31
I I . I " Return of Organization Exempt From Income Tax ""8"" "*""""" Form 0 Under section 501 c 527 or 4947 a 1 of th In rn 2 0 0 9 " ( ), , ( )( ) e te al Revenue Code (except black lung Depanmem of me Treasury benefit trust or private foundation) open to Puma imemai Revenue service P The organization may have to use a copy of this return to satisfy state reporting requirements. jngpeggggi H A For the 2009 calendar year, or tax year beginning and ending B chi-citii Plwe C Name of organization applicable use IRS Address label or I Name type D Employer identification number mcnange ,,,,,,,,,, EMINIST WOMEN " S HEALTH CENTER INC . Zcnenge Doing Business As ZII2"iII?Ii See Number and street (or P 0 box it mail is not delivered to street address) Room/suite Ilgggim- 326552? 1 9 2 4 CLIFF VALLEY WAY I:IIgRi?idw "ons City or town, state or country, and ZIP + 4 Clit.-W* TLANTA, GA 3 0 3 2 9 pending F Name and address of pnncipal ofticer:NANCY BOOTHE SAME AS C ABOVE I Tax-exempt status: ILI 501(g)-( 3 )4 (insert no.) IJ 4947@)(D or IJ 527 J Website: P WWW . FEMINISTCENTER . ORG HIQ) Group exem tion number P K Form oforqanization DLI C0fD0f8II0fl I .I TYUSI I I ASSOCIHIIUH I I Omer* I L Yearof formation 19 7% M State of legal domicile GA I I?arI..tI Summary 1 Briefly describe the organization"s mission or most significant activities: TO ADVOCATE 1 PROMOTE AND PROTECT LI . , 1 6 5 8 - 1 2 7 3 2 4 3 E Telephone number 404-248-5445 G GrDsareceipts$ H(a) Is this a group retum for affiliates? Il-I Yes No H(b) Are all attiliates included? E Yes D No If "No," attach a list (see instructions) REPRODUCTIVE RIGHTS FOR ALL WOMEN Check this box P if the organization discontinued its operations or disposed of more than 25% of its net assets Number of voting members of the governing body (Part VI line 1a) Number of independent voting members of the governing body (Part VI, line 1b) Total number of employees (Part V, line 2a) -- 6 Total number of volunteers (estimate if necessary) 7a Total gross unrelated business revenue from Part VIII, column (C), line 12 b Net unrelated business taxable income from Form 990-T, line 34 16 69 220 7a O. 7b O. Prior Year Current Year 8 Contributions and grants (Part VIII, line 1h) 6 6 6 1 3 9 3 - 4 5 8 1 7 4 6 - Program service revenue (Part VIII, line 2g) 2 , 470 , 413 . 2 , 394 , 278 . Investment income (Part VIII, column (A), lines 3, 4, and 7d) 1 5 , 3 6 8 . 1 4 , 0 0 8 . 11 Other revenue (Part VIlI,column (A), lines 5,6d. Bc, 9c, 10c,and 11e) 99 1 328 - 73 1 304 - 12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3 1 2 5 1 1 5 0 2 - 2 1 9 4 0 1 3 36 - 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 14 Benefits paid to or for members (Part IX, column (A), line 4) --i -I -i mployeebenefits(PartlX,column(A),llnes5-10) 112861573- 112801089- 1a ProfE&$lEIiIIf&&fees(art lX,column (A), Iine11e) Y Y Y W Y b "- - I - -L - - -- -- yi lX,column(D),llne25) P 102,117- II 1 I, II II II 1 --he e (P i,clii(A),iines11a-11d,1if-241) 1 5241 517. 1 542 982. 160 otalIfQJ%irgejAZd1IIfI(es (must equal Part IX, column (A), line25) 218111090- 218231071- 1 3: :I - - - n-e :., -I.: i)ctIine18fromIine12 4401412- 11.71265- 8 ..: 2- I N Q Beginning nt Current Year End of Year 20"TotaI assets (P5tiX,"Ilne1"6)* " 2 , 688 , 584 . 2 , 7 77 , 982 . 21 Toial liabilities (Pan x, line 26) 4 7 8 , 4 4 O . 4 5 0 , 5 7 3 . 22 Net assets or fund balances. Subtract line 21 from line 20 2 1 2 1 0 1 1 44 - 2 1 32 7 1 4 09 - rt It I Signature Bloylf Under penalties of r)u , I declare that I have a fied this , including acco nying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete D on of preparer (other th cer) is on all Informatlo hich preparer has any knowledge sign b I lf/* *p70/5 Hem Sig t ototticer - Dae F NAN Y BOOT E, EXECUTIVE DIRECTOR Type or prigdname and title p ate Check if P r ia i D re are s eni n num :"1 II sigeimfizs 2 (IAMLIYI - 6I/i,04Mp(I-0(/L. ii/oz/2oio Zfgiioyeii b III (seglnmcuongyl Q W 8"" S Pimwmeiof JONES AND KOLB Eiii r " I ""0""V iifiilpi-y-I ,lo PIEDMONT CTR STE 100 ?S??f"*"" ATLANTA, GA 30305 piioiiem, v(404)262-7920 May the IRS discuss this return with the preparer shown above"7 (see instructions) I X I Yes I I No 932001 oz-o-1-io LHA For Privacy Act and Papenivork Reduction Act Notice, see the separate instructions. Form 990 (2009) G16 5

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Page 1: LI - AbortionDocsabortiondocs.org/wp-content/uploads/2014/04/Rebecca-Corvey.pdf · K Form oforqanization DLI C0fD0f8II0fl I .I TYUSI I I ASSOCIHIIUH I I Omer* I L Yearof formation

0101 () 8 /ION CENNVQS

I I . I" Return of Organization Exempt From Income Tax ""8"" "*"""""

Form 0 Under section 501 c 527 or 4947 a 1 of th In rn 2 0 0 9" ( ), , ( )( ) e te al Revenue Code (except black lungDepanmem of me Treasury benefit trust or private foundation) open to Pumaimemai Revenue service P The organization may have to use a copy of this return to satisfy state reporting requirements. jngpeggggi HA For the 2009 calendar year, or tax year beginning and endingB chi-citii Plwe C Name of organization

applicable use IRSAddress label or

IName type

D Employer identification number

mcnange ,,,,,,,,,, EMINIST WOMEN " S HEALTH CENTER INC .Zcnenge Doing Business AsZII2"iII?Ii See Number and street (or P 0 box it mail is not delivered to street address) Room/suiteIlgggim- 326552? 1 9 2 4 CLIFF VALLEY WAYI:IIgRi?idw "ons City or town, state or country, and ZIP + 4Clit.-W* TLANTA, GA 3 0 3 2 9

pending F Name and address of pnncipal ofticer:NANCY BOOTHESAME AS C ABOVE

I Tax-exempt status: ILI 501(g)-( 3 )4 (insert no.) IJ 4947@)(D or IJ 527J Website: P WWW . FEMINISTCENTER . ORG HIQ) Group exem tion number PK Form oforqanization DLI C0fD0f8II0fl I .I TYUSI I I ASSOCIHIIUH I I Omer* I L Yearof formation 19 7% M State of legal domicile GAI I?arI..tI Summary

1 Briefly describe the organization"s mission or most significant activities: TO ADVOCATE 1 PROMOTE AND PROTECTLI ., 1 65 8 - 1 2 7 3 2 4 3

E Telephone number404-248-5445

G GrDsareceipts$H(a) Is this a group retum

for affiliates? Il-I Yes NoH(b) Are all attiliates included? E Yes D No

If "No," attach a list (see instructions)

C9

REPRODUCTIVE RIGHTS FOR ALL WOMENCheck this box P if the organization discontinued its operations or disposed of more than 25% of its net assetsNumber of voting members of the governing body (Part VI line 1a)Number of independent voting members of the governing body (Part VI, line 1b)Total number of employees (Part V, line 2a)

-- 6 Total number of volunteers (estimate if necessary)7a Total gross unrelated business revenue from Part VIII, column (C), line 12b Net unrelated business taxable income from Form 990-T, line 34

Governan

A Q ro

@0156)

1669

2207a O.7b O.Prior Year Current Year

8 Contributions and grants (Part VIII, line 1h) 6 6 6 1 3 9 3 - 4 5 8 1 7 4 6 ­Program service revenue (Part VIII, line 2g) 2 , 470 , 413 . 2 , 394 , 278 .Investment income (Part VIII, column (A), lines 3, 4, and 7d) 1 5 , 3 6 8 . 1 4 , 0 0 8 .

