Fighting for more birthdaysAnnual Report 2009

It is our reaction in the face of trying times that determines our true character … that clarifies our greatest aspirations and exposes our most fundamental values. For the American Cancer Society, the trying economic times of 2009 were characterized by perseverance, innovation, and persistent determination that prove we refuse to back down in the fight against cancer, regardless of challenging circumstances.

While we are continuing to fight cancer and save lives, as we have been for nearly a century, the American Cancer Society’s sights are set on an even greater vision: a world with less cancer and more birthdays. In these times we are challenged to achieve more with less, but our resolve has never been stronger – and neither has our potential for good.

This year we made significant progress in our fight against cancer, celebrating as reports showed that death and mortality rates continue to decline. We also made major inroads on the path to improving access to health care. Working in tandem with our advocacy affiliate, the American Cancer Society Cancer Action NetworkSM, as a trusted source of cancer information in the debate, we fought for reform that works for people facing cancer and their families. And overall, we learned to work harder and think smarter to continue our momentum against cancer.

Although times change, our bottom line never will: the American Cancer Society saves lives. We know that every extra year of life – every milestone like a birthday – is cause for celebration. And never is that more true than when you’re in the thick of a fight against cancer. That’s why this year we declared our organization the official sponsor of birthdays – because nothing is more important to us than saving that next birthday – and than creating a world where cancer can never steal another year from anyone’s life.

As a century-old organization, we have weathered tough times before – and we always emerge even more ready to face the challenges ahead. This time is no different. We have come through this difficult year with a renewed focus and a revitalized sense of purpose. Because now, more than ever, it’s time to get in the ring and fight for more birthdays for all.

George W. P. Atkins Chair, National Board of Directors

Alan G. Thorson, MD, FACS President

John R. Seffrin, PhD Chief Executive Officer

When the American Cancer Society was founded in 1913, cancer treatment meant morphine and champagne … anything that could distract people from the grim reality that a diagnosis was a near certain death sentence.

Today, the hopeful side of cancer has never been more hopeful. Most people survive the disease – 11 million survivors live in the United States alone. And new and better treatments are a surety. At the core of this intrinsic change has been the American Cancer Society.

That leading role led the Society this year to put the fight against cancer in a whole new light, declaring itself the official sponsor of birthdays and creating a global movement for more of these milestones. This movement for more birthdays envisions a world with less cancer, where every extra year of life is cause for celebration.

Most people know the Society for its groundbreaking research program, which has done so much to find cures and better understand cancer. Yet the organization has long been a visionary change agent on all fronts – and has truly transformed the landscape of the disease. We have earned the official sponsor of birthdays title – and have the results to prove it.

Recent downturns in lung cancer mortality in America, for example, are possible in large part because of the Society. Beginning by confirming the link between smoking and lung cancer, the Society has worked tirelessly since the 1950s to educate people about the dangers of tobacco, de-normalizing its use with increased taxes and smoke-free laws that now cover most of the nation.

Lifesaving cancer screenings like the mammogram and the Pap test are also common practice today in

part because of the Society’s promotion. The tests have moved cervical cancer from the second leading cause of cancer death in women to the thirteenth, and have helped breast cancer death rates decline steadily each year.

In the past century, the Society has helped save countless lives by helping people stay well and get well, by finding cures, and by fighting back against cancer. We have made more birthdays – more milestones with loved ones – possible. Against the odds, the Society has turned cancer from a taboo topic into a rallying cry for change. In total, we’ve helped avert more than 650,000 cancer deaths just since the early 1990s – creating about 300 more birthdays each and every day.

Yet because lives are still being lost to cancer, we can – and we must – do more.

Saving Lives and Creating a World with More Birthdays

Fighting for More Birthdays on All Fronts

Launching the movement for more birthdays this year was a clear sign that the Society will not be satisfied until cancer never steals another year from anyone’s life.

“The movement is a way for people everywhere to join together to share their passion for saving lives,” says Society 2008-2009 National President Elizabeth T.H. Fontham, MPH, DrPH. “It’s about the simple things everyone can do every day to make a difference.”

People across America came together through this movement in 2009, engaging with the organization in new and different ways and relentlessly pursuing continued success in this fight.

That determined spirit to create more birthdays was evident this year as the American Cancer Society Cancer Action Network (ACS CAN) marshaled thousands of volunteers to help bring the nation closer than ever before to meaningful, systemic health care reform that works for cancer patients and their families.

It was evident as millions of Relay For Life® participants came out in record numbers and at more events than ever before throughout the nation. It was evident as two more Society-funded cancer researchers became Nobel laureates – increasing the Society’s track record to funding 44 such awardees and affirming our ability to identify and recruit the brightest scientific minds.

And it was evident as the Society launched efforts like its DetermiNation® program, which gives a new

market of supporters – athletes of all abilities – a way to join the movement by dedicating their participation in endurance events to fight cancer.

“The movement for more birthdays is inherent in all the American Cancer Society does – and it’s encouraging everyone to keep pushing forward for a world with less cancer,” Fontham says.

“Like we’ve done so many times in the past century, the Society is again changing the way people see the fight against cancer, by focusing on our potential to do so much good together to fight such a terrible disease.”

