24
l efile GRAPHIC p rint - DO NO T PROC ES S As Filed Data - DLN: 93493314022582 Form 9 9 0 Return o f Organization Exempt From Income Tax OMB N o 1545-0047 Under section 50 1 (c), 52 7, or 4947( a)(1) of t he Internal Revenue Code (except black lung 2011 benefit trust or private foundation) Department o f th e Treasury Internal Revenue Service 1-The organization may have t o u se a copy ofthis return t o satisfy state reporting requirements Fo r t he 2011 calendar year , or t a x year beginning 0 1 01-2011 and ending 12 31-2011 B Check i f applicable C Name o f organization JOHN HANCOCK COMMITTEE F OR T HE STATES F - Address change D o in g B us in e ss As Name change 1 nitial return Number a nd street ( o r P 0 bo x i f mail i s n o t d e li v er e d t o street address ) Room/suite F_ Terminated 3262 WEST HEI MER RD 1 Amended return City or town, state or country, a nd ZI P + 4 HOUSTON, TX 77098 1 pplication pending F Name and address o f principal officer MARK MECKLER 3262 RD HOUSTO N,TX 77098 I Ta x - exempt status F 01(c)(3) 1 501( c) ( ) - 4 (insert no ) 1 947(a)(1) o F_ 52 7 J Website:1- N/A tmpioyer iaenriricarion nu 27-1657203 E Telephone number (828)777-8399 G Gross receipts $ 1,849,589 H(a) Is t h is a group return f o r affiliates? f l Ye s F- No H(b) Ar e al l affiliates included ? f l Ye s F_ No I f " No , " attach a list (see instructions) H(c) Group exemption number 0 - K Form o f organization F- Corporation 1 rust F_ Association 1 ther 0 - L Year of formation 2010 M State o f legal domicile TX Summary 1 Briefly describe t he organization's mission or most significant activities Provide communication, education, a n d training o n matters relating t o self-goverance V 2 Check this b o x i f th e organization discontinued it s operations or disposed of more than 25% o f it s ne t assets 3 Number o f voting members o f th e governing body (Part VI , line 1a ) . . . 3 3 r ,f 4 N umber o f independent voting members o f th e governing body (Part VI , line 1 b ) . . . 4 3 5 Total number o f individuals employed i n calendar year 2011 (Part V, line 2a ) 5 4 6 Total number o f volunteers (estimate i f necessary) . 6 0 7aTotal unrelated business revenue from P a rt V II I, column (C), line 12 7 a 0 b Ne t unrelated business taxable income from For m 990-T, line 34 7b Prior Year Current Year 8 Contributions a n d grants (Part VIII, line 1 h ) . 1,037,986 1,849,589 9 Program service revenue (Part VIII, line 2g ) 0 13 - 10 Investment income (Part VIII, column (A), lines 3 , 4 , a n d 7 d . 63 0 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c , 9c , 10c, and 11e) 5,703 0 12 Total revenue-add lines 8 through 11 ( mu st equal Part VIII, column (A), line . . . . . . . . . . . . . . . . . . . 1,043,752 1,849,589 13 Grants and similar amounts pa id (P a rt IX, column (A), lines 1-3) . . . 206,000 14 Benefits p ai d t o or f o r members (Part IX, column (A), line 4) . 0 15 Salaries, other employee benefits (Part column ( A ) , lines 5-10) 372,531 140,095 16 a Professional fundraising f ee s (P a rt IX, column (A), line 11e) . 3,000 0 sC b Total fundraising expenses (Part I X , column (D), line 25) 0-15,410 L L J 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) . . . . 619,851 1,564,844 18 Total expenses Add lines 13-17 (must e qu al Part IX, column (A), line 2 5) 995,382 1,910,939 19 Revenue less expenses Subtract line 18 from line 12 48,370 -61,350 Beginning of Current En d of Year Year ' M 20 Total assets (Part X, line 16 ) . 48,370 31,020 21 Total liabilities (Part X, line 2 6) . . . . . . . . . . . 44,000 ZLL 22 Net assets or fund balances Subtract line 2 1 from line 2 0 48,370 -12,980 Signature Block Under penalties o f perjury, I declare that I have examined this return , including acco knowledge and belief , i t is true , correct, and complete. Declaration o f preparer ( o t he knowledge. Sign Signature o f officer Here MAR K MEC KLE R PRESIDENT Type or print name a nd title Preparers Date Paid signature LISA M LALLY Preparer ' s Firm ' s name ( o r yours CETE RUS IN U s e Only i f self-employed), address, a nd ZI P + 4

John Hancock Committee for the States 2011 990

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493314022582

Form990Return o f Organization Exempt F r om In co me Ta x OMB No 1545-0047

Under section 50 1 ( c ) , 52 7, o r 4947( a)(1) of t he Internal Revenue Code (except b l ac k l un g2011benefit trust or private fo u nda tio n)

D e p a r t m e n t o f th e T r e a s u r y

I n t e r n a l R e v e n u e S e r v i c e 1-The organization may have t o use a copy o f t h is return t o satisfy state reporting requirements

A Fo r the 2011 calendar year , or ta x year beginning 01 - 01-2 011 a n d e nd in g 12 - 31-2011

B Check i f a p p l i c a b l eC Name o f organization

JOHN HANCOCK COMMITTEE FOR THE STATES

F- Address change

D o in g B us in e ss AsName change

1n i t i a l r e t u r nNumber a nd s t r e e t ( o r P 0 bo x i f mail i s not delivered t o s t r e e t address ) Room/suite

F_ Terminated3262 WESTHEIMER RD

1Amended r e t u r n C i t y or town, s t a t e or country, a nd ZI P + 4

HOUSTON, TX 770981p p l i c a t i o n pending

F Name a nd a dd re ss o f principal o f f i c e r

MARK MECKLER

3262 WESTHEIMER RD

HOUSTON,TX 77098

I Ta x - exempt s t a t u s F01(c)(3) 1 501( c) ( ) - 4 ( i n s e r t no ) 1947(a)(1) o r F_ 52 7

J W eb si t e:1 - N/ A

tmpioyer iaenriricarion nu

27-1657203

E Telephone number

(828)777-8399

G Gross r e c e i pt s $ 1,849,589

H(a) I s t h is a g ro up return f o r

a f f i l i a t e s ? fl Ye s F- No

H(b) Ar e al l a f f i l i a t e s i ncl uded ? f l Ye s F_ No

I f " No , " a t t ac h a l i s t (se e i n st r uct i on s)

H(c) G r o u p e xe mp ti o n number 0 -

K Form o f organization F- Corporation1r u s t F_ Association1ther 0 - L Year o f formation 2010 M State o f l e g a l domicile TX

Summary

1 B r i e f l y describe t he o r g an i za t io n ' s mission or most significant activitiesProvide commu nic a tio n, education, a nd training on matters relating t o self-goverance

V

2 Check t h i s b ox i f th e organization discontinued it s operations or disposed o f mor e than 25% o f it s ne t assets

3 Number o f voting members o f the g o ve r n i n g b o dy (Part VI , l i n e 1a ) . . . 3 3

r , f 4 N umber o f indep endent voting members o f the g o ve r n i n g b o dy (Part VI , l i n e 1 b ) . . . 4 3