11 Other revenue (Part VIlI,column (A), lines 5,6d. Bc, 9c, 10c,and 11e) 99 1 328 - 73 1 304 ­12 Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12) 3 1 2 5 1 1 5 0 2 - 2 1 9 4 0 1 3 36 ­13 Grants and similar amounts paid (Part IX, column (A), lines 1-3)14 Benefits paid to or for members (Part IX, column (A), line 4)

U1

Act"v t es 8­Revenue-Ao o

Expenses-I

O

O

--i -I -i mployeebenefits(PartlX,column(A),llnes5-10) 112861573- 112801089­1a ProfE&$lEIiIIf&&fees(art lX,column (A), Iine11e) Y Y Y W Y

b "- - I - -L - - -- -- yi lX,column(D),llne25) P 102,117- II 1 I, II II II1 --he e (P i,clii(A),iines11a-11d,1if-241) 1 5241 517. 1 542 982.160 otalIfQJ%irgejAZd1IIfI(es (must equal Part IX, column (A), line25) 218111090- 218231071­1 3: :I - - - n-e :., -I.:

"QE Net Assets orN Fund Ba ances

i)ctIine18fromIine12 4401412- 11.71265­8 ..: 2- I N Q Beginning nt Current Year End of Year20"TotaI assets (P5tiX,"Ilne1"6)* " 2 , 688 , 584 . 2 , 7 77 , 982 .

21 Toial liabilities (Pan x, line 26) 4 7 8 , 4 4 O . 4 5 0 , 5 7 3 .22 Net assets or fund balances. Subtract line 21 from line 20 2 1 2 1 0 1 1 44 - 2 1 32 7 1 4 09 ­rt It I Signature Bloylf

Under penalties of r)u , I declare that I have a fied this , including acco nying schedules and statements, and to the best of my knowledge and belief, it is true, correct,and complete D on of preparer (other th cer) is on all Informatlo hich preparer has any knowledgesign b I lf/* *p70/5Hem Sig t ototticer - DaeF NAN Y BOOT E, EXECUTIVE DIRECTORType or prigdname and titlep ate Check if P r iai D re are s eni n num

:"1 II sigeimfizs 2 (IAMLIYI - 6I/i,04Mp(I-0(/L. ii/oz/2oio Zfgiioyeii b III (seglnmcuongyl Q W8"" S Pimwmeiof JONES AND KOLB Eiii r" I""0""V iifiilpi-y-I ,lo PIEDMONT CTR STE 100?S??f"*"" ATLANTA, GA 30305 piioiiem, v(404)262-7920May the IRS discuss this return with the preparer shown above"7 (see instructions) I X I Yes I I No932001 oz-o-1-io LHA For Privacy Act and Papenivork Reduction Act Notice, see the separate instructions. Form 990 (2009)

G165

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Form 990 2009) FEMINIST WOMEN* S HEALTH CENTER, INC . 58-1273243 Page2l"P"ai*t Ella Statement of Program Service Accomplishments1 Bnetiy descnbe the organization"s mission:

TO ADVOCATE, PROMOTE AND PROTECT REPRODUCTIVE RIGHTS FOR ALL WOMEN.

2 Did the organization undertake any significant program services dunng the year which were not listed onine prior Form 990 or 990-Ez? lilves Nolf "Yes," describe these new services on Schedule O.

3 Did the organization cease conducting. or make signiticant changes in how it conducts, any program services? Shes NoIf "Yes," describe these changes on Schedule O.

4 Descnbe 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 andallocations to others, the total expenses, and revenue, if any, for each program service reported.

4a (Code )(Expenses$ 213651172- incIudinggrantsof$ )(Revenue$ 2/467,582-)THE ORGANIZATION OPERATES A CLINIC TO PROVIDE GYNECOLOGICAL HEALTH CARESERVICES TO WOMEN. THE CLINIC HAD APPROXIMATELY 4,429 CLIENT VISITSDURING 2009.

4b (Code: ) (Expenses $ 1 5 6 , 2 6 3 - including grants of $ ) (Revenue $ )THE ORGANI ZATION PERFORMS COMMUNITY OUTREACH BY PROVIDING HEALTHEDUCATION SERVICES TO VARIOUS UNDERSERVED GROUPS SUCH AS REFUGEE ,HOMELESS, LESBIAN AND BISEXUAL WOMEN.

4c (Code" ) (Expenses $ including grants of $ )(Flevenue $ )

4d Other program services. (Descnbe in Schedule O.)(Expenses $ including-grants of $ )-(Revenue $ )

4e Total program service expenses P $ 2 , 5 2 1 , 4 3 5 .Form 990 (2009)

99200202-04-io

2

10121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 12448*-1

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I I I .Fmm9M)ZwQ FEMINIST WOMEN"S HEALTH CENTER, INC. 58-1273243 Pme3I Paftw Checklist of Required Schedules

1

2

3

4

5

6

7

8

9

10

11

o

0

o

o

12

12A

13

14ab

15

16

17

18

19

20

Yes Nols the organization descnbed in section 501 (c)(3) or 4947(a)(1) (other than a pnvate foundation)?If "Yes, " complete Schedule A

Is the organization required to complete Schedule B, Schedule of Contnbutors?Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates forpublic oftice? If "Yes, " complete Schedule C, Part ISection 501(c)(3) organizations. Did the organization engage in lobbying activities? If "Yes, " complete Schedule C, Part llSection 501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subiect to the section 6033(e) notice andreporting requirement and proxy tax? If "Yes," complete Schedule C, Part IllDid the organization maintain any donor advised funds or any similar funds or accounts where donors have the right toprovide advice on the distribution or investment of amounts in such funds or accounts? If "Yes, " complete Schedule D, Part/Did 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 /IDid the organization maintain collections of works of art, histoncal treasures, or other similar assets? If "Yes, " completeSchedule D, Part III

Did the organization report an amount in Part X, line 21 : serve as a custodian for amounts not listed in Part X: or providecredit counseling, debt management, credit repair, or debt negotiation services? If "Yes, " complete Schedule D, Part /VDid the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments?If "Yes, " complete Schedule D, Part V ,ls the organization"s answer to any of the following questions "Yes"? If so, complete Schedule D, Parts VI, VII, VIII, IX, orXas applicableDid the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes, " complete Schedule D, 5

1X2X3 X4 X.316 X1 Xa X9 Xio XPart VI. 1 1

Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its totalassets 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 totalassets reported in Part X, line 16? II "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 inPart 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 addressesthe 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 E 5S h d Ie D Part Xl Xl/ dXlllc e u , s , , an . 12 XWas the organization included in consolidated, independent audited financial statements for the tax year? NoIf "Yes," completing Schedule D, Parts Xl, XII, and XIII is optional I 12A X yIs the organization a school descnbed in section 170(b)(1)(A)(iD? If "Yes, " complete Schedule EDid the organization maintain an office, employees, or agents outside of the United States?Did 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, PartlDid the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organizationor entity located outside the United States? If "Yes," complete Schedule F, Part llDid the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individualslocated outside the United States? If "Yes, " complete Schedule F, Part Ill