Saving Lives and Creating a World with More Birthdays

In 2009, the American Cancer Society launched a groundbreaking movement for a world with less cancer and more birthdays, declaring itself the official sponsor of birthdays. The launch of the movement featured advertising in many mediums, including television and print publications (middle left). Society volunteers across the country embraced the movement, including at Relay For Life events nationwide, where many survivors celebrated the hope for a world with more birthdays with birthday cakes (near left).

The movement is integral to all of the Society’s work, such as the launch in 2009 of a new DetermiNation program, which gives endurance athletes the chance to fight for more birthdays by dedicating their participation in events like marathons and triathlons to the fight against cancer (at right). And it was a rallying cry for cancer advocates this year as the Society and its advocacy affiliate, the American Cancer Society Cancer Action Network, fought for more birthdays through a reformed health care system. ACS CAN events like a Lobby Day in September 2009 brought together volunteers from across the nation in Washington, D.C., to ask lawmakers for “action now, not later” on reform (far left).

Carrol Green has a mission: to “stamp out colon cancer.” Friends and family agree, calling her the “drum major” for finding the disease before it starts. But that wasn’t always the case. When Carrol started having early warning signs of colon cancer, she shrugged them off – even though she is a nurse. Her doctor encouraged her to have a colonoscopy, which turned up cancer. Today, she’s cancer-free. After her own experi-ence, Carrol insisted that her mother and sister get tested for the disease, too. Their tests turned up precancerous polyps, which were successfully removed. “I don’t want anyone to go through what I went through,” Carrol says. “With early detection and testing, they can prevent colon cancer and stay well.”

At the American Cancer Society, we know the key to a world with more birthdays is preventing cancer and finding it early, when it is easiest to treat. That’s why we’re working every day to help people in every community stay well, whether they need to quit smoking, eat right, get active, or get the cancer screening tests they need. We’re working tirelessly to turn what we know about cancer into what we do about it so that everyone will live healthier lives.

Helping People Stay Well

• The American Cancer Society launched a strategic business collaboration in 2009 with Free & Clear to provide the Quit For Life® Program, the nation’s best-in-class tobacco cessation telephone and Web-based coaching resource that can help people kick the habit for good. The collaboration builds on the prior success of the American Cancer Society Quitline® program, and will help the organization conserve resources and save more lives. The Quit For Life Program reaches nearly 400 employers and helps more than 1,000 people each day to quit tobacco.

• An important part of staying well is having regular cancer screening tests. Thanks in part to the Society and the American Cancer Society Cancer Action Network, 26 states plus the District of Columbia now mandate insurance coverage for the full range of colorectal cancer screenings. Nineteen of those states follow specific Society screening guidelines. The Centers for Disease Control and Prevention has launched the Colorectal Cancer Control Program by providing funding to 26 states and Native American tribes across the United States and an additional 14

states have statewide screening programs or have passed legislation to authorize a program in their state.

• In collaboration with the National Medical Association, the Society published a paper on cancer disparities in the underserved, which provides a road map for ending racial disparities in cancer. The paper was presented at the Society’s 2009 disparities conference, titled Health Equity: Through the Cancer Lens, which brought together more than 400 clinicians, researchers, and community program developers to tackle this problem.

• The American Cancer Society works with cancer control leaders and organizations around the world to fight cancer and help people stay well. In 2009, the Society helped sponsor the Livestrong Global Cancer Summit, hosted by the Lance Armstrong Foundation in Dublin, Ireland. This unprecedented event convened more than 500 cancer control advocates from 65 countries. During the summit,

the Society, along with the World Lung Foundation, officially released The Tobacco Atlas, Third Edition, an invaluable resource to help fight tobacco around the world.

• The June 2009 American Cancer Society Corporate Impact Conference brought together companies from across the nation to help change the course of cancer. One hundred corporate executives, including approximately 30 CEOs from such leading companies as United Airlines and AT&T, attended this unique event, which focused on employee health and how companies can help their workforce stay well.

Mae Rose Wiley wants to focus on getting well – and not worry about how she will get to her appointments for cancer treatment. Thanks to the American Cancer Society, she can. In her hometown of Bakersfield, California, the Society provides free transportation assistance to and from treatment for cancer patients who would otherwise be unable to get there. Mae Rose began using the American Cancer Society’s volunteer drivers to get to her chemotherapy treatments after breast cancer surgery. “Since I can no longer drive, I’m very grateful for the rides. It can be especially uplifting when a cancer survivor is driving me,” she says. “This service is really a wonderful thing.”

Whether it’s the middle of the day or the middle of the night, the American Cancer Society is there for people facing cancer with the support they need to get well. We help guide people through every step of a cancer experience, with information to help make decisions and free services like transportation or a place to stay if treatment is far from home.

Helping People Get Well

• The American Cancer Society Patient Navigator Program continues to be the largest oncology-focused patient navigator program in the country, and in 2009 expanded to 140 sites nationwide. The program helps those most in need of support – the medically underserved – by placing trained Society navigators in strategically selected cancer treatment and care facilities to help patients and their families through every step of the experience. In 2009, the program served more than 67,000 people and fulfilled more than 119,000 requests for services. The program’s personalized, one-on-one guidance allows the Society to impact the quality of life of those touched by cancer in a very meaningful way.

