBEBASHI, Inc. 1217 Spring Garden Street, 1st Floor Philadelphia PA 19123 23‐2484046 501c3 30,000 EducationBeebe Medical Center Tunnell Cancer Ctr Attn Judith Ramirez, EdD 424 Savannah Road Lewes DE 19958 51‐0067938 501c3 62,659 Education, Screening, TreatmentCambodian Assn of Greater Phila 5412 North 5th Street Philadelphia PA 19120 23‐2169935 501c3 30,000 EducationCancer Care Connection Delaware Technology Park 1 Innovation Way, Suite 400 Newark DE 19711 51‐0398061 501c3 29,708 Education

Cancer Support Community of the Greater 3400 Bath Pike Bethlehem PA 18017 73‐1653737 501c3 30,000 EducationChristiana Care Health Services 4701 Ogletown‐Stanton Road Newark DE 19713 51‐0103684 501c3 35,000 EducationChristiana Care Health Services 4701 Ogletown‐Stanton Road Newark DE 19713 51‐0103684 501c3 65,000 ScreeningConsortium, Inc. 3801 Market Street Philadelphia PA 19104 23‐1744721 501c3 27,726 EducationCooper Health System 3 Executive Campus, Route 70, Suite 310 Cherry Hill NJ 08002 21‐0634462 501c3 64,378 EducationCooper Health System 3 Executive Campus, Route 70, Suite 310 Cherry Hill NJ 08002 21‐0634462 501c3 60,000 ScreeningCooper Health System 3 Executive Campus, Route 70, Suite 310 Cherry Hill NJ 08002 21‐0634462 501c3 20,000 TreatmentCrozer‐Chester Foundation One Medical Center Blvd Upland PA 19013 23‐1637191 501c3 65,000 ScreeningCrozer‐Chester Foundation One Medical Center Blvd Upland PA 19013 23‐1637191 501c3 35,000 TreatmentDelaware County Regional Cancer Center Delaware County Regional Cancer Ctr 501 N. Lansdowne Avenue Drexel Hill PA 19026 22‐2980746 501c3 65,000 ScreeningDelaware County Regional Cancer Center Delaware County Regional Cancer Ctr 501 N. Lansdowne Avenue Drexel Hill PA 19026 22‐2980746 501c3 35,000 TreatmentDelaware Valley Community Health, Inc. 1412 Fairmount Avenue Philadelphia PA 19130 23‐2077750 501c3 30,000 EducationDrexel University College Of Medicine 3201 Arch Street Philadelphia PA 19104 23‐2979433 501c3 99,628 ScreeningGreater Phila Overseas Chinese Assn 1108 S. 5th Street, Suite 20 Philadelphia PA 19147‐5203 23‐2222723 501c3 26,975 EducationHealth Promo Council of SE PA 260 S. Broad Street 18th Floor Philadelphia PA 19102 23‐2182113 501c3 30,000 EducationJefferson Kimmel Cancer Center 925 Chestnut Street, Suite 320A Philadelphia PA 19107 23‐1352651 501c3 100,000 Screening, TreatmentLa Comunidad Hispana 731 West Cypress Street Kennett Square PA 19348 23‐2041915 501c3 30,000 EducationLa Esperanza, Inc. 216 N. Race Street Georgetown DE 19947 31‐1606956 501c3 20,344 EducationLancaster General Hospital Lancaster Gen Wellness Ctr. & Gen Health 2100 Harrisburg Pike, P.O. Box 3200 Lancaster PA 17602‐3200 23-1352651 501c3 25,000 EducationLancaster General Hospital Lancaster Gen Wellness Ctr. & Gen Health 2100 Harrisburg Pike, P.O. Box 3200 Lancaster PA 17602‐3200 23-1352651 501c3 50,000 ScreeningLancaster General Hospital Lancaster Gen Wellness Ctr. & Gen Health 2100 Harrisburg Pike, P.O. Box 3200 Lancaster PA 17602‐3200 23-1352651 501c3 25,000 TreatmentLiving Through Cancer 1445 City Avenue, Suite 6B Wynnewood PA 19096 23‐1365353 501c3 17,850 EducationMazzoni Center 21 S. 12th Street, 12th Floor Philadelphia PA 19107 23‐2176338 501c3 30,000 EducationMemorial Health 325 South Belmont Street York PA 17403 23‐1265004 501c3 13,188 EducationMetropolitan Area Neighborhood Nutrition 2323 Ranstead Street Philadelphia PA 19103 23‐2586142 501c3 30,000 EducationNational Nursing Centers Consortium 260 S. Broad Street Philadelphia PA 19102 23-2176338 501c3 30,000 EducationOur Lady of Lourdes Health Foundation 1600 Haddon Avenue Camden NJ 08103‐3101 22‐2351960 501c3 41,081 EducationPenn Asian Senior Services 420 Old York Road Jenkintown PA 19046 20‐2643138 501c3 29,970 EducationPhiladelphia Corporation for Aging 642 North Broad Street Philadelphia PA 19130‐3409 23‐1905649 501c3 22,435 EducationPhiladelphia Dept. of Public Health Ambulatory Health ‐Suite 360 500 South Broad Street Philadelphia PA 19146 23-1905649 501c3 100,000 ScreeningPhilip Jaisohn Foundation 6705 Old York Road Philadelphia PA 19126‐2841 23‐6003047 501c3 30,000 EducationPractice without Pressure 2470 Sunset Lake Road Newark DE 19702 04‐3627646 501c3 29,986 EducationPuerto Rican Unity For Progress 818 Broadway Camden NJ 08103 22‐2158431 501c3 30,000 EducationSoutheast Asian Mutual Assistance Assoc. 1711 S. Broad Street Philadelphia PA 19148 23‐2567468 501c3 30,000 EducationSt. Mary Medical Center Foundation Saint Mary Medical Center 1201 Langhorne‐Newtown Road Langhorne PA 19047 23‐2567468 501c3 29,880 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantThe Breathing Room Foundation 120 S. York Road ‐ Suite 7 Hatboro PA 19040 23‐2916337 501c3 30,000 TreatmentThe Wellness Community‐Delaware 18947 John J. Williams Hwy, #312 Rehoboth Beach DE 19971 51‐0351863 501c3 30,000 EducationUnemployment Information Center 112 North Braod Street, 11th Floor Philadelphia PA 19102 23‐2000486 501c3 25,159 EducationVirtua Health 2225 Evesham Rd., Suite 104 Voorhees NJ 08043 22‐3524939 501c3 49,302 EducationYoung Survival Coalition P.O. Box 386 Spring House PA 19477 13‐4057685 501c3 21,106 Education

2,038,569PA101‐Pittsburgh Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Satchels of Caring Foundations 100 Mayfair Drive Pittsburgh PA 15228‐1145 20‐1677474 501c3 10,020 TreatmentAdagio Health Inc 960 Penn Avenue, Suite 600 Pittsburgh PA 15222‐3812 23‐7104168 501c3 10,158 EducationAdagio Health Inc 960 Penn Avenue, Suite 600 Pittsburgh PA 15222‐3812 23‐7104168 501c3 899,610 ScreeningAdagio Health Inc 960 Penn Avenue, Suite 600 Pittsburgh PA 15222‐3812 23‐7104168 501c3 7,493 TreatmentINDIANA REGIONAL MEDICAL CENTER Financial Dept at Indiana Regional Ctr. 835 Hospital Road Indiana PA 15701 25‐0965404 501c3 18,898 Education, Screening, TreatmentMAGEE WOMENS HOSPITAL (HALKET ST) 300 Halket Street Pittsburgh PA 15213 25‐0965420 501c3 99,570 EducationMAGEE WOMENS HOSPITAL (HALKET ST) 300 Halket Street Pittsburgh PA 15213 25‐0965420 501c3 24,861 TreatmentUPMC McKeesport 1500 Fifth Ave. McKeesport PA 15132 25‐0965423 501c3 30,132 Education, ScreeningYWCA GREATER PITTSBURGH 305 Wood Street Pittsburgh PA 15222 25‐0965639 501c3 30,613 EducationUniversity of Pittsburgh Dept. of Physical Therapy‐Ofc. of Rsrch 123 University Place Pittsburgh PA 15213‐2303 25‐0966691 501c3 19,140 EducationUniversity of Pittsburgh Dept. of Physical Therapy‐Ofc. of Rsrch 123 University Place Pittsburgh PA 15213‐2303 25‐0966691 501c3 23,625 TreatmentALLEGHENY SINGER RESEARCH INSTITUTE 320 E NORTH AVE Pittsburgh PA 15212‐4756 25‐1320493 501c3 40,000 Education, Screening, TreatmentWest Penn ‐ Allegheny General Hospital 320 EAST NORTH AVE Pittsburgh PA 15212‐4756 25‐1322626 501c3 52,964 EducationWest Penn ‐ Allegheny General Hospital 320 EAST NORTH AVE Pittsburgh PA 15212‐4756 25‐1322626 501c3 28,390 ScreeningWest Penn ‐ Allegheny General Hospital 320 EAST NORTH AVE Pittsburgh PA 15212‐4756 25‐1322626 501c3 5,700 TreatmentCornerstone Care, Inc. 7 Glassworks Road Greensboro PA 15338 25‐1346194 501c3 38,131 Education, Screening, TreatmentMAGEE WOMENS HOSPITAL (WARD ST) 300 Halket Street Pittsburgh PA 15213 25‐1462312 501c3 25,000 EducationAllied Coordinated Transportation Serv 241 W. Grant St., PO Box 189 New Castle PA 16103‐0189 25‐1530677 501c3 43,728 TreatmentValley Medical Facilities, Inc. / Herita Heritage valley Health System 100 Dutch Ridge Road Beaver PA 15009‐9727 25‐1801532 501c3 25,391 EducationHair Peace Charities 102 Cleveland Avenue Pittsburgh PA 15202‐2302 56‐2524841 501c3 19,050 TreatmentTyrone Hospital 187 Hospital Drive Tyrone PA 16686 23‐1440116 501c3 7,500 Education