5 Total number o f individuals employed i n c a le n da r ye a r 2011 (Part V, l i n e 2a ) 5 4

6 Total number o f vo l un t e er s ( es t im ate i f nec essa ry ) . 6 0

7a T o ta l unrelated b us i ne s s r e ve n ue from P a rt V II I, col umn ( C ) , l i n e 12 7a 0

b Ne t unrelated business taxable i ncome from Form 990-T, l i n e 34 7b

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Form 990 (2011) Page 2

Statement of Program Service Accomplishments

Check i f Schedule 0 contains a response t o any question i n t h i s Part I I I (-

1 B r i e f l y describe the organization's mission

Provide communication, education,

2 Did the organization undertake any significant program services durin g the y ea r whi ch wer e no t l i s t e d on

the p r i o r Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . fl Yes F No

If"Yes,"describe these new services o n Schedule 0

3 Di d the organization cease conducting, or make significant changes i n how i t conducts, any program

services? . . . . . . . . . . . . . . . . . . . . . . . . . . FYes F7 No

If"Yes,"describe these changes on Schedule 0

4 Describe the organization's program service accomplishments f o r each o f i t s three largest program services, as measured by

expenses Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required t o report the amount o f

grants and allocations t o others, the t o t a l expenses, and revenue, i f any, f o r e ac h p ro g r am service reported

4a (Code ) (Expenses $ 1,553,889 i n c l u d i n g grants o f $ 206,000 ) (Revenue $ 1,849,589

COMMUNICATION, EDUCATION, AND TRAINING RELATED TO SELF-GOVERNANCE

4b (Code ) (Expenses $ i n c l u d i n g grants o f $ ) (Revenue $

4c (Code ) (Expenses $ i n c l u d i n g grants o f $ ) (Revenue $

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Form 990 (2011) Page 3

Checklist of Required Schedules

Yes No

1 I s the organization described i n section 501(c)(3) or4947(a)(1) (other than a private foundation)? I f "Yes," Y es

complete ScheduleAs . . . . . . . . . . . . . . . . . . . 1

2 I s the organization required t o complete Schedule B , Schedule o f Contnbutors(see instructions) ? IN . 2 Y es

3 Di d the organization e n g a g e i n direct or indirect p o l i t i c a l campaign activities on behalf o f or i n opposition t o No

candidates f o r public o f f i c e ? I f "Yes,"complete Schedule C , P a r t I . . . . . . . . . . 3

4 Section 50 1 ( c)(3) organizations.

Did the organization e n g a g e i n lobbying a c t i v i t i e s , or ha v e a section 501(h) Noelection i n e f f e c t during th e t ax year? I f "Yes,"complete Schedule C , P a r t I I . . . . . . . . . 4

5 I s the organization a section 501 ( c ) ( 4 ) , 501 ( c ) ( 5 ) , or 501(c)(6) organization that receives membership dues,

assessments, or similar amounts a s de fi ne d i n Revenue Procedure 98-19? I f "Yes," complete Schedule C , P a r t

II I 5 N o

6 Di d the organization maintain a ny d on o r a dv is ed funds or any similar funds or accounts f o r w hi ch do no rs h av e the

r i g h t t o provide advice on the distribution or investment o f amounts i n such funds or accounts? I f "Yes,"complete

Schedule D , P a r t I . . . . . . . . . . . . . . . . . . .6 N o

7 Di d the organization receive or hold a conservation easement, including easements t o preserve o p e n space,

th e environment, h i s t o r i c land areas or h i s t o r i c structures? I f "Yes,"complete Schedule D , P a r t I I . .7 No

8 Di d the organization maintain collections o f works o f a r t , historical treasures, or other similar assets? I f "Yes,"

complete Schedule D , P a r t II I . . . . . . . . . . . . . . . . . . .8 N o

9 Di d the organization report an amount i n Part X , l i n e 21, serve as a custodian f o r amounts no t l i s t e d i n Part X , or

provide credit counselin g , deb t management, credit r e p a i r , or debt negotiation services? I f "Yes,"

complete Schedule D , P a r t I V . . . . . . . . . . . . . . . . . . .g N o

10 Di d the organization, directly or through a related organization, hold assets i n temporarily restricted endowments, 10 No

permanent endowments, or quasi-endowments? I f "Yes,"complete Schedule D , P a r t V

11 If the organization's answer t o any o f the following questions i s 'Yes/then c o m p le t e S c he du le D, Pa rts VI , VI I ,

VIII, IX , or X as applicable

a Di d the organization report an amount f o r l a n d , buildings, and equipment i n Part X , linel0? I f "Yes,"complete

Schedule D , P a r t V I . ll a

N o

b Di d the organization report an amount f o r investments-other securities i n Part X , l i n e 12 that i s 5% or more o f

it s t o t a l assets reported i n Part X , l i n e 16? I f " Y e s , "complete Schedule D , P a r t V I I . llbNo

c Di d the organization report an amount f o r investments-program related i n Part X , l i n e 13 that i s 5% or more o f

it s t o t a l assets reported i n Part X , l i n e 16? I f " Y e s , "complete Schedule D , P a r t V I I I . ll cNo

d Did the organization report an amount f o r other assets i n Part X , l i n e 15 that i s 5% or more o f i t s t o t a l assets

reported i n Part X , l i n e 16 ? I f "Yes," complete Schedule D , P a r t I X . li dNo

e Di d the organization report an amount f o r other l i a b i l i t i e s i n Part X , l i n e 25? I f "Yes,"complete Schedule D , P a r t X .Y es

li e

f Di d the organization ' s separate or consolidated financial statements f o r th e t ax year include a footnote that

addresses the organization ' s l i a b i l i t y f o r uncertain ta x positions under FI N 48 (ASC 740)? I f " Y es, " com pl ete 11f NoSchedule D , P a r t X .

12a Di d the organization obtain separate , independent audited f i n a n c i a l statements f o r th e ta x year? I f "Yes,"complete

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Form 99 0 (2011) Page 4

Checklist of Required Schedules (continued)

21 Di d th e organization report more than $5,000 o f grants and other assistance t o governments and organizations i n 21 Ye s

th e United States on Part IX , column ( A ) , l i n e 1? I f "Yes," complete Schedule I , Parts I an d I I .

22 Di d th e organization report more than $5,000 o f grants and other assistance t o individuals i n th e United States22

on Part IX , column ( A ) , l i n e 2? I f "Yes," complete Schedule I , P a r t s I and III .

No

23 Di d th e organization answer "Yes" t o P ar t V I I, Section A, questions 3 , 4 , or 5 , about compens ation o f th e

organization's current a nd f or me r o f f i c e r s , directors, trustees, ke y employees, and highest compensated 23 No

employees? I f "Yes,"completeScheduleJ . . . . . . . . . . . . . . . .

