8/8/2019 IRS 990s listing Douglas R. Browne as Save-A-Life
Foundation Treasurer, 2004-present
2/10
i 2004Form990.(30037" Save A L i f e Fo un da t io n 3 6 - 3 8 6
9 4 5 9 Page Part IV-A | Recbnciliafion of Revenue per
AuditedFinancial Statements with Revenueper Return (See
instructions.)
Part IV-B IReconciliation of Expenses per AuditedFinancial
Statements with Expensesper Returna Total revenue, gains, and other
supportper audited financial statements ^b Amo unts included on l
ine a butnot on line 12, Form 990
(1) Net unrealizedgains oninvestments $(2) Donated services and
useof facil it ies $ 7 2 , 5 0 0 .
(3 ) Recoveries of prioryear grants $
(4) Other (specify)_S e_e_Att^ache_d $ 1,100.Add amounts on
lines (1) through (4)
c Line a minus line bd Amo unts included on line 12,Form 990 but
not on l ine a:
(1 ) Investment expensesnot included on line6b, Form 990 $(2)
Other (specify)
$Add am ounts on l ines (1) and (2)Total revenue per l ine 12,
Form990 (l ine c plus line d)
1 , 2 2 7 , 7 5 5 . a Tota l expenses and losses per auditedf
inancial s tatements 'b Amo unts included on l ine a but noton line
17, Form 990
(1) Donated services and useof facil it ies(2 ) Prior year
adjustments reported online 20, Form 990
(3 ) Losses reported online 20, Form 990(4) Other (specify) 'J
> 1 A t t a c h e d
7 2 , 5 0 0 .
1,100.7 3 , 6 0 0 .1 , 1 5 4 , 1 5 5 . Add amounts on lines (1 )
through (4 )c Line a minus line bd Amo unts included on line
17,Form 990 but not on l ine a:
(1 ) Investment expensesnot included on line6b, Form 990 $(2)
Other (specify).
$
1 , 1 5 4 , 1 5 5 .Add amo unts on l ines (1) and (2)Total
expenses per l ine 17, Form990 (l ine c plus line d)
2 5 3 , 8 0 7 .
7 3 , 6 0 0 .1 8 0 , 2 0 7 ,
1 8 0 , 2 0 7 ,Part V List of O fficers, Directors, rustees, and
Key Emi o y e e s (List each one even if not compensated, see
instructions.)(A) Name and address
(B) Tit le and average hoursper week devotedto position(C)
Compensat ion( if not paid,enter -0-)
(D) Contr ibut ions toemployee benef i tp lans and
deferredcompensat ion(E) Expenseaccount and o theral lowances
_C a r_oJ _ Sp_i i zz_r i_ _Chairman/Exec Di r40 20,000. 1,334.
0 ._R jta_ Mu_l_ljn_s_Chai rwoman 0 .
_f e 6&y_ TJ"J ID Q\SVice Chairwoman 0 . 0 ._Nad_i_ne _L_ev
]_c_k_Secretar\ 0 . 0 .
-Pp.yjL r_o.w.D?.Treasurer
SeeJ. is^ j)f_Ojt t icers,Etc_ Statement0 , 0 .
75 Did any of f icer, d irector, t rustee, or key employee
receive aggregate compensa t ion of morethan $100,000 f rom your
organizat ion and al l re lated organizat ions, of which more
than$10,000 was provided by the re lated organizat ions 7I f 'Yes,'
attach schedule see instructions
BAATEEA0104 10/02/03
Q Yes 0 N oForm 990~(2003200
e
8/8/2019 IRS 990s listing Douglas R. Browne as Save-A-Life
Foundation Treasurer, 2004-present
3/10
Form 990
Depar tment of the TreasuryInternal Revenue Service
Return of Organization Exempt from Income TaxUnder section
501(c), 527, or 4947(a)(1) of the Internal Revenue Code(except
black lung benefit trust or private foundation)
* The organizat ion may have to use a copy of this return to
satisfy state reporting requirements.
OMB No 1545-00472004Open to PublicInspection
AB
For the 2004 calendar year, or tax year beginning J ul 1Check if
appl icable
Address changeName changeInit ial returnFinal returnAmended
returnApplicat ion pending
Please useIRS labelor printor type.Seespecificinstructions.
, 2004, and ending Jun 30C Name of organizationSave A Life
Foundation
Number and street (or P O box ifmai l is not delivered to street
addr) Roo m/suite9950 Lawrence 300
r*.t.. ,.. , M . h . . Ctr>4/> 7I D An JCity, town or
countrySchiller Park
StateI L
ZIP code + 46 0 1 7 6
Section 501 (cX3) organizations and 4947(a)(1)
nonexemptcharitable trusts must attach a completed Schedule A(Form
990 or 990-EZ).G Web site: " - w w w . s a l f . o r c
LJ527J O rganization type r-i r-,(Check only One) * |XJ 501(c) 3
- (insert n o ) [_| 4947(a)(1) orK Check here * \J if the
organization's gross receipts are normal ly not more than$25 000
The organizat ion need not file a return with the IRS but if the
oraanizat ionreceived a Form 990 Package in the mail , itshould f
ile a return without f inancial dataSome states require a complete
return.L Gross receipts Add l ines 6b , 8b, 9b, and 10b to line 1 2
* 1 , 7 3 2 , 1 4 0 .
