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12/28/10 PUBLIC DISCLOSURE COPY

12/28/10 - Susan G. Komen®

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Page 1: 12/28/10 - Susan G. Komen®

12/28/10

PUBLIC DISCLOSURE COPY

Page 2: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 2Statement of Program Service Accomplishments Part III

1 Briefly describe the organization's mission:

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

3 Did the organization cease conducting, or make significant changes in how it conducts, any programservices? Yes NommmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," describe these changes on Schedule O.

4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.

Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts 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 including grants of $(Code: ) (Expenses $ ) (Revenue $ )

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

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

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

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

ITotal program service expenses 4e

Form 990 (2009)

JSA

9E1020 2.000

75-2462834

OUR MISSION IS A WORLD WITHOUT BREAST CANCER; TO SAVE LIVES BYEMPOWERING PEOPLE, ENSURING QUALITY CARE FOR ALL, AND ENERGIZINGSCIENCE TO DISCOVER AND DELIVER CURES.

X

X

51,427,974. 26,007,055. 351,355.

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

46,412,985. 44,380,260.

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

31,748,553.

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 AWARD AND RESEARCH 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.

19,871,288. 18,876,995.

149,460,800.

87855E 1385 V 09-8.6 GROUP

Page 3: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 3

Checklist of Required Schedules Part IV Yes No

1

2

3

4

5

6

7

8

9

10

11

12

12

13

14

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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm1

2

3

4

5

6

7

8

9

10

11

12

13

14a

14b

15

16

17

18

19

20

Is the organization required to complete Schedule B, Schedule of Contributors? mmmmmmmmmmmmmmmmmmmDid 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 ImmmmmmmmmmmmmmmmmmmmmmmmmmmSection 501(c)(3) organizations. Did the organization engage in lobbying activities? If "Yes," complete

Schedule C, Part IImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSections 501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subject to the section 6033(e)

notice and reporting requirement and proxy tax? If "Yes," complete Schedule C, Part III mmmmmmmmmmmmmmmDid the organization maintain any donor advised funds or any similar funds or accounts where 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 ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid 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 IImmmmmmmmmmDid the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization report an amount in Part X, line 21; 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization, directly or through a related organization, hold assets in term, permanent, or

quasi-endowments? If" Yes," complete Schedule D, Part VmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIs the organization’s answer to any of the following questions "Yes"? If so, complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm%%%%%%

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

Schedule D, Part VI.

Did 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.

Did 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.

Did 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.

Did 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? If "Yes," complete Schedule D, Part X.

Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"

complete Schedule D, Parts XI, XII, and XIII.mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmYes NoA

a

b

Was the organization included in consolidated, independent audited financial statement for the tax year?

If "Yes," completing Schedule D, Parts XI, XII, and XIII is optional.mmmmmmmmmmmmmmmmmmmmmm12A

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule EmmmmmmmmmmmDid the organization maintain an office, employees, or agents outside of the United States? mmmmmmmmmmmmmDid the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,

business, and program service activities outside the United States? If "Yes," complete Schedule F, Part ImmmmmmDid 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, Part II.mmmmmmmmmmmDid 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, Part III mmmmmmmmmmmmmmmDid 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 mmmmmmmmmmmmmmmmmmmmDid 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 IImmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

If "Yes," complete Schedule G, Part IIImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization operate one or more hospitals? If "Yes," complete Schedule H mmmmmmmmmmmmmmmmm

Form 990 (2009)

JSA

9E1021 2.000

75-2462834

XX

X

X

X

X

X

X

X

X

X

X X X

X

X

X

X

X

X X

87855E 1385 V 09-8.6 GROUP

Page 4: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 4

Checklist of Required Schedules (continued) Part IV Yes No

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

Did the organization report more than $5,000 of grants and other assistance to governments and organizations

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

22

23

24a

24b

24c

24d

25a

25b

26

27

28a

28b

28c

29

30

31

32

33

34

35

36

37

38

mmmmmmmmmmmmDid 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 IIImmmmmmmmmmmmmmmDid 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmma

b

c

d

a

b

a

b

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 question 25 mmmmmmmmmmmmmmmmmmmmmmmmDid the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? mmmmmmmDid the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? mmmmmmmSection 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 mmmmmmmmmmmmmmmmmmmIs 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 ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmWas 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 IImDid the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor, or a grant selection committee member, or to a person related to such an individual?

If "Yes," complete Schedule L, Part IIImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmWas 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 IVmmmmmmmmA family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IVmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmAn entity of which a current or former officer, director, trustee, or key employee of the organization (or a

family member) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L,

Part IV mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

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

Schedule N, Part IImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid 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 ImmmmmmmmmmmmmmmmmmmmmWas the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts II,

III, IV, and V, line 1 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIs any related organization a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete

Schedule R, Part V, line 2 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection 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 2mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and

19? Note. All Form 990 filers are required to complete Schedule O.mmmmmmmmmmmmmmmmmmmmmmmmmForm 990 (2009)

JSA

9E1030 2.000

75-2462834

X

X

X

X

X

X

X

X

X

X

XX

X

X

X

X

X

X

X

X

X

87855E 1385 V 09-8.6 GROUP

Page 5: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 5

Statements Regarding Other IRS Filings and Tax Compliance Part V Yes No

1a

1b

2a

7d

1

2

3

4

5

6

7

8

9

10

11

12

a

b

c

a

b

a

b

a

b

a

b

c

a

b

a

b

c

d

e

f

g

h

a

b

a

b

a

b

a

b

Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of

U.S. Information Returns. Enter -0- if not applicablemmmmmmmmmmmmmmmmmmmmmmmmEnter the number of Forms W-2G included in line 1a. Enter -0- if not applicable mmmmmmmmmDid the organization comply with backup withholding rules for reportable payments to vendors and reportable

gaming (gambling) winnings to prize winners? 1c

2b

3a

3b

4a

5a

5b

5c

6a

6b

7a

7b

7c

7e

7f

7g

7h

8

9a

9b

12a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmEnter 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 this return. (see

instructions)

Did the organization have unrelated business gross income of $1,000 or more during the year covered by

this return? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule OmmmmmmmmmmmmmAt 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)? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIIf “Yes,” enter the name of the foreign country:

See the instructions for exceptions and 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? mmmmmmmmDid any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to question 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding

Prohibited Tax Shelter Transaction? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDoes 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? mmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," did the organization include with every solicitation an express statement that such contributions or

gifts were not tax deductible? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmOrganizations 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?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," did the organization notify the donor of the value of the goods or services provided? mmmmmmmmmmmmDid the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

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

benefit contract? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

For all contributions of qualified intellectual property, did the organization file Form 8899 as required?mmmmmmmFor contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as

required? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting

organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring

organization, have excess business holdings at any time during the year?mmmmmmmmmmmmmmmmmmmmmmmSponsoring 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

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

10a

10b

11a

11b

12b

mmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmGross income from other sources (Do not net amounts due or paid to other sources against

amounts due or received from them.) mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection 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 mmmmmForm 990 (2009)

JSA

9E1040 2.000

75-2462834

2041

X

465X

X

X

X X

X

XX

X

X X

87855E 1385 V 09-8.6 GROUP

moselka
Text Box
*
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* AMOUNT REPRESENTS TOTAL NUMBER OF EMPLOYEES REPORTED ON FORMS 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.
Page 6: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 6

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, andfor a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes inSchedule O. See instructions.

Part VI

Section A. Governing Body and ManagementYes No

1a

1b

mmmmmmmmmmmmmmmmmmm1

2

3

4

5

6

7

8

9

10

11

11

12

13

14

15

16

a

b

a

b

a

b

Enter the number of voting members of the governing body

Enter the number of voting members that are independent

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?

Did 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?

Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed?

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

Does the organization have members or stockholders?

Does the organization have members, stockholders, or other persons who may elect one or more members

of the governing body?

Are any decisions of the governing body subject to approval by members, stockholders, or other persons?

Did 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?

mmmmmmmmmmmmmmmmmmmm2

3

4

5

6

7a

7b

8a

8b

9a

10a

10b

11

12a

12b

12c

13

14

15a

15b

16a

16b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

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 Ommmmmmmmmmmm

Section B. Policies(This Section B requests information about policies not required by the InternalRevenue Code.)

Yes No

a

b

A

a

b

c

a

b

a

b

Does the organization have local chapters, branches, or affiliates?

If "Yes," does the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with those of the organization?

Has the organization provided a copy of this Form 990 to all members of its governing body before filing the

form?

Describe in Schedule O the process, if any, used by the organization to review this Form 990.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDoes the organization have a written conflict of interest policy? If "No," go to line 13

Are officers, directors or trustees, and key employees required to disclose annually interests that could give

rise to conflicts?

Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule O how this is done

Does the organization have a written whistleblower policy?

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

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.)

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

with a taxable entity during the year?

If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate

its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard

the organization's exempt status with respect to such arrangements?

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmSection C. Disclosure

I17

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 (501(c)(3)s only)

available for public inspection. Indicate how you make these available. Check all that apply.Own website Another's website Upon request

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

policy, and financial statements available to the public.

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

organization:IJSA Form 990 (2009)

9E1042 5.000

75-2462834

1,5211,520

X

XX X X

XX

XX

X

X

X

X

X

XXX

XX

X

ATTACHMENT 4

X X

MARK NADOLNY, CFO 5005 LBJ FREEWAY, SUITE 250 DALLAS, TX 75244-6125972-855-1600

87855E 1385 V 09-8.6 GROUP

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SEE SCHEDULE O
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SCHED O
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SCHED O
Page 7: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 7

Compensation of Officers, Directors, Trustees, Key Employees, Highest CompensatedEmployees, and Independent Contractors

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year. Use Schedule J-2 if additional space is needed.

%%%

%%

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

List all of the organization's current key employees. 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 ofthe organization, 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 the organization did not compensate any current officer, director, or trustee.

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

Name and Title Averagehours per

week

Position (check all that apply) Reportablecompensation

fromthe

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

Ind

ivid

ua

l truste

eo

r dire

cto

r

Institu

tion

al tru

ste

e

Offic

er

Ke

y e

mp

loye

e

Hig

he

st c

om

pe

nsa

ted

em

plo

yee

Fo

rme

r

Form 990 (2009)JSA

9E1041 3.000

75-2462834

SEE ATTACHMENT 7 FOR PART VIIX X 0. 0. 0.

DARA RICHARDSON-HERONCEO - GREATER NEW YORK CITY 55.00 X 240,000. 0. 0.JACQUELINE SAMDIR - FIN & ADMIN - GTR NYC 45.00 X 141,044. 0. 0.MICHELE OSTRANDEREXEC. DIRECTOR - DENVER METRO 50.00 X 130,000. 0. 1,500.KELLY DOLANEXEC. DIRECTOR - GTR ATLANTA 60.00 X 130,000. 0. 0.ROBIN PROTHROEXECUTIVE DIRECTOR - MARYLAND 60.00 X 135,778. 0. 14,000.ELAINE GROBMANEXEC DIRECTOR - PHILADELPHIA 40.00 X 125,000. 0. 0.

87855E 1385 V 09-8.6 GROUP

Page 8: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 8

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

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

Name and title Averagehours per

week

Position (check all that apply) Reportablecompensation

fromthe

organization(W-2/1099-MISC)

Reportablecompensationfrom related

organizations(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

Ind

ividu

al tru

ste

eo

r dire

cto

r

Institu

tion

al tru

stee

Office

r

Ke

y em

plo

ye

e

Hig

he

st com

pe

nsa

ted

em

plo

ye

e

Fo

rme

r

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI1b Total

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

Yes No

3 Did the organization list any former officer, director or trustee, key employee, or highest compensatedemployee on line 1a? If "Yes," complete Schedule J for such individual 3mmmmmmmmmmmmmmmmmmmmmmmmmm

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation fromthe organization and related organizations greater than $150,000? If "Yes," complete Schedule J for suchindividual 4mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization forservices rendered to the organization? If "Yes," complete Schedule J for such person 5mmmmmmmmmmmmmmmmmm

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization.

(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

Form 990 (2009)JSA

9E1050 2.000

75-2462834

901,822. 0. 15,500.

11

X

X

X

ATTACHMENT 5

2

87855E 1385 V 09-8.6 GROUP

Page 9: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 9

Statement of Revenue(C)

Unrelatedbusinessrevenue

Part VIII (B)

Related orexemptfunctionrevenue

(D)Revenue

excluded from taxunder sections

512, 513, or 514

(A)

Total revenue

1a

1b

1c

1d

1e

1f

1a

b

c

d

e

f

g

2a

b

c

d

e

f

6a

b

c

b

c

8a

b

9a

b

10a

b

11a

b

c

d

e

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:

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmm

$

Co

ntr

ibu

tio

ns, g

ifts

, g

ran

tsan

d o

ther

sim

ilar

am

ou

nts

Ih Total. Add lines 1a-1f mmmmmmmmmmmmmmmmmmmBusiness Code

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

rog

ram

Serv

ice R

even

ue

mmmmmmmmmmmmmmmmmmm3

4

5

Investment income (including dividends, interest, and

other similar amounts)

Income from investment of tax-exempt bond proceeds

Royalties

III

I

I

I

I

I

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

(i) Real (ii) Personal

Gross Rents

Less: rental expenses

Rental income or (loss)

mmmmmmmmmmmmm

d Net rental income or (loss)mmmmmmmmmmmmmmmmm(i) Securities (ii) Other

7a Gross amount from sales ofassets other than inventory

Less: cost or other basis

and sales expenses

Gain or (loss)

mmmmmmmmmmm

d Net gain or (loss) mmmmmmmmmmmmmmmmmmmmmGross income from fundraising

events (not including $

of contributions reported on line 1c).

See Part IV, line 18

Less: direct expenses

mmmmmmmmmmma

b

a

b

a

b

mmmmmmmmmmc Net income or (loss) from fundraising events mmmmmmmmO

ther

Reven

ue

Gross income from gaming activities.

See Part IV, line 19 mmmmmmmmmmmLess: direct expenses mmmmmmmmmm

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

returns and allowances mmmmmmmmmLess: cost of goods soldmmmmmmmmm

c Net income or (loss) from sales of inventorymmmmmmmmmMiscellaneous Revenue Business Code

All other revenue

Total. Add lines 11a-11d

mmmmmmmmmmmmmImmmmmmmmmmmmmmmmmI12 mmmmmmmmmmmmmmTotal Revenue. See instructions

Form 990 (2009)

JSA

9E1051 1.000

75-2462834

8,639,734.

108,496.

87,433,370.

45,321.

41,557,218.

8,779,157.

137,784,139.

0.

808,721. 808,721.

0.

127,181. 127,181.

0.

172,347.

160,149. 5,403.

12,198. -5,403.

6,795. 6,795.

87,433,370.

43,533,248.

11,947,698.

31,585,550. 31,585,550.

175,922.

5,742.

170,180. 170,180.

1,066,819.

715,464.

351,355. 351,355.

INTERCOMPANY REV 900099 1,535,569. 1,535,569.

MISCELLANEOUS REVENUE 900099 47,848. 47,848.

1,583,417.

172,417,338. 351,355. 34,281,844.

87855E 1385 V 09-8.6 GROUP

Page 10: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 10

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) but are not required to complete columns (B), (C), and (D).

(A) (B) (C) (D)Do not include amounts reported on lines 6b,7b, 8b, 9b, and 10b of Part VIII.

Total expenses Program serviceexpenses

Management andgeneral expenses

Fundraisingexpenses

Grants and other assistance to governments and

organizations in the U.S. See Part IV, line 21

1

mmGrants and other assistance to individuals in

the U.S. See Part IV, line 22

2 mmmmmmmmmm3 Grants and other assistance to governments,

organizations, and individuals outside the

U.S. See Part IV, lines 15 and 16 mmmmmmmmBenefits paid to or for members4 mmmmmmmmm

5 Compensation of current officers, directors,

trustees, and key employees mmmmmmmmmm6 Compensation not included above, to disqualified

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

persons described in section 4958(c)(3)(B) mmmOther salaries and wages7 mmmmmmmmmmmm

8 Pension plan contributions (include section 401(k)

and section 403(b) employer contributions) mmm9 Other employee benefits

Payroll taxes

Fees for services (non-employees):

Management

Legal

Accounting

Lobbying

mmmmmmmmmmmm10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

mmmmmmmmmmmmmmmmmma

b

c

d

e

f

g

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Professional fundraising services. See Part IV, line 17

Investment management fees mmmmmmmmmOther

Advertising and promotion

Office expenses

Information technology

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Royalties

Occupancy

Travel

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Payments 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

mmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmOther expenses. Itemize expenses not

covered above. (Expenses grouped together

and labeled miscellaneous may not exceed

5% of total expenses shown on line 25 below.)

a

b

c

d

e

f All other expenses

25

26

Total functional expenses. Add lines 1 through 24f

IJoint Costs. Check here If followingSOP 98-2. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation mmmmmmmmmmmmm

JSA Form 990 (2009)9E1052 1.000

75-2462834

89,228,931. 89,228,931.

35,379. 35,379.

0.0.

240,000. 175,080. 49,680. 15,240.

0.17,907,504. 10,375,939. 5,840,171. 1,691,394.

163,333. 85,016. 57,774. 20,543.1,261,443. 653,375. 449,864. 158,204.1,631,837. 874,393. 617,099. 140,345.

0.10,036. 7,713. 2,082. 241.

170,146. 65,856. 94,388. 9,902.220,932. 220,932.18,166. 18,166.

0.1,303,391. 832,344. 246,903. 224,144.1,158,473. 784,369. 128,714. 245,390.

10,783,767. 5,623,422. 1,857,869. 3,302,476.0.0.

2,073,945. 1,027,802. 868,809. 177,334.1,152,752. 606,344. 431,875. 114,533.

0.566,712. 431,637. 66,820. 68,255.

112. 101. 9. 2.31,748,553. 31,748,553.

303,540. 65,877. 224,608. 13,055.132,215. 74,504. 31,279. 26,432.

CONSULTING & PROFES SERVICES 3,166,392. 1,900,437. 474,931. 791,024.RACE PRODUCTION 5,091,841. 3,653,804. 27,121. 1,410,916.FOOD AND BEVERAGE 836,088. 537,119. 141,609. 157,360.GIFTS AND RECOGNITION 781,306. 187,723. 313,258. 280,325.ALL OTHER EXPENSES 441,357. 264,150. 120,502. 56,705.

170,428,151. 149,460,800. 12,045,365. 8,921,986.X

17,945,170. 12,544,503. 0. 5,400,667.

87855E 1385 V 09-8.6 GROUP

Page 11: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 11

Balance SheetPart X (A)

Beginning of year(B)

End of year

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable, net

1

2

3

4

5

6

7

8

9

1

2

3

4

5

6

7

8

9

10c

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Receivables from current and former officers, directors, trustees, key

employees, and highest compensated employees. Complete Part II of

Schedule L

Receivables from other disqualified persons (as defined under section

4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete

Part II of Schedule L

Notes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

mmmmmmmmmm10a

10b

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D

Less: accumulated depreciationb

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmm

Investments - 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)

As

se

ts

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

Escrow or custodial account liability. Complete Part IV of Schedule D

Payables to current and former officers, directors, trustees, key

employees, highest compensated employees, and disqualified

persons. Complete Part II of Schedule LLia

bil

itie

s

Secured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable to unrelated third parties

Other liabilities. Complete Part X of Schedule D

Total liabilities. Add lines 17 through 25

I andOrganizations that follow SFAS 117, check herecomplete lines 27 through 29, and lines 33 and 34.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

27

28

29

30

31

32

33

34

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

IOrganizations that do not follow SFAS 117, check hereand complete lines 30 through 34.

Ne

t A

ss

ets

or

Fu

nd

Ba

lan

ce

s

Form 990 (2009)

JSA

9E1053 1.000

75-2462834

0. 15,378.108,489,889. 128,781,126.19,307,985. 23,641,764.

357,570. 264,861.427,835. 481,714.

2,172,928.

1,662,753. 757,459. 510,175.19,396,790. 17,576,346.

1,206,106. 6,666,346.149,943,634. 177,937,710.

1,155,382. 2,315,928.72,035,248. 83,572,989.3,310,513. 3,399,088.

7,937,417. 9,317,369.84,438,560. 98,605,374.

X

39,445,437. 46,256,296.26,059,637. 33,076,040.

65,505,074. 79,332,336.149,943,634. 177,937,710.

87855E 1385 V 09-8.6 GROUP

Page 12: 12/28/10 - Susan G. Komen®

Form 990 (2009) Page 12Financial Statements and Reporting Part XI

Yes No

1

2

3

Accounting method used to prepare the Form 990:

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

Schedule O.

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

Were the organization's financial statements audited by an independent accountant?

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.

If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were

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

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?

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the

required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Cash Accrual Other

mmmmmmmmmmmmmmmmmmmmmmmm

mmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

a

b

c

d

a

b

2a

2b

2c

3a

3b

Separate basis Consolidated basis Both consolidated and separate basis

Form 990 (2009)

JSA

9E1054 2.000

X

XX

X

X

X

87855E 1385 V 09-8.6 GROUP

Page 13: 12/28/10 - Susan G. Komen®

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 section4947(a)(1) nonexempt charitable trust.

À¾́ ½Department 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.)

1

2

3

4

5

6

7

8

9

10

11

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 33 1/3 % 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 33 1/3% 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 section

509(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 - Other

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 boxmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSince 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)

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

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

mmmmmmmmmmmmmmmmmmmmmmProvide 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 the organizationin col. (i) listed in yourgoverning document?

(v) Did you notifythe organization in

col. (i) of yoursupport?

(vi) Is theorganization in col.(i) organized in the

U.S.?

(vii) Amount of support

Yes No Yes No Yes No

Total

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Schedule A (Form 990 or 990-EZ) 2009

JSA

9E1210 2.000

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

X

87855E 1385 V 09-8.6 GROUP

Page 14: 12/28/10 - Susan G. Komen®

Schedule A (Form 990 or 990-EZ) 2009 Page 2

Support 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.)

Part II

Section A. Public Support(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) TotalCalendar year (or fiscal year beginning in) I

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

2 Tax revenues levied for the organization'sbenefit and either paid to or expended onits behalf mmmmmmmmmmmmmmmm

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

4 Total. Add lines 1 through 3 mmmmmmm5 The portion of total contributions by each

person (other than a governmental unit or

publicly supported organization) included

on line 1 that exceeds 2% of the amount

shown on line 11, column (f)mmmmmmm6 Public support. Subtract line 5 from line 4.

Section B. Total Support(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) TotalCalendar year (or fiscal year beginning in) I

7 Amounts from line 4 mmmmmmmmmm8 Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsourcesmmmmmmmmmmmmmmmmm

9 Net income from unrelated businessactivities, whether or not the business isregularly carried on mmmmmmmmmmm

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

11 Total support. Add lines 7 through 10

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

mm12

14

15

12 mmmmmmmmmmmmmmmmmmmmmmmmmm13 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 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection C. Computation of Public Support Percentage

%

%

14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2008 Schedule A, Part II, line 14

mmmmmmmm15 mmmmmmmmmmmmmmmmmmm16a 33 1/3 % support test - 2009. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check

this box and stop here. The organization qualifies as a publicly supported organization mmmmmmmmmmmmmmmmmmmmb 33 1/3 % support test - 2008. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3 % or more,

check this box and stop here. The organization qualifies as a publicly supported organizationmmmmmmmmmmmmmmmmm17a 10%-facts-and-circumstances test - 2009. 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

organizationmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmb 10%-facts-and-circumstances test - 2008. 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 organzation meets the "facts-and-circumstances" test. The organization qualifies as a publicly

supported organizationmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see

instructions mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSchedule A (Form 990 or 990-EZ) 2009

JSA

9E1220 1.000

75-2462834

89,142,261. 111,908,005. 129,142,368. 139,225,891. 137,784,139. 607,202,664.

89,142,261. 111,908,005. 129,142,368. 139,225,891. 137,784,139. 607,202,664.

35,766,544.

571,436,120.

89,142,261. 111,908,005. 129,142,368. 139,225,891. 137,784,139. 607,202,664.

1,508,109. 2,811,561. 3,637,585. 1,920,816. 935,902. 10,813,973.

1,459. 0. 0. 0. 0. 1,459.

33,000. 0. 25,868. 33,526. 0. 92,394.ATCH 1618,110,490.

202,478,674.

92.4590.51

X

87855E 1385 V 09-8.6 GROUP

Page 15: 12/28/10 - Susan G. Komen®

Schedule A (Form 990 or 990-EZ) 2009 Page 3

Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I.)

Part III

Section A. Public Support(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, and

membership fees received. (Do not include

any "unusual grants.")mmmmmmmmmm2 Gross receipts from admissions, merchandise

sold or services performed, or facilities

furnished in any activity that is related to the

organization's tax-exempt purposemmmmmm3 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 mmmmmmmmmmmmmmmm5 The value of services or facilities

furnished by a governmental unit to the

organization without chargemmmmmmm6 Total. Add lines 1 through 5 mmmmmmm

a7 Amounts included on lines 1, 2, and 3

received from disqualified personsmmmmb Amounts included on lines 2 and 3

received from other than disqualifiedpersons that exceed the greater of$5,000 or 1% of the amount on line 13for the yearmmmmmmmmmmmmmmm

c Add lines 7a and 7bmmmmmmmmmmm8 Public support (Subtract line 7c from

line 6.) mmmmmmmmmmmmmmmmmSection B. Total Support

(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) TotalICalendar year (or fiscal year beginning in)

9 Amounts from line 6mmmmmmmmmmm10 a Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsourcesmmmmmmmmmmmmmmmmm

b Unrelated business taxable income (less

section 511 taxes) from businesses

acquired after June 30, 1975 mmmmmmc Add lines 10a and 10b mmmmmmmmm

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

12 Other income. Do not include gain or

loss from the sale of capital assets

(Explain in Part IV.) mmmmmmmmmmm13 Total support. (Add lines 9, 10c, 11,

and 12.) mmmmmmmmmmmmmmmm14 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 ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection C. Computation of Public Support Percentage15

16

Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2008 Schedule A, Part III, line 15

15

16

17

18

%

%

%

%

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection D. Computation of Investment Income Percentage17

18

19

20

Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from 2008 Schedule A, Part III, line 17

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

a

b

33 1/3 % support tests - 2009. If the organization did not check the box on line 14, and line 15 is more than 33 1/3 %, and line

I17 is not more than 33 1/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

33 1/3 % support tests - 2008. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3 %, and

Iline 18 is not more than 33 1/3 %, 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) 2009

9E1221 1.000

75-2462834

87855E 1385 V 09-8.6 GROUP

Page 16: 12/28/10 - Susan G. Komen®

Schedule A (Form 990 or 990-EZ) 2009 Page 4

Supplemental Information. Complete this part to provide the explanation required by Part II, line 10;Part II, line 17a or 17b; or Part III, line 12. Provide any other additional information. See instructions

Part IV

Schedule A (Form 990 or 990-EZ) 2009JSA

9E1225 2.000

75-2462834

ATTACHMENT 1

SCHEDULE A, PART II - OTHER INCOME

DESCRIPTION 2005 2006 2007 2008 2009 TOTAL

OTHER REVENUE 33,000. 0. 25,868. 33,526. 0. 92,394.

TOTALS 33,000. 0. 25,868. 33,526. 0. 92,394.

87855E 1385 V 09-8.6 GROUP

Page 17: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047Schedule B Schedule of Contributors

À¾́ ½(Form 990, 990-EZ,or 990-PF) IDepartment of the Treasury

Internal Revenue Service

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

Name of the organization Employer identification number

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, aggregate 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

aggregate 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 Rule

applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more

during the year I$mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmCaution. 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 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 Privacy Act and Paperwork Reduction Act Notice, see the Instructions

for Form 990, 990-EZ, or 990-PF.

Schedule B (Form 990, 990-EZ, or 990-PF) (2009)

JSA

9E1251 2.000

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

X 3

X

87855E 1385 V 09-8.6 GROUP

Page 18: 12/28/10 - Susan G. Komen®

Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page of of Part I

Name of organization Employer identification number

Contributors (see instructions) Part I

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

(a)No.

(b)Name, address, and ZIP + 4

(c)Aggregate contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

Schedule B (Form 990, 990-EZ, or 990-PF) (2009)JSA

9E1253 1.000

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

1 CONTRIBUTIONS OVER 2%-SEE ATTACHMENT 8 X

24,974,092.

2 NONCASH CONTRIB OVER 2%-SEE ATTACHMENT 8 X

2,479,903. X

87855E 1385 V 09-8.6 GROUP

Page 19: 12/28/10 - Susan G. Komen®

Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page of of Part II

Name of organization Employer identification number

Noncash Property (see instructions) Part II

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

JSA Schedule B (Form 990, 990-EZ, or 990-PF) (2009)9E1254 1.000

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

VARIOUS ITEMS - SEE ATTACHMENT 82

2,479,903.

87855E 1385 V 09-8.6 GROUP

Page 20: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047Political Campaign and Lobbying ActivitiesSCHEDULE C

(Form 990 or 990-EZ) For Organizations Exempt From Income Tax Under section 501(c) and section 527

I À¾́ ½Complete if the organization is described below.

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

If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part VI, 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), 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

I1

2

3

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

Political expenditures

Volunteer hours

$mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

II

Complete if the organization is exempt under section 501(c)(3). Part I-B $1

2

3

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?

mmmmm$mm

Yes

Yes

No

No

mmmmmmmmmmmmmmmm4a Was a correction made?

If "Yes," describe in Part IV.mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

b

Complete 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 $mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmEnter the amount of the filing organization's funds contributed to other organizations for section

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

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

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

were made. 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-.

Schedule C (Form 990 or 990-EZ) 2009For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.JSA9E1264 2.000

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

87855E 1385 V 09-8.6 GROUP

Page 21: 12/28/10 - Susan G. Komen®

Schedule C (Form 990 or 990-EZ) 2009 Page 2

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

Part II-A

II

A Check if the filing organization belongs to an affiliated group.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 a

b

c

d

e

f

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)

Lobbying nontaxable amount. Enter the amount from the following table in both

columns.

mmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmm

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.

g

h

i

j

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-

If these 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?

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Yes Nommmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm4-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) 2006 (b) 2007 (c) 2008 (d) 2009 (e) Total

2 a Lobbying non-taxable 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

Schedule C (Form 990 or 990-EZ) 2009

JSA

9E1265 1.000

75-2462834

X

219,954. 219,954.75,181. 75,181.

295,135. 295,135.158,087,651. 310,091,357.158,382,786. 310,386,492.

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

250,000. 250,000.

X

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

6,000,000.

724,073. 1,082,050. 375,201. 295,135. 2,476,459.

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

1,500,000.

276,043. 366,511. 275,601. 219,954. 1,138,109.

87855E 1385 V 09-8.6 GROUP

moselka
Text Box
SEE ATTACHMENT 10
Page 22: 12/28/10 - Susan G. Komen®

Schedule C (Form 990 or 990-EZ) 2009 Page 3

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)

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

a

b

c

d

e

f

g

h

i

j

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? If "Yes," describe in Part IV

Total. Add lines 1c through 1i

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm2 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?

mmmb mmmmmmmmmmmmmmmmc mmd mmmmm

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

Part III-A

Yes No

1

2

3

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 carryover lobbying and political expenditures from the prior year?

1mmmmmmmmmmmmmmmmmmm2mmmmmmmmmmmmmmmmmm3mmmmmmmmmm

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

Part III-B

1 Dues, assessments and similar amounts from members 1mmmmmmmmmmmmmmmmmmmmmmmmmmmm2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political

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

a

b

c

Current year

Carryover from last year

Total

2a

2b

2c

3

4

5

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues mmmm4 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?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm5 Taxable amount of lobbying and political expenditures (see instructions) mmmmmmmmmmmmmmmmmmm

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; and Part II-B, line 1i.

Also, complete this part for any additional information.

Schedule C (Form 990 or 990-EZ) 2009JSA

9E1266 1.000

75-2462834

87855E 1385 V 09-8.6 GROUP

Page 23: 12/28/10 - Susan G. Komen®

Schedule C (Form 990 or 990-EZ) 2009 Page 4

Supplemental Information (continued) Part IV

Schedule C (Form 990 or 990-EZ) 2009JSA

9E1267 1.000

75-2462834

87855E 1385 V 09-8.6 GROUP

Page 24: 12/28/10 - Susan G. Komen®

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, 11, or 12.

À¾́ ½ 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 ifthe organization answered "Yes" to Form 990, Part IV, line 6.

Part I

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

1

2

3

4

5

6

1

2

3

4

5

6

7

8

9

Total number at end of year

Aggregate contributions to (during year)

Aggregate grants from (during year)

Aggregate value at end of year

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?

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be

mmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmm Yes No

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? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Part II Purpose(s) of conservation easements held by the organization (check all that apply).

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

Protection of natural habitat

Preservation of open space

Preservation of an historically important land area

Preservation of a certified historic structure

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 Year

2a

2b

2c

2d

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

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 170(h)(4)(B)(ii)?

In Part XIV, 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

a

b

c

d

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmm

II

mmmmmmmmmmmmmmmmmmmmmmm Yes No

II$

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

the organization’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, not to report in its revenue statement and balance sheet works ofart, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public 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

mmmmmmmmmmmmmmmmmmmmmmmmmmmmm $

$

$

$

Immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm2 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 relating to these items:

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

Assets included in Form 990, Part X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIb mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2009

JSA

9E1268 2.000

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

87855E 1385 V 09-8.6 GROUP

Page 25: 12/28/10 - Susan G. Komen®

Schedule D (Form 990) 2009 Page 2

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Part III

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

collection items (check all that apply):

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

Part XIV.

During the year, did the organization solici t 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?

3

4

5

Public exhibition

Scholarly research

Preservation for future generations

Loan or exchange programs

Other

a

b

c

d

e

mmmmmm Yes No

Escrow and Custodial Arrangements.Complete if the organization answered "Yes" to Form 990, PartIV, line 9, or reported an amount on Form 990, Part X, line 21.

Part IV

1a

b

c

d

e

f

2a

b

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

included on Form 990, Part X?

If "Yes," explain the arrangement in Part XI V 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 XI V.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

Amount

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

1c

1d

1e

1f

Yes NommmmmmmmmmmmmmmmmmmmmmEndowment Funds. Complete if 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

mmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmm

mmmmmmmmmmmmmmmm

mmmmmmmm

1a

b

c

d

e

f

g

a

b

c

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 y ear end balance held as:

Board designated or quasi-endowment %

Permanent endowment %

Term endowment %

Are there endowment funds not in the pos session 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 organizati ons listed as required on Schedule R?

Describe in Part XIV the intended uses of t he organization's endowment funds.

II

Yes No

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm3a(i)

3a(ii)

3b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

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

(investment)(b) Cost or other

basis (other)(c) Accumulated

depreciation(d) Book value

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmm

1a

b

c

d

e

Land

Buildings

Leasehold improvements

Equipment

Other

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

Schedule D (Form 990) 2009

JSA

9E1269 1.000

75-2462834

225,950. 121,328. 104,622.1,216,262. 1,012,031. 204,231.

730,716. 529,394. 201,322.510,175.

87855E 1385 V 09-8.6 GROUP

Page 26: 12/28/10 - Susan G. Komen®

Schedule D (Form 990) 2009 Page 3

Investments - 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

Financial derivatives

Closely-held equity interests

Other

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

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

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 13.)

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

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

1. (a) Description of liability (b) Amount

Federal income taxes

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 25.)

2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports theorganization's liability for uncertain tax positions under FIN 48.JSA Schedule D (Form 990) 20099E1270 1.000

75-2462834

DUE TO KOMEN PARENT 8,444,301.ACCRUED EXPENSES 852,997.OTHER LIABILITIES 20,071.

9,317,369.

87855E 1385 V 09-8.6 GROUP

Page 27: 12/28/10 - Susan G. Komen®

Schedule D (Form 990) 2009 Page 4

Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements Part XI 1

2

3

4

5

6

7

8

9

10

Total revenue (Form 990, Part VIII, column (A), line 12)

Total expenses (Form 990, Part IX, column (A), line 25)

Excess or (deficit) for the year. Subtract line 2 from line 1

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

Other (Describe in Part XIV.)

Total adjustments (net). Add lines 4 through 8

Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9

1

2

3

4

5

6

7

8

9

10

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmReconciliation of Revenue per Audited Financial Statements With Revenue per Return Part XII

1

2

3

4

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

Donated services and use of facilities

Recoveries of prior year grants

Other (Describe in Part XIV.)

Add lines 2a through 2d

Subtract line 2e from line 1

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

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

Other (Describe in Part XIV.)

Add lines 4a and 4b

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

1

2e

3

4c

5

mmmmmmmmmmmmmmmmma

b

c

d

e

a

b

c

2a

2b

2c

2d

4a

4b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmReconciliation of Expenses per Audited Financial Statements With Expenses per Return Part XIII

1

2

3

4

5

1

2

3

4

5

Total expenses and losses per audited financial statements

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

Donated services and use of facilities

Prior year adjustments

Other losses

Other (Describe in Part XIV.)

Add lines 2a through 2d

Subtract line 2e from line 1

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

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

Other (Describe in Part XIV.)

Add lines 4a and 4b

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

1

2e

3

4c

5

mmmmmmmmmmmmmmmmmmmmmmmma

b

c

d

e

a

b

c

2a

2b

2c

2d

4a

4b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSupplemental Information Part XIV

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1band 2b; Part V, line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also completethis part to provide any additional information.

Schedule D (Form 990) 2009

JSA

9E1271 1.000

75-2462834

87855E 1385 V 09-8.6 GROUP

Page 28: 12/28/10 - Susan G. Komen®

Schedule D (Form 990) 2009 Page 5

Supplemental Information (continued) Part XIV

Schedule D (Form 990) 2009

JSA

9E1226 2.000

75-2462834

87855E 1385 V 09-8.6 GROUP

Page 29: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047

Supplemental Information RegardingFundraising or Gaming Activities

SCHEDULE G

(Form 990 or 990-EZ) À¾́ ½Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the

organization entered more than $15,000 on Form 990-EZ, line 6a. Open To Public

Department of the TreasuryInternal Revenue Service Attach to Form 990 or Form 990-EZ. See separate instructions.I I 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.

a

b

c

d

Mail solicitations

Internet and email solicitations

Phone solicitations

In-person solicitations

e

f

g

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 isto be compensated at least $5,000 by the organization.

(i) Name of individualor entity (fundraiser)

(ii) Activity (iii) Did fundraiser havecustody or control of

contributions?

(iv) Gross receiptsfrom activity

(v) Amount paid to(or retained by)

fundraiser listed incol. (i)

(vi) Amount paid to(or retained by)

organization

Yes No

ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmTotal

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt fromregistration or licensing.

3

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990 or 990-EZ) 2009JSA

9E1281 2.000

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

X XX X

XX

X

SOLICITBASE4 MARKETING SPONSORS X 356,346. 6,000. 350,346.

356,346. 6,000. 350,346.

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,VA,WA,WV,WI,WY,

87855E 1385 V 09-8.6 GROUP

Page 30: 12/28/10 - Susan G. Komen®

Schedule G (Form 990 or 990-EZ) 2009 Page 2

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reportedmore than $15,000 on Form 990-EZ, line 6a. 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

2

3

Gross receipts

Less: Charitable

contributions

Gross income (line 1

minus line 2)

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Revenue

4

5

6

7

8

9

10

11

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

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmm

I( )mmmmmmmmmmmmmmmmmmmmmmImmmmmmmmmmmmmmmmmmmmmm

Direct

Expense

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

mmmmmmmmmmmmReve

nue

mmmmmmmmmmmmmmmmmmmmmmmm

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

mmmmmmmmmmmmmmmmmm

Direct

Exp

ense

s

Yes

No

Yes

No

Yes

No

% % %

mmmmmmmmmmm( )ImmmmmmmmmmmmmmmmmmmmmmImmmmmmmmmmmmmmmmmmm

NoYes

9

10

11

12

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:

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?

a

b

9a

10a

11

12

mmmmmmmmmmmmmmmmmmm

a

b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

JSASchedule G (Form 990 or 990-EZ) 20099E1282 1.000

75-2462834

RACE FOR CURE PINK TIE BALL 133

121,831,867. 3,935,862. 5,198,889. 130,966,618.

81,108,102. 2,648,016. 3,677,252. 87,433,370.

40,723,765. 1,287,846. 1,521,637. 43,533,248.

3,131,169. 70,797. 20,518. 3,222,484.

69,897. 219,182. 289,079.

4,640,250. 421,488. 388,906. 5,450,644.

37,351. 15,667. 53,018.

2,584,710. 85,447. 262,316. 2,932,473.

11,947,698.31,585,550.

175,922. 175,922.

3,472. 3,472.

2,270. 2,270.X 100.0000

5,742.

170,180.

X

THE AFFILIATES ARE REGISTERED IN EACH STATE WHERE A LICENSE IS KNOWN TO

BE REQUIRED.ATTACHMENT 6

X

X

X

87855E 1385 V 09-8.6 GROUP

moselka
Text Box
ATTACHMENT 6
moselka
Rectangle
moselka
Text Box
A LICENSE IS KNOWN
Page 31: 12/28/10 - Susan G. Komen®

Schedule G (Form 990 or 990-EZ) 2009 Page 3

Yes No

13

14

Indicate the percentage of gaming activity operated in:

The organization's facility

An outside facility

a

b

13a

13b

%

%

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Enter the name and address of the person who prepares the organization's gaming/special events booksand records:

IName

Address I15 a

b

c

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? 15a

17a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIIf "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?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmEnter 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 $ISchedule G (Form 990 or 990-EZ) 2009

JSA

9E1283 1.000

75-2462834

100.0000

THE TREASURER OF EACH INDIVIDUAL KOMEN AFFILIATE

SAME ADDRESS AS KOMEN AFFILIATE ,

X

NONE

X

170,180.

87855E 1385 V 09-8.6 GROUP

moselka
Text Box
***
moselka
Text Box
*** REGARDLESS OF STATE REQUIREMENTS, ALL FUNDS FROM GAMING ACTIVITIES SUCH AS CHARITABLE RAFFLES ARE EITHER DISTRIBUTED TO OTHER EXEMPT ORGANIZATIONS OR SPENT ON THE AFFILIATE'S OWN EXEMPT ACTIVITIES DURING THE TAX YEAR.
Page 32: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047SCHEDULE I(Form 990)

Grants and Other Assistance to Organizations,

Governments, and Individuals in the United States À¾́ ½Complete 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.mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" toForm 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. UsePart IV and Schedule I-1 (Form 990) if additional space is needed

Part II

Immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm(a) Name and address of organization

or government

(f) Method of valuation(book, FMV, appraisal,

other)

(c) IRC sectionif applicable

(d) Amount of cash grant (e) Amount of non-cashassistance

(g) Description of non-cash assistance

(h) Purpose of grantor assistance

(b) EIN1

II

2

3

Enter total number of section 501(c)(3) and government organizations

Enter total number of other organizationsmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) 2009

JSA

9E1288 2.000

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

X

SEE SCHEDULE I ATTACHMENT 9

74,743,705. SEE SCHED I ATTACHED

1,5450

87855E 1385 V 09-8.6 GROUP

Page 33: 12/28/10 - Susan G. Komen®

Schedule I (Form 990) 2009 Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Use Part IV and Schedule I-1 (Form 990) 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 ofnon-cash assistance

(c) Amount of cash grant

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) 2009

JSA

9E1289 1.000

75-2462834

EDUCATION 50 35,379.

FORM 990, SCHEDULE I

DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION AFFILIATES (THE KOMEN

AFFILIATES) FUND NON-DUPLICATIVE, COMMUNITY-BASED PROJECTS THAT ARE

BREAST CANCER SCREENING, TREATMENT AND EDUCATION PROGRAMS. AFFILIATES

ALSO FUND GRANTS USED TO INCREASE PARTICIPATION IN LOCAL CLINICAL

RESEARCH TRIALS THAT ARE ALREADY FUNDED BY OTHER ORGANIZATIONS. THE

PURPOSE OF THE KOMEN AFFILIATE IS TO FULFILL THE MISSION OF THE

ORGANIZATION WITHIN A DEFINED SERVICE AREA. THE AFFILIATES AWARD GRANTS

TO OTHER NONPROFIT ORGANIZATIONS, EDUCATIONAL INSTITUTIONS AND GOVERNMENT

87855E 1385 V 09-8.6 GROUP

Page 34: 12/28/10 - Susan G. Komen®

Schedule I (Form 990) 2009 Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Use Part IV and Schedule I-1 (Form 990) 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 ofnon-cash assistance

(c) Amount of cash grant

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) 2009

JSA

9E1289 1.000

75-2462834

ENTITIES WITHIN THE BOUNDARIES OF THEIR DEFINED SERVICE AREAS. IN ORDER

TO ENSURE THEY ARE FUNDING PROGRAMS THAT ADDRESS THE SPECIFIC UNMET

BREAST HEALTH NEEDS OF THEIR COMMUNITIES, AFFILIATES WORK WITH LOCAL

MEDICAL EXPERTS AND COMMUNITY LEADERS TO CONDUCT COMPREHENSIVE COMMUNITY

NEEDS ASSESSMENTS EVERY TWO YEARS. THESE COMMUNITY NEEDS ASSESSMENTS ARE

USED TO SOLICIT LOCAL GRANT APPLICATION CONSISTENT WITH THE

ORGANIZATION'S STANDARDS AND MISSION. ANNUALLY, KOMEN AFFILIATES

PUBLICIZE THE AVAILABILITY OF GRANT FUNDS AND ISSUE REQUESTS FOR

87855E 1385 V 09-8.6 GROUP

Page 35: 12/28/10 - Susan G. Komen®

Schedule I (Form 990) 2009 Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Use Part IV and Schedule I-1 (Form 990) 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 ofnon-cash assistance

(c) Amount of cash grant

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) 2009

JSA

9E1289 1.000

75-2462834

APPLICATIONS (RFA). ALL GRANT APPLICATIONS REQUESTING FUNDING OVER

$10,000 ARE PROCESSED THROUGH AN INDEPENDENT AND OBJECTIVE KOMEN

AFFILIATE REVIEW PROCEDURE ANNUALLY. A VOLUNTEER REVIEW PANEL IS FORMED

FOR THE PURPOSE OF EVALUATING AND RATING ALL GRANT APPLICATIONS. THIS

PANEL IS RESPONSIBLE FOR MAKING FUNDING RECOMMENDATIONS TO THE KOMEN

AFFILIATE BOARD OF DIRECTORS. MEMBERS OF THE REVIEW PANEL COME FROM

VARIOUS ORGANIZATIONS WITHIN THE COMMUNITY AND OFFER VARIED BACKGROUNDS

IN SCREENING, WOMEN'S HEALTH, EDUCATION, CANCER SUPPORT SERVICES, AND

87855E 1385 V 09-8.6 GROUP

Page 36: 12/28/10 - Susan G. Komen®

Schedule I (Form 990) 2009 Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Use Part IV and Schedule I-1 (Form 990) 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 ofnon-cash assistance

(c) Amount of cash grant

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) 2009

JSA

9E1289 1.000

75-2462834

COMMUNITY HEALTH SERVICES DELIVERY. THE MEMBERS MUST SIGN A CODE OF

ETHICS AND DISCLOSE ANY CONFLICTS OF INTEREST. THEIR IDENTITY IS KEPT

ANONYMOUS TO THE APPLICANTS UNTIL ALL FUNDING DECISIONS HAVE BEEN MADE.

ONCE ALL OF THE APPLICATIONS HAVE BEEN REVIEWED FOR COMPLIANCE WITH ALL

INSTRUCTIONS OUTLINED IN THE RFA BY THE AFFILIATE, THE COMPLETED

APPLICATIONS ARE SUBMITTED TO THE REVIEW PANEL. REVIEWERS RATE EACH

APPLICATION ACCORDING TO THE CRITERIA AND INSTRUCTIONS GIVEN BY THE

AFFILIATE. WHEN THE REVIEW IS COMPLETE, THE KOMEN AFFILIATE TABULATES THE

87855E 1385 V 09-8.6 GROUP

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Schedule I (Form 990) 2009 Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Use Part IV and Schedule I-1 (Form 990) 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 ofnon-cash assistance

(c) Amount of cash grant

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) 2009

JSA

9E1289 1.000

75-2462834

RATINGS TO GENERATE A RANKING OF TOP-RATED APPLICATIONS. THE PANEL MEETS

TO DISCUSS AND FINALIZE THE RANKING. THE LIST OF RECOMMENDED GRANTS IN

ORDER OF FUNDING PRIORITY, ALSO CALLED THE SLATE, IS SENT TO THE KOMEN

AFFILIATE'S BOARD OF DIRECTORS FOR FUNDING APPROVAL. THE RESPONSIBILITY

OF APPROVING GRANT FUNDING ULTIMATELY LIES WITH THE KOMEN AFFILIATE BOARD

OF DIRECTORS. AFTER RECEIVING THE FUNDING RECOMMENDATIONS, THE KOMEN

AFFILIATE BOARD OF DIRECTORS WILL VOTE TO APPROVE OR DECLINE THE SLATE OF

GRANTS. A GRANT CONTRACT IS ISSUED FOR EACH GRANT AWARDED. UPON RECEIPT

87855E 1385 V 09-8.6 GROUP

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Schedule I (Form 990) 2009 Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Use Part IV and Schedule I-1 (Form 990) 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 ofnon-cash assistance

(c) Amount of cash grant

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) 2009

JSA

9E1289 1.000

75-2462834

OF THE EXECUTED CONTRACT, FUNDING MAY COMMENCE ACCORDING TO THE SCHEDULE

APPROVED BY THE KOMEN AFFILIATE BOARD OF DIRECTORS. THE GRANT PAYMENTS

ARE DIVIDED INTO AT LEAST TWO DISBURSEMENTS. THE FIRST PAYMENT IS MADE

AFTER RECEIPT OF THE SIGNED CONTRACT. THE SUBSEQUENT PAYMENTS ARE MADE

AFTER SUCCESSFUL COMPLETION OF THE GRANT PROGRESS REPORTS.

87855E 1385 V 09-8.6 GROUP

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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 À¾́ ½

Department of the Treasury

Internal Revenue Service

Open to Public Inspection Attach to Form 990. See separate instructions.I I

Name 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 is 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 to explain 1b

2

4a

4b

4c

5a

5b

6a

6b

7

8

9

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm2 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? mmmmmm3 Indicate which, if any, of the following the organization uses to establish the compensation of the

organization's CEO/Executive Director. Check all that apply.

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:

a

b

c

a

b

a

b

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?

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

If "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.

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

Were 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 Regs. section 53.4958-4(a)(3)? If "Yes," describe

in Part III

5

6

7

8

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in

Regulations section 53.4958-6(c)? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmFor Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2009

JSA9E1290 2.000

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

XX

XXX

XX

XX

X

X

87855E 1385 V 09-8.6 GROUP

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Schedule J (Form 990) 2009 Page 2

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 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) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and

other deferred

compensation

(D) Nontaxable

benefits

(E) Total of columns

(B)(i)-(D)

(F) Compensation

reported in prior

Form 990 orForm 990-EZ

(A) Name (i) Base

compensation

(ii) Bonus & incentive

compensation

(iii) Other

reportable

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)

Schedule J (Form 990) 2009

JSA

9E1291 1.000

75-2462834

225,000. 15,000. 0. 0. 0. 240,000. 0.DARA RICHARDSON-HERON 0. 0. 0. 0. 0. 0. 0.

87855E 1385 V 09-8.6 GROUP

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Page 3Schedule J (Form 990) 2009

Supplemental Information Part III

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this partfor any additional information.

Schedule J (Form 990) 2009

JSA

9E1292 1.000

75-2462834

SUPPLEMENTAL COMPENSATION INFORMATION

SUPPLEMENTAL INFORMATION

SEE THE SCHEDULE O DETAIL FOR PART VI, QUESTIONS 15A AND 15B FOR MORE

INFORMATION.

87855E 1385 V 09-8.6 GROUP

Page 42: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047SCHEDULE L Transactions With Interested Persons(Form 990 or 990-EZ) IComplete 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.

À¾́ ½Department of the TreasuryInternal Revenue Service

Open To Public Inspection I IAttach to Form 990 or Form 990-EZ. See separate instructions.

Name of the organization Employer identification number

Excess Benefit Transacations (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

(c) Corrected?(a) Name of disqualified person1 (b) Description of transaction

Yes No

2

3

Enter the amount of tax imposed on 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

$

$

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Loans to and/or From Interested Persons.Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

Part II

(a) Name of interested person and purpose (b) Loan to or from

the organization?

(c) Originalprincipal amount

(d) Balance due (e) In default? (f) Approvedby board orcommittee?

(g) Writtenagreement?

To From Yes No Yes No Yes No

ITotal $mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmGrants or Assistance Benefitting 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 interested person and theorganization

(c) Amount and type of assistance

Business 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

For Privacy Act and Paperwork Reduction Act Notice, see theInstructions for Form 990 or 990-EZ.

Schedule L (Form 990 or 990-EZ) 2009

JSA

9E1297 2.000

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

METRO ASSOCIATES ERIC BRINKER OWNS METRO 24,154. SEE SCHEDULE O X

JOSEPH BELFATTO NORTH JERSEY BOARD MEMBER 76,000. SEE SCHEDULE O X

87855E 1385 V 09-8.6 GROUP

Page 43: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047SCHEDULE M Noncash Contributions(Form 990) IComplete if the organizations answered "Yes" on Form

990, Part IV, lines 29 or 30.

À¾́ ½Department of the TreasuryInternal Revenue Service

Open To Public Inspection IAttach to Form 990.

Name of the organization Employer identification number

Types of Property Part I

(a)Check if

applicable

(b)Number of contributions

(c)Revenues reported on

Form 990, Part VIII, line 1g

(d)Method of determining

revenues

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

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

mmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

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 29mmmmmmmmmmYes No

30

31

32

33

a

b

a

b

During the year, did the organization receive by contribution any property reported in Part I, line 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? 30ammmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard

contributions? 31mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDoes the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? 32ammmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule M (Form 990) 2009

JSA

9E1298 2.000

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

597. 8,779,157.ATCH 2

X

X

X

87855E 1385 V 09-8.6 GROUP

Page 44: 12/28/10 - Susan G. Komen®

Schedule M (Form 990) 2009 Page 2

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,32b, and 33. Also complete this part for any additional information.

Part II

Schedule M (Form 990) 2009JSA

9E1299 1.000

75-2462834

ATTACHMENT 2

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 597 8,779,157. FMV OF DONATED PROP

TOTALS 597. 8,779,157.

87855E 1385 V 09-8.6 GROUP

Page 45: 12/28/10 - Susan G. Komen®

OMB No. 1545-0047SCHEDULE N(Form 990 or 990-EZ)

Liquidation, Termination, Dissolution, or Significant Disposition of Assets

IComplete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36. À¾́ ½IAttach certified copies of any articles of dissolution, resolutions, or plans. Open to Public Inspection

Department of the TreasuryInternal Revenue Service IAttach to Form 990 or 990-EZ.

Name of the organization Employer Identification number

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line36. Use Schedule N-1 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 No

2 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.

a

b

c

d

e

2a

2b

2c

2d

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

IFor Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ. Schedule N (Form 990 or 990-EZ) 2009

JSA

9E1302 2.000

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

SUSAN G. KOMEN FOR THE CURE

NORTH COLORADO AFFILIATE ASSETS 03/31/2010 51,821. ACTUAL COST 75-1835298 5005 LBJ FREEWAY,STE 250,DALLAS,TX 75244 501(C)(3)

XXXX

87855E 1385 V 09-8.6 GROUP

Page 46: 12/28/10 - Susan G. Komen®

Schedule N (Form 990 or 990-EZ) 2009 Page 2

Liquidation, 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) should equal -0-.

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III

Did the organization request or receive a letter from IRS that the organization's exempt status was terminated?

If "Yes," provide the date of the letter.

Yes No

3

4

5

6

7

3

4a

5a

5b

6

7a

7b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmma

b

a

b

a

b

c

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI . Attach a copy of the letter and, if applicable, the organization's request for the letter.

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 liabilities in accordance with state laws?

Did the organization have any tax-exempt bonds outstanding during the year?

Did the organization discharge or defease tax-exempt bond liabilities in accordance with the Internal Revenue Code and state laws?

If "Yes," describe in Part III how the organization defeased or otherwise settled these liabilities. If "No," explain in Part III.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmSale, 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. Use Schedule N-1 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 ofrecipients(s) (if

tax-exempt) or typeof entity

Yes No

2 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.

a

b

c

d

e

2a

2b

2c

2d

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Schedule N (Form 990 or Form 990-EZ) 2009

JSA

9E1303 1.000

75-2462834

XX

XXX

XX

87855E 1385 V 09-8.6 GROUP

Page 47: 12/28/10 - Susan G. Komen®

Schedule N (Form 990 or 990-EZ) 2009 Page 3

Supplemental Information. Complete to provide the information required by Part I, lines 2e, 7c;Part II, line 2e; and any additional information.