1,459,972PA102‐The Northeastern Pennsylvania Chapter of the Susan G. Komen Breast Cancer FoundationMaternal & Family Health Services 15 Public Square, Suite 600 Wilkes‐Barre PA 18701 23‐1856766 501c3 18,000 EducationMaternal & Family Health Services 15 Public Square, Suite 600 Wilkes‐Barre PA 18701 23‐1856766 501c3 101,250 ScreeningMaternal & Family Health Services 15 Public Square, Suite 600 Wilkes‐Barre PA 18701 23‐1856766 501c3 30,750 TreatmentNortheastern Pennsylvania Health Corp. 700 E Broad St. Hazleton PA 18201 23‐2421970 501c3 9,000 Education, Screening, TreatmentAllied Services Foundation 100 Abington Executive Park Clarks Summit PA 18411 23‐2523682 501c3 20,000 Education, TreatmentNortheast Regional Cancer Institute Attn: Laura Toole 334 Jefferson Avenue Scranton PA 18510 23‐2662214 501c3 9,000 Education, ScreeningCandy's Place 190 Welles Street, Suite 120 Forty Fort PA 18704 23‐2973385 501c3 9,000 Education, TreatmentCamp Bravehearts, Inc. 19 Cambridge Road Albany NY 12203 23‐3066704 501c3 9,000 Education, TreatmentJersey Shore Hospital 1020 Thompson Street Jersey Shore PA 17740‐1794 24‐0792115 501c3 8,425 Education, Screening, TreatmentEvangelical Community Hospital One Hospital Drive Lewisburg PA 17837 24‐0795411 501c3 13,088 Education, ScreeningPocono Medical Center 231 East Brown Street East Stroudsburg PA 18301 24‐0795623 501c3 17,750 Education, Screening, TreatmentPhysical Activity Intervention Surviving Box 200 Waverly PA 18471 27‐2135231 501c3 9,000 Education, Treatment

Cancer Support Community of the Greater 3400 Bath Pike Bethlehem PA 18017 73‐1653737 501c3 7,500 Education, Treatment261,763

SC100‐Lowcountry Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Barrier Islands Free Medical Clinic, Inc 3226 Maybank Hwy. , Suite 1‐A Johns Island SC 26455 20‐5628911 501c3 11,880 EducationBarrier Islands Free Medical Clinic, Inc 3226 Maybank Hwy. , Suite 1‐A Johns Island SC 26455 20‐5628911 501c3 22,063 ScreeningUnited Way of BCH PO Box 200 Walterboro SC 29488 23‐7158388 501c3 19,248 EducationUnited Way of BCH PO Box 200 Walterboro SC 29488 23‐7158388 501c3 10,827 ScreeningAlala Cancer Society 3400 Harden St. Ext. Columbia SC 29203 26‐1783126 501c3 38,000 TreatmentMcLeod Health P.O.Box 100551, 555 E. Cheves St Florence SC 29502‐0551 51‐0473500 501c3 59,184 Education, Screening, TreatmentBeaufort Jasper Hampton Comp Health PO Box 357, 721 Okatie, Hwy 170 Ridgeland SC 29936 57‐0523586 501c3 32,760 EducationBeaufort Jasper Hampton Comp Health PO Box 357, 721 Okatie, Hwy 170 Ridgeland SC 29936 57‐0523586 501c3 45,240 ScreeningRoper St. Francis Healthcare Teresa Pischner 316 Calhoun Street Charleston SC 29401 57‐0831165 501c3 44,460 EducationRoper St. Francis Healthcare Teresa Pischner 316 Calhoun Street Charleston SC 29401 57‐0831165 501c3 27,300 ScreeningRoper St. Francis Healthcare Teresa Pischner 316 Calhoun Street Charleston SC 29401 57‐0831165 501c3 6,240 TreatmentConway Hospital Foundation, Inc. 300 Singleton Ridge Road Conway SC 29526 57‐0870199 501c3 10,000 ScreeningVolunteers in Medicine Jean Accardi 20 Northridge Drive Hilton Head Island SC 29926 57‐0959206 501c3 75,829 Education, Screening, TreatmentMUSC Hollings Cancer Center 86 Jonathan Lucas St., MSC 955 PO Box 250955 Charleston SC 29425 57‐6000722 501c3 81,120 Education, Screening, TreatmentAllendale County Hospital PO Box 218 Fairfax SC 29827 57‐6001334 501c3 10,665 EducationAllendale County Hospital PO Box 218 Fairfax SC 29827 57‐6001334 501c3 48,585 ScreeningRegional Med Center of Orangeburg 3000 St. Matthews Road Orangeburg SC 29118‐1498 57‐6008010 501c3 8,262 EducationRegional Med Center of Orangeburg 3000 St. Matthews Road Orangeburg SC 29118‐1498 57‐6008010 501c3 40,210 ScreeningRegional Med Center of Orangeburg 3000 St. Matthews Road Orangeburg SC 29118‐1498 57‐6008010 501c3 6,610 TreatmentBest Chance Network 1800 St. Julian Place Columbia SC 29204 75‐2844655 501c3 80,000 Screening

678,484SC101‐Upstate South Carolina Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Bon Secours St. Francis Health 131 Commonwealth Dr Suite 220 Greenville SC 29615 26‐0012031 501c3 35,000 Education, Screening, Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantCancer Association of Anderson 215 East Calhoun Street Anderson SC 29621 54‐2098883 501c3 41,950 TreatmentCancer Society of Greenville County 113 Mills Avenue Greenville SC 29605 57‐0471686 501c3 8,183 EducationCancer Society of Greenville County 113 Mills Avenue Greenville SC 29605 57‐0471686 501c3 5,208 ScreeningCancer Society of Greenville County 113 Mills Avenue Greenville SC 29605 57‐0471686 501c3 61,302 TreatmentSpartanburg Regional Healthcare System 101 E. Wood Street Spartanburg SC 29303 57‐6000934 501c3 74,999 ScreeningGreenville Hospital System Cancer Center Cancer Center Attn: Lynette Bouldin Greenville SC 29605 57‐6007863 501c3 74,999 Education, Screening, Treatment

301,641SD100‐South Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.FAMC Breast Health Education & Screening c/o April Sorensen 1300 Oak St, PO Box 100 Faulkton SD 57438 36‐3317416 501c3 10,200 EducationFAMC Breast Health Education & Screening c/o April Sorensen 1300 Oak St, PO Box 100 Faulkton SD 57438 36‐3317416 501c3 10,200 ScreeningFAMC Breast Health Education & Screening c/o April Sorensen 1300 Oak St, PO Box 100 Faulkton SD 57438 36‐3317416 501c3 5,100 TreatmentCuster Health 210 2nd Avenue NW Mandan ND 58554 45‐6004343 501c3 7,945 ScreeningCuster Health 210 2nd Avenue NW Mandan ND 58554 45‐6004343 501c3 7,945 TreatmentAvera Breast Center 1000 E 23rd St. Sioux Falls SD 57105‐2108 46‐0224743 501c3 6,309 EducationAvera Breast Center 1000 E 23rd St. Sioux Falls SD 57105‐2108 46‐0224743 501c3 14,722 TreatmentJohn T Vucurevich Regional Cancer Care c/o Patty Kussman 353 Fairmont Blvd Rapid City SD 57701 46‐0319070 501c3 21,776 Education, TreatmentSanford Breast Health Institute 1309 W 17th Street, Suite G01 Sioux Falls SD 57104 46‐0447693 501c3 24,000 EducationAll Women Count 615 E 4th Str. Pierre SD 57501 46‐6000364 501c3 50,000 Screening

158,196TN100‐Chattanooga Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Northwest Georgia Healthcare Partnership P.O. Box 182 1105 Memorial Drive Dalton GA 30720‐8742 58‐2043430 501c3 45,147 Education, Screening, TreatmentNorth Georgia Healthcare Center 6120 Alabama Highway Ringgold GA 30736 58‐2573259 501c3 10,286 Education, Screening, TreatmentMemorial Health Care System Foundation 2525 DeSales Avenue Chattanooga TN 37404 62‐1839548 501c3 42,558 ScreeningTN Dept. of Health Breast/Cervical Scree 426 5th Ave. North, 6th Floor Cordell Hull Bldg. Nashville TN 37243 62‐6001445 501c3 40,000 Screening, Treatment

137,991TN101‐Upper Cumberland Affiliate of the Susan G. Komen Breast Cancer FoundationYMCA 1010 9th St Wichita Falls TX 76301 24‐0795516 501c3 6,750 ScreeningYMCA 1010 9th St Wichita Falls TX 76301 24‐0795516 501c3 15,750 TreatmentCumberland Medical Center 421 South Main Street Crossville TN 38555 62‐0790132 501c3 17,530 Education, Screening, TreatmentWarren County Educational Foundation P.O. Box 728 McMinnville TN 37111 62‐1655194 501c3 16,852 Education, Screening, TreatmentTennessee Department of Health 425 5th Ave. North, 4th Floor Cordell Hull Building Nashville TN 37243‐3400 62‐6001445 501c3 22,500 Screening, TreatmentCookeville Regional Medical Center 1 Medical Center Boulevard Cookeville TN 38501 20‐1550666 501c3 22,500 Education, Screening, Treatment