24a Di d th e organization ha v e a tax-exempt bond issue with an outstanding principal amount o f more than $100,000

as o f th e l a s t day o f t he year , t ha t wa s issued a f t e r December 31 , 2002? I f "Yes," answer questions 24b-24d an d

complete Schedule K . I f "No,"go t o l i n e 25 . . . . . . . . . . . . . . . 24aN o

b Did th e organization invest any proceeds o f tax-exempt bonds beyond a temporary period exception?. 24b

c Di d th e organization m ai nt ai n a n escrow account o th e r t ha n a refunding escrow a t any time during th e year

t o d ef ea s e a ny tax-exempt bonds? .24c

d Di d th e organi zati on act as an "on behalf o f " issuer f o r bonds outstanding a t any time during th e year?24 d

25a Section 501(c ) ( 3) and 50 1 ( c)(4) organizations . Di d th e organization engage i n an excess benefit transaction with

a disqualified person during th e year? I f "Yes," complete Schedule L , P a r t I .25a No

b I s th e organization aware that i t engaged i n an excess benefit transaction with a disqualified person i n a p r i o r

year, an d t ha t t he transaction has no t been r ep or te d o n any o f the organization's p r i o r Forms 990 or 990-EZ? I f 25b No

"Yes,"complete Schedule L , P a r t I . . . . . . . . . . . . . . . .

26 Was a loan t o or by a current or former o f f i c e r , director, trustee, ke y employee, highly compensated employee, or

disqualified per son outstanding as o f th e end o f t he o rg an iz at io n's t ax year? I f "Yes," complete Schedule L , 26 No

P ar t I I . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Di d th e organization provide a grant or other assistance t o an o f f i c e r , director, trustee, ke y employee, substantial

contributor, or a grant selection committee member, or t o a person related t o such an individual? I f "Yes," 27 No

complete Schedule L , P a r t II I . . . . . . . . . . . . . . .

28 Was th e organization a party t o a business transaction with one o f the following p art ies? (s ee Schedule L , Part I V

instructions f o r applicable f i l i n g thresholds, conditions, and exceptions)

a A current or former o f f i c e r , director, trustee, or ke y employee? I f "Yes,"complete Schedule L , P a r t

I V . . . . . . . . . . . . . . . . . . . . . . . . .

28a No

b A family member o f a current or former o f f i c e r , director, trustee, or ke y employee? I f "Yes,"

complete Schedule L , P a r t I V . . . . . . . . . . . . . . . . . .

28b No

c A n entity o f which a current or former o f f i c e r , director, trustee, or ke y employee ( o r a family member thereof) wa s

an o f f i c e r , director, trustee, or owner? I f "Yes,"complete Schedule L , P a r t I V .

28c No

29 Di d th e organization receive more than $25,000 i n non-cash contributions? I f " Y e s , "complete Schedule M 29 No

30 Di d th e organization receive contributions o f a r t , historical treasures, or other similar assets, or q u a l i f i e d

conservation contributions? I f " Y e s , "complete Schedule M . . . . . . . . . . .30 No

31 Di d th e organization l i q u i d a t e , terminate, or dissolve and ce a se operations? I f "Yes," complete Schedule N ,

P a r t I . . . . . . . . . . . . . . . . . . . . . . . . . .31

N o

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Form 990 (2011) Page 5KEWStatements Regarding Other IRS Filings and Tax Compliance

Check i f Schedule 0 contains a response t o any question i n t h i s Part V

Yes No

la Enter the number reported i n Bo x 3 o f Form 1096 Enter-0- i f no t applicable

la 15

b Enter the number o f Forms W-2G included i n l i n e la Enter-0- i f no t applicable

lb 0

c Di d the organization comply with backup withholding r u l e s f o r reportable payments t o vendors and reportable

gaming (gambling) winnings t o p r i z e winners? . . . . . . . . . . . . . . . . .1c

2a Enter the number o f employees reported on Form W-3, Transmittal o f Wage and Tax

Statements f i l e d f o r the calendar year ending w ith o r within the year covered by t h i s

return . . . . . . . . . . . . . . . . . . . .2a 4

b I f a t least one i s reported on l i n e 2a, d i d the organization f i l e a l l required federal employment tax returns?

2b Yes

Note . I f the sum o f l i n e s la and 2a i s greater than 250, yo u may be required t o e - f i l e (see instructions)

3a Di d the organization have unrelated business gross income o f $1,000 or more during the

year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a No

b I f "Yes," ha s i t f i l e d a Form 990-T f o r t h i s year? I f "No,"provide an explanation in Schedule O . . . . 3b

4 a At any time during the calendar year, d i d the organization have an interest i n , or a signature or other authority

over, a f i n a n c i a l account i n a foreign country (such as a b a n k a cc ou nt or securities

account)? . . . . . . . . . . . . . . . . . . . . . .

4 a No

b I f "Yes," enter the name o f the foreign country 0 -

Se e instructions f o r f i l i n g requirements f o r Form TD F 90-22 1 , Report o f Foreign Bank an d Financial Accounts

5a Was the organization a party t o a prohibited tax shelter transaction a t any time during t he t ax year? . . 5a No

b Did any taxable party n o t i f y the organization that i t w as or i s a party t o a prohibited tax shelter transaction? 5b No

c If"Yes" t o l i n e 5a or 5b, d i d the organization f i l e Form 8886-T?

5c

6a Does the organization have annual gross receipts that are normally greater than $100,000, and d i d the 6a No

organization s o l i c i t any contributions that were n ot t ax deductible? . .

b I f "Yes," d i d the organization include with every solicitation an express s t a tement that such contributions or g i f t s

were n ot ta x deductible? . . . . . . . . . . . . . . . . . . . . . . .6b

7 Organizations that may receive deductible contributions under section 170(c).

a Di d the organization receive a payment i n excess o f $75 made p a r t l y as a contribution and p a r t l y f o r goods and 7a No

services provided t o the payor? . . . . . . . . . . . . . . . . . . . .

b I f "Yes," d i d the organization n o t i f y the donor o f the value o f the goods or services provided? . 7b

c Di d the organization s e l l , exchange, or otherwise dispose o f tangible personal property f o r which i t w as required t o

f i l e Form 82827 . . . . . . . . . . . . . . . . . . . . . . . . . .7c No

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Form 990 ( 2011) Page 6

Lamovernance, Management , and Disclosure F o r each "Yes" response t o l in es 2 through 7b below, and f o r

a "No" response t o l i ne s 8 a , 8 b , o r 10b below, describe t h e circumstances, processes, or changes i n Schedule

0. See instructions.

Check i f Schedule 0 contains a response t o a n y q ue st io n i n t h i s Part VI .F

Section A . Governing Body and Management

Yes No

la Enter th e number o f voting members o f th e governing body a t th e en d o f t he t ax

year . . . . . . . . . . . . . la 3

b Enter th e number o f voting members included i n l i n e la, above, w ho are

independent . . . . . . . . . . . . . . . . lb 3

2 Did any o f f i c e r , director, trustee, or ke y employee have a family relationship or a business relationship with any

other o f f i c e r , director, trustee, or ke y employee? 2 No

3 Di d th e organization delegate control over management duties cus tom arily per for m e d by or under th e direct

supervision o f o f f i c e r s , directors or trustees, or ke y employees t o a management company or other person? . 3 No

4 Di d th e organization make any significant chan ges t o i t s governing documents since th e p r i o r Form 990 was

f i l e d ? 4 No

5 Did th e organization become aware during th e year o f a significant diversion o f the organization's assets? 5 No

6 Di d th e organization have members or stockholders? 6 No

7a Di d th e organization have members, stockholders, or other persons who ha d th e power t o e le ct o r appoint on e or

more members o f th e governing body? . . . . . . . . . . . . . . . . 7a No

b Ar e any governance decisions o f th e organization reserved t o ( o r subject t o approval by) members, stockholders, 7 b No

or persons o t he r t h an th e governing body?

