Letter to the AmeriFace Board of Directors Apr-14-2015

8/9/2019 Letter to the AmeriFace Board of Directors Apr-14-2015

1/15

AmeriFace Board of DirectorsPresident - David Reisberg, DDS Cleft Advocate, AmeriFace programVice President - Christina Corsiglia, Esq. Debbie Oliver, Executive Director Secretary/Treasurer - Teresa Grillo Robin Remele, Program Director Todd M. Beutler, Esq. Joyce Bentz, Action Team Leader Erik Kabik, Photographer --------------------------------------Gerry Gedroic Lichterman, Business Owner Corey Wyman, AmeriFace Board

Kerry Callahan Mandulak, PhD, CCC-SLP Ben Kjar, AmeriFace Board

April 14, 2015RE: Attorney who purportedly contacted AmeriFace; Facebook post byDebbie Oliver, Executive Director, Cleft Advocate, AmeriFace program

Debbie Oliver emailed me Wednesday, April 01, 2015 at 9:09 AM as follows, (enclosed)

As requested, you will find tax return information for the requested years for AmeriFaceat the following link:http://foundationcenter.org/findfunders/990finder/

Regards,Debbie Oliver Executive Director, [email protected]

The above does not respond to my inquiry in any way about the attorney who purportedlycontacted AmeriFace. Does that mean Ms. Oliver lied and made up a story on Facebook toimpress her “beautiful families” with her response to the attorney, to get sympathetic donations?

AmeriFace’s total revenue shown on its 2013 form 990-EZ is $7,213. Expenses show $8,272,resulting in a deficit of $1,095. I do not know of another so-called charity that would reject outof hand an attorney’s contact while running a deficit of $1,095 on total revenue of $7,213. Itappears something else is going on with AmeriFace, perhaps a hidden agenda.

Your silence has my attention. It would not surprise me to learn that AmeriFace is a friendlyopposition group working against the interest of persons with craniofacial disorders.

The Honorable Adalberto Jordan found Florida illegally deprived children of needed healthcarein a 153 page Order filed December 30, 2014, see Florida Pediatric Society et al v. Liz Dudek, etal., Case No. 1:05-cv-23037-AJ, Order (Doc. 1294) Findings of Fact and Conclusions of Law.http://www.drbicuspid.com/user/documents/content_documents/nws_rad/2015_01_02_14_59_17_167_fla_medicaid_jordan.pdf

I understand why Mr. Oliver and her constituency are in denial. But there must be more giventhe involvement of Dr. Reisberg, Dr. Mandulak, and Mr. Beutler, Esq., of DLA Piper, the largestlaw firm in the world. So I accept your challenge to dig deeper into this enigma. I find it odd thatAmeriFace is silent on Judge Jordan’s Order. A legitimate organization might question whyFlorida illegally deprived children of needed healthcare, and advocate for change.

Adults with craniofacial disorders have an outlet I failed to mention on YouTube. See attached.

Neil J. Gillespie


2/15

Link Page to YouTube Cleft Lip and Palate Video Stories

Personal stories told in the first person

Click on the URL links below to open the YouTube videos

Nhu Nguyen: “Babbling about my birth defect” badinfluence81 - It's A Birth Defect Dammit!

http://youtu.be/g368cugbWZQ http://youtu.be/1eaeNGjJKKs

Birth Defect Research for Children (BDRC) I was born with a cleft lip and palate....you don't

http://youtu.be/-Tmbm9mIJwA need to remind me.

Katya1269 - Cleft Palate and Bullying ElidasWords - Cleft Lip & Palate

http://youtu.be/Wf0s5nCEjpI http://youtu.be/GNEzhPKhA30

Katya1269 - My Cleft Palate Story... One-week After Upper Jaw Surgery

http://youtu.be/LOBrhGvXS_g http://youtu.be/r3eT4Rh417Q

Blake - Watch This If You Have Cleft Lip and Palate Nanijohaa, My Cleft Lip and Palate Story

http://youtu.be/aaYodP78tCQ http://youtu.be/NVkwA9nwFHU


3/15

AmeriFace - Cleft/Craniofacial AdvocatesAmeriFace is a 501(c)(3) tax-exempt public charity (#32-0085490)

Board of Directors - April 14, 2015

President - David Reisberg, DDS, Director University of Illinois Craniofacial Center, IL

Email: [email protected]

Vice President - Christina Corsiglia, Attorney/Parent of a child with a facial difference, IL

Bad email. Voluntarily inactive, not authorized to practice law. Attorney Registration and

Disciplinary Commission (ARDC), Supreme Court of Illinois. http://www.iardc.org/

Secretary/Treasurer - Teresa Grillo, Social Worker/Adult born with a facial difference, IL

Bad email address.