Did 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/Did the organization report more than $15,000 total of fundraising event gross income and contnbutions on Part Vlll, lines1c and Ba? If "Yes, " complete Schedule G, Part ll

Did the organization report more than $15,000 of gross income from gaming activities on Part Vlll, line 9a? If "Yes, "complete Schedule G, Part Ill

Did the orqanization operate one or more hospitals? If "Yes, " complete Schedule H

13 X14a X14b X15 X16 X17 X18 X

19 X20 X

932003

Form 990 (2009)

02-04-10

3

10121102 751928 12448 2009.04040 FEMINIST WOMENIS HEALTH CEN 12448*1

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Form99o 21009) FEMINIST WOMEN*S HEALTH CENTER, INC. 58-1273243 Page4I I - ­

I PEIIUVS Checklist of Required Schedules (continued)

21

22

23

24a

b

C

d25a

b

26

27

28

ab

c

2930

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 theUnited States on Part IX, column (A), line 1? If "Yes, " complete Schedule I, Parts I and ll

Did 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 Ill

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization*s currentand former officers, directors, trustees, key employees, and highest compensated employees? If "Yes, " completeSchedule J

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of thelast day of the year, that was issued after December 31, 2002? If "Yes, " answer I/nes 24b through 24d and completeSchedule K. If "No ", go to line 25

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary penod exception?Did the organization maintain an escrow account other than a refunding escrow at any time dunng the year to defeaseany tax-exempt bonds?Did the organization act as an "on behalf of" issuer for bonds outstanding at any time dunng the year?Section 501 (c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with adisqualitled person during the year? If "Yes, " complete Schedule L, Part/ls the organization aware that it engaged in an excess benefit transaction with a disqualified person in a pnor year, andthat the transaction has not been reported on any of the organization"s pnor Forms 990 or 990-EZ? If "Yes, " completeSchedule L, Part/Was a Ioan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualifiedperson outstanding as of the end of the organization"s tax year? If "Yes, " complete Schedule L, Part IIDid the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantialcontnbutor, or a grant selection committee member, or to a person related to such an individual? If "Yes, " completeSchedule L, Part Ill IWas the organization a party to a business transaction with one of the following parties, (see Schedule L, Part IVinstructions for applicable filing thresholds, conditions, and exceptions):A current or former ofhcer, director, trustee, or key employee? If "Yes, " complete Schedule L, Part /VA family member of a current or former officer, director, trustee, or key employee? If "Yes, " complete Schedule L, Part IVAn entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member) wasan officer, director, trustee, or direct or indirect owner? If "Yes, " complete Schedule L, Part IVDid the organization receive more than $25,000 in non-cash contnbutions? If "Yes, " complete Schedule MDid the organization receive contnbutions of art, historical treasures, or other similar assets, or qualified conservationcontnbutions? If "Yes," complete Schedule MDid the organization liquidate, terminate, or dissolve and cease operations?If "Yes, " complete Schedule N, Part/Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?If "Yes, " completeSchedule N, Part I/

Did the organization own 100% of an entity disregarded as separate from the organization under Regulationssections 301.7701-2 and 301 .7701-3? If "Yes, " complete Schedule R, Part/Was the organization related to any tax-exempt or taxable entity?If "Yes, " complete Schedule R, Parts Il, /ll, IV, and V, line 1

ls any related organization a controlled entity within the meaning of section 512(b)(13)?If "Yes, " complete Schedule R, Part V, I/ne 2

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization?If "Yes, " complete Schedule R, Part V, I/ne 2

Did the organization conduct more than 5% of its activities through an entity that is not a related organizationand that is treated as a partnership for federal income tax purposes? If "Yes, " complete Schedule R, Part I/IDid 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.

Yes No

21 X22 X

23 X

24alx24b

24c24d

25alx25blx26 X

21 Ax

28a X28b X28c X29 X30 X31 X32 X33 X

34 X35 X36 X37 X33 X

93200402-04-to

4

Form 990 (2009)

10121102 751928 12448 2009.0404O FEMINIST WOMEN"S HEALTH CEN 1244811

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Form 990 2009) FEMINIST WOMEN* S HEALTH CENTER, INC . 58-1273243 Page5I Part VIS Statements Regarding Other IRS Filings and Tax Compliance

1a

b

c

2a

b

3ab

4a

b

5ab

c

6a

b

7

a

b

c

de

f

9h

8

9

ab

10

ab

11

ab

12ab

Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal ofU.S. Information Retums. Enter -0- if not applicable 1aEnter the number of Forms W-2G included in line 1a. Enter -0- if not applicable mDid the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming(gambling) winnings to prize winners? 1c

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, I I2a 6 9filed for the calendar year ending with or within the year covered by this returnIf at least one is reported on line 2a, did the organization file all required federal employment tax returns?Note. lf 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 dunng the year covered by this retum?If "Yes," has it tiled a Form 990-T for this year? /f "No, " prov/de an exp/anat/on In Schedule O

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, afinancial account in a foreign country (such as a bank account, secunties account, or other financial account)?lf "Yes," enter the name of the foreign country: PSee the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank andFinancial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time dunng the tax year?Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?lf "Yes," to line Sa or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding ProhibitedTax Shelter Transaction?

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization soany contnbutions that were not tax deductible?If "Yes," did the organization include with every solicitation an express statement that such contnbutions or giftswere not tax deductible?

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

Iicit

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and servicesprovided to the payor?lf "Yes," did the organization notify the donor of the value of the goods or services provided?Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was requiredto file Form 8282? 7c Xlf "Yes," indicate the number of Forms B282 filed during the year I 7dDid the organization, dunng the year, receive any funds, directly or indirectly, to pay premiums on a personalbenefit contract?

Did 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?For contnbutions of cars, boats, airplanes, and other vehicles, did the organization tile a Form 1098-C as required?Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did thesupporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdat any time dunng the year?Sponsoring organizations maintaining donor advised funds.Did the organization make any taxable distnbutions under section 4966?Did the organization make a distnbution to a donor, donor advisor, or related person?Section 501(c)(7) organizations. Enter:

Initiation fees and capital contnbutions included on Part Vlll, line 12 10a IGross receipts, included on Fomi 990, Part Vlll, line 12, for public use of club facilities mSection 501 (c)(12) organizations. Enter:Gross income from members or shareholders 1 1aGross income from other sources (Do not net amounts due or paid to other sources againstamounts due or received from them.) BSection 4947(a)(1) non-exempt charitable trusts. ls the organization tiling Form 990 in lieu of Form 1041?lf "Yes," enter the amount of tax-exempt interest received or accrued dunnq the year I 12b I

ings

Yes No

2bX

3a X3b

4a IX

5a Xsb X5c

6a XBb

7aX1bX

7e X7f X.ILE7h

..i.......,..,9a9b

12a-1-"lv--n-i-vvn-rwvrv

932(X)502-04-10

5

Form 990 (zoos)

10121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 12448-1

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Form 990 2009) FEMINIST WOMEN" S HEALTH CENTER, INC . 58-1273243 Page6I P311 VI I GOVemal1Ce, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora "No" response

to /ine 8a, 8b, or 10b below, descnbe the circumstances, processes, or changes in Schedule O. See instructions.

Section A. Governing Body and Management

Enter the number of votrng members that are independentDid any officer, director, trustee, or key employee have a family relationship or a business relationship with any otherofhcer, director, trustee, or key employee?