Part III

Schedule N (Form 990 or 990-EZ) 2009JSA

9E1304 1.000

75-2462834

SUPPLEMENTAL INFORMATION

THE NORTH COLORADO AFFILIATE WAS DISSOLVED MARCH 31,2010 PURSUANT TO ITS

GOVERNING DOCUMENTS AND STATE LAW.

87855E 1385 V 09-8.6 GROUP

Page 48: 12/28/10 - Susan G. Komen®

Supplemental Information to Form 990OMB No. 1545-0047SCHEDULE O

(Form 990)Complete to provide information for responses to specific questions on

Form 990 or to provide any additional information.Attach to Form 990.

À¾́ ½ 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. Schedule O (Form 990) 2009JSA9E1227 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3

FORM 990, SUPPLEMENTAL INFORMATION

FORM 990, PART III - PROGRAM SERVICE ACCOMPLISHMENTS

NANCY G. BRINKER PROMISED HER DYING SISTER, SUSAN G. KOMEN, THAT SHE

WOULD DO EVERYTHING IN HER POWER TO END BREAST CANCER FOREVER. IN 1982,

THAT PROMISE BECAME SUSAN G. KOMEN FOR THE CURE ("KOMEN" OR "KOMEN

PARENT") AND LAUNCHED THE GLOBAL BREAST CANCER MOVEMENT. TODAY, KOMEN FOR

THE CURE IS THE WORLD'S LARGEST GRASSROOTS NETWORK OF BREAST CANCER

SURVIVORS AND ACTIVISTS FIGHTING TO SAVE LIVES, EMPOWER PEOPLE, ENSURE

QUALITY CARE FOR ALL AND ENERGIZE SCIENCE TO FIND THE CURES. THANKS TO

EVENTS LIKE THE KOMEN RACE FOR THE CURE®, KOMEN HAS INVESTED NEARLY $1.5

BILLION TO FULFILL ITS PROMISE, BECOMING THE LARGEST SOURCE OF NONPROFIT

FUNDS DEDICATED TO THE FIGHT AGAINST BREAST CANCER IN THE WORLD.

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. EXAMPLES OF KOMEN EDUCATIONAL MATERIALS INCLUDE

THE FOLLOWING:

- BREAST SELF-AWARENESS CARDS IN 15 LANGUAGES FOR 17 SPECIFIC AUDIENCES

- GENERAL BREAST HEALTH AWARENESS AND BREAST CANCER SPECIFIC BROCHURES

AND FACT SHEETS

87855E 1385 V 09-8.6 GROUP

Page 49: 12/28/10 - Susan G. Komen®

Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

- BOOKLETS WITH SUPPORT INFORMATION FOR SURVIVORS AND CO-SURVIVORS

- OUTREACH RESOURCES INCLUDING BREAST SELF-AWARENESS INFORMATION IN

CD-ROM, DVD OR VHS FORMATS

I AM THE CURE.® IS AN EDUCATIONAL PROGRAM DELIVERED BY KOMEN AFFILIATES

THAT TEACHES SIMPLE, ACTION-ORIENTED, BREAST HEALTH INFORMATION TO

PARTICIPANTS IN THE SUSAN G. KOMEN RACE FOR THE CURE® SERIES. LAST YEAR,

NEARLY 1.6 MILLION PEOPLE PARTICIPATED IN A RACE FOR THE CURE EVENT. A

FORMAL EVALUATION SHOWED THAT 80% 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 LOS ANGELES COUNTY AFFILIATE MADE A GRANT TO THE AMERICAN INDIAN

HEALING CENTER, A HEALTHCARE PROVIDER FOR URBAN AMERICAN INDIANS. THE

CLINIC IS PROVIDING BREAST HEALTH AND BREAST CANCER EDUCATION TO 140

AMERICAN INDIAN WOMEN IN SMALL GROUPS. A PINK SHAWL SERVES AS A REMINDER

FOR EARLY BREAST CANCER SCREENING AND ENCOURAGE THE WOMEN TO EDUCATE AND

ADVOCATE FOR OTHER AMERICAN INDIAN WOMEN.

- THE LOWCOUNTRY AFFILIATE FUNDED THE SOUTH CAROLINA STATE BAPTIST YOUNG

WOMAN'S AUXILIARY TO EDUCATE AND PROMOTE MAMMOGRAPHY AMONG AFRICAN

AMERICAN WOMEN. FORTY VOLUNTEERS ARE BEING TRAINED TO EDUCATE AND

ENCOURAGE 1,500 AFRICAN AMERICAN WOMEN TO GET SCREENED FOR BREAST CANCER.

87855E 1385 V 09-8.6 GROUP

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THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

- THE CENTRAL VIRGINIA AFFILIATE MADE A GRANT TO THE CAPITAL AREA AGENCY

ON AGING TO EDUCATE OLDER AFRICAN AMERICAN AND HISPANIC WOMEN ON BREAST

CANCER. THEY ARE RECRUITING, TRAINING, AND GUIDING 40 VOLUNTEERS TO TALK

WITH WOMEN THEY KNOW AND HELP THEM MAKE APPOINTMENTS TO GET MAMMOGRAMS.

THE VOLUNTEERS ARE EDUCATING 2,800 WOMEN AND STAFF ARE EDUCATING AN

ADDITIONAL 800 WOMEN.

B - SCREENING

GETTING REGULAR SCREENING TESTS IS THE BEST WAY FOR WOMEN TO LOWER THEIR

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 THEIR COMMUNITIES FOR WOMEN WITHOUT HEALTH

INSURANCE OR THOSE WITH HIGH CO-PAYS AND DEDUCTIBLES THAT MAKE GETTING A

MAMMOGRAM TOO COSTLY.

FOR EXAMPLE, THE CENTRAL OKLAHOMA AFFILIATE MADE A GRANT TO COMMUNITY

HEALTH CENTERS, INC. TO PROVIDE 350 FREE MAMMOGRAMS TO UNINSURED,

LOW-INCOME WOMEN. THE HEALTH CENTER ALSO PROVIDES EDUCATION,

TRANSPORTATION, AND CASE-MANAGEMENT TO ENSURE THAT WOMEN ARE ABLE TO MAKE

THEIR APPOINTMENTS. FOR THOSE WHO DO NOT QUALIFY FOR THE FREE MAMMOGRAMS,

THE HEALTH CENTER IS PROVIDING UP TO 150 MAMMOGRAMS FOR $50 EACH. AS A

RESULT, THE WOMEN WILL NOT BE DENIED ACCESS TO THIS IMPORTANT SCREENING

TEST.

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

THE EL PASO AFFILIATE MADE A GRANT TO CLINICA GUADALUPAÑA, A PRIMARY CARE

CLINIC THAT SERVES RESIDENTS IN A REMOTE AREA THAT HAS BEEN DESIGNATED AS

MEDICALLY UNDERSERVED AND INCLUDES SOME OF THE POOREST CENSUS TRACTS IN

TEXAS. THE GRANT ALLOWS THE CLINIC TO PROVIDE SCREENING MAMMOGRAMS VIA

MOBILE MAMMOGRAPHY AND ADDITIONAL DIAGNOSTIC STUDIES, IF NECESSARY, TO

288 WOMEN.

THE GREATER NEW YORK CITY AFFILIATE AWARDED FUNDING TO INDEPENDENCE CARE

SYSTEM (ICS) TO IMPROVE ACCESS TO SCREENING FOR WOMEN WITH PHYSICAL

DISABILITIES. WITH SUPPORT FROM KOMEN, ICS IS PROVIDING MAMMOGRAMS TO 46

WOMEN. THEY ALSO PROVIDE TRAINING TO MAMMOGRAPHY CENTER STAFF ABOUT THE

NEEDS OF WOMEN WITH PHYSICAL DISABILITIES.

C - RESEARCH AND TRAINING

KOMEN HAS TOUCHED VIRTUALLY EVERY MAJOR ADVANCE IN BREAST CANCER RESEARCH

OVER THE PAST 30 YEARS. BY FUNDING THE BEST SCIENTISTS AROUND THE WORLD,

KOMEN IS SPEEDING THE TRANSLATION OF RESEARCH DISCOVERIES TO REDUCE

BREAST CANCER INCIDENCE AND MORTALITY WITHIN THE NEXT DECADE. TO ENSURE

MAXIMUM IMPACT FOR ITS RESEARCH DOLLARS, KOMEN FOR THE CURE IS GUIDED BY

A SCIENTIFIC ADVISORY BOARD, A GROUP OF INTERNATIONALLY RECOGNIZED

DOCTORS, SCIENTISTS AND ADVOCATES.

KOMEN SUPPORTS RESEARCH AND TRAINING THROUGH SEVERAL DIFFERENT TYPES OF

GRANTS, EACH DESIGNED TO MEET SPECIFIC OBJECTIVES. THE FOLLOWING GRANT

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

OPPORTUNITIES WERE OFFERED BY KOMEN'S INTERNATIONAL HEADQUARTERS DURING

FISCAL YEAR 2010:

- PROMISE GRANTS: LARGE-SCALE GRANTS, UP TO $5 MILLION EACH, DURING A

FIVE-YEAR PERIOD, TARGETED TO RESEARCH THAT BRINGS SCIENCE TO THE BEDSIDE

QUICKER THAN EVER BEFORE.

- POST-DOCTORAL RESEARCH: GRANTS OF $60,000 PER YEAR FOR TWO OR THREE

YEARS TO ATTRACT AND RETAIN PROMISING YOUNG RESEARCHERS.

- CAREER CATALYST RESEARCH: GRANTS OF $150,000 PER YEAR FOR TWO TO THREE

YEARS TO FILL A CRITICAL GAP IN SUPPORT AND STIMULATE THE TRANSITION FROM

TRAINING TO INDEPENDENCE AMONG PROMISING CANCER INVESTIGATORS.

- CAREER CATALYST IN DISPARITIES RESEARCH: GRANTS UP TO $450,000 OVER

THREE YEARS TO FOSTER INDEPENDENT CAREERS IN DISPARITIES RESEARCH AND

SUPPORT INVESTIGATION INTO BREAST CANCER DISPARITIES.

- INVESTIGATOR INITIATED RESEARCH: GRANTS OF UP TO $200,000 PER YEAR FOR

TWO TO THREE YEARS TO EXPLORE NEW IDEAS AND APPROACHES LEADING TO

REDUCTIONS IN BREAST CANCER MORTALITY AND/OR INCIDENCE WITHIN THE

DECADE.

- POST BACCALAUREATE IN DISPARITIES RESEARCH: GRANTS UP TO $135,000 PER

STUDENT OVER THREE YEARS TO SUPPORT TRAINING EARLY IN THE STUDENT'S

CAREER TO ALLOW HIM OR HER TO BEGIN TO DEFINE A MEANINGFUL CAREER PATH IN

THE AREA OF BREAST CANCER DISPARITIES.

WHILE KOMEN AFFILIATES DO NOT FUND RESEARCH GRANTS DIRECTLY, A PORTION OF

THE FUNDS RAISED BY EVERY KOMEN AFFILIATE (APPROXIMATELY 25%) GO TO

SUPPORT THE RESEARCH AND TRAINING GRANTS PROGRAM AT KOMEN'S INTERNATIONAL

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

HEADQUARTERS. KOMEN HEADQUARTERS MADE 114 GRANTS IN FISCAL YEAR 2010

THROUGH THE ABOVE GRANTING PROGRAMS TO SUPPORT RESEARCH AND TRAINING IN

29 DIFFERENT STATES AND 4 COUNTRIES.

MORE THAN ONE THIRD OF THESE GRANTS ARE EXPLORING THE BIOLOGY OF BREAST

CANCER, INCLUDING HOW CANCER STARTS, GROWS AND SPREADS. ONE QUARTER ARE

SUPPORTING RESEARCH INTO NEW BREAST CANCER TREATMENTS, WITH SEVERAL

FOCUSING ON ESPECIALLY AGGRESSIVE FORMS OF THE DISEASE SUCH AS TRIPLE

NEGATIVE BREAST CANCER AND INFLAMMATORY BREAST CANCER. THE NEXT LARGEST

GROUP OF GRANTS IS FOR THE RESEARCH OF NEW AND IMPROVED WAYS TO DETECT

CANCER EARLIER. KOMEN ALSO FUNDED GRANTS THAT EXAMINE THE CAUSES OF

BREAST CANCER AND POSSIBLE PREVENTIVE MEASURES.

BELOW ARE THREE EXAMPLES OF PROMISING RESEARCH GRANTS FUNDED IN FISCAL

YEAR 2010:

- UNIVERSITY OF KANSAS MEDICAL CENTER AND TEXAS RESEARCHERS ARE TOGETHER

INVESTIGATING WHETHER FLAX SEED, A COMMON INGREDIENT IN CEREAL AND BAKED

GOODS, CAN REDUCE OR ELIMINATE THE RISK FOR BREAST CANCER. THE

RESEARCHERS ARE TESTING FLAX SEED ON A GROUP OF PREMENOPAUSAL WOMEN AGES

25-49 AT MODERATE TO HIGH RISK OF DEVELOPING BREAST CANCER. THE TEST WILL

TRY TO CONFIRM THE APPARENT REDUCTION IN CELL GROWTH AND PRECANCEROUS

CELLS OBSERVED IN AN EARLIER PILOT STUDY.

- DANA-FARBER CANCER INSTITUTE RESEARCHERS ARE TESTING A NEW CLASS OF

DRUGS, CALLED PARP INHIBITORS, ON WOMEN WHO CARRY GENETIC MUTATIONS THAT

INCREASE THEIR CHANCES OF GETTING BREAST CANCER. SEVERAL CO-INVESTIGATING

87855E 1385 V 09-8.6 GROUP

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Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

INSTITUTIONS, ARE INCLUDED IN THE PROJECT, SUCH AS THE UNIVERSITY OF

MICHIGAN, UNIVERSITY OF PENNSYLVANIA, UNIVERSITY OF CALIFORNIA AT SAN

FRANCISCO, DARTMOUTH COLLEGE, MEMORIAL SLOAN-KETTERING CANCER CENTER,

DUKE UNIVERSITY AND BETH ISRAEL DEACONESS MEDICAL CENTER.

- UNIVERSITY OF CALIFORNIA AT DAVIS RESEARCHERS ARE ATTEMPTING TO CREATE

DRUG-COATED METALLIC CRYSTALS THAT CAN BE REMOTELY 'DETONATED' ONCE THEY

LODGE INSIDE A BREAST TUMOR. KOMEN'S FUNDING IS ALLOWING RESEARCHERS TO

TRY TO CREATE TINY NANOPARTICLES THAT ARE COATED WITH BREAST

CANCER-FIGHTING DRUGS. ONCE THOSE TINY IRON ORE CRYSTALS ARE INJECTED AND

LODGED INTO A BREAST CANCER TUMOR, DOCTORS WOULD THEN BE ABLE TO RELEASE

THE DRUGS BY REMOTE CONTROL.

FORM 990, SUPPLEMENTAL INFORMATION CONTINUED

D - TREATMENT

COUNTLESS NUMBERS OF PATIENTS DELAY OR FORGO 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,

PROVIDE EMERGENCY FINANCIAL ASSISTANCE, AND HELP COORDINATE CARE.

FOR EXAMPLE, THE DENVER METROPOLITAN AFFILIATE AWARDED FUNDING TO ROCKY

MOUNTAIN CANCER CENTERS FOUNDATION TO PROVIDE FINANCIAL ASSISTANCE FOR

LOW-INCOME AND MEDICALLY UNDERSERVED BREAST CANCER PATIENTS LIVING IN THE

DENVER AFFILIATE'S 12-COUNTY SERVICE AREA. THIS AID PAYS FOR BASIC

NECESSITIES SUCH AS HOUSING, FOOD, UTILITIES, TRANSPORTATION, AND MEDICAL

INSURANCE. APPROXIMATELY 120 BREAST CANCER PATIENTS WILL RECEIVE

ASSISTANCE THROUGH THIS LIFE-SAVING PROGRAM.

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

PATIENT NAVIGATION HAS BEEN SHOWN TO BE A SUCCESSFUL STRATEGY TO PREVENT

WOMEN FROM FALLING THROUGH THE CRACKS OF THE HEALTHCARE SYSTEM. PATIENT

NAVIGATORS PROVIDE ONE-ON-ONE SUPPORT AND GUIDANCE TO ENSURE THAT WOMEN

GET CARE IN A TIMELY FASHION, HELPING THEM OVERCOME ANY BARRIERS THEY

EXPERIENCE. LAST YEAR, KOMEN SUPPORTED MORE THAN 160 PATIENT NAVIGATION

PROGRAMS AROUND THE UNITED STATES. ONE SUCH PROGRAM WAS FUNDED BY THE

PUGET SOUND AFFILIATE. MASON GENERAL HOSPITAL, WITH SUPPORT FROM KOMEN

PUGET SOUND, IS WORKING TO IMPROVE SURVIVAL RATES OF RURAL WOMEN. THEIR

PATIENT NAVIGATION SERVICE IS BEING DIRECTLY OFFERED TO ABOUT 560 WOMEN

WHO HAD AN ABNORMAL SCREENING TEST, HAVE BEEN RECENTLY DIAGNOSED, OR ARE

LONGER-TERM SURVIVORS OF BREAST CANCER.

FOR MORE INFORMATION ABOUT ANY OF THE ACCOMPLISHMENTS DESCRIBED HERE OR

TO LEARN MORE ABOUT SUSAN G. KOMEN FOR THE CURE, VISIT WWW.KOMEN.ORG OR

CALL 1-877 GO KOMEN.

NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY - OPEN

FORM 990, PART VI, LINE 1A

THIS 1,521 REPRESENTS THE TOTAL NUMBER OF BOARD MEMBERS THAT SERVE ON THE

BOARDS OF THE 123 AFFILIATES THAT COMPRISE THE KOMEN GROUP RETURN.

DESCRIPTION OF RELATIONSHIPS

FORM 990, PART VI, QUESTION 2

BATON ROUGE AFFILIATE:

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

ALICIA CHATMAN, PRESIDENT AND AUDREY JAMES, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP.

MID-MISSOURI AFFILIATE:

ELIZABETH MENDENHALL, BOARD MEMBER AND PAM NEWMAN, BOARD MEMBER HAVE A

FAMILY RELATIONSHIP.

NORTHERN INDIANA AFFILIATE:

SHARON SIMMONS, BOARD MEMBER AND JENNIFER ADDIS, BOARD MEMBER HAVE A

FAMILY RELATIONSHIP.

PHILADELPHIA AFFILIATE:

JOHN M JOYCE, BOARD MEMBER AND JANE F JOYCE , BOARD MEMBER HAVE A FAMILY

RELATIONSHIP.

PHOENIX AFFILIATE:

CHARLES THOMPSON, BOARD MEMBER AND KAY THOMPSON, BOARD MEMBER HAVE A

FAMILY RELATIONSHIP.

SIOUXLAND AFFILIATE:

SANDY BOESHART , CO-TREASURER AND JULIE MAAS, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP.

TYLER CHAPTER:

CONNIE GREENBERG, BOARD MEMBER AND KRISTIN GOODMAN, BOARD MEMBER HAVE A

87855E 1385 V 09-8.6 GROUP

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Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

FAMILY RELATIONSHIP.

UPPER CUMBERLAND AFFILIATE:

EILEEN STUBER, PRESIDENT AND HARRY STUBER, BOARD MEMBER HAVE A FAMILY

RELATIONSHIP.

FORM 990, SUPPLEMENTAL INFORMATION CONTINUED

FORM 990, PART VI, QUESTION 4

EACH OF THE FOLLOWING KOMEN AFFILIATES MADE SIGNIFICANT CHANGES TO ITS

BYLAWS IN FY2010:

1. BATON ROUGE AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER FOUNDATION,

INC.

2. CENTRAL NEW MEXICO AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC.

3. CENTRAL TEXAS AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC.

4. THE DENVER METROPOLITAN AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION

5. EASTERN WASHINGTON AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC.

6. FLORIDA SUNCOAST AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC.

7. NORTH CAROLINA TRIAD AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC.

8. THE OREGON & SW WASHINGTON AFFILIATE OF THE SUSAN G. KOMEN BREAST

CANCER FOUNDATION

87855E 1385 V 09-8.6 GROUP

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Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

9. SOUTH DAKOTA AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER FOUNDATION,

INC.

10. THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, TARRANT COUNTY

AFFILIATE

11. TIDEWATER AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER FOUNDATION,

INC.

THE SIGNIFICANT CHANGES MADE BY EACH OF THE FOREGOING AFFILIATES ARE

SUMMARIZED IN SECTIONS I-III OF THIS EXPLANATION. IN THE EVENT ANY

AFFILIATE MADE ADDITIONAL SIGNIFICANT CHANGES, SUCH ADDITIONAL CHANGES

ARE SUMMARIZED IN SECTION IV OF THIS EXPLANATION. FURTHERMORE, IN THE

EVENT AN AFFILIATE DID NOT MAKE THE CHANGES SUMMARIZED IN SECTION I-III

OF THIS EXPLANATION, BUT SUCH AFFILIATE MADE OTHER SIGNIFICANT CHANGES,

SUCH SIGNIFICANT CHANGES ARE SUMMARIZED IN SECTION IV BELOW WITH A

NOTATION THAT NO OTHER SIGNIFICANT CHANGES WERE MADE.

THE FOLLOWING TERMS USED IN THIS EXPLANATION SHALL HAVE THE BELOW

PRESCRIBED MEANINGS, WHICH MEANINGS ARE INTENDED TO BE CONSISTENT WITH

THAT SET FORTH IN THE RESPECTIVE BYLAWS:

1. "BOARD" SHALL MEAN THE BOARD OF DIRECTORS OF THE RESPECTIVE

AFFILIATE.

2. "BYLAWS" SHALL MEAN THE GOVERNING BYLAWS OF THE RESPECTIVE AFFILIATE.

3. "CORPORATION" SHALL MEAN THE RESPECTIVE AFFILIATE.

I. BOARD OF DIRECTORS

87855E 1385 V 09-8.6 GROUP

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Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

1. THE DUTIES OF THE BOARD ARE NOW EXPRESSLY IDENTIFIED AS FOLLOWS:

(PLEASE NOTE THAT THE DENVER METROPOLITAN AFFILIATE DID NOT MAKE THIS

CHANGE TO ITS BYLAWS).

I. ENSURE EFFECTIVE ORGANIZATIONAL PLANNING;

II. ENSURE LEGAL, ETHICAL, MORAL AND FIDUCIARY INTEGRITY AND MAINTAINS

ACCOUNTABILITY;

III. DETERMINE, MONITOR, AND STRENGTHEN THE PROGRAMS AND SERVICES OF THE

ORGANIZATION;

IV. ENSURE ADEQUATE FINANCIAL RESOURCES, APPROVE FINANCIAL PLANS, AND

OVERSEE FINANCIAL MANAGEMENT;

V. HIRE, SUPPORT AND EVALUATE THE PERFORMANCE OF THE EXECUTIVE DIRECTOR,

IF ANY; AND

VI. RECRUIT, ORIENT, AND TRAIN BOARD MEMBERS AND ASSESS OVERALL BOARD

PERFORMANCE.

2. A QUORUM IS NOW REQUIRED FOR THE APPOINTMENT OF A DIRECTOR TO FILL A

VACANCY OR NEWLY CREATED DIRECTORSHIP IF SUCH APPOINTMENT IS BEING MADE

BY MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE.

3. A VOTE OF AT LEAST TWO-THIRDS VOTE OF THE DIRECTORS THEN IN OFFICE IS

NOW REQUIRED FOR THE REMOVAL OF A DIRECTOR.

4. THE VOTE OF TWO-THIRDS OF THE DIRECTORS VOTING AT A MEETING WITH A

QUORUM (OR UNANIMOUS WRITTEN CONSENT) IS NOW REQUIRED TO AMEND THE

CERTIFICATE OF INCORPORATION OR THE BYLAWS OF THE CORPORATION.

5. THE BOARD IS NOW EXPRESSLY PERMITTED TO APPOINT AGENTS AND EMPLOYEES,

AND REMOVE ANY AGENT OR EMPLOYEE SO APPOINTED BY THE BOARD, IN THE

ABSENCE OF AN EXECUTIVE DIRECTOR OF THE CORPORATION.

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

II. COMMITTEES AND ADVISORS

1. THE SPECIFIC LIST OF AUTHORITIES OF THE EXECUTIVE COMMITTEE WAS

ELIMINATED.

2. ALL COMMITTEES (INCLUDING THE EXECUTIVE COMMITTEE) ARE NOW EXPRESSLY

PROHIBITED FROM, IN ADDITION TO EXISTING LIMITATIONS, DISSOLVING THE

CORPORATION AND SELLING, LEASING OR EXCHANGING CORPORATE ASSETS. THE

COMMITTEES ARE, HOWEVER, PERMITTED TO MAKE RECOMMENDATIONS TO THE BOARD

TO TAKE SUCH ACTIONS BY WHICH THEIR POWER AND AUTHORITY IS LIMITED.

3. ALL COMMITTEES AND TASK FORCES ARE NOW EXPRESSLY SUBJECT TO OVERSIGHT

OF THE BOARD.

4. A MAJORITY OF THE MEMBERS OF EACH COMMITTEE NOW CONSTITUTES A QUORUM

FOR THE TRANSACTION OF BUSINESS, AS OPPOSED TO A MAJORITY OF THE ENTIRE

AUTHORIZED NUMBER OF MEMBERS OF SUCH COMMITTEE.

III. OFFICERS OF THE CORPORATION AND POWERS OF OFFICE

1. A PERSON IS NOW PREVENTED FROM HOLDING TWO OFFICES SIMULTANEOUSLY WITH

THE EXCEPTION OF THE SECRETARY-TREASURER, WHICH MAY BE FILLED BY THE SAME

PERSON.

(PLEASE NOTE THAT UNDER THE BYLAWS OF THE DENVER METROPOLITAN AFFILIATE,

NO PERSONS MAY HOLD TWO OFFICES SIMULTANEOUSLY).

2. OFFICERS MUST NOW BE ELECTED BY THE DIRECTORS AT THE ANNUAL MEETING OF

THE BOARD.

IV. ADDITIONAL SIGNIFICANT CHANGES

87855E 1385 V 09-8.6 GROUP

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Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

1. THE DENVER METROPOLITAN AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION

- IT IS NOW RECOGNIZED THAT DIRECTORS NEED NOT BE A RESIDENT OF

COLORADO.

- DESPITE THE EXPIRATION OF A DIRECTOR'S TERM, A DIRECTOR IS NOW ALLOWED

TO CONTINUE TO SERVE UNTIL THE DIRECTOR'S SUCCESSOR IS ELECTED OR UNTIL

THERE IS A DECREASE IN THE NUMBER OF DIRECTORS.

- IT IS NOW RECOGNIZED THAT ORAL NOTICE IS EFFECTIVE WHEN COMMUNICATED IN

A COMPREHENSIBLE MANNER.

- ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN AT A MEETING OF THE BOARD

OF DIRECTORS OR ANY COMMITTEE THEREOF MAY BE TAKEN WITHOUT A MEETING IF

EACH AND EVERY MEMBER OF THE BOARD OR COMMITTEE IN WRITING EITHER: (I)

VOTES FOR SUCH ACTION; (II) VOTES AGAINST SUCH ACTION; OR (III) ABSTAINS

FROM VOTING. UNANIMOUS CONSENT IS NO LONGER NECESSARY (AS PERMITTED

UNDER COLORADO LAW). ADDITIONAL LANGUAGE WAS ADDED TO THE BYLAWS TO

SPECIFY THE PROCESS FOR TAKING ACTION WITHOUT A MEETING.

- AN EXECUTIVE COMMITTEE MAY NOW ONLY BE CREATED BY RESOLUTION PASSED BY

A MAJORITY OF DIRECTORS VOTING AT A MEETING WITH A QUORUM.

- IT IS NOW RECOGNIZED THAT ONLY DIRECTORS OF THE CORPORATION MAY SERVE

AS OFFICERS. THE SAME INDIVIDUAL MAY SIMULTANEOUSLY HOLD MORE THAN ONE

OFFICE IN THE CORPORATION.

- THE OFFICE OF DEPUTY TREASURER WAS ADDED TO THE BYLAWS.

- SUBJECT TO THE DISCLOSURE OBLIGATIONS SET FORTH IN THE CORPORATION'S

CODE OF ETHICS, IT IS NOW RECOGNIZED THAT OFFICERS, DIRECTORS, AND

ADVISORS OF THE CORPORATION MAY HOLD ANY POSITION AS OFFICERS AND

87855E 1385 V 09-8.6 GROUP

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9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

DIRECTORS OF OTHER CORPORATIONS, WHETHER FOR-PROFIT OR NOT-FOR-PROFIT, IN

RELATED BUSINESSES, AND THEIR EFFORTS TO ADVANCE THE INTERESTS OF THESE

CORPORATIONS SHALL NOT CREATE A BREACH OF FIDUCIARY DUTY TO THE

CORPORATION IN THE ABSENCE OF BAD FAITH.

-THE SCOPE OF INDEMNIFICATION OF OFFICERS, DIRECTORS, EMPLOYEES AND

VOLUNTEERS WAS DEFINED.

2. NORTH CAROLINA TRIAD AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER

FOUNDATION, INC.

- A RACE CHAIR NO LONGER NEEDS TO BE A DIRECTOR OF THE CORPORATION.

3. THE OREGON & SW WASHINGTON AFFILIATE OF THE SUSAN G. KOMEN BREAST

CANCER FOUNDATION

- THE BYLAWS NOW RECOGNIZE THAT INDEMNIFICATION OF THE CORPORATION'S

DIRECTORS AND OFFICERS IS PERMITTED TO THE FULLEST EXTENT ALLOWED BY

OREGON LAW.

4. SOUTH DAKOTA AFFILIATE OF THE SUSAN G. KOMEN BREAST CANCER FOUNDATION,

INC. PLEASE NOTE: NO OTHER SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS

OF THIS AFFILIATE.

- THE TERM FOR DIRECTORS WAS EXTENDED FROM TWO YEARS TO THREE YEARS.

FURTHERMORE, DIRECTORS MAY ONLY SERVE TWO CONSECUTIVE TERMS RATHER THAN

THREE CONSECUTIVE TERMS.

5. THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, TARRANT COUNTY AFFILIATE

87855E 1385 V 09-8.6 GROUP

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Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

PLEASE NOTE: NO OTHER SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF THIS

AFFILIATE.

- THE BYLAWS NOW RECOGNIZE THAT THE BOARD MAY ENGAGE AN EXECUTIVE

DIRECTOR. THE EXECUTIVE DIRECTOR SHALL BE THE CHIEF OPERATING OFFICER OF

THE CORPORATION AND SHALL BE RESPONSIBLE FOR THE DAY-TO-DAY OPERATIONS OF

THE CORPORATION.

- THE BYLAWS NOW SET FORTH LIMITATIONS ON INDEMNIFICATION AND INSURANCE.

IN ADDITION TO THE FORGOING, THE NORTH DAKOTA AFFILIATE OF THE SUSAN G.

KOMEN BREAST CANCER FOUNDATION, INC. BECAME AN AFFILIATE OF THE SUSAN G.

KOMEN BREAST CANCER FOUNDATION, INC. [PARENT] IN FY2010. THE NORTH

DAKOTA AFFILIATE ADOPTED THE ORGANIZATION'S MODEL BYLAWS.

FORM 990, SUPPLEMENTAL INFORMATION CONTINUED

DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY OTHER PERSONS

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 11

THE PUBLIC DISCLOSURE COPY OF THE GROUP 990 IS MADE AVAILABLE TO EACH

AFFILIATE BOARD PRIOR TO FILING.

87855E 1385 V 09-8.6 GROUP

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Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST

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

87855E 1385 V 09-8.6 GROUP

Page 65: 12/28/10 - Susan G. Komen®

Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

TO KOMEN AFFILIATES UPON REQUEST.

AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN

PUBLIC

FORM 990, PART VI, QUESTION 19

THE ORGANIZATION'S 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 GRANT PROGRAM. THESE FUNDS ARE EARMARKED BY THE KOMEN

PARENT TO BE USED SPECIFICALLY FOR THE RESEARCH GRANT PROGRAM, WHICH

PROVIDES FUNDING FOR INNOVATIVE BREAST CANCER RESEARCH. THE KOMEN PARENT

ADHERES TO A PEER-REVIEW PROCESS THAT IS RECOGNIZED BY THE NATIONAL

CANCER INSTITUTE (NCI) WHEN DETERMINING WHO RECEIVES GRANT FUNDS. FOR

FURTHER INFORMATION, SEE FORM 990, PART III, PRIMARY EXEMPT PURPOSE AND

PROGRAM SERVICE ACCOMPLISHMENTS.

DOES THE ORGANIZATION OPERATE GAMING ACTIVITIES WITH NONMEMBERS

87855E 1385 V 09-8.6 GROUP

Page 66: 12/28/10 - Susan G. Komen®

Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

SCHEDULE G, PART III, LINE 11

THE AFFILIATE'S DO NOT HAVE ANY MEMBERS WHICH COULD CONDUCT GAMING

ACTIVITIES. HOWEVER, THE MAJORITY OF GAMING ACTIVITIES WERE CONDUCTED BY

VOLUNTEERS.

BUSINESS TRANSACTIONS WITH INTERESTED PERSONS

SCHEDULE L, PART IV

THE PEORIA AFFILIATE RENTS OFFICE SPACE FROM METRO ASSOCIATES. METRO

ASSOCIATES IS OWNED BY ERIC BRINKER, BOARD MEMBER OF THE PEORIA

AFFILIATE.

JOSEPH BELFATTO, NORTH JERSEY AFFILIATE BOARD MEMBER OWNS RENTAL PROPERTY

WHERE THE AFFILIATE OFFICE IS LOCATED.

SOME BOARD MEMBERS OF SUSAN G. KOMEN FOR THE CURE'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 INDIVIDUAL KOMEN AFFILIATE BOARD FOR APPROVAL, ANY KOMEN AFFILIATE

87855E 1385 V 09-8.6 GROUP

Page 67: 12/28/10 - Susan G. Komen®

Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 3 (CONT'D)

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. THE KOMEN PARENT

BELIEVES ALL THE TRANSACTIONS UNDERTAKEN WITH COMPANIES ASSOCIATED WITH

BOARD MEMBERS WERE NEGOTIATED AT ARMS LENGTH FOLLOWING THE PROVISIONS OF

THE KOMEN PARENT'S CONFLICT OF INTEREST POLICY.

ATTACHMENT 4FORM 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 5990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS

NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION

THE STAR GROUP WEB DESIGN, MAINT 257,811.220 LAUREL ROADVOORHEES, NJ 08043

LEAD DOG PRODUCTION RACE MANAGEMENT 260,000.159 W 25TH STREET-2ND FLNEW YORK, NY 10001

TOTAL COMPENSATION 517,811.

87855E 1385 V 09-8.6 GROUP

moselka
Text Box
PHILADELPHIA AFFILIATE
moselka
Text Box
GREATER NEW YORK CITY AFFILIATE
Page 68: 12/28/10 - Susan G. Komen®

Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

Schedule O (Form 990) 2009JSA

9E1228 2.000

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834ATTACHMENT 6

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,WA,WI,

87855E 1385 V 09-8.6 GROUP

Page 69: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

Acadiana Affiliate Susan Allardyce Board Member 2 X - - - - - 0 0 0Tracy Laurent Board Member 12 X - - - - - 0 0 0Ginger Broussard Board Member 2 X - - - - - 0 0 0Letie Veillon President 17 X - X - - - 0 0 0Mollie Matthews Secretary 3 X - X - - - 0 0 0Alice Dukes Board Member 3 X - - - - - 0 0 0Sandi Hernandez Treasurer 17 X - X - - - 0 0 0Joan McCarthy Board Member 16 X - - - - - 0 0 0

The Arkansas Chapter Sean Brady Board Member 4 X - - - - - 0 0 0Leititia Bailey Board Member 4 X - - - - - 0 0 0Alesa Garner Board Member 8 X - - - - - 0 0 0Kim Cook Board Member 4 X - - - - - 0 0 0Tjuana Byrd Vice President 8 X - X - - - 0 0 0Errin Dean Board Member 4 X - - - - - 0 0 0Donna Easley Board Member 4 X - - - - - 0 0 0Mike Gavigan Board Member 4 X - - - - - 0 0 0Estel Jeffery Board Member 4 X - - - - - 0 0 0Candy Johnson Board Member 4 X - - - - - 0 0 0Hope Keiser Board Member 4 X - - - - - 0 0 0Suzanne Klimberg Board Member 2 X - - - - - 0 0 0Ellen Kreth Board Member 4 X - - - - - 0 0 0Lisa Love Treasurer 8 X - X - - - 0 0 0Pat McClelland Board Member 2 X - - - - - 0 0 0Sue Mosley Board Member 8 X - - - - - 0 0 0Marsha Oliver Board Member 4 X - - - - - 0 0 0Pat Torvestad Board Member 2 X - - - - - 0 0 0Shelia Vaught Board Member 4 X - - - - - 0 0 0Vickey Metrailer President 8 X - X - - - 0 0 0Isabelle Monroe Secretary 8 X - X - - - 0 0 0Shellie Wallace Board Member 2 X - - - - - 0 0 0

Aspen Chapter Lisa Bugner Treasurer 2 X - X - - - 0 0 0John Gates Board Member 1 X - - - - - 0 0 0Leann Katchuk Board Member 1 X - - - - - 0 0 0Tracey Samdahl President 2 X - X - - - 0 0 0Jan Sarpa Board Member 1 X - - - - - 0 0 0Liz Siegel Board Member 1 X - - - - - 0 0 0Liz Stark Board Member 1 X - - - - - 0 0 0Sandy Israel Board Member 1 X - - - - - 0 0 0Ann Fitzgerald Board Member 1 X - - - - - 0 0 0Steve Walters Board Member 1 X - - - - - 0 0 0Keely Cambridge Board Member 1 X - - - - - 0 0 0

0Austin Affiliate Becky Kapes Osmon Board Member 4 X - - - - - 0 0 0

Shelia Taylor Board Member 4 X - - - - - 0 0 0

C Position - Mark All That Apply

Page 1 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Karen Quintos Board Member 4 X - - - - - 0 0 0Yvonne Carroll Secretary 5 X - X - - - 0 0 0Carol Marin VP 20 X - X - - - 0 0 0George Noelke President 4 X - X - - - 0 0 0Rick Reeder Board Member 4 X - - - - - 0 0 0Robin Clay Thigpin Board Member 1 X - - - - - 0 0 0Justin Krost Treasurer 1 X - X - - - 0 0 0Kevin Speirits Treasurer 1 X - X - - - 0 0 0Kenya Johnson Board Member 4 X - - - - - 0 0 0Monica Meadows Board Member 7 X - - - - - 0 0 0Erin Shafer-Cox Board Member 4 X - - - - - 0 0 0Sadaf Khan Board Member 1 X - - - - - 0 0 0

Baton Rouge Affiliate Barbara Schwartzenburg Board Member 6 X - - - - - 0 0 0Wendy Reeves Board Member 2 X - - - - - 0 0 0Teal Glover Secretary 2 X - X - - - 0 0 0Lucie Agosta Board Member 2 X - - - - - 0 0 0Tammy Asmus Board Member 3 X - - - - - 0 0 0Danielle Bayham Treasurer 8 X - X - - - 0 0 0Jeff Boykin Board Member 5 X - - - - - 0 0 0Alicia Chatman President 24 X - X - - - 0 0 0Kate B Labue Secretary 2 X - X - - - 0 0 0Jennifer Heroman Board Member 3 X - - - - - 0 0 0Courtney Nuckolls Board Member 15 X - - - - - 0 0 0Angela Miller Board Member 30 X - - - - - 0 0 0Audrey James Board Member 2 X - - - - - 0 0 0Tiffany Allen Board Member 6 X - - - - - 0 0 0

Bayou Region Affiliate Steve Gaubert Treasurer 2 X - X - - - 0 0 0Susan Guidry Board Member 1 X - - - - - 0 0 0Gretchen G Landry Board Member 1 X - - - - - 0 0 0Joan Murray Board Member 1 X - - - - - 0 0 0Alice Pecoraro Board Member 1 X - - - - - 0 0 0Laura Roger Secretary 4 X - X - - - 0 0 0Greg Stock President 2 X - X - - - 0 0 0Marlo Tibbs Board Member 1 X - - - - - 0 0 0Juana Woodard Board Member 1 X - - - - - 0 0 0Brenda Hansen Board Member 1 X - - - - - 0 0 0Wayne Arboneaux Board Member 1 X - - - - - 0 0 0

Boise, Idaho Affiliate Mary Lu Foster Treasurer 5 X - X - - - 0 0 0Bill Bach Board Member 2 X - - - - - 0 0 0Michelle Edmonds Board Member 2 X - - - - - 0 0 0Jodi Brawley Board Member 5 X - - - - - 0 0 0Caroline Sobota Board Member 2 X - - - - - 0 0 0Jamie Boesiger Board Member 2 X - - - - - 0 0 0Becky Morris VP 2 X - - - - - 0 0 0

Page 2 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Judy Murray Board Member 2 X - - - - - 0 0 0Peter Dover President 5 X - X - - - 0 0 0Trish Trader Secretary 2 X - X - - - 0 0 0John Walker Board Member 2 X - - - - - 0 0 0Lisa Baird Treasurer 5 X - X - - - 0 0 0Linda S McGraw President 5 X - X - - - 0 0 0

Brainerd Lakes Affiliate Ross Bengtson Board Member 1 X - - - - - 0 0 0Kathy Buxton Secretary 1 X - X - - - 0 0 0Lynn Clark Treasurer 1 X - X - - - 0 0 0Patricia Erickson Board Member 1 X - - - - - 0 0 0Arvilla Felten Board Member 1 X - - - - - 0 0 0Julie Hella Board Member 1 X - - - - - 0 0 0Brenda Jindra Board Member 1 X - - - - - 0 0 0Colleen Moser Board Member 1 X - - - - - 0 0 0Kelly Simons President 1 X - X - - - 0 0 0Lisa Slepica Secretary 1 X - X - - - 0 0 0Joel Stokka Board Member 1 X - - - - - 0 0 0Patrick Wiebusch Board Member 1 X - - - - - 0 0 0Emily Lanin Board Member 1 X - - - - - 0 0 0Melissa L Jones President 1 X - X - - - 0 0 0

Central and South Jersey Affiliate MIchael Schaff Board Member 2 X - - - - - 0 0 0Rachel Dultz Board Member 2 X - - - - - 0 0 0Brian Markison Board Member 2 X - - - - - 0 0 0Ann Marie Hill Board Member 4 X - - - - - 0 0 0Roberta Obler Secretary 3 X - X - - - 0 0 0Jonathan Pearson Board Member 2 X - - - - - 0 0 0Rebecca Gabriele President 6 X - X - - - 0 0 0Jay Turchin Treasurer 4 X - X - - - 0 0 0Kenneth Berlin Board Member 2 X - - - - - 0 0 0Louis Allesandrine Board Member 2 X - - - - - 0 0 0Kathy Kivelson Hecht Board Member 2 X - - - - - 0 0 0

Central Florida Affiliate Jennifer Barge Board Member 10 X - - - - - 0 0 0Natalie Phillips Board Member 28 X - - - - - 0 0 0Teresa Adams Treasurer 20 X - X - - - 0 0 0Jamie Daniel Board Member 1 X - - - - - 0 0 0Marsha G Hall VP 3 X - - - - - 0 0 0Jana Holt Allen President 10 X - X - - - 0 0 0Roger Jacobson Board Member 2 X - - - - - 0 0 0Cher Keller-Bodnar Secretary 10 X - X - - - 0 0 0Kristie Blaes Holden Board Member 6 X - - - - - 0 0 0Jacqueline Ader-Grob Board Member 2 X - - - - - 0 0 0Ashley Babb Board Member 2 X - - - - - 0 0 0Mark A Hollamon Board Member 2 X - - - - - 0 0 0Roger C Schmitt President 2 X - X - - - 0 0 0

Page 3 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Lynda Collier Board Member 1 X - - - - - 0 0 0

Central Georgia Affiliate Sandra Gangstead Board Member 2 X - - - - - 0 0 0Drew Cole Board Member 2 X - - - - - 0 0 0Dawn Cole Secretary 2 X - X - - - 0 0 0Scott Ferraris Board Member 2 X - - - - - 0 0 0Susan Foster-Ray Board Member 2 X - - - - - 0 0 0Tavia Henderson Board Member 2 X - - - - - 0 0 0Sheila Rigsby Board Member 2 X - - - - - 0 0 0Beverly Stanley Board Member 2 X - - - - - 0 0 0Nicole Rinehart VP 5 X - X - - - 0 0 0Leah Johnson Board Member 2 X - - - - - 0 0 0Cheryl Jones Board Member 2 X - - - - - 0 0 0Mechel McKinley Board Member 2 X - - - - - 0 0 0Sarah Jones Board Member 2 X - - - - - 0 0 0Beverly Stanley Board Member 2 X - - - - - 0 0 0Denise Bickford President 2 X - X - - - 0 0 0

Central MS Steel Magnolias Affiliate Karen Livingston-Wilson Board Member 3 X - - - - - 0 0 0Wilma Mosley-Clopton Board Member 4 X - - - - - 0 0 0Sherry Pitts President 8 X - X - - - 0 0 0Amanda Purser Board Member 3 X - - - - - 0 0 0Madina Ramage Board Member 3 X - - - - - 0 0 0Cynthia Stuart Board Member 3 X - - - - - 0 0 0Doris Watson Treasurer 5 X - X - - - 0 0 0Jena Berrong Board Member 3 X - - - - - 0 0 0Odessa Hawkins Board Member 3 X - - - - - 0 0 0Kristy Launius Assistant Treasurer 2 X - X - - - 0 0 0

Central New Mexico Affiliate Julia Chong Treasurer 5 X - X - - - 0 0 0Lara Davis W Davis Committee Chair/Secret 2 X - X - - - 0 0 0Jeff Browne Vice-President 5 X - X - - - 0 0 0Michele Duran Board Member 2 X - - - - - 0 0 0Korbie Killibrew Board Member 2 X - - - - - 0 0 0Ada Priest Board Member 2 X - - - - - 0 0 0Christi Rich President 5 X - X - - - 0 0 0Shannen Woodside Board Member 2 X - - - - - 0 0 0Dava Gerard Board Member 2 X - - - - - 0 0 0Michelle Gonzales Board Member 2 X - - - - - 0 0 0Linda Gammon Board Member 2 X - - - - - 0 0 0Randy Arriola Board Member 2 X - - - - - 0 0 0Guillermo Yanez Board Member 2 X - - - - - 0 0 0

Central New York Affiliate Deborah Moore President 2 X - X - - - 0 0 0Catherine Shamlian Board Member 1 X - - - - - 0 0 0Louise Hofmann Board Member 1 X - - - - - 0 0 0Susan Meath Board Member 1 X - - - - - 0 0 0

Page 4 of 39 ATTACHMENT 7

Page 73: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Kelly Vaccaro Board Member 1 X - - - - - 0 0 0Barry Weiss Board Member 1 X - - - - - 0 0 0Susan Swift Board Member 1 X - - - - - 0 0 0Kara Williams Board Member 1 X - - - - - 0 0 0Virginia G Biesiada O'Neill Secretary 2 X - X - - - 0 0 0Shari Cohen Board Member 1 X - - - - - 0 0 0Jeff Comanici Board Member 1 X - - - - - 0 0 0Mary Ann Drumm Board Member 1 X - - - - - 0 0 0Kimberly Hunter Treasurer 2 X - X - - - 0 0 0Elaine Jacobs Secretary 2 X - X - - - 0 0 0Linda Leogrande Board Member 1 X - - - - - 0 0 0Mary Markert Board Member 1 X - - - - - 0 0 0Karen Nasoni Board Member 1 X - - - - - 0 0 0

Central Oklahoma Chapter Daniel Adams President 10 X - X - - - 0 0 0Jill Greene Board Member 5 X - - - - - 0 0 0Lori McKanna Secretary 10 X - X - - - 0 0 0Drew Neville Board Member 5 X - - - - - 0 0 0Angel M Jackson Board Member 5 X - - - - - 0 0 0Cristi Reiger Board Member 5 X - - - - - 0 0 0Ginger Castleberry Board Member 5 X - - - - - 0 0 0Jean Murphy Board Member 5 X - - - - - 0 0 0Elaine Davis Treasurer 10 X - X - - - 0 0 0Mandy Hansen Board Member 5 X - - - - - 0 0 0Brooks Richardson Board Member 5 X - - - - - 0 0 0Vickie Rankin Board Member 5 X - - - - - 0 0 0Becky Lawson Board Member 5 X - - - - - 0 0 0Whitney Tero Board Member 5 X - - - - - 0 0 0Sherry Barton Board Member 5 X - - - - - 0 0 0

Central Texas Affiliate Julia Dimmick Board Member 1 X - - - - - 0 0 0Jennifer Manning Treasurer 4 X - X - - - 0 0 0Kay Huggins Board Member 2 X - - - - - 0 0 0Jennifer Furrer Board Member 1 X - - - - - 0 0 0Cindy Venable Secretary 2 X - X - - - 0 0 0Cindy Armstrong Board Member 1 X - - - - - 0 0 0Margie Corbett Board Member 7 X - - - - - 0 0 0Trenton Hood Board Member 1 X - - - - - 0 0 0Joslyn Horn Board Member 1 X - - - - - 0 0 0Mary Ann Riggs President 10 X - X - - - 0 0 0Dawn Walton Board Member 1 X - - - - - 0 0 0Michelle L Wilson Vice President 7 X - - - - - 0 0 0

Central Valley Affiliate Pamela Parrott Board Member 2 X - - - - - 0 0 0Samantha Carroll Treasurer 25 X - X - - - 0 0 0Stephanie Chaney Secretary 2 X - X - - - 0 0 0Eric Frazier Board Member 5 X - - - - - 0 0 0

Page 5 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Nancy Hatcher Board Member 2 X - - - - - 0 0 0Annie Ovalle Board Member 5 X - - - - - 0 0 0Carol Scroggins Board Member 3 X - - - - - 0 0 0Sera Soto Larsen Board Member 2 X - - - - - 0 0 0Carmen Villegas Board Member 0 X - - - - - 0 0 0Deonna Villegas-McPeters Board Member 0 X - - - - - 0 0 0Linda Stanley-Little Board Member 3 X - - - - - 0 0 0Debbie Young President 10 X - X - - - 0 0 0Rowena Chu Board Member 4 X - - - - - 0 0 0Lisa Mochizuki Board Member 2 X - - - - - 0 0 0Summer Johnson Board Member 3 X - - - - - 0 0 0Jennifer Williams Board Member 3 X - - - - - 0 0 0Jamie Ledezma Board Member 8 X - - - - - 0 0 0Russell Allen Board Member 0 X - - - - - 0 0 0Denny Wilson Board Member 2 X - - - - - 0 0 0Susan Noel Secretary 1 X - X - - - 0 0 0

Central Wisconsin Affiliate Maria Bruggink Treasurer 5 X - X - - - 0 0 0Susan Coleman Secretary 5 X - X - - - 0 0 0Julianne Fondell Board Member 3 X - - - - - 0 0 0Susan Ford-Hoffert President 10 X - X - - - 0 0 0Ellyn Fuchsteiner Board Member 3 X - - - - - 0 0 0Sally Gartmann Board Member 3 X - - - - - 0 0 0Gerry Klein Board Member 5 X - - - - - 0 0 0Karla Kurtz Board Member 3 X - - - - - 0 0 0Beverly Sartori Board Member 5 X - - - - - 0 0 0Gretchen Thuot Secretary 3 X - X - - - 0 0 0Karen R. Monarski Board Member 3 X - - - - - 0 0 0Michelle Kijek Board Member 5 X - - - - - 0 0 0Anne Jacobson Board Member 3 X - - - - - 0 0 0Kristine McGarigle Board Member 3 X - - - - - 0 0 0Barb Klinner Board Member 5 X - - - - - 0 0 0Jennifer Smith Board Member 3 X - - - - - 0 0 0Pamela Galloway VP 5 X - X - - - 0 0 0

Charlotte Affiliate Yvette Bessent Board Member 2 X - - - - - 0 0 0Curt Shaw Board Member 4 X - - - - - 0 0 0Lisa Crockett Moon Board Member 8 X - - - - - 0 0 0Debra Anderson Board Member 4 X - - - - - 0 0 0Stacy Busby President 8 X - X - - - 0 0 0Laura Calabria Treasurer 8 X - X - - - 0 0 0Lise Hinton Vice-President 4 X - X - - - 0 0 0Kimberly Kogut Board Member 5 X - - - - - 0 0 0Tricia Ory Secretary 8 X - X - - - 0 0 0Tracey Roberts Board Member 8 X - - - - - 0 0 0Mike Smiley Board Member 5 X - - - - - 0 0 0Susan Stuppnig Board Member 5 X - - - - - 0 0 0

Page 6 of 39 ATTACHMENT 7

Page 75: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Park Williams Board Member 5 X - - - - - 0 0 0Dena Deiger Board Member 8 X - - - - - 0 0 0

Chattanooga Affiliate Sarah E. Bowen President 5 X - X - - - 0 0 0Dora Coker Board Member 1 X - - - - - 0 0 0Kathy Igou Board Member 1 X - - - - - 0 0 0Laura Reid Treasurer 2 X - X - - - 0 0 0Kim Shipley Board Member 1 X - - - - - 0 0 0Darlene Smith Secretary 1 X - X - - - 0 0 0Carolyn Money Board Member 1 X - - - - - 0 0 0Kathy Dittmar Board Member 1 X - - - - - 0 0 0Janet Kramer-Mai Board Member 1 X - - - - - 0 0 0Joe C. del Valle Board Member 1 X - - - - - 0 0 0Carol Oglesby Board Member 1 X - - - - - 0 0 0GiGi Johnson Board Member 1 X - - - - - 0 0 0

The Chicagoland Area Chapter Sean Tenner Board Member 5 X - - - - - 0 0 0Kathleen Guerrero Board Member 5 X - - - - - 0 0 0Ruth L Todd Vice President 10 X - X - - - 0 0 0Josh Krueger Board Member 5 X - - - - - 0 0 0Brian Ledebuhr Board Member 5 X - - - - - 0 0 0Jo Loughridge Board Member 5 X - - - - - 0 0 0Janice Phillips Board Member 5 X - - - - - 0 0 0Pat Rowland President 10 X - X - - - 0 0 0Elizabeth Calhoun Board Member 10 X - - - - - 0 0 0Kim Nagy Board Member 5 X - - - - - 0 0 0Robert O Maganini Board Member 5 X - - - - - 0 0 0Linda Borton Board Member 20 X - - - - - 0 0 0Dawn Drella Treasurer 5 X - X - - - 0 0 0

Couer 'd Alene Affiliate Tonya Smith Treasurer 3 X - X - - - 0 0 0Heather Bolster President 3 X - X - - - 0 0 0Kathy Bowlin Board Member 2 X - - - - - 0 0 0Linda Cathy Secretary 2 X - X - - - 0 0 0Jen Henriksen Board Member 1 X - - - - - 0 0 0Nancy Mueller Board Member 2 X - - - - - 0 0 0Gail Turley Board Member 2 X - - - - - 0 0 0Leah Stern Board Member 0 X - - - - - 0 0 0

Colorado Springs Affiliate Ellen Wilkerson Treasurer 20 X - X - - - 0 0 0Shirley Russell Board Member 20 X - - - - - 0 0 0Kelly Banet Board Member 10 X - - - - - 0 0 0Patty Borish Secretary 15 X - X - - - 0 0 0Paula Simon Board Member 20 X - - - - - 0 0 0Amber Pepin Board Member 15 X - - - - - 0 0 0Wanda Berthelot Board Member 20 X - - - - - 0 0 0Joan L. Schulz President 15 X - X - - - 0 0 0

Page 7 of 39 ATTACHMENT 7

Page 76: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Columbus Affiliate Connie Browning Board Member 4 X - - - - - 0 0 0Yvonne Burry Board Member 1 X - - - - - 0 0 0John Racik Board Member 1 X - - - - - 0 0 0Tracy Intihar Vice President 3 X - X - - - 0 0 0Mary Mertz Board Member 4 X - - - - - 0 0 0Lee Oldfield Board Member 4 X - - - - - 0 0 0Julie Oyster Treasurer 1 X - X - - - 0 0 0Rosemary Riley President 5 X - X - - - 0 0 0Tamera Weis Secretary 5 X - X - - - 0 0 0Cressa Rieser Board Member 1 X - - - - - 0 0 0Joanne Pickrell Board Member 2 X - - - - - 0 0 0Patricia Stafford Board Member 2 X - - - - - 0 0 0