Todd M. Beutler, Attorney, Hong Kong. DLA Piper Global Law Firm


Erik Kabik, Celebrity & Architectural Photographer, NV


Ben Kjar, NCAA All-American Wrestler/Adult born with a facial difference, UT


Gerry Gedroic Lichterman, Business Owner/Adult with an acquired facial difference, IL


Kerry Callahan Mandulak, PhD, CCC-SLP Asst. Professor, Speech/Language

Pathologist, OR Email: [email protected]

Corey Wyman, Business Owner/Parent of an adult child born with a craniofacial

condition, NV. Update: Bad email. Chapter 7 Bankruptcy September 3, 2012http://vegasinc.com/business/public-record/2012/sep/03/records-and-transactions-sept-3-2012/

Executive Director

Debbie Oliver, Parent of an adult child born with a facial difference, NV


Program Director

Robin Remele, Parent of a child born with a facial difference, IL


Action Team Coordinator

Joyce Bentz, Parent of a child born with a facial difference, IN



4/15

Neil Gillespie

From: "Debbie Oliver" To: "'Neil Gillespie'" Sent: Wednesday, April 01, 2015 9:09 AMSubject: RE: Attorney who purportedly contacted AmeriFace; Facebook post by Debbie Oliver, Executive

Director, Cleft Advocate, AmeriFace program

Page 1 of

Thank you for your correspondence.

As requested, you will find tax return information for the requested years for AmeriFace at thefollowing link: http://foundationcenter.org/findfunders/990finder/

Regards,

Debbie Oliver Executive Director, AmeriFace

[email protected]

Visit our websites! www.ameriface.org www.cleftadvocate.org Phone: (888) 486-1209, (702) 769-9264, Fax: (702) 341-5351

From: Neil Gillespie [mailto:[email protected]]

Sent: Tuesday, March 31, 2015 4:59 PMTo: Todd M. Beutler, Attorney; Robin Remele, Program Director; Kerry Callahan Mandulak, PhD, CCC-SLP; JoyceBentz, Action Team Coordinator; Gerry Gedroic Lichterman; Erik Kabik; Debbie Oliver, Executive Director; DavidReisberg, DDS, President; Ben Kjar

Cc: Neil Gillespie

Subject: Attorney who purportedly contacted AmeriFace; Facebook post by Debbie Oliver, Executive Director,Cleft Advocate, AmeriFace program


5/15

ShortForm

OMB No

1545-11

Form

990

EZ

Return o f

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Sc

6

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6/15

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U M

Balance Sheets

( s e e

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t h e o r g a n i z a t i

o

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used Schedule 0

t o respond

t o

any

question

i n

t h i s P a r t

( A )

Beginning

o f year

( B )

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o f

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22

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s a v i n g s ,

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22

23

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0

23

24

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assets

( d e s c r i b e i n

Schedule 0

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24

25

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25

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( s e e t h e


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3

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e a s u r e d

by

e x p e n s e s .

I n

a

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a n i z a t i o n s

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28

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premier

support organization

fo r

th e

cleft/craniolacial

community, AmeriF

- - - - - - - - - - - - - --

- - - - - - - - -

-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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29

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -

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( G r a n t s

I f this

amount includes

foreign

grants,

check

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- - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - -

1 0 . [ : ] 9a

30

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -

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( G r a n t s

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1 1 1 ^

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31

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check

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a

32

Total

program service expenses add

lines

28a

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a

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32

List of

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each

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7/15

Form 990-EZ

( 2 0 1 3 )

Other

Information

(Note

the

Schedule

A an d

personal b e n e f i t contract statement requirements

i n

the


f o r

P a r t Check

i f t h e

o r

g a n i z a t i o n used Schedule t o

r e s p on d

t o

an

y q u e s t i o n

i n

t h i s P a r t

Yes

33

Did

the


engage

i n

an y

s i g n i f i c a n t

a c t i v i t y

n o t p r e v i o u s ly reported

t o

the

IRS?

f

Y e s ,

provide

a

d e t a i l e d

d e s c r i p t i o n

o f

each

a c t i v i t y

i n

Schedule

33

34

Were

an y

s i g n i f i c a n t

changes

made t o

the organizing

o r

governing

documents?

f

Y e s , a t t a c h

a

conformed

copy o f

t h e

mended

documents i f

they

r e f l e c t

a change t o

the o r g a n i z a t i o n s

name. Otherwise, e x p l a i n

the

change

on

Schedule

( s e e i n s t r u c t i o n s )

34

35 a

Did

t h e

o r g a n i z a t i o n have unrelated business

gross

income

o f 1,000

o r

more

during t h e

year from business

a c t i v i t i e s

(such

as

those

reported

on l i n e s

2 , 6 a , an d 7 a , among

o t h e r s ) ?

35 a

b

f Y e s ,

t o

l i n e

3 5 a ,

has

t h e

o r g a n i z a t i o n f i l e d

a

Form

990-T

f o r t h e

y e a r ? f

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p r o v i d e

a n e x p l a n a t i o n

i n

Schedule

35 b

c

Was

t h e


a

section

5 0 1 (c ) ( 4 ) , 5 0 1 ( c )( 5 ) ,

o r

5 0 1 ( c ) ( 6 )

organization

subject t o

s e c t i o n

6033(e)

n o t i c e ,

r e p o r t i n g , an d

proxy

t a x

requirements during

the year?

f Yes, complete

Schedule C ,

P a r t

36

Did

the


undergo

a

l i q u i d a t i o n , d i s s o l u t i o n ,

t e r m in a ti o n, o r

s i g n i f i c a n t d i s p o s i t i o n o f

n e t

assets

during t h e

year? f

Yes,

complete

applicable

p a r t s

o f

Schedule

N

36

37 a E n t e r

amount o f

p o l i t i c a l e x p e n d i t u r e s ,

d i r e c t o r i n d i r e c t , as described i n

t h e


37 a

0

b Did t h e o r g a n i z a t i o n

f i l e

Form 1120-POL f o r t h i s year?