101,882TN102‐Tri‐Cities Affiliate of the Susan G. Komen Breast Cancer FoundationUniversity of Tennessee 9000 Executive Park Dr, Suite 240 Knoxville TN 37923 31‐1626179 501c3 11,587 ScreeningCumberland Plateau Health District PO Box 2347 Lebanon VA 24266 54‐6000175 501c3 29,200 Education, ScreeningLenowisco Health District 134 Roberts AvenueSW Wise VA 24293 54‐6001775 501c3 25,737 Education, ScreeningVirginia Department of Health Center 201 Francis Marion Lane Marion VA 24354 54-6001775 501c3 25,410 ScreeningWellmont Health System 103 West Stone Drive Suite 101 Kingsport TN 37660‐3220 58‐1594191 501c3 77,250 Education, ScreeningLaughlin Health Care Foundation 1420 Tusculum Blvd Greenville TN 37745 58‐2105492 501c3 27,750 Education, ScreeningTN Department of Health Breast & Cervical Screening Program 426 5th Ave. North, 4th Flr Cordell Nashville TN 37203 62‐6001445 501c3 7,750 EducationTN Department of Health Breast & Cervical Screening Program 426 5th Ave. North, 4th Flr Cordell Nashville TN 37203 62‐6001445 501c3 69,750 ScreeningAppalachian District Health Dept. 126 Poplar Grove Connector Boone NC 28607 26‐1346239 501c3 25,851 Education, ScreeningWellmont Holston Valley Medical Center 4485 W. Stone Dr. Suite 200 Kingsport TN 37660 58-1594191 501c3 44,715 Education, Screening, Treatment

345,000TN103‐Knoxville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Rural Medical Services, Inc. PO Box 577 Newport TN 37822 62‐1102683 501c3 39,217 EducationRural Medical Services, Inc. PO Box 577 Newport TN 37822 62‐1102683 501c3 39,217 ScreeningThompson Cancer Survival Center 1915 White Ave., Second Flr., COS Knoxville TN 37916 62‐1250943 501c3 40,618 EducationThompson Cancer Survival Center 1915 White Ave., Second Flr., COS Knoxville TN 37916 62‐1250943 501c3 75,000 ScreeningThompson Cancer Survival Center 1915 White Ave., Second Flr., COS Knoxville TN 37916 62‐1250943 501c3 47,682 TreatmentBlount Memorial Cancer Center 907 E. Lamar Alexander Pkwy Maryville TN 37804 62‐1412287 501c3 27,686 Education, Screening, TreatmentCathy L. Hodges Memorial Cancer Fdn 9724 Kingston Pike, Suite 1000 Knoxville TN 37922 62‐1620282 501c3 28,000 TreatmentDayspring Family Health Center P.O. Box 540, 107 S. Main St. Jellico TN 37762 62‐1781732 501c3 16,850 Education, ScreeningCelebrate Life Cancer Support Group 824 Tucker Place Way Dandridge TN 37725 62‐1854671 501c3 16,311 Education, TreatmentTN Breast and Cervical Screening 426 5th Ave. North Nashville TN 37243 62-6001445 501c3 100,000 ScreeningUT Cancer Institute 1934 Alcoa Hwy, Suite 478 Knoxville TN 37920 31-1626179 501c3 10,000 EducationUT Cancer Institute 1934 Alcoa Hwy, Suite 478 Knoxville TN 37920 31-1626179 501c3 90,000 Screening

530,581TN104‐Memphis‐Midsouth Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Methodist Healthcare Foundation P O Box 42048 Memphis TN 38174‐2048 23‐7320638 501c3 37,913 EducationMethodist Healthcare Foundation P O Box 42048 Memphis TN 38174‐2048 23‐7320638 501c3 40,303 ScreeningMethodist Healthcare Foundation P O Box 42048 Memphis TN 38174‐2048 23‐7320638 501c3 30,418 TreatmentUrban Health Education & Support Service 1471 Semmes St Memphis TN 38114 30‐0145801 501c3 15,000 EducationChurch Health Center 1216 Peabody Avenue Memphis TN 38104 58‐1716113 501c3 33,263 EducationChurch Health Center 1216 Peabody Avenue Memphis TN 38104 58‐1716113 501c3 31,557 ScreeningChurch Health Center 1216 Peabody Avenue Memphis TN 38104 58‐1716113 501c3 20,470 TreatmentThe Regional Medical Center at Memphis 877 Jefferson Avenue Memphis TN 38103 58‐1737037 501c3 18,439 Education



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantThe Regional Medical Center at Memphis 877 Jefferson Avenue Memphis TN 38103 58‐1737037 501c3 67,609 ScreeningThe Regional Medical Center at Memphis 877 Jefferson Avenue Memphis TN 38103 58‐1737037 501c3 16,390 TreatmentMemphis Cancer Foundation 7945 Wolf River Blvd., Suite 300 Germantown TN 38138 62‐1329519 501c3 14,775 Education, ScreeningWest Tennessee Area Health Education PO Box 572, 316 Midland Street Somerville TN 38068 62‐1332822 501c3 32,915 Education, ScreeningChrist Community Health Services 2595 Central Ave Memphis TN 38112 62‐1583270 501c3 71,000 ScreeningJulie B Baier Foundation 6005 Park Ave, Suite 700 Memphis TN 38119 62‐1753576 501c3 130,000 TreatmentBaptist Memorial Hospital For Women ATTN: Annis Smith 350 N. Humphreys Blvd Memphis TN 38120 62‐1854358 501c3 177,032 ScreeningTN Department of Health Attn: Mary Jane Dewey 425 5th Ave North, 4th Floor Nashville TN 37243 62‐6001445 501c3 32,950 ScreeningBaptist Memorial Hospital‐DeSoto 350 N. Humphreys Blvd. Memphis MS 38120 64‐0682111 501c3 29,967 Screening

800,001TN105‐The Greater Nashville Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.YMCA 1000 Church Street Nashville TN 37203 24‐0795516 501c3 46,744 EducationSaint Thomas Health Services 4220 Harding Road Nashville TN 37205 58‐1663055 501c3 34,850 EducationSaint Thomas Health Services 4220 Harding Road Nashville TN 37205 58‐1663055 501c3 33,825 ScreeningSaint Thomas Health Services 4220 Harding Road Nashville TN 37205 58‐1663055 501c3 33,825 TreatmentSaint Thomas Health Services African American Breast Health Outreach Attn: Retha Thomas Nashville TN 37209 58‐1663055 501c3 32,707 EducationSaint Thomas Health Services African American Breast Health Outreach Attn: Retha Thomas Nashville TN 37209 58‐1663055 501c3 41,628 ScreeningSiloam Family Health Center 820 Gale Lane Nashville TN 37204 58‐1867940 501c3 20,671 EducationSiloam Family Health Center 820 Gale Lane Nashville TN 37204 58‐1867940 501c3 20,671 ScreeningVanderbilt Center for Health Svsc VUMC, Station 17, Res 7 Nashville TN 37232 62‐0476822 501c3 60,000 EducationFriends in General, Inc. 1818 Albion Street Nashville TN 37208‐2918 62‐1383977 501c3 25,500 EducationFriends in General, Inc. 1818 Albion Street Nashville TN 37208‐2918 62‐1383977 501c3 24,750 ScreeningFriends in General, Inc. 1818 Albion Street Nashville TN 37208‐2918 62‐1383977 501c3 24,750 TreatmentTennessee Department of Health 426 5th Ave. No., 4th Flr. Cordell Hull Bldg. Nashville TN 37243 62‐6001445 501c3 25,500 EducationTennessee Department of Health 426 5th Ave. No., 4th Flr. Cordell Hull Bldg. Nashville TN 37243 62‐6001445 501c3 24,750 ScreeningTennessee Department of Health 426 5th Ave. No., 4th Flr. Cordell Hull Bldg. Nashville TN 37243 62‐6001445 501c3 26,750 Education, TreatmentAmerican Cancer Society Attn: Jocelyn Phillips 2000 Charlotte Avenue Nashville TN 37203 74‐1185665 501c3 17,500 EducationAmerican Cancer Society Attn: Jocelyn Phillips 2000 Charlotte Avenue Nashville TN 37203 74‐1185665 501c3 17,500 Treatment

511,921TX100‐Greater Amarillo Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Amarillo Area Breast Health Coalition Attn: Leticia Goodrich PO Box 1400 Amarillo TX 79105 32‐0170235 501c3 15,000 EducationMoore County Hospital District 224 E. 2nd St. Dumas TX 79029 75‐1302152 501c3 7,800 EducationMoore County Hospital District 224 E. 2nd St. Dumas TX 79029 75‐1302152 501c3 52,200 ScreeningHarrington Cancer Center 1600 Wallace Blvd. Amarillo TX 79106 75‐1578415 501c3 81,000 ScreeningHarrington Cancer Center 1600 Wallace Blvd. Amarillo TX 79106 75‐1578415 501c3 19,000 Treatment