• The Society opened two new Hope Lodge® locations in 2009 and expanded two others, bringing the total number of facilities to 29, with a total of rooms available nationwide to more than 850. Requests for lodging in one of these home-like facilities increased in 2009, during which time the Society provided more than 220,000 nights of free lodging to nearly 50,000 patients and caregivers, saving them more than $19 million in

lodging expenses. Hope Lodge locations offer a respite for people facing cancer and their families and are designed to help them focus on getting well, rather than the stress – and cost – that can come with being away from home long term.

• If you or a loved one are facing cancer, the American Cancer Society is in your corner around the clock, whether you need help over the phone or online. The Society’s call center fields about 3,000 calls per day, or 1 million calls each year. Online, 180 people visit the Society via cancer.org every 5 minutes. In 2009, cancer.org received more than 23 million visits, and unique visits increased more than 7 percent, to 18 million.

• In 2009, the organization distributed more than 88,000 of its books, many of which are designed to help people get well. Fifty-three titles are now available from the Society, including What To Eat During Cancer Treatment: 100 Great-Tasting, Family-Friendly Recipes to Help You Cope, which was published this year, and the American Cancer

Society’s Complete Guide to Complementary and Alternative Cancer Methods.

• The American Cancer Society Cancer Survivors Network® (CSN), the only online community of its kind created by and for survivors and their families, grew to more than 100,000 members, an increase of 9,100 new registered members, during the 2009 fiscal year. Nearly half a million people from 203 countries and territories visited the site, with almost 5 million page views.

As someone who lost both grandparents to cancer at a young age and has helped her mother through battles with three forms of the disease, it’s not surprising to hear that Cris Denniston once considered a career in cancer research. The hospital pharmacist may not have ended up in a lab, but she is helping find cures – as an American Cancer Society Cancer Prevention Study-3 (CPS-3) participant. Cris, an active Relay For Life volunteer, says deciding to enroll was easy. “Everyone hopes [researchers] finally figure out what causes some of the major cancers,” she says. “We need to understand what we can do to prevent [cancer], mitigate its effects, and figure out if new screening recommendations are needed.”

It’s one of the many – and most vital – ways the American Cancer Society saves lives: by funding and conducting research to help us better understand, prevent, find, and treat cancer. As the nation’s largest private funder of cancer research, the Society has long been at the forefront of the scientific battle against this disease, leading the way to a tomorrow with better treatments, new early detection tests, more cures … and more birthdays.

Funding Lifesaving Research to Find Cures

• Two additional Society-funded scientists were named Nobel laureates in 2009, bringing the organization’s total record to 44 winners of science’s top honor. New additions to this distinguished group this year included former Society grantee Thomas A. Steitz, PhD, who shared the 2009 Nobel Prize in Chemistry with two others for their groundbreaking studies of the structure and function of the ribosome. Former grantee Jack W. Szostak, PhD, shared the 2009 Nobel Prize in Physiology or Medicine with two others, including Elizabeth H. Blackburn, PhD, for discovering how chromosomes protect their ends. Dr. Blackburn also received the Society’s most prestigious award, the Medal of Honor, in 2001.

• The American Cancer Society, the Centers for Disease Control and Prevention, the National Cancer Institute, and the North American Association of Central Cancer Registries collaborate each year to produce the Annual Report to the Nation on the Status of Cancer. The 2009 report showed that the overall decline in cancer death rates, first noted in the 1990s, has continued

through 2006. Death rates decreased on average 1.6 percent per year from 2001 through 2006, while incidence rates decreased 0.7 percent from 1999 through 2006, driven largely by declines in rates of new cases and death for the three most common cancers in men (lung, prostate, and colorectal cancers) and for two of the three leading cancers in women (breast and colorectal cancers).

• In 2009, the American Cancer Society awarded 252 research grants, amounting to nearly $113 million to help find cures for cancer. The Society’s targeted area of focus in research continues to be cancer in the poor and medically underserved. The organization funded 11 grants, amounting to more than $11.6 million, in this area in 2009, accounting for 10 percent of total research grants.

• The American Cancer Society has a proud history of Society-sponsored follow-up studies, like Cancer Prevention Study I and II, which have provided invaluable insights into the causes of cancer and the steps people can take to prevent it. Findings from CPS I and II have yielded insights such as

confirming the link between smoking and lung cancer and between obesity and cancer. The Society is currently enrolling participants in the newest Cancer Prevention Study, CPS-3, which will help us understand the genetic, environmental, and lifestyle factors that cause or prevent cancer. This new study gives people across the nation the chance to be involved in these groundbreaking studies, and to help find cures for the disease.

• Each year, the American Cancer Society releases the definitive annual cancer statistics report. The 2009 report found that death rates from cancer in the United States have continued to decline, decreasing by 19.2 percent among men between 1990 and 2005 and by 11.4 percent among women between 1991 and 2005.

For runner Gabe Villarreal, the finish line is not the end of the race – it’s ending a disease that took the lives of his father and niece. He has dedicated four marathons to fighting back with the American Cancer Society DetermiNation program. “When you have a family member going through treatment, fighting this disease, you feel helpless,” he says. “My way of helping to do more … is to participate in events and raise awareness.” Through the DetermiNation program, he has found a support network – even on the race course. “Having a stranger tap you on the shoulder and say, ‘I’m a cancer survivor,’ or ‘I lost a loved one’ – that’s really what keeps me going.”