37 b

38 a

Did

t h e


borrow f r o m , o r m ke

an y

loans

t o an y o f f i c e r , d ir e c t o r, t r u st e e, o r key

employee

or

were

an y

such l o a n s made i n

a p r i o r

year an d

s t i l l

outstanding

a t

the en d o f

the

t a x year covered

by

t h i s r e t u r n ?

38 a

b f

Y e s ,

complete

Schedule

L ,

P a r t

an d enter the

t o t a l

amount

involved

38 b

39 Section

5 0 1 ( c ) ( 7 )

o r g a n i z a t i o n s .

E n t e r :

a

I n i t i a t i o n

f e e s

an d

c a p i t a l

c o n t r i b u t i o n s

included on l i n e

9

39 a

b Gross

r e c e i p t s ,

included

on

l i n e

9 ,

f o r p u b l i c

us e

o f

club

f a c i l i t i e s

39 b

40 a Section

5 0 1 ( c ) ( 3 )

o r g a n i z a t i o n s . Enter

amount

o f

t a x i mp os e d on the organization during the

year

u n d e r :

s e c t i o n

4911

p s e c t i o n 4912

p

section

4955

p

b

Section

501

c 3

an d

501

c 4


Did the organization

engage

i n

an y

s e c t i o n

4958

excess b e n e f i t

t r a n s a c t i o n

d u r i n g

the

y e a r ,

o r d i d i t

engage

i n

an

excess

b e ne f it t r a n s a c t i o n i n

a

p r i o r year

t h a t

ha s

n o t

been

reported

on

an y

o f i t s

p r i o r

Forms

99 0

o r

990-EZ? f

Y e s ,

complete Schedule L P a r t

40 b

c Section

501 c 3

an d

501

c 4

o r g a n i z a t i o n s . Enter

amount o f

t a x imposed

on

o r g a n i z a t i o n managers

o r

d i s q u a l i f i e d

persons

during

the

year under sections 4912,

4955,

an d

4958 o

d

Section 5 0 1 ( c ) ( 3 ) an d

5 0 1 ( c ) ( 4 )


Enter

amount o f

tax

on l i n e

40c

reimbursed

by

t h e organization

p

e

l l o r g a n i z a t i o n s .

At

an y

time during

the

t a x

y e a r ,

w as the

organization

a p a r t y t o

a

p r o h i b i t e d

t a x s h e l t e r

t r a n s a c t i o n ?

f

Y e s ,

complete Form

8886-T

409

41

L i s t

the

s t a t e s w i t h

which

a

copy

o f

t h i s

r e t u r n

i s

f i l e d

I L ,

NV

42a

The

organization's

books are

i n care

of

-Debbie-Oliver

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

T e l e ph one no.

Located

a t

PO

Box

751112,

Las

Vegas,

NV

89136 _

ZIP +

4

89136

b

- _ _

- - - - - - - -

t

an y

time

during

th e calendar

y e a r ,

di d th e organization have

an

i n t e r e s t

in

or

a

signature

o r

other authority over

- - - - - -

Yes

a

f i n a n c i a l

account

i n

a

f o r e i g n

country ( s u c h

as

a

bank

account, s e c u r i t i e s a c c o u n t ,

o r o t h e r

f i n a n c i a l

account)? 42b

f Y e s , e n t e r

t h e name o f the

f o r e i g n

c o u n t r y :

See

t h e

i n s t r u c t i o n s f o r exceptions

an d

f i l i n g requirements

f o r Form

TD

F

90-22.1,

Report o f

Foreign

Bank

an d Financial Accounts.

c

At an y time

d u r i n g the

calendar y e a r , d i d

the

o r g a n i z a t i o n maintain

an

o f f i c e outside t h e

U.S.?

42c

f Y e s , e n t e r the

name o f

the f o r e i g n c o u n t r y :

43 Section 4 9 4 7 ( a ) ( 1 )

nonexempt

c h a r i t a b l e t r u s t s

f i l i n g

Form

990-EZ

i n

l i e u o f

Fonn 1 41 Check here

an d

e n t e r

t h e amount o f

tax-exempt

i n t e r e s t received o r

accrued during

the

t a x year

43

Y es

44 a

Did

t h e o r g a n i z a t i o n

maintain

an y donor

adv is ed f un ds

d uri ng the

year?

f Y e s ,

Form

990 mus t be

completed

i n s t e a d

o f

Form

990-EZ

h4a

b

Did

the o r g a n i z a t i o n operate on e

o r more

h o s p i t a l

f a c i l i t i e s during the year? f Y e s , Form

990

must

be

completed

i n s t e a d o f Form 990-EZ

44 b

c

Did

t h e

o r g a n i z a ti o n r e c e i v e

an y payments

f o r indoor tanning

services

during

the

year?