8 Di d th e organization contemporaneously document th e meetings hel d or w rit te n actions undertaken during th e

year by th e following

a The governing body? 8a Yes

b Each com mittee with authority t o act on behalf o f th e governing body? . 8b Yes

9 I s there any o f f i c e r , director, trustee, or ke y employee l i s t e d i n P art VII, Section A, w ho cannot be reached a t th eFrganization's mailing address? If " Yes, " p rovide th e names and addresses n Schedule 0 . . . 9No

Section B . Policies ( T h i s S ect ion B requests information about p o l i c i e s n o t required by t h e I n t e r n a l

Revenue Code. )

Yes No

10a Di d th e organization have l o c a l chapters, branches, or a f f i l i a t e s ? 10a No

b If"Yes, " d i d th e organization have written policies a n d p r oc ed u re s g o ve rn i ng th e activities o f such chapters,

a f f i l i a t e s , and branches t o ensure their operations are consistent with th e organization's exempt

purposes? . .

10b

11a Has th e organization provided a c om p le t e c op y o f t h i s Form 990 t o a l l members o f i t s governing body before f i l i n g

th e form? 11a Yes

b Describe i n Schedule 0 th e process, i f any, used by th e organization t o review th e Form 990

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Form 99 0 (2011) Page 7

Compensation of Officers , Directors , Trustees , Key Employees , Highest Compensated

Employees , and Independent ContractorsCheck i f Schedule 0 contains a response t o any question i n t h i s Part VI I (-

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

la Complete t h i s table f o r a l l persons required t o be l i s t e d Report compensation f o r the calendar year ending with or within the organization's

tax year

* L i s t a l l o f the organization' s current o f f i c e r s , directors, trustees (whether individuals or organizations), regardless o f amount

o f compensation, and current ke y employees Enter -0 - i n columns ( D ) , ( E ) , and ( F ) i f no compensation was paid

* L i s t a l l o f the organization' s current ke y employees, i f any Se e instructions f o r d e f i n i t i o n o f "key employee "

* L i s t the organization's f i v e current highest compensated employees (other than an o f f i c e r , director, trustee or ke y employee)

who received reportable compensation (Box 5 o f Form W-2 and/or Box 7 o f Form 1099-MISC) o f more than $100,000 from the

organization a nd a ny related organizations

* L i s t a l l o f the organization's former o f f i c e r s , ke y employees, or highest compensated employees who received more than $100,000

o f reportable compensation from the organization a nd a ny related organizations

* L i s t a l l o f the organization' s former directors or trustees that received, i n the capacity as a former director or trustee o f the

organization, more than $10,000 o f reportable compensation from the organization a nd a ny related organizations

L i s t persons i n the following order individual trustees or directors, i n s t i t u t i o n a l trustees, o f f i c e r s , ke y employees, highest

compensated employees, and former such persons

FCheck t h i s b ox i f neither the organization nor any related organizations compensated any current or former o f f i c e r , director, or trustee

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

Name and T i t l e Average Position (do not check Reportable Reportable Estimated

hours more than one box, co mpe nsa tio n co mpensa tio n amount o f other

per unless person i s both from the from related compensation

week an o f f i c e r and a organization (W - organizations from the

(describe director/trustee) 2/1099-MISC) (W - 2/1099- organization an d

hours i D = MISC) related

f o r - b oo organizations

related E L r D 0 ' D

organizationsC

r t

mT

0

Schedule 5m 4

0)^

mt 1

^' Q r

( 1 ) TI M DUNN1 00 X X 0 0 0

Chairman

( 2 ) MARK MECKLER1 00 X 0 0 0

President

( 3 ) E RI C O -K E EF E1 00 X 0 0 0

D i r e c t o r

( 4 ) MARK ROLLINS1 00 X 0 0 0D i r e c t o r

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Form 990 (2011) Page 8

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

(A)

Name and T i t l e

(B)

Average

hours

per

week

(describe

(C)

Position (do not check

more than one box,

unless person i s both

an o f f i c e r and a

director/trustee)

(D )

Reportable

compensation

from the

organization (W-

2/1099-MISC)

( E )

Reportable

compensation

from related

organizations

(W- 2/1099-

(F)

Estimated

amount o f other

compensation

from the

organization and

hoursf o r

related

organizations

Schedule0)

E

C

^- F

4 '

ry

Q

D

0

^

0=

3u o

a r t ,{7

a0

J

^+

To

a ,

MISC) relatedorganizations

lb Su b - Total. . . . . . . . . . . . . . .

0 -

c Total from continuation sheets to Part VII, Section A . . .

0 -

d Total ( add l i n e s lb an d 1c ) . . . . . . . . . . . .

0 -

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Form 99 0 (2011) Page 9

N Statement of Revenue

(A) (B ) (C ) (D )

Total revenue Related or Unrelated Revenue

exempt business excluded from

function revenue ta x under

revenue sections

5 12 , 5 13 , or

514

la Federated campaigns . la

b Membership dues . . . . lb

C C

c Fundraising events . 1c

45 •Cx^

d Related organizations . ld

e Government grants ( c o n t r i b u t i o n s ) le

i f A l l other c o n t r i b u t i o n s , g i f t s , g r a n t s , an d if 1,849,589

s i m i l a r amounts not i n c l u d e d above

g Noncash contributions included i n

l i n e s la-1f $

h Total. Add l i n e s la-1f.

0 - 1 , 8 4 9 , 5 8 9

Business Code

2a

b

c

d

e

f A l l other program service revenue

g Total . Add l i n e s 2a-2f . . . . . . . .

3 Inv e st m e nt i nc o me (including dividends, interest

and other similar amounts) .

0 -

4 Income from investment o f tax-exempt bond proceeds , . 0 -

5 Royalties . . . . . . . . . . . .

0 -

( i ) Real ( i i ) Personal

6a Gross rents

b Less r e n t a l

expenses

c Rental income

o r ( l o s s )

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Form 990 (2011) Page 10

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete a l l columns

A l l other organizations must complete column (A ) b ut are no t required t o complete columns ( B ) , ( C ) , an d (D)

Check i f Schedule 0 contains a response t o an y question i n t h i s Part IX (-

Do n o t i nc lu de amounts reported on lines 6b,

7b , 8b, 9b , and 10b of Part VIII .

( A)

T o t a l expenses

(B)

Program s e r v i c e

expenses

(C)

Management an d

general expenses

(D )

Fundraising

expenses

1 Grants and other assistance to governments and organizations

i n th e United States See P ar t I V, line 21206,000 206,000

2 G ra nt s a nd other assistance t o individuals i n th e

United States See P ar t I V, l i n e 22

3 Grants and other assistance t o governments,

organizations , an d individuals outside th e United

States See P ar t I V, l i n e s 15 an d 16

4 Benefits paid t o or f o r members

5 Compensation o f current o f f i c e r s , directors , trustees, an d

ke y employees . .