Connecticut Affiliate Amber Girardin Treasurer 4 X - X - - - 0 0 0Sandra Agic Board Member 4 X - - - - - 0 0 0Cheryl Cepelak President 4 X - X - - - 0 0 0Mary Ellen Cody Board Member 4 X - - - - - 0 0 0Tommy Davis Board Member 4 X - - - - - 0 0 0Louis Golden Vice President 4 X - X - - - 0 0 0Ann Hogan Secretary 4 X - X - - - 0 0 0Catherine Limansky Board Member 4 X - - - - - 0 0 0Edie Thompson Board Member 4 X - - - - - 0 0 0Kia Murrell Board Member 4 X - - - - - 0 0 0Richard Orr Board Member 4 X - - - - - 0 0 0Sonja Larkin-Thorne Board Member 4 X - - - - - 0 0 0Lillian Cruz Board Member 4 X - - - - - 0 0 0

Dallas County Affiliate Carol Roehrig Board Member 1 X - X - - - 0 0 0Catherine Rodewald Board Member 1 X - - - - - 0 0 0Cheryl Harth Board Member 1 X - - - - - 0 0 0Christine Griffith Secretary 2 X - X - - - 0 0 0Edwin Harrison Board Member 1 X - - - - - 0 0 0Irvin Ashford Board Member 1 X - - - - - 0 0 0Jennifer Mao Board Member 1 X - - - - - 0 0 0John Ansbach Board Member 1 X - - - - - 0 0 0Judy Bergstrom Board Member 1 X - - - - - 0 0 0Linda Wilkins Vice President 1 X - - - - - 0 0 0Perry Stephenson Treasurer 2 X - X - - - 0 0 0Retta Miller President 2 X - X - - - 0 0 0Sharla Myers Board Member 1 X - - - - - 0 0 0Terri Swain Board Member 1 X - - - - - 0 0 0

The Denver Metropolitan Affiliate Carolyn Paul Board Member 5 X - - - - - 0 0 0Sharon Hartman VP 5 X - X - - - 0 0 0John David DellaSalle Vice President 5 X - X - - - 0 0 0Elyse Gellerman President 10 X - X - - - 0 0 0

Page 8 of 39 ATTACHMENT 7

Page 77: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Art Graper Deputy Treasurer 2 X - X - - - 0 0 0Jan Haft Board Member 0 X - - - - - 0 0 0Erika MOORE Hollis Board Member 5 X - - - - - 0 0 0Mary McBride TREASURER 5 X - X - - - 0 0 0Bob Shaw Board Member 5 X - - - - - 0 0 0Suzanne Steinberg Board Member 5 X - - - - - 0 0 0Jacquelynn McDaniel Board Member 5 X - - - - - 0 0 0

The Des Moines Chapter Amanda Rinehart Board Member 3 X - - - - - 0 0 0Connie Johnston Board Member 5 X - - - - - 0 0 0Amanda Richer Board Member 3 X - - - - - 0 0 0Jeff Aldrich Board Member 3 X - - - - - 0 0 0Diane M. Faris President 20 X - X - - - 0 0 0Wendy Hoffman Board Member 20 X - - - - - 0 0 0Kim Krips Treasurer 10 X - X - - - 0 0 0Cathy Palmer Treasurer 30 X - X - - - 0 0 0Dorothy Ramsey Secretary 5 X - X - - - 0 0 0Roni Schuling Board Member 5 X - - - - - 0 0 0Matt McGarvey Board Member 5 X - - - - - 0 0 0

Eastern Washington Affiliate Stephanie Bast President 4 X - X - - - 0 0 0Reggie Brulotte Secretary 2 X - X - - - 0 0 0Kelly Stanicar Board Member 2 X - - - - - 0 0 0Joni Nichols Board Member 1 X - - - - - 0 0 0Kimberly Koch Treasurer 4 X - X - - - 0 0 0Bailee Neyland Board Member 2 X - - - - - 0 0 0Andi Hart Board Member 3 X - - - - - 0 0 0Frankie Deeble Board Member 2 X - - - - - 0 0 0Nicole Adams Board Member 4 X - - - - - 0 0 0Cindy Corbett Board Member 4 X - - - - - 0 0 0Mardell Grayhek Board Member 2 X - - - - - 0 0 0Mike Bresson Board Member 0 X - - - - - 0 0 0Mary R. Giannini Board Member 3 X - - - - - 0 0 0Tom McArthur Board Member 2 X - - - - - 0 0 0Catherine Brazil Board Member 1 X - - - - - 0 0 0Faith Washington Board Member 1 X - - - - - 0 0 0Maureen O'Brien Treasurer 4 X - X - - - 0 0 0

El Paso Affiliate Manny Rodriguez Board Member 3 X - - - - - 0 0 0Judith Becker Board Member 4 X - - - - - 0 0 0Davina Heredia Board Member 4 X - - - - - 0 0 0Robin Montoya Board Member 4 X - - - - - 0 0 0Amy French Board Member 4 X - - - - - 0 0 0Richard Miller Treasurer 6 X - X - - - 0 0 0Erich Morales Secretary 5 X - X - - - 0 0 0Irene Pistella Board Member 5 X - - - - - 0 0 0Christina Sandoval Board Member 4 X - - - - - 0 0 0

Page 9 of 39 ATTACHMENT 7

Page 78: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Joyce Stophel Board Member 5 X - - - - - 0 0 0Chris Anderson Board Member 2 X - - - - - 0 0 0Iris Castro Board Member 2 X - - - - - 0 0 0Janie Shockley President 4 X - X - - - 0 0 0

Elmira Affiliate Marcia Kimball President 11 X - X - - - 0 0 0Scott Heffner Board Member 3 X - - - - - 0 0 0Megan Horton Board Member 1 X - - - - - 0 0 0Colleen Hurd Board Member 1 X - - - - - 0 0 0Nicola Pytell Board Member 1 X - - - - - 0 0 0Kathy Rauch Vice President 5 X - X - - - 0 0 0Tiffany Schoonover Treasurer 5 X - X - - - 0 0 0Meg Howells Board Member 1 X - - - - - 0 0 0Yvonne Norris Secretary 3 X - X - - - 0 0 0Gail Ryan Board Member 2 X - - - - - 0 0 0Diana Hughes Board Member 1 X - - - - - 0 0 0Sherri Vail Board Member 2 X - - - - - 0 0 0Susanne Neidrich Treasurer 5 X - X - - - 0 0 0David J Sheen President 11 X - X - - - 0 0 0

Florida Suncoast Affiliate John Kiluk Board Member 2 X - - - - - 0 0 0Sherry Brewer President 10 X - X - - - 0 0 0Susan Brown Board Member 3 X - - - - - 0 0 0Patrick Meehan Secretary 1 X - X - - - 0 0 0Thomas Whiteman Treasurer 6 X - X - - - 0 0 0Anne Hochsprung Board Member 3 X - - - - - 0 0 0Amy Ulrich Board Member 2 X - - - - - 0 0 0Amy Campbell Board Member 1 X - - - - - 0 0 0Elizabeth Dupont Board Member 1 X - - - - - 0 0 0Julia Harris VP 1 X - X - - - 0 0 0Mary Ostien VP 3 X - - - - - 0 0 0John Woods Board Member 2 X - - - - - 0 0 0

Grand Rapids Affiliate Gregory Kilby Board Member 5 X - - - - - 0 0 0Cara Ontiveros President Elect 5 X - - - - - 0 0 0Cindy A Brown VP 5 X - - - - - 0 0 0Michelle Essick Board Member 5 X - - - - - 0 0 0Susan Hoppough Board Member 5 X - - - - - 0 0 0Andrea Hughes Board Member 5 X - - - - - 0 0 0Sylvia A James Board Member 5 X - - - - - 0 0 0Cara Jones Board Member 5 X - - - - - 0 0 0Liz Keegan President 10 X - X - - - 0 0 0Elaine Overlund Board Member 5 X - - - - - 0 0 0Kathy Weglicki Board Member 5 X - - - - - 0 0 0Cheryl Wirsing Secretary 10 X - X - - - 0 0 0Jennifer Mulder Treasurer 10 X - X - - - 0 0 0

Page 10 of 39 ATTACHMENT 7

Page 79: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Greater Amarillo Affiliate Rakhshanda Rahman Board Member 1 X - - - - - 0 0 0Edwyna Honderich Board Member 1 X - - - - - 0 0 0Estelle Archer-Schaeffer Board Member 1 X - - - - - 0 0 0Sarah Caviness Board Member 1 X - - - - - 0 0 0Kelly Whittenburg Board Member 1 X - - - - - 0 0 0Whitney Kelly Board Member 1 X - - - - - 0 0 0Lizzie Ware Mason President 5 X - X - - - 0 0 0Amy-Beth Morrison VP 1 X - - - - - 0 0 0Dinga Regina Secretary 1 X - X - - - 0 0 0Caroline Woodburn Treasurer 5 X - X - - - 0 0 0Shannon Williams Board Member 1 X - - - - - 0 0 0Monica Ybarra Bennett Board Member 1 X - - - - - 0 0 0

The Greater Atlanta Affiliate Alexis Pezzullo Board Member 1 X - - - - - 0 0 0Ann Cowan Board Member 1 X - - - - - 0 0 0Cam Teems Board Member 2 X - - - - - 0 0 0Debbie Liss Board Member 1 X - - - - - 0 0 0Debbie Tyson President 2 X - X - - - 0 0 0Ellen Williams Board Member 1 X - - - - - 0 0 0Glynn Jenkins Board Member 1 X - - - - - 0 0 0Joanie Shubin Board Member 1 X - - - - - 0 0 0Joel Ballantyne Board Member 1 X - - - - - 0 0 0Karen Bragman Board Member 1 X - - - - - 0 0 0Kim Zell Treasurer 5 X - X - - - 0 0 0Lynne Baxter Board Member 1 X - - - - - 0 0 0Phillip Ellender Board Member 2 X - - - - - 0 0 0Stephanie Ponzio Secretary 2 X - X - - - 0 0 0tom coley Board Member 1 X - - - - - 0 0 0

Greater Cincinnati Affiliate Jennifer Cahall Secretary 10 X - X - - - 0 0 0Karen B. Naber Board Member 5 X - - - - - 0 0 0Lawrence Post Board Member 5 X - - - - - 0 0 0Elizabeth Shaughnessy Board Member 5 X - - - - - 0 0 0Rebecca Snowhite Board Member 5 X - - - - - 0 0 0Diana Veid Board Member 5 X - - - - - 0 0 0Janet Ellen Beers President 10 X - X - - - 0 0 0Tracey Johnson Board Member 5 X - - - - - 0 0 0Kenneth Schoster Treasurer 10 X - X - - - 0 0 0Karyn Ganaway Board Member 5 X - - - - - 0 0 0

Greater Evansville Affiliate Georgiann Leonard Board Member 1 X - - - - - 0 0 0Doris Razzano Board Member 1 X - - - - - 0 0 0Mary A. Beck Board Member 1 X - - - - - 0 0 0Carolyn Beck President Elect 2 X - X - - - 0 0 0Debbie Bush Board Member 1 X - - - - - 0 0 0Martha Custis Board Member 1 X - - - - - 0 0 0Kathy Dockery President 2 X - X - - - 0 0 0

Page 11 of 39 ATTACHMENT 7

Page 80: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Jennifer Elston Board Member 1 X - - - - - 0 0 0Joan Finch Board Member 1 X - - - - - 0 0 0Suzanne Hilbert Secretary 1 X - X - - - 0 0 0Donald Mitchell Board Member 1 X - - - - - 0 0 0Bob Naas Treasurer 2 X - X - - - 0 0 0Steve Newman Board Member 5 X - - - - - 0 0 0Pilar Tirado Board Member 1 X - - - - - 0 0 0Allen Mounts Board Member 1 X - - - - - 0 0 0

Greater Kansas City Affiliate Matthew D Adams Board Member 1 X - - - - - 0 0 0Vicki Graft Secretary/Treasurer 1 X - X - - - 0 0 0Stephanie Grinage President 5 X - X - - - 0 0 0William Hanna Board Member 1 X - - - - - 0 0 0Roxie Jerde Board Member 2 X - - - - - 0 0 0Mary Lou Kegler Board Member 1 X - - - - - 0 0 0Katie Linden Board Member 1 X - - - - - 0 0 0Lydia Marien Board Member 1 X - - - - - 0 0 0Laurie Roberts Board Member 2 X - - - - - 0 0 0Jeff Jernigan Board Member 1 X - - - - - 0 0 0Mayra Aguirre Board Member 1 X - - - - - 0 0 0Denise Gilmore Board Member 1 X - - - - - 0 0 0Debbie Schulte Board Member 5 X - - - - - 0 0 0Sean Whittington Board Member 1 X - - - - - 0 0 0

Greater Lansing Affiliate Karen Holcomb-Merrill Secretary 1 X - X - - - 0 0 0Susan Schanski Treasurer 2 X - X - - - 0 0 0Kelly Feinberg former Vice President 0 X - - - - - 0 0 0Dione Pena former President 0 X - - - - - 0 0 0Kay Randolph-Back Board Member 2 X - - - - - 0 0 0Steve Widder Board Member 14 X - - - - - 0 0 0Barbara Wirtz Board Member 5 X - - - - - 0 0 0Kristin St. Marie President 10 X - X - - - 0 0 0Barbara Fulton Board Member 2 X - - - - - 0 0 0

The Greater Nashville Chapter Dineo Khabele Board Member 1 X - - - - - 0 0 0Melissa Hunter Board Member 1 X - - - - - 0 0 0Beth Minter Board Member 1 X - - - - - 0 0 0Margaret Barker Board Member 1 X - - - - - 0 0 0Alice Crafts Treasurer 3 X - X - - - 0 0 0Patricia Edwards Board Member 1 X - - - - - 0 0 0Mary Egger Board Member 1 X - - - - - 0 0 0Robin Embry Board Member 1 X - - - - - 0 0 0Elizabeth Hobbs Secretary 3 X - X - - - 0 0 0Marc Overlock Board Member 1 X - - - - - 0 0 0Laura Perkins Board Member 1 X - - - - - 0 0 0Tracy Rode President 3 X - X - - - 0 0 0Shawn Tidwell Board Member 1 X - - - - - 0 0 0

Page 12 of 39 ATTACHMENT 7

Page 81: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Julie Walker Board Member 1 X - - - - - 0 0 0Evelyn Zerfoss Board Member 1 X - - - - - 0 0 0

Greater New York City Affiliate Blythe Masters Chair 10 - - X - - - 0 0 0Linda Kahn President 10 - - X - - - 0 0 0Eve E. Ellis Secretary 10 - - X - - - 0 0 0Laila Worrell Treasurer 10 - - X - - - 0 0 0Iris Dankner Board Member 10 X - - - - - 0 0 0Ginny Clark Board Member 2 X - - - - - 0 0 0Maurice DuBois Board Member 2 X - - - - - 0 0 0Dr. Mitchell Gaynor Board Member 2 X - - - - - 0 0 0Joe Gold Board Member 2 X - - - - - 0 0 0Anita McFarlane Board Member 10 X - - - - - 0 0 0Linda Sage Board Member 2 X - - - - - 0 0 0Dr. Robert Schneider Board Member 2 X - - - - - 0 0 0William Shelton Board Member 2 X - - - - - 0 0 0Sandra Kozlowski Board Member 10 X - - - - - 0 0 0Dr. Ruth Oratz Board Member 2 X - - - - - 0 0 0Dee Dee Ricks Board Member 2 X - - - - - 0 0 0Jeanne Mullgrav Board Member 2 X - - - - - 0 0 0Ivy Gamble Board Member 2 X - - - - - 0 0 0

Greater Richmond, Virginia Affiliate Diane Lowder Board Member 1 X - - - - - 0 0 0Diane Baer Wilson Board Member 1 X - - - - - 0 0 0Meredith Beadles Board Member 2 X - - - - - 0 0 0Vernal Branch Board Member 1 X - - - - - 0 0 0Kerry Depew Board Member 1 X - - - - - 0 0 0Lisa W Sims President 2 X - X - - - 0 0 0Julie Tea Vice President 1 X - X - - - 0 0 0Wanda Johnson Board Member 1 X - - - - - 0 0 0Mary Clark Board Member 1 X - - - - - 0 0 0Melissa Damiano Board Member 3 X - - - - - 0 0 0Lynn Kirk Board Member 1 X - - - - - 0 0 0Tracey Reed Leverty Board Member 3 X - - - - - 0 0 0Lynn Jordan Secretary/Treasurer 3 X - X - - - 0 0 0Jessica Elias Braum Board Member 3 X - - - - - 0 0 0Vicki Mirandah Board Member 1 X - - - - - 0 0 0Ruthann Priest Board Member 1 X - - - - - 0 0 0Rebecca Morris Board Member 1 X - - - - - 0 0 0

Greater Roanoke Valley Area Affiliate Anne Fox Board Member 8 X - - - - - 0 0 0Carol Moles Treasurer 8 X - X - - - 0 0 0Catherine Hagan Aylor Vice President 8 X - - - - - 0 0 0Eileen Lepro Board Member 8 X - - - - - 0 0 0Janet Frantz Secretary 8 X - X - - - 0 0 0Kathleen Hendrickson Board Member 8 X - - - - - 0 0 0Linda Fisher Board Member 8 X - - - - - 0 0 0

Page 13 of 39 ATTACHMENT 7

Page 82: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Lisa Mitchell Board Member 8 X - - - - - 0 0 0Lutheria Smith VP 8 X - - - - - 0 0 0Melody McKinley Board Member 8 X - - - - - 0 0 0Page Pace Board Member 8 X - - - - - 0 0 0Pat Ammen Board Member 8 X - - - - - 0 0 0Robert B Williams President 8 X - X - - - 0 0 0Sharon Rapoport Board Member 8 X - - - - - 0 0 0Wendi Schultz Board Member 8 X - - - - - 0 0 0Joey Coakley Beck Board Member 8 X - - - - - 0 0 0Kat Werner Board Member 8 X - - - - - 0 0 0Ruth Ellen Kuhnel Board Member 8 X - - - - - 0 0 0Brenda Foster Board Member 8 X - - - - - 0 0 0

Hawaii Affiliate Donna Amrich Secretary 1 X - X - - - 0 0 0Patricia Avila Board Member 1 X - - - - - 0 0 0Lucy Farewell Board Member 1 X - - - - - 0 0 0Bradford Harrison Board Member 1 X - - - - - 0 0 0Cindy Kaneshiro Board Member 1 X - - - - - 0 0 0Kepola Maii Board Member 1 X - - - - - 0 0 0Michell Meredith Board Member 1 X - - - - - 0 0 0Diane Thompson Board Member 1 X - - - - - 0 0 0Teresa Tyler President 10 X - X - - - 0 0 0Paulette Williams Board Member 1 X - - - - - 0 0 0Nina Rappeline Board Member 1 X - - - - - 0 0 0

Houston Affiliate Eileen Campbell President 5 X - X - - - 0 0 0Marjorie S. Landry Immediate Past Preside 5 X - X - - - 0 0 0Liz Henshaw Mission Committee 5 X - X - - - 0 0 0Debbie Kearns Board Member 5 X - - - - - 0 0 0Jane Marmion Board Member 5 X - - - - - 0 0 0Jan Miller Board Member 5 X - - - - - 0 0 0Betsy Kamin Vice-President 5 X - X - - - 0 0 0Jill Cude Secretary 5 X - X - - - 0 0 0Lourdes Hernandez Board Member 5 X - - - - - 0 0 0Dora Klaff Board Member 5 X - - - - - 0 0 0Ann Masel Board Member 5 X - - - - - 0 0 0Mary Katharine Roff Board Member 5 X - - - - - 0 0 0Lynn Turfano Treasurer 5 X - X - - - 0 0 0Claudia Brown Board Member 5 X - - - - - 0 0 0Maria Jibaja-weiss Board Member 5 X - - - - - 0 0 0Cal Leeke Board Member 5 X - - - - - 0 0 0Vicki Matthews-Clark Board Member 5 X - - - - - 0 0 0Allen Wilson Board Member 5 X - - - - - 0 0 0Dorothy Slator Paterson Board Member 0 X - - - - 0 0 0Rakhi Dimino Board Member 0 X - - - - 0 0 0Edward Parker Board Member 0 X - - - - 0 0 0

Page 14 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Indianapolis Affiliate Christina Kim Board Member 1 X - - - - - 0 0 0Shannon Troughton Board Member 1 X - - - - - 0 0 0Nathan Hubbard Board Member 1 X - - - - - 0 0 0Lyle Browne Board Member 2 X - - - - - 0 0 0Barb Coury President 3 X - X - - - 0 0 0Greg Morical VP 3 X - - - - - 0 0 0Mike Bandick Board Member 1 X - - - - - 0 0 0Tanya Johnson Board Member 1 X - - - - - 0 0 0Sandra Miller Secretary 3 X - X - - - 0 0 0Kathy Rokita Board Member 1 X - - - - - 0 0 0Karla M. Schlichte Treasurer 3 X - X - - - 0 0 0John Papageorge Board Member 1 X - - - - - 0 0 0Jane Callahan Emeritus 1 X - - - - - 0 0 0Mary Jo Kennely Board Member 2 X - - - - - 0 0 0Betty Boester Board Member 2 X - - - - - 0 0 0

Inland Empire Affiliate Leslie Doherty President 15 X - X - - - 0 0 0Sandra Finestone Secretary/Public Policy 10 X - X - - - 0 0 0Patricia L Jefferies-McDowell Board Member 3 X - - - - - 0 0 0Gloria Monchilovich Board Member 2 X - - - - - - 0 0Tiffany Robertson Board Member 3 X - - - - - 0 0 0Yvonne ojeda Board Member 8 X - - - - - 0 0 0Charlotte Renee Kilgore Treasurer 20 X - X - - - 0 0 0Lisa Henderson- Welsh Board Member 2 X - - - - - 0 0 0Vicy Figueroa-Torres Board Member 2 X - - - - - 0 0 0Debbie Gilligan Board Member 15 X - - - - - 0 0 0

Knoxville Affiliate Rhonda Alexander Board Member 1 X - - - - - 0 0 0Frankie Ballew Board Member 1 X - - - - - 0 0 0Phillip Johnson Board Member 1 X - - - - - 0 0 0Lytle Brown Board Member 1 X - - - - - 0 0 0Kristi Sykes President 3 X - X - - - 0 0 0Ellyn Cauble Board Member 1 X - - - - - 0 0 0Marilyn Jake Treasurer 2 X - X - - - 0 0 0Jill Lane Secretary 1 X - X - - - 0 0 0Jay Lucas Board Member 1 X - - - - - 0 0 0Rosa Thomas Board Member 1 X - - - - - 0 0 0Felicia Reeves Board Member 1 X - - - - - 0 0 0Anne Sprouse Board Member 1 X - - - - - 0 0 0Lynn Akers Board Member 1 X - - - - - 0 0 0

The Las Vegas Chapter Mark Simmons Board Member 1 X - - - - - 0 0 0Diane M Allison Board Member 3 X - - - - - 0 0 0Kelly Bulgatz Treasurer 3 X - X - - - 0 0 0Rachelle Crupi President 4 X - X - - - 0 0 0Sarah Ingalls Secretary 2 X - X - - - 0 0 0Teresa Jackson Board Member 1 X - - - - - 0 0 0

Page 15 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Jennifer Lazovich Board Member 1 X - - - - - 0 0 0James Sanchez Board Member 1 X - - - - - 0 0 0Stacy Hamilton Board Member 1 X - - - - - 0 0 0Pamela M. Kim Board Member 1 X - - - - - 0 0 0Shindana Crawford Board Member 0 X - - - - - 0 0 0

Lexington Affiliate Marc Manley Board Member 2 X - - - - - 0 0 0Kimberly Turlington Board Member 2 X - - - - - 0 0 0Billie Dollins VP 8 X - X - - - 0 0 0Anne Gorham President 8 X - X - - - 0 0 0Pam S Nystrom Board Member 2 X - - - - - 0 0 0Cathryn Gibson Secretary 2 X - X - - - 0 0 0Wayne Thompson Board Member 4 X - - - - - 0 0 0Andrea Mullins Treasurer 2 X - X - - - 0 0 0Nancy Elliott Board Member 2 X - - - - - 0 0 0

The Los Angeles County Chapter Elizabeth Berger Board Member 6 X - - - - - 0 0 0Patricia Buske Board Member 6 X - - - - - 0 0 0Cynthia Chambers President 6 X - X - - - 0 0 0Stefanie LaRue Board Member 6 X - - - - - 0 0 0Joanna Morales Vice President 6 X - - - - - 0 0 0Linda Pura Board Member 6 X - - - - - 0 0 0Marida Slobko Board Member 6 X - - - - - 0 0 0Diane Stahulak Board Member 6 X - - - - - 0 0 0Kelli Brooks Board Member 6 X - - - - - 0 0 0Linda A Johns Board Member 6 X - - - - - 0 0 0Tenny Mickey Board Member 6 X - - - - - 0 0 0Mary Onelia Estudillo Board Member 6 X - - - - - 0 0 0Jennifer Fenton Secretary 6 X - X - - - 0 0 0Pedram M Shawd Board Member 6 X - - - - - 0 0 0Doreen Wong Board Member 6 X - - - - - 0 0 0Leslie Haas Board Member 6 X - - - - - 0 0 0Andrea Scott Board Member 6 X - - - - - 0 0 0Lee Halarewicz Board Member 6 X - - - - - 0 0 0Paulette Pasciuti Board Member 6 X - - - - - 0 0 0Lisa Demsky Board Member 6 X - - - - - 0 0 0Nancy Miller Board Member 6 X - - - - - 0 0 0Candice Lapin Board Member 6 X - - - - - 0 0 0

Louisville, Kentucky Affiliate Sarah Malone Board Member 1 X - - - - - 0 0 0Judy Breitenstein Board Member 1 X - - - - - 0 0 0Edna Campbell Board Member 10 X - - - - - 0 0 0Muriel J Harris Board Member 10 X - - - - - 0 0 0Steph Horne Board Member 3 X - - - - - 0 0 0Debbie Kniss Board Member 5 X - - - - - 0 0 0Diane Krall Secretary 8 X - X - - - 0 0 0

Page 16 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Keith Myers Board Member 15 X - - - - - 0 0 0Margie Reed Board Member 1 X - - - - - 0 0 0Bob Silverthorn President 15 X - X - - - 0 0 0Cynthia Stringfellow Board Member 2 X - - - - - 0 0 0Dee Vance Board Member 5 X - - - - - 0 0 0Lynda Wilcox Board Member 1 X - - - - - 0 0 0Tanya Bowman Board Member 1 X - - - - - 0 0 0Christopher Hatcher Treasurer 7 X - X - - - 0 0 0

Lowcountry Affiliate Mary Porter Treasurer 3 X - X - - - 0 0 0Helena Bastian Board Member 1 X - - - - - 0 0 0Suzanne Teagle Board Member 2 X - - - - - 0 0 0Elizabeth Ricciardone Board Member 7 X - - - - - 0 0 0Jennifer Cranny Board Member 1 X - - - - - 0 0 0Marshall Allen Secretary 1 X - X - - - 0 0 0Dr. Jack Hensel Board Member 1 X - - - - - 0 0 0Lynn McClain Board Member 3 X - - - - - 0 0 0Patricia Simon President 5 X - X - - - 0 0 0Karen Thrower Board Member 1 X - - - - - 0 0 0Lynn Anne Gillen Board Member 1 X - - - - - 0 0 0

Lubbock Area Affiliate Shelly Biggs President-Elect 3 X - X - - - 0 0 0Julie D Holladay Board Member 3 X - X - - - 0 0 0Becky Jones Secretary 2 X - X - - - 0 0 0Jody McCauley Presient 10 X - X - - - 0 0 0Karen Robertson Board Member 1 X - - - - - 0 0 0Beth E Rushing Board Member 1 X - - - - - 0 0 0Irma Sanchez Treasurer 2 X - X - - - 0 0 0Nancy Igo Board Member 1 X - - - - - 0 0 0Phillip Duffy Board Member 2 X - - - - - 0 0 0Jennifer Bell Riley Board Member 2 X - - - - - 0 0 0Sherry House Board Member 1 X - - - - - 0 0 0Linda Greenstreet Board Member 1 X - - - - - 0 0 0

Madison Affiliate Tim Koechel Treasurer 5 X - X - - - 0 0 0MaryPat Berry Board Member 5 X - - - - - 0 0 0Aristotle Gialamas Board Member 2 X - - - - - 0 0 0Gloria Ladson-Billings Board Member 2 X - - - - - 0 0 0Jeanne S. McLellan Board Member 2 X - - - - - 0 0 0Terry Nelson President 8 X - X - - - 0 0 0Orange Schroeder Board Member 2 X - - - - - 0 0 0Gale Sisney Board Member 5 X - - - - - 0 0 0Melissa Warner Secretary 5 X - X - - - 0 0 0Mary Lee Board Member 2 X - - - - - 0 0 0Mike Fahey VP 2 X - - - - - 0 0 0Sandy Weisberger Board Member 3 X - - - - - 0 0 0Marianne Nover Board Member 20 X - - - - - 0 0 0

Page 17 of 39 ATTACHMENT 7

Page 86: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Toni Gnewuch Board Member 5 X - - - - - 0 0 0Mary DeNiro Term ended 12-09 2 X - - - - - 0 0 0Dennis Haefer Resigned Jan 2010 2 X - X - - - 0 0 0Ellen Richter President- term ended 1 2 X - X - - - 0 0 0

Maine Affiliate Craig Costello Treasurer 5 X - X - - - 0 0 0Kathy Crossman Board Member 3 X - - - - - 0 0 0Victoria Abbott Board Member 3 X - - - - - 0 0 0Diane M Aston President 20 X - X - - - 0 0 0Lisa Wahlstrom Board Member 3 X - - - - - 0 0 0Jeff Bennett Board Member 3 X - - - - - 0 0 0Noreen Patient Secretary 3 X - X - - - 0 0 0Cindy Nesbit Board Member 3 X - - - - - 0 0 0JENIFER LLOYD Board Member 3 X - - - - - 0 0 0Anne-Marie Storey Board Member 3 X - - - - - 0 0 0

Maryland Affiliate Stacey Keen President 10 X - X - - - 0 0 0Neil Christ VP Finance 10 X - X - - - 0 0 0Etta Bates VP Fundraising 10 X - X - - - 0 0 0Arlene Murphy VP Board Governance 10 X - X - - - 0 0 0Debbi Paladino VP Mission 10 X - X - - - 0 0 0Adam Allston Board Member 1 X - - - - - 0 0 0Brenda Boultwood Board Member 1 X - - - - - 0 0 0Amy Heinrich Board Member 1 X - - - - - 0 0 0Michelle Levin Board Member 1 X - - - - - 0 0 0Sharon Mirabelle Board Member 1 X - - - - - 0 0 0Elizabeth Anne Musser Board Member 1 X - - - - - 0 0 0Kelly Swoope Holloway Board Member 1 X - - - - - 0 0 0Lori Yates Board Member 1 X - - - - - 0 0 0

Massachusetts Affiliate Rich Meagher Treasurer 8 X - X - - - 0 0 0Jane Mendez Board Member 3 X - - - - - 0 0 0Christine Carlo Board Member 2 X - - - - - 0 0 0Karen Burns White Board Member 2.5 X - - - - - 0 0 0Lynn Segal Board Member 2.5 X - - - - - 0 0 0Ann Donner Board Member 8 X - X - - - 0 0 0Monte Jaffe Board Member 2 X - - - - - 0 0 0Ellen Kornmehl Board Member 2 X - - - - - 0 0 0Linda Ruberto Board Member 8 X - X - - - 0 0 0Rebecca Anzuoni Board Member 2 X - - - - - 0 0 0 Chris O’Connor Board Member 2 X - - - - - 0 0 0Deb Piltch President 35 X - - - - - 0 0 0Susan Black Resigned 11/09 0 X - - - - - 0 0 0Jamie Eslinger Secretary 1 X - - - - - 0 0 0

McLean County Affiliate Kimberly DeVico Board Member 1 X - - - - - 0 0 0Jolene Clifford Board Member 1 X - - - - - 0 0 0

Page 18 of 39 ATTACHMENT 7

Page 87: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Bobbie Lewis-Sibley Board Member 4 X - - - - - 0 0 0Richard Beal Board Member 1 X - - - - - 0 0 0Tracy Davis-Pitts Secretary 6 X - X - - - 0 0 0Debbye Jackson Board Member 1 X - - - - - 0 0 0Becca Johnson President 12 X - X - - - 0 0 0Jill Keller Board Member 8 X - - - - - 0 0 0Casey Kelso Board Member 4 X - - - - - 0 0 0Jeffrey Poulter Vice President 1 X - X - - - 0 0 0Pam Veerman Treasurer 16 X - X - - - 0 0 0Nancy Wisted Board Member 1 X - - - - - 0 0 0Jacki Tracy Board Member 1 X - - - - - 0 0 0Kathy Miller Board Member 4 X - - - - - 0 0 0

Memphis-Midsouth Affiliate Cheri Lansky Rudner Board Member 3 X - - - - - 0 0 0Natasha Brown Treasurer 3 X - X - - - 0 0 0Ashley Smith Treasurer 3 X - X - - - 0 0 0Vicki Campbell Board Member 3 X - - - - - 0 0 0Susan Hoover Board Member 3 X - - - - - 0 0 0Courtney Wages Board Member 3 X - - - - - 0 0 0Pat Evans Board Member 3 X - - - - - 0 0 0Barney DuBois Board Member 3 X - - - - - 0 0 0Chad D Graddy President 3 X - X - - - 0 0 0Lashawn Hampton Board Member 3 X - - - - - 0 0 0Dawnell Hindelang Secretary 3 X - X - - - 0 0 0Trina J Huelsman VP 3 X - X - - - 0 0 0Paul O'Rourke Board Member 3 X - - - - - 0 0 0Joni Poynter Board Member 3 X - - - - - 0 0 0Beth Washington Board Member 3 X - - - - - 0 0 0Billie White Board Member 3 X - - - - - 0 0 0Laura Wynn Secretary 3 X - X - - - 0 0 0Andrea Zucker Board Member 3 X - - - - - 0 0 0

Miami Affiliate Amy Powers Board Member 1 X - - - - - 0 0 0Andrea Orane President 3 X - X - - - 0 0 0Christine Casas Board Member 1 X - - - - - 0 0 0Elaine Greksa Board Member 1 X - - - - - 0 0 0Gail Mastro Secretary 3 X - X - - - 0 0 0Gisselle Lopez-Velasco Treasurer 5 X - X - - - 0 0 0Grace Lopez Board Member 2 X - - - - - 0 0 0Jennifer Jarema Board Member 2 X - - - - - 0 0 0Judy Zucker Board Member 1 X - - - - - 0 0 0Leslie Monreal-Feil Secretary 3 X - X - - - 0 0 0Monica Cepero Board Member 0 X - - - - - 0 0 0Natalie Lopate Vice President 2 X - - - - - 0 0 0Patricia Thomson Board Member 1 X - - - - - 0 0 0Sharon Philip Board Member 1 X - - - - - 0 0 0Sue Cleveland Board Member 1 X - - - - - 0 0 0

Page 19 of 39 ATTACHMENT 7

Page 88: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Diane Barrett Treasurer 2 X - X - - - 0 0 0

Mid-Kansas Chapter Elizabeth Bui Board Member 2 X - - - - - 0 0 0Tammie Lohnes Board Member 1 X - - - - - 0 0 0Lindsay Smith Treasurer 1 X - X - - - 0 0 0Teresa L Carter Board Member (Ex-Offic 3 X - - - - - 0 0 0Cathie Barber Secretary 5 X - X - - - 0 0 0Jess Brearton Board Member 2 X - - - - - 0 0 0Terry Burnett Vice President 10 X - X - - - 0 0 0Steve Carr President 20 X - X - - - 0 0 0Lois Carthen Board Member 2 X - - - - - 0 0 0Charlotte Jewell Secretary 5 X - X - - - 0 0 0Peggy Johnson Board Member 20 X - - - - - 0 0 0Shawn Lancelot Board Member 2 X - - - - - 0 0 0Judy Moody Board Member 2 X - - - - - 0 0 0Margo Shepler Board Member 5 X - - - - - 0 0 0Pam Palmer Board Member 2 X - - - - - 0 0 0Cindy Hess Board Member 2 X - - - - - 0 0 0Gwendolyn Anderson Board Member 2 X - - - - - 0 0 0

Mid-Missouri Affiliate Susan Mcclintic Secretary 1 X - X - - - 0 0 0Cindy McFarland Treasurer 1 X - X - - - 0 0 0Kimberly Oxenhandler Treasurer 1 X - X - - - 0 0 0Jane Armer Board Member 1 X - - - - - 0 0 0Iris M Calloway President 1 X - X - - - 0 0 0Jessica Jenks Secretary 1 X - X - - - 0 0 0Dawn McGhee Board Member 5 X - - - - - 0 0 0Elizabeth Mendenhall Board Member 2 X - - - - - 0 0 0Rahgy Abadir Board Member 1 X - - - - - 0 0 0Mary Muscato Board Member 1 X - - - - - 0 0 0Krista Myer Board Member 1 X - - - - - 0 0 0Jane McElroy VP 4 X - X - - - 0 0 0June DeWeese Board Member 1 X - - - - - 0 0 0Pamela Newman Board Member 2 X - - - - - 0 0 0Mary Austin Treasurer 1 X - X - - - 0 0 0Kat Cunningham President 1 X - X - - - 0 0 0

Milwaukee Affiliate Lisa M Gingerich Board Member 2 X - - - - - 0 0 0Deborah Ziebarth Board Member 4 X - - - - - 0 0 0Anne Ballentine Board Member 4 X - - - - - 0 0 0Laurie Stencel Board Member 4 X - - - - - 0 0 0Bonnie Anderson Board Member 1 X - - - - - 0 0 0Floyd Bretzman Board Member 2 X - - - - - 0 0 0Debra Tews Secretary 11 X - X - - - 0 0 0Sue Rapp President 13 X - X - - - 0 0 0Janet Zylstra Board Member 3 X - - - - - 0 0 0Dawn Regner Board Member 1 X - - - - - 0 0 0

Page 20 of 39 ATTACHMENT 7

Page 89: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Meghan Shannon Treasurer 7 X - X - - - 0 0 0

Minnesota Affiliate Drew Backstrand President 8 X - X - - - 0 0 0Val Hallgren Board Member 8 X - - - - - 0 0 0nicole hartung Board Member 2 X - - - - - 0 0 0Peter Hasselquist Board Member 2 X - - - - - 0 0 0Susan Albrecht Board Member 2 X - - - - - 0 0 0Beth Pulsipher Treasurer 8 X - X - - - 0 0 0Doug Yee Board Member 2 X - - - - - 0 0 0

Montana Affiliate Dianne Page Board Member 1 X - - - - - 0 0 0Eddie Black Board Member 1 X - - - - - 0 0 0Molly Bruskotter Mosness Secretary 2 X - X - - - 0 0 0Debera Charlton Board Member 2 X - - - - - 0 0 0Deb Clevenger Board Member 2 X - - - - - 0 0 0Jennifer Frank Board Member 2 X - - - - - 0 0 0Allyson Kelly Board Member 2 X - - - - - 0 0 0Charlene Mayala Board Member 2 X - - - - - 0 0 0Christie Sisco President 2 X - X - - - 0 0 0Brian Wickens Treasurer 2 X - X - - - 0 0 0Katherine Berry Board Member 2 X - - - - - 0 0 0Amy Huber Board Member 2 X - - - - - 0 0 0Wendy S Nicolai Ex-Officio 40 X - - - - - 0 0 0

The Northeast Louisiana Chapter Tomi Tharp Board Member 1 X - - - - - 0 0 0Tommi Bratton Board Member 1 X - - - - - 0 0 0Dianne L. Guillot Board Member 3 X - - - - - 0 0 0Shelley Jones Board Member 1 X - - - - - 0 0 0Vonnie Jordan Board Member 1 X - - - - - 0 0 0Susan Solley President 10 X - X - - - 0 0 0Annie Staten Board Member 1 X - - - - - 0 0 0Stacy Thornton Board Member 1 X - - - - - 0 0 0Holly Veasey Treasurer 2 X - X - - - 0 0 0Meg New Secretary 2 X - X - - - 0 0 0Rachel Mayer Board Member 5 X - - - - - 0 0 0Amy Searcy Board Member 1 X - - - - - 0 0 0Kelly Edminson Board Member 1 X - - - - - 0 0 0Jane Rankin Board Member 1 X - - - - - 0 0 0

North Mississippi Affiliate Ellen Friloux Secretary 3 X - X - - - 0 0 0Joyce Yates Board Member 0 X - - - - - 0 0 0Donna Williams Board Member 1 X - - - - - 0 0 0Mike Tapscott Board Member 1 X - - - - - 0 0 0Paula Turner Board Member 2 X - - - - - 0 0 0Julie Brown Board Member 0 X - - - - - 0 0 0Shannon Fryery President 3 X - X - - - 0 0 0Katherine Graham Board Member 0 X - - - - - 0 0 0

Page 21 of 39 ATTACHMENT 7

Page 90: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Janie Lee Treasurer 3 X - X - - - 0 0 0Patsy Brandon Board Member 2 X - - - - - 0 0 0Valorie Rogers Ott Board Member 1 X - - - - - 0 0 0

Northern Nevada Affiliate Terry Ditton Board Member 2 X - - - - - 0 0 0Marsha Lindeken Board Member 2 X - - - - - 0 0 0Megan Brant Treasurer 2 X - X - - - 0 0 0Russell Rocha Board Member 3 X - - - - - 0 0 0Christine Wells Board Member 2 X - - - - - 0 0 0Susan Hill Board Member 2 X - - - - - 0 0 0Lucy McGuire President 20 X - X - - - 0 0 0Carissa Snedeker Secretary 2 X - X - - - 0 0 0Frankie Vigil Board Member 1 X - - - - - 0 0 0Ana Douglass Board Member X - - - - - 0 0 0

North Carolina Triad Affiliate Lynn Gwyn Treasurer 15 X - X - - - 0 0 0Mitch Miles Board Member 1 X - - - - - 0 0 0Ann Berlin Board Member 15 X - - - - - 0 0 0Karl Yena Board Member 1 X - - - - - 0 0 0Natasha Gore Board Member 1 X - - - - - 0 0 0Shelley Holden Board Member 5 X - - - - - 0 0 0Karen J. Jarvis President-Elect 5 X - X - - - 0 0 0Davida Martin Secretary 1 X - X - - - 0 0 0Cathy Pace Board Member 0 X - - - - - 0 0 0Lisa Rhoades President 5 X - X - - - 0 0 0Patricia Zekan Board Member 0 X - - - - - 0 0 0Lisa Hammon Board Member 0 X - - - - - 0 0 0Anna Ball Hodge Board Member 20 X - - - - - 0 0 0Pam Versaggi Board Member 0 X - - - - - 0 0 0Carrie Collins Board Member 0 X - - - - - 0 0 0Terri Crawford Board Member 0 X - - - - - 0 0 0

NC Triangle Affiliate Kathy Burns President 10 X - X - - - 0 0 0Vickie Byler Board Member 1 X - - - - - 0 0 0Christina Caruso Board Member 10 X - - - - - 0 0 0Teresa Franzen Board Member 1 X - - - - - 0 0 0Julie McQueen Board Member 1 X - - - - - 0 0 0Kathy O'Brien Board Member 1 X - - - - - 0 0 0Lyn Olson Board Member 1 X - - - - - 0 0 0Kevin Sowers Board Member 1 X - - - - - 0 0 0Beth Traynham Treasurer 1 X - X - - - 0 0 0Steve Turner Board Member 1 X - - - - - 0 0 0Marian Johnson-Thompson Board Member 2 X - - - - - 0 0 0Ted Smyth Board Member 1 X - - - - - 0 0 0Kolby Sidhu Board Member 1 X - - - - - 0 0 0Sue Haney Board Member 1 X - - - - - 0 0 0

Page 22 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Nebraska Affiliate Andrea Heffelfinger Board Member 2 X - - - - - 0 0 0Natalie Mandolfo Board Member 2 X - - - - - 0 0 0Angie Miller Board Member 2 X - - - - - 0 0 0Jim Mulhall Board Member 2 X - - - - - 0 0 0Jan Neumann Board Member 2 X - - - - - 0 0 0Paula Porzelt Board Member 2 X - - - - - 0 0 0Madeline E Roebke Board Member 4 X - - - - - 0 0 0Beth Whited Board Member 2 X - - - - - 0 0 0Annette Otteman Treasurer 4 X - X - - - 0 0 0Kate Sommer President 15 X - X - - - 0 0 0Robert Langdon Board Member 2 X - - - - - 0 0 0Karen Daneu Board Member 4 X - - - - - 0 0 0Cristina Castro-Matukewicz Board Member 2 X - - - - - 0 0 0

New Orleans Chapter Lori Barthelemy Secretary 2 X - X - - - 0 0 0Paula Brown Board Member 2 X - - - - - 0 0 0ReRe Avegno Evans Board Member 2 X - - - - - 0 0 0Joseph Briand Board Member 2 X - - - - - 0 0 0Christina Chifici Treasurer 2 X - X - - - 0 0 0Regan A Forrester President 10 X - X - - - 0 0 0Torrie Hebert Board Member 2 X - - - - - 0 0 0Frank Liantonio President 10 X - X - - - 0 0 0Allene Thaller Board Member 2 X - - - - - 0 0 0

North Carolina Foothills Affiliate Libby Stroud Secretary/Treasurer 2 X - X - - - 0 0 0Ava Jarrett Board Member 5 X - - - - - 0 0 0Susan Bingham Board Member 2 X - - - - - 0 0 0Melissa Littlejohn Board Member 4 X - - - - - 0 0 0Peggy S. Messick President 15 X - X - - - 0 0 0Delores Wall Secretary/Board Membe 1 X - X - - - 0 0 0Carolyn Cooper Board Member 2 X - - - - - 0 0 0Patricia Kokoszka Board Member 4 X - - - - - 0 0 0Brenda Delee Board Member 1 X - - - - - 0 0 0JoAnn Smith Board Member 2 X - - - - - 0 0 0Paige Richardson Board Member 2 X - - - - - 0 0 0

North Central Alabama Affiliate Kathleen Kennedy Board Member 1 X - - - - - 0 0 0vicki may Board Member 1 X - - - - - 0 0 0Jena Berrong Board Member 3 X - - - - - 0 0 0Lori Blanton Board Member 0 X - - - - - 0 0 0Kris Boone Board Member 0.5 X - - - - - 0 0 0Stephanie Moore Board Member 5 X - - - - - 0 0 0Rebecca M DiPiazza Rawson President 10 X - X - - - 0 0 0Beverly Laird VP 10 X - - - - - 0 0 0Kerry McInerney Secretary 5 X - X - - - 0 0 0Lauren Reese Horton Board Member 1 X - - - - - 0 0 0Trish Portuese Board Member 5 X - - - - - 0 0 0

Page 23 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Stacey Lange Board Member 5 X - - - - - 0 0 0Shirley Jackson Board Member 5 X - - - - - 0 0 0Susan Gilbreath Board Member 7 X - - - - - 0 0 0

North Colorado Affiliate Affiliate was dissolved as of 3/31/10 - - - - - - 0 0 0

North Dakota Affiliate Anita Hoffarth Secretary 1 X - X - - - 0 0 0Alisha David Board Member 0 X - - - - - 0 0 0Beth A Schoenberg Board Member 0 X - - - - - 0 0 0Barb Wilson Board Member 4 X - - - - - 0 0 0Dubi Schwanz Board Member 2 X - - - - - 0 0 0Delorse Tschider Board Member 0 X - - - - - 0 0 0Martin Goldade Treasurer 1 X - X - - - 0 0 0Cher Hersrud Board Member 2 X - - - - - 0 0 0Mary Ann Foss VP 1 X - - - - - 0 0 0Chris Friez Board Member 0 X - - - - - 0 0 0Tara Lacher President 5 X - X - - - 0 0 0Margo Adams Larsen Board Member 1 X - - - - - 0 0 0Barb Steiner Board Member 1 X - - - - - 0 0 0

North Florida Affiliate Debbie Fiegel Board Member 2 X - - - - - 0 0 0Susan Haag Board Member 1 X - - - - - 0 0 0Linda Hansen-Allen Secretary 3 X - X - - - 0 0 0Barbara Sharp President 4 X - X - - - 0 0 0Laila Samiian Board Member 1 X - - - - - 0 0 0Urvashi Patel Treasurer 2 X - X - - - 0 0 0Diane Townsend Board Member 1 X - - - - - 0 0 0Teri Chenot Board Member 2 X - - - - - 0 0 0Ankit Desai Board Member 2 X - - - - - 0 0 0Brenda Griffin Board Member 0 X - - - - - - 0 0Sandy Silverstein Board Member 5 X - - - - - - 0 0

The North Jersey Affiliate Joseph Belfatto Board Member 1 X - - - - - 0 0 0Lisa Berkower Board Member 1 X - - - - - 0 0 0Maureen A Burke Treasurer 1 X - X - - - 0 0 0Lisa Ryan Burk Board Member 1 X - - - - - 0 0 0C Ron Cheeley Board Member 1 X - - - - - 0 0 0Jean Criss Board Member 1 X - - - - - 0 0 0Raymond DeRiggi Board Member 1 X - - - - - 0 0 0Erica Ferry Board Member 1 X - - - - - 0 0 0Debra Freire Board Member 1 X - - - - - 0 0 0Lois Greene Board Member 1 X - - - - - 0 0 0Elizabeth Kennelly Secretary 1 X - X - - - 0 0 0Nancy Larsen Board Member 1 X - - - - - 0 0 0Kenneth McKenna Board Member 1 X - - - - - 0 0 0Karen Meleta Board Member 1 X - - - - - 0 0 0Katherine Nukk-Freeman, Esq. Parliamentarian 1 X - X - - - 0 0 0

Page 24 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Robin Ventura Board Member 1 X - - - - - 0 0 0Virginia Valenze President 2 X - X - - - 0 0 0

North Texas Affiliate Rozalind Dickerson President 2 X - X - - - 0 0 0Jean Evans Secretary/Treasurer 5 X - X - - - 0 0 0Tammy Bowman Board Member 4 X - - - - - 0 0 0Andrea Kirsten-Coleman Board Member 4 X - - - - - 0 0 0Stacy Gibson Board Member 1 X - - - - - 0 0 0Colleen Campbell Vice President 2 X - - - - - 0 0 0Teri DeWitt Treasurer 3 X - X - - - 0 0 0Jennifer L Hernandez President 2 X - X - - - 0 0 0Mary Frances Hoover Board Member 40 X - - - - - 0 0 0Sonya Michelle Hutton Board Member 1 X - - - - - 0 0 0Lisa Washington Board Member 1 X - - - - - 0 0 0Lora Thornton Board Member 1 X - - - - - 0 0 0Janet Bell Odom Board Member 1 X - - - - - 0 0 0Drake Murray Board Member 1 X - - - - - 0 0 0

The Northeast Ohio Chapter Courtney Budzick Treasurer 5 X - X - - - 0 0 0Rosemary Gold Board Member 2 X - - - - - 0 0 0David Hunt Secretary 2 X - X - - - 0 0 0Sue Kurzweil President 30 X - X - - - 0 0 0Hermione Malone Board Member 10 X - - - - - 0 0 0Trina R Rauscher-Cooper Board Member 2 X - - - - - 0 0 0Eileen Korey Board Member 2 X - - - - - 0 0 0Jon Trainor Board Member 2 X - - - - - 0 0 0Columbus Woodruff Board Member 2 X - - - - - 0 0 0Traci C. Herbruck Board Member 5 X - - - - - 0 0 0Scott Moss Board Member 2 X - - - - - 0 0 0Jacquelyne Bailey Board Member 2 X - - - - - 0 0 0Denise Grcevich Board Member 20 X - X - - - 0 0 0

Northeastern New York Affiliate Pam Demers Board Member 1 X - - - - - 0 0 0Katie Slater Board Member 1 X - - - - - 0 0 0Dee DeLollo Board Member 1 X - - - - - 0 0 0Ellen S Kaufman President 2 X - X - - - 0 0 0Stacie Muscolino Board Member 2 X - - - - - 0 0 0Janice Opal Board Member 1 X - - - - - 0 0 0Nancy Sciocchetti Board Member 1 X - - - - - 0 0 0Barbara Wayman Treasurer 4 X - X - - - 0 0 0Sharon Raffan Secretary 1.5 X - X - - - 0 0 0Laurie Davis Board Member 1 X - - - - - 0 0 0Carol Nieckarz Board Member (thru mid 1 X - - - - - 0 0 0

The Northeastern Pennsylvania Chapter Richard Emanuelson President 2 X - X - - - 0 0 0Valerie Bell Board Member 0.25 X - - - - - 0 0 0Lyn Blewitt Board Member 0.25 X - - - - - 0 0 0

Page 25 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Marian Farrell Vice President 0.25 X - X - - - 0 0 0Christine Gilroy Secretary/Treasurer 3 X - X - - - 0 0 0Daniel J. West, Ph.D. Board Member 1 X - - - - - 0 0 0Margarete Zalon Board Member 1 X - - - - - 0 0 0Laurie LaMaster Board Member 0.25 X - - - - - 0 0 0Joann Marsili Board Member 0.25 X - - - - - 0 0 0Maria Scopelliti Board Member 0.25 X - - - - - 0 0 0Sister Ruth Neely Board Member 0.25 X - - - - - 0 0 0

Northern Indiana Affiliate Austin Collins Board Member 1 X - - - - - 0 0 0Glynda Harris Board Member 1 X - - - - - 0 0 0Mary Heck President 3 X - X - - - 0 0 0Jennifer Miller Board Member 1 X - - - - - 0 0 0Laurie L Busby Board Member 1 X - - - - - 0 0 0William Cerney Board Member 1 X - - - - - 0 0 0Diana Ganser-Brandt Board Member 1 X - - - - - 0 0 0Marijo Kelly Secretary 3 X - X - - - 0 0 0Cathy Lance Treasurer 5 X - X - - - 0 0 0Margaret McKinney-Arnold Board Member 1 X - - - - - 0 0 0Michelle Merritt-Chicos Board Member 1 X - - - - - 0 0 0Sharon Simmons Board Member 1 X - - - - - 0 0 0Robin Zon Board Member 1 X - - - - - 0 0 0Sandra Rousseve Secretary 3 X - X - - - 0 0 0Williams Etzler Board Member 1 X - - - - - 0 0 0Jennifer Addis Board Member 1 X - - - - - 0 0 0Susan Salee Board Member 1 X - - - - - 0 0 0

Northwest Ohio Affiliate John Feldmeier, D.O., FACRO Board Member 1 X - - - - - 0 0 0Karen Cline Board Member 1 X - - - - - 0 0 0Phillip Platz Treasurer, Finance Chai 4 X - X - - - 0 0 0Angela Ash President 10 X - X - - - 0 0 0Angela Ash Board Member 1 X - - - - - 0 0 0Julie Gagle Board Member 6 X - - - - - 0 0 0Anita Leininger, M.D. Board Member 1 X - - - - - 0 0 0Matt Lockwood Board Member 1 X - - - - - 0 0 0Karen Ridenour Board Member 1 X - - - - - 0 0 0Cindy Taylor President 10 X - X - - - 0 0 0Mary Wahl Board Member 1 X - - - - - 0 0 0Kathleen Zouhary Secretary, Board Develo 2 X - X - - - 0 0 0Mark Evans Board Member 1 - - X - - - 0 0 0Erin Jaynes Board Member 1 X - - - - - 0 0 0Judge Lynn Howard Schaefer, Board Member 1 X - - - - - 0 0 0Bettina C. Shuford, PH.D. Board Member 1 X - - - - - 0 0 0Anne Loochtan, PH.D. Board Member 1 X - - - - - 0 0 0Mary Chris Skeldon Board Member 1 X - - - - - 0 0 0Christy Contardi Stone Board Member 1 X - - - - - 0 0 0Margaret Guyton Stout Board Member 1 X - - - - - 0 0 0

Page 26 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Todd Strayer Board Member 0 X - - - - - 0 0 0

The Orange County Affiliate Carla Cammack Board Member 15 X - - - - - 0 0 0Janet DeWolfe Board Member 5 X - - - - - 0 0 0Nancy Enomoto Secretary 4 X - X - - - 0 0 0Joyce R Kirchhofer Treasurer & 401K Truste 4 X - X - - - 0 0 0Susan Parks Board Member 3 X - - - - - 0 0 0Ginger Silverman Board Member 5 X - - - - - 0 0 0Chris Tannous President 20 X - X - - - 0 0 0Lisa Guerra Board Member 3 X - - - - - 0 0 0Kim Kutcher Board Member 2 X - - - - - 0 0 0Raul Sobero Board Member 4 X - - - - - 0 0 0Carrie Bollwinkle Board Member 2 X - - - - - 0 0 0Cheryl Cooky Board Member 2 X - - - - - 0 0 0Marie LaFargue Board Member 3 X - - - - - 0 0 0Peggy Carollo Board Member 2 X - - - - - 0 0 0