44 c

d

f Yes

t o

l i n e

44c,

has

the o r g a n i z a t i o n

f i l e d

a

Form

720

t o

r e p o r t

these

payments?

I f

N o ,

provide

an

e x p l a n a t i o n

i n

Schedule

44 d

45 a Did

t h e


have

a

c o n t r o l l e d e n t i t y w i t h i n

the

meaning o f

section

5 1 2 ( b ) ( 1 3 ) 9

45 a

45b

Did

t h e

o r g a n i z a t i o n receive

an y

payment from o r engage i n

an y

t r a n s a c t i o n

w i t h

a

c o n t r o l l e d e n t i t y w i t h i n the

meaning

o f

s e c t i o n 5 1 2 (b ) (1 3 )?

f

Y e s ,

Form

990 an d

Schedule

R may

need

t o

be

completed

i n s t e a d

o f

Form

990-EZ

( s e e i n s t r u c t i o n s )

_

45b

Form

990 EZ


8/15

Form

99 0

-E Z

( 2 0 1 3 )

46 D i d t h e


engage,

d i r e c t l y

o r i n d i r e c t l y , i n

p o l i t i c a l

campaign a c t i v i t i e s

on

b e h a l f o f

o r i n opposition

t o candidates

f o r

p u b l i c

o f f i c e ?

I f Yes,

complete Schedule

C ,

P a r t

I

. .

qg

Section

501(c

3 )

organ i zat i o n s o n ly

A l l

s e c t i o n

501

c 3

organizations mus t a ns wer

questions

47-49b

and

5 2 , and

complete the

t a b l e s

f o r

l i

50 an d

5 1 .

Check

i f

t h e o r g an i z a ti o n

used

Schedule

t o respond t o an y question i n t h i s P a r t

V I . . . . . . . .

Yes

47

Did

t h e

o r g a n i z a t i o n engage i n

lobbying

a c t i v i t i e s o r

have

a

section

5 0 1 ( h )

e l e c t i o n

i n e f f e c t during t he t ax

year? I f Y e s ,

complete

Schedule

C ,

P a r t

.

.

.

.

.

.

. .

47

48 I s

t h e


a school as described

i n

s e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( i i ) ?

I f Y e s , complete Schedu le E

. .

48

49 a

Did

t h e o r g a ni z a t io n make

an y t r a n s f er s t o

an

exempt

non-charitable r e l a t e d organization?

.

49 a

b

I f Y e s ,

was

t h e

r e l a t e d

organization

a

section

52 7

organization?

.

. . .

. .

49b

50

Complete

t h i s t a b l e

f o r

the o r g a n i z a t i o n s

f i v e

h i g h e s t

compensated

employees

( o t h e r

than

o f f i c e r s , d i r e c t o r s ,

t r u s t e e s

an

employees)

who

each

received

more than

100,000

o f compensation from the

o r g a n i z a t i o n .

I f t h e r e

i s none, e n t e r None.

a

Name

an d

t i t l e o f each employee

(b )

Average

hours per

week

devoted

t o

p o s i t i o n

(c )

Reportable

compensation

(Forms

W-2/1099-MISC)

(d )

H e a l t h

b e n e f i t s ,

c o n t r i b u t i o n s

t o employee

b e ne f it p l a ns , an d deferred

compensation

e Estimated

amo

o t h e r

compensat

None

-

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

f

T o t a l

number

o f

other employees paid over

100,000

.

.

51

Complete t h i s t a b l e

f o r the organization's

f i v e

highest

compensated

independent

contractors

who

each

received

more

100,000 o f compensation from the o r g a n i z a t i o n .

I f

t h e r e

i s none, enter

None.

(a )

Name an d

business

address o f each independent

contractor ( b) Type o f

s e r v i c e

c )

Compensation

None

-

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

d

T o t a l number

o f

other

independent

contractors

each r a c e

52

Did t h e o r g an i z a ti o n

complete Schedule Note. A l l

s e c s

nonexempt

charitable

trust s

must

attach a completed

Sc l

Under p e n a l t i e s

o f p e r j ur y

I

d ec

r e

h a t

I

have examined

t h i s

r e t u r n

I n c l u d i n g

ac c

t r u e

c o r r e c t a n d c omple

D e I rpn o f prepare4other

than o f f i c e r

i s

based

on

Sign

S i g

r

o r

ere

Deborah

Oliver

Executive Director

Type

o r

p r i n t

name

an d t i t l e

Paid

P r i n t

/

Type

preparer

s

name

P r e p a r e r s

Preparer

Use

Only

F i r m s

name

F i r m s a d d r e s s

Mav

the

IR S

discuss t h i s r e t u r n w i t h

the

DreDarer

shown a t


9/15

SCHEDULE A

P u b l i c

Charity

Status a nd P u b l i c

Support

F or m 9 90 o r

990-EZ)

C o m plet e

i f

t he

organization

i s

a

section

501 c 3 )

organization

or

a

section

4947

a ) ( 1 )

nonexempt charitable

t r u s t .

D e p a r t m e n t

o f

t h e

T r e a s u r y

At t a c h to

Form

9 9 0

or Form

990-EL

I n t e r n a l R e v e n u e

S e r v i c e

Information

a b out

Schedule

A

F o r m

990

o r

990

- EZ )

a nd i t s i n s t r u c t i o n s

i s

a t www.bs.gov/fonrn990.