, 2 0 0 5Employer Identification Number3 6 - 3 8 6 9 4 5 9
E Telephone number( 8 4 7 ) 9 2 8 - 9 6 8 3
F M ! ' " 9 U 0 cr| ~ | Oher (specify)*
H a n d I are nof applicable to section 527 organizationsH (a)
Is this a group return for af f i l i a tes' Q Yes |x]H ( b ) If
Yes,' enter number of aff i liates *H (C) Are all af f i l ia tes
include d' Q Yes Q
( I f 'No. ' attach a list See instructions )H (d) Is this a
separate return f i led by an
organ izat ion covered by a group ru l ing ' yos nnI Group
Exemption Number M Check - [ J if the organization is not
requiredto attach Schedule B (Form 990,990-EZ, or 990- PF).
Part I I Revenue, Expenses, and Changes in Net Assets or Fund
Balances (See instructions)
Q
QfU
1 Co ntr ibut ions, g i f ts , grants, and similar amounts
received:a Direct public support .b Indirect public support .c
Government contributions (grants)d Total (add linesla through 1c)
(cash
2345
1 al b1 c
1 2 5 , 8 2 2 .
1 , 317 , 322 . noncash $1 , 1 9 6 , 0 0 0 .
4 , 5 0 0 . )Program service revenue including government fees
and contracts (from Part VII, l ine 93)Membership dues and
assessmentsInterest on savings and temporary cash
investmentsDividends and interest from securit ies
-
6 a Gross rentsb Less: rental expensesc Net rental income or
(loss) (subtract l ine 6b f rom l ine 6a)
7 Other investment income (describeGross amount f rom sales of
assets otherthan inventory
b Less: cost or other basis and sales expensesc Gain or (loss)
(attach schedule)
6 a6 b
8a (A) Securit ies 8a8 b8 c
(B) Other
9 a9 b
d Net ga m or (loss) (combine line 8c, columns (A) and (B))9 Spe
cial events and activit ies (attach schedule) Ifany amount is f rom
gaming, check here
a Gross revenue (not including $ 1 1 5 , 7 7 7 . of contr ibut
ionsreported on line la )
b Less direct expenses other than fundraismg expensesc Net
income or (loss) from special events (subtract l ine 9b f rom line
9a)
10 a Gross sales of inventory, less returns and allowancesb
Less, cost of goods soldc Gross pro fit or (loss) from sales of
inventory (attach schedule) (subtract line 10b from line 10a)11
Other revenue ( f rom Part VI I , l ine 103)
12 Total revenue (add lines Id , 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c,
and 11)
-a3 4 , 3 1 23 4 , 3 1 2 .
S e e10 a10 b
L - 9 S t i a t6 2 , 2 3 4 .1 3 , 1 4 9 .
I d
6 c
8d
9c
10 c1112
1 , 3 2 1 , 8 2 23 1 0 , 9 7
1 , 9 3
4 9 , 0 88 61 , 6 8 4 , 6 7
13 Pro gram services ( f rom line 44, column (B))14 Management
and general (from line 44, column (Q)15 Fundraismg ( f rom l ine
44, column (D))16 Payments to aff il iates (attach schedule)17
Total expenses (add lines 16 and 44, column (A))
13 1 , 6 9 9 , 9 014 8 0 , 4 315 1 71617 1 , 7 8 0 , 5 0
18 Excess or (deficit) for the year (subtract l ine 17 f rom l
ine 12)19 Net assets or fund balances at beginning of year ( f rom
l ine 720 Other changes in net assets or fund balances (at tach
explanat ion)21 Net assets or fund balances at end of year (combine
lines 18, 19 , and 20;
18 - 9 5 , 8 219 1 , 0 6 9 , 9 72021 9 7 4 , 1 5
BAA For Privacy Act and Paperwork Reduction Act Notice, see the
separate instructions. TEEA0101 01/07/05 Form 99 0 (20
0
http://-www.salf.orc/http://-www.salf.orc/
8/8/2019 IRS 990s listing Douglas R. Browne as Save-A-Life
Foundation Treasurer, 2004-present
4/10
F orm 990 (20 04) S a v e A L i f e F o u n d a t i o nPart
IV-A
Reconciliation of Revenue per AuditedFinancial Statements with
Revenueper Return (See instructions.)
a Total revenue, gams, and other supportper audited financ ial
statements *"b A m o u n tn o t o n 1
(1) Net unrgains oinvestm(2) Donatecices antof facil it(3 )
Recoveneyear grant(4 ) Othe r (s
S e e A t
Add amou
s included on line a butne 12, Form 990-salizedents $
serv-i useles $ 1 9 0 , 7 9 5 .> of priors $pecify):t a c h e
d
$ 6 1 , 7 4 6 .nts on lines (1 ) through (4) **
c L ine a min us l ine b * "d A m o u n t
F o r m 9 ?(1 ) Investmennot includGb, Form(2) Other (s
Add am
s included on line 12,10 but not on line a:t expensesed on
line390 $pecify).
$ounts on lines (1) and (2) *"
e Total revenue per l ine 12, Form990 (l ine c plus line d)
a***%