The American Cancer Society provides ordinary people an extraordinary opportunity to fight back against cancer and help create a world with more birthdays. The Society’s 3 million passionate volunteers help save lives, rallying communi-ties around the world to join this fight through programs such as DetermiNation and Relay For Life and by working with lawmakers to make America a healthier place to live.

Empowering People to Fight Back

• American Cancer Society Relay For Life participants across the nation this year rallied even in tough economic times, getting more teams and more people on the ground at an increased number of events throughout the nation. Two hundred new communities held Relay events in 2009, bringing the total to more than 5,000 locations across the country. In many locations, new and unique community events emerged with Relays specifically tailored for participants with dogs, horses, and even boats. The millions of Relay participants prove that when times are tough, American Cancer Society supporters are even tougher on the fight against cancer.

• The American Cancer Society Cancer Action Network this year strongly supported expanding the State Children’s Health Insurance Program and paying for it with an increase in the federal tobacco tax – a victory achieved in early 2009. The bill includes the largest single increase in the federal tobacco tax in history – 62 cents – and brings the total federal tax to $1.01 per pack. The increase will save more than 900,000 lives from tobacco-

related causes and prevent 1.9 million children from becoming lifelong tobacco users.

• This year saw a success the American Cancer Society and ACS CAN have been working toward for a decade: the US Food and Drug Administration gained regulatory control of tobacco. The Family Smoking Prevention and Tobacco Control Act, signed into law in June 2009, gives the FDA the authority to regulate the sale, manufacturing, and marketing of tobacco products and protects children from the tobacco industry’s despicable marketing practices. This historic victory will save innumerable lives and help create countless more birthdays.

• American Cancer Society Making Strides Against Breast Cancer® events offer people across the country a chance to make history and make a difference in the fight against breast cancer. In 2009, 600,000 participants walked in 141 Making Strides events in communities nationwide, raising awareness and $60 million to help fight this disease.

• The American Cancer Society and ACS CAN played an integral part in 2009 in the movement to improve access to health care for all Americans. The Society was shown to be the most trusted among interest groups engaged in health care, according to a poll by National Public Radio, the Kaiser Family Foundation, and the Harvard School of Public Health. ACS CAN established itself as the leading patient voice in the national health care reform debate; led a campaign calling for “action now, not later,” on reform; and helped lawmakers in Congress shape legislation that works for people facing cancer and their families. History was made at the end of 2009 when the US House and Senate passed their respective versions of health care reform legislation.

American Cancer Society, Inc., and Affiliated Entities Combined Balance SheetsAugust 31, 2009 and 2008 (in thousands)

2009 2008Assets

Cash and temporary investments:

Cash and cash equivalents $ 112,123 $ 104,710

Other investments 837,011 911,630

Gift annuity investments 34,925 35,642

Total cash and temporary investments 984,059 1,051,982

Securities lent under securities lending program 163,253 159,298

Collateral received under securities lending program 166,450 162,605

Pledges and grants receivable, net 65,494 78,014

Prepaid expense and other assets 30,770 32,860

Legacies and bequests receivable 88,916 97,592

Beneficial interests in trusts 270,257 343,869

Fixed assets, net 353,992 356,085

Investments, at fair value 37,740 35,166

Total assets $ 2,160,931 $ 2,317,471

LiAbiLities And net Assets

Research and other program awards and grants payable $ 217,339 $ 229,687

Accrued expenses:

Accounts payable and other accrued expenses 84,450 88,562

Accrued retirement plan benefits 180,273 67,939

Post-retirement medical, dental, and life insurance accrual 56,472 48,307

Total accrued expenses 321,195 204,808

Gift annuity obligations 26,230 26,179

Payable under securities lending program 166,450 162,605

Other liabilities 27,464 32,528

Debt 67,851 72,030

Total liabilities 826,529 727,837

Commitments and contingencies

NET ASSETS:

Unrestricted:

Available for program and supporting activities 556,585 734,198

Net investment in fixed assets 281,719 284,055

Total unrestricted 838,304 1,018,253

Temporarily restricted 273,416 313,649

Permanently restricted 222,682 257,732

Total net assets 1,334,402 1,589,634

Total liabilities and net assets $ 2,160,931 $ 2,317,471The American Cancer Society, Inc., adheres to the Better Business Bureau’s strong standards for charitable giving.

American Cancer Society, Inc., and Affiliated Entities Combined Statement of Activities for the Year Ended August 31, 2009, with Summarized Financial Information for 2008 (in thousands)

UnrestrictedTemporarily

RestrictedPermanently

RestrictedTotal

2009 2008Revenue, gAins, And otheR suppoRt

Support from the public:Contributions $ 124,861 $ 59,184 $ 2,766 $ 186,811 $ 225,126 Special events 455,049 68,709 107 523,865 556,446Other special fundraising events 534 – – 534 391 Legacies and bequests 100,542 30,736 4,322 135,600 150,644 Change in value of split-interest agreements (2,108) (30,148) (601) (32,857) 6,102 Contributed services, merchandise, and other in-kind contributions at fair value 22,449 37,249 – 59,698 44,831 Contributions raised indirectly from federated and other fundraising organizations 15,624 8 ,348 – 23,972 24,922

Total support from the public 716,951 174,078 6,594 897,623 1,008,462Investment income (losses):