The Oregon and SW Washington Affiliate Kelly Coats Board Member 1 X - - - - - 0 0 0Sarah Couey Board Member 1 X - - - - - 0 0 0Shirley Cry Board Treasurer 2 X - X - - - 0 0 0Marie Dahlstrom Board Vice President 1 X - X - - - 0 0 0Lisa Domenico Board Past President 1 X - - - - - 0 0 0Robert Dove Board Member 1 X - - - - - 0 0 0Tina Foster Board President 2 X - X - - - 0 0 0Jan Franke Board Member 1 X - - - - - 0 0 0Leda Garside Board Member 1 X - - - - - 0 0 0Cynthia Grant Board Member 1 X - - - - - 0 0 0Nathalie Johnson, MD Board Member 1 X - - - - - 0 0 0Josh Kermisch Board Member 1 X - - - - - 0 0 0Peggy Ross Board Member 1 X - - - - - 0 0 0Marta Monetti Board Member 1 X - - - - - 0 0 0Lillian Nail Board Member 1 X - - - - - 0 0 0Julie Olson Board Member 1 X - - - - - 0 0 0Michael Phillips Board Secretary 1 X - X - - - 0 0 0Quentin Strode Board Member 1 X - - - - - 0 0 0Jennifer Wagner Board Member 1 X - - - - - 0 0 0Linda Williams Board Member 1 X - - - - - 0 0 0

Ozark Affiliate Sissy Pederson Secretary 2 X - X - - - 0 0 0DeDe Priest Board Member 2 X - - - - - 0 0 0Staci Prewitt Board Member 2 X - - - - - 0 0 0Wendy Davidson Board Member 2 X - - - - - 0 0 0Nadine Ford Board Member 2 X - - - - - 0 0 0Jane Gearhart Board Member 2 X - - - - - 0 0 0Rich Reaves Board Member 2 X - - - - - 0 0 0Larry Shackelford Treasurer 4 X - X - - - 0 0 0Adriana Wilhelm Board Member 2 X - - - - - 0 0 0

Page 27 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Samantha Cole Board Member 2 X - - - - - 0 0 0Kari Nikolish Board Member 2 X - - - - - 0 0 0Stephan Rosenfeld Board Member 2 X - - - - - 0 0 0Sean Keith Board Member 2 X - - - - - 0 0 0LaTarsha N. Alsup Board Member 2 X - - - - - 0 0 0Jill McCormick Board Member 2 X - - - - - 0 0 0Jenna Johnston Board Member 2 X - - - - - 0 0 0Jennifer LaPerre President 2 X - X - - - 0 0 0Debra Pauling Board Member 2 X - - - - - 0 0 0Donald Atkinson Board Member 2 X - - - - - 0 0 0

The Peoria Memorial Affiliate Tana Utley Board Member 2 X - - - - - 0 0 0Gregory Miller Secretary/Treasurer 1 X - X - - - 0 0 0Nicholas J Esser Board Member 2 X - - - - - 0 0 0Eric Brinker Board Member 1 X - - - - - 0 0 0Lisa Hansen Board Member 10 X - - - - - 0 0 0Chris Kreuser Board Member 1 X - - - - - 0 0 0David Leitch Board Member 1 X - - - - - 0 0 0Philip Lockwood President 5 X - X - - - 0 0 0Denise Mammolito Board Member 1 X - - - - - 0 0 0Jordan Maricle Board Member 2 X - - - - - 0 0 0Sue Mowbray Board Member 2 X - - - - - 0 0 0Helene Peterson Board Member 3 X - - - - - 0 0 0Mary Shoemaker Board Member 1 X - - - - - 0 0 0Brooke Spellman Board Member 1 X - - - - - 0 0 0Kate Van Beek Board Member 2 X - - - - - 0 0 0Linda Washkuhn Board Member 2 X - - - - - 0 0 0Rachel Kress Board Member 2 X - - - - - 0 0 0John Miller Board Member 2 X - - - - - 0 0 0Jeanne Buysee Board Member 2 X - - - - - 0 0 0

Philadelphia Affiliate Barbara Orr Secretary 2 X - X - - - 0 0 0Ellen Cavanaugh Board Member 2 X - - - - - 0 0 0Harris T Bock Board Member 2 X - - - - - 0 0 0Jerome David Board Member 0 X - - - - - 0 0 0Joanne Calabria President 7 X - X - - - 0 0 0John Briggs Treasurer 8 X - X - - - 0 0 0John Dougherty Board Member 1 X - - - - - 0 0 0Leslie Stiles Board Member 2 X - - - - - 0 0 0Lisa Wollan VP/Secretary 5 X - X - - - 0 0 0Meryl Weinreb Board Member 5 X - - - - - 0 0 0Ron Morris Board Member 8 X - - - - - 0 0 0Ronald Harper VP 0 X - - - - - 0 0 0Sue Schick Board Member 2 X - - - - - 0 0 0Tangee Gibson Board Member 2 X - - - - - 0 0 0

Phoenix Affiliate Abigail C Midgette Board Member 2 X - - - - - 0 0 0

Page 28 of 39 ATTACHMENT 7

Page 97: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Anabell Thompson Board Member 2 X - - - - - 0 0 0Candyce Lindsay Board Vice President 2 X - X - - - 0 0 0Carolyn Evani Board Member 6 X - - - - - 0 0 0Charles Thompson Board President 15 X - X - - - 0 0 0Dan Costello Board Treasurer 3 X - X - - - 0 0 0Denise E MCClain Board Member 1 X - - - - - 0 0 0Elizabeth Schrader Board Member 2 X - - - - - 0 0 0Fran Goldstein Board Member 1 X - - - - - 0 0 0Kay J. Thompson Board Member 2 X - - - - - 0 0 0Leslie K Barrett Board Member 1 X - - - - - 0 0 0Lisa Levi Board Member 1 X - - - - - 0 0 0Pam Giannonatti Board Member 1 X - - - - - 0 0 0Rasheda Worthy Board Member 1 X - - - - - 0 0 0Rita Block Board Secretary 2 X - X - - - 0 0 0Lin Sue Cooney Ex Officio 0 X - X - - - 0 0 0Orlando Alvarez Board Member 1 X - X - - - 0 0 0

Pittsburgh Affiliate James Meinert Board Member 1 X - - - - - 0 0 0Michael Barfield Board Member 1 X - - - - - 0 0 0Terri L. Chapman Treasurer 1 X - X - - - 0 0 0Linda Charapp Secretary 1 X - X - - - 0 0 0Mona Colicchie Board Member 1 X - - - - - 0 0 0Kate Dewey Board Member 1 X - - - - - 0 0 0Susan Ely Board Member 1 X - - - - - 0 0 0John Erskine Board Member 1 X - - - - - 0 0 0Jeremy Hartzell Assistant Treasurer 1 X - X - - - 0 0 0Sophie Malli Board Member 1 X - - - - - 0 0 0Lynda Saxon Vice President 1 X - - - - - 0 0 0Karen Hartley Board Member 1 X - - - - - 0 0 0Sheila Solomon President (9/2009 - 3/20 5 X - X - - - 0 0 0Elizabeth Sullivan President (4/2009 -8/200 1 X - - - - - 0 0 0Holly Wald Board Member 1 X - - - - - 0 0 0

The Puget Sound Chapter Albert Shen Board Member 5 X - - - - - 0 0 0Camila Santistevan Board Member 5 X - - - - - 0 0 0Kara Carlson Board Member 5 X - - - - - 0 0 0Sue Gilman Board Member 5 X - - - - - 0 0 0Christopher Li Board Member 5 X - - - - - 0 0 0Flip Morse President 5 X - X - - - 0 0 0Lori Nomura Secretary 5 X - X - - - 0 0 0Kathy Bressler Board Member 5 X - - - - - 0 0 0Michi Suzuki Board Member 5 X - - - - - 0 0 0Joni Earl President 5 X - X - - - 0 0 0Lisa Wissner-Slivka Board Member 5 X - - - - - 0 0 0Michael Larson Board Member 5 X - - - - - 0 0 0Michael Hunter Board Member 5 X - - - - - 0 0 0Sheila Edwards Lange Board Member 5 X - - - - - 0 0 0

Page 29 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Michelle Clements Board Member 5 X - - - - - 0 0 0Kathi Malone Board Member 5 X - - - - - 0 0 0Jim Havens Board Member 5 X - - - - - 0 0 0Stephen Sommerville Treasurer 5 X - X - - - 0 0 0

Quad Cities Affiliate Melodie Beedlow Board Member 1 X - - - - - 0 0 0Judith White VP 10 X - X - - - 0 0 0Shelly Rosa-Gastaldo Board Member 1 X - - - - - 0 0 0Martha Watters Treasurer 15 X - X - - - 0 0 0Cyndi Ashmun President 15 X - X - - - 0 0 0Theresa Bryant Board Member 1 X - - - - - 0 0 0Joan Conrad Board Member 1 X - - - - - 0 0 0Whitney Corrigan Past President 5 X - - - - - 0 0 0Kristin DeNike Board Member 1 X - - - - - 0 0 0Wendy Meyer Board Member 1 X - - - - - 0 0 0Jodi Scharer Board Member 1 X - - - - - 0 0 0Sheila Soltow Board Member 1 X - - - - - 0 0 0Dee Westfall Board Member 1 X - - - - - 0 0 0Kathy Magoon Recording Secretary 3 X - X - - - 0 0 0

Sacramento Valley Affiliate Nancy Mallory VP 8 X - X - - - 0 0 0Trecia Nienow Board Member 4 X - - - - - 0 0 0Patti Teale Board Member 4 X - - - - - 0 0 0Diane Pearson-Brown President 12 X - X - - - 0 0 0Ann Yoshimoto Board Member 4 X - - - - - 0 0 0Karen Moreno Recording Secretary 8 X - X - - - 0 0 0Pattie Bastian Board Member 4 X - - - - - 0 0 0Rebecca Mcclure Becknell President 12 X - X - - - 0 0 0

Salt Lake City Affiliate Gabriela Cetrola Board Member 1 X - - - - - 0 0 0Susan Couch Board Member 1 X - - - - - 0 0 0Julie Drake Board Member 5 X - - - - - 0 0 0Tami Ostmark Board Member 1 X - - - - - 0 0 0Lisa Schneider Treasurer 5 X - X - - - 0 0 0Leanne Peters Board Member 5 X - - - - - 0 0 0Tiffany Hampton Board Member 5 X - - - - - 0 0 0David Evans Board Member 5 X - - - - - 0 0 0Penni Rae Zito-Thompson President 5 X - X - - - 0 0 0Christy Flake Board Member 5 X - - - - - 0 0 0Ginger Johnson Secretary 1 X - X - - - 0 0 0

The San Antonio Chapter Mike Barger Board Member 1 X - - - - - 0 0 0Adam Davis Board Member 0.5 X - - - - - 0 0 0Debra Acosta Board Member 1 X - - - - - 0 0 0Allen Craft President 2 X - X - - - 0 0 0Tyler Davies Vice President 0.5 X - X - - - 0 0 0Dona M Kotzur Board Member 1 X - - - - - 0 0 0

Page 30 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Joan Lawhon Board Member 0.5 X - - - - - 0 0 0Eileen Lundin Board Member 1 X - - - - - 0 0 0Elsa Perez Board Member 1 X - - - - - 0 0 0Jessica Huff Treasurer 2 X - X - - - 0 0 0Morton Kahlenberg, M.D. Board Member 1 X - - - - - 0 0 0Brandy Trevino Board Member 1 X - - - - - 0 0 0Leslie V. Guajardo Board Member 1 X - - - - - 0 0 0Sandra Laurel Ford Board Member 1 X - - - - - 0 0 0Sharon T. Wilks, M.D. Board Member 1 X - - - - - 0 0 0

The San Diego Chapter Risto Mitrovich Treasurer 2 X - X - - - 0 0 0Elaine Bellock President 2 X - X - - - 0 0 0Angie Thieman Board Member 3 X - - - - - 0 0 0Bethel Nathan Secretary 1 X - X - - - 0 0 0Linda Amaro Board Member 2 X - - - - - 0 0 0Catherine Blair Board Member 2 X - - - - - 0 0 0Rachel Lipsitz Board Member 2 X - - - - - 0 0 0Dennis Doyle Board Member 1 X - - - - - 0 0 0Patricia Alvarez Board Member 1 X - - - - - 0 0 0Jeremy Ross Board Member 3 X - - - - - 0 0 0Mary Cruz Board Member 0 X - - - - - 0 0 0Brian Taylor Board Member 0 X - - - - - 0 0 0William Mansfield Board Member 0 X - - - - - 0 0 0Elizabeth Powell Board Member 0 X - - - - - 0 0 0

The San Francisco Bay Area Affiliate Shirley Bordelon Board Member 1 X - - - - - 0 0 0Anita Jane Brink Board Member 1 X - - - - - 0 0 0Frederick Dirbas Board Member 1 X - - - - - 0 0 0June Hom Board Member 2 X - - - - - 0 0 0Pamela Judd VP, Acting President(12/ 2 X - X - - - 0 0 0Tamsin Kendall Secretary 2 X - - - - - 0 0 0Kimberly Petska Board Member 1 X - - - - - 0 0 0Eva Wong Board Member 1 X - - - - - 0 0 0Claudia Owen Asst. Treasurer 1 X - X - - - 0 0 0Debbie S Brooks Board Member 1 X - - - - - 0 0 0Amy Buckner President (through 12/09 1 X - X - - - 0 0 0Winnie Tso Treasurer 1 X - X - - - 0 0 0Carol Bell Board Member 1 X - - - - - 0 0 0

Southeast Iowa Affiliate Sue Meardon Board Member 1 X - - - - - 0 0 0Angela Shultz Board Member 1 X - - - - - 0 0 0Carla Acaster Board Member 1 X - - - - - 0 0 0Marie Zoromski Board Member 1 X - - - - - 0 0 0Ashley Marshall Board Member 1 X - - - - - 0 0 0Lynn Schulte President 3 X - X - - - 0 0 0Debbie Maloy Board Member 1 X - - - - - 0 0 0Mable Hart Board Member 1 X - - - - - 0 0 0

Page 31 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Pamela Kesselring Vice President 2 X - X - - - 0 0 0Mary McWherter Treasurer 3 X - X - - - 0 0 0Maggie Fuller Board Member 1 X - - - - - 0 0 0Jen Metzger Secretary 2 X - X - - - 0 0 0

Shreveport-Bossier Affiliate Janet Brossette Board Member 1 X - - - - - 0 0 0Melinda Coyer Board Member 0 X - - - - - 0 0 0Bob Crosby Board Member 0 X - - - - - 0 0 0Darlene Dean Treasurer 3 X - X - - - 0 0 0Margaret Dunlap Board Member 0 X - - - - - 0 0 0Joyce Feagin Board Member 1 X - - - - - 0 0 0Paula Linn President 1 X - X - - - 0 0 0Gina Martinez Board Member 0 X - - - - - 0 0 0Christopher Sockrider Board Member 0 X - - - - - 0 0 0Zella Taggart President 3 X - X - - - 0 0 0Karen Tiemann Board Member 0 X - - - - - 0 0 0Kay Nader Board Member 0 X - - - - - 0 0 0Catherine Jones Board Member 1 X - - - - - 0 0 0Amy Ray Board Member 0 X - - - - - 0 0 0

Siouxland Affiliate Mary Giffin Co-Treasurer 10 X - X - - - 0 0 0Susan I Hall VP 5 X - X - - - 0 0 0Patricia Limoges Board Member 5 X - - - - - 0 0 0Mitzi McGill Board Member 0 X - - - - - 0 0 0Pam Mears Board Member 0 X - - - - - 0 0 0Kim Weiland Board Member 2 X - - - - - 0 0 0Lynn Peterson Secretary 5 X - X - - - 0 0 0Vicki Caldwell President 10 X - X - - - 0 0 0Kelly Schaible Board Member 2 X - - - - - 0 0 0Mary Hallwas Board Member 2 X - - - - - 0 0 0Mary Hansen Board Member 2 X - - - - - 0 0 0Julie Maas Board Member 5 X - - - - - 0 0 0Sandy Boeshart Co-Treasurer 5 X - X - - - 0 0 0Barbara Pieper Board Member 2 X - - - - - 0 0 0Angie Schneiderman Board Member 2 X - - - - - 0 0 0Jeanette Zortman Board Member 2 X - - - - - 0 0 0Matthew Gigaroa Board Member 2 X - - - - - 0 0 0

South Dakota Affiliate Colette Abbott Board Member 35 X - - - - - 0 0 0Tinka Duran Secretary 2 X - X - - - 0 0 0Kari Fiedler Board Member 2 X - - - - - 0 0 0Deb Fischer-Clemens VP 2 X - - - - - 0 0 0Kathy A Manning Board Member 5 X - - - - - 0 0 0Betty Meyer President 2 X - X - - - 0 0 0Mary Milroy Board Member 2 X - - - - - 0 0 0Celia Miner Board Member 10 X - - - - - 0 0 0Peggy O'Sullivan Board Member 2 X - - - - - 0 0 0

Page 32 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Laura Sever Board Member 2 X - - - - - 0 0 0Glenda VanRoekel Board Member 6 X - - - - - 0 0 0Jacqueline Sly Board Member 5 X - - - - - 0 0 0Michelle Snyder Board Member 2 X - - - - - 0 0 0Carol Flynn Board Member 2 X - - - - - 0 0 0Julie Hanisch Treasurer 8 X - X - - - 0 0 0

The South Florida Chapter Yvette Laclaustra Board Member 2 X - - - - - 0 0 0Teresa Licamara Treasurer Elect 2 X - - - - - 0 0 0Pamela Morrison Board Member 2 X - - - - - 0 0 0Michele Donahue Board Member 2 X - - - - - 0 0 0Maureen Brown Board Member 2 X - - - - - 0 0 0Mary Booher Secretary 2 X - X - - - 0 0 0Marc Yavinsky Board Member 2 X - - - - - 0 0 0Kelly Anderson President 5 X - X - - - 0 0 0Kathleen Bocek Board Member 2 X - - - - - 0 0 0Karen O'Byrne Treasurer 3 X - X - - - 0 0 0Jane Herring-Choate Board Member 2 X - - - - - 0 0 0Fern Duberman Board Member 2 X - - - - - 0 0 0Fausta Nazaire Board Member 2 X - - - - - 0 0 0Evelyn Torres Hopkins Board Member 2 X - - - - - 0 0 0Elizabeth DeWoody Board Member 2 X - - - - - 0 0 0Deborah Wienke Board Member 2 X - - - - - 0 0 0Dave Ragsdale President Elect 2 X - X - - - 0 0 0Amy Kabcenell Board Member 2 X - - - - - 0 0 0

Southeast Georgia Affiliate Amy Hughes President 8 X - X - - - 0 0 0Susie Massey Treasurer 6 X - X - - - 0 0 0August White Secretary (04/09-1/10) 6 X - X - - - 0 0 0s Board Member 5 X - - - - - 0 0 0Caroline Keller Secretary (1/10-3/10) 5 X - - - - - 0 0 0Pam Cowart Board Member 2 X - - - - - 0 0 0Laura Hagan Board Member 2 X - - - - - 0 0 0Wanda Jones Board Member 2 X - - - - - 0 0 0Jennifer Mafera Board Member 2 X - - - - - 0 0 0Elizabeth Myers Board Member 2 X - - - - - 0 0 0Dolores Schwartz Board Member (04/09-09 2 X - - - - - 0 0 0Jeremy Sibiski Board Member 2 X - - - - - 0 0 0Sally Silbermann Board Member 2 X - - - - - 0 0 0Russ Toal Board Member 2 X - - - - - 0 0 0Suzanne Baroody Board Member 2 X - - - - - 0 0 0

Southern Arizona Affiliate Ali Madani Board Member 2 X - - - - - 0 0 0Ann T Stevens Board Member 4 X - - - - - 0 0 0Bimi Huebner Board Member 4 X - - - - - 0 0 0Carl Piccarreta Board Member 2 X - - - - - 0 0 0Carla Nunn Board Member 2 X - - - - - 0 0 0

Page 33 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Elaine Walsh Board Member 2 X - - - - - 0 0 0Ellen Kirton Secretary 3 X - X - - - 0 0 0Erin Vincent Board Member 2 X - - - - - 0 0 0Leslie Miller President 4 X - X - - - 0 0 0Lynn Kastella Board Member 2 X - - - - - 0 0 0Mark Channell Treasurer 4 X - X - - - 0 0 0

Southwest Florida Affiliate Lou Pontius Board Member 1 X - - - - - 0 0 0Mariann MacDonald Vice President 1 X - X - - - 0 0 0Pam Nulman Secretary 2 X - X - - - 0 0 0Heather Turco Board Member 1 X - - - - - 0 0 0Debbie Harvey Treasurer 3 X - X - - - 0 0 0Robert Mangene Secretary 2 X - - - - - 0 0 0Thomas Fabian Board Member 1 X - - - - - 0 0 0Patty Gift Board Member 1 X - - - - - 0 0 0Mary Ann L Loh Board Member 1 X - - - - - 0 0 0Marci Sanders President 4 X - X - - - 0 0 0Dorothy Taylor Board Member 1 X - - - - - 0 0 0Jennifer Stanley Board Member 1 X - - - - - 0 0 0

The Southwest Michigan Affiliate Julie Betzler Board Member 2 X - - - - - 0 0 0Autumn Anderson Secretary 3 X - X - - - 0 0 0Linda Compton Board Member 1 X - - - - - 0 0 0Will Dunn Board Member 1 X - - - - - 0 0 0Caroline Jones Board Member 2 X - - - - - 0 0 0Janet Miles Board Member 2 X - - - - - 0 0 0Allene Smith Board Member 2 X - - - - - 0 0 0Kristy VanderMolen Treasurer 2 X - X - - - 0 0 0Cathy Wortham President 2 X - X - - - 0 0 0Rebecca Fredericks Board Member 2 X - - - - - 0 0 0Linda Grossheim Board Member 2 X - - - - - 0 0 0Ann Feldmeier Vice President 4 X - - - - - 0 0 0Terry McKay Board Member 2 X - - - - - 0 0 0

St. Louis Affiliate Renee Hall President 8 X - X - - - 0 0 0Dan Bindler Board Member 1 X - - - - - 0 0 0Mikki Brewster Board Member 1 X - - - - - 0 0 0Kenita Collier Board Member 1 X - - - - - 0 0 0Dede Hoffmann Board Member 1 X - - - - - 0 0 0Susie Knopf Board Member 1 X - - - - - 0 0 0Pat Morgan Board Member 1 X - - - - - 0 0 0Anne Rosenberg Secretary 3 X - X - - - 0 0 0Peter Ruger Board Member 1 X - - - - - 0 0 0Joan Sehl Board Member 1 X - - - - - 0 0 0Rachel Walker Board Member 1 X - - - - - 0 0 0Paul Lovell Treasurer 5 X - X - - - 0 0 0Kate Wall Board Member 1 X - - - - - 0 0 0

Page 34 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Jennifer Kingston Board Member 1 X - - - - - 0 0 0Dawna Currigan Board Member 1 X - - - - - 0 0 0

Tarrant County Affiliate Courtney Biery Board Member 3 X - - - - - 0 0 0Linda Kazanova Board Member 1 X - - - - - 0 0 0Jesse R Booher President 4 X - X - - - 0 0 0Cynthia Gilbert Board Member 1 X - - - - - 0 0 0Gynna Harlin Board Member 30 X - - - - - 0 0 0Barbara Landers Board Member 5 X - - - - - 0 0 0Ann Nayfa Board Member 1 X - - - - - 0 0 0Stephen Peglar Board Member 3 X - - - - - 0 0 0Breck Ray Board Member 1 X - - - - - 0 0 0Joan Richardson Secretary 1 X - X - - - 0 0 0Beth Rivers Board Member 1 X - - - - - 0 0 0Terry Y. Wegemer Board Member 20 X - - - - - 0 0 0Betty Nethery Board Member 2 X - - - - - 0 0 0Becky Barbola Board Member 1 X - - - - - 0 0 0

Texarkana Affiliate William Wright Board Member 1 X - - - - - 0 0 0Pam Beck Board Member 3 X - - - - - 0 0 0Melinda Vammen Board Member 2 X - - - - - 0 0 0Debra Moore Secretary 1 X - X - - - 0 0 0Ashley Loftin Treasurer 3 X - X - - - 0 0 0Jon Northam Board Member 0 X - - - - - 0 0 0Patti Finley Board Member 0 X - - - - - 0 0 0Selena Jefferies Board Member 0 X - - - - - 0 0 0Kristie Keller-Bodnar Board Member 1 X - - - - - 0 0 0Jack McCubbin Board Member 0 X - - - - - 0 0 0Patsy Morriss President 1 X - X - - - 0 0 0Bruce W Ramsey Board Member 2 X - - - - - 0 0 0Julie Sanderson Board Member 0 X - - - - - 0 0 0Jennifer M. Thompson Board Member 0 X - - - - - 0 0 0Sandy Varner Board Member 0 X - - - - - 0 0 0

Tidewater Affiliate Amanda Lockhart Fallon Secretary 5 X - X - - - 0 0 0Barbara Geraghty President 10 X - X - - - 0 0 0Cynthia Daniels Sellers Board Member 5 X - - - - - 0 0 0Jackie Paulsen Treasurer 5 X - X - - - 0 0 0Kelly Klanian Board Member 5 X - - - - - 0 0 0Maria Cundiff Board Member 5 X - - - - - 0 0 0Pat Phelan Young Board Member 5 X - - - - - 0 0 0Paula Justice Board Member 5 X - - - - - 0 0 0Robin Schmalbach Board Member 5 X - - - - - 0 0 0Robyn Barger Board Member 5 X - - - - - 0 0 0Sarita Scott Board Member 5 X - - - - - 0 0 0sherrall fonner Board Member 5 X - - - - - 0 0 0Sheryl Sugg Secretary 5 X - X - - - 0 0 0

Page 35 of 39 ATTACHMENT 7

Page 104: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Wanda Wilson Treasurer 5 X - X - - - 0 0 0

Tri-Cities Affiliate Toni Herring Bounds Board Member 1 X - - - - - 0 0 0Cynthia Heglar Board Member 1 X - - - - - 0 0 0Lynn Krutak Treasurer 6 X - X - - - 0 0 0Brook Lambert Board Member 2 X - - - - - 0 0 0Sloan Maes Board Member 2 X - - - - - 0 0 0Stacey M. Ely Board Member 2 X - - - - - 0 0 0Curt Rose Board Member 1 X - - - - - 0 0 0John Thompson Vice President 4 X - X - - - 0 0 0Natalie Whitlock Board Member 4 X - - - - - 0 0 0Kathi Baty Board Member 3 X - - - - - 0 0 0Claudia Byrd Board Member 1 X - - - - - 0 0 0Beth Cox Board Member 1 X - - - - - 0 0 0Sara Diamond Committee Chair 1 X - - - - - 0 0 0Joanne Gilmer Secretary 1 X - X - - - 0 0 0Betty W. Devinney President 2 X - X - - - 0 0 0

Tulsa Affiliate Jill Corey Board Member 5 X - - - - - 0 0 0Kendall Barrow Board Member 2 X - - - - - 0 0 0Elizabeth Hunt Board Member 1 X - - - - - 0 0 0Michael Allen Board Member 2 X - - - - - 0 0 0Amy Hoagland Board Member 5 X - - - - - 0 0 0Ashley Antle President 5 X - X - - - 0 0 0Kay Cowan Board Member 1 X - - - - - 0 0 0Lucky Lamons Board Member 1 X - - - - - 0 0 0Tony Otto Treasurer 3 X - X - - - 0 0 0LaNette Smith Board Member 1 X - - - - - 0 0 0Dawne Stafford Board Member 4 X - - - - - 0 0 0LeAnne Taylor-Erwin President 10 X - X - - - 0 0 0Rob Zumwalt Board Member 1 X - - - - - 0 0 0Roxie Fencl Secretary 1 X - X - - - 0 0 0David Losacco Board Member 1 X - - - - - 0 0 0Kristen Turley Board Member 4 X - - - - - 0 0 0Melisa Boersma Board Member 1 X - - - - - 0 0 0Whitney Tisdale Board Member 1 X - - - - - 0 0 0Debbie Ritchie Board Member 3 X - - - - - 0 0 0Joyce Johnson Board Member 3 X - - - - - 0 0 0Margaret King Secretary 1 X - X - - - 0 0 0Cheri Ward Board Member 3 X - - - - - 0 0 0Elaine Olzawski Board Member 1 X - - - - - 0 0 0Donna Weinkauf Board Member 1 X - - - - - 0 0 0

Tyler Chapter Kristin Goodman Board Member 5 X - - - - - 0 0 0Joseph Sigmon Board Member 1 X - - - - - 0 0 0Angela Fitts Board Member 2 X - - - - - 0 0 0Kristy Everitt Treasurer 10 X - X - - - 0 0 0

Page 36 of 39 ATTACHMENT 7

Page 105: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Cathy Shipp Board Member 1 X - - - - - 0 0 0Anna Malone Secretary 1 X - X - - - 0 0 0Shelley Salvage Board Member 1 X - - - - - 0 0 0Wendy Johnson Board Member 2 X - - - - - 0 0 0Rosemary Jones Board Member 1 X - - - - - 0 0 0Karen Durham Board Member 2 X - - - - - 0 0 0Tomi Ellis President 5 X - X - - - 0 0 0Connie Greenberg Board Member 1 X - - - - - 0 0 0Jeannie Welguisz Board Member 2 X - - - - - 0 0 0Bob Fender Board Member 1 X - - - - - 0 0 0Ellen Peirce Board Member 1 X - - - - - 0 0 0Regina Davis Board Member 1 X - - - - - 0 0 0

Upper Cumberland Affiliate Robbie Melton Board Member 5 X - - - - - 0 0 0Chuck Sparks Board Member 5 X - - - - - 0 0 0Ida Brtalik Treasurer 10 X - X - - - 0 0 0Marie Ferran Board Member 8 X - - - - - 0 0 0Jane Gray Secretary 15 X - X - - - 0 0 0Nina Lunn Board Member 5 X - - - - - 0 0 0Gay McNab Board Member 8 X - - - - - 0 0 0Angela Regikto Board Member 8 X - - - - - 0 0 0Eileen B Stuber President 20 X - X - - - 0 0 0Harry Stuber Board Member 15 X - - - - - 0 0 0Nancy Himmel Board Member 5 X - - - - - 0 0 0Pam Cummings Board Member 5 X - - - - - 0 0 0Stephanie Miller Board Member 0 X - - - - - 0 0 0

Upstate South Carolina Affiliate Bradley Cox Treasurer 5 X - X - - - 0 0 0Tammy Van Gieson Member/President Elect 2 X - - - - - 0 0 0Suzanne Hofford President 3 X - X - - - 0 0 0Susan M. Jones Board Member 2 X - - - - - 0 0 0Sandra Miller Board Member 2 X - - - - - 0 0 0Katrina Daniel Board Member 2 X - - - - - 0 0 0Edward Heidtman Board Member 2 X - - - - - 0 0 0Glenda Innman-Williamson Board Member 2 X - - - - - 0 0 0Ginny Milam Member/Incoming Treas 3 X - - - - - 0 0 0Cynthia Fryer Board Member 2 X - - - - - 0 0 0Marcella Pennington Board Member 2 X - - - - - 0 0 0Roger Beasley Board Member 2 X - - - - - 0 0 0Debra Faulkner Board Member 2 X - - - - - 0 0 0Patricia Griffin Board Member 2 X - - - - - 0 0 0

Vermont - New Hampshire Affiliate Judi Fox Treasurer 2 X - X - - - 0 0 0Terri Hathaway Board Member 1 X - - - - - 0 0 0Kathleen Murphy Board Member 1 X - - - - - 0 0 0Deborah Peretz President 2 X - X - - - 0 0 0Patsy Steverson Board Member 1 X - - - - - 0 0 0

Page 37 of 39 ATTACHMENT 7

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SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Becky Burke Secretary 1 X - X - - - 0 0 00 0

Wabash Valley Affiliate Lisa Cook Secretary 1 X - X - - - 0 0 0Theresa Goodwin VP 1 X - - - - - 0 0 0Gwen Gennien Hicks President 10 X - X - - - 0 0 0Stanley Hobbs Board Member 1 X - - - - - 0 0 0Lydia Kruse Board Member 1 X - - - - - 0 0 0Boo Lloyd Board Member 1 X - - - - - 0 0 0Patty Wiley Board Member 1 X - - - - - 0 0 0Judy Heymann Treasurer 0 X - X - - - 0 0 0Donna Bowman Board Member 1 X - - - - - 0 0 0Roy Geib Board Member 1 X - - - - - 0 0 0Lynne Inman Board Member 1 X - - - - - 0 0 0Leesa Nesty Board Member 1 X - - - - - 0 0 0Susan Hoffman Treasurer 1 X - X - - - 0 0 0Jessica Clevenger Board Member 1 X - - - - - 0 0 0Renee Fisher Board Member 1 X - - - - - 0 0 0

West Virginia Affiliate Jaunita Conaway Board Member 1 X - - - - - 0 0 0Deborah Radosevich Board Member 1 X - - - - - 0 0 0Rebecca Newhouse President 35 X - X - - - 0 0 0Tamara Hartman Board Member 1 X - - - - - 0 0 0Bonnie Bell Board Member 1 X - - - - - 0 0 0Michelle Uldrich Board Member 1 X - - - - - 0 0 0Saundra Uy Treasurer 8 X - X - - - 0 0 0Kelly Whitlock Board Member 1 X - - - - - 0 0 0Tonja Jean Parsons Board Member 1 X - - - - - 0 0 0Masel Brown Board Member 1 X - - - - - 0 0 0Mary Ann Emily Galik Secretary 6 X - X - - - 0 0 0Jody Sperry Board Member 1 X - - - - - 0 0 0Eleanor Chin Board Member 1 X - - - - - 0 0 0Kim Johnson Board Member 1 X - - - - - 0 0 0W H Robinson Board Member 1 X - - - - - 0 0 0Angela Mckeone Board Member 1 X - - - - - 0 0 0Carrie Mallory Board Member 1 X - - - - - 0 0 0

The Western New York Affiliate Angel Beiter President 15 X - X - - - 0 0 0Deborah Erwin Board Member 5 X - - - - - 0 0 0Patty Gelman Board Member 3 X - - - - - 0 0 0Gerry Glose Board Member 3 X - - - - - 0 0 0Gary Kerl Board Member 5 X - - - - - 0 0 0Carolyn C. C. Koelmel Board Member 3 X - - - - - 0 0 0Colleen Nossavage Board Member 3 X - - - - - 0 0 0Karen Parysek Board Member 3 X - - - - - 0 0 0Greg Stang Secretary/Treasurer 10 X - X - - - 0 0 0Patricia Stewart Board Member 3 X - - - - - 0 0 0Jean Wactawski-Wende Board Member 5 X - - - - - 0 0 0

Page 38 of 39 ATTACHMENT 7

Page 107: 12/28/10 - Susan G. Komen®

SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. - GROUP EIN # 75-2462834YEAR ENDED MARCH 31, 2010 2009 FORM 990PART VII - COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES

Filing Organization Name Title

(B) Average hours per

week

Individual Trustee or Director

Institutional Trustee Officer

Key Employee

Highest-Compensated

Employee Former

(D) Reportable compensation

from the organization (W-

2/1099-MISC)

(E) Reportable compensation from related

organizations (W-2/1099-

MISC)

(F) Estimated amount of other compensation

from the organization and

related organizations

C Position - Mark All That Apply

Marylou Borowiak Board Member 3 X - - - - - 0 0 0Mary Montani Board Member 3 X - - - - - 0 0 0Heather Ochs-Balcom Board Member 5 X - - - - - 0 0 0Karen Stanley Fleming Board Member 3 X - - - - - 0 0 0Catherine Lewis-Smith Board Member 2 X - - - - - 0 0 0John Grimaldi Board Member 2 X - - - - - 0 0 0Misha Hoffman-Russo Board Member 2 X - - - - - 0 0 0Sharon Schwartz Board Member 2 X - - - - - 0 0 0

Wichita Falls Affiliate Becky House Secretary 2 - - X - - - 0 0 0James Johnston Board Member 2 X - - - - - 0 0 0Jeff Killion Board Member 1 X - - - - - 0 0 0Sue Myers Board Member 20 X - - - - - 0 0 0Norma Priester Board Member 1 X - - - - - 0 0 0Susan Michelle Richardson Board Member 1 X - - - - - 0 0 0Laura Schlager Board Member 1 X - - - - - 0 0 0Linda Boyd Board Member 2 X - - - - - 0 0 0Janice Sons Board Member 1 X - - - - - 0 0 0Andy Stanford Board Member 1 X - - - - - 0 0 0

Wyoming Chapter Debbie Beck Board Member 4 X - - - - - 0 0 0Stacey Caesar President 2 X - X - - - 0 0 0Mohamed El-Tarabily Board Member 2 X - - - - - 0 0 0Charlotte Car Board Member 2 X - - - - - 0 0 0Roxanne Homar Secretary 2 X - X - - - 0 0 0Connie Johnson Board Member 2 X - - - - - 0 0 0Dan Johnson Board Member 2 X - - - - - 0 0 0Sandy Pedersen Treasurer 2 X - X - - - 0 0 0Beth Worthen Board Member 2 X - - - - - 0 0 0Roxanne Homar Board Member 2 X - X - - - 0 0 0

TOTALS 0 0 0

Page 39 of 39 ATTACHMENT 7

Page 108: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

Acadiana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X14,500$ Cash X10,000$ Cash X10,000$ Cash X

Austin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.93,436$ Cash X86,417$ Cash X60,000$ Noncash X 11/2/2009 60,000$ Passes, bags, pens, nail files, pans54,564$ Cash X

2,500$ Cash X

Baton Rouge Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X30,000$ Cash X25,000$ Cash X

25,000$ Cash X

Bayou Region Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X10,000$ Cash X

5,000$ Cash X

Boise, Idaho Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X30,000$ Cash X35,000$ Cash X

5,000$ Noncash X 1/26/10 5,000$ Survivor gifts (750), Registrations for Survivors, Team Gifts

Brainerd Lakes Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash

5,000$ Cash

Central and South Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.89,198$ Cash X60,000$ Cash X54,564$ Cash X52,500$ Cash X50,000$ Cash X50,000$ Cash X50,000$ Cash X

Central Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.98,059$ Cash X54,564$ Cash X21,650$ Cash X

Central Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X35,000$ Cash X29,061$ Cash X

7,000$ Noncash X 4/1/2010 7,000$ T-Shirts5,000$ Noncash X 1/11/10, 12/4/09 5,000$ Food

Page 1 of 15 ATTACHMENT 8

Page 109: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

Central Mississippi Steel Magnolias Affiliate of the Susan G. Komen Breast Cancer Foundation , Inc.54,564$ Cash X24,441$ Cash X15,000$ Cash X10,000$ Cash X

6,427$ Cash X

Central New Mexico Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X37,000$ Cash X25,000$ Cash X20,000$ Cash X10,000$ Cash X10,000$ Cash X

Central New York Affiliate of the Susan G. Komen Breast Cancer Foundation171,000$ Cash X

54,564$ Cash X

Central Oklahoma Chapter of the Susan G. Komen Foundation, Inc.54,564$ Cash X40,000$ Cash X39,810$ Noncash X Various 39,810$ T-shirts20,000$ Cash X

5,000$ Noncash X 6/12/2009 5,000$ Food

Central Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X16,400$ Cash X

2,246$ Cash X10,000$ Cash X

7,000$ Cash X10,000$ Noncash X Various 10,000$ Non alcoholic beverages

250$ Noncash X Various 250$ Wal Mart gift cards

Central Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X10,000$ Cash X10,000$ Cash X10,000$ Cash X10,000$ Cash X

Central Wisconsin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc54,564$ Cash x

5,000$ cash x5,000$ cash x

Charlotte Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 50,000$ Cash X45,320$ Cash X38,000$ Cash X

Chattanooga Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X25,000$ Cash X25,000$ Cash X10,000$ Noncash X Various 10,000$ Organic Fruit

Page 2 of 15 ATTACHMENT 8

Page 110: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

10,000$ Cash X

Coeur d' Alene Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X15,000$ Cash X

Colorado Springs Affiliate of the Susan G Komen Breast Cancer Foundation, Inc. 54,564$ Cash x10,000$ Cash x38,000$ Noncash X 7/20/2009 38,000$ Food for Race Day

Columbus Affiliate of the Susan G Komen Breast Cancer Foundation, Inc. 143,000$ Cash X

61,380$ Cash X60,000$ Cash X54,564$ Cash X50,000$ Cash X39,707$ Cash X37,028$ Cash X

Connecticut Affiliate of the Susan G Komen Breast Cancer Foundation, Inc. 161,500$ Cash X

71,500$ Cash X60,016$ Noncash X 6/6/2009 60,016$ Gifts56,000$ Cash X54,564$ Cash X46,000$ Cash X39,121$ Cash X35,000$ Cash X31,540$ Noncash X VAR 31,540$ Race food

Dallas County Affiliate of the Susan G Komen Breast Cancer Foundation, Inc. 168,121$ Cash X

63,859$ Cash X5,000$ Noncash X 2/2/2010 5,000$ Gift cards

Eastern Washington County Affiliate of the Susan G Komen Breast Cancer Foundation, Inc. 54,564$ Cash X30,000$ Cash X 12,000$ Noncash X 11/5/2009 12,000$ Survivor charms10,562$ Cash X10,000$ Cash X10,000$ Noncash X 4/19/2009 10,000$ Coffee for race weekend10,000$ Cash X10,000$ Cash X10,000$ Cash X10,000$ Cash X

El Paso Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X20,000$ Cash X10,000$ Noncash X Various 10,000$ Printing of race collateral10,000$ Cash X

Florida Suncoast Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.245,000$ Cash X168,121$ Cash X

Page 3 of 15 ATTACHMENT 8

Page 111: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

53,324$ Cash X

Grand Rapids Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X15,000$ Cash X

Greater Amarillo Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X10,000$ Cash X10,000$ Cash X25,000$ Noncash X 9/1/2009 25,000$ Beauty package to 500017,140$ Cash X

5,000$ Cash X7,000$ Cash X

15,875$ Noncash X Various 15,875$ RFTC venue, banking fees, bags

Greater Cincinnati Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 65,000$ Cash X54,564$ Cash X40,000$ Cash X

Greater Evansville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X50,000$ Cash X15,000$ Cash X10,000$ Cash X17,500$ Noncash X 6/12/2009 17,500$ COUPONS

Greater Kansas City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X25,000$ Cash X10,000$ Cash X15,000$ Noncash X Various 15,000$ Coffee

Greater Lansing Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X10,080$ Noncash X 3/3/2010 10,080$ WATER FOR RACE10,000$ Cash X10,000$ Cash X10,000$ Cash X10,000$ Cash X

Greater New York City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 330,000$ Cash X205,012$ Cash X

Greater Richmond, Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X30,000$ Cash X20,000$ Cash X

Greater Roanoke Valley Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc54,564$ Cash X15,000$ Cash X10,000$ Cash X10,000$ Cash X10,000$ Cash X

Page 4 of 15 ATTACHMENT 8

Page 112: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

Hawaii Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X30,000$ Cash X10,000$ Cash X10,000$ Cash X

8,974$ Cash X20,000$ Noncash X 9/1/2009 20,000$ Food

Houston Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc175,000$ Cash X

75,000$ Cash X50,850$ Noncash X 5/29/2009 50,850$ Food, supplies

Indianapolis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.100,000$ Cash X

32,967$ Noncash X 11/18/2009 32,967$ Food supplies73,979$ Noncash X 3/10/2010 73,979$ Food, gifts72,791$ Cash X54,564$ Cash X

Inland Empire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc50,000$ Cash X54,564$ Cash X25,002$ Cash X22,500$ Cash X21,873$ Cash X20,595$ Noncash X Various 20,595$ In-kind, MP3, Camera, Scooter, Grill set

5,923$ Noncash X 11/17/09, 6/24/09 5,923$ Ice, water & use of truck9,600$ Noncash X 9/18/09, 7/3/09 9,600$ Breakfast

10,000$ Noncash X 6/24/09. 6/4/09 10,000$ Forms

Knoxville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X25,000$ Cash X25,000$ Cash X

Lexington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X20,000$ Cash X20,000$ Noncash X 1/29/2010 20,000$ Motor cycle17,500$ Cash X

Louisville, Kentucky Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X25,000$ Cash X20,000$ Cash X

Lowcountry Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.25,250$ Cash X54,564$ Cash X17,500$ Cash X50,000$ Noncash X 8/10/09, 5/8/09 50,000$ Food

Page 5 of 15 ATTACHMENT 8

Page 113: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

Lubbock Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X33,392$ Cash X25,000$ Cash X25,000$ Cash X20,000$ Cash X15,000$ Cash X

Madison Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.100,000$ Cash x

54,564$ Cash x35,000$ Cash x20,000$ Noncash x 3/23/2010 20,000$ Food20,000$ Cash x

Maine Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,563$ Cash X50,000$ Cash X24,719$ Cash X12,920$ Cash X

Maryland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 200,000$ Cash X168,121$ Cash X

Massachusetts Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 168,121$ Cash X

McLean County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 56,564$ Cash X

7,300$ Cash X6,369$ Cash X

Memphis-Midsouth County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X40,000$ Cash X

1,000$ Noncash X 8/19/2009 1,000$ 025,000$ Cash X

7,248$ Cash X12,752$ Noncash X 8/17/2009 12,752$ Food for Race10,000$ Cash X

9,960$ Noncash X 9/3/2009 9,960$ Ice cream for Race19,311$ Cash X

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

165,241$ Cash X54,564$ Cash X35,000$ Cash X

Mid-Kansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc54,564$ Cash X45,000$ Cash X33,892$ Cash X

Page 6 of 15 ATTACHMENT 8

Page 114: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

14,710$ Noncash X Various 14,710$ Vouchers for mammograms, ultrasounds, biopsies, MRIs

1,500$ Noncash X 3/31/2010 1,500$ Survivor breakfast on race day

Mid-Missouri Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X

5,515$ Cash X

Milwaukee Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,156,061$ Cash X

89,699$ Cash X

Minnesota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. $ 168,121 Cash x$ 50,000 Cash x$ 31,700 Noncash X Various $ 31,700 Hair Care Products$ 50,000 Cash x$ 50,000 Noncash x 5/2/2009 $ 50,000 Coffee$ 22,216 Cash x$ 25,000 Noncash X 5/27/2009 $ 25,000 Bottled Water$ 35,266 Cash x$ 10,000 Noncash X 5/1/2009 $ 10,000 Food$ 30,000 Cash x$ 10,000 Noncash X 10/23/2009 $ 10,000 Yoplait and Gogurt samples

Montana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X12,184$ Cash X10,010$ Cash X10,000$ Cash X

5,000$ Cash X5,000$ Cash X

Nebraska Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 60,241$ Cash X54,564$ Cash X45,000$ Cash X15,367$ Cash X15,000$ Cash X14,220$ Cash X

New Orleans Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X44,377$ Cash X25,000$ Cash X10,000$ Cash X10,000$ Cash X

North Carolina Foothills Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 78,895$ Cash X10,000$ Cash X10,000$ Cash X

7,450$ Cash X

Page 7 of 15 ATTACHMENT 8

Page 115: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

North Carolina Triad Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X25,000$ Cash X25,000$ Noncash 1/20/2010 25,000$ Magnets for Race and Media25,000$ Cash X19,250$ Noncash X 1/27/2010 19,250$ Water for Race and Office

North Central Alabama Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 63,450$ Cash X20,000$ Cash X

NC Triangle Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X

North Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc133,459$ Cash X

North Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.200,000$ Cash X

55,764$ Cash X36,489$ Cash X35,000$ Cash X25,431$ Cash X

North Mississippi Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X35,000$ Cash X10,000$ Cash X

North Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.168,121$ Cash X

50,000$ Cash X30,000$ Cash X

Northeastern New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X14,747$ Cash X11,782$ Cash X10,000$ Cash X10,000$ Cash X10,000$ Cash X

Northern Indiana Affiliate of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X25,000$ Cash X10,000$ Cash X

5,000$ Cash X2,500$ Noncash X 2,500$ FOOD FOR THE RACE

Northern Nevada Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X15,000$ Cash X10,000$ Cash X10,000$ Cash X

Page 8 of 15 ATTACHMENT 8

Page 116: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

25,000$ Cash X

Northwest Ohio Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 42,033$ Cash x54,564$ Cash x20,000$ Cash x15,000$ Noncash x Race 2009 15,000$ Food, water

Ozark Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X50,000$ Cash X

25,500$ Noncash X 9/14/2009 25,500$ Profiles leggs merchandise-shapewear, women's pink socks

25,000$ Cash X25,000$ Cash X25,000$ Cash X

Philadelphia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.225,000$ Cash X

Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.250,463$ Cash X

23,000$ Noncash X 11/5/2009 23,000$ Food and water for race day60,000$ Cash X

Pittsburgh Affiliate Of The Susan G. Komen Breast Cancer Foundation, Inc.150,000$ Noncash x 1/15/2010 150,000$ Italian ice for May 2009, 2010 Race

54,564$ Cash x50,000$ Cash x48,520$ Noncash x 4/8/2009 48,520$ Pledge Prizes45,000$ Cash x

Quad Cities Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X23,950$ Noncash X 4/15/2009 23,950$ ISABEL BLOOM STATUES FOR RESALE13,000$ Cash X

8,500$ Cash X5,000$ Cash X5,000$ Noncash X 3/24/2009 5,000$ TEAM CAPTAIN BREAKFAST5,000$ Cash X

Sacramento Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.200,000$ Cash X120,000$ Noncash X various 120,000$ Food, supplies for race

54,564$ Cash X45,000$ Noncash X 3/31/2010 45,000$ Water40,000$ Cash X

Salt Lake City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X19,350$ Noncash X Various 19,350$ Bread for post race15,000$ Cash X10,000$ Cash X

2,500$ Noncash X 4/16/2009 2,500$ Fruit & Water17,242$ Cash X

Page 9 of 15 ATTACHMENT 8

Page 117: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

Shreveport Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X11,544$ Noncash X 7/29/2010 11,544$ Survivor Luncheon

9,782$ Cash X7,542$ Cash X5,000$ Cash X5,000$ Cash X5,000$ Cash X5,000$ Noncash X Various 5,000$ Food and water5,000$ Cash X

Siouxland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X16,643$ Cash X13,328$ Cash X10,000$ Cash X

South Dakota Affiliate Of The Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X50,000$ Cash X26,000$ Cash X16,269$ Cash X10,000$ Cash X

Southeast Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc54,564$ Cash X30,000$ Cash X15,800$ Cash X15,000$ Cash X10,537$ Cash X10,106$ Cash X

9,000$ Cash X9,000$ Cash X2,600$ Noncash X Various 2,600$ 200 Cookbooks for Survivor Gifts

Southeast Iowa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X

Southern Arizona Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.100,000$ Cash x

54,564$ Cash x52,990$ Cash x35,000$ Cash x23,500$ Cash x

5,000$ Noncash X 1/20/2010 5,000$ FOOD

Southwest Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.64,736$ Cash X54,564$ Cash X50,000$ Cash X48,435$ Cash X31,045$ Cash X30,559$ Cash X

Page 10 of 15 ATTACHMENT 8

Page 118: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 186,000$ Cash X105,000$ Cash X100,000$ Cash X

Tarrant County Affiliate of The Susan G. Komen Breast Cancer Foundation, Inc168,121$ Cash X

30,000$ Cash X75,000$ Cash X53,858$ Cash X50,000$ Cash X40,000$ Cash X82,800$ Noncash X 3/29/2010 82,800$ Supplies, food,water10,000$ Noncash X 2/10/2010 10,000$ Giftcards, food, water

Texarkana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X30,000$ Cash X16,320$ Cash X10,000$ Noncash X Various 10,000$ Pasta Party Food10,000$ Noncash X Various 10,000$ Flowers

9,590$ Noncash X Various 9,590$ Rolex watches for race winners7,020$ Cash X5,000$ Noncash X Various 5,000$ Breakfast items on race day

960$ Noncash X Various 960$

The Arkansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc65,480$ Cash X54,564$ Cash X35,000$ Cash X25,000$ Cash X25,000$ Cash X

The Aspen Chapter of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X40,000$ Cash X30,000$ Cash X20,000$ Cash X

The Chicagoland Area Chapter of the Susan G. Komen Breast Cancer Foundation, Inc168,121$ Cash X

73,330$ Cash X56,716$ Cash X50,000$ Cash X46,029$ Cash X44,670$ Cash X43,812$ Noncash X 9/26/09; 1/14/10 43,812$ Water

1,456$ Noncash X 8/24/2009 1,456$ Water

The Denver Metropolitan Affiliate of the Susan G. Komen Breast Cancer Foundation246,000$ Cash x168,121$ Cash x

6,500$ Cash x62,262$ Cash x40,000$ Cash x83,498$ Cash x

148,546$ Noncash x 10/15/09,12/31/09 148,546$ Race & PT sponsor

Page 11 of 15 ATTACHMENT 8

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Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

50,405$ Noncash x 3/31/2010 50,405$ Pink Tie silent auction items49,000$ Noncash x 9/15/2009 49,000$ Gift cards

The Des Moines Chapter of the Susan G. Komen Breast Cancer Foundation, Inc105,038$ Cash X

97,538$ Cash X55,764$ Cash X

The Greater Atlanta Affiliate of The Susan G. Komen Breast Cancer Foundation, Inc.547,385$ Cash X

188,250$ Cash X168,121$ Cash X100,000$ Cash X

The Greater Nashville Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X40,000$ Cash X25,000$ Cash X10,000$ Noncash X 12/15/2009 10,000$ Truck, water, yogurt

The Las Vegas Chapter of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X39,139$ Cash X24,845$ Cash X20,000$ Cash X

The Los Angeles County Chapter of the Susan G. Komen Breast Cancer Foundation, Inc147,860$ Cash X

58,000$ Cash X54,564$ Cash X20,000$ Cash X52,915$ Noncash X 2/19/10, 3/14/10 52,915$ Tent and misc food/bags/gift card/etc18,000$ Noncash X 9/24/2009 18,000$ VIP room and smoothies

The North Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.182,585$ Cash X164,414$ Cash X125,383$ Cash X102,800$ Noncash X 3/31/2010 102,800$ Gifts for April 2010 Race100,000$ Cash X

54,564$ Cash X

The Northeast Louisiana Chapter of the Susan G. Komen Breast Cancer Foundation, Inc54,564$ Cash X

7,500$ Cash X7,500$ Cash X5,000$ Cash X5,000$ Cash X5,000$ Cash X5,000$ Cash X5,000$ Cash X

The Northeast Ohio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.168,121$ Cash X100,230$ Cash X

60,000$ Cash X

Page 12 of 15 ATTACHMENT 8

Page 120: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

55,897$ Cash X30,000$ Cash X21,300$ Noncash X Various 21,300$ Food for Race

The Northeastern Pennsylvania Chapter of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X

500$ Cash X15,190$ Cash X14,000$ Noncash X 39954 14,000$ PINK RIBBON BAGELS10,200$ Cash X10,000$ Cash X28,800$ Noncash X 39938 28,800$ FROSTY/SIDE SALAD COUPONS

The Orange County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.265,000$ Cash X165,170$ Cash X156,500$ Cash X104,175$ Cash X106,858$ Cash X100,850$ Noncash X Various 100,850$ Gift Cards

50,000$ Noncash X Various 50,000$ Food, beverages for survivor pavillion, etc.

The Oregon and Southwest Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.50,100$ Cash x

100,000$ Cash x54,564$ Cash x55,000$ Noncash X 9/20/2009 55,000$ Food,flowers,bags

The Peoria Memorial Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.109,128$ Cash X

26,700$ Noncash X Various 26,700$ Gifts for race

The Puget Sound Chapter of the Susan G. Komen Foundation, Inc168,121$ Cash X151,575$ Cash X

99,445$ Cash X95,934$ Cash X

The San Antonio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X40,300$ Cash X32,500$ Cash X29,890$ Cash X10,000$ Cash X12,000$ Noncash X 1/28/2010 12,000$ Skinny cow ice-cream truffle bars (Race)21,500$ Cash X12,500$ Cash X

5,000$ Noncash 1/22/2010 5,000$ First Aid Staff equipment & supplies, Provided & mailed survivor photos

16,904$ Cash X

The San Diego Chapter of the Susan G. Komen Breast Cancer Foundation, Inc168,121$ Cash X

50,000$ Cash X10,000$ Noncash X 11/18/2009 10,000$ Food supplies30,797$ Cash X

The San Francisco Bay Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc

Page 13 of 15 ATTACHMENT 8

Page 121: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

168,121$ Cash X69,000$ Cash X50,452$ Cash X50,000$ Cash X

The South Florida Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X50,000$ Cash X

The Southwest Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.10,772$ Cash X

3,000$ Cash X10,000$ Cash X

2,500$ Cash X7,500$ Noncash X 7,500$ Use of facilities7,500$ Noncash X 7,500$ Trophies

The Western New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X35,000$ Cash X

Tidewater Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X

Tri-Cities Affiliate of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X50,000$ Cash X25,000$ Cash X25,000$ Cash X10,000$ Cash X

5,000$ Noncash X 4/1/2009 5,000$ Food for Survior Café

Tulsa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 50,000$ Cash X54,564$ Cash X

5,000$ Cash X5,000$ Cash X

21,940$ Noncash X 6/27/2009 21,940$ Food, beverages, gifts, etc44,995$ Noncash X Various 44,995$ T-shirts14,000$ Noncash X 6/30/2009 14,000$ Bottled water, apple dippers, apple juice

Tyler Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.56,821$ Cash X

7,500$ Cash X7,500$ Cash X7,500$ Noncash X 9/3/2009 7,500$ Letterhead stationery, etc.5,000$ Cash X5,000$ Cash X5,000$ Cash X5,000$ Cash X

Upper Cumberland Afiliate of the Susan G. Komen Breast Cancer Foundation54,564$ Cash X

7,000$ Cash X

Upstate South Carolina Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X

Page 14 of 15 ATTACHMENT 8

Page 122: 12/28/10 - Susan G. Komen®

Susan G. Komen Breast Cancer Foundation, Inc. - Group 75-2462834Form 990 Sch. B AttachmentTax Year Ended 3/31/10

Name of Contributor Street City State Zip Contribution Amount

Cash or Noncash Ind (X)

Date of Contribution Noncash Contributions Only

FMV of Noncash Contrib Noncash Property Description

25,000$ Cash X

Vermont - New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.