OMB

No 1545-

2013

Name of t h e

organization

Employer

I d e n t i f i c a t i o n

number

MERIF E

32-0085490

IJCWL e son

f o r

Public

C h a r i t y S t a t u s

( A

l l organizations

m us t

complete

t h i s p a r t . )

See

i n s t r u c t i o n s .

Th e organization

i s

n o t

a

p r i v a t e

foundation

because i t i s : ( F o r

l i n e s

1

through 1 1 ,

check only

one b o x . )

1

A c h ur c h , c onven t i on

o f

churches,

o r

association

o f churches

described

i n

section 170 ( b ) ( 1 ) ( A ) ( U .

2

A

school

described

i n

section 170

( b ) ( 1 ) ( A ) ( i i ) .

( A t t a c h

Schedule

E .

3

A h o s p i t a l

o r a

cooperative h o s p i t a l

service o r g a n i z a t i o n

described i n

section 1 7 0 ( b ) ( 1 ) ( A ) ( i i i ) .

4

A

medical research


operated i n

conjunction w i t h

a

h o s p i t a l

described

i n

section 170

b 1 A i i l . E nter t he

h o s p i t a l s name,

c i t y ,

a nd s t a t e :

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

5

An o r g a n i z a t i o n

operated

f o r

the

b e n e f i t

o f

a

college

o r

u n i v e r s i t y

owned o r

operated

b y -

a

governmental

u n i t

descri

section

170 b ) ( 1 ) ( A ) ( i v . Complete P a r t I I .

6

A

f e d e r a l ,

s t a t e , o r

l o c a l

government

o r

governmental u n i t described i n

section

170 ( b ) ( 1 ) ( A ) ( v ) .

7

[D

An


t h a t

normally receives

a

s u b s t a n t i a l

p a r t

o f

i t s

support

from

a g ov er n men t a l

u n i t

o r from

t he

general

described

i n

section

170 ( b ) ( 1 ) ( A ) ( v i ) .

Complete P a r t

I I .

8

A co mmuni t y t r u s t

described i n

section 170

( b ) ( 1 ) ( A ) ( v i ) . Complete

P a r t

I I .

9

An o r g a n i z a t i o n

t h a t normally r e c e i v e s :

1 m o r e than

331/3

o f

i t s

support

from

c o n t r i b u t i o n s ,

mem bers hip

f e e s ,

a nd

r e c e i p t s

from

a c t i v i t i e s

r e l a t e d

t o

i t s exempt

functions-subject t o c e r t a i n

exceptions,

a nd

2

no

m o r e than 331/3

s uppor t f rom

gross

investment

inco me

a nd

u n r e l a t e d

business taxable in come

( l e s s

s e c t i o n 51 1

t a x ) f r o m b u si n

acquired

b y

t he


a f t e r June

3 0 ,

1975.

S ee

section

509 a 2 .

Complete

P a r t

I I I .

10

An o r g a n i z a t i o n organized

a nd operated

e x c l u s i v e l y t o t es t f or p u b l i c

s a f e t y .

S ee

section

5 0 9 ( a ) ( 4 ) .

1 1

An


organized

a nd

operated e x c l u s i v e l y

f o r

the

b e n e f i t o f , t o

perform

t he

f u n c t i o n s

o f , o r

t o c a r r y ou

purposes

o f

one

o r

m o r e

p u b l i c l y

supported

organizations

described

i n section

5 0 9 ( a ) ( 1 )

o r

s e c t i o n

5 0 9 ( a ) (

2 .

See se

509 a 3 . C h ec k

t h e

b ox t h a t

describes

the

type o f supporting

o r g a n i z a t i o n a nd

complete

l i n e s 1 1

a t h ro ug h 1 1

h .

a

Type

b

Type c Type

I I I - F u n c t i o n a l l y

i n t e g r a t e d

d

Type

I I I - N o n - f u n c t i o n a l l y

i n t e g r a

e

By

checking

t h i s b o x ,

c e r t i f y t h a t the

organization

i s n o t c o n t r ol le d

d i r e c t l y o r i n d i r e c t l y

b y one o r mo re

d i s q u a l i f i e d

pe

other

than

foundation

managers

a nd

other t h an

one

o r m o r e p u b l i c l y

supported

organizations

described

i n section

5 0 9

o r

section

5 0 9 ( a ) ( 2 ) .

f

I f

the


received

a

w r i t t e n

determination f ro m

t he I RS t h a t

i t

i s

a Type

Type

I I ,

o r

Type

I I I

supporti

o r g a n i z a t i o n ,

check t h i s

b ox

g

Since

August

1 7 ,

2006, h a s the

organization

accepted

a ny

g i f t o r c o n t r i bu t i o n from

a ny o f

t h e

f o l l o w i n g

persons?

i

A person

who

d i r e c t l y

o r

i n d i r e c t l y

c o n t r o l s ,

e i t h e r alone

o r together w i t h persons

described i n

i i a nd

Y e a

i i i below,

t h e

governing

b ody o f the

supported organization?