6 Compensation no t included above, t o disqualified persons

(as defined under section 4958( f ) ( 1 ) ) a nd p er so nsdescribed i n section 4958( c)(3)(B)

7 Other salaries and wages 121,181 84,827 23,024 13,330

8 Pension plan contributions ( include section 401(k) and section

403(b) employer contributions ) . 4,330 3,031 823 47 6

9 Other employee b enefits 600 420 114 66

10 Payroll taxes 13,984 9,789 2,657 1,538

11 F ees f o r services (non-employees)

a Management . .

b Legal 56,229 55,104 1,125 0

c Accounting 23,627 0 23,627 0

d Lobbying . .

e Professional fundraising Se e P a r t I V, T in e 17 . .

f Investment management fees . .

g Other 98 7 ,477 760,357 227,120 0

12 Advertising an d promotion 133,762 123,061 10,701 0

13 Office expenses 12,306 1,600 10,706 0

14 Information technology 1,791 1,791 0 0

15 Royalties

16 Occupancy 34,953 0 34,953 0

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Form 99 0 (2011) Page 11

Balance Sheet

(A) (B )

Beginning o f year En d o f year

1 Cash-non-interest-bearing 45,445 1 31,020

2 Savings and tem po r ar y c ash i nv es tm e nts 2

3 P le dg es a nd grants receivable, ne t 3

4 Accounts receivable, net 4

5 Receivables from c urrent a n d f o rm e r o f f i c e r s , directors, trustees, ke y employees, andhighest compensated employees Complete Part I I o f

Schedule L 5

6 Receivables f ro m o the r disqualified persons (as defined under section 4958(f)(1)) and

persons described i n section 4958(c)(3)(B) Complete Part I I o f

Schedule L 6

7 Notes and loans receivable, net 7

8 Inventories f o r sa le or use 8

9 Prepaid expenses and deferred charges 9

10 a Land, buildings, and eq uipment cost or other basis Complete P a r t

VI o f Schedule D 10 a

b Less accumulated depreciation 10b 10 c

11 Investments-publicly traded securities . 11

12 Investments-other securities Se e P ar t I V, l i n e 11 12

13 Investments-program-related See P ar t I V, l i n e 11 . 13

14 Intangible assets 14

15 Other assets Se e P ar t I V, l i n e 11 2 , 9 2 5 15

16 Total assets . Add l i n e s 1 thr ou gh 1 5 (must equal l i n e 34 ) .48,370 16 31,020

17 Accounts payable and accrued expenses 17

18 Grants payable 18

19 Deferred revenue 19

20 Tax-exempt bond l i a b i l i t i e s 20

21 Escrow or custodial account l i a b i l i t y Complete P a r t IVof Schedule D . 21

22 Payables t o current a nd f or me r o f f i c e r s , directors, trustees, ke y

employees, highest compensated employees, and disqualified

p er so n s C om pl e te P ar t I I o f Schedule L . 22

23 Secur ed mo rtga ges and notes payable t o unrelated t h i r d parties 23

24 Unsecured notes an d loans payable t o unrelated t h i r d parties 24 44,000

25 Other l i a b i l i t i e s (including federal income t a x , payables t o related t h i r d parties,

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Form 990 (2011) Page 12

« R e co n ci l li a ti o n o f Ne t Assets

Check i f Schedule 0 contains a response t o any question i n t h i s P art X I (-

1 Total revenue (must e qua l P art V II I , c o lumn ( A ) , l i n e 12)

1 1,849,589

2 Total expenses (must e qua l P art IX, c o lumn ( A ) , l i n e 25)

2 1,910,939

3 Revenue less expenses Subtract l i n e 2 from l i n e 1 .

3 -61,350

4 Ne t assets or fund balances a t beginning o f year (must e qua l P ar t X , l i n e 33 , c o lumn (A))

4 48,370

5 Ot he r c ha n g e s i n ne t assets or fund b alances (explain i n Schedule O) .

5

6 Ne t assets or fund balances a t end o f year Combine l i n e s 3 , 4 , and 5 (must equal Part X , l i n e 33 , c o lumn

( B ) ) 6 -12,980

GZMMFinancial Statements and Reporting

Check i f Schedule 0 contains a response t o any question i n t h i s P art X II (-

Yes No

Accounting method used t o prepare th e Form 990 FCash fl Accrual (Other

I f the organization changed i t s method o f accounting from a p r i o r year or checked "Other," explain i n

Schedule 0

2a Were the organization's f i n a n c i a l s t at e m en t s c o mp i le d or reviewed by an independent accountant? 2a No

b Were the organization's f i n a n c i a l statements a udi te d by a n independent accountant? . 2b No

c I f "Yes," t o 2a o r 2b , does th e organization have a c ommi t t e e that assumes responsibility f o r oversight o f the

a u d i t , review, or compilation o f i t s f i n a n c i a l statements and selection o f an independent accountant?

I f the organization changed either i t s oversight process or selection process during t he t ax ye ar, explain i n

Schedule 0 . . . . . . . . . . . . . . . . . . . . . . . . . . 2c

d I f "Yes" t o l i n e 2a or 2b, che ck a bo x below t o indicate whether the financial statements f o r the y ea r w er e i ssue d

on a separate basis, consolidated b asis, or both

fl Separate basis fl Consolidated basis fl Both consolidated a n d s ep ar at e d basis

3a As a result o f a federal award, was th e organization required t o undergo an a udi t o r audits as set f o r t h i n th e

Single Audit Ac t and OMB Circular A-133? . . . . . . . . . . . . . . .3a No

b I f"Yes," d i d the organization undergo the required a udi t o r audits? I f the organization d i d no t undergo the required 3b

audit or audits, explain why i n Schedule 0 a nd de sc ri be a ny st eps t ake n t o u nd er go s uc h audits .

Fo rm 990 (2011)

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l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493314022582

SCHEDULE A P u b l i c Charity Status a nd P u b l i c SupportOMB No 1545-0047

(Form 990 o r 990EZ)

2 0 1 1omplete i f t h e o rg a ni z a ti o n is a section 501(c)( 3) organization or a section

D e p a r t m e n t o f t h e T r e a s u r y 4947( a )(1) nonexempt charitable trust.

I n t e r n a l Revenue S e r v i c e

^ Atta c h t o Form 9 9 0 or Form 9 9 0 - E Z . ^ S ee s e p a r a t e instructions.

Name of t h e o r g a n i z a t i o n Employer ide n t i f i cat ion number

JOHN HANCOCK COMMITTEE FOR THE STATES

27-1657203Reason for Public C h a r i t y Status ( A l l organizations must c om p l e t e t h i s p a r t . ) See Instructions

Th e o r g a n i z a t i o n i s n o t a p r i v a t e foundation beca use i t i s ( F o r l i n e s 1 through 1 1 , check o n l y on e box)

1 1 A church, convention o f c h ur c h e s, or association o f c h u r c h e s section 170 ( b)(1)(A)(i).