175,000TX101 Austin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Planned Parenthood Attn: Ken Lambrecht 201 East Ben White Blvd, Bldg B Austin TX 78704 74‐1005756 501c3 11,124 EducationPlanned Parenthood Attn: Ken Lambrecht 201 East Ben White Blvd, Bldg B Austin TX 78704 74‐1005756 501c3 33,373 ScreeningCommunity Action Partnership Attn Lydia Perez PO Box 748 San Marcos TX 78667 74‐1541726 501c3 26,609 EducationCommunity Action Partnership Attn Lydia Perez PO Box 748 San Marcos TX 78667 74‐1541726 501c3 41,743 ScreeningCommunity Action Partnership Attn Lydia Perez PO Box 748 San Marcos TX 78667 74‐1541726 501c3 177,779 TreatmentNational Center of Farmworker Health Inc 1770 FM 967 Buda TX 78610 74‐1826899 501c3 49,926 EducationHelping The Aging, Needy and Dis 1640 E. 2nd St. #B Ste 200 Austin TX 78702 74‐1888198 501c3 28,900 TreatmentSamaritan Hlth Ministries Attn:Erika Pratt PO Box 133 Cedar Park TX 78630‐0133 74‐2570190 501c3 6,402 EducationSamaritan Hlth Ministries Attn:Erika Pratt PO Box 133 Cedar Park TX 78630‐0133 74‐2570190 501c3 25,607 ScreeningBreast Cancer Resource Center of Austin PO Box 300040 Austin TX 78703 74‐2743333 501c3 11,416 EducationBreast Cancer Resource Center of Austin PO Box 300040 Austin TX 78703 74‐2743333 501c3 34,249 TreatmentWings Attn: Terri Jones 7500 Highway 90 West #2‐240 San Antonio TX 78227 74‐2920912 501c3 231,840 TreatmentThe University of Texas at Austin 1700 Red River Austin TX 78701 74‐6000203 501c3 6,928 ScreeningThe University of Texas at Austin 1700 Red River Austin TX 78701 74‐6000203 501c3 42,555 TreatmentUniversity of Texas Family Wellness Cent 1710 Red River Austin TX 78701 74‐6000203 501c3 19,532 EducationUniversity of Texas Family Wellness Cent 1710 Red River Austin TX 78701 74‐6000203 501c3 93,978 ScreeningCommunicare Health Centers 3066 E. Commerce San Antonio TX 78220 94‐2188574 501c3 29,876 EducationCommunicare Health Centers 3066 E. Commerce San Antonio TX 78220 94‐2188574 501c3 41,258 ScreeningAlliance for African American Health in Central Texas P.O. Box 300117 Austin TX 78703 20‐3820579 501c3 51,122 Education, Screening, Treatment

964,217TX102‐Dallas County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Planned Parenthood of Greater Texas 7424 Greenville Avenue, Suite 206 Dallas TX 75231 52‐1243221 501c3 91,676 ScreeningAmerican Cancer Society 2304 Midwestern Parkway Wichita Falls TX 76308 74‐1185665 501c3 85,125 TreatmentUT Southwestern Medical Center' 5323 Harry Hines Boulevard, MC8585 Dallas TX 75390‐9105 74‐6000203 501c3 8,750 EducationUT Southwestern Medical Center' 5323 Harry Hines Boulevard, MC8585 Dallas TX 75390‐9105 74‐6000203 501c3 166,250 ScreeningUT Southwestern Medical Center" 5323 Harry Hines Blvd. Dallas TX 75390‐9105 74‐6000203 501c3 50,000 ScreeningYWCA of Metropolitan Dallas 4144 N. Central Expressway, Suite 580 Dallas TX 75204 75‐0800699 501c3 35,097 EducationYWCA of Metropolitan Dallas 4144 N. Central Expressway, Suite 580 Dallas TX 75204 75‐0800699 501c3 315,873 ScreeningMethodist Health System Foundation 1441 N. Beckley Avenue Dallas TX 75203 75‐1548343 501c3 98,060 EducationMethodist Health System Foundation 1441 N. Beckley Avenue Dallas TX 75203 75‐1548343 501c3 228,808 ScreeningIrving Healthcare Foundation 1901 N. MacArthur Blvd. Irving TX 75061 75‐1570933 501c3 110,000 Education, Screening, Treatment



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantMethodist Richardson Medical Center/CFWH 403 West Campbell, Suite 205 Richardson TX 75080 75‐1788520 501c3 37,296 EducationMethodist Richardson Medical Center/CFWH 403 West Campbell, Suite 205 Richardson TX 75080 75‐1788520 501c3 87,024 ScreeningTexas Health Presbyterian Foundation 8200 Walnut Hill Lane Dallas TX 75231 75‐2022128 501c3 30,000 ScreeningParkland Foundation 2777 N. Stemmons Freeway, Ste 1700 Dallas TX 75390 75‐2089180 501c3 45,000 EducationParkland Foundation 2777 N. Stemmons Freeway, Ste 1700 Dallas TX 75390 75‐2089180 501c3 105,000 ScreeningBridge Breast Network 3600 Gaston Avenue, Suite 401 Dallas TX 75246 75‐2436606 501c3 79,759 ScreeningBridge Breast Network 3600 Gaston Avenue, Suite 401 Dallas TX 75246 75‐2436606 501c3 319,035 TreatmentMuslim Community Center for Human Servic 7600 Glenview Drive Richland Hills TX 76118 75‐2580038 501c3 20,000 Education

1,912,753TX103‐El Paso Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Lulac Project Amistad 1359 Lomaland, Ste. 400 El Paso TX 79935 74‐1861796 501c3 35,000 TreatmentUMC Foundation 1400 Hardaway, Suite 220 El Paso TX 79903 74‐2540513 501c3 30,000 TreatmentCancer and Chronic Disease Consortium 110 Mesa Park El Paso TX 79912 74‐2686131 501c3 36,646 EducationCancer and Chronic Disease Consortium 110 Mesa Park El Paso TX 79912 74‐2686131 501c3 41,926 ScreeningCancer and Chronic Disease Consortium 110 Mesa Park El Paso TX 79912 74‐2686131 501c3 41,926 TreatmentTexas Tech Univ Breast Care Center 3601 4th Street Lubbock TX 79430‐6274 75‐6043842 501c3 15,552 EducationTTUHSC Department of Family Comm. Med. 3601 4th St.,MS 6274 Lubbock TX 79430‐6274 75‐6043842 501c3 32,002 EducationTTUHSC Department of Family Comm. Med. 3601 4th St.,MS 6274 Lubbock TX 79430‐6274 75‐6043842 501c3 59,173 Screening

292,225TX104‐Tarrant County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Catholic Charities,Diocese of Fort Worth P.O. Box 15610 Fort Worth TX 76119 75‐0808769 501c3 27,500 EducationCancer Care Services 623 S. Henderson Fort Worth TX 76014 75‐1025511 501c3 60,500 TreatmentAll Saints Health Foundation 1400 8th Avenue Fort Worth TX 76104 75‐1947007 501c3 10,000 Education, TreatmentBridge Breast Network 3600 Gaston Avenue, Suite 401 Dallas TX 75246 75‐2436606 501c3 145,500 Education, Screening, TreatmentMuslim Community Center for Human Servic 7600 Glenview Drive North Richland Hills TX 76118 75‐2580038 501c3 15,000 EducationJPS HEALTH NETWORK 1350 S Main Street Suite‐4000 Fort Worth TX 76104 75‐2717782 501c3 12,000 EducationJPS HEALTH NETWORK 2500 Circle Drive Fort Worth TX 76119 75‐2717782 501c3 22,500 EducationCancer Assistance Fund of North Texas 800 W. Magnolia Avenue Fort Worth TX 76104 75‐2871087 501c3 65,000 TreatmentTARRANT COUNTY PUBLIC HEALTH DEPT 100 E. Weatherford Fort Worth TX 76196 75‐6001170 501c3 101,163 ScreeningMoncrief Cancer Institue / UTSW 1701 River Run, Suite 500 Ft. Worth TX 76107‐6548 75‐6002868 501c3 245,000 Screeninghuguley Memorial Medical Center P.O. Box 6337 Fort Worth TX 76115 23‐7219332 501c3 10,000 ScreeningTexas Health Harris Methodist Foundation 6100 Western Place, Suite 1001 Fort Worth TX 76107 75‐6000439 501c3 15,000 TreatmentTexas Health Harris Methodist Foundation 612 E. Lamar, Suite 300 Arlington TX 76011 75‐6000439 501c3 174,138 Screening