3 Dld the organization delegate control over management duties customanly performed by or under the direct supervisionof officers, directors or trustees, or key employees to a management company or other person?

4 Did the organization make any significant changes to rts organizational documents since the pnor Form 990 was Hled?5 Did the organization become aware dunng the year of a matenal diversion of the organizations assets?6 Does the organization have members or stockholders?7a Does the organization have members, stockholders, or other persons who may elect one or more members of the

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

8 Did the organization contemporaneously document the meetings held or wntten actions undertaken dunng the yearby the following:

a The governing body?b Each committee with authonty to act on behalf of the governing body?

9 ls there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at theorqanlzation*s mallinq address? lf "Yes,lprovide the names and addresses in Schedule O

Qwhld

9

Yes No1a Enter the number of votlng members of the governing body 1a 1 6i, Ill 162 2 X

54545494

7a X7b X

8aX8bX

X

SeCfiOrl B. P0liCieS (This Section B requests information about policies not required by the Internal Revenue Code.)

10a Does the organization have local chapters, branches, or affiliates?b lf "Yes," does the organization have written policies and procedures governing the activities of such chapters, aftlliates,

and branches to ensure their operations are consistent with those of the organization?11 Has the organization provided a copy of this Form 99010 all members of its governing body before filing the form?11A Describe in Schedule O the process, if any, used by the organization to review this Form 990.12a Does the organization have a wntten conflict of interest policy? If "No, " go to line 13

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

c Does the organization regularly and consistently monitor and enforce compliance with the policy? lf "Yes, " descnbein Schedule O how this is done

1 3 Does the organization have a wrrtten whistleblower policy?14 Does the organization have a written document retention and destruction policy?15 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?a The organizatlon*s CEO, Executive Director, or top management officialb Other officers or key employees of the organization

lf "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 ataxable entity during the year?

b lf "Yes," has the organization adopted a wntten policy or procedure requinng the organization to evaluate its participationrn ioint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization*sexempt status with respect to such arrangements?

16a

10a

10b

12b

12c

15a

16a

16b

Yes-.LMx

11X

12a Xix?34-.­

13X,..1:*.,,..*.$..,......,

*X-115h A X

s....c...1..2L

Section C. Disclosure17 List the states wrth which a copy of this Form 990 is required to be filed PGA18 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

publlc inspection. Indicate how you make these available. Check all that apply.lj Own website Another"s websrte IX. Upon request

19 Descnbe rn Schedule O whether (and if so, how), the organization makes its goveming documents, conflict of interest policy, and financialstatements available to the public.

20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization: PNANCY BOOTHE - 404-248-54451924 CLIFF VALLEY WAY, ATLANTA, GA 30329

93200602-04-10

10121102 751928 12448 2009.04040 FEMINIST WOMEN*S HEALTH CEN 1244811

Form 990 (zoos)

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Fmm9M)ZmQ FEMINIST WOMEN"S HEALTH CENTER, INC. 58-1273243 Pqe7L15 IPatfvll Compensation of Officers, Directors, Tnistees, Key Employees, Highest CompensatedEmployees, and Independent Contractors

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization"s taxyear. Use Schedule J-2 rf additional space is needed

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

0 List all of the organlzation"s current key employees. See instructions for definition of "key employee."0 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 ot Form 1099-MISC) ot more than $100,000 from the organization and any related organizations.

0 List all of the organlzation*s former officers, key employees, and highest compensated employees who received more than $100,000 ofreportable compensation from the organization and any related organizations.

0 List all of the orgamzation"s former directors or trustees that received, in the capacity as a former director or trustee of the organization,more than $10,000 of reportable compensation from the organization and any related organizations.List persons In the followlng order: individual trustees or directors: institutional trustees: ofticers: key employees: highest compensated employees:and former such persons.

1:1 Check this box if the organization did not compensate any current officer, director, or trustee.M)

Name and TitleBl W)

Average Positionhours (check all that apply)Pef B

week

or nf rect

nstltutlona tlusme

Olliocr

Key e

H ghest compensatedCmv OWU

ndividua trustee

mv OWU

D) (BFteportable Reportable

compensation compensationfrom from relatedthe organizations

organization (W-2/1 099-M ISC)(W-2/1099-MISC)

(HEstimatedamount of

othercompensation

from theorgan izationand related

organizations

LAURA WILKINSONBOARD PRESIDENT 2.00 X X 0. 0. OU

KINSHASA WILLIAMSVICE-PRESIDENT 2.00 X X OO 0. 0.ROSEMARY ROBERTSONSECRETARY/TREASURER 2.00 X X of OU OU

JON CARLSTENDIRECTOR 1.00 X 0. 0. olBILL POLKDIRECTOR 1.00 X 0. 0. 0.MARESSA PENDERMONDIRECTOR 1.00 X 00 00 0.SERENA GARCIADIRECTOR 1.00 X 0. 0. OU

REBECCA WASSERMANDIRECTOR 1.00 X oi OU 0.DJANA F. HARPDIRECTOR 1.00 X 0. 0. 0.BETH RADTKEDIRECTOR 1.00 X 00 oO 0UREBECCA CORVEYDIRECTOR 1.00 X OC OU 0.LOLA FLECKENSTEINDIRECTOR 1.00 X 0. 0. 0.DREW SLONEDIRECTOR 1.00 X 0. 0. O.ALISON HALLDIRECTOR 1.00 X 0. 0. 0.KRISTAL SWIMDIRECTOR 1.00 X 0. 0. 0.DINYCE WILLIAMSDIRECTOR 1.00 X 0. 0. OU

NANCY BOOTHEEXECUTIVE DIRECTOR 40.00 X 74,793. o. 1,927.932007 02-04-10

10121102 751928 12448

Form 990 (2009)7

2009.04040 FEMINIST WOMENIS HEALTH CEN 12448 1

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Form 900 2009) FEMINIST WOMEN" S HEALTH CENTER, INC . 58-1273243 Page8IPBU VRS Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (cont/nuea)(A) (B) (C) (D) (E) (F)

Name and title Average Position Reportable Fleportable Estimatedhours (check all that apply) compensation compensation amount ofper - from from related other

the organizations compensationorganization (W-2/1099-MISC) from the* (W-21099-MISC) organization" and related- organizations

nrividua trustee or cirecto

nstitutiona Uustw

Offtaer

Keyemp oyea

Highestcorrincrisatedwill OWU

Fomnr

week

1b Total D 74,793. 0. 1,927.2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportablecompensation from the organization P 0

UIll*ac:-15

3 Did the organization list any former officer, director or tmstee, key employee, or highest compensated employee online 1a? lf "Yes, " complete Schedule J for such individual

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organizationand related organizations greater than $150,000? If "Yes," complete Schedule J for such ind/vidual

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for services rendered tothe organization? If "Yes, " complete Schedule J for such person 5 X

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation fromthe organization. (A) (B) (C)

Name and business address Descnption of services CompensationTYRONE MALLOY, MD1924 CLIFF VALLEY WAY, ATLANTA, GA 30329 PHYSICIAN SERVICES 134,656.TAMER MIDDLETON, MD1924 CLIFF VALLEY WAY, ATLANTA, GA 30329 PHYSICIAN SERVICES 121,340.THE EMORY CLINIC1924 CLIFF VALLEY WAY, ATLANTA, GA 30329 PHYSICIAN SERVICES 114,135.