Interest and dividends, net 25,740 3,821 – 29,561 47,140Net realized and unrealized investment (losses) gains (9,656) (5,553) 171 (15,038) (13,530)Net unrealized losses on perpetual trusts – – (42,401) (42,401) (1,339)

Total investment income (losses) 16,084 (1,732) (42,230) (27,878) 32,271Exchange transactions:

Income 97,903 – – 97,903 97,254Expenses (95,423) – – (95,423) (96,198)

Net exchange transactions 2,480 – – 2,480 1,056Grants and contracts from government agencies 16,348 3,040 – 19,388 16,184Other revenue (losses) (68) 364 – 296 1,071Gain on disposal of fixed assets 5,142 – – 5,142 19,128

Total revenue, gains, and other support 756,937 175,750 (35,636) 897,051 1,078,172net Asset RestRiction tRAnsfeRs

Satisfaction of activity restrictions 175,918 (175,918) – – –Revision of donor restriction 723 (1,309) 586 – –Satisfaction of equipment acquisition restrictions 21,979 (21,979) – – –Expiration of time restrictions 16,777 (16,777) – – –

Total net asset restriction transfers 215,397 (215,983) 586 – –

UnrestrictedTemporarily

RestrictedPermanently

RestrictedTotal

2009 % 2008 %expensesProgram services:

Research – support provided to academic institutions and scientists to seek new knowledge about the causes, prevention, and cure of cancer, and to conduct epidemiological and behavioral studies

149,829 – – 149,829 15% 156,420 15%

Prevention – programs that provide the public and health professionals with information and education to prevent cancer occurrence or to reduce risk of developing cancer 177,849 – – 177,849 17% 188,790 18%

Detection/treatment – programs that are directed at finding cancer before it is clinically apparent and that provide information and education about cancer treatments for cure, recurrence, symptom management, and pain control

129,396 – – 129,396 13% 142,222 14%

Patient support – programs to assist cancer patients and their families and ease the burden of cancer for them 275,377 – – 275,377 27% 268,343 26%

Total program services 732,451 – – 732,451 72% 755,775 73% Supporting services:

Management and general – direction of the overall affairs of the Society through executive, financial, and administrative services 62,948 – – 62,948 6% 72,527 7%

Fundraising – programs to secure charitable financial support for programs and supporting services 222,280 – – 222,280 22% 212,710 20%

Total supporting services 285,228 – – 285,228 28% 285,237 27% Total program and supporting services expenses 1,017,679 – – 1,017,679 100% 1,041,012 100%

Net change in retirement plan liability 134,604 – – 134,604 34,258 CHANGE IN NET ASSETS (179,949) (40,233) (35,050) (255,232) 2,902NET ASSETS, beginning of year before the effect of adoption and recognition of FASB Staff

Position FAS 117-1 1,019,132 312,256 258,246 1,589,634 1,586,732

Effect of adoption and recognition of FASB Staff Position FAS 117-1 (879) 1,393 (514) – –NET ASSETS, beginning of year as adjusted 1,018,253 313,649 257,732 1,589,634 1,586,732NET ASSETS, end of year $ 838,304 $ 273,416 $ 222,682 $ 1,334,402 $ 1,589,634

OFFICeRS

George W.P. Atkins Chair, Board of Directors

Alan G. Thorson, MD, FACS President

Stephen L. Swanson Chair-elect

Edward E. Partridge, MD President-elect

Cynthia M. LeBlanc, EdD Vice Chair, Board of Directors

Daniel P. Heist, CPA Treasurer

Lila R. Johnson, RN, MPH, CHES Secretary

W. Phil Evans, MD First Vice President

Vincent T. DeVita Jr., MD Second Vice President

Van Velsor Wolf Immediate Past Chair

Elizabeth T.H. Fontham, MPH, DrPH Immediate Past President

NATIONAl BOARD OF DIReCTORS

Briggs W. Andrews, Esq.George W. P. AtkinsVincent F. Barbetta, CLU, ChFCErmilo Barrera Jr., MDKathleen M. BondPatricia K. Bradley, PhD, RN Robert T. Brodell, MDTim E. Byers, MD, MPHJudith E. Calhoun, PhD, ARNPCarmel J. Cohen, MDKevin J. Cullen, MDVincent T. DeVita Jr., MDDiana S. Diaz, RN, MSBryan K. EarnestW. Phil Evans, MDElizabeth T.H. Fontham, MPH, DrPHWillie Goffney, MD, FACSAdnan Hammad, PhDDaniel P. Heist, CPAAllen H. Henderson, PhDSusan D. Henry, LCSWEnrique Hernandez, MDLila R. Johnson, RN, MPH, CHESDouglas K. Kelsey, MD, PhD, FAAPRobert R. Kugler, Esq.Cynthia M. LeBlanc, EdDMario A. Mendez, MDPamela Meyerhoffer, FAHPKaren A. Moffitt, PhDLinda Z. Mowad, RNEdward E. Partridge, MDGary M. ReedyChristy A. Russell, MDMaryjean Schenk, MD, MPH, MSMarjorie Kagawa Singer, RN, MN, PhDPatricia E. Swanson, RNStephen L. SwansonAlan G. Thorson, MD, FACSWilliam J. ToddSandra Millon Underwood, RN, PhD, FAAN