903,300TX105‐Houston Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. Bayside Healthcare Foundation PO BOX 398 Anahuac TX 77514 20‐5853573 501c3 43,341 EducationBayside Healthcare Foundation PO BOX 398 Anahuac TX 77514 20‐5853573 501c3 14,447 ScreeningReconstruction of a Survivor 3440 South MacGregor Houston TX 77021 26‐0455144 501c3 10,000 EducationReconstruction of a Survivor 3440 South MacGregor Houston TX 77021 26‐0455144 501c3 10,000 TreatmentLone Star Community Health Center, Inc. 605 S. Conroe Medical Dr. Conroe TX 77304 30‐0038860 501c3 11,419 EducationLone Star Community Health Center, Inc. 605 S. Conroe Medical Dr. Conroe TX 77304 30‐0038860 501c3 76,421 ScreeningAsian American Health Coalition 7001 Corporate, Suite 120 Houston TX 77036 31‐1756818 501c3 22,617 EducationAsian American Health Coalition 7001 Corporate, Suite 120 Houston TX 77036 31‐1756818 501c3 150,779 ScreeningAsian American Health Coalition 7001 Corporate, Suite 120 Houston TX 77036 31‐1756818 501c3 15,078 TreatmentMethodist Hospital Foundation 1707 Sunset Blvd. Houston TX 77005 47‐0639839 501c3 9,975 EducationMethodist Hospital Foundation 1707 Sunset Blvd. Houston TX 77005 47‐0639839 501c3 69,300 ScreeningMethodist Hospital Foundation 1707 Sunset Blvd. Houston TX 77005 47‐0639839 501c3 25,725 TreatmentBoat People, SOS 11360 Bellaire Blvd. Suite 910 Houston TX 77072 54‐1563619 501c3 40,050 EducationBoat People, SOS 11360 Bellaire Blvd. Suite 910 Houston TX 77072 54‐1563619 501c3 32,400 ScreeningBoat People, SOS 11360 Bellaire Blvd. Suite 910 Houston TX 77072 54‐1563619 501c3 17,550 TreatmentHealth Center of Southeast Texas 307 N. William Barnett Ave Cleveland TX 77327‐4061 56‐2508501 501c3 10,008 EducationHealth Center of Southeast Texas 307 N. William Barnett Ave Cleveland TX 77327‐4061 56‐2508501 501c3 61,992 ScreeningMH Northeast Hospital Foundation 18951 Memorial North Humble TX 77388 74‐1152597 501c3 32,000 EducationMH Northeast Hospital Foundation 18951 Memorial North Humble TX 77388 74‐1152597 501c3 131,999 ScreeningMH Northeast Hospital Foundation 18951 Memorial North Humble TX 77388 74‐1152597 501c3 36,000 TreatmentAmerican Cancer Society 6301 Richmond Avenue Houston TX 77057 74‐1185665 501c3 224,965 TreatmentBaylor College Medicine. One Baylor Plaza, BCM 600 Houston TX 77030 74‐1613878 501c3 16,205 EducationBaylor College Medicine. One Baylor Plaza, BCM 600 Houston TX 77030 74‐1613878 501c3 24,000 ScreeningBaylor College Medicine. One Baylor Plaza, BCM 600 Houston TX 77030 74‐1613878 501c3 44,000 TreatmentGood Neighbor Healthcare Center 190 Heights Blvd. Houston TX 77007 74‐1746576 501c3 88,148 EducationGood Neighbor Healthcare Center 190 Heights Blvd. Houston TX 77007 74‐1746576 501c3 88,148 ScreeningUniversity of Texas Medical Branch 301 University Boulevard Galveston TX 77555‐0587 74‐6000949 501c3 450,000 Education, Screening, TreatmentUTMD Anderson Cancer Ctr. MD Anderson Cancer Center 1515 Holcombe Boulevard, Unit 1354 Houston TX 77030‐4009 74‐6001118 501c3 49,818 EducationUTMD Anderson Cancer Ctr. MD Anderson Cancer Center 1515 Holcombe Boulevard, Unit 1354 Houston TX 77030‐4009 74‐6001118 501c3 50,151 TreatmentThe Rose, Inc. 12700 N. Featherwood, Suite 260 Houston TX 77034 76‐0193812 501c3 7,791 EducationThe Rose, Inc. 12700 N. Featherwood, Suite 260 Houston TX 77034 76‐0193812 501c3 427,941 ScreeningThe Rose, Inc. 12700 N. Featherwood, Suite 260 Houston TX 77034 76‐0193812 501c3 22,050 TreatmentOak Bend Medical Center 1705 Jackson Street Richmond TX 77469 76‐0339462 501c3 111,780 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantHarris County Hospital District 2525 HOLLY HALL SUITE 292 Houston TX 77054 76‐0408224 501c3 160,000 ScreeningD'Feet Breast Cancer 27 Colony Park Circle Galveston TX 77551 76‐0521474 501c3 275,578 ScreeningShalom Mobile Health Ministry 8121 Broadway, Suite 103 Houston TX 77061 76‐0570086 501c3 40,600 EducationShalom Mobile Health Ministry 8121 Broadway, Suite 103 Houston TX 77061 76‐0570086 501c3 99,400 ScreeningLight & Salt Association 9800 Town Park Drive, Suite 258B Houston TX 77036 76‐0604950 501c3 19,370 EducationLight & Salt Association 9800 Town Park Drive, Suite 258B Houston TX 77036 76‐0604950 501c3 6,630 Treatment

3,027,677TX106‐Lubbock Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.American Cancer Society 3513 10th Street Lubbock TX 79415 74‐1185665 501c3 13,110 Education, TreatmentTexas AgriLife Extension Service 1 6500 Amarillo Blvd. West Amarillo TX 79106 74‐2648747 501c3 12,910 EducationYWCA of Lubbock 3101 35th St. Lubbock TX 79424 75‐0939427 501c3 129,205 ScreeningTexas Tech Univ. Health Sciences Ctr. 3601 4th Street, STOP 6271 Lubbock TX 79430 75‐2668014 501c3 10,000 TreatmentCovenant Health System 3623 22nd Place Lubbock TX 79410 75‐2765566 501c3 44,907 ScreeningJoe Arrington Cancer Attn: Charley Wasson 4101 22nd Place Lubbock TX 79410 75‐2765566 501c3 19,918 TreatmentUniversity Medical Center Univ. Medical Ctr. & S.W. Cancer Treatmnt PO Box 5980 Lubbock TX 79408 86‐0572438 501c3 35,806 Education, Screening, Treatment

265,856TX107‐North Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.YWCA of Metropolitan Dallas 4144 N. Central Expressway, Suite 580 Dallas TX 75204 75‐0800699 501c3 49,445 Education, ScreeningBridge Breast Network 3600 Gaston Avenue, Suite 401 Dallas TX 75246 75‐2436606 501c3 16,442 EducationBridge Breast Network 3600 Gaston Avenue, Suite 401 Dallas TX 75246 75‐2436606 501c3 101,938 ScreeningBridge Breast Network 3600 Gaston Avenue, Suite 401 Dallas TX 75246 75‐2436606 501c3 210,452 TreatmentGrayson County Health Department 205 N. Houston Ave Denison TX 75021 75‐6000969 501c3 44,951 EducationGrayson County Health Department 205 N. Houston Ave Denison TX 75021 75‐6000969 501c3 134,853 ScreeningMoncrief Cancer Institue / UTSW 1701 River Run, Suite 500 Ft. Worth TX 76107‐6548 75‐6002868 501c3 191,919 Screening

750,000TX108‐The San Antonio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.ThriveWell Cancer Foundation P. O. Box 29331 San Antonio TX 78229 26‐0371270 501c3 28,170 EducationThriveWell Cancer Foundation P. O. Box 29331 San Antonio TX 78229 26‐0371270 501c3 28,170 TreatmentSlew, inc 12521 Nacogdoches Road Suite 101 San Antonio TX 78217 42‐1580967 501c3 7,794 EducationSlew, inc 12521 Nacogdoches Road Suite 101 San Antonio TX 78217 42‐1580967 501c3 80,146 TreatmentAmerican Cancer Society 197 Summer Street Buffalo NY 14222 74‐1185665 501c3 37,170 TreatmentCentroMed 3750 Commercial Avenue San Antonio TX 78221 74‐1787031 501c3 21,051 EducationCentroMed 3750 Commercial Avenue San Antonio TX 78221 74‐1787031 501c3 189,459 ScreeningUniversity Health System Attn: Anna McAndrew 903 W Martin, MS 28‐2 San Antonio TX 78207 74‐2335396 501c3 209,430 ScreeningWings Attn: Terri Jones 7500 Highway 90 West #2‐240 San Antonio TX 78227 74‐2920912 501c3 112,860 TreatmentMartinez Street Womens Center 1510 S Hackberry St San Antonio TX 78210 74‐2934053 501c3 52,380 Education, ScreeningCommunicare Health Centers 3066 East Commerce San Antonio TX 78220 94‐2188574 501c3 17,204 EducationCommunicare Health Centers 3066 East Commerce San Antonio TX 78220 94‐2188574 501c3 58,782 ScreeningCommunicare Health Centers 3066 East Commerce San Antonio TX 78220 94‐2188574 501c3 67,384 Treatment

910,000TX109‐Texarkana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Little River Memorial 451 W. Locke Street Ashdown AR 71822‐3325 71‐6046530 501c3 9,560 EducationLittle River Memorial 451 W. Locke Street Ashdown AR 71822‐3325 71‐6046530 501c3 17,755 ScreeningUniversity of Arkansas University of Arkansas Fdn dba UAMS 300 East 6th Street Texarkana AR 71854 71‐6056774 501c3 48,017 EducationUniversity of Arkansas University of Arkansas Fdn dba UAMS 300 East 6th Street Texarkana AR 71854 71‐6056774 501c3 72,025 ScreeningHospice of Texarkana Attn: Edward Eichler 803 Spruce St. Texarkana TX 75501 75‐2025071 501c3 8,000 TreatmentAtlanta Memorial Hospital Attn: Pam Glover P. O. Box 1049,1007 S William St Atlanta TX 75551 75‐2705456 501c3 19,608 Education, ScreeningChristus St. Michael Health System 2600 St. Michael Drive Texarkana TX 75503 75‐2796815 501c3 10,785 EducationChristus St. Michael Health System 2600 St. Michael Drive Texarkana TX 75503 75‐2796815 501c3 168,966 Screening