77,800$ Cash X54,564$ Cash X20,000$ Cash X17,101$ Cash X16,851$ Noncash X Various 16,851$ Survivor gifts

862$ Noncash X Various 862$ Water, fruit, bars

Wabash Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash X

8,000$ Cash X6,852$ Cash X5,000$ Cash X5,000$ Cash X3,500$ Noncash X 10/3/2009 3,500$ FOOD

West Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 54,564$ Cash14,321$ Cash13,542$ Cash10,000$ Cash10,000$ Cash

Wichita Falls Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc.54,564$ Cash X13,260$ Cash X10,005$ Cash X10,000$ Cash X

8,952$ Cash X5,790$ Cash X

Wyoming Chapter of the Susan G. Komen Breast Cancer Foundation, Inc.28,235$ Cash X18,000$ Cash X17,386$ Cash X11,500$ Cash X10,000$ Cash X10,000$ Cash X

Totals 27,453,995$ 2,479,903$

Less: non-cash 2,479,903$ Total Cash over 2% 24,974,092$

Page 15 of 15 ATTACHMENT 8

Page 123: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

11 Acadia Council on Aging 824 East First St. Crowley LA 70526 72‐0736101 501c3  24,225 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Acadiana Medical Research Foundation 1204 Johnston St. Lafayette LA 70506 72‐0876773 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Iberia Comprehensive Community Health Center, Inc. 806 Jefferson Terrace Blvd. New Iberia LA 70560 58‐2164455 501c3  26,819 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Lafayette Community Health Care Clinic 1317 Jefferson Street Lafayette LA 70501 72‐1221982 501c3  74,030 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Miles Perret Cancer Services 2130 Kaliste Saloom Ste 200 Lafayette LA 70508 75‐3023211 501c3  31,693 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Opelousas General Health System 539 East Prudhomme St. Opelousas LA 70570 72‐0708111 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Sallie Astor Burdine Foundation Lafayette 

Affiliate917 General Mouton Ave.  Lafayette LA 70501 59‐7800251  501c3  100,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

1 Southwest LA Primary Health Care Center, Inc. 8762 Hwy 192 Opelousas LA 70570 58‐2003179 501c3  34,289 n/a n/a n/a Breast Cancer Education, Screening, Treatment 1 Southwest Louisiana Area Health Education 

Center103 Independence Blvd.  Lafayette LA 70506 72‐1191867  501c3  22,211 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

1  $                        380,767  $                        ‐   22 Arkansas Department of Health 4815 West Markham, Slott 11 Little Rock AR  72205 71‐0847443 501c3  9,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Ashley County Medical Center 1015 Unity Road, P.O.  Box 400 Crossett AR  71635 71‐0236870 501c3  12,152 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Baptist Health Medical Center 9601 Interstate 630, Exit 7 Little Rock AR 72205 23‐7169407 501c3  145,725 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Baxter Regional Medical Center 624 Hospital Drive Mountain Home AR 72653 58‐1805265 501c3  142,362 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Bradley County Medical Center 404 S. Bradley St. Warren AR 71671  71‐0797499 501c3  18,560 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 BreastCare 4815 West Markham, Slott 11 Little Rock AR 72205 71‐0847443 501c3  316,385 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 CARTI P.O. Box 55011 Little Rock AR 72215  71‐0589907 501c3  21,320 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Chicot Memorial Hospital 2729 Highway 65 & 82 South Lake Village AR 71653  71‐0399482 501c3  9,960 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Conway Regional Medical Center 2302 College Avenue Conway AR 72034 71‐0797723 501c3  45,261 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Corning Area Healthcare, Inc P.O. Box 83  Corning Corning AR  72422 71‐0715998 501c3  20,323 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 CrossRidge Community Hospital 310 South Falls Blvd. Wynne AR  72396 71‐0715998 501c3  22,095 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Delta Memorial Hospital 811 Hwy 65 S. / P.O. Box 887 Dumas AR 71639  71‐0276839 501c3  29,350 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Encore for Women's Health 1200 Westpark Drive, Suite 400 Little Rock AR 72204 26‐2680239 501c3  121,565 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Greater Delta Alliance for Health 2729 Highway 65 & 82 South Lake Village AR 71653 26‐3424681 501c3  33,605 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Healthy Connections, Inc. 1201 South Mena Street Mena AR 71953  71‐0807744 501c3  12,660 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Jefferson Regional Medical Center 1600 West 40th Pine Bluff AR 71603 71‐0329353 501c3  100,042 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Lawrence Memorial Hospital 1309 West Main St. Walnut Ridge AR 72476  73‐1547175 501c3  5,850 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Lee County Cooperative Clinic 530 W. Atkins Blvd. Marianna AR 72360  71‐0413798 501c3  12,552 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Magnolia City Hospital PO Box 629 101 Hospital Drive Magnolia AR 71754  71‐6014562 501c3  8,178 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Mid‐Delta Health Systems, Inc. 401 Midland St. Clarendon AR 72029  71‐0638760 501c3  8,692 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Ouachita County Medical Center 638 California, P.O. Box 797 Camden AR  71701 71‐0766341 501c3  13,272 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 St. Bernards Medical Center 400 East Street Jonesboro AR 72401 71‐0563245 501c3  170,932 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 St. Edward Mercy Medical Center P.O. Box 17000 Fort Smith AR 72917  23‐7330425 501c3  17,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 St. Vincent Health System 2 St. Vincent Circle Little Rock AR 72205 51‐0169537 501c3  93,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 White River Health System 1710 Harrison St. Batesville AR 72501 71‐0411459 501c3  66,407 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 White River Rural Health Center, Inc. 623 Noth 9th, P.O. Box 497 Augusta AR 72002 58‐1666179 501c3  117,440 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2 Winthrop P. Rockefeller Cancer 4301 W Markham, Slot 556 Little Rock AR  72201 71‐0285871 501c3  42,260 n/a n/a n/a Breast Cancer Education, Screening, Treatment 2  $                    1,616,648 33 Aspen Valley Hospital 0401 Castle Creek Rd Aspen CO 81611 84‐0643721 501c3  43,045 n/a n/a n/a Breast Cancer Education, Screening, Treatment 3 Community Health Services, Inc. 0401 Castle Creek Rd Aspen CO 81611 84‐0609057 501c3  80,091 n/a n/a n/a Breast Cancer Education, Screening, Treatment 3 Eagle Care PO BOX 40,000 Vail CO 81658 84‐0563230 501c3  61,942 n/a n/a n/a Breast Cancer Education, Screening, Treatment 3 Family Visitor Programs PO Box 1845 Glenwood CO 81601 84‐0742145 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 3 Grand River Hospital District PO Box 912 Rifle CO 81650 84‐0736594 501c3  87,355 n/a n/a n/a Breast Cancer Education, Screening, Treatment 3 Pathfinders, MBS PO BOX 11799 Aspen CO 81612 20‐1710899 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Sallie Astor Burdine Foundation Lafayette Affiliate

917 General Mouton Ave. Lafayette LA 70501 59‐7800251  501c3  50,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

3 Planned Parenthood of the Rocky Mountains 410 20th St, Suite 203 Glenwood CO 81601 84‐0404253 501c3  25,487 n/a n/a n/a Breast Cancer Education, Screening, Treatment 3  $                        372,920 44 American Housing Foundation 1800 S. Washington Ste.311 Amarillo TX 79102 75‐2315295 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 Breast Cancer Resource Centers 900 E. 30th St.; P.O. Box 300040 Austin TX 78705 74‐2743333 501c3  58,106 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 Community Action 101 Uhland Street, Suite 107 San Marcos TX 78667 74‐1541726 501c3  90,689 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 Community Centers of South CenTexas, Inc. P.O. Box 1890 Gonzales TX 78629 74‐1109643 501c3  14,969 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 El Buen Samaritano Episcopal Mission 7000 Woodhue Austin TX 78745 74‐2488682 501c3  10,256 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 HAND 2200 E. MLK Jr. Blvd. Austin TX 78702 74‐1888198 501c3  18,838 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 National Center of Farmworker Health Inc 1770 FM 967 Buda TX 78610 74‐1826899 501c3  50,972 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 Planned Parenthood 201 E. Ben White Blvd, Bldg. B Austin TX 78704 74‐1005756 501c3  9,520 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 Seton Family of Hospitals 5555 North Lamar Blvd, E‐119 Austin TX 78751 74‐1109643 501c3  127,036 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 U.T. Family Wellness Center 1700 Red River Austin TX 78701 74‐6000203 501c3  41,611 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4 WINGS 7500 Highway 90 West #2‐240 San Antonio TX 78227 74‐2920912 501c3  85,762 n/a n/a n/a Breast Cancer Education, Screening, Treatment 4  $                        537,757 55 Baton Rouge General Medical Center 3600 Florida Blvd. Baton Rouge LA 70806 74‐0801335 501c3  19,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Acadiana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN #72‐1436764)

The Arkansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 71‐0724439)

The Aspen Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 84‐1160739)

Austin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854966)

Baton Rouge Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854972)

Page 1 of 29 ATTACHMENT 9

Page 124: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

5 Camphor Memorial United Methodist Church ‐ Sisters Supporting Sisters

PO Box 73389 Baton Rouge LA 70807 20‐5095687  501c3  8,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

5 Cancer Services of Greater Baton Rouge 550 Lobdell Ave Baton Rouge LA 70806 72‐6087770 501c3  32,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5 Lane Regional Medical Center 6300 Main Street Zachary LA 70791 72‐6015227 501c3  25,325 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5 Mary Bird Perkins Cancer Center 4950 Essen Lane Baton Rouge LA 70809 23‐7010520 501c3  55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5 Pointe Coupee Homebound Health Services 350 Hospital Road New Roads LA 70807 41‐2157300 501c3  27,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5 River Region Cancer Screening Center PO Box 73389 Sorrento LA 70809 72‐6087770 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5 Woman's Hospital 9050 Airline Hwy Baton Rouge LA 70815 72‐0652905 501c3  30,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5 YWCA of Greater Baton Rouge 4950 Essen Lane, #611 Baton Rouge LA 70809 72‐0650993 501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 5  $                        262,025 66 Lady of the Sea General Hospital  4608 Hwy. 1 Raceland LA 70394 72‐6012041 501c3  12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6 Leonard J. Chabert Medical Center 1978 Industrial Blvd. Houma LA 70363 72‐0824119 501c3  60,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6 Nicholls State University P.O. Box 2311, NSU Thibodaux LA 70310 72‐6011797 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6 St. Anne General Hospital P. O. Box 440 Raceland LA 70394 20‐5296918 501c3  25,662 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6 St. James Parish Hospital 2430 Louisiana Avenue Lutcher LA 70071 72‐6010747 501c3  10,295 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6 Terrebonne General Medical Center P. O. Box 6037 Houma LA 70361 72‐0880258 501c3  18,480 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6 Thibodaux Regional Medical Center 602 North Acadia Road Thibodaux LA 70301 72‐0763512 501c3  83,756 n/a n/a n/a Breast Cancer Education, Screening, Treatment 6  $                        225,892 77 Adams County Health Center PO Box 428 Council ID 83612 20‐8341138 501c3  9,170 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Family Medicine Residency 777 N. Raymond St. Boise ID 83704 20‐5934739 501c3  5,921 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Glenns Ferry Health Center PO Box 266 Glenns Ferry ID 83623 82‐0372009 501c3  24,212 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Gooding County Memorial Hospital 1120 Montana St Gooding ID 83330 26‐1938641 501c3  5,260 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 La Familia Sana 1441 NE 10th Ave. Payette ID 83661 82‐0371383 501c3  19,080 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 McCall Memorial Hospital 1000 State Street McCall ID 83638 82‐0384205 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Mercy Medical Center 1512 12th Avenue Rd Nampa ID 83686 82‐0200896 501c3  14,033 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Minidoka Memorial Hospital 1224 8th Street Rupert ID 83350 82‐0291854 501c3  24,069 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 North Central District Health Department 215 10th Street Lewiston ID 83501‐1910 82‐0335058 501c3  8,747 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Planned Parenthood of Idaho 1109 Main St., Ste 500 Boise ID 83702 82‐0597551 501c3  15,565 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Saint Alphonsus Cancer Care Center 1055 North Curtis Boise ID 83706 82‐0200895 501c3  12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 South Central District Health Department 1020 Washington Street North Twin Falls ID 83301 82‐0335043 501c3  12,349 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 South Central Public Health District 1020 Washington St. North Twin Falls ID 83301 82‐0335043 501c3  10,755 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Southwest District Health 920 Main St. Caldwell ID 83605 82‐6000952 501c3  24,984 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Alphonsus Breast Care Center 6200 W. Emerald Boise ID 83704 82‐0200895 501c3  39,029 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Alphonsus Cancer Care Center 1055 N. Curtis Road  Boise Boise ID 83706 82‐0200895 501c3  12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Alphonsus Foundation 1055 North Curtis Boise ID 83706 82‐0200895 501c3  24,566 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Luke's Magic Valley Health 650 Addison Avenue W. Twin Falls ID 83303 82‐0342863 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Luke's Mountain States Tumor Institute 100 East Idaho Street Boise ID 83712 56‐2570681 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Luke's Wood River Foundation PO Box 7005 Ketchum ID 83340 23‐7288535 501c3  12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 St. Mary's Hospital PO Box 137  Cottonwood Cottonwood ID 83522 82‐0226453 501c3  12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7 Terry Reilly Health Services 223 16th Ave North, PO Box 9 Nampa ID 83653 82‐0300537 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 7  $                        412,739 88 Cuyuna Medical Center 306 East Main St Crosby MN 56441 41‐0879376 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 8 Lakewood Health Systems 401 Pairie Ave NE Staples MN 56479‐3201 41‐1842965 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 8 Riverwood Foundation 200 Bunker Hill Drive Aitkin MN 56431 43‐1738787 501c3  7,425 n/a n/a n/a Breast Cancer Education, Screening, Treatment 8 St Joseph's Foundation 523 North Third St Bainerd MN 56401 37‐1532145 501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 8  $                          94,425 99 Asian Initiative, ACS  2600 US 1 North Brunswick NJ 08902 13‐1788491 501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 AtlantiCare 2500 English Creed Ave., Bldg. 600 Egg Harbor Twp NJ 08234 21‐0634549 501c3  138,820 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 BCRC 59 Paul Robeson Place Princeton NJ 08540 21‐0635056 501c3  39,099 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 BPSOS 5043 Westfield Avenue Pennsauken NJ 08110 54‐1563619 501c3  24,555 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Camden County Cancer Screening Project 3 Cooper Plaza, Suite 310 Camden NJ 08103 22‐6409235 501c3  57,110 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 CancerCare 141 Dayton Street, Suite 204 Ridgewood NJ 07450 13‐1825919 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 CentraState 916 Route 33, Suite 6 Cherry Hill NJ 08002 22‐2386035 501c3  12,268 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Clark Family Breast Cancer  660 N. Princeton Avenue Toms River NJ 08755 20‐3735151 501c3  11,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Comm Med Center FtF 99 Highway 37 West Toms River NJ 08755 22‐2597592 501c3  46,120 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Cooper Cancer Center 3 Cooper Plaza, Suite 10 Camden NJ 08103 21‐0634462 501c3  37,685 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Fox Chase Virtua 6 East Clementon Road Suite F1 Gibbsboro NJ 08026 22‐3524939 501c3  13,318 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 HiTOPS 21 Wiggins Street Princeton NJ 08540 22‐3486441 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 HRCC 2100 Wescott Drive Flemington NJ 08822 22‐2516895 501c3  12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Jacqueline M. Wilentz Comprehensive Breast Center Monmouth Medical Center SH103, 300 

Second AvenueLong Branch NJ 07740 22‐2456079  501c3  137,350 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

9 JFK 65 James Street Edison NJ 08818 22‐6019101 501c3  42,405 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Monmouth Med Center 300 Second Avenue Long Branch NJ 07740 21‐0723248 501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Planned Parenthood 437 East State Street Trenton NJ 08608 21‐0723248 501c3  48,940 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Puerto Rican Action Committe 114 East Main Street Penns Grove NJ 08069 22‐1970239 501c3  28,035 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Bayou Region Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854976)

Boise, Idaho Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854965)

Brainerd Lakes Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2900552)

Central and South Jersey Affiliate of Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 43‐2052349)

Page 2 of 29 ATTACHMENT 9

Page 125: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

9 RWJ‐UH One Penn Plaza‐Ferren Mall New Brunswick NJ 08901 22‐2378007 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Saint Peter's E/S 254 Easton Avenue New Brunswick NJ 08901 22‐2329197 501c3  23,610 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Saint Peter's Sports 254 Easton Avenue New Brunswick NJ 08901 22‐2329197 501c3  45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Samost Jewish Fmaily and Children's Service of Southern 

New Jersey1301 Springdale Road Cherry Hill NJ 08003 21‐0634489  501c3  30,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

9 Sisters Network 1201Hamilton Street Trenton NJ 08629 20‐1717920 501c3  40,326 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 SOCH 1140 Route 72 West Manahawkin NJ 08050 22‐2680365 501c3  8,685 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Sou Jersey Fam Med Crt.  238 E. Broadway Salem NJ 08079 22‐2159336 501c3  45,535 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 St. Francis 601 Hamilton Ave. Trenton NJ 08629 22‐3431049 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 Tri‐County Community Action Partnership 110 Cohansey Street Bridgeton NJ 08302 22‐1942357 501c3  154,309 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 UMCP 253 Witherspoon Street Princeton NJ 08540 22‐2225911 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 UMDNJ‐Eric B Chandler 277 George Street New Brunswick NJ 08901 23‐7313160 501c3  45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9 WHCC 71 4th Street Somerville NJ 08876 22‐2389503 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 9  $                    1,288,770 1010 Bert Fish Medical Center  401 Palmetto Street New Smyrna Bch FL 32168 59‐3219250 501c3  10,820 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Brevard County Health Department 801 Dixon Blvd. Ste 1147 Rockledge FL 32955 59‐3502843 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Cancer Centers of Brevard 1430 S. Pine St. Melbourne FL 32901 59‐3193042 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Center for Multi Cultural Wellness and 

Prevention1814 West Colonial Drive Orlando FL 32804 59‐3368679  501c3  20,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

10 Florida Hospital Foundation 2520 North Orange Avenue Orlando FL 32804 59‐2219301 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Florida Hospital Waterman Community 2300 Kurt St. Eustis FL 32726 59‐2330166 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Florida Institute Cancer Foundation 70 W. Gore St. Orlando FL 32806 26‐4478613 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Good Samaritan Clinic of West Volusia  312 W. New York Avenue Deland FL 32720 30‐0408193 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Halifax Medical Center 303 N. Clyde Morris Blvd. Daytona Beach FL 32114 59‐2893051 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Health Alliance, Inc. 1210 E Plant Street, Suite 400 Winter Garden FL 34787 59‐3566234 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Hispanic Health Initiatives, Inc. Post Office Box 1925 Casselberry FL 32718 59‐3654481 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Lake County Healh Dept PO Box 1305 Tavares FL 32778 59‐3502843 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Osceola Council on Aging 700 Generation Point Kissimmee FL 34744 59‐1595398 501c3  37,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10 Young Survival Coalition 5826 Windhover Dr. Orlando FL 32819 13‐4057685 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 10  $                        437,820 1111 Central GA Cancer Foundation 1301 Hightower Trail Suite 250 Atlanta GA 30350 58‐1252735 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Central GA Breast Care Center/Medical Center of Central Georgia

777 Hemlock Street, MCS 166 Macon GA 31201 58‐2149128  501c3  30,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

11 First Choice Primary 770 Walnut Street Macon GA 31210 20‐4391090 501c3  54,782 n/a n/a n/a Breast Cancer Education, Screening, Treatment 11 Georgia Cancer Foundation 330 Hospital Drive, Building C, Ste. 120 Macon GA 31217 58‐1252735 501c3  22,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 11 Houston Healthcare 233 North Houston Road Warner Robins GA 31088 07‐6991628 501c3  22,615 n/a n/a n/a Breast Cancer Education, Screening, Treatment 11 Macon Volunteer Clinic  1400 Coleman Avenue Macon GA 31207 74‐3055376 501c3  8,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 11 Meical Center of Central GA ‐ Cancer Well 

Fit Project3797 Northside Drive Macon GA 31210 23‐7363555  501c3  7,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

11  $                        160,897 1212 Amite County Medical Services, Inc. P.O. Box 511; 102 West Freedom Dr Liberty MS 39645 64‐0632268 501c3  27,785 n/a n/a n/a Breast Cancer Education, Screening, Treatment 12 Church of Christ of Ruleville, MS, Inc. 426 N. Delmar Avenue; P.O. Box 464 Ruleville MS 38771 20‐5410623 501c3  18,229 n/a n/a n/a Breast Cancer Education, Screening, Treatment 12 Delta State University Center for Community P.O. Box 3134 Cleveland MS 38733 64‐6026565 501c3  47,708 n/a n/a n/a Breast Cancer Education, Screening, Treatment 12 Hardy Wilson Memorial Hospital P.O. Box 889; 233 Magnolia Street Hazlehurst MS 39083 64‐6001347 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 12 HealthTrust Foundation for Magee General 

Hospital300 Third Avenue Southeast Magee MS 39111 27‐0031018  501c3  56,531 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

12 Unity Health Services 5255 Keel Street, Suite D Jackson MS 39206 36‐4583964 501c3  21,178 n/a n/a n/a Breast Cancer Education, Screening, Treatment 12  $                        191,431 1313 American Cancer Society 10501 Montgomery Blvd NE Albuquerque NM 87111 13‐1788491 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 Angel Flight West ‐ NM Wing 3161 Donald Douglas Loop South Santa Monica CA 90405 86‐1100038 501c3  5,720 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 Anita Salas Memorial Fund 5301 Central NE #800 Albuquerque NM 87108 85‐0311210 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 Cancer Institute Foundation 490‐A @ Zia Rd Santa Fe NM 87505 41‐2079799 501c3  41,809 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 Comadre A Comadre 1909 Lomas NW Albuquerque NM 87104 85‐6000642 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 New Mexico Cancer Center Foundation 4901 Lang Ave NE Albuquerque NM 87109 77‐0591110 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 NM Department of Health Breast and Cervical Cancer 

Center5301 Central Ave. Suite 800 Albuquerque NM 87108 85‐6009968  501c3  50,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

13 People Living Through Cancer 3401 Candelaria Rd NE Suite A Albuquerque NM 87107 85‐0324330 501c3  49,242 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 Presbyterian Healthcare Service 8300 Constitution NE Albuquerque NM 87110 86‐6016041 501c3  49,775 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13 St. Vicent Hospital Foundation 455 St. Michael Drive Santa Fe NM 87505 85‐0282847 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 13  $                        371,546 1414 ARISE 635 James Street Syracuse NY 13203 16‐1186293 501c3  22,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Canton‐Potsdam Hospital 50 Leroy Street Postdam NY 13676 16‐1012691 501c3  26,325 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Carthage Area Hospital 1001 West St. Carthage NY 13619 15‐0622079 501c3  19,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Cayuga County Dept. of Health & Human Services 160 Genesee Street Auburn NY 13021 15‐6000450 501c3  12,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Central New Mexico Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 85‐0462625)

Central New York Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 16‐1389666)

Central Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854957)

Central Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2881536)

Central Mississippi Steel Magnolias Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2875174)

Page 3 of 29 ATTACHMENT 9

Page 126: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

14 Chenango Health Network 24 Conkey Ave. Norwich NY 13815 52‐1987010 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Cortland County Health Department 60 Central Ave Corland NY 130405 15‐6000452 501c3  17,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Faxton St. Luke's Healthcare 1676 Sunset Ave Utica NY 13502 16‐0836556 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Gilda's Clud Rochester/ Cancer Action Inc. 195 W. Houston St. New York NY 10014 16‐0743037 501c3  6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Highland Hospital 1000 South Avenue Rochester NY 14620 16‐0743037 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Lewis County Health Department 7785 N. State Street Lowville NY 13367 15‐6000458 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Livingston County Department of Health 2 Murry Hill Drive Mount Morris NY 14510 16‐840040k 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Newark‐Wayne Community Hospital 1200 Driving Park Ave Newark NY 14513 15‐0584188 501c3  24,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Oneida County Health Department 800 Park Ave Utica NY 13501 15‐6000458 501c3  23,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Onondaga County Health Department 9th Fl,  John H. Mulroy Civic Syracuse NY 13202 15‐6000458 501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Oswego County Opportunities 70 Bunner Street Oswego NY 13126 16‐0979876 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 S2AY Rural Health Network PO Box 97 Corning NY 14830 16‐1023352 501c3  18,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Spanish Action League 700 Oswego Street Syracuse NY 13204 16‐1023352 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 St. Joseph's Hospital Health Center Foundation 7246 Janus Park Drive Liverpool NY 13088 55‐0810542 501c3  21,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 St. Lawrence County Public Health Department Potsdam Campus Postdam NY 13676 16‐1023352 501c3  12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14 Thompson Health 350 Parrish Street Canandaigua NY 14424 22‐2959987 501c3  22,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 14  $                        404,625 1515 Community Health Centers, Inc. PO Box 30589 OKC OK 73140 73‐0930123 501c3  48,030 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 Langston University 302 University Women Bldg. Langston OK 73050 73‐6017987 501c3  22,759 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 Latino Community Development Agency 420 SW 10th OKC OK 73109 73‐1424239 501c3  94,707 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 Mercy Health Center 4300 W. Memorial Road OKC OK 73120 73‐1593024 501c3  45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 Norman Regional Health Foundation P.O. Box 1665 Norman OK 73071 73‐1203942 501c3  35,952 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 Oklahoma City Indian Clinic 715 N. Walker OKC OK 73102 73‐0955756 501c3  118,130 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 University of Oklahoma, College of Nursing 1100 N. Stonewall Avenue OKC OK 73117 73‐6017989 501c3  196,959 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15 University of Oklahoma, Women's Outreach 

Center900 Asp Ave., Room 247 Norman OK 73019‐4052 73‐6017987  501c3  35,607 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

15 Urban League of Greater Oklahoma 3900 N. Martin Luther King OKC OK 73111 73‐0590037 501c3  35,597 n/a n/a n/a Breast Cancer Education, Screening, Treatment 15  $                        632,741 1616 Killeen Free Clinic 309 North 2nd Street Killeen TX 76541 74‐2724725 501c3  24,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Providence Healthcare Network 6901 Medical Parkway Waco TX 76712 74‐2683112 501c3  33,775 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Hillcrest Baptist Medical Center 3000 Herring Dr. Waco TX 76708 74‐1161944 501c3  12,888 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 American Cancer Society 1311 North New Road Waco TX 76710 13‐1788491 501c3  18,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Scott & White 2401 S. 31st Street Temple TX 76508 74‐1166904 501c3  18,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Temple Community Free Clinic 1905 Curtis B. Elliott Drive Temple TX 76503 74‐2634500 501c3  18,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Hillcrest P.O. Box 20397 Waco TX 76702‐0397 74‐1161944 501c3  26,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Planned Parenthood of Central Texas P.O. Box 1518 Waco TX 76703 74‐1143143 501c3  38,625 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16 Community Cancer Association P.O. Box 5002 Waco TX 76708 74‐6061914 501c3  42,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 16  $                        232,038 1717 Association for Community Enhancement 5960 W Fir Ave Fresno CA 93722 56‐2550323 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

California Health Collaborative 1625 E. Shaw Ave., Suite 155 Fresno CA 93710 94‐2862660 501c3  7,058 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Central California Legal Services, Inc. 1401 Fulton Street 7th Floor Fresno CA 93721 94‐1631809 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Centro La Familia 2014 Tulare Street  Ste 711 Fresno CA 93721 77‐0310310 501c3  46,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Community Medical Foundation ‐ Lymphedema Clinic 1925 E Dakota  Ste 120A Fresno CA 93701 77‐0191730 501c3  19,492 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Deaf and Hard of Hearing Services 5340 N Fresno St Fresno CA 93710 77‐0003788 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Fourwinds Lodge Recovery Center 2014 Tulare Street  Ste 717 Fresno CA 93721 20‐2901223 501c3  45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Hinds Hospice 1616 W. Shaw Ave. Ste B6 Fresno CA 93711 77‐0071360 501c3  44,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Islamic Cultural Center 2111 E Nees Fresno CA 93720 91‐2155316 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Khmer Society of Fresno 4729 E. Kings Canyon #114 Fresno CA 93702 77‐0406491 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 Valley Public Televison, Inc. 1544 Van Ness Ave Fresno CA 93721 77‐0162617 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17 West Fresno Health Care Coalition 1135 Fresno Street Ste 205 Fresno CA 93706 77‐0577093 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 17  $                        292,050 1818 Aspirus Health Foundation 425 Pine Ridge Blvd Wausau WI 54401 39‐1609532 501c3  97,615 n/a n/a n/a Breast Cancer Education, Screening, Treatment 18 Marshfield Clinic Research Foundation 1000 North Oak St Marshfield WI 54449 39‐0452970 501c3  12,522 n/a n/a n/a Breast Cancer Education, Screening, Treatment 18 Wood County Health Department 401 5th Street Wausau WI 54403 39‐1740383 501c3  9,580 n/a n/a n/a Breast Cancer Education, Screening, Treatment 18  $                        119,717 1919 Boat People, SOS 4520 N. Tryon Road, Unit 8 Charlotte NC 28213 54‐1563619 501c3  10,529 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Cabarrus Health Alliance 1307 S. Cannon Blvd. Kannapolis NC 28083 56‐2016594 501c3  63,097 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Cancer Services at Gaston County, Inc. 246 East Garrison Blvd Gastonia NC 28054 56‐1164253 501c3  91,142 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Carolinas Rehab (Charlotte Institute of Rehab)  1100 Blythe Blvd Charlotte NC 28203 56‐1398930 501c3  33,086 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Caromont Cancer Center @ Gaston Memorial Hospital 2525 Court Drive Gastonia NC 28054 58‐1636959 501c3  122,363 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Catawba Care Coalition 1151 Camden Ave Rock Hill SC 29732 57‐1092940 501c3  5,716 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Catawba Indian Nation P.O. Box 436 Catawba SC 29704 34‐2061903 501c3  5,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Charlotte Community Health Clinic 3040A Eastway Drive Charlotte NC 28205 56‐2274174 501c3  64,104 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Chestnut Grove Community Center c/o 105 Stone House Drive Statesville NC 28625 58‐1481755 501c3  7,050 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Central Oklahoma Chapter of the Susan G. Komen Foundation, Inc. (EIN # 73‐1372249)

Central Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 74‐2906528)

Central Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854970)

Central Wisconsin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 56‐2613151)

Charlotte Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854959)

Page 4 of 29 ATTACHMENT 9

Page 127: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

19 CW Williams (Metrolina Comp. Health Center) PO Box 668093 Charlotte NC 28266 56‐1262478 501c3  24,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Girl Scouts, Hornets' Nest Council 7007 Idlewild Road Charlotte NC 28212 56‐0563842 501c3  21,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Hospice & Palliative Care Charlotte Region 1420 E. 7th Street Charlotte NC 28204 56‐1219017 501c3  100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Lake Norman Free Clinic 14230 Hunters Road Huntersville NC 28078 04‐3723062 501c3  8,454 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Presbyterian Cancer Ctr.  200 Hawthorne Ln Charlotte NC 28204 58‐1413074 501c3  135,440 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Presbyterian Cancer Ctr. Buddy Kemp 242 S. Colonial Ave. Charlotte NC 28207 58‐1413074 501c3  31,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Rowan County Health Dept. 1811 East Innes Street Salisbury NC 28146 56‐6000336 501c3  18,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Rowan Regional Medical Center 514 Corporate Circle Salisbury NC 28144 56‐1424818 501c3  10,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Sisters Network‐Piedmont Chapter 4913 Duncan Lane Gastonia NC 28056 56‐2097708  501c3  27,860 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Stanly Regional Medical Center PO Box 1489 Albemarle NC 28002 56‐0556760 501c3  96,021 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Union County Health Dept. 1224 W. Roosevelt Blvd Monroe NC 28110 56‐6000345 501c3  47,968 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 Mecklenburg County Health Department 2845 Beatties Ford Rd. Charlotte NC 28216 56‐6000319 501c3  137,945 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19 CMC ‐ NorthEast Medical Center 920 Church Street North Concord NC 28025 20‐8776473 501c3  164,202 n/a n/a n/a Breast Cancer Education, Screening, Treatment 19  $                    1,226,277 2020 American Cancer Society 6621 Shallowford Road, Suite 102 Chattanooga TN 367421 13‐1788491 501c3  9,575 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 Breast Cancer Network of Strength  1400 McCallie Avenue Suite 205 Chattanooga TN 37404 36‐3049954 501c3  51,771 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 Erlanger Health System 975 East 3rd Street Chattanooga TN 37403 62‐6000101 501c3  18,910 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 Memorial Health Care System 2525 deSales Avenue Chattanooga TN 37404 62‐1839548 501c3  37,935 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 Memorial Health Care System Foundation 2525 deSales Avenue Chattanooga TN 37404 62‐1839548 501c3  46,866 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 North Georgia Healthcare Center 6120 Alabama Highway Ringgold GA 30736 58‐2573259 501c3  16,775 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 North Georgia Healthcare Center P.O. Box 949 Ringgold GA 30736 58‐2573259 501c3  16,804 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 Northwest Georgia Healthcare Partnership P. O. Box 182 Dalton GA 30422‐0182 58‐2043430 501c3  35,850 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 Primary Health Care Center of Dade Co. 13570 North Main Street Trenton GA 30752 58‐1410404 501c3  24,239 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20 TN Department of Health Breast & Cervical Screening Program 426 5th Ave. North Nashville TN 37203 62‐6001445 501c3  39,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 20  $                        298,225 2121 Access Community Health Network 1501 South California Ave Chicago IL 60608 36‐3317058 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Breast Cancer Network of Strength Illinois 300 West Adams, Suite 430 Chicago IL 60606 36‐4405341 501c3  74,371 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 BRIGHT PINK PO Box 10915 Chicago IL 60654 51‐0619889 501c3  20,595 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 DuPage County Health Department 111 N. County Farm Rd Wheaton IL 60187 36‐6006553 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Erie Family Health Center 1701 W. Superior St Chicago IL 60622 36‐3088628 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Family Health Partnership Clinic 13707 W. Jackson Woodstock IL 60098 36‐4277029 501c3  51,997 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Hekton Institute of Medicine applying for Stroger Hospital 1900 W. Polk St., 9th Fl, Ste 910 Chicago IL 60612 36‐2244897  501c3  37,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

21 Korean American Community Services 4300 N. California Avenue Chicago IL 60618 36‐2746468 501c3  32,205 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Metro South Hospital's Women's Health Program 2100 W. Harrison Street Chicago IL 60612 36‐3761674 501c3  37,030 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Provena Saint Joseph Hospital 77 North Airlie Street McHenry IL 60123 36‐4044793 501c3  6,507 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Saint Anthony Hospital 2875 W. 19th St. Chicago IL 60623 51‐0217097 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Saint Francis Hospital 355 Ridge Avenue Evanston IL 60202 36‐2167800 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Saints Mary and Elizabeth Medical Center 2233 Division Street Chicago IL 60622 36‐3090148 501c3  75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Sinai Community Institute 2653 W. Ogden Chicago IL 60608 36‐3166895 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Sisters Working It Out, NFP 4119 S. Berkeley Chicago IL 60653 26‐2862273 501c3  37,393 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 Westside Health Authority 4800 W. Chicago Chicago IL 60651 36‐3789879 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21 YWCA Lake County 2133 Belvdere Road Waukegan IL 60085 36‐2222699 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 21  $                        635,097 2222 Cancer Patient Care 1507 E. Sprague Spokane WA 99202 91‐6055019 501c3  6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 22 Panhandle Health District #1 1000 W. Hubbard St. #150 Coeur d'Alene ID 83814 82‐0537262 501c3  103,464 n/a n/a n/a Breast Cancer Education, Screening, Treatment 22 Panhandle Health District #1 ‐ Jim Fenton ‐ 

Fiscal Services1195 Ironwood  Coeur d'Alene ID 83814 82‐0537262  501c3  11,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

22  $                        120,464 2323 Asian Pacific Development Cntr. 6055 Lehman Drive #103 Colorado Springs CO 80918 84‐0830318 501c3  69,967 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Memorial Health System Foundation 1519 Boulder Street Colorado Springs CO 80909 84‐1576338 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Orchard Of Hope 111 Orchard Canon City CO 80921 84‐1585838 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Peak Vista Community Health 340 Printers Parkway Colorado Springs CO 80910 84‐0617567 501c3  66,151 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Project Angel Hear 4190 Garfield St #5 Denver CO 80216 84‐1199481 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Pueblo Communtiy Health Center 310 Colorado Avenue Pueblo CO 81004 84‐0921521 501c3  60,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Raymond Wentz Foudnation PO Box 9039 Denver CO 80209 27‐0029283 501c3  25,131 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Rocky Mountain Cancer Center 1161 S Vivian Street Lakewood CO 80228 84‐1487121 501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Sense of Security 8774 Yates Drive #330 Westminster CO 80031 84‐1539558 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 St. Mary's‐Corwin Health Foundation 1008 Minnequa Avenue Pueblo CO 81004 84‐0902211 501c3  40,940 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23 Teller County Public Health P. O. Box 80814 Divide CO 80814 84‐6000809 501c3  27,442 n/a n/a n/a Breast Cancer Education, Screening, Treatment 23  $                        445,231 2424 Adena Health System 272 Hospital Road Chillicothe OH 45601 31‐4379443 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 African American Cancer Support Group, Inc. 2441 Natchez Drive Columbus OH 43209 31‐1598371 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 American Cancer Society 870 Michigan Avenue Columbus OH 43215 34‐0726080 501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Chattanooga Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2875175)

The Chicagoland Area Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 36‐4111723)

Coeur d'Alene Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2875176)

Colorado Springs Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844654)

Columbus Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844651)

Page 5 of 29 ATTACHMENT 9

Page 128: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

24 Asian American Services 4100 North High Street Third Floor Columbus OH 43214 31‐0898833 501c3  37,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Berger Health Foundation 1280 North Court Street Circleville OH 43113 33‐1031454 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 City of Refuge Point of Impact 3480 Refugee Road Columbus OH 43232 31‐1423781 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Columbus Cancer Clinic A Program of LifeCare Alliance 65 Ceramic Drive Columbus OH 43214 31‐4379494 501c3  61,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Genesis HealthCare System 800 Forest Avenue Zanesville OH 43701 31‐1480941 501c3  51,195 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Grady Memorial Hospital 561 West Central Avenue Delaware OH 43015 31‐4379436 501c3  67,615 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Holzer Medical Center 100 Jackson Pike Gallipolis OH 45631 31‐0927482 501c3  41,206 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 King's Daughters Medical Center Community Services 2201 Lexington Avenue Ashland KY 41101 61‐0503715 501c3  14,998 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Knox Community Hospital 1330 Coshocton Avenue Mount Vernon OH 43050 31‐0929576 501c3  32,238 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Madison County Health Partners, Inc. 210 N. Main Street P.O. Box 651 London OH 43140 20‐2375865 501c3  41,158 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Megis County Cancer Initiative, Inc. (MCCI) P.O. Box 85 Pomeroy OH 45769 31‐1712900 501c3  41,768 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Memorial Hospital of Union County 500 London Avenue Marysville OH 43040 31‐6402480 501c3  45,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Mount Carmel Health System Foundation 6150 East Broad Street Columbus OH 43213 31‐1113966 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Mount Carmel Hospital St. Ann's 477 Cooper Road Suite 100 Westerville OH 43081 31‐1113966 501c3  12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Mount Carmel Hospital Women's Health Center 5965 East Broad Street Columbus OH 43213 31‐1113966 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Mount Carmel West Women's Health Center 750 Mount Carmel Mall Suite 160 Columbus OH 43222 31‐1113966 501c3  20,989 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Ohio University 057 Grosvenor Hall Athens OH 45701 31‐6402113 501c3  57,614 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 OhioHealth Foundation 180 East Broad Street 31st Floor Columbus OH 43215 23‐7446919 501c3  76,177 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 OhioHealth Research Institute 3545 Olentangy River Road Suite 328 Columbus OH 43214 31‐6059784 501c3  55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 OSU/ James Cancer Hospital & Solove Research Institute; 

Comprehensive Breast Health Center4019 W. DublinGranville Road  Dublin OH 43017 31‐1322863  501c3  32,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

24 Public Health Partnership of Licking County, Inc. & Licking County Health Department

675 Price Road  Newark OH 43055 30‐0332439  501c3  35,200 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

24 Ross County Health District 475 Western Avenue Suite A Chillicothe OH 45601 31‐6400085 501c3  65,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Selby General Hospital 1106 Colegate Drive Marietta OH 45750 31‐4413259 501c3  28,124 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Shawnee State University 940 2nd Street Portsmouth OH 45662 31‐1115810 501c3  16,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Southern Ohio Medical Center 1121 Kinney's Lane Portsmouth OH 45662 31‐0678022 501c3  58,711 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 The Ohio State University Research Foundation 1835 Neil Avenue 149 Psychology Building  Columbus OH 43210 38‐1746722  501c3  12,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

24 US Together 2021 E. DublinGranville Rd., Suite 190 Columbus OH 43229 83‐0395108 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Vinton County Health Department 31927 SR 93 McArthur OH 45651 31‐6400088 501c3  55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Wellness Community of Greater Columbus 10330 N. Sawmill Parkway, Suite 600 Powell OH 43065 20‐1388385 501c3  15,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24 Young Survival Coalition, Central Ohio P.O. Box 9630 Columbus OH 43209 13‐4057685 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 24  $                    1,198,042 2525 Cancer Care of Connecticut 120 East Ave Norwalk CT 06851 13‐1825919 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Charlotte Hungerford Hospital 540 Litchfield Street / PO Box 988 Torrington CT 06790 06‐0646678 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Eastern Connecticut Health Network 2800 Tamarack Ave, Suite 001 South Windsor CT 06074 06‐0653151 501c3  18,715 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Fair Haven Community Health Center 374 Grand Avenue New Haven CT 06513 06‐0883545 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Griffin Hospital's Rapid Diagnostic Breast Center 130 Division St Derby CT 06418 06‐0647014 501c3  24,365 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Hartford Hospital 80 Seymour Street / PO Box 5037 Hartford CT 06102 06‐0646668 501c3  19,137 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Hospital of Central Connecticut 100 Grand St New Britain CT 06050 06‐0646768 501c3  24,173 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Hospital of Saint Raphael 1450 Chapel St New Haven CT 06511 06‐0653171 501c3  24,984 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Ledge Light Health District 943 North Road Groton CT 06340 06‐1360311 501c3  24,985 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Midstate Medical Center 435 Lewis Ave Meriden CT 06451 06‐0646715 501c3  16,888 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 New Milford Hospital Foundation 28  Elm Street New Milford CT 06776 22‐2515011 501c3  17,628 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Norma F. Pfriem Breast Care Center 111 Beach Road Fairfield CT 06824 06‐0567752 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Oak Hill 120 Holcomb St Hartford CT 06112 06‐0669111 501c3  19,807 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Planned Parenthood of Connecticut 345 Whitney Ave New Haven CT 06511 06‐0263565 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Saint Francis Hospital & Medical Center 114 Woodland St Hartford CT 06105 06‐0646813 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Saint Mary's Hospital Inc Croft Building, 3rd Floor Pavilion / 95 Scovill 

StreetWaterbury CT 06706 06‐0646844  501c3  23,979 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

25 Saint Vincent's Medical Center 2800 Main St Bridgeport CT 06606 06‐0646886 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Stamford Hospital 30 Shelburne Rd, PO Box 9317 Stamford CT 06904 06‐0646917 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25 Yale New Haven Hospital 20 York Street, FMB‐31 New Haven CT 06504 06‐0646652 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 25  $                        404,660 2626 American Cancer Society 8900 Carpenter Freeway Dallas TX 75247 13‐1788491 501c3  90,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Bridge Breast Network 3600 Gaston Avenue, #401 Dallas TX 75246 75‐2436606 501c3  290,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Bridge of Blessings 89 Arapaho Village    Suite 24‐B  270 Richardson TX 75080 20‐1369690 501c3  136,341 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Easter Seals of Greater Dallas 4443 North Josey Land  Suite 100 Carrollton TX 75010 75‐0827419 501c3  96,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Gilda's Club North Texas One Works of Grace Plaza, 2710 Oak Lawn Dallas TX 75219 75‐2633654  501c3  40,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

26 Methodist Health System 1441 North Beckley Avenue Dallas TX 75203 75‐1548343 501c3  290,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Parkland Health and Hospital System 2777 Stemmons Freeway, Ste. 1700 Dallas TX 75207 75‐2089180 501c3  150,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Planned Parenthood of North Texas 7424 Greenville Ave #206 Dallas TX 75231 52‐1243220 501c3  68,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Richardson Regional Medical Center 403 W. Campbell Road, Ste. 205 Richardson TX 75080 75‐1788520 501c3  115,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 Small Pearls of Hope 10027 Glen Canyon Dr Dallas TX 75243 26‐2440828 501c3  19,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 UT Southwestern Center for Breast Care  5323 Harry Hines Blvd Dallas TX 75390 75‐3175630 501c3  21,739 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Connecticut Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2844629)

Dallas County Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2444724)

Page 6 of 29 ATTACHMENT 9

Page 129: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

26 UTSW Mobile 2201 Inwood Rd Dallas TX 75390 75‐3175630 501c3  153,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26 YWCA of Metropolitan Dallas 4621 Ross Avenue Dallas TX 75204 75‐0800699 501c3  329,670 n/a n/a n/a Breast Cancer Education, Screening, Treatment 26  $                    1,800,000 2727 American Cancer Society ‐ Great West Division 6857 Paiute Ave Niwot CO 80503 84‐1316555  501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Boulder Community Hospital PO Box 9019 Boulder CO 80301 84‐0175870  501c3  120,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Boulder Valley Women's Health Center 2855 Valmont Rd Boulder CO 80301 84‐0645786  501c3  52,400 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Center for African American Health 3601 Martin Luther King Blvd. Denver CO 80205 84‐1477546  501c3  65,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Colorado Asian Health Education and Promotion 12561 Shawna Drive Denver CO 80224 02‐0732220  501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Colorado Cancer Coalition (dba Day of Caring) 4300 Cherry Creek Drive South, A5‐CCP Denver CO 80246 84‐1267213  501c3  30,756 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Colorado Coalition for the Homeless 2111 Champa Street Denver CO 80205 84‐0951575  501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Colorado Community Health Network 600 Grant Street #800 Denver CO 80203 84‐0910590  501c3  337,995 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Denver Health Foundation 777 Bannock St. Denver CO 80204 84‐1085196  501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Denver Hospice 501 S. Cherry St. Ste 700 Denver CO 80246 84‐0743121  501c3  18,673 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Inner City Health Center 3405 Downing Street Denver CO 80205 74‐2426085  501c3  55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 McKee Medical Center Foundation PO Box 830 Loveland CO 80539 74‐2182919  501c3  66,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Mount Evans Hospice 3081 Bergen Peak Drive Evergreen CO 80439 84‐0831843  501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Native American Cancer Research 363 S. Harlan Rd., #103 Lakewood CO 80227 31‐1674625  501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Planned Parenthood of the Rockies 7155 E. 38th Ave Denver CO 80207 84‐0404253  501c3  35,970 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Poudre Valley Health System ‐ CRAFT 1024 S. Lemay Ave Ft Collins CO 80524 74‐1894581  501c3  129,280 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Project Angel Heart 4190 Garfield St, #5 Denver CO 80216 84‐1199481  501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Raymond Wentz Foundation 7780 S. Broadway Denver CO 80122 27‐0029283  501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Rocky Mountain Rural Health PO Box 1600, 525 Hathaway Fairplay CO 80440 84‐1106335  501c3  23,957 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Rocky Mtn. Cancer Center Fdn. 1161 S. Vivian Street Lakewood CO 80228 84‐1487121  501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Sense of Security 8774 Yates Drive, Suite 330 Westminster CO 80031 84‐1539558  501c3  42,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Sisters of Color 2895 W. 8th Ave. Denver CO 80204 31‐1554794  501c3  46,827 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 St. Anthony Health Fdn 4231 W. 16th Ave. Denver CO 80204 84‐0902211  501c3  90,204 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 St. Joseph's Hospital ‐ Fdn 1835 Franklin Denver CO 80218 84‐0417134  501c3  724,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Summit Cancer Solutions Inc. 360 Peak One Drive, Suite 100 Frisco CO 80443 03‐0390533  501c3  15,450 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Summit Community Care Clinic 360 Peak One Drive, Suite 100 Frisco CO 80443 20‐1139635  501c3  59,725 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 The Other Side Arts 1644 Platte St.  Denver CO 80202 84‐1612923  501c3  7,975 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Tri‐County Health Department 7000 E. Belleview Ave. #301 Greenwood Village CO 80111 84‐6002591  501c3  143,530 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Univ. of Colorado Cancer Center Fitzsimmons Bldg 500  Aurora CO 80045 84‐6000555  501c3  44,582 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27 Women's Resource Center 424 Pine Street, #201 Ft Collins CO 80524 84‐0732631  501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 27  $                    2,540,324 2828 Black Hawk County Health Dept ‐ Eileen R. Daley 1407 Independence Ave 5th Floor Waterloo IA 50703‐4300 42‐6005328  501c3  70,067 n/a n/a n/a Breast Cancer Education, Screening, Treatment 28 Calhoun Area Breast Cancer Screening Project ‐ Lana 

Sorenson501 Court St. Rockwell City IA 50579‐1417  42‐6005168   501c3  27,306 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

28 Cerro Gordo County Dept of Public Health ‐ Tammy Bryant 22 N. Georgia Ave. Suite 300 Mason City IA 50401‐3435  42‐1351175   501c3  19,215 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

28 Iowa Department of Public Health ‐ Jill Myers Geadelmann 321 East 12th Street Des Moines IA 50319‐0075  42‐6004523   501c3  257,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

28 Jennie Edmundson Hospital 933 East Pierce Street Council Bluffs IA 51503‐4652 42‐0680355  501c3  25,994 n/a n/a n/a Breast Cancer Education, Screening, Treatment 28 John Stoddard Cancer Center ‐ Kathryn Hunnicutt 1221 Pleasant Street Suite 450 Des Moines IA 50309‐1406 42‐1435199  501c3  28,574 n/a n/a n/a Breast Cancer Education, Screening, Treatment 28 Polk County Health Dept ‐ Scott Slater 1907 Carpenter Ave Des Moines IA 50314‐1310 42‐1063074  501c3  250,739 n/a n/a n/a Breast Cancer Education, Screening, Treatment 28 St. Luke's Health Care Foundation ‐ Cynthia J 

Fiester1026 A Avenue NE Cedar Rapids IA 52406‐3026  42‐1106819   501c3  66,105 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

28  $                        745,000 2929 Cancer Patient Care 1507 E. Sprague Spokane WA 99202 91‐6055019  501c3  55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Community Health Association of Spokane 3919 N. Maple St. Spokane WA 99205 91‐1641797  501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Kadlec Advanced Breast Care Center 945 Goethals Suite 100 Richland WA 99352 91‐1266346  501c3  6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Lincoln Hospital District 3, Lincoln County Health District, 

Odessa Hospital10 Nicholls Street Davenport WA 99122  94‐3084551   501c3  24,255 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

29 Lourdes Health Network 520 N. 4th Ave. Pasco WA 99301 31‐0757800  501c3  22,620 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 NATIVE Project Health Clinic of Spokane 1803 W. Maxwell Spokane WA 99201 91‐1462366  501c3  14,987 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Newport Community Hospital 714 West Pine Newport WA 99156 91‐0541383  501c3  37,317 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Planned Parenthood of Inland NW 123 E. Indiana Suite 100 Spokane WA 99207 91‐0885036  501c3  10,038 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Rockwood Clinic Medical Foundation 400 E. 5th Ave. Spokane WA 99220 91‐6052289  501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Spokane Tribe of Indians 6207 Agency Square Wellpinit WA 99040 91‐2056120  501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Washington State Department of Health 111 Israel Road S.E. Turnwater WA 98501 91‐1444603  501c3  80,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29 Whitman County Health Department N. 310 Main Colfax WA 99111 91‐6001384  501c3  9,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 29  $                        349,217 3030 Cancer & Chronic Disease Consortium 6024 Gateway Ste. 2A El Paso TX 79905 74‐2686131  501c3  93,291 n/a n/a n/a Breast Cancer Education, Screening, Treatment 30 El Paso Baptist Clinic 8308 Echo Street El Paso TX 79904 20‐3046801  501c3  40,150 n/a n/a n/a Breast Cancer Education, Screening, Treatment 30 La Clinica Guadalupana 901 S. Asencion St. El Paso TX 79901 74‐2718315  501c3  26,760 n/a n/a n/a Breast Cancer Education, Screening, Treatment 30 LULAC 310 N. Mesa, Suite 250 El Paso TX 79901 74‐1861796  501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

The Denver Metropolitan Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 84‐1199858)

The Des Moines Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 42‐1438018)

Eastern Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 81‐0578449)

El Paso Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 74‐2723408)

Page 7 of 29 ATTACHMENT 9

Page 130: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

30 University Breast Care Center 4800 Alberta Ave El Paso TX 79905 75‐2668014  501c3  102,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 30  $                        282,201 3131 Allies for Life ‐ The Wellness Community 3900 Clark Road Suite P‐3 Sarasota FL 34233 65‐0495067  501c3  50,935 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Breast Cancer Education & Screening Project ‐ Be Smart 7810 S. Tamiami Trail Bldg A141 Venice FL 34293 59‐3502843  501c3  25,032 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Breast Health ‐ Uninsured Women ‐ Moffit Cancer 4117 E Fowler Tampa FL 33617 59‐3238636  501c3  67,388 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Breast Health Navigator 9600 Koger Blvd. Suite 221 St. Petersburg FL 33702 59‐2267545  501c3  82,357 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Breast Health Nurse Navigator 1700 S Tamiami Trail Sarasota FL 34239 59‐6012500   501c3  43,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Farmworker Women Breast Health 37240 Lock St Dade City FL 33523 59‐2382744  501c3  55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Good Samaritan 5334 Aspen St New Port Richey FL 34652 59‐3072334  501c3  27,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Healthy Women Today Screening 5640 Main St. Suite 300 New Port Richey FL 34652‐2634 59‐3502843  501c3  134,596 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Mammography Voucher  Program ‐ Manatee 410 6th Avenue East Bradenton FL 34208 59‐3502843  501c3  130,172 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Mammography Voucher  Program ‐ Pinellas 205 Dr MLK St St. Petersburg FL 33701 59‐2374556  501c3  195,534 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Newtown  Breast Cancer Awareness 2201 Cantu Court Suite 117 Sarasota FL 34232 59‐3342312  501c3  25,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Next Steps ‐ Watson Clinic 100 S Kentucky Ave.m Suite 255 Lakelend FL 33801 59‐1100876  501c3  17,420 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Project Support ‐ We Care of Polk County 5110 South Florida Ave. #111 Lakelend FL 34239 59‐3529279  501c3  20,476 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Project T.O.U.C.H. 3030 W Dr Martin MLK Jr Blvd Tampa FL 33607 59‐1100828  501c3  90,193 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Promoting Breast Health among Hatian Women ‐ Moffit 

Cancer12902 Magnolia Drive FOW‐LCS Tampa FL 33612‐9497  59‐3238636   501c3  30,514 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

31 Screening Underserverd Minority Women 1700 S Tamiami Trail Sarasota FL 34239 59‐6012500   501c3  132,698 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Tampa General Hospital P.O. Box 1289 Tampa FL 33601 23‐7354477  501c3  9,707 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Think Pink ‐ We Care of Polk County 5110 S Florida Ave. #111 Lakelend FL 34329 59‐3529279  501c3  151,823 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Treatment Support for Breast Cancer Survivors Manatee 