2 Total number of Independent contractors (including but not limited to those listed above) who received more than$100,000 in compensation from the orqanization P 3

Form 990 (2009)mzooaoz-04-io 810121102 751928 12448 2009.04040 FEMINIST WOMENIS HEALTH CEN 12448i1

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Form 990 2009) FEMINIST WOMEN"S HEALTH CENTER, INC. 58-12 73243 .Page9(Part VlI(lqI Statement of Revenue (A) (B)

Total revenue Related orexempt function

revenue

(C)Unrelatedbusinessrevenue

(D)Revenue

excluded fromtax under

sections 512,513, or 514

ns g"fts, grantss m ar amountsContr but oand other

1 abcdef

9h

Federated campaignsMembership duesFundraising eventsRelated organizationsGovernment grants (contributions)All other contributions, gifts, grants, andsimilar amounts not included above

Noncash contnbutions Included in lxnes 1a-1f* S

Total. Add lines 1a-1f

-AIll

40,615.3

418,131.5

f 459,746-,f.,,...,, .. ....................................@

C8Program Servevenue

2 abc

*QQ

9

MEDICAL SERVICESBusiness Code ( I621300 ,394,278.,2,394,278.

All other program sen/ice revenueTotal. Add lines 2a-2f v 2,394,278.:

Other Revenue

3

4

5

6

7

8

9

10

ab

cda

b

cda

b

ca

bca

bc

Investment income (including dividends, interest. andother similar amounts)Income from investment of tax-exempt bond proceeds P

PRoyalties

P 14,008. 14,008.

i

Gross Rents

Less: rental expensesRental income or (loss)Net rental income or (loss)

Real (ii) Personal Z

P ggggggggggggggggggggggg HGross amount from sales of i Securitiesassets other than inventoryLess. cost or other basis

and sales expensesGain or (loss)Net gain or (loss)Gross income from fundraising event

contnbutions reported on line 1c). SPart IV, line 18

Less: direct expensesNet income or (loss) from fundraising

including $ 4 0 , 6 1 5 . ofe

Gross income from gaming activities. See I 3Part lV, line 19

Less: direct expensesNet income or (loss) from gaming actGross sales of inventory, less returnsand allowances

Less: cost of goods soldNet income or (loss) from sales of inv

ii Other V

Ps (not

ea 18,316.1b 18,316. 3events P 0 .ali.-2b 1

ivities P W.1o2,522.( Zb 29,218.2 5entory P VV 73, n

Miscellaneous Revenue Business Code 1 3i 11

12

abcde

All other revenueTotal. Add lines 11a-11dTotal revenue. See instructions

P , 5v p,94o,336.p,467,5a2.l o. 14,008.

932lX)902-04-1 0 Form 990 (2009)

9

10121102 751928 12448 2009.04040 FEMINIST WOMEN*S HEALTH CEN 12448-1

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Form990 2009) FEMINIST WOMEN"S HEALTH CENTER, INC. 58-1273243 Page10I Part IX1 Statement of Functional Expenses

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).

Do not include amounts reported on lines sb* Total gspenses Progra$r?)service Managggent and Func1Ii*Ja?ising75- 351 951 a"d 105 97 pa" vm- expenses general expenses expenses1 Grants and other assistance to governments and ­

organizations in the U S See Part IV, line 212 Grants and other assistance to individuals in

the U.S. See Part IV, line 223 Grants and other assistance to governments, .organizations, and individuals outside the U S. 1See Part IV, lines 15 and 16 I I4 Benefits paid to or for members 1 I K K5 Compensation of current officers, directors,

trustees, and key employees 74,793. 22,438. 29,917. 22,438.6 Compensation not included above, to disqualified

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

persons descnbed in section 4958(c)(3)(B)

7 Other salaries and wages 1,010,917. 887,682. 74,274. 48,961.8 Pension plan contributions (include section 401(k)

and section 403(b) employer contributions) 7,033. 5,895. 675. 463.9 Other employee benefits 105,289. 88,261. 10,104. 6,924.

10 Payroll taxes 82,057. 68,786. 7,875. 5,396.11 Fees for services (non-employees):

a Managementb Legal 6,587. 6,587.c Accounting 8,900. 8,900.8,000. 8,000.d L0bbY"I9 , ........................................................................... ..e Protessionalfundraising services See Part IV, line 17 5 Ef Investment management fees9 other 592,903. 592,903.

12 Advertising and promotion 7 3 1 9 7 0 - 7 3 f 9 7 0 ­13 Office expenses14 Information technology

35,267. 26,594. 6,699. 1,974.14,718. 10,744. 3,238. 736.15 Royalties16 Occupancy 42,807. 32,596. 8,307. 1,904.1 7 Travel18 Payments of travel or entertainment expenses

for any federal, state, or local public ofticials19 Conferences, conventions, and meetings 905. 905.20 Interest21 Payments to affiliates22 Depreciation, depletion, and amortization 69,928. 53,925. 13,034. 2,969.23 Insurance 94,954. 93,271. 999. 684.24 Otherexpenses ltemize expenses not covered I 1

above (Expenses grouped together and labeledmiscellaneous may not exceed 5% of totalexpenses shown on line 25 below) E asa MEDICAL SUPPLIES 247,128. 247,128.

b UTILITIES/TELEPHONE 58,826. 51,179. 4,706. 2,941.c REPAIRS & MAINTENANCE 51,877. 41,830. 8,194. 1,853.dLAB FEES 41,750. 41,750.e OTHER SERVICES 40,907. 40,907.f All other expenses 153,555. 133,576. 15,105. 4,874.

25 Total lunctional expenses. Add lines 1 through 241 2,823,071. 2,521,435. 199,519. 102,117.26 Jolnt costs. Check here P M it following

SOP 98-2 Complete this line only it the organization

reported in column (B) ioint costs from a combined

educational campaign and fundraising solicitationeozoio 02-o-1-io Form 990 (2009)1 0

10121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 12448

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Form990 2009) FEMINIST WOMEN"S HEALTH CENTER, INC. 58-1273243 Page11I Part X Balance Sheet M) (W

Beginning of year End of year

Assets

01 h Gd B3 4

6

7

89

10

11

12

1314

15

16

b

Cash - non-interest-beanngSavings and temporary cash investmentsPledges and grants receivable, netAccounts receivable, netReceivables from current and former officers, directors, trustees. keyemployees, and highest compensated employees. Complete Part IIof Schedule L

Receivables from other disqualified persons (as defined under section4958(f)(1)) and persons described in section 4958(c)(3)(B). CompletePart II of Schedule L

Notes and loans receivable, netInventories for sale or use

Prepaid expenses and deferred chargesLand, buildings, and equipment: cost or otherbasis. Complete Part VI of Schedule D 10aLess: accumulated depreciation 1 0b

1,939,909

252,719

-A

362,093.704,683

N

776,171.65,242

GI

25,410.152,738

h

114,899.

....... ,.5

*J

6,894 5,918.33,290

ID

26,500.

476,378. 1,468,150 10c 1,463,531.Investments - publicly traded secuntiesInvestments - other secunties. See Part IV, line 11

Investments - program-related See Part IV, line 11Intangible assetsOther assets. See Part IV, line 11

Total assets. Add lines 1 through 15 (must equal line 34)

11

12

1314

4,868 15 3,460.2,588,584 16 2,777,982.

tesL"ab

1 7

18

192021

22

23242526

Accounts payable and accmed expensesGrants payableDeferred revenue

Tax-exempt bond liabilitiesEscrow or custodial account liability Complete Part IV of Schedule DPayables to current and former officers, directors, tmstees, key employees,highest compensated employees, and disqualified persons. Complete Part llof Schedule L

Secured mortgages and notes payable to unrelated third partiesUnsecured notes and loans payable to unrelated third partiesOther liabilities. Complete Part X of Schedule D

Total liabilities. Add lines 17 throuqh 25

145,651 17 127,824.1819

20

2.1..