354,716TX110‐Tyler Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.American Cancer Society 1301 S. Broadway Ave. Tyler TX 75701 74‐1185665 501c3 25,000 TreatmentTrinity Mother Frances Health System Foundation 611 S. Fleishel Tyler TX 75701 75‐2028241 501c3 10,404 Education, TreatmentNortheast Texas Public Health District 315 N. Broadway, Suite 404 Tyler TX 75702 75‐2254544 501c3 228,596 ScreeningETMC Cancer Institute PO Box 6400 Tyler TX 75711 75‐2695524 501c3 7,750 Education

271,750TX111‐Central Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Providence Breast Health Center 6600 Fish Pond Road, Suite 104 Waco TX 76710 74‐1109636 501c3 22,500 ScreeningPlanned Parenthood of Central Texas P.O. Box 1459 Waco TX 76703‐1459 74‐1143143 501c3 24,349 ScreeningScott & White Ctr for Cancer Prevention Attn: Robyn R. Young, MD 2401 South 31st Street Temple TX 76508 74‐1166904 501c3 32,000 Education, Screening, TreatmentCommunity Cancer Association P.O. Box 5002 Waco TX 76708 74‐6061914 501c3 35,000 Treatment

113,849TX112‐Wichita Falls Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.N Central TX Community Healthcare Center Attn: Kristi McCasland P.O. Box 720, 200 Martin Luther King Wichita Falls TX 76307‐0720 75‐2429644 501c3 9,095 EducationN Central TX Community Healthcare Center Attn: Kristi McCasland P.O. Box 720, 200 Martin Luther King Wichita Falls TX 76307‐0720 75‐2429644 501c3 54,568 ScreeningN Central TX Community Healthcare Center Attn: Kristi McCasland P.O. Box 720, 200 Martin Luther King Wichita Falls TX 76307‐0720 75‐2429644 501c3 27,284 Treatment

90,947UT100‐Salt Lake City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantComunidades Unidas 1750 Research Way, Suite 102 West Valley City UT 84119 13‐4257724 501c3 40,950 EducationComunidades Unidas 1750 Research Way, Suite 102 West Valley City UT 84119 13‐4257724 501c3 40,950 ScreeningJewish Family Service 1111 E. Brickyard Road, Suite 109 Salt Lake City UT 84106 22‐2119902 501c3 32,779 EducationJewish Family Service 1111 E. Brickyard Road, Suite 109 Salt Lake City UT 84106 22‐2119902 501c3 32,779 TreatmentUtah Partners for Health 3665 S 8400 W, Suite 110 Magna UT 84074 27‐0021804 501c3 7,209 EducationUtah Partners for Health 3665 S 8400 W, Suite 110 Magna UT 84074 27‐0021804 501c3 28,835 ScreeningNeeds Beyond Medicine P.O. Box 521618 Salt Lake City UT 84152 27‐0436521 501c3 16,425 EducationNeeds Beyond Medicine P.O. Box 521618 Salt Lake City UT 84152 27‐0436521 501c3 49,275 TreatmentCommunity Nursing Services 383 W Vine Street, Suite 300 Murray UT 84123 87‐0212459 501c3 45,000 TreatmentActive Re‐Entry 10 S Fairgrounds Road Price UT 84501 87‐0446885 501c3 12,000 TreatmentUtah Pride Center 355 N. 300 W., 1st Floor Salt Lake City UT 84103 87‐0504077 501c3 20,672 EducationHuntsman Cancer Institute 2000 Circle of Hope, Room 1142 Salt Lake City UT 84112 87‐0541293 501c3 22,961 Education, Screening, TreatmentCancer Wellness House 59 South 1100 East Salt Lake City UT 84102 87‐0568405 501c3 11,272 EducationCancer Wellness House 59 South 1100 East Salt Lake City UT 84102 87‐0568405 501c3 45,088 TreatmentPeople's Health Clinic P.O. Box 681558 Park City UT 84068 87‐0638042 501c3 27,925 Education, Screening, TreatmentUtah Cancer Control Program PO Box 142107 288 N. 1460 W. Salt Lake City UT 84114‐2107 87‐6000545 501c3 25,000 EducationUtah Cancer Control Program PO Box 142107 288 N. 1460 W. Salt Lake City UT 84114‐2107 87‐6000545 501c3 6,111 ScreeningUtah Cancer Control Program PO Box 142107 288 N. 1460 W. Salt Lake City UT 84114‐2107 87‐6000545 501c3 55,001 TreatmentIntermountain Healthcare Intermountain Healthcare SW Region 1380 East Medical Center Drive St. George UT 84790‐2123 94‐2854057 501c3 101,520 ScreeningIntermountain Healthcare Intermountain Healthcare SW Region 1380 East Medical Center Drive St. George UT 84790‐2123 94‐2854057 501c3 11,280 Treatment

633,032VA100‐Greater Richmond, Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Ellen Shaw de Paredes 4480 Cox Road, Suite 100 Glen Allen VA 23060 20‐2671818 501c3 54,770 ScreeningHeart of Virginia Free Clinic 201 North Main Street P.O. Box 142 Farmville VA 23901‐1300 27‐2785970 501c3 14,100 Education, ScreeningCommunity Memorial Healthcenter P.O. Box 607 South Hill VA 23970‐0607 54‐0551711 501c3 22,500 EducationCommunity Memorial Healthcenter P.O. Box 607 South Hill VA 23970‐0607 54‐0551711 501c3 27,500 ScreeningCentra‐Southside Community Hospital 800 Oak Street Farmville VA 23901 54‐0555201 501c3 24,991 ScreeningCentral Virginia Health Services P.O. Box 220 New Canton VA 23123 54‐0887287 501c3 50,000 ScreeningFan Free Clinic, Inc. 1010 N. Thompson St., P.O. Box 6477 Richmond VA 23230 54‐0927792 501c3 22,584 EducationFan Free Clinic, Inc. 1010 N. Thompson St., P.O. Box 6477 Richmond VA 23230 54‐0927792 501c3 22,584 ScreeningBon Secours Richmond Health Care 14051 St. Francis Boulevard, Suite 1100 Midlothian VA 23114 54‐1201346 501c3 50,000 Education, ScreeningCrossOver Ministry 8600 Quioccasin Road, Suite 102 Richmond VA 23229‐5514 54‐1371067 501c3 50,000 Education, Screening, TreatmentAugusta Regional Free Clinic 342 Mule Academy Road P.O. Box 153 Fishersville VA 22939 54‐1651896 501c3 12,306 EducationAugusta Regional Free Clinic 342 Mule Academy Road P.O. Box 153 Fishersville VA 22939 54‐1651896 501c3 24,612 ScreeningAugusta Regional Free Clinic 342 Mule Academy Road P.O. Box 153 Fishersville VA 22939 54‐1651896 501c3 12,306 TreatmentNueva Vida, Inc. 2000 P Street NW, Suite 300 Washington DC 20036 54‐1943145 501c3 6,250 EducationNueva Vida, Inc. 2000 P Street NW, Suite 300 Washington DC 20036 54‐1943145 501c3 6,250 ScreeningNueva Vida, Inc. 2000 P Street NW, Suite 300 Washington DC 20036 54‐1943145 501c3 12,500 TreatmentNueva Vida, Inc. 5225 Wisconsin Avenue N.W.,Suite 503 Washington DC 20015 54‐1943145 501c3 7,500 EducationNueva Vida, Inc. 5225 Wisconsin Avenue N.W.,Suite 503 Washington DC 20015 54‐1943145 501c3 17,500 ScreeningFamily YMCA of Emporia/Greensville 212 Weaver Avenue Emporia VA 23947 54‐2005981 501c3 10,198 Education, Screening, TreatmentVirginia Commonwealth University. P.O. Box 980037 401 College Street Richmond VA 23298‐5017 54‐6001758 501c3 31,858 EducationCharlottesville/Albemarle Health Departm 1138 Rose Hill Drive Charlottesville VA 22903 54-6001775 501c3 6,413 Education, Screening, TreatmentVirginia State Univ. Student Health Ctr. 1 Hayden Drive, P.O. Box 9082 Petersburg VA 23806 54-6001811 501c3 23,750 EducationVirginia State Univ. Student Health Ctr. 1 Hayden Drive, P.O. Box 9082 Petersburg VA 23806 54-6001811 501c3 26,250 Screening

536,722VA101‐Greater Roanoke Valley Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Ladies First‐MHC Coalition for Health Martinsville/Henry County Coalition for health and wellness Martinsville VA 24111 20-2448149 501c3 9,309 EducationLadies First‐MHC Coalition for Health Martinsville/Henry County Coalition for health and wellness Martinsville VA 24111 20-2448149 501c3 21,722 ScreeningCarilion Clinic Breast Care Center 933 S. Jefferson Street Roanoke VA 24016 54-0506332 501c3 39,895 ScreeningCentra‐Alan B. Pearson Region Cancer Ctr 1701 Thomson Drive Lynchburg VA 24501-1118 54-0715569 501c3 6,846 EducationCentra‐Alan B. Pearson Region Cancer Ctr 1701 Thomson Drive Lynchburg VA 24501-1118 54-0715569 501c3 50,204 TreatmentRockbridge Area Free Clinic P.O. Box 1573 25 Northridge Lane Lexington VA 24450 54-1642220 501c3 12,747 Education, Screening, TreatmentPittsylvania ‐ Danville Health District 200 H. G. McGhee Drive Chatham VA 24531 54-6001775 501c3 48,819 Education, Screening, TreatmentVirginia Department of Health Center 201 Francis Marion Lane Marion VA 24354 54-6001775 501c3 7,950 EducationVirginia Department of Health Center 201 Francis Marion Lane Marion VA 24354 54-6001775 501c3 51,675 ScreeningVirginia Department of Health Center 201 Francis Marion Lane Marion VA 24354 54-6001775 501c3 19,875 TreatmentPlanned Parenthood Health Systems, Inc 2207 Peters Creek Road Roanoke VA 24017 56-1282557 501c3 10,434 EducationPlanned Parenthood Health Systems, Inc 2207 Peters Creek Road Roanoke VA 24017 56-1282557 501c3 10,434 Screening