County Health De410‐6th Avenue East Bradenton FL 34208  59‐3502843   501c3  39,536 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

31 Treatment Support Project 9455 Koger Blvd. Suite 104 St. Petersburg FL 33702 59‐2267545  501c3  7,777 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31 Witness Project ‐ Moffit Cancer Center 12902 Magnolia Drive FOW‐LCS Tampa FL 33612‐9497 59‐3238636  501c3  44,341 n/a n/a n/a Breast Cancer Education, Screening, Treatment 31  $                    1,382,899 3232 Catherine's Care Center 224 Carrier NE Grand Rapids MI 49505 20‐3572418  501c3  42,008 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Cherry Street Health Services 540 Cherry St SE Grand Rapids MI 49503 38‐2853534  501c3  38,692 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 City on a Hill Ministries Health Clinic 100 S Pine St. Ste 140 Zeeland MI 49464 20‐3901260  501c3  34,830 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Gilda's Club Grand Rapids 1806 Bridge Street NW Grand Rapids MI 49504 38‐3367525  501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Hackley Community Care Center 2700 Baker Street 3rd Floor Muskegon Hts MI 49444 38‐3014011  501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Metro Health Hospital 5900 Byron Center Avenue SW Wyoming MI 49519 38‐2745509  501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Montcalm County Breast Health 1307 E. Townsend Road St. Johns MI 48879 38‐1808049  501c3  37,838 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Muskegon Family Care 2201 S Getty St Muskegon Hts MI 49444 38‐3324611  501c3  41,192 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 Spectrum Health   100 Michigan NE, MC 207 Grand Rapids MI 49503 38‐1360529  501c3  132,067 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32 The Lacks Cancer Center at St. Mary's 250 Cherry St SE Grand Rapids MI 49503 38‐2113393  501c3  62,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 32  $                        489,127 3333 Amarillo Area Breast Health Coalition ‐ Wise Woman 

Project3015 S. Polk Amarillo TX 79101  32‐0170235   501c3  10,860 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

33 Harrington Cancer Center 1500 Wallace Blvd Amarillo TX 79106 75‐1578415  501c3  160,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 33 KACV‐TV Breast / Health Education Television Campaign P.O. Box 447 Amarillo TX 79178  75‐6029084   501c3  10,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

33 Texas AgriLife Extension Service ‐ Breast Health in Rural Panhandle

6500 Amarillo Blvd Amarillo TX 79106  75‐2237259   501c3  14,671 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

33  $                        195,531 3434 Center for Pan Asian Community Services, Inc. 3760 Park Avenue Doraville GA 30340 58‐1437980  501c3  29,917 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Clayton County Board of Health 1117 Battlecreek Road Jonesboro GA 30236 58‐1108112  501c3  74,998 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Cobb Public Health 1650 County Services Parkway Marietta GA 30008 58‐1517015  501c3  150,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Dekalb Medical Foundation 2675 N. Decatur Road Suite 610 Decatur GA 30033 53‐1924605  501c3  150,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 East Metro Health District (Gwinnett, Rockdale, Newton 

Co)2570 Riverside Parkway PO Box 897 Lawrenceville GA 30045  58‐2117721   501c3  150,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

34 Emory University 1599 Clifton Road NE 4th Flr. Atlanta GA 30322 58‐0566256  501c3  70,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Family Health Enterprise 1350 Boulevard SE Atlanta GA 30315 58‐2155835  501c3  199,436 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Genetics Department, Piedmont Hospital 1800 Howell Mill Road Suite 825 Atlanta GA 30318 58‐2322328  501c3  75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Georgia Cancer Center for Excellence at Grady Health 

System80 Jesse Hill Jr. Drive SE Atlanta GA 30303  58‐2130437   501c3  149,624 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

34 Georgia Cancer Foundation 1301 Hightower Trail Suite 250 Atlanta GA 30350 58‐1252735  501c3  85,509 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Georgia Department of Human Resources  2 Peachtree Street Rm 16453 Atlanta GA 30303 58‐1130678  501c3  73,493 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Georgia State University Research Foundation Office of Sponsored Programs P.O. Box 3999 Atlanta GA 30302  58‐1845423   501c3  50,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

34 Northside Hospital 1000 Johnson Ferry Road. NE Atlanta GA 30342 58‐1653541  501c3  49,682 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Piedmont Fayette Hospital, Piedmont Hospital 95 Collier Road Suite 2075 Atlanta GA 30309 58‐0566213  501c3  225,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Saint Joseph's Mercy Care Services, Inc 424 Decatur Street SE Atlanta GA 30312 58‐1752700   501c3  101,498 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Southern Regional Medical Center: Women's Center at 

Spivey Station7823 Spivey Station Blvd Suite 250 Jonesboro GA 30236  58‐1983516   501c3  104,423 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

34 The Good Samaritan Health Center, Inc. 1015 Hollowell Parkway Atlanta GA 30318 58‐2373395  501c3  117,390 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Florida Suncoast Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2870702)

Grand Rapids Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844631)

Greater Amarillo Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 72‐1562627)

The Greater Atlanta Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 58‐1959763)

Page 8 of 29 ATTACHMENT 9

Page 131: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

34 The Wellness CommunityAtlanta Northside 5775 Peachtree Dunwoody Road Suite C225 Atlanta GA 30342  58‐2142151   501c3  21,511 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

34 TurningPoint Women's Healthcare 11180 State Bridge Road Suite 503 Alpharettea GA 30022 56‐2318721  501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 West End Medical Centers, Inc 868 York Ave. S.W. Atlanta GA 30310 58‐1233448  501c3  200,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34 Young Survival Coalition of Greater Metro 

Atlanta5825 Glenridge Dr. Building 3 Suite 101E Atlanta GA 30328  13‐4057685   501c3  39,610 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

34 YWCA of Greater Atlanta  957 North Highland Avenue NE Atlanta GA 30306 58‐0593442  501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 34  $                    2,217,090 3535 Cancer Family Care, Inc. 2421 Auburn Ave Cincinnati OH 45219 31‐0805286  501c3  54,926 n/a n/a n/a Breast Cancer Education, Screening, Treatment 35 Cincinnati Children's Hospital ‐ Hereditary Cancer Family 

Education3333 Burnet Avenue ML 4006  Cincinnati OH 45229  31‐1327089   501c3  47,045 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

35 Jewish Hospital 3200 Burnet Avenue Cincinnati OH 45229 31‐1050609  501c3  13,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 35 Lamar Companies PO Box 96030 Baton Rouge LA 70896 72‐1309005  501c3  7,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 35 Mercy Hospital 7500 State Road Cincinnati OH 45255 31‐0537085  501c3  69,805 n/a n/a n/a Breast Cancer Education, Screening, Treatment 35 Premier Community Health ‐ My Sister's Keeper ‐ African 

Am. Education601 W. Riverview  Dayton OH 45406  31‐1122883   501c3  28,744 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

35 St. Elizabeth Medical Center  One Medical Village Drive Edgewood KY 41017 61‐0445850  501c3  193,492 n/a n/a n/a Breast Cancer Education, Screening, Treatment 35 The Wellness Community ‐ Heart of Wellness ‐ 

Education4918 Cooper Road  Cincinnati OH 45242  31‐1287785   501c3  42,477 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

35 University of Cincinnati P.O. Box 210222 Cincinnati OH 45221 11‐3655032  501c3  25,438 n/a n/a n/a Breast Cancer Education, Screening, Treatment 35 YWCA of Greater Cincinnati ‐ Hispanic & Minority Breast 

Health Outrch898 Walnut Street  Cincinnati OH 45202  31‐0537518   501c3  44,693 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

35  $                        527,420 3636 Deaconess Family Medicine Residency 515 Read Street Evansville IN 47710 35‐0593390  501c3  33,634 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36 Dubois‐Pike‐Warrick Economic Opportunity Committee, 

Inc., d/b/a TRI‐CAP499 W. State Road 62 Boonville IN 47601  35‐1121163   501c3  71,869 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

36 Foundation for Health PO Box 22505 2211 Mayfair Drive Suite 403 Owensboro KY 42304  61‐1251763   501c3  31,785 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

36 Good Samaritan Hospital 520 S. Seventh Street Vincennes IN 47591 35‐6001532  501c3  24,912 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36 Perry County Memorial Hospital 1 Hospital Road Tell City IN 47586 35‐1121699  501c3  20,733 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36 St. Mary's Foundation 3700 Washington Avenue Evansville IN 47750 35‐0869065  501c3  47,246 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36 Sunny Day Hats With Love Attn: Joann Melton P.O. Box 249 Hatfield IN 47617 35‐2036237  501c3  7,551 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36 University of Louisville 920 Frederica St Ste 202 Owensboro KY 42301 61‐1029626  501c3  24,931 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36 Wabash County Health Department Attn: Patricia Skees 130 West 7th Street Mt Carmel IN 47012 36‐4131874  501c3  32,405 n/a n/a n/a Breast Cancer Education, Screening, Treatment 36  $                        295,065 3737 Black Health Care Coaltion (Mobile) 6536 Troost Avenue Kansas City MO 64131 43‐1515095  501c3  6,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Spirit of Hope Community Church 3801 Wyandotte Kansas City MO 64111 43‐1015783  501c3  11,765 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Kansas Department of Health & Environment 1000 SW Jackson Suite 230 Topeka KS 66612 48‐1243606  501c3  11,863 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Samuel U. Rodgers Community Health Center (Breast 

Health Program)825 Euclid Ave. Kansas City MO 64124  43‐0899356   501c3  38,080 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

37 YWCA of St. Joseph MO 304 N. 8th St. St. Joseph MO 64501 44‐0552219  501c3  39,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Unified Government of Wyandotte County Public Health 619 Ann Ave. Rm 301 Kansas City KS 66101  48‐1194075   501c3  41,370 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

37 Truman Medical Center (Patient Navigator) 2310 Holmes Ste.735 Kansas City MO 64108 43‐1194064  501c3  47,887 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Bates County Memorial Hospital (Screening Program) P O Box 370 Butler MO 64730 43‐6052772  501c3  53,700 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Cancer Action, Inc (Patient Services) 1831 Minnesota Ave Kansas City KS 66102 48‐0650257  501c3  72,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Social Welfare Board 901 S. 10th St St. Joseph MO 64503 80‐0308973  501c3  70,668 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Swope Health Services (Mammograms for Uninsured) 3801 Blue Parkway Kansas City MO 64130 43‐0957840  501c3  76,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 37 Coalition of Hispanic Women Against Cancer (Education, 

Mobile and Screening)2100 Metropolitan Ste. 16 Kansas City KS 66106  48‐1230884   501c3  83,935 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

37 Saint Luke's Hospital Foundation (Clerical Support and Mobile Mammography)

4321 Wornall Ste. 1000 Kansas City MO 64111  43‐1933950   501c3  310,332 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

37  $                        864,200 3838 Allen Neighborhood Center 1616 E. Kalamazoo Lansing MI 48912 38‐3502484  501c3  21,646 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38 Barry Eaton District Health Dept Attn: Marilyn Dobbs 1033 Health Care Dr. Charlotte MI 48813  38‐3318067   501c3  32,273 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

38 Eaton County United Way 350 Lansing St. Suite B Charlotte ME 48813 38‐3483965  501c3  6,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38 Healthy Asian Americans Project 328 Marshall Ypsilanti MI 48197 38‐6005986  501c3  35,583 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38 Mid‐Michigan District Health Dept Attn: Andrew Tabor Director 615 N. State St. 

Ste 2Stanton MI 48888  38‐1808049   501c3  11,289 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

38 MSU Dept of Surgery 1200 E. Michigan Ave. STE 655 Lansing MI 48912 38‐6005984  501c3  39,794 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38 Shiawessee County Health Dept 110 E. Mack Street Corunna MI 48817 38‐6004892  501c3  5,081 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38 Sparrow Regional Cancer Center 1215 E Michigan Avenue Lansing MI 48909 38‐1360584  501c3  18,099 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38 YMCA 1010 9th St Wichita Falls TX 76301 38‐1359576  501c3  17,956 n/a n/a n/a Breast Cancer Education, Screening, Treatment 38  $                        188,319 39

Greater Kansas City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844634)

Greater Lansing/Mid Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2915870)

The Greater Nashville Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 62‐1671774)

Greater Cincinnati Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2855038)

Greater Evansville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844632)

Page 9 of 29 ATTACHMENT 9

Page 132: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

39 Casting for Recovery PO Box 1123 Manchester VT 5254 03‐0354382  501c3  6,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Gildas Club Nashville 1707 Division Street Nashville TN 37203 62‐1614190  501c3  34,695 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Maryland Farms YMCA 5101 Maryland Way Brentwood TN 37027 62‐0476243  501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Meharry Medical College ‐ Friends In General 1818 Albion Street Nashville TN 37208 62‐1383977  501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Middle Tennessee Medical Center‐Breast Health Nurse 

Navigator400 N. Highland Ave.  Murfreesboro TN 37130  62‐1167917   501c3  56,505 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

39 Minnie Pearl Cancer Foundation ‐ Rural Transportation 2410 Patterson Street  Nashville TN 37203  58‐1747771   501c3  25,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

39 Primary Care & Hope Clinic 1453A Hope Way Murfreesboro TN 37129 62‐1482091  501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Siloam Family Health Center 820 Gale Lane Nashville TN 37204 58‐1867940  501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Sumner Regional Health Systems 555 Hartsville Pike Gallatin TN 37066 62‐1573738  501c3  53,408 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Tenn Dept. of Health, TN‐BEST 426 Fifth Ave. North Nashville TN 37203 62‐6001445  501c3  75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Vanderbilt Center for Health Services VUMC Station 17 Nashville TN 37232‐8180 62‐0476822  501c3  75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 39 Vanderbilt University Medical Center ‐ Transforming 

patient to survivor1215 21st Ave. So. Med Center East  Nashville TN 37232  62‐0476822   501c3  75,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

39  $                        561,108 4040 Adelphi NY Statewide Hotline & Support 1 South Ave Garden City NY 11530 11‐1630741 501c3  36,534 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Brooklyn Hospital Center 121 DeKalb Avenue Brooklyn NY 11201 13‐1624225 501c3  13,226 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Cancer Care Inc. 275 Seventh Avenue New York NY 10001 13‐1825919 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Chai Lifeline, Inc 151 West 30th Streeet, 3rd Floor New York NY 10001 11‐2940331 501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Charles B Wang Community Health Ctr Inc 268 Canal Street New York NY 10013 11‐2940331 501c3  34,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Chemo Comfort, Inc. 81 Bedford St., Suite 1A New York NY 10014 13‐2739694 501c3  6,231 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 City Bar Justice Center 42 West 44th Street New York NY 10036 65‐1169320 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Columbia University Medical Center 1130 St. Nicholas Avenue New York NY 10032 13‐3957095 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Flushing Hospital Medical Center 4500 Parsons Blvd. Flushing NY 11355 11‐1631781 501c3  24,895 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Gilda's Club New York City Inc. 195 West Houston Street New York NY 10014 13‐4046652 501c3  21,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 God's Love We Deliver 166 Avenue of the Americas New York NY 10013 13‐3366846 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Haitian American Cultural and Social Org. 25 South Main Street Spring Valley NY 10977 13‐3079233 501c3  27,433 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Independence Care System 275 Park Avenue South, 2nd Floor New York NY 10010 13‐3964284 501c3  30,645 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Kingsbrook Jewish Medical Center 585 Schenectady Avenue New York NY 11203 11‐1631759 501c3  59,120 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Korean Community Services 149 West 24th Street, 6th Fl. New York NY 10011 11‐3186054 501c3  37,077 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Lesbian & Gay Community Services Ctr. 208 West 13th Street New York NY 10011 13‐3217805 501c3  38,871 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Maimonides Medical Center 6300 Eighth Avenue Brooklyn NY 11220 11‐1635081 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Michael Callen ‐ Audre Lorde Community 356 West 18th Street New York NY 10011 13‐3409680 501c3  38,683 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Montefiore Medical Center 1825 Eastchester Road, 25 South, Rm 47‐48 Bronx NY 10461  13‐1740114   501c3  75,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

40 Mount Sinai School of Medicine One Gustave L. Levy Place, Box 1130 New York NY 10039 13‐6171197 501c3  36,486 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Nassau/Suffolk Law Services Committee, Inc. One Helen Keller Way, 5th Floor Hempstead NY 11550 11‐2125411 501c3  24,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 New York Legal Assistance Group 450 West 33rd Street, 11th Floor New York NY 10001 13‐3505428 501c3  42,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 North Bronx Healthcare Network 1826 Arthur Avenue Bronx NY 10457 13‐2655001 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 NYU School of Medicine 160 East 34th Street, 3rd Floor New York NY 10016 13‐5562308 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Open Door Family Medical Centers 165 Main Street Ossining NY 10562 13‐2813103 501c3  33,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Outreach for Breast Health Foundation/Project Renewal 54 Lincoln Avenue Islip Terrace NY 11752 20‐1478220 501c3  37,178 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Peconic Medical Center 1300 Roanoke Avenue Riverhead NY 11901 11‐1661359 501c3  31,661 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Planned Parenthood of Nassau County 540 Fulton Ave Hempstead NY 11550 11‐3298028 501c3  36,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Public Health Solutions aka MHRA 220 Church St., 5th Floor New York NY 10013 13‐3669201 501c3  32,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Ryan ‐ NENA Community Health Center 279 East 3rd Street New York NY 10009 13‐2884976 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 SHARE Self‐Help for Women aka St. Lukes Breast Clinic 1501 Broadway, Suite 704A New York NY 10036 13‐3131914 501c3  33,790 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 SHAREing and CAREing/Astoria Queens 45‐02 Ditmars Blvd., Suite 1016 Astoria NY 11105 11‐3220371 501c3  27,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 St. John's Riverside Health System 967 N. Broadway Yonkers NY 10701 13‐1740126 501c3  36,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 The Family Center 315 West 36th Street, 4th Floor New York NY 10018 13‐3910716 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 UNITE Health Center 275 7th Avenue, 4th Fl. New York NY 10001 13‐5563408 501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 Westchester County Dept. of Health 145 Huguenot Street New Rochelle NY 10801 13‐6007353 501c3  33,139 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40 YWCA White Plains & Central West 69 North Broadway White Plains NY 10603 13‐1740519 501c3  14,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 40  $                    1,251,018 4141 Alleghany Highlands Free Clinic 103 Old Church Road P.O. Box 216 Low Moor VA 24457 54‐1904342 501c3  5,037 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Carilion Every Woman's Life Program 711 S. Jefferson St. Roanoke VA 24016 54‐1190773 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 41 Caring Hearts Free Clinic of Patrick County 835 Woodland Drive Suite 101 Stuart VA 24171 14‐1909014 501c3  10,167 n/a n/a n/a Breast Cancer Education, Screening, Treatment 41 Craig County Health Center 226 Market Street P.O. Box 370 New Castle VA 24127 31‐1013942 501c3  5,773 n/a n/a n/a Breast Cancer Education, Screening, Treatment 41 Planned Parenthood Health Systems, Inc 2207 Peters Creek Road Roanoke VA 24017 56‐1282557 501c3  14,401 n/a n/a n/a Breast Cancer Education, Screening, Treatment 41 Rockbridge Area Free Clinic 25 Northridge Lane P.O. Box 1573 Lexington VA 24450 54‐1642220 501c3  17,189 n/a n/a n/a Breast Cancer Education, Screening, Treatment 41 Virginia Dept of Health, Mount Rogers Health District 201 Francid Marion Lane Marion VA 24354 54‐6001775 501c3  11,084 n/a n/a n/a Breast Cancer Education, Screening, Treatment 41  $                          93,650 4242 Bay Clinic, Inc 311 Kalanianaole Avenue Hilo HI 96720 99‐0222784 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Hamakua Health Center, Inc. 45‐549 Plumeria St. Honoka's HI 96727 99‐0115515 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Hawaii Medical Center Foundation 2230 Liliha St. Honolulu HI 96817 20‐8008594 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Hui Malama Na Oiwi 69 Railroad Hilo HI 96720 99‐0286468 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Greater New York City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 91‐2049420)

Greater Roanoke Valley Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 56‐2619425)

Hawaii Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844635)

Page 10 of 29 ATTACHMENT 9

Page 133: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

42 Kokua Kalihi Valley 2239 N. School St. Honolulu HI 96819 99‐0149797 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Koolauloa Comm. Health and Wellness center pobox 395, 56‐565 Kam Hgy Kahuku HI 96731 73‐1681833 501c3  24,954 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Molokai General Hospital pobox 408, 280 Home Olu Pl Kaunakakai HI 96748 20‐2509287 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Papa Ola Lokahi 894 Queen Honolulu HI 96813 99‐0273765 501c3  22,400 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Waikiki Health Center 758 Kapahulu Ave, Ste A‐319 Honolulu HI 96816 99‐0159253 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 Waimanalo Health center 41 1347 Kalaniana Ole Hgw Waimanalo HI 96795 99‐0273205 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42 West hawaii Community Health Center 75 5751 Kuakini Hwy st 230 Kailua Kona HI 96740 20‐0495394 501c3  25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 42  $                        272,354 4343 American Cancer Society 6301 Richmond Avenue Houston TX 77057 74‐1185665 501c3 103,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Asian American Health Coalition 7001 Corporate Drive Suite 120 Houston TX 77036 31‐1756818 501c3 150,668 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Baylor College of Medicine One Baylor Plaza BCM 600 Houston TX 77030 74‐1613878 501c3 75,596 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Bayside Hospital Foundation PO Box 398 Anahuac TX 77514 20‐5853573 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Brazosport Health Foundation P.O. Box 90 Lake Jackson TX 77566 76‐0080110 501c3 267,550 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Breast Cancer Network of Strength 1535 West Loop South Suite 319 Houston TX 77027 36‐3049954 501c3 220,668 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 D'Feet Breast Cancer 6610 Stewart Rd. PMB 67 Galveston TX 77551 76‐0521474 501c3 155,987 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Good Neighbor Healthcare Center 190 Heights Blvd Houston TX 77007 74‐1746576 501c3 125,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Harris County Hospital District Foundation 2525 Holly Hall Houston TX 77054 76‐0408224 501c3 538,427 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Health Center of Southeast Texas 401‐A East Crockett Street Cleveland TX 77327 56‐2508501 501c3 60,808 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Light and Salt Association 9800 Town Park Ste 253 Houston TX 77036 76‐0604950 501c3 24,212 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 MD Anderson Mobile Mammography 1220 Holcombe Bld Unite 1320 Houston TX 77030 76‐0449960 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Northeast Hospital Foundation 18951 Memorial North Humble TX 77338 74‐1152597 501c3 109,612 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Positive Image Productions 3207 Breckingridge Court Missouri City TX 77459 38‐3677291 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Shalom Mobile Health Ministry 2220 Broadway Houston TX 77012 76‐0570086 501c3 48,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 The Houston Chapter of Hadassah 4654 Beechnut Blvd Houston TX 77096 76‐0370026 501c3 43,122 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 The Rose 12700 N. Featherwood Suite 260 Houston TX 77034 76‐0193812 501c3 718,679 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 University of Texas Medical Branch 301 University Blvd. Galveston TX 77555 74‐1587488 501c3 712,127 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43 Young Survival Coalition Houston Affiliate 3104 Edloe Suite 209 Houston TX 77027 74‐1587488 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 43  $                    3,449,456 4444 Black Nurses Assoc 3737 N Meridian Str Ste 303 Indianpolis IN 46052 16‐1750583 501c3 37,810 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Boone County Cancer Society 127 W Main St ‐ Sted 309 Lebanon IN 46052 35‐6044450 501c3 7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Boone County Community Clinic 404 W Camp Str Lebanon IN 46052 35‐2127378 501c3 28,593 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Cancer Services of Delaware County ‐ Little Red Door 401 W Jackson St Muncie IN 47305 35‐0988703 501c3 29,675 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Cancer Services of East Central IN 401 W Jackson Street Muncie IN 47305 35‐0988703 501c3 12,544 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Cancer Services of Grant County 305 S Norton Marion IN 46952 35‐1058216 501c3 67,531 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Casting for Recovery 8825 Sargent Creek Ct Indianpolis IN 46256 03‐0354382 501c3 10,138 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Columbus Regional Hospital Deana Tuell 2326 18th Street Suite 110 Columbus IN 47201 35‐6023714 501c3 17,595 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Comm. Hospital Anderson 1515 N Madison Av Anderson IN 46011 35‐1069822 501c3 89,451 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Decatur County Memorial Hosp 720 N Lincoln St Greensburg IN 47240 35‐1141109 501c3 10,367 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Gennesaret Free Clinics Inc 615 N Alabama Indianpolis IN 46204 35‐1776518 501c3 34,202 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Hancock Regional Hospital Fdtn 801 N State St Greenfield IN 46140 35‐1543491 501c3 26,992 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Hancock Regionall Hospital 801 North State Street Greenfield IN 46140 35‐1543491 501c3 13,678 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Indiana Women in Need Fdtn 6507 Carrolton Av ‐ Ste B Indianapolis IN 46220 91‐2057735 501c3 56,220 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Interlocal Community Action Program 615 SR 38 West ‐ PO Box 449 New Castle IN 47362 35‐1116629 501c3 26,511 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Little Red Door Cancer Agency 1801 N Meridian St Indianpolis IN 46202 35‐0914096 501c3 294,207 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Raphael Health Ctr 401 E 34th St Indianpolis IN 46205 35‐1948768 501c3 7,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Rush Memorial Hospital 1300 N Main St ‐ PO Box 608 Rushville IN 46173 20‐3199892 501c3 41,514 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Shalom Health Care Center Inc 3400 Lafayette Rd Ste 200 Indianpolis IN 46222 06‐1645027 501c3 46,688 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 St. Vincent Breast Center 8402 Naab Road Ste 324 Indianapolis IN 46260 35‐0869066 501c3 87,375 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Wishard Health Services 1001 W 10th St ‐ 3rd Fl Bryce, Room Y3205 Indianapolis IN 46202 35‐6005697 501c3 11,883 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Young Survival Coalition 6990 Hillsdale Ct Indianapolis IN 46060 13‐4057685 501c3 9,915 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 Young Survivlal Coalition of Central IN 44 S 8th Str Ste 240 Noblesville IN 46060 13‐4057685 501c3 21,118 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44 YWCA Greater Lafayette 605 North 6th Street Lafayette IN 47901 35‐0868224 501c3 230,353 n/a n/a n/a Breast Cancer Education, Screening, Treatment 44  $                    1,219,606 4545 Breast Cancer Solutions 25422 Trabuco Road Suite 105 El Toro CA 92630 33‐0765783 501c3 36,923 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 Desert Cancer Foundation 74091 Larrea Street Palm Desert CA 92660 33‐0648823 501c3 24,615 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 Inland Counties Health Systems Agency 6235 River Crest Drive Suite P Riverside CA 92507 23‐7058717 501c3 64,615 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 Kids Konnected 26071 Merit Circle Suite 103 Laguna Hills CA 92653 33‐0754654 501c3 12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 Kommah Seray Inflamatory Breast Cancer Foundation 1784 Buchanan Drive Pomona CA 91767 20‐5968227 501c3 26,308 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 Loma Linda University 11145 Anderson Street Suite BC203 Loma Linda CA 92350 95‐1616009 501c3 34,061 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 Michelle's Place (Womens Breast Cancer Resource Center) 41785 Elm Street Murrieta CA 92562 33‐0951216 501c3 37,852 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

45 Quinn Community Outreach Corporation 815 West Sixth Street Suite 110 Corona CA 92882 33‐0637525 501c3 35,586 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 San Antonio Community Hospital, Inc. 999 San Bernardino Road Upland CA 91786 95‐1183919 501c3 24,615 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45 The Foundation for Community and Family Health 815 West Sixth Street Suite 110 Corona CA 92882 33‐0071575 501c3 38,945 n/a n/a n/a Breast Cancer Education, Screening, Treatment 45  $                        335,520 46

The Susan G. Komen Breast Cancer Foundation Houston Affiliate (EIN # 76‐0360372)

Indianapolis Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2941627)

Inland Empire Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 33‐0802964)

Knoxville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854955)

Page 11 of 29 ATTACHMENT 9

Page 134: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

46 Cathy L. Hodges Memorial Cancer Foundation 9724 Kingston Pike #1000 Knoxville TN 37922 62‐1620282 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 Celebrate Life 824 Tucker Place Way Dandridge TN 37725 62‐1854671 501c3  16,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 Dayspring Family Health Center 550 Sunset Trail Jellico TN 37762 62‐0984410 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 Hope for Today 422 Blockhouse Road Maryville TN 37803 20‐2305753 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 Rural Medical Services P. O. Box 577 Newport TN 37822 62‐1102683 501c3  54,789 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 Thompson Cancer Survival Center 1915 White Avenue Knoxville TN 37916 62‐1250943 501c3  169,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 TN Dept. of Health 425 5th Ave. N. 6th Floor Nashville TN 37247 62‐6001445 501c3  87,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 UTCI BHOP Program 1934 Alcoa Hwy #473 Knoxville TN 37920 31‐1626179 501c3  81,818 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46 UTMC Pastoral Care 1934 Alcoa Hwy #478 Knoxville TN 37920 31‐1626179 501c3  53,850 n/a n/a n/a Breast Cancer Education, Screening, Treatment 46  $                        524,357 4747 Madison County Health Department 216 Boggs Lane Richmond KY 40476‐1208 26‐0574826 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Our Lady of Bellefonte Hospital 1000 St. Christopher Drive Ashland KY 41101 61‐1381952 501c3  7,670 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Mountain Comprehensive Health Corp. 226 Medical Plaza Lane Whitesburg KY 41858 61‐0712406 501c3  12,180 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Ashland Hospital Corp. dba King's Daughter's Hospital 2201 Lexington Avenue Ashland KY 41101 61‐0444716  501c3  15,836 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 NC AHEC 498 Georgetown Street Lexington KY 40508 61‐1320380 501c3  17,246 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Southern KY AHEC PO Box 1915 London KY 40743 61‐1320380 501c3  17,801 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 University of Kentucky Markey Cancer Center Lexington KY 40536‐0001 61‐1320380 501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Central Baptist Hospital 1740 Nicholasville Rd. Lexington KY 40503 61‐0444707 501c3  60,900 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Kentucky Pink Link 2365 Harrodsburg Road, Suite A230 Lexington KY 40504 61‐1397938 501c3  105,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47 Lexington Fayette County Health Department 650 Newton Road Lexington KY 40508 61‐0920825 501c3  200,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 47  $                        479,733 4848 Antelope Valley Community Clinic 1122 W. Ave. L‐12 Suite 103 Lancaster CA 93534 26‐0574826 501c3  44,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Asian Pacific Health Care Venture, Inc. 1530 Hillhurst Ave Ste 200 Los Angeles CA 90027 95‐4177752 501c3  13,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Asian Youth Center 100 Clary Ave. San Gabriel CA 91776 33‐0383691 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Black Women for Wellness P.O.Box 292516 Los Angeles CA 90029 95‐4624707 501c3  19,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Boarding for Breast Cancer 6230 Wilshire Blvd. #179 Los Angeles CA 90048 20‐1479520 501c3  6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Catholic Healthcare West DBA‐California Hospital Medical 

Center1401 South Grand Ave. Los Angeles CA 90015 95‐4310407  501c3  12,540 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

48 Community Health Alliance of Pasadena 1855 N. Fair Oaks Ave #200 Pasadena CA 91103 95‐4536824 501c3  6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Disability Rights Legal Center 919 Albany Street Los Angeles CA 90015 95‐2960607 501c3  12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Families in Good Health/St. Mary Med. Ctr. 411 E. 10th St. Ste 207 Long Beach CA 90813 23‐7153876 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Family Health Care Ctr of Greater LA 6501 S. Garfield Ave Bell Gardens CA 90201 95‐1641454 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Glendale Memorial Hospital 1420 S. Central Ave Glendale CA 91204 95‐1648194 501c3  79,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Guam Communications Network 4201 Long Beach Blvd., Ste 218 Long Beach CA 90807 95‐4410105 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Henry Mayo Newhall Memorial Hospital 23845 McBean Parkway Ste 101 Valencia CA 91355 95‐3849903 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Herald Christian Health Center 923 S. San Gabriel Blvd. San Gabriel CA 91776 13‐3156738 501c3  17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 HMNMH Fd Sheila R Veloz Breast Image Ctr 23929 McBean Parkway Suite 101 Valencia CA 91355 95‐3849903 501c3  17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Kommah Seray Inflammatory Breast Attn: Kommah McDowell 101 W. Mission 

Blvd. Ste 110‐132Pomona CA 91766 20‐5968227  501c3  7,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

48 Los Angeles Breast Cancer Alliance‐Friends helping friends 2021 Arizona Ave., #223 Santa Monica CA 90404 95‐4433473  501c3  10,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

48 Northeast Valley Health Corporation 1172 N. Aclay Ave. San Fernando CA 91340 23‐7120632 501c3  8,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Orange County Asian and Pacific ‐ Islander Community 

Alliance12900 Garden Grove Blvd., Suite 214 Garden Grove CA 92843 91‐2047245  501c3  17,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

48 Partnered for Progress ‐ Breast Health Resource Guide 4929 Wilshire Blvd, Ste 810 Los Angeles CA 90010 06‐1714671  501c3  10,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

48 Samoan National Nurses Association 22010 S. Wilmington Ave, Ste 301 Carson CA 90745 91‐2069657 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Sisters Breast Cancer Survivors Network 116 1/2 West 84th Place Los Angeles CA 90003 95‐4302067 501c3  15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 South Asian Network 18173 S. Pioneer Blvd. Ste. 1 Artesia CA 90701 33‐0608166 501c3  19,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Special Services for Groups 605 W Olympic Blvd Ste 600 Los Angeles CA 90015 95‐1716914 501c3  23,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Sr Mary Sabina Sullivan Women Health Ctr 1040 Elm Ave Ste 102 Long Beach CA 90813 33‐0724220 501c3  64,996 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 St Mary Med Ctr Found‐Fam in Good Health 411 E. 10th St. Ste 207 Long Beach CA 908013 23‐7153876 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 St Vincent Medical Center 2131 W. Third St Los Angeles CA 90057 91‐2154438 501c3  14,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Team Survivor California 11110 Ohio Ave Los Angeles CA 90025 95‐4742327 501c3  16,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 The Saban Free Clinic 8405 Beverly Blvd Los Angeles CA 90048 95‐2539105 501c3  47,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 The Wellness Community Valley Ventura 4546 Lakewood Ave Woodland Hills CA 91364 77‐0205691 501c3  18,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 The Wellness Community‐Foothills 200 E Del Mar Blvd, Ste 118 Pasadena CA 91105 95‐4201985 501c3  6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 The Wellness Community‐West Los Angeles 2716 Ocean Park Blvd Ste 1040 Santa Monica CA 90405 33‐0287070 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 UCLA Jonsson Comprehensive Box 951780 Facot Building Ste. 8‐664 Los Angeles CA 90095 95‐2242757 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 United Cambodian Community, Inc. 2201 E. Anaheim St #200 Long Beack CA 90804 95‐3442295 501c3  18,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Venice Family Clinic 604 Rose Ave Venice CA 90291 95‐2769432 501c3  45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Watts Healthcare Corporation 10300 Compton Ave Los Angeles CA 90002 75‐3046480 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 White Memorial Medical Center 1720 Cesar E. Chavez Los Angeles CA 90033 95‐3760201 501c3  12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 Women of Color Breast Cancer Survivors Support 

Project301 N Prairie Ave, Ste 420 Inglewood CA 90301 95‐4455930  501c3  6,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

48 Worksite Wellness LA 520 West 23rd Street Los Angeles CA 90007 55‐0802354 501c3  15,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 48 YWCA of Harbor Area & South 437 W. 9th Street  San Pedro CA 90731 95‐1691337 501c3  19,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Lexington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854969)

The Los Angeles County Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 95‐4582064)

Page 12 of 29 ATTACHMENT 9

Page 135: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

48  $                        740,286 4949 Baptist Hosp East 4000 Kresge Way Louisville KY 40207 61‐0444707 501c3  14,648 n/a n/a n/a Breast Cancer Education, Screening, Treatment 49 Casting for Recovery P.O. Box 1123 Manchester VT 04020 03‐0354382 501c3  18,033 n/a n/a n/a Breast Cancer Education, Screening, Treatment 49 Floyd Memorial Hospital & Health Services‐Awareness, 

Prevention, Early Amelioration2210 Green Valley Road New Albany IN 47150 23‐7312634  501c3  18,529 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

49 Junior League of Louisville‐Keep in touch 982 Eastern Parkway Suite 7 Louisville KY 40217 61‐1029626 501c3  31,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 49 Gilda's Club Louisville‐Breast Cancer 

Programming633 Baxter Ave. Louisville KY 40204 20‐1635170  501c3  31,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

49 Friend for Life Cancer Support Network‐You've Got a Friend

4007 Kresge Way Louisville KY 40207 61‐1139410  501c3  31,670 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

49 Hardin Memorial Hospital‐Lifting Spririts 913 North Dixie Ave Elizabethtown KY 42701 61‐1251585 501c3  37,290 n/a n/a n/a Breast Cancer Education, Screening, Treatment 49 Norton Cancer Institute‐Finding Connections 4001 Dutchmans Lane Suite 3C Louisville KY 40207 61‐1028725 501c3  70,790 n/a n/a n/a Breast Cancer Education, Screening, Treatment 49 University of Louisville Research Foundation 529 S. Jackson ST. Louisville KY 40202 61‐1029626 501c3  204,373 n/a n/a n/a Breast Cancer Education, Screening, Treatment 49  $                        457,833 5050 Allendale County Hospital P.O. Box 218 Fairfax SC 29287 57‐6001334 501c3  76,307 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Beaufort Jasper Hampton P.O. Box 357 Ridgeland SC 29936 57‐0523586 501c3  113,060 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Beaufort Memorial Hosp PO Box 357   Ridgeland SC 29936 57‐0523586 501c3  33,629 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Charleston Breast Center 1930 Charlie Hall Blvd Charleston SC 29407 20‐3015793 501c3  75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Closing the Gap in Health Care 3951 W Montague Ave N Charleston SC 29418 52‐2450102 501c3  36,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Greater St. Paul Ferry Road Georgetown SC 29440 57‐1124772 501c3  9,110 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Hampton Regional Medical Center Attn: Pete Tucker 595 Carolina Avenue Varnville SC 29944 57‐1017988 501c3  6,375 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Hollings Cancer Center PO Box 250955 Charleston SC 29425 57‐6000722 501c3  74,914 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Lowcountry Health Care System, Inc. 333 Revolutionary Trail PO Box 990 Fairfax SC 29827 58‐2366697 501c3  9,060 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 MUSC Hollings Cancer Center 86 Johnathan Lucas St. PO Box 250955 Charleston SC 29425 57‐6000722 501c3  23,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Neighbors Helping Neighbors Attn: Larry White PO Box 3051 Conway SC 29528 57‐1069709 501c3  5,213 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Regional Medical Center ‐ Orangeburg 3000 St Matthews Road Orangeburg SC 29118 57‐6008010 501c3  45,693 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Roper St. Francis Healthcare Teresa Pischner 316 Calhoun Street Charleston SC 29401 57‐1068509 501c3  12,698 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Royal Missionary Baptist Church 4761 Luella St  North Charleston SC 29405 57‐1114075 501c3  27,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Smith Medical Clinic P.O. Box 990 Pawleys Island SC 29585 58‐7161014 501c3  38,346 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 South Carolina Cancer Alliance ‐ SCCA 5900 Core Road Suite 504 North Charleston SC 29418 58‐2304781 501c3  71,871 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 ST Baptist Young Women Attn: Dolores Scott 3120 Beltline Blvd Columbia SC 29204 57‐0980540 501c3  22,051 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 United Way of BCH PO Box 200  Walterboro Walterboro SC 29488 23‐7158388 501c3  56,415 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50 Volunteers in Medicine 15 Northridge Drive Hilton Head Island SC 29926 57‐0959206 501c3  93,721 n/a n/a n/a Breast Cancer Education, Screening, Treatment 50  $                        830,662 5151 American Cancer Society ‐ Reach for Recovery 3411 73rd Street Lubbock TX 79423 13‐1788491 501c3  8,100 n/a n/a n/a Breast Cancer Education, Screening, Treatment 51 Covenant Health System‐Outreach Program 4122 22nd Place Lubbock TX 79410 75‐2765566 501c3  70,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 51 Girl Scouts of Texas Okalhoma Plains, Inc. 2567 74th Street Lubbock TX 79423 75‐0818162 501c3  6,140 n/a n/a n/a Breast Cancer Education, Screening, Treatment 51 Joe Arrington Cancer Research & Treatment 

Center4101 22nd Place Lubbock TX 79410 75‐2765566  501c3  23,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

51 UMC & Southwest Cancer & Research Center 602 Indiana Ave. Lubbock TX 79415 75‐1639312 501c3  59,997 n/a n/a n/a Breast Cancer Education, Screening, Treatment 51 YWCA 3101 35th Street Lubbock TX 79413 75‐0939427 501c3  85,662 n/a n/a n/a Breast Cancer Education, Screening, Treatment 51  $                        252,899 5252 Access Community Health 3434 E Washington Ave Madison WI 53704 39‐1391134 501c3  7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 Allied Wellness Center 2225 Allied Drive #2 Madison WI 53711 52‐2454644 501c3  8,057 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 Breast Cancer Recovery 2800 Royal Av., Ste. 306 Madison WI 53713 39‐1894850 501c3  41,040 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 Gildas Club 3000 Cahill Main, Ste. 201 Madison WI 53711 06‐1662883 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 Public Health Madison ‐ Treatment Access Fund 1202 Northport Drive Madison WI 53704 39‐6005507 501c3  144,731 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 UW Center for Patient Partnerships 975 Baslom Mall, Ste. 4311 Madison WI 53706 39‐1805963 501c3  95,978 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 UW Hospital Clinic 975 Baslom Mall, Ste. 4311 Madison WI 53706 39‐1805963 501c3  116,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52 Wisconsin Womens Health Foundation 2503 Todd Dr Madison WI 53713 39‐1900678 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 52  $                        463,506 5353 Breast Cancer Education & Screening Project 105 Mt. Blue Circle Farmington ME 04938 22‐3305743 501c3  45,779 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Breast Health Education & Mammogram Follow‐up 

Services447 North Main Street Pittsfield ME 04967 01‐0263628  501c3  30,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

53 Breast Health Educational Outreach 10 Carter Street Eagle Lake ME 04739 01‐0452749 501c3  26,535 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Bridging Books 17 Second Street Bangor ME 04401 01‐0211485 501c3  21,075 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Bridging the Gap 17 Second Street Bangor ME 04401 01‐0211485 501c3  25,403 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Eastern Maine Medical Center PO Box 404 Bangor ME 04402 01‐0211501 501c3  16,730 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Information Connection 72 Main Street Kennebunk ME 04043 20‐1620032 501c3  7,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Knowledge to Save Your Life 6 East Chestnut Street Augusta ME 04330 04‐3369653 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53 Support Service Fund 499 Broadway Bangor ME 04401 01‐0483084 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 53  $                        252,522 5454 Allegheny Co Health Dept 12501 Willowbrook Rd. SE /PO Box 1745 Cumberland MD 21501 52‐2046033 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Louisville  Kentucky Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2855046)

The Low Country Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844655)

Lubbock Area Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2509762)

Madison Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2855043)

Maine Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844637)

Maryland Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 52‐2053491)

Page 13 of 29 ATTACHMENT 9

Page 136: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

54 Baltimore County Department of Health 6401 York Rd. 3rd Flr. Baltimore MD 21212 52‐6000889 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Baltimore Medical System, Inc. 3501 Sinclair Lane Baltimore MD 21213 52‐1358241 501c3  50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Cancer Support Foundation 8268 Academy Road Ellicott City MD 21042 20‐3112832 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Caroline County Health Department 403 South 7th Street Denton MD 21629 52‐2046032 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Carroll Co. Health Dept. 290 South Center Street Westminster MD 21157 52‐6002033 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Cecil Co Health Dept 401 Bow St Elkton MD 21921 52‐2046029 501c3  28,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Chase Brexton Health Services, Inc. 1001 Cathedral St. Baltimore MD 21201 52‐1638592 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Dorchester County Health Department 3 Cedar Street Cambridge MD 21613 52‐6002033 501c3  10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Howard Co Healt Dept 7178 Columbia Gateway Dr. Columbia MD 21046 52‐1892929 501c3  47,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 John R Marsh Cancer Ctr Washington County Hospital 11110 Medical 

Campus Rd. Ste. 129Hagerstown MD 21742 52‐1892929  501c3  50,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

54 Johns Hopkins University Oncology Center 1650 Orleans Street Baltimore MD 21231‐1000 52‐0595110 501c3  355,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Maintaining Active Citizens, Inc. 1504 Riverside Dr. Salisbury MD 21801 52‐0992005 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Mercy Medical Center 227 St. Paul Place Baltimore MD 21202 52‐0591658 501c3  75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Moveable feast PO Box 2298 Baltimore MD 21203 52‐1663825 501c3  37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Nueva Vida, Inc. Attn: Larisa Caicedo 2000 P Street NW, Suite 

620Washington DC 20036 54‐1943145  501c3  37,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

54 Pro Bono Counseling project 131 West Quadrangle, 2 Hamill Rd Baltimore MD 21210 52‐1784604 501c3  28,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Red Devils 5820 York Rd. Ste. 205 Baltimore MD 21212 74‐3070929 501c3  47,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Shore Regional Breast Center 219 S. Washington St Easton MD 21601 52‐0610538 501c3  56,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Survivors Offering Support ‐‐ The Breast Center at Anne 

Arundel Medical Center2002 Medical Parkway Ste. 120 Annapolis MD 21401 52‐1331298  501c3  75,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

54 University of Maryland Baltimore Foundation (Komen MD Affiliate Nursing Partnership)

655 W. Lombard Street, Room 505 Baltimore MD 21201 31‐1678679  501c3  100,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

54 University of Maryland Greenebaum Cancer Center

22 South Greene St. Baltimore MD 21201 31‐1678679  501c3  137,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

54 University of Maryland Medical System Foundation

110 S. Paca Street, 9th Floor Baltimore MD 21201 31‐1678679  501c3  50,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

54 Upper Chesapeake Health 520 Upper Chesapeake Dr. Ste. 405 Bell Air MD 21014 52‐1398573 501c3  35,650 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54 Wicomico County Health Department 108 E. Main St. Salisbury MD 21801 52‐2046019 501c3  33,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 54  $                    1,416,650 5555 A Little Easier Recovery 43 High Street Suite 120 North Andover MA 01845 90‐1403400 501c3  39,876 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Alliance Foundation for Community Health/Cambridge 

Health AllianceP.O. Box 398037 Cambridge MA 0139 01‐0676306  501c3  40,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

55 Community Servings, Inc. 18 Marbury Terrace Jamaica Plain MA 02130 22‐3154028 501c3  30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Dana Farber Cancer Institute 44 Binney Street Boston MA 02115 04‐2263040 501c3  80,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Family Health Center of Worcester, Inc. 26 Queen Street Worcester MA 01610 04‐2485308 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Gandara Center 147 Norman Avenue West Springfield MA 01089 04‐2622756 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Greater Lawrence Family Health Center, Inc.  34 Haverhill Street Lawrence MA 01841 04‐2708824 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Harbor Health Services Inc. c/o Geiger Gibson Community 

Health Center250 Mount Vernon Street Dorchester MA 02125 23‐7100550  501c3  40,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

55 Holyoke Health Center 230 Maple Street‐PO Box 6260 Holyoke MA 01040 22‐2520073 501c3  20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Holyoke Medical Center 575 Beech Street Holyoke MA 01040 22‐2520073 501c3  60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 JSI Research & Training Institute, Inc.  44 Farnsworth Street Boston MA 02110 04‐2679824 501c3  31,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Latino Health Institutute, Inc.  95 Berkeley Street Suite 600 Boston MA 02116 22‐2979908 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Lynn Community Health Center 269 Union Street Lynn MA 01901 04‐2525066 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Mass General Hospital Chelsea Healthcare 

Center151 Everett Avenue Chelsea MA 02150 04‐2697983  501c3  38,874 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

55 Mass. Alliance of Portuguese Speakers 569 Cambridge Street Allston MA 02134 04‐2596270 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Mujeres Unidas En Accion 54 Clayton Street Dorchester MA 02122 04‐2733429 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 North Adams Regional Hospital/REACH Community Health: 

Reach for Breast Health Program71 Hospital Avenue North Adams MA 01247 04‐3470287  501c3  40,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

55 Russian Community Association of MA Western MA office 425 Union Street Executive Office Building  W. Springfield MA 01089 04‐3102943  501c3  30,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

55 Spanish American Union, Inc. 2335 Main Street Springfield MA 01107 04‐2489026 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Steppingstone Incorporated 522 North Main Street Fall River MA 02720 04‐2505146 501c3  24,825 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Tapestry Health, Inc. 320 Riverside Drive Florence MA 01602 23‐7303142 501c3  39,677 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 VNA Care Network & Hospice 5 Federal Street Danvers MA 01923 04‐2103825 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Whittier Street Health Center 1125 Tremont Street Roxbury MA 02120 04‐2619517 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 Women's Imaging at Berkshire Medical Center 777 North Street Pittsfield MA 01201 04‐2733429 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 YWCA Boston 140 Clarendon Street 4th floor Boston MA 02116 04‐2103548 501c3  40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 YWCA of Greater Lawrence 38 Lawrence Street Lawrence MA 01840 04‐2130847 501c3  36,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 YWCA of Malden 54 Washington Street Malden MA 02148 04‐2125009 501c3  35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55 YWCA of Southeastern Mass 20 South Sixth Street New Bedford MA 02740 04‐2104747 501c3  45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 55  $                    1,110,252 5656 Central Illinois Chapter, The Links Inc. 3402 Stephanie Road Bloomington IL 61704 52‐1170830 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 56 Community Cancer Center 407 E. Vernon Normal IL 61761 36‐4425147 501c3 37,821 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Massachusetts Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854961)

McLean County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 37‐1379371)

Page 14 of 29 ATTACHMENT 9

Page 137: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

56 McLean County Health Dept 200 W. Front St. Bloomington IL 61701 37‐6001569 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 56  $                          82,821 5757 Baptist Memorial Hospital ‐ Tipton County 1995 Highway 51 South Covington TN 38019 64‐0682111 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Baptist Memorial Hospital for Women 6215 Humphreys Blvd. Ste. 100 Memphis TN 38120 62‐1854358 501c3 245,043 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Children and Family Services, Inc. 412 Alston Avenue Covington TN 38019 62‐1166322 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Church Health Center 1210 Peabody Avenue Memphis TN 38104 58‐1716113 501c3 100,368 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Desoto Health and Wellness 7181 Delta Bluff Walls MS 38680 69‐0000948 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Julie B Beir Foundation 6005 Park Ave Suite 700 Memphis TN 38119 62‐1753576 501c3 87,918 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 STAARS (Memphis Cancer Foundation) 8000 Wolf River Road Germantown TN 38138 62‐1329519 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Tipton County Commission on Aging 401 South College St Covington TN 38019 62‐0931560  501c3 40,490 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Urban Health Education and Support Services 8801 Dexter Road Cordova TN 38016 30‐0145801 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 West TN Area Health Education Center P.O. Box 572 Somerville TN 38068 62‐1332822 501c3 96,181 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57 Wings Cancer Foundation 100 N Humphreys Blvd Memphis TN 38120 62‐1753576 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 57  $                        750,000 5858 Broward County Health Department 780 SW 24th St Ft. Lauderdale FL 33315 59‐3502843 501c3 29,920 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Broward County Libraries  100 S Andrews Ave Ft. Lauderdale FL 33301 59‐3502843 501c3 10,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Community Life Support Inc. 490 Fisherman St Opa Locka FL 33054 65‐1128308 501c3 30,471 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Fanm Ayisyen Nan Miyami, Inc. 8325 NE 2nd Ave Suite 100 Miami FL 33138 65‐0334201 501c3 10,823 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Genetic Risk Education Service, Baptist Health South 

Florida8900 N Kendall Dr IRB Office Miami FL 33176 59‐1923401 501c3 26,250 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

58 Human Services Coalition of Dade County, Inc. 260 NE 17th Terr Suite 200 Miami FL 33132 65‐0690368 501c3 11,728 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 La Liga Contra el Cancer 2180 SW 12th Ave Miami FL 33129 56‐1629554 501c3 26,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Lymphedema Foundation of South Florida 7800 SW 57th Ave Suite 300 Miami Fl 33143 11‐3820375 501c3 26,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Memorial Foundation for Memorial Regional Hospital's 

Women's Imaging Center3711 Garfield St Hollywood FL 33021 59‐2082218 501c3 135,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

58 Memorial Foundation for the Memorial Cancer Institute at Memorial Regional Hospital

3711 Garfield St Hollywood FL 33021 59‐6014973 501c3 26,250 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

58 Miami‐Dade Area Health Education Center (AHEC), Inc. 8600 NW 53rd Terr Suite 200 Miami FL 33166 65‐0009277 501c3 45,469 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

58 North Broward Hospital District d/b/a Broward Health 303 SE 17th St Breast Center Miami FL 33316 59‐6012065 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 Open Door Health Center 1350 SW 4th St Homestead FL 33030 83‐0375996 501c3 48,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 St. John Bosco Clinic 730 NW 34th St Miami FL 33127 59‐1709438 501c3 23,138 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 The Florida Breast Health Initiative, Inc. 6447 Miami Lakes Dr E Suite 222E Miami Lakes FL 33014 56‐2540735 501c3 13,727 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 The Wellness Community, Greater Miami 8609 S Dixie Highway Miami FL 33143 65‐0930551 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 U of M School of Medicine 1475 N.W. 12th Avenue STE 3500 Miami FL 33136 59‐0624458 501c3 67,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58 UM Center for Cancer Prevention and Genetics, University 

of Miami School of Medicine1475 NW 12th Ave Suite 3500 Miami FL 33136 59‐0624458 501c3 22,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

58 YWCA of Greater Miami 351 NW 5th St Miami FL 33128 59‐0624450 501c3 28,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 58  $                        680,150 5959 Crawford Cty Health Department 410 E Atkinson Pittsburg KS 66762 48‐1103608 501c3 9,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 E.C. Tyree Health and dental Clinic 1525 N. Lorraine Wichita KS 67214 37‐1540007 501c3 15,624 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 Ks Department of Health and Environment 1000 SW Jackson Topeka KS 66612‐1220 48‐0299250 501c3 102,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 KU Medical School 3901 Rainbow Blvd. Mailstop 

3012Kansas City KS 66160 44‐0545280 501c3 19,122 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

59 KU Survivorship Center 1010 N. Kansas Wichita KS 67214 48‐0805658 501c3 87,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 Mt. Carmel Regional Medical Center 1102 E. Centennial Dr. Pittsburg KS 66762 48‐0961283 501c3 7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 Reno Cty Health Department 209 W 2nd Hutchinson KS 67501 48‐1196499 501c3 6,283 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 Sedgwick Cty Health Department 2716 W Central Wichita KS 67203 48‐6000798 501c3 22,142 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

UKSM‐W Medical Practice Association 1010 N. Kansas Wichita KS 67214 48‐0805658 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59 United Methodist Mexican American Ministries 712 A St John Street Garden City KS 67846 48‐1049519 501c3 11,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 59  $                        311,170 6060 Audrain Medical Center 620 E. Monroe Mexico MO 65265 43‐1550298 501c3 24,793 n/a n/a n/a Breast Cancer Education, Screening, Treatment 60 Ellis Fischel Cancer Center 115 Business Loop 70 West DC  116.37 Columbia MO 65203‐3244 43‐1307432 501c3 13,185 n/a n/a n/a Breast Cancer Education, Screening, Treatment 60 Lake Regional Hospital ‐ Survivorship for Education and 

Wellness54 Hospital Drive Osage Beach MO 65065 23‐7339737 501c3 14,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

60 MedZou Community Health Clinic ‐ Women's BC Outreach MA304 Medical Sciences Bldg Columbia MO 65201‐8291 43‐1307432 501c3 15,150 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

60 University of Missouri 310 Jesse Hall Columbia MO 65211 43‐6003859 501c3 56,065 n/a n/a n/a Breast Cancer Education, Screening, Treatment 60  $                        123,193 6161 Columbia St. Mary's Foundation 4425 North Port Washington 

RoadGlendale WI 53212 39‐1494981 501c3 52,779 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61 Community Memorial Foundation W180 N8085 Town Hall Road Menomonee Falls WI 53051 39‐1635057 501c3 10,573 n/a n/a n/a Breast Cancer Education, Screening, Treatment 61 Milwaukee Catholic Home 2330 N. Prospect Ave. Milwaukee WI 53211 39‐0806215 501c3 17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Milwaukee Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2844639)

Memphis‐Midsouth Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2942859)

Miami Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844638)

Mid‐Kansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 48‐1120492)