2 1 A s c h oo l d es c r ib e d i n section 170 (b)(1)(A)(ii). (Attach S c h e d u l e E )

3 1 A hospital or a cooperative hospital service organization described i n section 170 ( b)(1)(A)(iii).

4 1 A m e di ca l r e se a rc h organization op e r a t e d i n conjunction with a hospital described i n section 17 0 (b)(1)(A)(iii). Enter th e

hospital's n a m e , c i t y , a n d state

5 fl An organization operated f o r th e benefit o f a college or university owned or op e r a t e d by a g o v e r n m e n t a l u n i t described i nsection 170 ( b)(1)(A)(iv ) . ( C o m p l e t e Part I I )

6 fl A federal, s ta te , or l o c a l government or g o v e r n m e n t a l u n i t described i n section 170 ( b)(1)(A)(v).

7 F An organization that normally receives a substantial part o f i t s s u pp or t f ro m a g o v e r n m e n t a l u n i t or from th e general public

described i n

section 170 ( b)(1)(A)(vi ) ( C o m p l e t e Part I I )

8 fl A community trust described i n section 170 ( b)(1)(A)(vi ) ( C o m p l e t e Part I I )

9 1 An organization that normally receives (1 ) more t h a n 331/3% o f i t s s u pp or t f ro m contributions, membership fees, a n d gross

receipts from activities related t o it s exempt f un c t i on s-subje c t t o certain exceptions, a n d (2 ) no more t h a n 331/3% o f

it s sup p or t from gross inves tment income a n d unrelated busi n e ss taxable income (less section 511 tax) from b u s i n e s s e s

acquired by th e organization after June 3 0 , 1975 S e e section 50 9 (a)(2). ( C o m p l e t e Part I I I )

10 fl An organization o rg an iz ed a n d o pe ra t ed exclusively t o test f o r public safety S ees ectio n 509(a)(4).

11 fl An organization organized a n d operated exclusively f o r t h e b en ef it of , t o perform th e functions o f , or t o carry ou t th e pu rpo s es o f

on e or more publicly sup p or t e d organizations described i n section 5 0 9 ( a ) ( 1 ) or section 5 0 9 ( a ) ( 2 ) S e e section 50 9 (a)(3 ) . Check

th e box that describes th e t y p e o f supporting organization a n d co mplete l i n e s 11e through 11h

a fl Type I b fl Type I I c f l Type I I I - Functionally integrated d fl Type I I I - O t h e r

e fl B y c h ec ki n g t h i s box, I c e r t i f y t ha t t he organization i s not controlled directly or indirectly by on e or more disqualified p e r son s

o th e r t h a n f ou n da t io n managers a n d o th e r t h a n on e or more publicly sup p or t e d organizations described i n section 5 0 9 ( a ) ( 1 ) or

section 5 0 9 ( a ) ( 2 )

f I f th e organization received a written d et e rm i na t i on f r om th e I R S that i t i s a Type I , Type I I or Type I I I supporting organization,

c h e c k t h i s box Fg Since August 17, 2006, h a s th e organization a c c e p t e d a n y g i f t or contrib ut ion fro m a n y o f th e

following perso ns?

( i ) a p e r son who directly or indirectly controls, either alone or together with p e rs o ns d es cr i be d i n ( i i ) Yes No

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Sc he du le A ( Fo rm 990 or 990-EZ) 2011 Page 2

Support Schedule fo r Organizations Described i n IRC 170(b ) ( 1)(A)(iv) and 170(b)(1)(A)(vi)

(Complete only i f y o u c he ck ed the box on l i n e 5 , 7 , or 8 of Part I or i f the organization f a i l e d t o qualify

under Part I I I . I f the organization f a i l s t o qualify under the tests l i s t e d below, plea s e complete Part I I I . )

Section A . Public Support

Calendar year ( o r f is c al year beginning(a) 2007 (b) 2008 ( c ) 2009 (d) 2010 (e) 2011 ( f ) Total

i n )

1 G i f t s , grants, contributions, a nd

membership fees received (D o no t1,037,986 1,849,589 2,887,575

include a ny "unusual

grants " )

2 Tax revenues levied f o r the

organization's benefit a nd either

paid t o or expended on it s

behalf

3 The value o f services or f a c i l i t i e s

fur nished by a governmental u n i t t o

the organization without charge

4 Total . Add lines 1 through 3 1,037,986 1,849,589 2,887,575

5 The portion o f t o t a l contributions

by e a ch pe rs o n (other than a

governmental u n i t or publicly

supported organization) included 242,133

on l i n e 1 that exceeds 2% o f the

amount shown on l i n e 11, column

( f )

6 Public Support . Subtract l i n e 5 from2,645,442

line 4

Section B . Total Suppor t

Calendar year ( or f i s c a l year( a) 2007 ( b ) 2008 ( c ) 2009 ( d) 2010 ( e) 2011 ( f ) Total

beginning in )

7 Amounts from line 4 1,037,986 1,849,589 2,887,575

8 Gross income from interest,

dividends, payments received on

securities l oa n s , r ents , royalties 63 63

and income from similar

10

11

12

sources

Ne t income from unrelated

business a c t i v i t i e s , whether or

not the business i s regularly

carried on

Other income (Explain i n Part

IV ) Do no t include gain or los s

from the s a le o f capital assets

Total support (Add l i n e s 7

through 10 )

Gross receipts from related a c t i v i t i e s , etc (See instructions

5,7031 1 5,703

2,893,341

12

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Sc he dul e A ( Fo rm 99 0 o r 990-EZ) 2011 Page 3

IMMITMSupport Schedule fo r Organizations Described i n IRC 509(a)(2)

(Complete only i f y ou c he cke d the bo x on l i n e 9 of Part I or i f the organization f a i l e d t o qualify u n d e r

Part I I . I f the organization f a i l s t o qualify u n d e r the tests l i s t e d be lo w , pl e as e complete Part I I . )

Section A . Public Support

Cale n d ar y e ar ( o r f is c al year beginning(a ) 2007 (b) 2008 ( c ) 2009 (d ) 2010 (e) 2011 ( f ) Total

in )

1 G i f t s , grants, contributions, and

membership fees received (Do no t

include any "unusual grants " )

2 Gr o s s receipts from ad mis s io n s ,m e r c h a n d i s e s old or services

performed, or f a c i l i t i e s furnished i n

any activity that i s related t o the

organization's tax-exempt

purpose

3 Gr o s s receipts from activities that

are no t a n u n re l ate d trade or

business under section 513

4 Tax revenues levied f o r the

organization's benefit and either

paid t o or expended on it s

behalf

5 The value o f services or f a c i l i t i e s

f ur n is h ed by a gov e r n m e ntal u n i t t o

the organization without charge

6 Total . Add l i n e s 1 through 5

7a Amounts i nc lu de d o n l i n e s 1 , 2 ,

and 3 r e ce iv ed f r om disqualified

persons

b Amounts i nc lu de d o n l i n e s 2 and 3

r ec ei ve d f ro m o th er th an

disqualified persons that exceed

the greater of$5,000 or 1% o f theamount on l i n e 13 f o r the year

c Add l i n e s 7a and 7b

8 Public Support (Subtract l i n e 7c

from l i n e 6)

Section B . Total Suppo rt

Cale n d ar y e ar ( o r f is c al year beginning(a ) 2007 (b ) 2008 ( c ) 2009 (d ) 2010 (e ) 2011 ( f ) Total

i n)

9 Amounts from l i n e 6

10a Gr o ss i nc om e from i n t e r e s t ,

dividends, payments received on

s e c uri ti e s l oan s , rents, royaltiesand i n c o m e from similar

s o u r c e s

b Unrelated business taxable

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S ch ed ul e A (Form 99 0 o r 990-EZ) 2011 Page 4

Supplemental Information . Supplemental Information. Complete t h i s part t o provide the explanation

r eq uir ed b y Part I I , l i n e 10; Par t I I , l i n e 17 a or 17b; or Part I I I , l i n e 12. Also complete t h i s part fo r any

additional information. ( See instructions).