289,910VA102‐Tidewater Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Western Tidewater Free Clinic 2019 Meade Pkwy Suffolk VA 23434 26-3302837 501c3 32,646 EducationWestern Tidewater Free Clinic 2019 Meade Pkwy Suffolk VA 23434 26-3302837 501c3 69,093 ScreeningRiverside Health System 12100 Warwick Blvd., Suite 101 Newport News VA 23601 52-1245746 501c3 6,010 EducationRiverside Health System 12100 Warwick Blvd., Suite 101 Newport News VA 23601 52-1245746 501c3 79,850 ScreeningPeninsula Institute for Community Health Attn: Valda Branch 1033-28th Street Newport News VA 23607-4233 54-1083954 501c3 78,060 ScreeningBeach Health Clinic 3396 Holland Rd., Ste 102 Virginia Beach VA 23452 54-1366960 501c3 35,538 Education, ScreeningSentara Norfolk General Hospital c/o Breast Cancer 600 Gresham Drive Norfolk VA 23507 54-1547408 501c3 6,579 Screening



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantSentara Obici Hospital 2800 Goodwin Blvd. Suffolk VA 23439 54-1547408 501c3 25,400 Education, ScreeningMount Sinai Gospel Tabernacle P.O.Box 89 Townsend VA 23443‐0089 54‐1659568 501c3 8,432 EducationMount Sinai Gospel Tabernacle P.O.Box 89 Townsend VA 23443‐0089 54‐1659568 501c3 17,119 TreatmentNorther Neck Free Health Clinic P.O. Box 1694 Kilmarnock VA 22482 54‐1679279 501c3 9,076 EducationNorther Neck Free Health Clinic P.O. Box 1694 Kilmarnock VA 22482 54‐1679279 501c3 13,615 ScreeningChesapeake Regional Medical Center Attn: Brenda Kuntz 736 Battlefield Blvd. North Chesapeake VA 23320‐9941 54‐1693739 501c3 10,000 ScreeningEastern Shore Health District Tracey Dedicatoria, Program Coor PO Box 177 Accomac VA 23301 54‐6001775 501c3 17,948 EducationEastern Shore Health District Tracey Dedicatoria, Program Coor PO Box 177 Accomac VA 23301 54‐6001775 501c3 53,843 ScreeningHampton Health Department Attn: Irene E. Ferrainolo, MPH 3130 Victoria Blvd Hampton VA 23661 54‐6001775 501c3 27,761 Education, ScreeningThree Rivers Health District P.O. Box 415, 2780 General Puller Hwy Saluda VA 23149 54‐6001775 501c3 9,926 Education

500,895VT100‐Vermont‐New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Trustees of Dartmouth College Office of Sponsored Projects 11 Rope Ferry Road, HB 6210 Hanover NH 03755‐1404 02‐0222111 501c3 5,518 EducationTrustees of Dartmouth College Office of Sponsored Projects 11 Rope Ferry Road, HB 6210 Hanover NH 03755‐1404 02‐0222111 501c3 31,266 ScreeningMary Hitchcock Memorial Hospital Attn: Laurel Ludy One Medical Center Drive Lebanon NH 03756 02‐0222140 501c3 45,000 TreatmentUVM & State Agricultural College 89 Beaumont Avenue, Given E‐213 Burlington VT 05405 03‐0179440 501c3 81,417 EducationVermont Dept of Health Attn: Nicole Lukas 108 Cherry St., PO Box 70 Burlington VT 05403 03‐0289111 501c3 8,160 Screening, TreatmentCancer Patient Support Program ACC East Pavilion, Level 2 111 Colchester Ave. Burlington VT 05401 03‐0365270 501c3 22,354 TreatmentGreater Bennington Interfaith Community 107 Adams St. Bennington VT 05201 03‐0369844 501c3 8,545 EducationGreater Bennington Interfaith Community 107 Adams St. Bennington VT 05201 03‐0369844 501c3 15,190 ScreeningForest Moon, Inc 38 Park Place, 2C Brattleboro VT 05301 22‐2519596 501c3 25,000 TreatmentRutland Regional Medical Center Breast Care Program, 160 Allen Street Rutland VT 05701 22‐2534389 501c3 18,243 Education, Screening, TreatmentSouthwestern Vermont Health Care Ruth Metcalfe Breast Care Program 100 Hospital Dr. Bennington VT 05201 22‐2563241 501c3 29,672 Education, Screening, TreatmentNorth Country Health System North Country Breast Cancer Outreach Prog 189 Prouty Drive Newport VT 05855 22‐2566964 501c3 32,320 Education, Screening, TreatmentCentral Vermont Medical Center CVMC Breast Care Program PO Box 547 Barre VT 05641 22‐2610477 501c3 5,728 EducationCentral Vermont Medical Center CVMC Breast Care Program PO Box 547 Barre VT 05641 22‐2610477 501c3 40,668 ScreeningCentral Vermont Medical Center CVMC Breast Care Program PO Box 547 Barre VT 05641 22‐2610477 501c3 10,238 TreatmentMemorial Health Women's Integrated Health Initiative White Mountain Highway North Conway NH 03860 23‐1265004 501c3 39,435 Education, Screening, TreatmentHome Health and Hospice Care 7 Executive park Dr. Merrimack NH 03054 23‐7331452 501c3 40,000 Treatment

458,753WA100‐The Puget Sound Chapter of the Susan G. Komen Foundation, Inc.International Community Health Services PO Box 3007 Seattle WA 98114 26‐0493856 501c3 98,729 EducationCenter for MultiCultural Health 1120 East Terrace Street Suite 200 Seattle WA 98122 81‐0983698 501c3 18,402 TreatmentYWCA of Seattle‐King & Snohomish County 2024 Third Avenue Seattle WA 98118 91‐0482890 501c3 65,367 EducationSenior Services of Seattle 2208 2nd Avenue, Suite 100 Seattle WA 98121 91‐0823767 501c3 25,052 EducationMason General Hospital 901 Mountain View Dr. Shelton WA 98584‐1668 91‐0836763 501c3 7,434 EducationMason General Hospital 901 Mountain View Dr. Shelton WA 98584‐1668 91‐0836763 501c3 42,123 TreatmentSouth Puget Intertribal Planning Agency 3104 SE Old Olympic Highway Shelton WA 98584 91‐1065249 501c3 52,940 EducationSouth Puget Intertribal Planning Agency 3104 SE Old Olympic Highway Shelton WA 98584 91‐1065249 501c3 9,342 ScreeningFranciscan Foundation 1149 Market Street MS‐10‐02 Tacoma WA 98402‐3515 91‐1145592 501c3 107,344 EducationFranciscan Foundation 1149 Market Street MS‐10‐02 Tacoma WA 98402‐3515 91‐1145592 501c3 18,943 TreatmentWA State Department of Health Mailstop #47880 111 Israel Rd. SE Tumwater WA 98504‐7880 91‐1444603 501c3 1,300,555 ScreeningCitrine Health 2718 Rockefeller Avenue Everett WA 98201 91‐1717603 501c3 27,116 Education, TreatmentUniversity of Washington at Seattle 825 Eastlake Avenue E Seattle 98109‐1023 91‐6001537 501c3 27,950 TreatmentCancer Lifeline 6522 Fremont Ave N Seattle WA 98103‐5358 91‐6182951 501c3 266,186 TreatmentLutheran Community Services Northwest 6315 Fleming St. #B Everett WA 98203 93‐0386860 501c3 33,518 Education

2,101,001WA101‐Eastern Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Cancer Care Northwest Foundation 5105 E. Third Avenue Spokane Valley WA 99212 20‐1453390 501c3 12,500 EducationLourdes Health Netwrk 520 N. 4th Ave. Pasco WA 99301 31‐0007578 501c3 22,620 ScreeningPlanned Parenthood 1117 Tieton Ave Yakima WA 98902 74‐1005756 501c3 9,000 EducationPlanned Parenthood 1117 Tieton Ave Yakima WA 98902 74‐1005756 501c3 21,000 ScreeningAmerican Cancer Society 920 N. Washington, Suite 200 Spokane WA 99201 74‐1185665 501c3 26,928 TreatmentSpokane Tribe of Indians PO Box 100 Wellpinit WA 99040 91‐0606339 501c3 11,400 EducationSpokane Tribe of Indians PO Box 100 Wellpinit WA 99040 91‐0606339 501c3 18,600 ScreeningAnna Ogden Hall Women’s Recovery Program (UGM) 2828 W. Mallon Ave. Spokane WA 99201 91‐0613587 501c3 16,425 EducationAnna Ogden Hall Women’s Recovery Program (UGM) 2828 W. Mallon Ave. Spokane WA 99201 91‐0613587 501c3 5,475 ScreeningWalla Walla Community Hospice Laurie Klicker 1067 E. Isaacs Walla Walla WA 99362 91‐1144144 501c3 5,100 TreatmentCommunity Health Education & Resources Inland Northwest Health Services 601 W 1st Ave Spokane WA 99201 91‐1307555 501c3 14,364 EducationWashington State Dept of Health 111 Israel Rd. SE, Suite 200 Kent WA 98501 91‐1444603 501c3 30,000 ScreeningNATIVE Project 1803 W Maxwell Spokane WA 99201 91‐1462366 501c3 15,000 Education, ScreeningCommunity Health Association of Spokane 203 N. Washington, Suite 300 Spokane WA 99201 91‐1641797 501c3 16,555 EducationCommunity Health Association of Spokane 203 N. Washington, Suite 300 Spokane WA 99201 91‐1641797 501c3 13,365 ScreeningSpokane Regional Health District 1101 W College Ave, Suite 200 Spokane WA 99201 91‐1764236 501c3 30,136 Education, ScreeningCancer Patient Care 104 S. Freya Ste. 212 Green Flag Bldg. Spokane WA 99202 91‐6055019 501c3 10,900 EducationCancer Patient Care 104 S. Freya Ste. 212 Green Flag Bldg. Spokane WA 99202 91‐6055019 501c3 6,000 ScreeningCancer Patient Care 104 S. Freya Ste. 212 Green Flag Bldg. Spokane WA 99202 91‐6055019 501c3 25,350 Treatment