22

332,789 23 322,749.2425

478,440 26 4501573:

ZHCCSNet Assets or Fund Ba

272829

3031

323334

Organizations that follow SFAS 117, check here P Lil and completelines 27 through 29, and lines 33 and 34.Unrestncted net assets

Temporarily restricted net assetsPermanently restricted net assetsOrganizations that do not follow SFAS 117, check here P 1:1 andcomplete lines 30 through 34.Capital stock or trust pnncipal, or current fundsPaid-in or capital surplus, or land, building, or equipment fundRetained earnings, endowment, accumulated income. or other fundsTotal net assets or fund balancesTotal liabilities and net assets/fund balances

2,139,512 27 2,281,999.70,632 28 45,410.

.29

3031

32

2,210,144 33 2,327,409.2,688,584 34 2,777,982.

982011 02-04-10

11

Form 990 (2009)

10121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 12448-1

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Form 990 2009) FEMINIST WOMEN* S HEALTH CENTER, INC . 58-1273243 Page12llPal*i N1 Financial Statements and Reporting

Yes No

1 Accounting method used to prepare the Form 990: CI Cash Accrual E Other 1If the organization changed its method of accounting from a pnor year or checked "Other," explain in Schedule O. 1

2a Were the organization*s tinanclal statements compiled or reviewed by an independent accountant?b Were the organization*s tinancial statements audited by an independent accountant?c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight ofthe audit,

review, or compilation of its financial statements and selection of an independent accountant?If the organization changed either tts oversight process or selection process dunng the tax year, explain In Schedule O.

d If "Yes" to line 2a or 2b, check a box below to indicate whether the Hnanclal statements for the year were issued on a Iconsolidated basis, separate basis, or both:1:1 Separate basis Consolidated basis E Both consolidated and separate basis

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single AudrtAct and OMB Circular A-133?

b lf "Yes," did the organization undergo the required audit or audits? lf the organization did not undergo the required auditor audits, explain why in Schedule O and describe any steps taken to undergo such audits. 3b

3a X

-rn-m-rrr-n-ri-rn-rv-v-1-v-nw-rv

2a X2b X

Form 99U (2009)

992012 oz-o-1-10

1 2

10121102 751928 12448 2009.04040 FEMINIST WOMEN*S HEALTH CEN 1244811

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A I I - OMB No 1545-0047(Form 990 or 990-EZ) Public Charity Status and Public Support 9Complete if the organization is a section 501 (c)(3) organization or a sectionDepanmem 0, me T,,,as,,,y 4947(a)(1) nonexempt charitable trust. Opento PubticInfernal Revenue Service P Attach to Fomi 990 or Fomi 990-EZ. P See separate instructions. 305990900Name of the organization Employer identification number

FEMINIST WOMENIS HEALTH CENTER, INC. 58-1273243Reason fOr Public Charity Status (All organizations must complete this part.) See instructions.

liji:iii41:1

sljel-ll1alzlE9

1011

ClIII

eifl

f

9

h

The organization is not a pnvate foundation because it is: (For lines 1 through 11, check only one box.)A church, convention of churches, or association of churches descnbed in section 1 70(b)(1)(A)(i).A school descnbed in section 170(b)(1)(A)(ii). (Attach Schedule E.)A hospital or a cooperative hospital service organization descnbed in section 170(b)(1)(A)(iii).A medical research organization operated in conjunction with a hospital descnbed 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 descnbed insection 170(b)(1)(A)(iv). (Complete Part Il.)

A federal, state, or local government or governmental unit descnbed in section 1 70(b)(1)(A)(v).An organization that normally receives a substantial part of its support from a governmental unit or from the general public descnbed insection 170(b)(1)(A)(vi). (Complete Part II )

A community trust described in section 170(b)(1)(A)(vi). (Complete Part ll.)An organization that normally receives" (1) more than 33 1/3% of its support from contnbutions. membership fees, and gross receipts fromactivities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of rts support from gross investmentincome 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 Ill.)An organization organized and operated exclusively to test for public safety. See section 509(a)(4).An organization organized and operated exclusively for the benefrt of, to perform the functions of, or to carry out the purposes of one ormore publicly supported organizations descnbed in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box thatdescribes the type of supporting organization and complete lines 11e through 11h.a D Type I b 1:1 Type ll c I3 Type Ill - Functionally integrated d 1:1 Type III - OtherBy checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other thanfoundation managers and other than one or more publicly supported organizations descnbed 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 ll, or Type IIIsupporting organization, check this box ljSince August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?(i) A person who directly or indirectly controls. either alone or together with persons described in (ii) and (iii) below. Yesthe governing body of the supported organization?(ii) A family member of a person descnbed in (i) above?(iii) A 35% controlled entity of a person described in G) or (ii) above?Provide the following information about the supported organization(s).

ZO

- -- iiliITvpeof i istn to Da t in ivii Isthe ­(I) Na0TJaxz?:E?I0ned (H) EIN 0f93f"Za"0" i(nvc):oI (iflitttggnitti/out (tJ)rQ:tni1gttorn0iiIint:oie olrgamzanon I" col (VII) Amour t 01(described on lines 1-9 - ( 1 Ufgamzed "1"" Supp()9

above or IRC section governing document (i) of your support? U 5 fa(see lnstrui:tIons)) Yes No Yes No Yes No

Total

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

932021 oz-os-io

1 3

10121102 751928 12448 2009.04040 FEMINIST WOMEN*S HEALTH CEN 12448-1

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ScheduleA*Form990or990-EZ)2009 FEMINIST WOMENIS HEALTH CENTER, INC. 58-1273243 PaqezPart It 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 l.)

Section A. Public SupportCalendar year (or fiscal year beginning in)P (Q) 2005 (I3) 2006 (9) 2007 (g) 2008 (g) 2009 (9 Total

1 Gifts, grants, contnbutions, andmembership fees received. (Do notinclude any *unusual grants.") 197,658. 106,854. 102,461. 666,393. 418,131. 1491497.

2 Tax revenues levied for the organ­ization"s benefit and either paid toor expended on its behalf

3 The value of sen/ices or facilitiesfurnished by a governmental unit tothe organization without charge

197,658. 106,854. 102,461. 666,393. 418,131.4 Total. Add lines 1 through 35 The portion of total contributions 1 3 3 1 5by each person (other than agovernmental unit or publiclysupported organization) includedon line 1 that exceeds 2% of theamount shown on line 11, 2Columnlf) 892,043.

1491497.

6 Public support. sumractiines imm imea , H 5 9 9 f 4 5 4 ­Section B. Total SupportCalendar year (or fiscal year beginning in)P (Q) 2005 (I3) 2006 (9) 2007 (g) 2008 (g) 20097 Am0Un15fr0mIlne4 , - , - , . I . ­

8 Gross income from interest,dividends, payments received onsecurities loans, rents, royaltiesandincomefrgmslmilarsources 6,028. 8,788.

9 Net income from unrelated businessactivities, whether or not the

business is regularly carried on10 Other income. Do not include gain

or loss from the sale of capitalassets (Explain in Part IV.)

11 maisuppori.Aaaiines7tnmugn10 ,,,,,,,,,,,,,,, H , ,,,,,,,,,,,,,,,,,,, H , , 1547249 .12 Gross receipts from related activities, etc. (see instructions) 12 I 1 1 1 5 8 3 1 3 9 3 ­13 First five years. lf 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 P Cl

(9Total1491497.

55,752.