Mid‐Missouri Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 56‐2583638)

Page 15 of 29 ATTACHMENT 9

Page 138: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

61 Milwaukee Health Services 2555 N. Martin Lutheran King Dr.

Milwaukee WI 53212‐2709 39‐1664109 501c3 79,078 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61 Milwaukee LBGT Community Center 315 West Court Street Milwaukee WI 53212 39‐1893808 501c3 74,610 n/a n/a n/a Breast Cancer Education, Screening, Treatment 61 ProHealth Care; Oconomowoc and Waukesha Memorial 

Hospital1205 Corporate Center Drive Oconomowoc WI 53066 39‐0794174 501c3 72,476 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61 Southeastern Regional Breast Care Fund 8901 W. Lincoln Ave. West Allis WI 53227 39‐1831382 501c3 202,864 n/a n/a n/a Breast Cancer Education, Screening, Treatment 61 UWM College of Nursing ‐ House of Peace 1921 E. Hartford Ave. Milwaukee WI 53211 39‐1805963 501c3 77,196 n/a n/a n/a Breast Cancer Education, Screening, Treatment 61 Wheaton Franciscan Healthcare ‐ All Saints Foundation 1320 Wisconsin Ave. Racine WI 53403 39‐1636804 501c3 30,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61 Wheaton Franciscan Healthcare ‐ Elmbrook Memorial Foundation

19333 W. North Ave. Brookfield WI 53045 39‐1636804 501c3 14,800 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61 Wheaton Franciscan Healthcare ‐ Foundation for St. Francis

3237 S. 16th Street Milwaukee WI 53215 39‐1636804 501c3 42,764 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61 Wheaton Franciscan Healthcare ‐ St. Joseph Foundation

5000 W. Chambers Street. Milwaukee WI 53210 39‐1636804 501c3 39,649 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

61  $                        714,289 6262 Humphrey Cancer Center 3435 West Broadway Avenue Robbinsdale MN 55422 41‐0729979 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 62 Minnesota Department of Health P.O. Box 64882  St. Paul MN 55164 41‐6007162 501c3 628,619 n/a n/a n/a Breast Cancer Education, Screening, Treatment 62 North Memorial Health Care 3300 Oakdale Avenue North Robbinsdale MN 55422 41‐1777966 501c3  100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 62  $                        828,619 6363 Barrett Hospital 90 Hwy 91 South Dillion MT 59725‐3597 86‐3597000 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 63 Billings Clinic PO Box 3566 Billings MT 59103‐3566 81‐0407289 501c3 24,216 n/a n/a n/a Breast Cancer Education, Screening, Treatment 63 Department of Public Health and Human Services PO Box 202951 Helena MT 59620‐2951 81‐0302040 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 63 Livingston HealthCare 504 South 13th Street Livingston MT 59047 81‐0621997 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 63  $                          84,216 6464 Blue Ridge HealthCare Cancer Center ‐ Offering HOPE to 

the Medically Uninsured2201 S. Sterling St. Morganton NC 28655 58‐2063920 501c3 21,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

64 Caldwell County Health Department ‐ Breast Health Education & Screening

1966‐B Morganton Blvd. SW Lenoir NC 28645 56‐6001967 501c3 22,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

64 Catawba County Public Health ‐ Building a Healthier Tomorrow for Women

3070 11th Ave Dr SE Hickory NC 28602 56‐6001814 501c3 22,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

64 Good Samaritian Clinic  305 W. Union St. Morganton NC 28655 56‐1939030 501c3 16,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 64  $                          82,500 6565 Norville Breast Care Center/ ARMC 1240 Huffman Mill Road Burlington NC 27216 56‐1681363 501c3 71,075 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Women's Hospital Outpatient Clinic ‐ Moses Cone Health 

System801 Green Valley Rd. Greensboro NC 27408 56‐1588823 501c3 7,050 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

65 Davie County Health Department PO Box 848 Mocksville NC 270208 56‐6000295 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 North Carolina Baptist Hospital Medical Center Blvd Winston‐Salem NC 27157 56‐0552787 501c3 14,215 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Planned Parenthood Health Systems, Inc. 1704 Battleground Avenue Greensboro NC 27408 56‐1282557 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Yadkin County Health Department PO Box 457 Yadkinville NC 27055 56‐6000352 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Wilkes County Health Department 306 College Street Wikesboro NC 28697 56‐6000350 501c3 29,287 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Forsyth County Dept of Public Health 799 N Highland Avenue Winston‐Salem NC 27101 56‐6000450 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Surry County Health & Nutrition Center 118 Hamby Road Dobson NC 27017 56‐6000341 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Davidson County Health Department PO Box 439 Lexington NC 27293 56‐6000294 501c3 46,751 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Cancer Services, Inc 3175 Maplewood Avenue Winston‐Salem NC 27103 56‐0656375 501c3 57,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65 Derrick L. Davis Cancer Center ‐ Forsyth Medical Center 

Foundation3333 Silas Creek Parkway Winston‐Salem NC 27103 56‐2120959 501c3 65,677 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

65 Community Care Center of Forsyth County 2125 New Walkertown Road Winston‐Salem NC 27101 56‐1403699 501c3 65,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 65  $                        486,555 6666 Caring Community Foundation, Inc. 310 Nantucket Drive Cary NC 27513 20‐0036976 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Caswell Family Medical Center 439 US Highway 158 West Yanceyville NC 27379‐1448 59‐1812757 501c3 56,423 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Community Health Coalition 407 Crutchfield Street Durham NC 27704 56‐2269385 501c3 61,749 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Crossworks 703 Paul Street Rocky Mount NC 27704 56‐2159706 501c3 40,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Duke University Medical Center Box 2628, Room 221A MSRB Durham NC 27710 56‐0532129 501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Edgecombe County Health Dept 2909 Main Street Tarboro NC 27886 56‐6000298 501c3 68,181 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 El Centro 201 West Main St., #100 Durham NC 27701 56‐2011661 501c3 40,260 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 El Pueblo, Inc. 4 N. Blount Street Raleigh NC 27613 56‐1934310 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Granville Health System 103C Professional Park Dr. Oxford NC 27565 56‐1560414 501c3 40,573 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Harnett County Dept. of Public Health 307 W. Cornelius Harnett Blvd. Lillington NC 27546 56‐6000306 501c3 22,381 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Heritage Hospital/ Edge Comb Wick Baker, 111 Hospital Drive Tarboro NC 27886 56‐2003393 501c3 68,040 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Johnston County Health Dept 517 Brightleaf Blvd. Smithfield NC 27577 56‐6000311 501c3 35,050 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Lincoln Community Health Center 1301 Fayetteville Street Durham NC 27707 56‐1031244 501c3 74,951 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Maria Parham Medical Ctr 566 Ruin Creek Road Henderson NC 27536 56‐0603925 501c3 64,375 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 N.C. Department of Disability & Health 104 Airport Dr., #2200 Chapel Hill NC 27599‐1350 59‐1711424 501c3 51,690 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Minnesota Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 41‐1924790)

Montana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2845067)

North Carolina Foothills Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2875177)

North Carolina Triad Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2891104)

NC Triangle Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2845066)

Page 16 of 29 ATTACHMENT 9

Page 139: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

66 Nash County Health Department 214 S. Barnes Street Nashville NC 27856 56‐6000323 501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Piedmont Health Services, Inc. 299 Lloyd Street Carrboro NC 27510 56‐6000323 501c3 74,999 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Planned Parenthood Health Systems 100 South Boylan Avenue Raleigh NC 27603 56‐1282557 501c3 25,237 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 REX Hospital Foundation 2500 Blue Ridge Road #325 Raleigh NC 27607 56‐6052117 501c3 71,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 UNC ‐ Department of Family Medicine 104 Airport Drive #2200 Chapel Hill NC 27599‐1350 56‐6001393 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 UNC Dept. of Physical Medicine & Rehab 104 Airport Drive #2200 Chapel Hill NC 27599‐1350 56‐6001393 501c3 16,275 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 Wake County Human Services 10 Sunnybrook Road, Suite 309 I Raleigh NC 27610 56‐6000347 501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66 YWCA of the Greater Triangle 554 E. Hargett Street Raleigh NC 27601 56‐0568408 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 66  $                    1,194,234 6767 Allied Services 100 Abington Executive Park Clarks Summit PA 18411 23‐2523682 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Camp Bravehearts, Inc P.O. Box 1843 Kingston PA 18704 23‐3066704 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Candy's Place 190 Welles Street Suite 120 Forty Fort PA 18704 23‐2973385 501c3 13,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Evangelical Community Hospital One Hospital Drive Towanda PA 18848 24‐0795411 501c3 10,988 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Greater Lehigh Valley Wellness Center 3400 Bath Street Bethlehem PA 18017 73‐1957537 501c3 5,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Jersey Shore Hospital 1020 Thompson Street Jersey Shore PA 17740 24‐0792115 501c3 5,092 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Maternal & Family Health Services 15 Public Square Suite 600 Wilkes Barre PA 18701 23‐1856766 501c3 41,128 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Mercy Hospital 746 Jefferson Avenue Scranton PA 18510 24‐0795456 501c3 23,450 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Pocono Medical Center ‐ Hughes Cancer Center 206 E Brown Street East Stroudsburg PA 18301 24‐0795623 501c3 15,313 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67 Scranton Jewish Community Center 601 Jefferson Avenue Scranton PA 18510 24‐0795964 501c3 8,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 67  $                        145,470 6868 Blue Valley Community Action Partnership 620 5th Street Fairbury NE 68352 47‐0492640 501c3 9,942 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 East Central District Health Department 2282 East 32nd Avenue Columbus NE 68601 13‐4249732 501c3 11,806 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Community Action 3350 10th Street Gering NE 69341 47‐6039628 501c3 14,639 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 One World Community Health Centers, Inc. 4920 South 30th Street Ste 103 Omaha NE 68107 47‐0548990 501c3 14,930 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Avera St. Anthony's Hospital 300 No. 2nd Street PO Box 270 O'Neill NE 68763‐0270 47‐0463911 501c3 18,977 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Alegent Health Image Recovery Centers 7710 Mercy Rd Suite 120 Omaha NE 68124 47‐0757164 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Community Action Partnership of Mid‐Nebraska PO Box 2288 16 West 11th Street Kearney NE 68848‐2288 47‐6039628 501c3 21,742 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Chadron Community Hospital & Health Services 821 Morehead Street Chadron NE 69337 47‐0482234 501c3 28,008 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Central Nebraska Community Services, Inc. PO Box 509 Loup City NE 68853 47‐0495122 501c3 29,591 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 Methodist Estabrook Cancer Center 8303 Dodge St. Omaha NE 68114 47‐0639839 501c3 38,655 n/a n/a n/a Breast Cancer Education, Screening, Treatment 68 University of Nebraska Medical Center College of Nursing 987835 Nebraska Medical Center Omaha NE 68198‐7835 06‐3682242 501c3 40,406 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

68 Nebraska Department of Health and Human Services ‐ Every Woman Matters

PO Box 94817 301 Centennial Mall South Lincoln NE 68509‐4817 47‐0491233 501c3 160,198 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

68  $                        408,894 6969 Cancer Association of Greater New Orleans 824 Elmwood Park #240 New Orleans LA 70123 72‐0517802 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 69 Leonard C. Thomas HOS Foundation 1340 Poydras Street Ste 1850 New Orleans LA 70112 72‐1423840 501c3 42,720 n/a n/a n/a Breast Cancer Education, Screening, Treatment 69 LSUHSC School of Public Health 1615 Poydras St. Ste 1400 New Orleans LA 70112 72‐6087770 501c3 156,546 n/a n/a n/a Breast Cancer Education, Screening, Treatment 69 St. Thomas Community Health Center 1020 St. Andrew St. New Orleans LA 70118 14‐1958494 501c3 80,330 n/a n/a n/a Breast Cancer Education, Screening, Treatment 69 West Jefferson Medical Center 1121 Medical Ctr. Blvd. Marrero LA 70072 72‐6014898 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 69  $                        314,596 7070 Alabama Department of Public Health P.O. Box 303017 Su. 1350 Montgomery AL 36130 63‐1106545 501c3 322,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70 American Cancer Society 1100 Ireland Way Birmingham AL 35205 64‐0329009 501c3 70,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70 DCH Reginal Medical Center 809 University Blvd. East Tuscaloosa AL 35401 63‐0752604 501c3 16,895 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70 Komen Community Health Advisors for Minority Breast 

Cancer Outreach and Education 5005 LBJ Freeway Suite 250 Dallas TX 75244 75‐2966997 501c3 70,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

70 Lakeshore Foundation 4000 Ridgeway Drive Birmingham AL 35209 63‐0288847 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70 St. Vincents Hospital 810 St. Vincent's Drive Birmingham AL 35205 63‐0868066 501c3 6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70 UAB School of Public Health 1665 University Boulevard Birmingham AL 35294 63‐6005396 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70 V.I.R.T.U.E., Inc. PO Box 26393 Birmingham AL 35260 87‐0776775 501c3 17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 70  $                        562,395 7171 NCMC Breast Health 1801  16th Street Greeley CO 80631 74‐2358522 501c3 7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 71  $                            7,500 7272 Baker County Health Department 480 West Lowder Street Macclenny FL 32063 59‐3502843 501c3 34,371 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 Baptist Cancer Center 1235 San Marco Blvd. #304 Jacksonville FL 32207 59‐3410739 501c3 26,240 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 Baptist Health/Baptist Health Transportation 800 Prudential Dr. Jacksonville FL 32202 59‐0747311 501c3 59,172 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 Baptist Medical Center 800 Prudential Drive Suite 105 Jacksonville FL 32204 59‐0747311 501c3 62,881 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 Baptist Medical Center ‐ grantee 1235 San Marco Blvd. #304 Jacksonville FL 32207 59‐0747311 501c3 104,668 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 Flagler Foundation 400 Health Park Blvd. St. Augustine FL 32086 59‐2440537 501c3 49,807 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 St. Johns County Department of Health 1955 US 1 So. #100 St. Augustine FL 32086 59‐3502843 501c3 5,780 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 St. Vincent's Medical 1 Shircliff Way Jacksonville FL 32204 53‐0196617 501c3 50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 The Way Free Clinic 7403 Fleming Island Dr. Fleming Island FL 32003 72‐0828154 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 72 Volunteers In Medicine 41 E. Duval St. Jacksonville FL 32202 75‐3002172 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

the Northeastern Pennsylvania Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 23‐2657570)

Nebraska Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 26‐0056671)

The Susan G. Komen Breast Cancer Foundation, New Orleans Chapter  ElN# 72‐1222127)

North Central Alabama Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844656)

North Colorado Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2845065)

North Florida Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2844636)

Page 17 of 29 ATTACHMENT 9

Page 140: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

72 Way Free Clinic 1107 MLK Jr. Blvd Green Cove Springs FL 32043 72‐0828154 501c3 12,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

72  $                        470,419 7373 Bergen County Department of Health Services 327 East Ridgewood Ave Room 206 Paramus NJ 07632 22‐6002426 501c3 5,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Cancer Care of New Jersey 141 Dayton Stree Suite 204 Ridgewood NJ 07450 13‐1825919 501c3 54,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Hoboken Family Planning, Inc 124 Grand Street Hoboken NJ 07030 22‐2051458 501c3 18,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Morristown Memorial Hospital 100 Madison Avenue Morristown NJ 07962 22‐3392808 501c3 57,560 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Newark Beth Israel Medical Center 120 Lyons Ave Newark NJ 07112 22‐3452311 501c3 154,816 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Overlook Hospital 99 Beauvoir Ave. Summit NJ 07902 51‐0194054 501c3 51,427 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Project Self Sufficiency of Sussex County P.O. Box 322 Sparta NJ 07871 22‐2727412 501c3 55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Saint Barnabas Breast Center ( Lymphedema ) 200 South Orange Avenue Livingstpn NJ 07039 22‐2378422 501c3 69,485 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Saint Michael's Medical Center 268 Dr. Martin Luther King Jr. Blvd Newark NJ 07102 22‐3014175 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Sisters Network Central New Jersey 120 Hamilton Street Somerset NJ 08873 22‐3724140 501c3 20,368 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 St Joseph's Regional Medical Center 703 Main Street Paterson NJ 07503 22‐1487602 501c3 116,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 Trinitas Hospital P.O. Box 259 Elizabeth NJ 07202 22‐2353773 501c3 71,055 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73 UMDNJ ‐ University Hospital Cancer Center 185 South Orange Avenue NJMS/UH Newark NJ 07103 23‐7313160 501c3 284,454 n/a n/a n/a Breast Cancer Education, Screening, Treatment 73  $                    1,017,790 7474 Antone Tannehill Good Samaritan Free Clinic PO Box 1821 Tupelo MS 38802‐1821 58‐1986683 501c3 8,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 Baptist Memorial Hospital 350 N Humphreys Blvd Memphis TN 38120 64‐0663760 501c3 63,800 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 Clay County Medical Center 835 Medical Center Drive West Point MS 39773 64‐0668565 501c3 6,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 Good Samaritan Clinic ‐ Tupelo 420 Magazine Street Tupelo MS 38801 58‐1986683 501c3 22,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 Magnolia Hospital 611 Alcorn Drive Corinth MS 38834 64‐0640292 501c3 7,985 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 NMMC Breast Care Center 4566 S. Eason Blvd. Tupelo MS 38801 64‐0662976 501c3 16,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 NMMC/Spirit of Women 808 Varsity Drive Tupelo MS 38801 64‐0662976 501c3 7,150 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 North Mississippi Medical Center‐Breast Care 4376 S. Eason Blvd. Tupelo MS 38801‐6516 64‐0662976 501c3 12,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 North Mississippi Medical Center‐Spirit 820 Ridgecrest Drive Tupelo MS 38801 64‐0662976 501c3 11,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74 Sisters Network 1800 W. Main Street Tupelo MS 38801 32‐0071835 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 74  $                        186,185 7575 Asian Breast Health Outreach 403 W. Campbell Road Suite 205 Richardson TX 75080 75‐1788520 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Bridge Breast Center 3601 Gaston Ave #401 Dallas TX 75246 75‐2436606 501c3 338,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Bridge of Blessings 819 Arapaho Road Suite 24‐B 

#27Richardson TX 75080 20‐1369690 501c3 19,201 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

75 Collin County Health Care 825 N. McDonald McKinney TX 75069 75‐6000873 501c3 90,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Denton County Health Dept 190 N. Valley Parkway Ste 203 Lewisville TX 75067 75‐6000920 501c3 31,276 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Easter Seals of Greater Dallas 4443 North Josey Lane Carrollton TX 75010 75‐0827419 501c3 16,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Family Health Care, Inc. 525 South Loop 288 Ste A Denton TX 76204 75‐1903817 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Grayson County Health Department 205 N. Houston Ave Denison TX 75021 75‐6000969 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Texas Health Presbyterian Hospital Allen 1105 Central Expressway North Ste 2100 Allen TX 75013 75‐2890358 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Texas Health Presbyterian Hospital Plano 6200 West Parker Blvd Plano TX 75093 75‐2890358 501c3 50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Texas Women's University P. O. Box 425499 Denton TX 76204 75‐6002618 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75 Texoma Healthcare System 305 West Woodard Suite 220 Denison TX 75020 75‐6002618 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 75  $                        799,477 7676 Delhi Hospital 407 Cincinnati Street Delhi LA 71232 72‐1179027 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76 Delhi Rural Health Clinic (Br Cancer Awareness) 407 Cincinnati Delhi LA 71232 72‐1179027 501c3 8,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76 Grambling State University 403 Main St. Grambling LA 71245 72‐6000751 501c3 17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76 Jackson Parish Hospital 165 Beech Springs Rd. Jonesboro LA 71251 72‐0549907 501c3 18,700 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76 Kitty DeGree Breast Health Center 3421 Medical Park Dr Monroe LA 71203 72‐0408970  501c3 40,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76 LA Cancer Foundation  141 DeSiard St Monroe LA 71201 72‐1461890 501c3 97,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76 Louisiana Cancer Foundation ‐ Bosom buddy 3421 Medical Park Dr Monroe LA 71203 72‐1461890 501c3 7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 76  $                        199,450 7777 Adirondack Healing Retreat 680 Bartlett Carry Road Tupper Lake NY 12986 26‐1788222 501c3 9,860 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Albany Medical Center 25 Hackett Blvd Albany NY 12208 14‐1338307 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Camp Bravehearts 249 Georgetown Ct Albany NY 12203 23‐3066704 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Cap. Reg. Action Against Breast Cancer 125 Wolf Road Albany NY 12205 14‐1807124 501c3 31,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Community Link Mobile Health 450 Salmon River Road Plattsburgh NY 12901 14‐1603303 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Gilda's Club 3 Airport Park Blvd Latham NY 12110 14‐1818645 501c3 29,958 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Glens Falls Hospital 100 Park St Glenns Falls NY 12801 14‐1338413 501c3 30,700 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 Samaritan Hospital 2215 Burdett Ave Troy NY 12180 14‐1338544 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 St Peter's Hospital 315 South Manning Blvd Albany NY 12208 22‐2262982 501c3 5,637 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 St. Mary's Hospital 427 Guy Park Avenue Amsterfam NY 12010 14‐1347719 501c3 18,120 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 To Life 410 Kenwood Ave Delmar NY 12054 14‐1808431 501c3 24,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77 YWCA OF Schenectady 44 Washington Ave Schenectady NY 12305 14‐1340139 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 77  $                        269,475 78

North Jersey Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 22‐3528454)

North Mississippi Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844621)

North Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2356437)

Northeast Louisiana Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 93‐1225877)

Northeastern New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854968)

The Northeast Ohio Chapter of the Susan G. Komen Breast Cancer Foundation (ElN# 34‐1793460)

Page 18 of 29 ATTACHMENT 9

Page 141: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

78 Akron General Medical Center 400 Wabash Avenue Akron OH 44307 34‐0714478 501c3 51,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 American Cancer Society Northeast Region Ohio 525 North Broad Street Canfield OH 44406 13‐1788491 501c3 89,088 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Aultman Hospital 2600 Sixth Street SW Canton OH 44710 34‐0714538 501c3 50,867 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Care Alliance Health Center 1530 Saint Clair Avenue Cleveland OH 44114 34‐1748776 501c3 11,025 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Columbiana County Health Department 7360 State Route 45  PO Box 309 Lisbon OH 44432 34‐6000745 501c3 74,699 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Community Health Partners Regional Foundation 3700 Kolbe Road Lorain OH 44053 34‐1504558 501c3 12,185 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Cuyahoga County Board of Health 5550 Venture Drive Parma OH 44130 34‐6000817 501c3 106,232 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Gathering Place 23300 Commerce Park Cleveland OH 44122 34‐1897035 501c3 63,731 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 JD Breast Cancer Foundation 75 Public Square, Suite 920 Cleveland OH 44113 34‐1851857 501c3 87,608 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Karen P. Nakon Breast Cancer Foundation 35765 Chester Rd Avon OH 44011 32‐0062665 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Kent State (Health Education and Promotion Program) 316 White Hall Kent OH 44242 34‐6576307 501c3 76,110 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Mennonite Christian Assembly Church 10664 Fryburg Road Fredricksburg OH 44627 34‐1568285 501c3 82,183 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Mercy Medical Center 1320 Mercy Drive NW Canton OH 44708 34‐1893439 501c3 90,700 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 MetroHealth System  The MetroHealth Foundation, Fiscal 

Agent2500 MetroHealth Drive Cleveland OH 44109 34‐6607695 501c3 144,781 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

78 North Coast Health Ministry 16110 Detroit Avenue Lakewood OH 44107 34‐1536257 501c3 37,192 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 NorthEast Ohio Neighborhood Health Services, Inc. 8300 Hough Avenue Cleveland OH 44103 34‐1014291 501c3 52,927 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 South Pointe Hospital 20000 Harvard Road Warrensville OH 44122 34‐0714585 501c3 82,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Summit County Health District 1100 Graham Circle Rd Stow OH 44224 34‐6002767 501c3 58,154 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 The Free Clinic of Greater Cleveland 12201 Euclid Ave. Cleveland OH 44106 23‐7078501 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 Trinity Health System 380 Summit Avenue Steubenville OH 43952 34‐0875691 501c3 27,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 University Hospitals Geneva Medical Center 870 West Main Street Geneva OH 44041 34‐0714461 501c3 46,563 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 University Hospitals Ireland Cancer Center  11100 Euclid Avenue Cleveland OH 44106 34‐0714775 501c3 73,298 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 University Hospitals MacDonald Women's 

Hospital11100 Euclid Ave. Cleveland OH 44106 34‐0714775 501c3 19,815 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

78 YWCA of Elyria 318 West Avenue Elyria OH 44035 34‐0718418 501c3 21,780 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78 YWCA of Youngstown 25 West Rayen Avenue Youngstown OH 44503 34‐0714732 501c3 55,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 78  $                    1,480,688 7979 Advocacy & Counseling for Breast Cancer Patients in St. 

Joe County (River Bend)919 E. Jefferson Blvd South Bend IN 46617 35‐0872359 501c3 10,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

79 Assoc Churches of Ft Wayne & Allen County, Inc. 602 East Wayne St Ft Wayne IN 46802 35‐0869051 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 79 Cancer Services of Northern Indiana 2925 E. State Blvd. Ft. Wayne IN 46805 35‐0965609 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 79 Center for Cancer Care at Goshen Hospital 200 High Park Avenue Goshen IN 46526 23‐7092692 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 79 Health Visions Midwest 4522 Indianapolis Blvd East Chicago IN 46312 35‐2064919 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 79 LaPorte Hospital Foundation  1007 Lincolnway LaPorte IN 46350 31‐0952775 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 79 Mobile Medical Unit of Saint Joseph Regional Medical 

Center (Foundation of SJRMC)4215 Edison Lakes Parkway Suite 300 Mishawaka IN 46545 35‐0868157 501c3 10,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

79 Parkview Hospital Comp Cancer Care 2200 Randallia Drive Ft. Wayne IN 46805 23‐7220589 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 79 Women's Task Force of St. Joseph Regional Medical Center 

‐ Secret Sister Society4215 Edison Lakes Parkway Suite 300 Mishawaka IN 46545 35‐0868157 501c3 10,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

79  $                          90,000 8080 American Cancer Society 691 Sierra Rose Suite A Reno NV 89511 84‐1316555 501c3 12,040 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Barton Memorial Hospital 2170 So. Avenue South Lake Tahoe CA 96150 94‐6050274 501c3 22,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Carson Advocates PO Box 3127 Carson City NV 89702 88‐0387923 501c3 11,002 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Carson City Health & Human Services 900 E. Long St. Carson City NV 89706 88‐6000189 501c3 18,502 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Carson Tahoe Cancer Resource Center PO Box 2168 Carson City NV 89702 88‐0387923 501c3 13,502 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 HAWC 1055 So. Wells Suite #120 Reno NV 89502 88‐0293149 501c3 41,502 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Nevada Health Center (mammovan) 1802 No. Carson St. Suite #100 Carson City NV 89701 94‐3199117 501c3 43,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Planned Parenthood 455 W. 5th St. Reno NV 89503 94‐1583439 501c3 28,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Reno Cancer Foundation 1155 Mill St. Reno NV 89502 88‐6002500 501c3 33,502 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80 Renown Health Foundation 1155 Mill St. ‐ O2 Reno NV 89502 94‐2972749 501c3 18,502 n/a n/a n/a Breast Cancer Education, Screening, Treatment 80  $                        242,849 8181 Allen County Health Department 300 S. Elizabeth St. Lima OH 45801 34‐6400019 501c3 41,262 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Bowling Green State University Student Recreation Center 1411 Ridge Street Bowling Green OH 43403 34‐6402018 501c3 7,989 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

81 Flower Hospital 5200 Harroun Rd. Sylvania OH 43560 34‐4428794 501c3 39,512 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Fulton County Health Department 606 S. Shoop Ave. Wasuseon OH 43567 34‐6400540 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Mercy Health Partners, Metro Division 2213 Cherry St. Dept. 8321 Toledo OH 43608 34‐4428250 501c3 66,251 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Mercy Memorial Hospital System 740 N. Macomb St. Monroe MI 48162 38‐1984289 501c3 47,861 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 North Coast Cancer Foundation 300 East Water St. Sandusky OH 44870 34‐1224416 501c3 29,375 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 PathStones (formerly Rural Opportunities) 2‐453 County Road V Liberty Center OH 43532 16‐0984913 501c3 55,550 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Putnam County Health Department P.O. Box 330 Ottawa OH 45875 34‐6401116 501c3 9,720 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 The Victory Center 5532 W. Central Ave. Suite B Toledo OH 43615 34‐1767997 501c3 5,966 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Toledo‐Lucas County CareNet 3231 Central Park West #200 Toledo OH 43617 43‐1986672 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 81 Women's Wellness Center St. Rita's Medical Center 770 W High Street 

Suite 250Lima OH 45801 34‐1105619 501c3 7,300 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

Northern Indiana Afflliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 56‐2583632)

Northern Nevada Afflliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2855035)

Northwest Ohio Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2845063)

Page 19 of 29 ATTACHMENT 9

Page 142: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

81  $                        430,785 8282 Access California Services 2180 W. Crescent Ave., Suite C Anaheim CA 92801 33‐0826205 501c3 45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 AltaMed Health Services Attn: Aggie Williams Finance Dept. 500 

Citadel Drive Suite 490Los Angeles CA 90040 95‐2810095  501c3 12,500 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

82 AltaMed Health Services 8041 Newman Avenue Huntington Beach CA 92647 95‐2810095  501c3 137,178 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Asian American Senior Citizens Service Center c/o Donna Lin 850 N. Birch St. Santa Ana CA 92701 33‐0396096  501c3 54,003 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Breast Cancer Solutions Jennifer Anderson 3100 Airway Avenue Costa Mesa CA 92626 33‐0765783 501c3 232,277 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Community Care Health Centers (CCHC) 8041 Newman Avenue Huntington Beach CA 92647 95‐2810095  501c3 93,188 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Disability Rights Legal Center 919 Albany Street LA CA 90015 95‐2960607 501c3 33,783 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 G.R.E.E.N. Foundation, The PO Box 82 Brea CA 92821 33‐1143366 501c3 38,844 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Gay and Lesbian Community Service Center of Orange 

County, The12752 Garden Grove Blvd. Suite 106 Garden Grove CA 92843 95‐2934041  501c3 30,928 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

82 Guam Communications Network 4201 Long Beach Blvd. Suite 218 Long Beach CA 90807 95‐4410105 501c3 24,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Hurrt Family Health Clinic, Inc Attn: Gladys Amavizca One Hope Drive Tustin CA 92782 33‐0906866 501c3 18,985 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Kommah Seray Inflammatory Breast Attn: Kommah McDowell 101 W. Mission 

Blvd.Ste 110‐132Pomona CA 91766 20‐6958227 501c3 12,750 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

82 Laguna Beach Community Clinic 362 Third Street Laguna Beach CA 92651 95‐2637633  501c3 108,396 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Latino Health Access 1701 N. Main Street Suite 200 Santa Ana CA 92706 33‐0562943 501c3 61,545 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Nhan Hoa Comprehensive Hlth Care Clinic Attn: Thuy Nguyen 14221 Euclid St. Suite H Garden Grove CA 92843 33‐0477323 501c3 11,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

82 Orange County Korean American Health Information and Education Center

c/o Wendy Yoo 9636 Garden Grove Blvd Ste 20

Garden Grove CA 92844 33‐0953529  501c3 31,970 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

82 Orange County Rescue Mission Healthcare S One Hope Drive Tustin CA 92782 33‐0906866 501c3 63,432 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Pink Ribbon Club Foundation 4790 Irvine Blvd. Suite 105‐155 Irvine CA 92620 54‐0541381 501c3 22,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Planned Parenthood of OC & SB Counties c/o Dana Buchalter 700 S. Tustin St Orange CA 92866 95‐6152773 501c3 58,754 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Saddleback Memorial Breast Center  24401 Calle De Louisa Ste. 200 Laguna Hills CA 92653 33‐0011887 501c3 9,172 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Share our Selves (SOS) 1550 Superior Avenue Costa Mesa CA 92627 95‐3222316 501c3 67,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Special Services for Groups/SAATH 605 W. Olympic Blvd. Suite 600 LA CA 90015 95‐1716914 501c3 11,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 UCI Regents ‐ Chao Comprehensive Cancer 800 North Main Street Santa Ana CA 92701 95‐2585792 501c3 150,303 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82 Vietnamese American Cancer Foundation c/o Diep Tran 17150 Newhope St Suite #501‐

502Fountain Valley CA 92708 91‐2170415 501c3 108,750 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

82 YWCA North Orange County 215 E. Commonwealth Avenue Fullteront CA 92832 95‐1687482 501c3 141,618 n/a n/a n/a Breast Cancer Education, Screening, Treatment 82  $                    1,580,376 8383 African American Health Coalition 2800 N Vancouver Ave., Suite 100 Portland OR 97227 93‐1015277 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 American Cancer Society (North)  0330 SW Curry Portland OR 97239 84‐1316555 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 American Cancer Society (South) 0330 SW Curry Portland OR 97239 84‐1316555 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Asian Health and Services Center 3430 SE Powell Blvd.  Portland OR 97202 93‐1192100 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Catholic Charities‐ El Programa Hispanico 138 NE 3rd Street, Suite 140 Gresham OR 97030 93‐0386801 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Columbia Memorial Hospital 2111 Exchange St.  Astoria OR 97103 93‐0583856 501c3 28,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Confederated Tribes of Siletz Indians 201 SE Swan Ave. (PO Box 549) Siletz OR 97380 93‐0714057 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Harney District Hospital 557 W Washington Burns OR 97720 93‐6002332 501c3 11,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Native American Rehab Association (NARA) 15 N Morris Street Portland OR 97227 23‐7098400 501c3 24,972 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 OHSU Knight Cancer Institute‐/Breast Health Education 

Program3181 SW Sam Jackson Park Rd. Portland OR 97239 93‐1176109 501c3 30,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

83 Rinehart Clinic 230 Rowe Street Wheeler OR 97147 93‐1191793 501c3 23,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Rogue Valley Medical Center 2600 Siskiyou Blvd, Suite 100 Medford OR 97504 93‐0223960 501c3 39,995 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Sacred Heart /Oregon Imaging 123 International Way Springfield OR 97447 94‐3076293 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Sea‐Mar Community Health Centers 1516 S 11 Street Tacoma WA 98407 91‐1020139 501c3 31,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 St Charles Foundation Rural Transportaion 2500 NE Neff Road Bend OR 97701 94‐3076293 501c3 7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 State of Oregon BCC Program 800 NE Oregon St., Suite 850 Portland OR 97232 93‐6001752 501c3 560,830 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 State of Washington DOH PO Box 47905 Olympia WA 98504 91‐1444603 501c3 65,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Three Rivers Community Hospital 500 SW Ramsey Ave. Grants Pass OR 97526 93‐0223960 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Valley Family Health Care/La Familia Sana 1441 NE 10th Avenue Payette ID 83661 82‐0371383 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 Virginia Garcia Memorial Foundation 328 W. Main Street Suite 300 Hillsboro OR 97123 93‐0717997 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 WoWDEC 3181 SW Sam Jackson Park Rd. Portland OR 97239 93‐1176109 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83 YWCA of Salem 1255 NE Broadway Street Salem OR 97301 93‐0386985 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 83  $                    1,157,297 8484 AHEC‐NW at Harrison 1515 Pioneer Harrison AR 72601 62‐1682626 501c3 39,834 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 Arkansas Department of Health  4815 W. Markham Slot 11 Little Rock AR 72205 71‐0847443 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 Cancer Support Home 306 Hwy 72 East Bentonville AR 72712 71‐0664685 501c3 43,124 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 Community Clinic  614 E. Emma Suite 300 Springdale AR 72764 31‐1553455 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 Donald W Reynolds Cancer Support Home 3324 S. M" St. Ft. Smith AR 72903 71‐0507618 501c3 10,765 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 HOPE, Inc. 2950 Point Circle Suite 1 Fayetteville AR 72705 73‐1603672 501c3 23,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 Madison County Health Coalition P.O.B. 336 Huntsville AR 72740 71‐0842427 501c3 34,127 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 NARTI 5836 W. Sunset Ave. Springdate AR 72763 31‐1637431 501c3 18,525 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 St. Edward Mercy Foundation P.O.B. 17000 Fort Smith AR 72917 23‐7330425 501c3 31,565 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

The Orange County Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 33‐0487943)

The Oregon and SW Washington Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 93‐1068897)

Ozark Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2845062)

Page 20 of 29 ATTACHMENT 9

Page 143: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

84 St. Francis Clinic of Siloam Springs P.O.B. 1066 Siloam Springs AR 72761 71‐0450783 501c3 37,056 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 The Merlin Foundation 12825 Hwy 412 Alpena AR 72611 71‐0747717 501c3 24,680 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 The Women's Center at Sparks 1500 Dodson Ave. Fort Smith AR 72901 71‐0236920 501c3 70,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84 Washington Regional Medical Center 1103 N. Woolsey Ave. Fayetteville AR 72705 71‐0664687 501c3 26,350 n/a n/a n/a Breast Cancer Education, Screening, Treatment 84  $                        412,225 8585 Cancer Center for Healthy Living 5215 N. Knoxville Peoria IL 61614 37‐1363257 501c3 26,855 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Champaign‐Urbana Public Health Department MF09‐182 201 Kenyon Road Champaign IL 61820 37‐6005435 501c3 16,749 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

85 Fulton County Health Department 700 East Oak Street  Canton Canton IL 61520 37‐6000896 501c3 26,746 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Hancock County Health Department P.O. Box 357  671 Wabash Ave. Carthage IL 62321 37‐1096249 501c3 17,005 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Heartland Community Health Clinic 1701 W. Garden Street Peoria IL 61605 37‐1270794 501c3 47,445 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Hult Health Education Center 5215 N. Knoxville Peoria IL 61614 36‐3510390 501c3 64,591 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Institute of Physical Medicine 6501 N. Sheridan Road Peoria IL 61615 37‐1089050 501c3 16,474 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Kankakee County Health Department MF09‐191 2390 West Station Street Kankakee IL 60901 36‐6006595 501c3 7,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Knox County Health Department 1361 W. Fremont Street Galesburg IL 61401 37‐6001167 501c3 22,621 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Lake County Health Department 415 E. Washington Street Suite 112 Waukegan IL 60085 36‐6006600 501c3 8,383 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Library of Health Sciences PO Box 1649 Peoria IL 61656 37‐6000511 501c3 7,148 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 McDonough County Health Department 505 E. Jackson Street Macomb IL 61455 37‐6001537 501c3 10,887 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Methodist Medical Center of Illinois 221 NE Glen Oak Avenue Peoria IL 61636 51‐0186460 501c3 98,725 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 OSF‐ Saint Francis Medical Center 530 NE Glen Oak Ave Peoria IL 61637 37‐1259284 501c3 60,169 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Peoria City/Cty Health Department 2116 N Sheridan Road Peoria IL 61604 37‐6001763 501c3 70,403 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Sarah Bush Lincoln Health Center 1000 Health Center Drive Mattoon IL 61938 23‐7098532 501c3 7,775 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Southern Seven Health Department 37 Rustic Campus Drive Ullin IL 62992 37‐1069423 501c3 5,375 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Stephenson County Health Department MF09‐204 10 West Linden Street Freeport IL 61032 36‐6006654 501c3 7,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Tazewell County Health Department 21306 IL Route 9  Tremont Termont IL 61568 37‐6002170 501c3 48,074 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

VNA of Fox Valley 400 N. Highland  Aurora IL 60506 36‐2182095 501c3 5,775 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Winnebago County Health Department 401 Division St.  Rockford Rockford IL 61104‐2096 36‐4529968 501c3 12,550 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85 Woodford County Health Department 109 South Major Street Eurela IL 61530 37‐1212522 501c3 10,377 n/a n/a n/a Breast Cancer Education, Screening, Treatment 85  $                        598,626 8686 Abington Memorial Hosp. 1200 Old York Road  1st Floor Rorer Abington PA 19001 23‐1352152 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Albert Einstein Healthcare Netwk 5501 Old York Road Phildelphia PA 19141 23‐2290323 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Allentown Bureau of Health Alliance Hall 245 North 6th 

StreetAllentown PA 18102‐4128 23‐6003116 501c3 40,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

86 Bayhealth Medical Center‐ 640 South State Street Dover DE 19901‐3530 22‐2559843 501c3 67,023 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 BEBASHI 1217 Spring Garden Street 1st Floor Philadelphia PA 19123 23‐2484046 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Boat People SOS 5043 Westfield Avenue Suite A Pennsauken NJ 08110 54‐1563619 501c3 36,306 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Cambodian Assn of Greater Phila 5412 North 5th Street Philadelphia PA 19120 23‐2169935 501c3 39,013 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Centro Hispano 501 Washington Street Reading PA 19601 23‐2041081 501c3 65,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Christiana Care Health Services Medical Arts Complex 700 Lea Boulevard, 

Suite 104Wilmington DE 19802 51‐0103684 501c3 100,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

86 Consortium, Inc. 3801 Market Street Suite 201 Philadelphia PA 19104 23‐1744721 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Cooper Health System Cooper University Hospital 3 Cooper Plaza, 

Suite 220Camden NJ 08103 21‐0634462 501c3 100,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

86 Crozer‐Chester Foundation One Medical Center Blvd Upland PA 19013 23‐1637191 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Delaware Breast Cancer Coalition 111 West 11th Street, Suite 3 Wilmington DE 19801 52‐2045298 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Delco Memorial Foundation 501 North Lansdowne Avenue Drexel Hill PA 19026‐1186 22‐2980746 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Drexel University College of Medicine 245 North 15th Street Mail Stop 413, Suite 

7606Philadelphia PA 19102 23‐2979433 501c3 96,650 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

86 Gilda's Club 200 Kirk Rd Warminster PA 18974 23‐2979433 501c3 26,550 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Haitian Community Ctr of Philadelphia 400 North 63rd Street Philadelphia PA 19151 23‐2795284 501c3 9,853 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Health Promo Council of SE PA 260 S. Broad St.  18th Floor Philadelphia PA 19102 23‐2182113 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Joan Karnell Cancer Ctr 230 W. Washington Square Philadelphia PA 19106 31‐1538725 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Lancaster General Hospital 233 South 10th Street  BLSB Suite 502 Philadelphia PA 19107 23‐1352651 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Living Through Cancer 2100 Harrisburg Pike Lancaster PA 17604‐3200 23‐1365353 501c3 30,275 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 MANNA 1445 City Avenue, #6B Wynnewood PA 19096 22‐3785335 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Mazzoni Center PO Box 30181  12 South 23rd Street Philadelphia PA 19103 23‐2176338 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 National Nursing Centers Consortium 1201 Chestnut Street 2nd Floor Philadelphia PA 19107 23‐2176338 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Philadelphia Corporation for Aging 260 S. Broad St. Suite 1800 Philadelphia PA 19102 01‐0560081 501c3 39,995 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Philadelphia Dept. of Public Health 642 North Broad Street Philadelphia PA 19130‐3409 23‐1905649 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Philip Jaisohn Foundation ‐ Returned grant funds Ambulatory Health Services 500 South Broad 

Street, Suite 360Philadelphia PA 19146 23‐6003047 501c3 40,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

86 Planned Parenthood of Delaware 6705 Old York Road Philadelphia PA 19126‐2841 23‐1978566 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Practice without Pressure 625 Shipley St Wilmington DE 19801 51‐0066725 501c3 39,914 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Sacred Heart Hospital 2470 Sunset Lake Road Newark DE 19702 04‐3627646 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Saint Mary Medical Center 421 Chew Street Allentown PA 18102 23‐1352208 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Southeast Asian Mutual Assistance Assoc. 1201 Langhorne‐Newtown Road Rt 413 Langhorne PA 19047 22‐2541120 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Southeast PA Area Health Ed Center 1711 S. Broad Street Philadelphia PA 19148 22‐2541120 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

The Peoria Memorial Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 37‐1286285)

Philadelphia Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2949264)

Page 21 of 29 ATTACHMENT 9

Page 144: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

86 Thomas Jefferson Univ. 35 South High Street West Chester PA 19382 23‐2840151 501c3 100,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Unemployment Information Center 112 North Broad Street 11th Floor Philadelphia PA 19102 23‐2000486 501c3 22,840 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Virtua Health 6 E. Clementon Rd Suite F‐1 Gibbsboro NJ 08026 22‐3524939 501c3 29,744 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 Wellness Community ‐ DE 4810 Lancaster Pike Wilmington DE 19807 57‐1657537 501c3 38,670 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86 YWCA of Bethlehem, Pa 22 West Broad Bethlehem PA 18018 23‐6395256 501c3 27,390 n/a n/a n/a Breast Cancer Education, Screening, Treatment 86  $                    2,129,223 8787 Arizona Myeloma Network 20280 N. 59th  Avenue Suite 115 #448 Glendale AZ 85308 32‐0169742 501c3 13,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Arizona's Children Association ‐ Golden Gate Community 

Center1625 N. 39th Avenue Phoenix AZ 85009 86‐0096772  501c3 22,022 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

87 Asian Pacific Community in Action 6741 North 7th Street Phoenix AZ 85014 75‐3040117 501c3 21,206 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Banner Desert Medical Center 2025 N. 3rd Street Suite 250 Phoenix AZ 85004 90‐0054201  501c3 50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Banner Good Samaritan MC (Laura Dreier) 1111 E. McDowell Road Phoenix AZ 85006 27‐0036499 501c3 187,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Black Nurses Association 5060 N. 19th Avenue Suite 210 Phoenix AZ 85015 95‐3543065 501c3 21,351 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Casa Grande Regional Medical Center 

Foundation1800 E. Florence Blvd. Casa Grande AZ 85222 31‐1726569 501c3 32,370 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

87 Catholic Healthcare West Foundation – East Valley

1875 West Frye Road Chandler AZ 85224 94‐1196203 501c3 79,612 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

87 Flagstaff Medical Center 1200 N. Beaver Flagstaff AZ 86001 86‐0110232 501c3 30,690 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Fort McDowell Yavapai Nation Office of Contracts and Grants; PO Box 

17779Fountain Hills AZ 85269 74‐2388735 501c3 19,193 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

87 Gila River Health Care Corporation PO Box 38 Socaton AZ 85247 86‐0810876 501c3 13,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Hopi Tribe P. O. Box 123 Kykotsmovi AZ 86039 86‐0134082 501c3 23,398 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 John C. Lincoln Health Network 9221 N. Central Avenue Phoenix AZ 85020 86‐0096941 501c3 37,280 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Kingman Regional Medical Center Foundation 3269 Stockton Hill Road Kingman AZ 86409 74‐2388735 501c3 6,349 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 La Casa de Cristo Lutheran Church 6400 E. Bell Rd. Scottsdale AZ 85254 86‐0326047 501c3 6,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 La Paz Regional Hospital 1200 W. Mohave Rd. Parker AZ 85344 86‐0260959  501c3 30,483 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Maricopa County Department of Public Health 4041 North Central Avenue Suite 1500 Phoenix AZ 85012 86‐6000472  501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Maricopa Health Foundation 2601 E. Roosevelt Street Phoenix AZ 85008 86‐0777567 501c3 76,613 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Mission of Mercy ‐ Arizona PMB 134 5555 N. 7th Street Suite 134 Phoenix AZ 85014 86‐0704883 501c3 50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Mountain Park Health Center 2702 N. 3rd Street Suite 4020 Phoenix AZ 85004 86‐0498020 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 North Country HealthCare 2920 N. 4th Street Flagstaff AZ 86004 86‐0663432 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Planned Parenthood Arizona 5651 N. 7th Street Phoenix AZ 85014 86‐0146520 501c3 9,151 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Regional Center for Border Health, Inc. PO Box 617 Somerton AZ 85350 86‐0561847  501c3 21,420 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Scottsdale Healthcare  ‐ Virginia G. Piper Cancer Center 10460 N. 92nd Street Suite 206 Scottsdale AZ 85258 94‐2735850 501c3 20,794 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Sistas of AZ PO Box 12013 Chandler AZ 85248 56‐2556274 501c3 27,729 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 St. Joseph's Hospital and Medical Center 350 West Thomas Road Phoenix AZ 85013 94‐2941245 501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 The Nurses Office 1757 W. Jackson Lane Lakeside AZ 85929 86‐0723825 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 The Wellness Community 360 E. Palm Lane Phoenix AZ 85004 86‐0897810 501c3 6,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87 Yavapai County Community Health Services 1090 Commerce Drive Prescott AZ 86305 86‐6000561 501c3 12,151 n/a n/a n/a Breast Cancer Education, Screening, Treatment 87  $                    1,080,611 8888 Adagio Health 960 Penn Ave. Pittsburgh PA 15222‐3812 23‐7104168 501c3 693,362 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Allegheny General Hospital 320 East North Ave. Pittsburgh PA 15212 25‐1322626 501c3 68,205 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 ALLEGHENY SINGER RESEARCH INSTITUTE 320 East North Ave. Pittsburgh PA 15212 25‐1320493 501c3 68,205 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Allied Coordinated Transportation Serv PO Box 189 New Castle PA 16103‐0189 25‐1530677 501c3 91,553 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Bradford Regional Medical Center 116 Interstate Parkway Bradford PA 16701‐1036 25‐0965270 501c3 7,742 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 CCAC Educational Foundation 808 Ridge Ave. Pittsburgh PA 15212 25‐1384469 501c3 19,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 CREW PITTSBURGH FOUNDATION 600 Grant St. Pittsburgh PA 15219 20‐1677474 501c3 11,900 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Forbes Health Foundation 2570 Haymaker Road Monroeville PA 15146 25‐1798379 501c3 41,960 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Indiana Regional Medical Center  835 Hospital Rd. Indiana PA 15701 25‐0965404 501c3 30,388 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 J.C. Blair Memorial Hospital 1225 Warm Springs Ave. Huntingdon PA 16652 23‐1352159 501c3 62,130 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Magee Womancare International 3339 Ward St. Pittsburgh PA 15213 25‐1462312 501c3 8,569 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 MAGEE WOMENS HOSPITAL (HALKET ST) 3339 Ward St. Pittsburgh PA 15213 25‐1462312 501c3 72,252 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 MAGEE WOMENS HOSPITAL (WARD ST) 3339 Ward St. Pittsburgh PA 15213 25‐1462312 501c3 5,111 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Magee‐Womens Research Institute and 

Foundation3339 Ward St. Pittsburgh PA 15213 25‐1462312 501c3 96,111 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

88 MEADVILLE MEDICAL CENTER FOUNDATION 1015 Grove St. Meadville PA 16335 25‐1681342 501c3 54,966 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 MINORITY HEALTH CENTER 211 FEDERAL ST Farrell PA 16121 47‐0936077 501c3 22,793 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 Monongahela Valley Hospital 1163 Country Club Rd. Monongahela PA 15063 23‐7218917 501c3 21,033 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 PA CONNECTING COMMUNITIES 4401 Butler St. Pittsburgh PA 15201 20‐1118762 501c3 18,652 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 REGIONAL CANCER CENTER 2500 West 12th St. Erie PA 16505 25‐1385075 501c3 35,683 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

St. Clair Hospital 1000 Bower Hill Rd Pittsburgh PA 15243 25‐1010303 501c3 6,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 The Pennsylvanian State University PO Box 855500 Hershey PA 17033‐0855 24‐6000376 501c3 47,880 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 UPMC Braddock 400 Holland Ave. Braddock PA 15104 25‐1800797 501c3 27,468 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88 YWCA ENCOREplus Program 6907 Frankstown Ave. Pittsburgh PA 15208 25‐0965639 501c3 22,317 n/a n/a n/a Breast Cancer Education, Screening, Treatment 88  $                    1,534,276 8989 Bellevue Community College 3000 Landerholm Circle SE Bellevue WA 98007 91‐1051671 501c3 7,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2845061)

Pittsburgh Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 81‐0665396)

The Puget Sound Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 91‐1624040)

Page 22 of 29 ATTACHMENT 9

Page 145: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

89 Bethlehem Baptist Church 4818 Portland Ave Tacoma WA 98404 27‐0054883 501c3 6,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Cancer Lifeline 6522 Fremont Ave N. Seattle WA 98103 91‐6182951  501c3 303,400 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Chinese Information and Service Center 611 S. Lane Street Seattle WA 98104‐2939 23‐7438529 501c3 28,119 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 CHOICE Regional Health Network 2409 Pacific Avenue SE Olympia WA 98501‐7637 91‐1704039 501c3 26,429 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Department of Health PO Box 47855 Olympia WA 98504‐7855 91‐1444603  501c3 948,307 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Family Planning of Clallam County 1106 E. First Street Port Angeles WA 98362 91‐0872258 501c3 61,408 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Franciscan Foundation 1149 Market Street Tacoma WA 98402‐3515 91‐1145592  501c3 61,408 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 HealthPoint 955 Powell Ave SW Seattle WA 98057 91‐0884412 501c3 67,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 International Community Health Services PO Box 3007 Seattle WA 98114‐3007 91‐0947084  501c3 101,851 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Mt. Baker Planned Parenthood 2300 James Street Suite 207 Bellingham WA 98225‐3849 91‐0846274 501c3 48,891 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Neighborcare Health 905 Spruce Street Suite 300 Seattle WA 98104‐2474 91‐0893287 501c3 61,233 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Senior Services of Seattle/King County 2208 2nd Ave Suite 100 Seattle WA 98121 91‐0823767 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 Somoan National Nurses Association 5715 Portland Avenue Tacoma WA 98404‐0002 91‐2069657 501c3 33,350 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 South Puget Intertribal Planning Agency 3104 SE Old Olympic Hwy Shelton WA 98584 91‐1065249  501c3 58,009 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89 YWCA of Seattle King County Snohomish County 2024 Third Avenue Seattle WA 98121 91‐0482890  501c3 114,755 n/a n/a n/a Breast Cancer Education, Screening, Treatment 89  $                    1,957,660 9090 Genesis Medical Center 1227 East Rusholme St. Davenport IA 52803 42‐1418847 501c3 267,338 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Whiteside County Health 1300 W 2nd St. Rock Falls IL 61071 36‐6006657 501c3 5,625 n/a n/a n/a Breast Cancer Education, Screening, Treatment 90 Louisa County Public Health 805 J.L. Hodges Ave N., P.O. Box 222 Wapello IA 52653 54‐1051113 501c3 11,901 n/a n/a n/a Breast Cancer Education, Screening, Treatment 90  $                        284,864 9191 American Cancer Society ‐ Joint Venture (2006) 4510 Cox Road Suite 400 Glen Allen VA 23060 13‐1788491 501c3 11,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Augusta Regional Free Clinic P.O. Box 153 Fisherville VA 22939 54‐1651896 501c3 19,306 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Bon Secours Richmond Health Care Foundation 7229 Forest Ave, Suite 108 Richmond VA 23226 54‐1201346 501c3 19,718 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Breast Health Coalition of the Valley PO Box 2344 Staunton VA 24402 54‐1888246 501c3 15,450 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Centra‐Alan B. Pearson Regional Cancer Center 3300 Rivermont Avenue Lychburg VA 24503 54‐0715569 501c3 24,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Central Virginia Health Services P.O. Box 220 New Canton VA 23123 54‐0887287 501c3 24,375 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Community Memorial Healthcenter 125 Buena Vista Circle South Hill VA 23970 54‐0551711 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Crater Health District 301 Halifax Street Petersburg VA 23804 54‐6001775 501c3 23,877 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Fan Free Clinic 1010 N. Thompson Street Richmond VA 23230 54‐0927792 501c3 11,225 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 LINC P.O. Box 337 Richmond VA 23218 54‐1817025 501c3 18,783 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Pittsylvania‐Danville Health District P.O. Box 1159 Chatham VA 24531 54‐6001775 501c3 8,625 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Rappahannock Area Health District 608 Jackson Street Fredericksburg VA 22401 54‐6001775 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 VCU Massey Cancer Center ‐ Check It Out P.O. Box 980306 Richmond VA 23298‐0306 54‐6001758 501c3 37,347 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91 Winchester Medical Center 1840 Amherst Street Winchester VA 22601 54‐0505979 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 91  $                        289,655 9292 Breast Cancer Network of Strength 712 5th Street Suite C Davis CA 95616 36‐3049954 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92 California Health Collaborative Fresno 1625 East Shaw Ave Fresno CA 93710 94‐2862660 501c3 74,371 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92 Delta Health Care & Management Services Corp. 4662 Precissi Lane Suite 100 Stockton CA 95207 94‐2529117 501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92 Marshall Medical Center 1100 Marshall Way Placerville CA 95667 94‐1450151 501c3 59,720 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92 Sacramento Breast Cancer Resource Center 2700 Arden Way Sacramento CA 95825 26‐0669775 501c3 57,133 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92 St. Josephs Medical Center 1800 N California Street Stockton CA 95204 94‐1196203 501c3 59,100 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92 Sutter Cancer Center 2800 L Street Sacramento CA 95816 94‐1156621 501c3 54,977 n/a n/a n/a Breast Cancer Education, Screening, Treatment 92  $                        395,301 9393 Active Reentry 10 S Fairgrounds Rd Price UT 84511 87‐0446885 501c3 12,700 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Alliance Community Services ‐ Latino BCSP 347 E South Temple Salt Lake City UT 84110 30‐0087376 501c3 143,655 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Cancer Wellness House 59 S 1100 E Salt Lake City UT 84102 87‐0568405 501c3 16,116 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Communidades Unidas 695 W. Center Street Midvale UT 84047 13‐4257724 501c3 12,950 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Community Nursing Services 6949 High Tech Drive Midvale UT 84047 87‐0212459 501c3 45,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Image Reborn Foundation 6300 N. Sagewood Dr. Suite 238 Park City UT 84098 87‐0664958 501c3 18,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 La Casa Del Pueblo 3335 S 900 E Salt Lake City UT 84102 52‐1455846 501c3 16,337 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Utah Cancer Control  PO Box 142107 Salt Lake City UT 84114 87‐6000545 501c3 36,634 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Utah Cancer Resource & Education for Women 348 E 4500 S #300 Murray UT 84108 27‐0436521 501c3 53,350 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Utah Partners for Health 8211 W 3500 S Magna UT 84044 27‐0021804 501c3 36,080 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93 Utah Pride Center 355 N 300 W 1st floor Salt Lake City UT 84103 87‐0504077 501c3 6,570 n/a n/a n/a Breast Cancer Education, Screening, Treatment 93  $                        397,392 9494 American Cancer Society 8115 Datapoint Dr. San Antonio TX 78229 13‐1788491 501c3 117,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 Cancer Therapy & Research Center at UT Health Science 