Facts And Circumstances Test

OTHER INCOME PART I I , LINE 1 0 , 2010 5703,

Explanation

Schedule A (Form 99 0 or 990-EZ) 2011

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lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 934933140225821

SCHEDULE D

(Form 9 9 0 )

D e p a r t m e n t o f th e T r e a s u r y

I n t e r n a l Revenue S e r v i c e

Supplemental F i n a n c i a l Statements

OMB No 1545-0047

2 0 1 11 - Complete i f th e organization answered "Yes," to Form 990,

Part IV , l i n e 6 , 7 , 9 , 1 0 , 1 1a , 1 1b , 11c, 1 1d, 1 1e, 1 1f, 1 2a, or 1 2b

1 - Attach to Form 990. 1 - See separate instructions.

Name of th e organization

JOHN HANCOCK COMMITTEE F OR T HE STATES

Employer identification number

27-1657203

Organizations Maintaining Donor Advised Funds o r Other S im ilar Funds o r Accounts . Complete i f the

oraanization answered "Yes" t o Form 990. Part IV. l i n e 6 .

(a ) Donor advised funds ( b ) Funds an d other ac c ount s

1 Total number a t end o f year

2 Aggregate contributions t o (during year)

3 Aggregate grants from ( d uri ng ye ar)

4 Aggregate value a t end o f year

5 Did the organization inform a l l d on or s a nd donor advisors i n w r i t i n g that the assets held i n donor advised

funds a re t he organization s property , subject t o the organization s exclusive l e g a l control? FYes I No

6 Di d the organization inform a l l grantees , donors, and don or advisors i n writing that grant funds may be

used only f o r charitable purposes and no t f o r the ben ef it o f the donor or donor a dv i so r, o r f o r any other purpose

conferring impermissible private benefit fl Yes fl No

OTIM-onservation Easements . Complete i f th e organization answered "Yes" to Form 990, Part I V , l i n e 7 .

1 P urp ose ( s ) o f conservation easements held by the organization ( ch e ck a l l that apply)

1 Preservation o f land f o r public u se ( e g , recreation or pleasure ) 1 Preservation o f an historically importantly land area

1 Protection o f natural habitat 1 Preservation o f a c e r t i f i e d h i s t o r i c structure

fl Preservation o f o pe n s pa c e

Complete l i n e s 2a-2d i f the organization held a q u a l i f i e d conservation contribution i n the form o f a conservation

easement on the l a s t da y o f the t ax year

Held at th e En d of th e Year

a Total number o f conservation easements 2a

b Total acreage restricted by conservation easements 2 b

c Number o f conservation easements on a c e r t i f i e d h i s t o r i c stru c ture i nc l ude d i n ( a ) 2c

d Number o f conservation easements included i n ( c ) acquired a f t e r 8/17/06 2d

N umber o f conservation easements modified, transferred, released, extinguished, or terminated by the organization during

the taxable year 0 -

4 N umber o f states where property subject t o conservation easement i s located 0 -

5 Does the organization have a written policy regarding the periodic monitoring , inspection, handling o f violations, and

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Sc he du le D ( Fo rm 990) 2011 Page 2

r:FTnFW Organizations Maintaining Collections of Art , Historical Treasures , or Other Similar Assets ( c o n t i n u e d )

3 Using t h e o r ga n i z a t i o n' s accession and other r e c o r d s , check any o f t h e f o l l o w i n g t ha t a r e a s i g n i f i c a n t use o f i t s c o l l e c t i o n

items (check a l l that apply)

a F_ Public exhibition d fl Loan or exchange programs

b 1 Scholarly research e (- Other

c F Preservation f o r future generations

4 Provide a description o f the organization ' s collections an d explain how they further the organization's exempt purpose i n

Part XIV

5 During the year, d i d the organization s o l i c i t or receive donations o f a r t , historical treasures or other similar

assets t o b e s o l d t o r a i s e funds r a t h e r than t o b e maintained a s p a r t o f t h e o r g an i za t i o n 's c o l le c t i o n? 1Yes 1 No

Escrow and Custodial Arrangements . Complete i f the organization answered "Yes" t o Form 990,

Part IV, l i n e 9 , or reported an amount on Form 990, Part X , l i n e 21 .

la I s the organization an agent, trustee, custodian or other intermediary f o r contributions or other assets not

included on Form 990, Part X? 1Yes FNo

b If "Yes," explain the arrangement i n Part XIV an d complete the following table

Amount

c Beginning balance 1c

d Additions during the year ld

e Distributions during the year le

f Ending balance i f

2a Did the organization include an amount on F or m 9 90 , Part X , l i n e 21? fl Yes fl No

b If"Yes," explain the arrangement i n Part XIV

MITIT-ndowment Funds . Com p l e t e I f the or g anization answered "Yes" t o Form 990, Part I V , l i n e 10 .

la Beginning o f year b alance

b Contrib utions

c Investment earnings or losses

d Grants or scholarships .

e Other expenditures f o r f a c i li t ie s

an d programs

f Administrative expenses

g En d o f year b alance

(a)Current Year (b)Prior Year (c)Two Years B ack (d) Three Years Ba ck (e) Four Years Ba ck

2 Provide the estimated percentage o f the yearend balance held as

a Board designated or quasi-endowment 0 -

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Sc he du le D ( Fo rm 990) 2011 Page 3

Investments-Other Securities . See Form 990 , Part X , l i n e 12 .

(a) Description o f security or category(b)Book value

( c ) Method o f valuation

(including name o f security) Cost or end-of-year market value

( 1 )Financial derivatives

(2)Closely-held equity interests

Other

T o t a l . (Column (b ) s h o u l d e q u a l Form 9 90 , P ar t X , co l ( B ) l i n e 1 2 ) 0 1

Investments-Program Related . See Form 990, Part X, l i n e 13 .