Section C. Computation of Public Support Percentage14 Public support percentage for 2009 (line 6, column (t) divided by line 11,column (f)) 14 3 8 . 7 4 %15 Public support percentage from 2008 Schedule A, Part ll, line 14 15 4 6 - 9 4 %16a 33 1/3% support test - 2009.lf 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 P ll-lb 33 1/3% support test - 2008.lf the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this boxand stop here. The organization qualifies as a publicly supported organization P I:-..l

17a 10% -facts-and-circumstances test - 2009.lf 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 lV how the organizationmeets the "facts-and-circumstances" test. The organization qualrhes as a publicly supported organization P Cl

b 10% -facts-and-circumstances test - 2008.lf the organization did not check a box on line 13. 16a, 16b, or 17a, and line 15 is 10% ormore, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how theorganization meets the *facts-and-circumstances" test. The organization qualifies as a publicly supported organization P Sl

18 Private foundation. lf the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions P ljSchedule A (Form 990 or 990-EZ) 2009

93202202-oe-10

1 4

10121102 751928 12448 2009.04040 FEMINIST WOMEN*S HEALTH CEN 12448-1

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Schedule A" Form 990 or 990-EZ) 2009 Page 3Pan SUPDOI1 SChedUIe fOf 0l*QaniZati0I1S DeSCfibed ifl SBCHOI1 (Cgmplgtg only (1 you checked the box on Img 9 0fPar1 l )

Section A. Public Support

6

7a Amounts included on lines 1,2, and3 received from disqualified person

Gifts, grants, contnbutions, andmembership fees received. (Do notinclude any *unusual grants.")

2 Gross receipts from admissions,merchandise sold or services per­formed, or facilities furnished inany activity that is related to theorganization"s tax-exempt purpose

3 Gross receipts from activities thatare not an unrelated trade or bus­iness under section 513

4 Tax revenues levied for the organ­ization"s benefit and either paid toor expended on its behalf

5 The value of services or facilities

furnished by a governmental unit tothe organization without charge

Total. Add lines 1 through 5

b Amounts included on lines 2 and 3 receivedfrom other than disqualified persons thatwtceed the greater ol $5,000 or 1% of theamount on line 13 forthe year

c Add lines 7a and 7b

8 PUbliC SUQPOI1 (Subtract line 7c lrom line Gl

S

Calendar year (or fiscal year beginning in)P (g) 2005 (I3) 2006 (g) 2007 (g) 2008 (g) 2009 (9 Total

Section B. Total SupportCalendar year (orfiscal year beginning in)P

9 Amounts from line 610a Gross income from interest,

dividends, payments received onsecurities loans, rents, royaltiesand income from similar sources

b Urllelaied DUSIHBSS 18X3bl9 lllC0fTl6

(less section 511 taxes) from businessesacquired after June 30,1975

c Add lines 10a and 10bNet income from unrelated businesactivities not included in line 10b,whether or not the business isregularly carned onOther income. Do not include gainor loss from the sale of capitalassets (Explain in Part IV.)Tblil SUDDOI1 (Add lines 9, 10c, 11, and 12)

First tive years lf the Form 990 is. focheck this box and stop here

S

(9) zoos (g) zoos (9) 2oo7 (g) zoos (9 2009 (9 Toiai

r the organizationls first, second, third. fourth, or fifth tax year as a section 501 (c)(3) organization, viiSection C. Computation of Public Support Percentage15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f))16 Public support percentage from 2008 Schedule A, Part Ill, line 15

15 %16 %

Section D. Computation of Investment Income Percentage17 lnvestment income percentage for 2009 (line 10c, column (f) divided by line 13, column (1))18 Investment income percentage from 2008 Schedule A, Part Ill, line 1719a 33 1/3% support tests - 2009. lf the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not

17 %18 %

more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization P 1:1b 33 1/3% support tests - 2008. lf the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and

line 18 is not more than 33 1/3%, check this box andstop here. The organization qualifies as a publicly supported organization P EJ20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions P I I

932023 02-08-10

Schedule A (Form 990 or 990-EZ) 2009

1510121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 1244811

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SCHEDULE C Political Campaign and Lobbying Activities OMB "0 15450041(F 990 990-EZ) , , , ,on" or For Organizations Exempt From Income Tax Under section 501 (c) and section 527 2 0 0 9Depanmem of me Treasury P Complete if the organization is described below. Open to Publicmem", R"e""e Se"/I" P Attach to Form 990 or Form 990-EZ. P See separate instnictions. maaectionIf the organization answered "Yes," to Fomi 990, Part IV, line 3, or Fonn 990-EZ, Part VI, line 46 (Political Campaign Activities), then

0 Section 501 (c)(3) organizations: Complete Parts l-A and B. Do not complete Part l-C.0 Section 501 (c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.0 Section 527 organizations: Complete Part I-A only.

If the organization answered "Yes," to Fomi 990, Part IV, line 4, or Fomi 990-EZ, Part VI, line 47 (Lobbying Activities), then0 Section 501(c)(3) organizations that have tiled Form 5768 (election under section 501(h)): Complete Part ll-A. Do not complete Part ll-B.0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part ll-B Do not complete Part ll-A.

If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax), then0 Section 501(c)(4), (5), or (Q) organizations: Complete Part Ill.Name of organization Employer identification number

FEMINIST WOMENIS HEALTH CENTER, INC. i 58-1273243I Part HA) Complete if the organization is exempt under section 501 (c) or is a section 527 organization.

1 Provide a description of the organization"s direct and indirect political campaign activities in Part IV.2 Political expenditures P $3 Volunteer hours

I Complete if the organization is exempt under section 501(g)-(3).1 Enter the amount of any excise tax incurred by the organization under section 4955 P $2 Enter the amount of any excise tax incurred by organization managers under section 4955 P $3 If the organization incurred a section 4955 tax, did it tile Form 4720 for this year? il-i Yes Zi No4a Was a correction made? ij Yes i:i No

b If "Yes," describe in Part IV.

iPiart""l-Gi Complete if the organization is exempt under section 501(c), except section 501(c)(3).1 Enter the amount directly expended by the filing organization for section 527 exempt function activities P $2 Enter the amount of the filing organization"s funds contributed to other organizations for section 527exempt function activities P $3 Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,line 17b P S4 Did the filing organization file Form 1120-POL for this year? i:i Yes Zi No5 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 tiling organizations funds. Also enter the amount of political contnbutions receivedthat 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 from (e) Amount of politicalfiling organizations contnbutions received and

funds. lf none. enter -0-. Pf0mPTiY and dlfeciiydelivered to a separatepolitical organization.

If none, enter -0-.

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

932041 02-04-io1 8

N 10121102 751928 12448 2009.0404O FEMINIST WOMEN*S HEALTH CEN 12448*1

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Part it-A" Complete if the organization is exempt under section 501(c)(3) and filed Fonn 5768schedule c*(Form 990 or 990-Ez) 2009 FEMINIST WOMEN * S HEALTH CENTER, INC . 5 8- 1 2 7 32 4 3 page 2(election under section 501(h)).

A Check P L-I if the tiling organization belongs to an affiliated group.B Check P 1:1 if the filing organization checked box A and "limited control" provisions aggly.

Limits on Lobbying Expenditures (a) -ming (b) Amhated group(The term "expenditures" means amounts paid or incurred.) totalsorganization*s totals

1a

c Total lobbying expenditures (add lines 1a and 1b)d Other exempt purpose expenditurese Total exempt purpose expenditures (add lines 1c and 1d)f Lobbying nontaxable amount. Enter the amount from the following table in both columns. 2 9 1 , 1 5 4 .

Total lobbying expenditures to influence public opinion (grass roots lobbying) 1 7 I 7 3 8 ­b Total lobbying expenditures to influence a legislative body (direct lobbying) 1 1 , 0 0 O .

28,738.2,794,333.2,823,071.