1 1 g ( m

i i A f a m i l y

member

o f a person described

i n i

above?

g p l )

i i i

A

35

c o n t r o l l e d

e n t i t y

o f

a p er so n

described

i n I o r i i

above?

1 1 g a i l

h

Provide

t h e f o l l o w in g i n f or m a t i o n

a b ou t t he

supported o r g a n i z a t i o n ( s ) .

i Name

o f supported

organization

i i

E I N

i l

Type o f organization

described

on

l i n e s 1- 9

a b o v e

o r I RC section

s ee Instructions

f v

I s

t h e o r g a ni z a ti o n

i n

c o l . I

l i s t i n

y o u r

g o v e r n i n g document?

v

Di d

y ou

n o t i f y

t h e

organization i n

c o l i o f your

support?

( v )

I s

t h e

o r g a n i z a t i o n i n

c o l .

( )

organized

i n

th e

U.S.?

( v l )

A mo u n t

o f

mo

support

Ye s

No Ye s No

Yes

No

( A )

( B )

( C )

( D )

( E )

Total

For

Paperwork Reduction

Act

N o t i c e ,

see

t h e I n s t r u c t i o n s

f or

C at No 11285E

Schedule

A F o r m

9 90

or 990 - E

Form

990 o r

990-EL


10/15

Schedule

A

(Form

990

o r

99 0

- E Z ) 2013

Support

Schedule

f o r

Organizations

Described i n Sections

1 7 0 b ) 1 ) A ) i v ) and

1 7 0 b ) 1 ) A ) v i )

(Complete

o n l y

i f

you

checked the

box

on

l i ne 5 , 7

o r

8

o f P a r t

o r i f the

o r g a n i z a t i o n f a i l e d t o

q u a l i f y und

P a r t

I l l .

I f

the o r g a n i z a t i o n f a i l s

t o q u al i fy

under the

t e s t s

l i s t e d

below, please complete

P a r t

I I I . )

Section A. Public

Support

Calendar year

or

f i s c a l year beginning

i n )

a )

2009

b )

2010

c )

2011

2012

e

)

2013

T o t

I

G i f t s ,

g r a n t s , c o n tr i b u ti o n s , an d

membership

fees r e c e i v e d .

(Do

not

include

any unusual grants. )

31,938

27,230

19,847 12,638

7,213

9

2

Ta x

revenues

l e v i e d

f o r

the

o r g a n i z a t i o n s

b e n e f i t an d

e i t h e r

paid

t o

o r expended on

i t s

b e h a l f

3 The value o f

s e r v i c e s

o r

f a c i l i t i e s

furnished

by a

governmental

u n i t

t o

the

organization without charge

4

T o t a l . Add l i n e s 1

through

3

31,938

27,230

19,847

12 638 7

21 3 9

5 The

p o r t i o n

o f

t o t a l c o n t r i b u t i o n s

by

each

person

o t h e r than

a

governmental

u n i t o r p u b l i c l y

supported

o r g a n i z a t i o n )

included

on

l i n e

1

t h a t exceeds

2 o f

t h e

amount

s h o w n

on

l i n e 1 1 , column f )

6

P u b l i c

su

o r t . S u b t r a c t l i n e 5

f r o m

l i n e 4 .

9

Section

B .

Total

Support

Calendar

year or f i s c a l year

beginning

i n

a

)

2009

b )

2010

c )

2011

d

)

2012 a 2013 T o t

7

Amounts

from l i n e

3 1 ,

93 8 27 23 0 19 ,847

1 2 ,

638

7

21 3

9

8

Gross income f r om

i n t e r e s t , dividends,

payments received

on s e c u r i t i e s

l o a n s ,

r e n t s ,

r o y a l t i e s

an d

income

from s i m i l a r

sources

9

Net income

from

u n r e l a t e d

business

a c t i v i t i e s ,

whether

o r

n ot t h e

business

i s

r e g u l a r l y

c a r r i e d

on

10 Other income.

Do

not i n c l u d e

g a i n

o r

l o s s from the s a l e

o f

c a p i t a l

assets

E x p l a i n i n P a r t

I V .

1 1

Total

support

dd

l i n e s

7

through 10

9

12 Gross

r e c e i p t s from

r e l a t e d

a c t i v i t i e s ,

e t c .

s e e

i n s t r u c t i o n s )

12

13

F i r s t

f i v e years

I f

the

Form 990 i s f o r the

o r g a n i z a t i o n s

f i r s t second,

t h i r d ,

f o u r t h , o r

f i f t h

t a x

year

as

a

s e c t i o n 5 0 1 c )

o r g a n i z a t i o n , check

t h i s

b ox an d

s top h er e

14

P u b l i c

support

percentage

f o r

2013 l i n e

6 ,

column

f )

divided

by

l i n e 1 1 , column f ) ) 14

10

15

P u b l i c

support

percentage from

2012

Schedule

A ,

P a r t I I , l i n e 14 15

10

16 a

33 /3 support

test-2013

I f

t h e organization d i d not check the bo x o n

l i n e

1 3 , an d l i n e

14

i s

331/3 o r

more,

check t h i s

b ox an d s top h er e

The o r g a n i z a t i o n q u a l i f i e s

as a

p u b l i c l y

supported


b

331/3

support t e s t

-2012.