(a) Description o f investment type (b) Book value I ( c ) Method o f valuation

Cost or end-of-vear market value

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Sc he du le D ( Fo rm 990) 2011 Page 4

« Reconciliation of Chang e i n Net Assets from Form 990 to Financial Statements

1 Total revenue (Form 990, Part VIII, column ( A ) , l i n e 12 ) 1

2 Total expenses (Form 990, Part IX , column ( A ) , l i n e 25 ) 2

3 Excess or ( d e fi c it ) f o r the year Subtract l i n e 2 from l i n e 1 3

4 Ne t unrealized gains (losses) on investments 4

5 Donated services and use o f f a c i l i t i e s 5

6 Investment expenses 6

7 Prior period adjustments 7

8 Other (Describe i n Part X I V ) 8

9 Total adjustments (net) Add l i n e s 4 - 8 9

10 Excess or ( d e fi c it ) f o r the year per financial statements Combine l i n e s 3 and 9 10

« Reconciliation of Revenue p er Audited Financial Statements With Revenue p er Return

1 Total revenue, gains, and other support per audited f i n a n c i a l statements . 1

2 Amounts included on l i n e 1 b ut not on Form 990, Part V I II , l i n e 12

a Ne t unrealized gains on investments . 2a

b Donated services and use o f f a c i l i t i e s . 2b

c Recoveries o f p r i or year grants 2c

d Other (Describe i n Part X I V ) . . . . . . . . . . . 2d

e Add l i n e s 2a through 2d . . . . . . . . . . . . . . . . . . . . 2e

3 Subtract l i n e 2e from l i n e 1 . . . . . . . . . . . . . . . . . . . . 3

4 Amounts included on Form 990, Part V I II , l i n e 12, b ut no t on l i n e 1

a Investment expenses not included on Form 990, Part VIII, l i n e 7b 4a

b Other (Describe i n Part X I V ). . . . . . . . . .

4b

c Add l i n e s 4a and 4b . . . . . . . . . . . . . . . . . . . . . . 4c

5 Total Revenue Add l i n e s 3 and 4 c . (This should equal Form 990, Part I , l i n e 12 . . . . . 5

« Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

1 Total expenses and losses per audited f i n a n c i a l

statements . 1

2 Amounts included on l i n e 1 b ut not on Form 990, Part IX , l i n e 25

a Donated services and use o f f a c i l i t i e s . 2a

b Prior year adjustments 2b

c Other losses . . . . . . . . . . . . . . . 2c

d Other (Describe i n Part X I V ) . . . . . . . . . . . 2d

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efile GRAPHIC print - DO NOT PROCESS I As Filed Data - I DLN: 93493314022582

Schedule I OMB No 1545-0047

(Form 990) Grants and Other Assistance t o O r g a n i z a t i o n s ,

2 0 1 1overnments and I n d i v i d u a l s i n th e United StatesComplete if the organization answered "Yes," to Form 990, P a rt IV, line 21 or 22 .

Department o f the Treasuryl Attach to Form 990

I n t e r n a l Revenue Service

Name o f the organization Employer identification number

JOHN HANCOCKCOMMITTEE FORTHE STATES

27-1657203

jlj l G e n e ra l I nf o rm a ti o n on Grants and A s s i s t a n c e

1 Does th e organization maintain records t o substantiate th e amount o f th e grants or assistance, th e grantees' e li g ib i li t y f o r th e grants or a s s i stan c e , an d

th e selection c r i t e r i a us ed t o award th e grants or a s s i st an c e ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FYes 1No

2 Describe i n Part IV th e organization's procedures f o r monitoring th e us e o f grant funds i n th e Un i te d St ate s

Grants and O t h e r A s s i s t a n c e to Governments and Org aniz ations i n th e U ni te d S ta te s . Complete i f t h e organization answered "Yes" t o

Form 990, P a r t I V , l i n e 21 f o r a ny r e ci p ie n t t h at received more than $5,000. C h e ck t h i s box i f no on e r e c i p i e n t received more than $5,000. U se

P a r t IV and Schedule I - 1 (Form 990) i f a d d i t i o n a l space i s needed . . . . . . . . . . . . . . . . . . . . . . . . . F

(a ) Name and address o f

organization

or government

(b) EIN ( c ) IRC Code section

i f applicable

(d) Amount o f c a s h

grant

(e) Amount o f non-

c a s h

a s s i st an c e

( f ) Method o f

valuation

(book, FMV, appraisal,

other)

(g ) Description o f

non-c a s h a s s i st an c e

(h ) Purpose o f grant

or a s s i st an c e

( 1 ) 1851 CENTER FOR

CONSTITUTIONAL LAW208

E STATE ST

COLUMBUS,OH 43215

27-1636436 501(c)(3) 7,000 Program Support

(2)TEA PARTY PATRIOTS

FOUNDATION1025 ROSE

CREEK STE 620-322

WOODSTOCK,GA 30189

27-3893819 501(c)(3) 50,000 Program Support

(3)TEXAS PUBLIC POLICY

FOUNDATION900

CONGRESS AVE STE 400

AUSTIN,TX 78701

74-2524057 501(c)(3) 124,000 Program Support

(4)THE JAMES MADISON

INSTITUTEPO BOX 37460

TALLAHASSEE,FL 32315

59-2811908 501(c)(3) 25,000 Program Support

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Schedule I (Form 990) 2011 Pa g e 2

Grants and Other Assistance to Individuals i n the United States . Complete i f th e organization answered "Yes" t o Form 990, Part I V , l i n e 22.

Us e Schedule I - 1 (Form 990) i f a d d i t i o n a l space i s needed.

(a)Type o f grant or assistance (b)N umber o f

recipients

(c)Amount o f

c ash grant

(d)Amount o f

n on -c ash assistance

(e )Meth od o f valuation

(book,

FMV, a pprais al, other)

(f)Description o f n on -c ash assistance

Supplemental Information . Complete t h i s p a r t t o provide t h e information required i n P a r t I , l i n e 2 , a nd a ny other a d d i t i o n a l i n f o r m a t i o n .

Identifier Return Reference Explanation

Schedule I (Form 990) 2011

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efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493314022582

SCHEDULE 0OMB No 1545 0047

(Form 990 o r 9 9 0 - E Z )Supplemental Information t o F o r m 9 9 0 or 9 9 0-EZ

2011

D e p a r t m e n t o f t h e T r e a s u r yComplete to provide information fo r responses to specific questions o n

Form 990 or t o p r ov i de any additional information .Open

I n t e r n a l Revenue S e r v i c e1 - Attach to Form 990 o r 990-EZ. Inspection

Name of t he o r ga n i za t i on Employer ide n t i f i cat i o n number

JOHN HANCOCK COMMITTEE FOR THE STATES

I d e n t i f i e r Return R e f e r e n c e Explanation

P t V I , L i n e 11a The r e t u r n i s provided to each board m e m b e r p r i o r to f i l i n g

P t V I , L i n e 12c P o l i c y i s enclosed i n t h e employee manual which i s provided

t o a l l e mp l oy ee s E mp lo ye e s a r e r e q u i r e d t o i n f o r m management

o f an y changes i n circumstance t h a t would g i v e r i s e t o

a c on f li c t o f i n te r e st

P t V I , L i n e 15 The board o f d i r e c t o r s determines executive compensation

based on comparable d a t a from o t h e r o r g a n i z a t i o n s

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Additional Data

Software ID : 11000175

Software Version:

EIN: 27 -1657203

Name : JOHN HANCOCK COMMITTEE FOR THE STATES

Form 990, Special Condition Description:

Special C ondition Description