Center7979 Wurzbach Road San Antonio TX 78229 74‐1587488 501c3 45,060 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

94 CentroMed 2300 W. Commerce #300 San Antonio TX 78207 74‐1787031 501c3 101,385 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 CommuniCare Health Centers 3066 E. Commerce San Antonio TX 78220 74‐1724391 501c3 67,590 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 Habla Con Tu Hermana 104 Babcock Road San Antonio TX 78201 74‐1297211 501c3 9,575 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 Martinez Street Women's Center 1510 S. Hackberry San Antonio TX 78210 74‐2934053 501c3 28,725 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 SLEW Wellness Center 12521 Nacogdoches Rd Ste 101 San Antonio TX 78217 42‐1580967 501c3 38,932 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 Universtiy Health System 527 N. Leona MS 10‐2 San Antonio TX 78207 74‐2335396 501c3 27,530 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Quad Cities Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844660)

Greater Richmond Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844659)

Sacramento Valley Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 94‐3169358)

Salt Lake City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2855032)

The San Antonio Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 74‐2856696)

Page 23 of 29 ATTACHMENT 9

Page 146: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

94 W.I.N.G.S. 7500 Highway 90 West Building San Antonio TX 78227 74‐2920912 501c3 9,979 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 WINGS 7500 Highway 90 West #2‐240 San Antonio TX 78227 74‐2920912 501c3 72,096 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94 YWCA of San Antonio 314 N. Hackberry, Suite 101 San Antonio TX 78202 74‐1143135 501c3 6,700 n/a n/a n/a Breast Cancer Education, Screening, Treatment 94  $                        524,572 9595 Asian Pacific Health Center 5871 University Ave. Suite #334 San Diego CA 92115 33‐0936411 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Breast Cancer Solutions 3100 Airway Ave..Ste 132 Costa Mesa CA 92626 33‐0765783 501c3 92,312 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Community Clinics Health Network PO Box 880969 San Diego CA 92168 33‐0759107 501c3 32,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Family Health Centers of San Diego 4040 30th St San Deigo CA 92104 95‐2833205 501c3 52,946 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Grossmont Hospital Foundation PO Box 158 La Mesa CA 91944 33‐0124488 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Guam Communications Network 2667 Camino del Rio So San Diego CA 92108 95‐4410105 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Indian Health Council, Inc PO Box 406 Pauma Valley CA 92061 95‐2506788 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Jewish Family Service of San Diego 8804 Balboa Ave San Diego CA 92123 95‐1644024 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Kids Konnected 27071Cabot Rd. #102 Laguna Hills CA 92658 33‐0754654 501c3 11,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Mama's Kitchen 1875 Second Ave San Diego CA 92101 33‐0434246 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Moores UCSD Cancer Center 3855 Health Science Dr MC0659 La Jolla CA 92093 95‐2872494 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 New Day's Dawn 10159 Mission Gorge Rd. A/B Santee CA 92071 36‐2167731 501c3 16,513 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Palomar Pomerado Health Development, Inc 15255 Innovation Drive San Diego CA 92128 20‐2356830 501c3 32,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Regents of Univ of CA: UCSD 3855 Health Science Dr., #850 San Diego CA 92093 95‐2872494 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 San Diego County Cancer Navigator    8885 Rio San Diego Dr. Ste 109 San Diego CA 92108 33‐1113588 501c3 18,900 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 San Diego County Cancer Navigator HER2 

Sppt Grp6973 Mimosa Dr Carlsbad CA 92011 33‐1113588 501c3 15,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

95 San Ysidro Health Center/Comprehensive Health Centers 1275 30th St San Diego CA 92154 95‐2801772 501c3 50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Scripps Health, Scripps Cancer Center 550 Washington St. Ste. 530 San Diego CA 92103 95‐1684089 501c3 32,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Scripps Mercy Hospital Chula Vista 237 Church Ave Chula Vista CA 91910 95‐1684089 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Sharp Healthcare Foundation 751 Medical Center Chula Vista CA 91910 95‐3492461 501c3 32,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95 Sharp HealthCare Foundation;Sharp Metropolitan Med 

Campus7901 Frost St La Mesa CA 92123 95‐3492461 501c3 13,004 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

95 Visat Community Clinic 1000 Vale Terrace Vista CA 92804 95‐2815615 501c3 47,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 95  $                        625,175 9696 Alliance Medical Center 1381 University Avenue Healdsburg CA 95448 94‐2308748 501c3 47,835 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Asian &Pac.IslanderAmerican Health Forum 450 Sutter Street Suite 600 San Francisco CA 94108 94‐3030806 501c3 47,741 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Asociacion Hispana del Cancer 351 Caroni Street Walnut Creek CA 94597 84‐1690144 501c3 54,050 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Bayview Hunters Point Health and Environmental 

Resource Center (HERC)828 Innes Avenue, Unit 110 San Francisco CA 94124 94‐3399182 501c3 53,983 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

96 Breast Cancer Connections 390 Cambridge Ave Pal Alto CA 94306 77‐0417605 501c3 48,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Breast Cancer Emergency Fund 965 Mission Street Suite 630 San Francisco CA 94104 20‐3203899 501c3 85,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 California Pacific Medical Center 1255 Post Street Suite 700 San Francisco CA 94109 94‐2728423 501c3 34,725 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Charlotte Maxwell Complementary Clinic 610 16th St Suite 246 Oakland CA 94612 94‐3116456 501c3 25,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Circulo de Vida Cancer Support and Resource 

Center2601 Mission St Suite 702 San Francisco CA 94110 51‐0471693 501c3 45,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

96 Community Health Clinic Ole 100 N. Winchester Blvd. Santa Clara CA 95050 77‐0352645 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Community Health Partnership 100 N. Winchester Blvd. Santa Clara CA 95050 77‐0352645 501c3 38,020 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Indian Health Center of Santa Clara Valley 1333 Meridian Ave San Jose CA 95125 94‐2476242 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Latino Breast Cancer Agency 6 Monterey Blvd San Francisco CA 94131 01‐0628124 501c3 82,225 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Lyon‐Martin Health Services 1748 Market St. #201 San Francisco CA 94102 94‐2597707 501c3 107,996 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Marin Community Clinics 300 Professional Center Drive Suite 311 Novato CA 94947 94‐2605669 501c3 72,674 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Pilipino Senior Resource Center 953 Mission St San Francisco CA 94103 83‐0445376 501c3 42,095 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Ravenswood Family Health Center (South County 

Community Health Center)1798A Bay Road East Palo Alto CA 94303 94‐3372130 501c3 50,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

96 San Francisco General Hospital 2789 25th St San Francisco CA 94110 94‐3189424 501c3 383,151 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 San Francisco General Hospital Foundation 2789 25th St San Francisco CA 94110 94‐3189424 501c3 28,618 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Shanti Project 730 Polk St., Floor 3 San Francisco CA 94109 94‐3023551 501c3 48,659 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Sisters Network Solano County 8328 Bennington Court Vallejo CA 94591 94‐3402247 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Southeast Health Center 2401 Keith St San Francisco CA 94124 94‐3117093 501c3 87,661 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 The Latina Center 3919 Roosevelt Ave Richmond CA 94805 68‐0470904 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Tiburcio Vasquez Health Center, Inc. 33255 Ninth St Union City CA 94587 23‐7118361 501c3 31,483 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 Tri‐City Health Center 39500 Liberty St Fremont CA 94538 23‐7255435 501c3 70,928 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96 VMC Foundation 2400 Moorpark Ave. Suite 207 San Jose CA 95128 77‐0187890 501c3 37,272 n/a n/a n/a Breast Cancer Education, Screening, Treatment 96  $                    1,632,116 9797 Community Renewal 838 Margaret Place Shreveport LA 71101 72‐1213057 501c3 7,133 n/a n/a n/a Breast Cancer Education, Screening, Treatment 97 DeSoto Regional Health Center P O Box 1636 Mansfield LA 71052 72‐0500565 501c3 17,706 n/a n/a n/a Breast Cancer Education, Screening, Treatment 97 Feist Weiller Cancer Center‐Partners in Wellness 1501 Kings Hwy Shreveport LA 71130 72‐0702002 501c3 62,617 n/a n/a n/a Breast Cancer Education, Screening, Treatment 97 LSU Health Services‐Patient Navigation  1501 Kings Hwy Shreveport LA 71130 72‐0702002 501c3 47,718 n/a n/a n/a Breast Cancer Education, Screening, Treatment 97 NORTHWESTERN STATE UNIVERSITY 715 College Ave Natchitoches LA 71457 62‐6000783 501c3 8,644 n/a n/a n/a Breast Cancer Education, Screening, Treatment 97 St Catherine of Siena Community Center 331 E 71st St  Shreveport LA 71105 72‐1461109 501c3 36,789 n/a n/a n/a Breast Cancer Education, Screening, Treatment 97  $                        180,606 

Shreveport‐Bossier Affillate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844653)

The San Diego Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 33‐0638911)

San Francisco Bay Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 94‐3047626)

Page 24 of 29 ATTACHMENT 9

Page 147: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

9898 June E Nylen Cancer Center (Various Programs) 230 Nebraska Sioux City IA 51101 42‐1411233 501c3 42,394 n/a n/a n/a Breast Cancer Education, Screening, Treatment98  $                          42,394 9999 Aberdeen Area Tribal Chairman's Health Board‐Pink Shawl 1770 Rand Road Rapid City SD 57702 46‐0420063 501c3 26,844

n/a n/a n/a Breast Cancer Education, Screening, Treatment99 All Women Count 615 E 4th St. Pierre SD 57501‐1700 46‐6000364 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment99 Avera Cancer Institiute ‐A Time to Heal 1000 E 21st St Sioux Falls SD 57105 46‐0367530 501c3 9,817 n/a n/a n/a Breast Cancer Education, Screening, Treatment99 Avera St. Benedict Health Center 401 W Glynn Parkston SD 57366 46‐0367530 501c3 8,450 n/a n/a n/a Breast Cancer Education, Screening, Treatment99 FAMC Breast Health Education Sreening Project 1301 Oak St PO Box 100 Faulkton SD 57438 36‐3317416 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment99 Girl Scouts‐Dakota Horizons Council 1101 S Marion Rd Sioux Falls SD 57106 46‐0250744 501c3 13,430 n/a n/a n/a Breast Cancer Education, Screening, Treatment99 Healing Pathways ‐ John T Vucurevich Reg Cancer Care Inst 353 Fairmont Blvd Rapid City SD 57701 46‐0319070 501c3 22,214 n/a n/a n/a

Breast Cancer Education, Screening, TreatmentLewis & Clark Behavioral Health Services 1028 Walnut Yankton SD 57078 46‐0309601 501c3 11,230 n/a n/a n/a Breast Cancer Education, Screening, Treatment

99 Sanford Breast Health Institute‐ Journey of Healing 1020 W 18th St. Sioux Falls SD 57104 46‐0447693 501c3 23,841 n/a n/a n/a Breast Cancer Education, Screening, Treatment99 Therapeutic Healing Institute‐Mind, Body, Spirit 

Connection Group122 W 19th St. Sioux Falls SD 57105 04‐3807841 501c3 19,264 n/a n/a n/a

Breast Cancer Education, Screening, Treatment99  $                        195,090 100100 Bethesda Women's Health Center 10301 Hagen Ranch Rd., #920 Boynton Beach FL 33437 59‐2771779 501c3 364,610 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Boca Raton Hospital Women's Center 690 Meadows Road Boca Raton FL 33486 59‐1006663 501c3 243,067 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Cancer Alliance of Help & Hope ‐ Financial Assistance to BC 

Patients to Cover Normal Everyday Living ExpensesPO Box 3038 Tequesta FL 33469 90‐0101236 501c3 46,250 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Caridad Center, Inc. 8645 W Boynton Beach Blvd. Boynton Beach FL 33472 65‐0149423 501c3 36,865 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Community Health Center ‐ Breast Cancer Awareness, 

Education and Eradication for the Uninsured and Underserved

2823 North Australian Ave West Palm Beach FL 33407 59‐1671640 501c3 9,000 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Florida Community Health Centers (RIA) 2306 Nebraska Ave Ft. Pierce FL 34950 59‐1671640 501c3 65,290 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Florida Resource Center for Women & Child ‐ Women to 

Women Community Health Project1923 Broadway Riviera Beach FL 33404 65‐0942198 501c3 7,500 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Glades General Hospital 1201 South Main Street Belle Glades FL 33486 35‐2226306 501c3 9,310 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 H.O.P.E. Project 5 Harvard Circle, Ste 100 West Palm Beach FL 33409 65‐0859412 501c3 93,570 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Hadassah Florida Atlantic Region ‐ Check It Out ‐ Breast 

Health Awareness & Education Program5341 West Atlantic Avenue Delray Beach FL 33484 59‐2057880 501c3 8,000 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Jupiter Medical Center 1025 N. Military Trail #200 Jupiter FL 33458 59‐1460239 501c3 87,030 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Martin Memorial Cancer Center 900 East Ocean Boulevard Stuart FL 34995 59‐0637874 501c3 169,382 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 Palm Beach Cancer Institute Foundation ‐ Moving On: Life 

After Breast Cancer1309 North Flagler Drive  West Palm Beach FL 33401 59‐2541781 501c3 10,000 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Pink Tie Friends ‐ Financial Assistance to Uninsured and 

Underinsured BC Patients in Martin and St. Lucie CountiesP.O. Box 209 Stuart FL 34995 27‐0122917 501c3 18,750 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Planned Parenthood ‐ Breast health Community Education 

Program5312 Broadway West Palm Beach FL 33407 59‐1391115 501c3 30,000 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100 Volunteers in Medicine 417 SE Balboa Avenue Stuart FL 34994 65‐1115793 501c3 11,309 n/a n/a n/a Breast Cancer Education, Screening, Treatment100 West Palm Beach Health Center ‐ Breast Cancer Education 

and Case Management for the Uninsured and Underinsured

1150 45th Street West Palm Beach FL 33407 26‐3611337 501c3 22,125 n/a n/a n/a

Breast Cancer Education, Screening, Treatment100  $                    1,232,058 101101 A Working Women in Need 2203 Abercorn Street Savannah GA 31401 58‐2583583 501c3 11,450 n/a n/a n/a Breast Cancer Education, Screening, Treatment101 Coastal Health District 9‐1 24 Oglethorpe Professional Blvd Savanah GA 31416 58‐6003763 501c3 32,431 n/a n/a n/a Breast Cancer Education, Screening, Treatment101 Community Health Mission 310 Eisenhower Dr. Suite 5 Savanah GA 31406 58‐2611264 501c3 7,555 n/a n/a n/a Breast Cancer Education, Screening, Treatment101 Curtis & Elizabeth Anderson Cancer Institute at Memorial University 

Medical CenterSavannah GA 31404 31‐1126469 501c3 27,491 n/a n/a n/a

Breast Cancer Education, Screening, Treatment101 Liberty County Health Department P O Box 231 Hinesville GA 31310 58‐6001384 501c3 17,720 n/a n/a n/a Breast Cancer Education, Screening, Treatment101 Memorial Health University Medical Center 4700 Waters Ave Savanah GA 31404 31‐1126469 501c3 18,539 n/a n/a n/a Breast Cancer Education, Screening, Treatment101 National Black Leadership Initiative on Cancer ‐ Savannah 

Coalition1900 Abercorn St. Savanah GA 31401 01‐0843718 501c3 29,950 n/a n/a n/a

Breast Cancer Education, Screening, Treatment101 Savannah Black Nurses Association P O Box 13351 Savannah GA 31416 23‐7194995 501c3 6,680 n/a n/a n/a Breast Cancer Education, Screening, Treatment101 St. Joseph's / Candler Health System 225 Candler Dr. Savanah GA 31405 58‐2288758 501c3 35,189 n/a n/a n/a Breast Cancer Education, Screening, Treatment101  $                        187,004 102102 Mercy Medical Center 1 St. Joseph Drive Centerville IA 52544 42‐0680308 501c3 6,330 n/a n/a n/a Breast Cancer Education, Screening, Treatment102 Lucas County Health Center 1200 N 7th Chariton IA 50049 42‐6039708 501c3 6,710 n/a n/a n/a Breast Cancer Education, Screening, Treatment102 Ottumwa Regional Health Center 1001 Pennsylvania Ave. Ottumwa IA 52501 42‐0671060 501c3 18,643 n/a n/a n/a Breast Cancer Education, Screening, Treatment102  $                          31,683 103103 Arizona Dept of Health Services ‐ Well Woman 1740 W Adams, Room 205 Phoenix AZ 85007 86‐6004791 501c3 112,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 Arizona Orthopaedic Research Center 2424 N. Wyatt Drive Suite 130 Tucson AZ 85712‐6113 20‐0301903 501c3 11,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment

Siouxland Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 86‐1102587)

South Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 33‐1114233)

The South Florida Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 65‐0254225)

Southeast Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 56‐2583644)

Southeast Iowa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854980)

Southern Arizona Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844652)

Page 25 of 29 ATTACHMENT 9

Page 148: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

103 Chiricahua Community Health Centers, Inc 1205 F Avenue  Douglas Douglas AZ 85607‐1920 86‐0814898 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 El Rio Community Health Center 839 W Congress Tucson AZ 85745 86‐0816675 501c3 39,688 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 Foundation of Yuma Regional Medical Ctr 2400 S. Ave A Yuma AZ 85364‐7170 51‐0179146 501c3 27,616 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 Mariposa Community Health Center 1852 N. Mastick Way Nogales AZ 85621 86‐0524321 501c3 38,220 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 Pima County Health Department 332 S Freeway Tucson AZ 85713 86‐6000543 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 Regional Center for Border Health PO Box 617  214 W Main Street Somerton AZ 85350 86‐0561847 501c3 43,950 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 St Elizabeth's Health Center 140 W Speedway Blvd  #100 Tucson AZ 85705‐7698 86‐0100880 501c3 128,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 Tucson Medical Center 5301 E Grant Road Tucson AZ 85712‐2161 86‐0504015 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 University Medical Center 3838 N Campbell Avenue Tucson AZ 85719 86‐6050388 501c3 39,999 n/a n/a n/a Breast Cancer Education, Screening, Treatment103 University of Arizona 1501 N Campbell Avenue Tucson AZ 85724‐0001 86‐6050388 501c3 69,926 n/a n/a n/a Breast Cancer Education, Screening, Treatment103  $                        651,398 104104 AccessHealth ‐ Las Vegas 2801 S. Valley View Ste. 12 Las Vegas NV 89102 88‐0336974 501c3 341,400 n/a n/a n/a Breast Cancer Education, Screening, Treatment104 Barbara Greenspuns WomensCare Center 100 N. Green Valley Pkwy Ste 330 Henderson NV 89074 88‐0349432 501c3 18,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment104 Center for Compassionate Care 4131 Swenson Street Las Vegas NV 89119 45‐0473026 501c3 45,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment104 St. Rose Domincan Health Foundation ‐ R.E.D. Rose 

Program102 E. Lake Mead Pkwy Henderson NV 89015 88‐0349432 501c3 200,000 n/a n/a n/a

Breast Cancer Education, Screening, Treatment104  $                        605,000 105105 Collier Health Services, Inc. 1454 West Madison Ave Immokalee FL 34122 59‐1741277 501c3 83,525 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Family Health Centers of SW Florida 2256 Heitman Fort Myers FL 33901 59‐1741273 501c3 177,453 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Florida Gulf Coast University Foundation 10501 FGCU Blvd. Fort Myers FL 33965 65‐0403969 501c3 11,345 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Lee Memorial Health Systems Foundation 2780 Cleveland Ave Suite 719 Fort Myers FL 33901 65‐0645343 501c3 209,350 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Lucy's Angels 1495 Garden Street LaBelle FL 33935 20‐5988280 501c3 11,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Lymphedema Resources, Inc. PO Box 1115 Estero FL 33928 20‐2246162 501c3 29,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Manatee County Heath Depatment 410 Sixth Ave East Bradenton FL 34208 59‐3502843 501c3 65,950 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Naples Community Hospital 350 7th Street. N. Naples FL 34102 59‐2314655 501c3 69,263 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Neighborhood Health Clinic 120 Goodlette Rd N Naples FL 34102 59‐3546884 501c3 87,390 n/a n/a n/a Breast Cancer Education, Screening, Treatment105 Partners For Breast Care 9470 HealthPark Circle Fort Myers FL 33908 65‐0290568 501c3 207,100 n/a n/a n/a Breast Cancer Education, Screening, Treatment105  $                        951,576 106106 Borgess Medical Center 1521 Gull Road Kalamazoo MI 49048 38‐1360526 501c3 11,306 n/a n/a n/a Breast Cancer Education, Screening, Treatment106 Bronson Center for Women One Healthcare Plaza Kalamazoo MI 49007 38‐2717749 501c3 10,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment106 Kalamazoo Co Human Services Dept BCCCP PO BOX 42 Nazareth MI 49074 38‐6004860 501c3 57,586 n/a n/a n/a Breast Cancer Education, Screening, Treatment106 KCMS/MSU 1000 Oakland Drive Kalamazoo MI 49008 38‐2015695 501c3 20,003 n/a n/a n/a Breast Cancer Education, Screening, Treatment106  $                          99,095 107107 Barnes‐Jewish Hospital ‐ Latinas Por La Cura 216 S. Kingshighway Ste. 4402 St. Louis MO 63110 43‐1617558 501c3 63,570 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 CarcinAid Foundation 845 N. New Ballas Ct. Ste. 380 St. Louis MO 63141 20‐2737792 501c3 38,320 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 CHIPS 2431 N. Grand Blvd. St. Louis MO 63106 43‐1589851 501c3 21,331 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Christian Hospital NE‐NW (Screening) 11133 Dunn Rd. St. Louis MO 63136 43‐6057893 501c3 34,764 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Family Care Health Centers 401 Holly Hills Ave. St. Louis MO 63111 23‐7076112 501c3 21,873 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Food Outreach, Inc. 3117 Olive St. St. Louis MO 63103 43‐1492878 501c3 30,261 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Grace Hill Neighborhood Health Centers, Inc. 1717 Biddle St. St. Louis MO 63106 43‐0817642 501c3 29,850 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Jefferson Memorial Hospital PO Box 350 Crystal City MO 63019 43‐0687077 501c3 8,673 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Madison County Health Department 101 E. Edwardsville Rd. Wood River IL 62095 37‐6001410 501c3 24,155 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Missouri Baptist Medical Center 3023 N. Ballas Rd. Bldg. D Ste. 

630St. Louis MO 63131 43‐1617558 501c3 76,886 n/a n/a n/a

Breast Cancer Education, Screening, Treatment107 People's Health Centers 5701 Delmar Blvd. St. Louis MO 63112 43‐1036785 501c3 33,979 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Puentes de Esperanza 463 N. 88th  St. Rte. 157 N St. Louis IL 62203 61‐1472664 501c3 23,153 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Siteman Cancer Center 660 S. Euclid Ave. CB 8018 St. Louis MO 63110 43‐0653611 501c3 263,668 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 Southern Illinois Healthcare Foundation 2041 Gooselake Rd. Sauget IL 62206 37‐1158318 501c3 69,768 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 SSM St. Joseph's in St. Charles County 300 First Capitol Dr. St. Charles MO 63301 43‐1591556 501c3 55,810 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 SSM St. Mary's Health Center (Screening) 6420 Clayton Rd. St. Louis MO 63117 43‐1552945 501c3 42,232 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 St. Clair County Health Department 19 Public Sq. Ste. 150 Belleville IL 62220 37‐6001924 501c3 27,937 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 St. John's ‐ Washington 901 E. Fifth St. Washington MO 63090 43‐0653493 501c3 11,175 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 St. John's Mercy Medical Center 607 S. New Ballas Rd. Ste. 1440 St. Louis MO 63141 43‐0653493 501c3 65,847 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 St. Louis Peregrine Society, Inc. 2343 Hampton Ave. St. Louis MO 63139 43‐0662496 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 St. Louis University Cancer Center 3655 Vista 3rd Floor West Pavilion St. Louis MO 63110 43‐0654872 501c3 63,303 n/a n/a n/a Breast Cancer Education, Screening, Treatment107 The Breakfast Club, Inc. 3935 Galaxie dr. Florissant MO 63034 43‐1892689 501c3 24,952 n/a n/a n/a Breast Cancer Education, Screening, Treatment107  $                    1,044,006 108108 American Red Cross 1515 Sylvania Fort Worth TX 76111 53‐0136605 501c3 27,327 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Bridge Breast Center Network 3600 Gaston Ave Ste.401 Dallas TX 75240 75‐2436606 501c3 121,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Bridge of Blessings 819 Arapaho Rd Ste 24B #270 Richardson TX 76080 20‐1369690 501c3 37,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Cancer Care Services 623 S. Henderson Fort Worth TX 76104 75‐1025511 501c3 177,763 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Catholic Charities 4200 S. Freeway Ste 200 Fort Worth TX 76116 75‐0808769 501c3 27,969 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Catholic Charities St. Joseph 4200 S. Freeway Ste 200 Fort Worth TX 76116 75‐0808769 501c3 51,602 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 CERFT 800 W. Magnolia Fort Worth TX 76104 75‐2871087 501c3 75,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment

The Las Vegas Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 88‐0372386)

Southwest Florida Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 68‐0523074)

The Southwest Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 38‐3437505)

St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844650)

The Susan G. Komen Breast Cancer Foundation, Tarrant County Affiliate (EIN # 75‐2445070)

Page 26 of 29 ATTACHMENT 9

Page 149: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

108 Harris Methodist Hospital 1300 W. Terrell Ave. Fort Worth TX 76104 75‐2401033 501c3 286,362 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Joan Katz Breast Center 1400 Eighth Avenue Fort Worth TX 76104 75‐6000439 501c3 15,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 JPS Health Network 1500 S. Main St Fort Worth TX 76104 75‐6000439 501c3 166,142 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Muslim Community Center 7600 Glenview Drive North Richland TX 76180 75‐2580088 501c3 23,443 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 Tarrant County Public Health Department 1101 S. Main Street Attn: Ann Sayler‐

CaldwellFort Worth TX 76104 75‐6001170 501c3 192,500 n/a n/a n/a

Breast Cancer Education, Screening, Treatment108 UT Southwestern 5323 Harry Hines Blvd Fort Worth TX 75390 75‐6002868 501c3 149,283 n/a n/a n/a Breast Cancer Education, Screening, Treatment108 UTSW Medical Center for Breast Care 5323 Harry Hines Blvd Fort Worth TX 75390 75‐6002868 501c3 148,245 n/a n/a n/a Breast Cancer Education, Screening, Treatment108  $                    1,499,885 109109 AHEC 300 East 6th St. Texarkana AR 71854 75‐2659544 501c3 37,510 n/a n/a n/a Breast Cancer Education, Screening, Treatment

Atlanta Memorial Hospital P.O. Box 1049 Atlanta TX 75551 75‐2705456 501c3 26,038 n/a n/a n/a Breast Cancer Education, Screening, Treatment109 Christus St. Michael Health System 2600 St. Michael Drive Texarkana TX 75503 03‐2589701 501c3 151,475 n/a n/a n/a Breast Cancer Education, Screening, Treatment109 Little River, Ashdown 451 West Locke Street Ashdown AR 71822 71‐6046530 501c3 24,785 n/a n/a n/a Breast Cancer Education, Screening, Treatment109  $                        239,808 110110 Beach Health Clinic 3396 Holland Road Suite 102 Va. Beach VA 23452‐4824 54‐1366960 501c3 37,188 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Bon Seccurs Maryview Medical Center 5818 D. Harbor View Blvd Suite 140 Suffolk VA 23435‐3315 54‐0506463 501c3 25,400 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Chesapeake Health Department 748 Battlefield Blvd.  North Chesapeake VA 23320 54‐6001775 501c3 25,826 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Chesapepeake Regional Medical Center 736 Battlefield Blvd. North Chesapeake VA 23320‐4941 54‐6001775 501c3 24,722 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Eastern Shore Health District P.O. Box 177 Accomac VA 23301‐0177 54‐6001775 501c3 77,757 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Eastern Virginia Medical Center 825 Fairfax Avenue Suite 610 Norfolk VA 23507 54‐6055378 501c3 102,647 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Hampton Health Department 3130 Victoria Blvd. Hampton VA 23661‐1544 54‐6001775 501c3 26,785 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Hope House Foundation 801 Boush Street Suite 302 Norfolk VA 23510 54‐0804383 501c3 13,150 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Mt. Sinai Gospel Tabernacle P.O. Box 89 Townsend VA 23443 54‐1659568 501c3 14,933 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Peninsula Institute for Community Health 1033 28th Street Second Floor Newport News VA 23607 54‐1083954 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Riverside Cancer Services 12100 Warwick Blvd. Suite 101 Newport News VA 23601 52‐1245746 501c3 99,707 n/a n/a n/a Breast Cancer Education, Screening, Treatment110 Sentara Dorothy G. Hoefer Comprehensive Breast Ctr. 11803 Jefferson Avenue Suite 130 Newport News VA 23606 54‐1547408 501c3 20,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment110  $                        498,114 111111 American Cancer Society‐Breast Program & Services 508 Princeton Rd, Suite 102 Johnson City TN 37601 13‐1788491 501c3 12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 ETSU College of Nursing Box 70403 Johnson City TN 37614 62‐6021046 501c3 61,537 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 Holston Valley ‐ Breast Cancer Awareness 111 W. Stone Dr. Suite 300 Kingsport TN 37660 62‐1636465 501c3 40,990 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 Laughlin Healthcare Foundation 1420 Tusculum Blvd Greeneville TN 37745 58‐2105492 501c3 24,509 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 Mountain States Health Alliance 400 North State of Franklin Johnson City TN 37604 62‐0476282 501c3 26,253 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 TN Department of Health‐Best for TN Women Project 426 5th Ave. North Nashville TN 37247 62‐6001445 501c3 40,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 VDH Cumberland Plateau District‐Screening Saves 

LivesP.O. Box 2347 Lebanon VA 24266 54‐6001775 501c3 20,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

111 VDH Lenowisco District‐Breast Health 134 Roberts Ave.  SW Wise VA 24293 54‐6001775 501c3 26,580 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 Virginia Dept of Health ‐ Mt. Rogers District 201 Francis Marion Lane Marion VA 24354 54‐6001775 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111 Wellmont Health System ‐ Project Access ABC 103 W. Stone Dr. Suite 101 Kingsport TN 37660 58‐1594191 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 111  $                        327,369 112112 Breast Cancer Network of Strength 4606 E 67th St Tulsa OK 74136 36‐3049954 501c3 12,955 n/a n/a n/a Breast Cancer Education, Screening, Treatment 112 Indian Health Care Resource Center 550 S Peoria Ave Tulsa OK 74120 73‐1042545 501c3 52,844 n/a n/a n/a Breast Cancer Education, Screening, Treatment 112 Morton Comprehensive Health 1334 N Lansing Ave Tulsa OK 74106 73‐1177858 501c3 89,010 n/a n/a n/a Breast Cancer Education, Screening, Treatment 112 Tulsa Project Woman PO Box 470764 Tulsa OK 74147 73‐1616817 501c3 93,568 n/a n/a n/a Breast Cancer Education, Screening, Treatment 112  $                        248,377 113113 Adagio Health Inc 960 Penn Avenue Suite 600 Pittsburgh PA 15222 23‐7104168  501c3 21,149 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 Arnot Ogden Medical Center 600 Fitch Street Elmira NY 14905 16‐0743905 501c3 27,570 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 Cancer Resource Center of the Finger Lakes 612 West State Street Ithaca NY 14850 16‐1453042 501c3 11,505 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 Doorways to Healing 4 Coleman Avenue Elmira NY 14905 20‐0996215 501c3 7,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 Guthrie Health One Guthrie Square Sayre PA 18840 23‐2200910 501c3 16,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 Maternal & Famila Health Services 15 Public Square Suite 600 Wilkes‐Barre PA 14701 23‐1856766 501c3 7,750 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 Memorial Hospital One Hopsital Drive Towanda PA 18848 24‐0786657 501c3 10,125 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 YWCA of Binghamton/Broome 80 Hawley Street Binghamton NY 13901 15‐0564074 501c3 14,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113 YWCA of Elmira and Twin Tiers 211 Lake Street Elmira NY 14901 16‐0767225 501c3 15000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 113  $                        130,699 114114 Cancer Foundation for Life P. O. Box 8257 Tyler TX 75711 75‐2957440 501c3 10,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 114 Northeast Texas Public Health District P. O. Box 2039 Tyler TX 75710 75‐2254544 501c3 225,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 114 Trinity Clinic Genetics 611 S. Fleishel Tyler TX 75701 75‐2028241 501c3 7,940 n/a n/a n/a Breast Cancer Education, Screening, Treatment 114 Trinity Mother Frances Health System Foundation 611 S. Fleishel Tyler TX 75701 75‐2028241 501c3 16,310 n/a n/a n/a Breast Cancer Education, Screening, Treatment 114  $                        260,000 115115 American Cancer Society 753A Humble Dr Cookeville TN 38501 23‐7040934 501c3 6,275 n/a n/a n/a Breast Cancer Education, Screening, Treatment 115 CRMC Foundation 1 Medical Center Blvd Cookeville TN 38501 20‐1550666 501c3 18,689 n/a n/a n/a Breast Cancer Education, Screening, Treatment 115 TN Dept. of Health 426 5th Ave N ‐ Cordell Hull Bldg Nashville TX 37243 62‐6001445 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Texarkana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844649)

Tidewater Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2875178)

Tri‐Cities Affiliate of the Susan G. Komen Breast Cancer Founation (EIN # 84‐1689067)

Tulsa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854974)

Elmira Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 75‐2844630)

Tyler Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2764235)

Upper Cumberland Affiliate of the Susan G. Komen Breast Cancer Foundation (EIN # 20‐5956855)

Page 27 of 29 ATTACHMENT 9

Page 150: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

115 WCTE Upper Cumberland Broadcast Council 1151 Stadium Drive #104 Cookeville TN 38501 62‐1203449 501c3 12,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 115  $                          49,964 116116 Anderson Free Clinic PO Box 728 Anderson SC 29622 57‐0787584 501c3 9,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 AnMed Health 2000 E. Greenville St. Anderson SC 29621 57‐0359174 501c3 30,260 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Bon Secours St. Francis 125 Commonwealth Dr Greenville SC 29615 26‐0012031 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Cancer Association of Anderson 215 E. Calhoun St Anderson SC 29625 54‐2098883 501c3 15,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Cancer Society of Greenville 114 Mills Avenue Greenville SC 29606 57‐0471686 501c3 20,952 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Greenville Hospital Cancer Center 890 W. Faris Rd.Suite 320 Greenville SC 29605 57‐6007863 501c3 27,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Palmetto Health Baptist Easley PO Box 1988 Easley SC 29641 57‐0880538 501c3 13,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Self Regional Healthcare 1325 Spring Street Greenwood SC 29646 57‐0792372 501c3 12,497 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Spartanburg Regional Healthcare System 101 E. Wood Street Spartanburg SC 29303 57‐6000934 501c3 24,376 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116 Wallace Thomson Hospital 323 E. Union St Union SC 29380 57‐6000980 501c3 8,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 116  $                        196,585 117117 Brattleboro Memorial Hospital ‐ Comprehensive Breast 

Program17 Belmont Avenue Brattleboro VT

0530103‐0107300 501c3 15,100 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

117 Cancer Patient Support Program  111 Colchester Avenue FAHC‐ACC‐Main Pavillion Level 2

Burllington VT05406

03‐0365270 501c3 46,394 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

117 Dartmouth‐Hitchcock Medical Center 1 Medical Center Drive Lebanon NH 03756 02‐0222140 501c3 50,642 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117 Forest Moon, Inc. PO Box 164 Jacksonville VT 05342 20‐0889425 501c3 11,650 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117 North Country Health System 189 Prouty Drive Newport VT 05855 22‐2563241 501c3 32,320 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117 Rutland Regional Medical Center Breast Care Program 160 Allen Street Rutland VT 05701 03‐0183483 501c3 18,230 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117 Southwestern Vermont Medical Center 100 Hospital Drive Bennington VT 05201 22‐2563241 501c3 38,895 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117 UVM & State Agricultural College 89 Beaumont Avenue Given E‐213 Burlington VT 05405 03‐0179440 501c3 62,518 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117 Vermont Dept of Health PO Box 70 Burlington VT 05401 03‐6000274 501c3 32,402 n/a n/a n/a Breast Cancer Education, Screening, Treatment 117  $                        308,151 118118 Bloomington Hospital ‐Volunteers in Medicine of Monroe 

Co619 West First Street Bloominton IN 47403 35‐1720796 501c3 25,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

118 Clara Fairbanks Center for Women 1505 N. 7th Street Terre Haute IN 47807 35‐6042734 501c3 50,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 118 Olcott Center for Cancer Education Bloomington Hospital 

Foundation P. O. Box 1149 Bloomington IN 47402 35‐1720795 501c3 16,000 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

118 Sara Bush Lincoln Health Foundation 1000 Health Center Dr. Mattoon IL 61938 23‐7098532 501c3 11,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 118 Sullivan County Hospital 2200 N. Section St./P. O. Pox 10 Sullivan IN 47882 35‐1164250 501c3 6,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 118 The Boutique ‐ Viara Fairbanks Center for Women 1711 N. 6 1/2 Suite 300 Terre Haute IN 47804 35‐0876396 501c3 12,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 118 The Maple Center, Inc 1801 North 6th Street Suite 600 Terre Haute IN 47807 20‐0840169 501c3 15,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 118  $                        136,000 119119 Belington  Comm. Med Svs Assn 210 Sturmer Street Belington WV 26250 23‐7310126 501c3 25,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Boone Memorial Hospital 701 Madison Avenue Madison WV 25130 55‐0477361 501c3 12,150 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Braxton County Memorial Hospital 100 Hoylman Drive Gassaway WV 26624 55‐0577447 501c3 18,494 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Cabell Huntington Hospital 703 7th Avenue Huntington WV 25701 55‐0400653 501c3 17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 CAMC Health Educ & Resesarch Institute 3110 MacCorkle Ave SE, Rm 3284 Charleston WV 25304 55‐0753754 501c3 16,316 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Grant Co. Health Department P.O. Box 608 Petersburg WV 26847 55‐6011273 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Hampshire County Health Dept HC 71, Box 9 Augusta WV 26701 55‐6012362 501c3 17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Harrison‐Clarksburg Health Dept 330 West Main Street Clarksburg WV 26301 55‐6012323 501c3 10,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Holzer Medical Center 100 Jackson Pike Gallipolis OH 45631 31‐4379491 501c3 9,190 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Jackson General Hospital 122 Pinnell Street Ripley WV 25271 55‐0462730 501c3 35,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Lewis County Family Resources Network 145 High Street Weston WV 26452 55‐0775409 501c3 10,400 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 McDowell FACES 90 Howard Street Welch WV 24801 55‐0757546 501c3 13,367 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Rainelle Medical Center 645 Kanawha Avenue Rainelle WV 25962 55‐0686113 501c3 16,600 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 Wheeling Hospital 1 Medical Park Wheeling WV 26003 55‐0357057 501c3 24,777 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 WV Assn for Family/Community Ed. 2107 New England Ridge Washington WV 26288 55‐6019516 501c3 17,500 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119 WVU Foundation P.O. Box 8110 Morgantown WV 26506 55‐6017181 501c3 47,250 n/a n/a n/a Breast Cancer Education, Screening, Treatment 119  $                        326,644 120120 Allegheny County Dept of Health 7 Court St. Belmont NY 14813 16‐6002554 501c3 22,464 n/a n/a n/a Breast Cancer Education, Screening, Treatment 120 International Institute of Buffalo 864 Delaware Buffalo NY 14209 16‐0743052 501c3 24,364 n/a n/a n/a Breast Cancer Education, Screening, Treatment 120 Erie County Dept of Health 95 Franklin St. Buffalo NY 14202 16‐6002558 501c3 40,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 120 WCA Hospital 207 Foote St. Jamestown NY 14701 16‐0743226 501c3 40,930 n/a n/a n/a Breast Cancer Education, Screening, Treatment 120 American Cancer Society ‐ Pink and Black 197 Summer Street Buffalo NY 14222 16‐0743902 501c3 42,200 n/a n/a n/a Breast Cancer Education, Screening, Treatment 120 Roswell Park Alliance Foundation ‐ 

Esperanza Y VidaElm & Carlton St. Buffalo NY 14263 16‐1391608 501c3 194,575 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

120  $                        364,533 121121 North Central TX Community Health Care Center dba 

Comm Healthcare CenterPO Box 720 Wichita Falls TX 76307 75‐2429644 501c3 125,649 n/a n/a n/a  Breast Cancer Education, Screening, Treatment 

121 Wilson Family Planning Clinic 1301 3rd Street Wichita Falls TX 76301 23‐7339430 501c3 12,900 n/a n/a n/a Breast Cancer Education, Screening, Treatment 

Wichita Falls Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844658)

Upstate South Carolina Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2854973)

Vermont‐New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844657)

Wabash Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2844615)

West Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2885304)

The Western New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN # 75‐2875179)

Page 28 of 29 ATTACHMENT 9

Page 151: 12/28/10 - Susan G. Komen®

THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, INC. Year Ended March 31, 2010

Form 990, Schedule I, Part II, Grants Other Assistance to Governments and Organizations in the U.S.

2009 Form 990EIN # 75-2462834

Recipient name Address City ST Zip Code EIN # IRC Sec Amount of Cash Paid Amount of non‐cash assistance 

 Method of valuation (non‐cash) 

 Description of non‐cash assistance 

Purpose of Grant

121  $                        138,549 122122 Uinta County Public Health 350 City View Drive Suite 101 Evanston WY 82930 83‐6000128 501c3 9,775 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Campbell County Public Health 500 S. Gillette Ave Ste 1100 Gillette WY 82716 83‐6000103 501c3 12,300 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Western Wy Family Planning 809 Thompson Street Rock Springs WY 82901 83‐0237580 501c3 16,654 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Family Planning ‐ City County Health Dept 100 Central Ave Cheyenne WY 82007 83‐0332023 501c3 30,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Community Health Center of Central Wy 1522 East A Street Casper WY 82601 83‐0326307 501c3 31,340 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Wyoming Health Council/Women's Wellness 146 S. Absaroka Street Powell WY 82435 83‐0292017 501c3 32,738 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Wyoming Medical Center Foundation 1233 E.2nd Street Casper WY 82601 83‐0230808 501c3 37,860 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 The Caring Foundation of Wyoming, Inc. PO Box 2266 Cheyenne WY 82003 83‐0292601 501c3 54,756 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122 Blue Mountain Associates, Inc. PO Box 1344 Fort Washakie WY 82514 20‐2901223 501c3 60,000 n/a n/a n/a Breast Cancer Education, Screening, Treatment 122  $                        285,423 123

None$                                   ‐   

Group Total 74,743,705

Wyoming Chapter of the Susan G. Komen Breast Cancer Foundation (EIN # 84‐1387410)

North Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. (EIN #26‐4810260)

Page 29 of 29 ATTACHMENT 9

Page 152: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 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. - - - 540,436 540,436 EIN #72-1436764

2 The Arkansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 350 - 350 2,115,741 2,116,091 EIN# 71-0724439

3 The Aspen Chapter of the Susan G. Komen Breast Cancer Foundation - - - 378,869 378,869 EIN# 84-1160739

4 Austin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,686 1,293 2,979 2,142,024 2,145,003 EIN # 75-2854966

5 Baton Rouge Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 267 267 619,842 620,109 EIN # 75-2854972

6 Bayou Region Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 269,776 269,776 EIN # 75-2854976

7 Boise, Idaho Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 832,554 832,554 EIN # 75-2854965

8 Brainerd Lakes Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 175,072 175,072 EIN # 75-2900552

9 Central Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,226,962 1,226,962 EIN # 75-2854957

10 Central Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation - 353 353 367,091 367,444 EIN # 75-2881536

11 Central Mississippi Steel Magnolias Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 401,175 401,175 EIN # 75-2875174

12 Central New Mexico Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 6,819 1,282 8,101 358,167 366,268 EIN# 85-0462625

13 Central New York Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 768,983 768,983 EIN# 16-1389666

14 Central Oklahoma Chapter of the Komen Foundation, Inc. 7,034 391 7,425 1,206,655 1,214,080 EIN# 73-1372249

15 Central and South Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 3,244 - 3,244 2,502,513 2,505,757 EIN# 43-2052349

16 Central Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 411,406 411,406 EIN# 74-2906528

Page 1 of 8 ATTACHMENT 10

Page 153: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

17 Central Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 3,855 - 3,855 568,481 572,336 EIN # 75-2854970

18 Central Wisconsin Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 147,073 147,073 EIN # 56-2613151

19 Charlotte Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 94 94 1,927,420 1,927,514 EIN # 75-2854959

20 Chattanooga Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 524,310 524,310 EIN # 75-2875175

21 The Chicagoland Area Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 566 753 1,319 2,135,301 2,136,620 EIN# 36-4111723

22 Coeur d'Alene Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 74,325 74,325 EIN # 75-2875176

23 Colorado Springs Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 785 785 927,287 928,072 EIN# 75-2844654

24 Columbus Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 10,925 - 10,925 2,605,862 2,616,787 EIN# 75-2844651

25 Connecticut Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,106 - 2,106 1,573,715 1,575,821 EIN# 75-2844629

26 Dallas County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,244,683 3,244,683 EIN# 75-2444724

27 The Denver Metropolitan Affiliate of the Susan G. Komen Breast Cancer Foundation - 734 734 5,188,627 5,189,361 EIN# 84-1199858

28 The Des Moines Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 1,316 15,677 16,993 1,073,716 1,090,709 EIN # 42-1438018

29 Eastern Washington Affiliate of the Susan G. Komen Foundation, Inc. 2,384 - 2,384 619,131 621,515 EIN# 81-0578449

30 Elmira Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 185,502 185,502 EIN# 75-2844630

31 El Paso Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 285 - 285 706,442 706,727 EIN# 74-2723408

32 Florida Suncoast Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 242 - 242 1,805,369 1,805,611 EIN# 75-2870702

33 The Greater Atlanta Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,345,668 3,345,668 EIN# 58-1959763

Page 2 of 8 ATTACHMENT 10

Page 154: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

34 Grand Rapids Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,746 195 1,941 631,263 633,204 EIN# 75-2844631

35 Greater Amarillo Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 38 38 480,031 480,069 EIN # 72-1562627

36 Greater Cincinnati Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 556 556 1,412,037 1,412,593 EIN # 75-2855038

37 Greater Evansville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,028,856 1,028,856 EIN # 75-2844632

38 Greater Kansas City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 982 1,978 2,960 1,511,422 1,514,382 EIN # 75-2844634

39 Greater Lansing Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 480 - 480 687,949 688,429 EIN# 75-2915870

40 The Greater Nashville Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 7 1,001 1,008 1,383,255 1,384,263 EIN# 62-1671774

41 Greater New York City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 82,501 - 82,501 6,305,904 6,388,405 EIN # 91-2049420

42 Greater Richmond, Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,315 - 2,315 1,105,475 1,107,790 EIN# 75-2844659

43 Greater Roanoke Valley Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 167,039 167,039 EIN# 56-2619425

44 Hawaii Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 73 - 73 446,259 446,332 EIN # 75-2844635

45 Houston Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 12,523 - 12,523 5,527,745 5,540,268 EIN# 76-0360372

46 Indianapolis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,228 - 1,228 2,837,932 2,839,160 EIN# 75-2941627

47 Inland Empire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 834 - 834 957,093 957,927 EIN# 33-0802964

48 Knoxville Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 996,762 996,762 EIN # 75-2854955

49 The Las Vegas Chapter of the Susan G. Komen Breast Cancer Foundation 13,054 1,024 14,078 1,258,320 1,272,398 EIN# 88-0372386

50 Lexington Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 793,174 793,174 EIN # 75-2854969

Page 3 of 8 ATTACHMENT 10

Page 155: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

51 The Los Angeles County Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 781 2,322 3,103 1,613,562 1,616,665 EIN# 95-4582064

52 Louisville, Kentucky Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 794 794 977,432 978,226 EIN # 75-2855046

53 Lowcountry Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 7,441 570 8,011 929,144 937,155 EIN# 75-2844655

54 Lubbock Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 1,296 1,296 677,287 678,583 EIN# 75-2509762

55 Madison Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 686 - 686 1,125,386 1,126,072 EIN # 75-2855043

56 Maine Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,503 - 2,503 450,807 453,310 EIN #75-2844637

57 Maryland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,867,687 3,867,687 EIN# 52-2053491

58 Massachusetts Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 871 327 1,198 2,010,490 2,011,688 EIN# 75-2854961

59 McLean County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 155,062 155,062 EIN # 37-1379371

60 Memphis-Midsouth Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,183,974 1,183,974 EIN # 75-2942859

61 Miami Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,770,445 1,770,445 EIN # 75-2844638

62 Mid-Kansas Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 1,882 1,895 3,777 714,087 717,864 EIN# 48-1120492

63 Mid-Missouri Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 248,560 248,560 EIN# 56-2583638

64 Milwaukee Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,243,994 1,243,994 EIN# 75-2844639

65 Minnesota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,671,144 2,671,144 EIN# 41-1924790

66 Montana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,904 - 2,904 270,856 273,760 EIN# 75-2845067

67 Nebraska Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 1,324 1,324 924,510 925,834 EIN# 26-0056671

Page 4 of 8 ATTACHMENT 10

Page 156: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

68 New Orleans Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 797,162 797,162 EIN# 72-1222127

69 North Carolina Foothills Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 228,990 228,990 EIN # 75-2875177

70 North Carolina Triad Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 231 - 231 966,877 967,108 EIN # 75-2891104

71 NC Triangle Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 7,729 - 7,729 2,215,617 2,223,346 EIN# 75-2845066

72 North Central Alabama Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,225 - 2,225 1,100,109 1,102,334 EIN# 75-2844656

73 North Colorado Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 48,210 48,210 EIN# 75-2845065

74 Northeastern New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 44 - 44 427,196 427,240 EIN# 75-2854968

75 The Northeastern Pennsylvania Chapter of the Susan G. Komen Breast Cancer Foundation 929 - 929 574,048 574,977 EIN# 23-2657570

76 The Northeast Louisiana Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 271,311 271,311 EIN# 93-1225877

77 The Northeast Ohio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,543,095 2,543,095 EIN# 34-1793460

78 Northern Indiana Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 298,690 298,690 EIN # 56-2583682

79 Northern Nevada Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 565 - 565 558,680 559,245 EIN # 75-2855035

80 North Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 638 249 887 1,004,735 1,005,622 EIN# 75-2844636

81 The North Jersey Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 1,348 1,348 2,600,464 2,601,812 EIN# 22-3528454

82 North Mississippi Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 251,825 251,825 EIN# 75-2844621

83 North Texas Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,233,548 1,233,548 EIN# 75-2356437

84 Northwest Ohio Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 270 519 789 1,123,835 1,124,624 EIN# 75-2845063

Page 5 of 8 ATTACHMENT 10

Page 157: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

85 The Orange County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,026 - 1,026 3,862,499 3,863,525 EIN# 33-0487943

86 The Oregon and Southwest Washington Affiliate of the Susan G. Komen Breast Cancer Foundation, In 195 742 937 3,205,139 3,206,076 EIN# 93-1068897

87 Ozark Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,735 - 2,735 1,197,083 1,199,818 EIN# 75-2845062

88 Philadelphia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc 1,371 - 1,371 4,568,814 4,570,185 EIN# 75-2949264

89 Phoenix Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 9,980 147 10,127 2,761,985 2,772,112 EIN# 75-2845061

90 Pittsburgh Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,811 1,244 4,055 2,960,928 2,964,983 EIN# 81-0665396

91 The Puget Sound Chapter of the Susan G. Komen Foundation, Inc. 87 6,215 6,302 4,244,094 4,250,396 EIN# 91-1624040

92 Quad Cities Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 513,752 513,752 EIN# 75-2844660

93 Sacramento Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 2,982 - 2,982 1,763,262 1,766,244 EIN# 94-3169358

94 Siouxland Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 321,067 321,067 EIN# 86-1102587

95 St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 2,164 2,164 4,351,450 4,353,614 EIN# 75-2844650

96 The San Francisco Bay Area Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 3,006 15,985 18,991 1,738,557 1,757,548 EIN# 94-3047626

97 Salt Lake City Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 406 586 992 883,890 884,882 EIN # 75-2855032

98 The San Antonio Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. 1,353 - 1,353 1,413,329 1,414,682 EIN# 74-2856696

99 The San Diego Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,285,957 1,285,957 EIN# 33-0638911

100 Shreveport Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 329,882 329,882 EIN# 75-2844653

101 Southeast Georgia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 7,749 7,749 328,164 335,913 EIN # 56-2583644

Page 6 of 8 ATTACHMENT 10

Page 158: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

102 Southeast Iowa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 176,498 176,498 EIN # 75-2854980

103 Southern Arizona Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 1,028 1,028 1,274,395 1,275,423 EIN# 75-2844652

104 South Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 345 - 345 385,702 386,047 EIN# 33-1114233

105 The South Florida Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 2,557,701 2,557,701 EIN# 65-0254225

106 Southwest Florida Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,024 - 1,024 1,396,083 1,397,107 EIN# 68-0523074

107 The Southwest Michigan Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 5,159 372 5,531 323,708 329,239 EIN# 38-3437505

108 The Peoria Memorial Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 1,341,743 1,341,743 EIN# 37-1286285

109 Tarrant County Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 47 933 980 2,417,600 2,418,580 EIN# 75-2445070

110 Texarkana Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 602,658 602,658 EIN# 75-2844649

111 Tidewater Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 917,194 917,194 EIN # 75-2875178

112 Tri-Cities Affiliate of the Susan G. Komen Breast Cancer Foundation - 119 119 567,317 567,436 EIN # 84-1689067

113 Tulsa Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. 1,173 - 1,173 835,293 836,466 EIN# 75-2854974

114 Tyler Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - 201 201 397,659 397,860 EIN# 74-2764235

115 Upper Cumberland Affiliate of the Susan G. Komen Breast Cancer Foundation - - - 169,758 169,758 EIN# 20-5956855

116 Upstate South Carolina Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 664,921 664,921 EIN # 75-2854973

117 Vermont-New Hampshire Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - 631 631 638,461 639,092 EIN# 75-2844657

118 Wabash Valley Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 156,013 156,013 EIN# 75-2844615

Page 7 of 8 ATTACHMENT 10

Page 159: 12/28/10 - Susan G. Komen®

The Susan G. Komen Breast Cancer Foundation, Inc. - Group ReturnYear Ended March 31, 2010

Form 990, Schedule C, Part II-A - Lobbying Expenditures by Electing Public Charities

EIN: 75-24628342009 Form 990

Grassroots Direct Lobbying Total Lobbying Other Exempt Total Exempt PurposeExpenditures Expenditures Expenditures Expenditures Expenditures

119 The Western New York Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 648,336 648,336 EIN # 75-2875179

120 West Virginia Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 543,410 543,410 EIN # 75-2885304

121 Wichita Falls Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 189,942 189,942 EIN# 75-2844658

122 Wyoming Chapter of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 570,182 570,182 EIN# 84-1387410

123 North Dakota Affiliate of the Susan G. Komen Breast Cancer Foundation, Inc. - - - 3,712 3,712 EIN# 26-4810260

Totals - Affiliates 219,954 75,181 295,135 158,087,651 158,382,786

Susan G. Komen Breast Cancer Foundation, Inc. (Parent) - - - 152,003,706 152,003,706 EIN# 75-1835298

Totals for Parent and Affiliates 219,954 75,181 295,135 310,091,357 310,386,492

Page 8 of 8 ATTACHMENT 10