Van Velsor WolfMaria J. Worsham, PhD, FACMGRobert E. Youle

NATIONAl ASSeMBly

John Alfonso, CPA (Eastern)Gary L. Allison (Pennsylvania)Briggs W. Andrews, Esq. (South Atlantic)George W. P.Atkins (South Atlantic)Andrejs Eriks Avots-Avotins, MD, PhD (High Plains)

Avi Barbasch, MD (Eastern)Vincent F. Barbetta, CLU, ChFC (New England)Deborah J. Barnard (Great West)Ermilo Barrera Jr., MD (Illinois)Arnold M. Baskies, MD, FACS (Eastern)James A. Bergeron (Midwest)Kathleen M. Bond (Ohio)William H. Boykin Jr., MD (Mid-South)Clare B. Bradley, MD, MPH (Eastern)Patricia K. Bradley, PhD, RN (Pennsylvania)Richard F. Branda, MD (New England)Robert T. Brodell, MD (Ohio)Robert K. Brookland, MD (South Atlantic)Clarence H. Brown III, MD (Florida/Puerto Rico)Charlotte L. Burke (High Plains)Tim E. Byers, MD, MPHJudith E. Calhoun, PhD, ARNP (High Plains)John S. Chaperon (Florida/Puerto Rico)Carmel J. Cohen, MD (Eastern)Debra Jo Cohen (Illinois)William E. Coulter, EdD (Mid-South)Wil Counts, RPh, PhD (Great West)Patricia J. Crome, RN, MN (Great West)Kevin J. Cullen, MD Raymond Y. Demers, MD, MPH (Great Lakes)Vincent T. DeVita Jr., MDDiana S. Diaz, RN, MS (Mid-South)Margaret Drugay, ND, RN, C (Great West)Howard B. Duncan, PhD (South Atlantic)

Randall L. Earl, CFSP (Illinois)Bryan K. Earnest (Midwest)Clifford C. Eke Jr., MD, FACS, FICS (California)W. Phil Evans, MD (High Plains)Patrick J. Fahey, MD (Ohio)Elizabeth T.H. Fontham, MPH, DrPH (Mid-South)Thenice P. Gall (Ohio)Gary D. Gilmore, MPH, PhD, CHES (Midwest)David W. Glidden (New England)Willie Goffney, MD, FACS (California)Jon M. Greif, DO, FACS (California)Carmen E. Guerra, MD, MSCE, FACP (Pennsylvania)

John W. Hamilton, DDS (Great West)Adnan Hammad, PhDDaniel P. Heist, CPA (Pennsylvania)Allen H. Henderson, PhD (High Plains)Susan D. Henry, LCSW (Mid-South)Enrique Hernandez, MD (Pennsylvania)Laura J. Hilderley, RN, MS (New England)Jerome Hoeksema, MD (Illinois)Karen M. Humphrey (Midwest)Carol Jackson (California)Lila R. Johnson, RN, MPH, CHES (High Plains)Nancy E. Kane, RN, MS, AOCN (New England)Michael E. Kasper, MD, FACRO (Florida/Puerto Rico)

Jeffrey L. Kean (California)Douglas K. Kelsey, MD, PhD, FAAP (Great Lakes)Robert R. Kugler, Esq. (Eastern)Robert M. Langdon Jr., MD, FACP (High Plains)Cynthia M. LeBlanc, EdD (California)Frank P. Lloyd Jr., MD, FACS (Great Lakes)Andrew B. MacLean, JD (New England)Joseph R. Mahoney, CPA (Great Lakes)Brian Marlow, CFA (Great West)Mary A. Maryland, PhD, MSN, APN, BC (Illinois)Mario A. Mendez, MD (Florida/Puerto Rico)Pamela K. Meyerhoffer, FAHP (Great West)Karen A. Moffitt, PhD (Florida/Puerto Rico)Samuel W. Monismith, DEd (Pennsylvania)

2009 National Leadership and Volunteer Governance

John M. Montgomery, MD, MPH, FAAFP (Florida/Puerto Rico)

James E. Montie, MD (Great Lakes)Grant Morrow III, MD (Ohio)Linda Z. Mowad, RN (New England)Scarlott K. Mueller, RN, MPH (Florida/Puerto Rico)Paul J. Murata, MD, MSPH (California)Jim Murray (South Atlantic)George H. Musekamp III (Ohio)Regina Nagy (Pennsylvania)Peter C. Olden, MHA, PhD (Pennsylvania)Edward E. Partridge, MD (Mid-South)Richard D. Pecard (Illinois)Gregory L. Pemberton (Great Lakes)Virginia Pressler, MD, MBA, FACS (High Plains)Panju Prithviraj, MD, MBBS (Ohio)Douglas J. Reding, MD, MPH, FACP (Midwest)Gary M. ReedyCarolyn Rhee (California)Chand Rohatgi, MD (Pennsylvania)Clement S. Rose, MD (Illinois)Christy A. Russell, MD (California)Andrew L. Salner, MD, FACR (New England)Maryjean Schenk, MD, MPH, MSMarguerite K. Schlag, RN, EdD (Eastern)Sarah B. Self (Mid-South)Peter S. Sheldon, Esq. (Great Lakes)Sharon C. Sheridan (Mid-South)Marjorie Kagawa Singer, RN, MN, PhDBurleigh L. Singleton, Esq. (South Atlantic)Christopher Squier, PhD, ScD (Midwest)G. Thomas Surtees (Mid-South)Patricia E. Swanson, RN (Midwest)Stephen L. Swanson (Pennsylvania)Alan G. Thorson, MD, FACS (High Plains)William J. ToddSandra Millon Underwood, RN, PhD, FAANTeri Vega-Stromberg, MSN, RN, AOCN, ACHPN (Midwest)