I f t h e organization d i d not check

a

bo x

on l i n e 13

o r 1 6a , an d

l i n e

15 i s

331/3

o r

more,

check t h i s bo x an d s top h er e

The

organization

q u a l i f i e s

as a

p u b l i c l y

supported

organization

17 a

10 facts -

and-circumstances

test-2013

I f the organization d i d

n o t

check

a

bo x o n l i n e 1 3 , 1 6a , o r

1 6 b ,

an d l i n e

14

i

10 o r

more, an d i f


meets

the

facts-and-circumstances

t e s t ,

check

t h i s b ox an d stop here

E x p l a i n

i n

P a r t

I V

how

the


meets

the


t e s t .

The


q u a l i f i e s

as

a

p u b l i c l y

supported

organization

b

10 -facts

-

and-circumstances test-2012

I f the organization d i d

n o t

check

a

box

on l i n e 1 3 , 1 6 a , 1 6 b , o r 1 7 a ,

an d l i n e

15

i s 10

o r

more,

an d

i f

the

organization

meets

the facts-and-circumstances t e s t , check t h i s

bo x

an d stop

h e r e .

Explain

i n P a r t I V

how the o r g a n i z a t i o n meets

the


t e s t . The


q u a l i f i e s

as a

p u b l i c l y

supported


18 Private foundation I f

the o r g a n i z a t i o n d i d not check

a

bo x on

l i n e

1 3 ,

1 6 a ,

1 6 b ,

1 7 a, o r 17b,

check

t h i s

b ox an d

se e


Schedule

A (Form 99 0

or

990-E


11/15

Schedule

A (Form

99 0

o r

990-EZ) 2013

M

Support Schedule

for

Organizations

Described

i n Section 5 0 9 ( a ) ( 2 )

(Complete

only i f y ou checked the bo x o n l i n e

9

o f

P a r t o r i f the

o r g a n i z a t i o n f a i l e d

t o q u a l i f y

under P a r t

I f


f a i l s

t o

q u a l i f y under the

t e s t s

l i s t e d below, please

complete P a r t

I I .

Section

A.

Public

Support

Calendar

year

or

f i s c a l year

beginning

i n

a )

2009

( b

2010

c

2011

d

2012

e

2013

T o t

I

G i f t s , g r a n t s ,

c o n t r i b u t i o n s , a n d

m e m b e r s h i p

f e e s

r e c e i v e d

( D o

n o t

i n c l u d e a n y

u n u s u a l

g r a n t s . )

2

G r o s s r e c e i p t s

f r o m

a d m i s s i o n s , m e r c h a n d i s e

s o l d or s e r v i c e s p e r f o r m e d ,

o r

f a c i l i t i e s

f u r n i s h e d

i n

a n y

a c t i v i t y

t h a t

i s

r e l a t e d t o

t h e

o r g a n i z at i o n s t a x - e x e m p t p u r p o s e

3

G r o s s

r e c e i p t s

f r o m

a c t i v i t i e s

t h a t

a re n ot

a n

u n r e l a t e d

t r a d e o r b u s i n e s s

u n d e r

s e c t i o n

513

4 Ta x revenues

l e v i e d f o r

the

o rg an i z at i o n s b e n e f i t

an d

e i t h e r

p a i d

t o

o r

expended

on

i t s behalf

5

The

value

o f

s e r v i c e s

o r f a c i l i t i e s

f u r n i s h e d

by a

governmental

u n i t

t o

the

o r g a n i z a t i o n without charge

6 Total l i n e s 1

through

5

7a

Amounts

included on

l i n e s

1 , 2 , an d

3

received from

d i s q u a l i f i e d persons

b A mounts

i n c l u d e d on

l i n e s

2 an d

3

r e c e i v e d f r o m o t h e r t h a n d i s q u a l i f i e d

persons

t h a t

exceed

t he g re a te r

o f 5,000

o r 1

o f

t h e

amount on

l i n e

1 3 f o r

t h e

y e a r

c l i n e s

7a

an d

7b

8 Public

support

( S u b t r a c t l i n e

7c

from

l i n e

6 . )

Section B . Total

Support

Calendar

year

or f i s c a l

year

beginning i n )

9 Amounts from l i n e

6

10a

G ross income

f r o m

i n t e r e s t , d i v i d e n d s ,

payments r e c e i v e d

o n s e c u r i t i e s l o a n s , r e n t s ,

r o y a l t i e s

and

income

f r o m s i m i l a r

s o u r c e s

b U n r e l a t e d

b u s i n e s s

t a x a b l e income

( l e s s

s e c t i o n 5 1 1 t a x e s

from

businesses

a c q u i r e d a f t e r June 3 0 ,

1975

c

Add

l i n e s

10a

an d

10b

1 1

Net

income from

u n r e l a t e d business

a c t i v i t i e s n o t i n c l u d e d

i n l i n e

1 0 b , whether

o r

n o t t h e

b u s i n e s s i s r e g u l a r l y

c a r r i e d

on

12

Other

income.