310,717



EIN # 75‐24628342012 Form 990

F Recipient Name Street Address City State Zip EIN # IRS Total Amount of Purpose of GrantWI100‐Central Wisconsin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Marshfield Clinic Research Foundation 1000 North Oak Av. Marshfield WI 54449 39‐0452970 501c3 14,745 EducationAspirus Health Foundation 425 Pine Ridge Blvd. Wausau WI 54401 39‐1609532 501c3 65,214 EducationAspirus Health Foundation 425 Pine Ridge Blvd. Wausau WI 54401 39‐1609532 501c3 65,214 ScreeningWood County Health Department 420 Dewey Street Wisconsin Rapids WI 54467 39‐1740383 501c3 11,125 EducationMarathon County Health Department 1000 Lake View Dr. Ste.100 Wausau WI 54403 39‐2000079 501c3 19,775 Education

176,072WI101‐Milwaukee Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Wheaton Franciscan Healthcare 3237 S 16th Street Milwaukee WI 53215 39‐0907740 501c3 30,198 EducationWheaton Franciscan Healthcare All Saints Foundation Attn: Chris Krizek Racine WI 53406 39‐0907740 501c3 61,800 EducationWheaton Franciscan Healthcare All Saints Foundation Attn: Chris Krizek Racine WI 53406 39‐0907740 501c3 36,296 ScreeningWheaton Franciscan Healthcare St. Joseph Foundation Attn: Shelli Marquardt Milwaukee WI 53210 39‐0907740 501c3 34,335 Education, ScreeningProHealth Care Oconomowoc and Waukesha Memorial Hospital 725 American Avenue Waukesha WI 53188 39‐1314542 501c3 31,726 EducationProHealth Care Oconomowoc and Waukesha Memorial Hospital 725 American Avenue Waukesha WI 53188 39‐1314542 501c3 10,575 ScreeningColumbia St. Mary's Foundation 2320 N Lake Drive Milwaukee WI 53211 39‐1494981 501c3 55,169 EducationMilwaukee Health Services, Inc. Attn:Yvonne Beamon 2555 N. Martin Luther King Jr. Drive Milwaukee WI 53212‐2707 39‐1664109 501c3 24,390 EducationMilwaukee Health Services, Inc. Attn:Yvonne Beamon 2555 N. Martin Luther King Jr. Drive Milwaukee WI 53212‐2707 39‐1664109 501c3 14,949 ScreeningUW‐Milwaukee Dept of Nursing, Sandra Underwood PO Box 413 Milwaukee WI 53201‐0413 39‐1805963 501c3 113,773 EducationWisconsin Women's Health Foundation 2503 Todd Dr Madison WI 53713 39‐1900678 501c3 131,363 EducationWisconsin Women's Health Foundation 2503 Todd Dr Madison WI 53713 39‐1900678 501c3 223,389 ScreeningWisconsin Women's Health Foundation 2503 Todd Dr Madison WI 53713 39‐1900678 501c3 69,000 Treatment

836,963WI102‐Madison Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.Monona Public Library 1000 Nichols Road Monona WI 53716 20-1963368 501c3 15,000 EducationMercy Health System PO Box 5003,1000 Mineral Point Ave. Janesville WI 53547 39-0816848 501c3 15,396 EducationMercy Health System PO Box 5003,1000 Mineral Point Ave. Janesville WI 53547 39-0816848 501c3 5,132 ScreeningMercy Health System PO Box 5003,1000 Mineral Point Ave. Janesville WI 53547 39-0816848 501c3 5,132 TreatmentCatholic Multicultural Center 1862 Beld Street Madison WI 53713 39-0824008 501c3 84,300 EducationCommunity Action Inc of Rock and Walwort 200 W. Milwaukee St. Janesville WI 53548 39-1052077 501c3 28,053 EducationCommunity Action Inc of Rock and Walwort 200 W. Milwaukee St. Janesville WI 53548 39-1052077 501c3 28,053 ScreeningAccess Community Health Center 2901 W. Beltline Highway, Suite 120 Madison WI 53713 39‐1391134 501c3 37,432 ScreeningCenter for Patient Partnerships, UW Law 975 Bascom Mall Suite 4311 Madison WI 53706 39‐1805963 501c3 11,541 EducationUW Hospital Clinic UW Hospital & Clinics Authority 600 Highland Ave., CSC/H4/722 Madison WI 53792 39-1805963 501c3 26,517 EducationUW Hospital Clinic UW Hospital & Clinics Authority 600 Highland Ave., CSC/H4/722 Madison WI 53792 39-1805963 501c3 26,517 ScreeningUW Hospital Clinic UW Hospital & Clinics Authority 600 Highland Ave., CSC/H4/722 Madison WI 53792 39-1805963 501c3 79,550 TreatmentWisconsin Well Women Program Attn: Ms. Kari Sievert 210 Martin Luther Jr. Blvd. Rm 507 Madison WI 53704 39-6005507 501c3 23,437 Education

Wisconsin Well Women Program Attn: Ms. Kari Sievert 210 Martin Luther Jr. Blvd. Rm 507 Madison WI 53704 39‐6005507 501c3 71,087 ScreeningWisconsin Well Women Program Attn: Ms. Kari Sievert 210 Martin Luther Jr. Blvd. Rm 507 Madison WI 53704 39‐6005507 501c3 165,870 Treatment

623,018WV100‐West Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.West Virginia Health Right, Inc. 1520 Washington St East Charleston WV 25311 31‐1066881 501c3 34,742 Education, Screening, TreatmentCamden‐Clark Foundation 800 Garfield Avenue, P.O. Box 718 Parkersburg WV 26102 31‐1524546 501c3 35,000 EducationWheeling Hospital Attn: Deborah Radosevich 1 Medical Park, Tower 3, Ste 201 Wheeling WV 26003 55‐0357057 501c3 35,000 Education, Screening, TreatmentJackson General Hospital Attn: Trinity Swain 122 Pinnell Street Ripley WV 25271 55‐0462730 501c3 35,000 Education, Screening, TreatmentRobert C. Byrd Clinic 400 North Jefferson Street Lewisburg WV 24901 55‐0559322 501c3 12,950 EducationRobert C. Byrd Clinic 400 North Jefferson Street Lewisburg WV 24901 55‐0559322 501c3 22,050 ScreeningMcDowell County FACES Attn: Kathie Whitt P.O. Box 426 Welch WV 24801 55‐0757546 501c3 28,000 EducationMcDowell County FACES Attn: Kathie Whitt P.O. Box 426 Welch WV 24801 55‐0757546 501c3 7,000 ScreeningWVU Foundation Attn: Jame Abraham MD PO Box 9300 Morgantown WV 26506 55‐6017181 501c3 35,000 EducationWVU Foundation Increasing Early Detection of Brst Cancer PO Box 6887 Morgantown WV 26506 55‐6017181 501c3 24,850 EducationWVU Foundation Increasing Early Detection of Brst Cancer PO Box 6887 Morgantown WV 26506 55‐6017181 501c3 10,150 ScreeningWVU Foundation Reaching Out to Women of Color PO Box 6886 Morgantown WV 26506 55‐6017181 501c3 24,850 EducationWVU Foundation Reaching Out to Women of Color PO Box 6886 Morgantown WV 26506 55‐6017181 501c3 10,150 Screening

314,742WY100‐Wyoming Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.Wyoming Department of Health 6101 Yellowstone Road Suite 259A Cheyenne WY 82002 83‐0208667 501c3 50,000 ScreeningWyoming Health Council/Women's Wellness 416 W. 24th Street Cheyenne WY 82001 83‐0292017 501c3 49,500 Education, Screening, TreatmentThe Caring Foundation PO Box 2266 Cheyenne WY 82003 83‐0292601 501c3 50,000 ScreeningCheyenne Laramie County Health Dept. 100 Central Avenue Cheyenne WY 82007‐1330 83‐0332023 501c3 20,000 Screening, TreatmentCampbell County Public Health 2301 S. 4‐J Road, P.O.Box 3420 Gillette WY 82717 83‐6000103 501c3 11,662 Education, Screening, Treatment

181,162

Group total 87,493,338


2012-2013 form 990 group return

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