Richard L. White Jr., MD, FACS (South Atlantic)Barbara J. Wilinski (Ohio)

Thomas J. Williams (High Plains)Phylecia D. Wilson (South Atlantic)John F. Windham, Esq. (Florida/Puerto Rico)Van Velsor Wolf (Great West)Maria J. Worsham, PhD, FACMG (Great Lakes)Robert E. Youle (Great West)Herb Zaretsky, PhD (Eastern)

PAST OFFICeR DeleGATeS

Thomas G. Burish, PhDElmer E. Huerta, MD, MPHAnna Johnson-Winegar, PhDJean B. McGillMarion E. Morra, MA, ScDCarolyn D. Runowicz, MDStephen F. Sener, MDMary A. Simmonds, MD, FACPGary J. StreitRalph B. Vance, MD, FACPRichard C. Wender, MDDavid M. Zacks

HONORARy lIFe MeMBeRS

Carolyn Pesnell AmoryB.L. Aronoff, MDJohn C. Baity, Esq.Dileep G. Bal, MD, MS, MPHMrs. Elmer H. BobstSally West Brooks, RN, MAHelene G. Brown Leonard ButenBonnie CarlsonJennie R. CookFrancis L. Coolidge, Esq.Myles P. Cunningham, MDMrs. Matilda Raffa CuomoGeorge DessartGerald D. Dodd, MDHarmon J. Eyre, MDFrank B. FisherIrvin D. Fleming, MDJames W. FordyceG. Robert GadberryGeorge GoodLarry HagmanNorma J. HaymanGeorge J. Hill, MDReginald C. Ho, MDThomas D. Hobday Jr.Kathleen HorschRobert V.P. Hutter, MDAnn JillianAllan K. JonasJohn R. Kelly, PhDGordon R. Klatt, MDWalter Lawrence Jr., MDLaSalle D. Leffall Jr., MDCharles A. LeMaistre, MDRaymond E. Lenhard Jr., MDLouis A. Leone, MDA. Hamblin Letton, MDVictor A. Marcial, MDCharles J. McDonald, MD

H. Fred MickelsonGerald C. Mueller, MD, PhDCarol PerkinsHenry C. Pitot, MD, PhDPaul E. QuinlanPatty ReaganEdward W. Reed, MDDavid S. Rosenthal, MDRobert J. Schweitzer, MDJack N. ShermanStanley ShmishkissEdwina ThornFrank R. Vanoni, MDBarbara WeintraubGerald L. Woolam, MDThe Honorable Joseph H. YoungRobert C. Young, MDJoseph J. Zavertnik, MD

INDePeNDeNT AUDITORS

Ernst & Young LLP

Ohio Division, Inc. 5555 Frantz Road Dublin, OH 43017 (614) 889-9565 (O) (614) 889-6578 (F)

Pennsylvania Division, Inc. Route 422 and Sipe Avenue Hershey, PA 17033-0897 (717) 533-6144 (O) (717) 534-1075 (F)

South Atlantic Division, Inc. (De, GA, MD, NC, SC, VA, Washington, D.C., WV) 250 Williams Street Atlanta, GA 30303 (404) 816-7800 (O) (404) 816-9443 (F)

Mid-South Division, Inc. (Al, AR, Ky, lA, MS, TN) 1100 Ireland Way Suite 300 Birmingham, AL 35205-7014 (205) 930-8860 (O) (205) 930-8877 (F)

Midwest Division, Inc. (IA, MN, SD, WI) 8364 Hickman Road Suite D Des Moines, IA 50325 (515) 253-0147 (O) (515) 253-0806 (F)

New england Division, Inc. (CT, Me, MA, NH, RI, VT) 30 Speen Street Framingham, MA 01701-9376 (508) 270-4600 (O) (508) 270-4699 (F)

Great West Division, Inc. (AK, AZ, CO, ID, MT, ND, NM, NV, OR, UT, WA, Wy) 2120 First Avenue North Seattle, WA 98109-1140 (206) 283-1152 (O) (206) 285-3469 (F)

High Plains Division, Inc. (HI, KS, MO, Ne, OK, TX) 2433 Ridgepoint Drive Austin, TX 78754 (512) 919-1800 (O) (512) 919-1844 (F)

Illinois Division, Inc. 225 N. Michigan Avenue Suite 1200 Chicago, IL 60601 (312) 641-6150 (O) (312) 641-3533 (F)

Florida Division, Inc. (including Puerto Rico operations) 3709 West Jetton Avenue Tampa, FL 33629-5146 (813) 253-0541 (O) (813) 254-5857 (F)

Puerto Rico Calle Alverio #577 Esquina Sargento Medina Hato Rey, PR 00918 (787) 764-2295 (O) (787) 764-0553 (F)

Great lakes Division, Inc. (MI, IN) 1755 Abbey Road East Lansing, MI 48823-1907 (517) 332-2222 (O) (517) 664-1498 (F)

California Division, Inc. 1710 Webster Street Oakland, CA 94612 (510) 893-7900 (O) (510) 835-8656 (F)

eastern Division, Inc. (Ny, NJ) 6725 Lyons Street East Syracuse, NY 13057 (315) 437-7025 (O) (315) 437-0540 (F)

Chartered Divisions of the American Cancer Society, Inc.