Do

no t include gain

o r

l o s s

from t h e

s a l e

o f

c a p i t a l assets

( E x p l a i n

i n

P a r t

I V . )

13

Total

support (Add l i n e s 9 , 1 0 c ,

1 1 ,

an d 1 2 . )

a 2009

2010

c ) 2011

d )

2012

a

2013

T o t

14

F i rs t f i v e

years

I f

the

F or m 990 i s

f o r the o r g a n i z a ti o n s

f i r s t ,

second,

t h i r d ,

f o u r t h ,

o r

f i f t h

t a x year

as a

s e c t i o n

5 0 1 ( c ) (

o r g a n i z a t i o n ,

check t h i s b ox an d s to p h er e

15

P u b l i c

support

percentage f o r

2013 l i n e 8 ,

column

f

divided

by

l i n e

1 3 ,

column

f 15

16

P u b l i c support

percentage

from

2012

Schedule

A ,

P a r t

I I I , l i n e 15

16

Section D.

Computation

of

Investment Income Percentage

17 Investment

income

percentage f o r

2013

p i n e 1 0c , column

f

divided

by

l i n e 1 3 ,

column f

17

18 Investment

income percentage

from

2012 Schedule A ,

P a r t I I I ,

l i n e

17

18

19a

3 3 1 / 3

support

t e s t s

2013

I f t h e


d i d n o t check t h e

bo x on l i n e 1 4 , an d

l i n e

15 i s more

t h a n 3 3 1 / 3 , an d l

17

i s

n o t

more

t ha n 3 3 / 3 , check t h i s bo x an d

stop

here

Th e

o r g a n i z a t i o n q u a l i f i e s

a s

a

p u b l i c l y

supported


b

33 n

support

t e s t s

2012

I f t h e o r g a n i z at i o n d i d n o t check

a

bo x

on l i n e

14 o r l i n e

1 9 a ,

and l i n e 1 6 i s more

than

3 3 1 r m , a

l i n e

1 8 i s

n o t

more t ha n 3 3 1 / 3 ,

check

t h i s bo x an d s top h er e

Th e


q u a l i f i e s

as

a

p u b l i c l y

supported


20

Private

foundation

I f

the

organization

d i d n o t check

a

bo x

on

l i n e

1 4 ,

1 9 a ,

o r 19b, check

t h i s

bo x a nd

see


Schedule A

( F o rm 9 90 or

990-E


12/15

Schedule

Statement

Form:

990 EZ

Page:

L i n e Number:

Reasonable

Cause

Explanations

MERIF

32 00854

Explanation

menFace

completed

F o r m

8868 and

was

granted an

extension

t o February 1 5

2015

see

a t t a c h e d .

Page:


13/15

Schedule

O Statement

2

MERIF

Form:•990-FZ

32-00854

Page:

i n e Number:

P a r t

i n e

16

Other

Expenses Structured

Explanation

Description

moun

Bank

Charges

6

Dues

an d

Subscriptions

3

Insurance

1 3

Licenses

and

Fees

P a t h f i n d e r

Program

3 8

O f f i c e

Equipment

6

Telephone

5

Website

Development

an d Maintenance

6

T o t a l

8 0

Page:

2


14/15

Schedule

d

Statement

3

Form.

990 EZ

Page:

2

Line

Number:

a r t

Primary

Exempt Purpose

MERIF

32 0085

Primary

Exempt

Purpose

AmeriFace

provides

i n f o r m a t i o n an d support t o

i n di v id u a l s w i t h c o n g e n i t a l

an d

acquired

c r a n i o f a c i a l

c o n d i t i o n s an d

t h e i r

f a m i l i e s and

increases

p u b l i c

understanding o f

these

c o n d i t i o n s through

awareness

programs

an d

education.

We

support

i n d i v i d u a l s

whose

f a c i a l

d i f f e r e n c e s

are

prese

a t

i r t h

as

w e l l

as those who

have

acquired

f a c i a l d i f f e r e n c e s

as

a

r e s u l t

o f i l l n e s s disease

o r trauma

such as

oral/head/neck

cancer accidents

an d

bums.

Page:

3


15/15

Schedule

Statement

4

Form:

990 EZ

Page:

2

L i n e Number:

P a r t L i n e

28

F i r s t

P r o g ram

Service

Accomplishments

Description

MERIF C

32 00854

Description

t h e i r

f a m i l i e s Ou r

programs

reach

thousands across the

United

States an d around t h e

world every

y e a r

l i v e s

a f f e c t e d

by

medical

c o n d i t i o n s such

as c l e f t

l i p / p a l a t e complex c r a n i o f a c i a l

syndromes

oral/head/neck

cancer

bums

trauma

e t c

Through t h e

Pathfinder

Outreach Network

o ur o n

l i n e support systems have d e l i v e r e d over

1 6

m i l l i o n

pieces

o f

correspondence t o

f a m i l i e s

seeking

answers

f o r

complex

medical and

psychosocial

concerns

f o r i n d i v i d u a l s

w i t h f a c i a l

d i f f e r e n c e s

a nd pro g r am

websites

logged

over 41 520 website

v i s i t o r s

during

t h e

f i s c a l

year r e p o r t i n g

p e r i o d

Letter to the AmeriFace Board of Directors Apr-14-2015

Documents

Transcript of Letter to the AmeriFace Board of Directors Apr-14-2015