When you support the American Cancer Society, you become part of a network of people who are committed to eliminating cancer. You help save lives in your community and around the world. Together, we’re helping people stay well with the tips and tools they need to live healthier lives; helping people get well with the support they need throughout a cancer experience; helping find cures by funding the best and brightest cancer researchers; and we’re fighting back by working with policymakers to pass laws that help fight cancer.

Thank you for supporting these life-affirming efforts that get us closer to a world with less cancer and more birthdays. We invite you to continue your generous support by giving in any way that is convenient for you.

Although our financial report is always sent free to anyone requesting a copy, certain states require us to advise you that a copy of our financial report is available from them.

The American Cancer Society, Inc. (“ACS”) is a New York not-for-profit corporation that is the nationwide community-based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives and diminishing suffering from cancer, through research, education, advocacy and service. The ACS national home office is located at 250 Williams Street, Atlanta, GA 30303. The information enclosed describes one or more of ACS’s or an American Cancer Society Division’s activities. Your gift is very much appreciated and tax deductible as a charitable contribution to the fullest extent allowed by law. A copy of ACS’s or an American Cancer Society Division’s latest financial report may be obtained by writing to ACS, 250 Williams Street, Atlanta, GA 30303 or by calling 1-800-ACS-2345. If you are a resident of the following states, you may obtain information directly by contacting: Florida: A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION of ACS or the American Cancer Society, Florida Division, Inc. MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICE BY CALLING 1-800-435-7352, TOLL-FREE WITHIN THE STATE. The ACS’s registration number in Florida is CH7486. The American Cancer Society, Florida Division, Inc.’s registration number is CH59. Maryland: Copies of documents and information submitted by ACS or the American Cancer Society, South Atlantic Division, Inc. are available for the cost of copies and postage from the Secretary of State, Statehouse, Annapolis, MD 21401, 1-410-974-5534. Mississippi: The official registra-tion and financial information of ACS and the American Cancer Society, Mid-South Division, Inc. may be obtained from the Mississippi Secretary of State’s office by calling 1-888-236-6167. New Jersey: INFORMATION FILED WITH THE ATTORNEY GENERAL CONCERNING THIS CHARITABLE SOLICITATION AND THE PERCENTAGE OF CONTRIBUTIONS RECEIVED BY THE CHARITY DURING THE LAST REPORTING PERIOD THAT WERE DEDICATED TO THE CHARITABLE PURPOSE MAY BE OBTAINED FROM THE ATTORNEY GENERAL OF THE STATE OF NEW JERSEY BY CALLING (973) 504-6215 AND IS AVAILABLE ON THE INTERNET AT www.njconsumersaffairs.gov/ocp.htm#charity. REGISTRATION WITH THE ATTORNEY GENERAL DOES NOT IMPLY ENDORSEMENT. New York: New York residents may obtain a copy of ACS’s and the American Cancer Society, Eastern Division, Inc.’s annual report by writing to the Office of the Attorney General, Department of Law, Charities Bureau, 120 Broadway, New York, NY 10271. North Carolina: Financial information about ACS and the American Cancer Society, South Atlantic Division, Inc. and a copy of their licenses are available from the State Solicitation Licensing Branch at 888-830-4989. Pennsylvania: The official registration and financial information of ACS and the American Cancer Society, Pennsylvania Division, Inc. may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Virginia: A financial statement for the most recent fiscal year is available upon request from the State Division of Consumer Affairs, P.O. Box 1163, Richmond, VA 23209; 1-804-786-1343. Washington: You may obtain additional financial disclosure information by contacting the Secretary of State at 1-800-332-GIVE. West Virginia: West Virginia residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capital, Charleston, WV 25305.

REGISTRATION WITH A STATE AGENCY DOES NOT CONSTITUTE OR IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THAT STATE.

Direct Donations

Make a donation by phone at 1-800-227-2345, online at cancer.org, or by getting in touch with someone in your local American Cancer Society office. You can also make your gift in honor of or in memory of someone special.

Planned Giving and Estate Planning

We can help you and your professional advisors achieve your financial objectives and craft a giving plan personalized for your needs. You can save on your taxes, increase your current income or cash flow, and preserve more of your estate for your heirs – all while supporting the Society’s mission. Strategies include trusts and gifts made through wills. For free information or to speak with a planned giving officer, call 1-800-227-1885.

Special Events

Support events like Relay For Life®, Making Strides Against Breast Cancer®, galas, golf tournaments, and other fundraisers in your community. You’ll have fun and your contributions will go a long way toward fighting cancer. For events in your area, call 1-800-227-2345 or visit cancer.org.

Workplace Giving

An easy, convenient way to support the American Cancer Society is through your employer’s workplace giving/payroll deduction campaign. By designating the Society as your charity of choice, you can help us save more lives.

©2010 American Cancer Society, Inc.No.1508.09