Il the amount on llne 1e, column (a) or (h) ls:Not over $500,000

The lobbying nontaxable amount is: 120% of the amount on line 1e.

Over $500,000 but not over $1,000,000Over $1,000,000 but not over $1,500,000

$100,000 plus$175,000 plus

15% of the excess over $500,000. 110% of the excess over $1,000,000

Over $1,500,000 but not over $17,000,000

Over $17,000,000 $1,000,000.$225,000 plus 5% of the excess over $1,500,000. 3

g Grassroots nontaxable amount (enter 25% of line 11)h Subtract line 1g from line 1a lf zero or less, enter -0­i Subtract line 1f from line 1c lf zero or less, enter -0­

72,789.OU

0.j If there is an amount other than zero on either line 1h or line ti, did the organization file Form 4720

reporting section 4911 tax for this year? 1:1 Yes 1:1 No4-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 21 on page 4.)

Lobbying Expenditures During 4-Year Averaging Period

ca"e"d*" Ve" ia) 2006 in) 2007 ic) 2008 td) 2009(or fiscal year beginning in)

(e) Total

2a Lobby-nwmaabieamounf ...... ,..249m,7,-. t2.@,9f123,f. ,,,, ,,,290f542- ,,2,9,1f1.5.4--9 1,100,726.b Lobbying ceiling amount V

050% of line 2a. coIumn(e)) ................................ ........ .. ..... ... .. . .. .. 1 I 65 1 I 089 ­c Total lobbying expenditures 2 1 1 1 7 7 ­ 26,120. 28,932. 28,738. 104,967.

d Grassroots nontaxable amount 6 2 f 4 7 7 ­ 67,281. 72,636. 72,789. 275,183.e Grassroots ceiling amount nnnnnnn in I .............................. H

(150% of line 2d, column (e)) H n I n 412,775.

t Grassroots lobbying expenditures 9 , 1 7 7 ­ 14,120. 17,771. 17,738. 58,806.

93204202-04-10

10121102 751928 12448 2009.04

Schedule C (Form 990 or 990-EZ) 2009

19040 FEMINIST WOMEN*S HEALTH CEN 12448*1

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Schedule C* Form 990 or 990-EZ) 2009 FEMINIST WOMEN " S HEALTH CENTER , INC . 5 8-1 2 7 32 4 3 Page 3I P"a"rt"tl-iB I Complete if the organization is exempt under section 501 (c)(3) and has

(election under section 501(h)).NOT filed Form 5768

(8) (blYes No Amount

1 During the year, did the filing organization attempt to influence foreign, national, state orlocal legislation, including any attempt to influence public opinion on a legislative matteror referendum, through the use of: 5

a Volunteers?

b Paid staff or management (include compensation in expenses reported on lines 1c through 1i)?Media advertisements?

Mailings to members, legislators, or the public?

cd

e Publications, or published or broadcast statements?f Grants to other organizations for lobbying purposes?g Direct contact with legislators, their staffs, government officials, or a legislative body?h Rallies, demonstrations, seminars, conventions. speeches, lectures, or any similar means?i Other activities? If "Yes," describe in Part lV

j Total. Add lines 1c through 1i2a Did the activities in line 1 cause the organization to be not descnbed in section 501(c)(3)?

b If "Yes," enter the amount of any tax incurred under section 4912c lf "Yes," enter the amount of any tax incurred by organization managers under section 4912

lf the filing orqanization incurred a section 4912 tax, did it file Form 4720 for this year?d

Part lll-AI Complete if the organization is exempt under section 501 (c)(4), section501(c)(6).

501 (c)(5), or section

1 Were substantially all (90% or more) dues received nondeductible by members?2 Did the organization make only in-house lobbying expenditures of $2,000 or less?3 Did the organization aqree to carryover lobbyinq and political expenditures from the prior year?

Yes No

IPart Ill-Bl Complete if the organization is exempt under section 501 (c)(4), section3

501(c)(5), or section501 (c)(6) if BOTH Part Ill-A, lines 1 and 2 are answered "No" OR if Part Ill-A, line 3 is answeredIlYes- ll

1 Dues, assessments and similar amounts from members2 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 Current yearb Carryover from last yearc Total

3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess 5

does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and politicalexpenditure next year?

5 Taxable amount of lobbying and political expenditures (see instructions)

,..5i..

IPS# Supplemental InformationComplete this part to provide the descnptions required for Part I-A, line 13 Part I-B, line 4: Part I-C, line 5: and Part ll-B, line 1i. Also, complete this partfor any additional information.

932043 02-04-10

2 0

Schedule C (Form 990 or 990-EZ) 2009

10121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 1244811

4.1-i2a2bLl-...lil5

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Schedule D Supplemental Financial Statements ""5"" ""5 0""(Form 990) P Complete if the organization answered "Yes," to Form 990, 2 0 0 9

Part IV, line 6, 7, 8, 9, 10, 11, or 12. gpm to publicP Attach to Form 990. P See separate instructions. I Inspection IName of the organization Employer identification number

FEMINIST WOMENIS HEALTH CENTER, INC. 58-1273243I Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete :fthe

organization answered "Yes" to Form 990, Part IV, line 6.(a) Donor advised funds (b) Funds and other accounts

UIAQN4

Total number at end of yearAggregate contnbutions to (during year)Aggregate grants from (during year)Aggregate value at end of yearDid the organization inform all donors and donor advisors in wnting that the assets held in donor advised fundsare the organization*s property, subject to the organization*s exclusive legal control? ij Yes E No

6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used onlyfor charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose confemngWimpermissible private benefit? ij Yes i:i No

i COfl$eI*Vati0l1 Easemehfs. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.1 Purpose(s) of conservation easements held by the organization (check all that apply).

ij Preservation of land for public use (e.g., recreation or pleasure) Zi Preservation of an histoncally important land areai:i Protection of natural habitat i:i Preservation of a certified historic stmcturei:i Preservation of open space

2 Complete lines 2a through 2d if the organization held a qualified consen/ation contnbution in the fom1 of a conservation easement on the lastday of the tax year. -------- -VHeld at the End nl the Tax Year

a flotal number of conservation easements 2ab Total acreage restricted by conservation easements 2bc Number of conservation easements on a certified histonc structure included in (a) 2cd Number of conservation easements included in (c) acquired after 8/17/06 2d

3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization dunng the taxyear P li4 Number of states where property subject to conservation easement is located P5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements it holds? E Yes Zi No6 Staff and volunteer hours devoted to monitonng, inspecting, and enforcing conservation easements dunng the year P7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements dunng the year P $8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)and semen 17o(n)(4)(B)(m? III Yes III No9 In Part XIV, descnbe 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 descnbes the organization"s accounting forconservation easements.

Part Iii 1 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Complete if the organization answered *Yes* to Form 990, Part IV, line 8.

1a If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of art, histoncaltreasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV, the text ofthe footnote to its tinancial statements that descnbes these items.

b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art, histoncal treasures,or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating tothese items:

(i) Revenues included in Form 990, Part VIII, line 1 P $(ii) Assets included in Form 990, Part X P $2 If the organization received or held works of art, histoncal treasures, or other similar assets for financial gain, provide

the following amounts required to be reported under SFAS 116 relating to these items:a Revenues included in Form 990, Part VIII, line 1b Assets included in Form 990, Part X

vvmm

LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Fom1 990. Schedule D (Fomi 990) 20099:32051oz-01-1o

2 1

i 10121102 751928 12448 2009.04040 FEMINIST WOMENIS HEALTH CEN 12448-1

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e . .schedule D* Penn 990) 2009 FEMINIST WOMEN " S HEALTH CENTER, INC . 5 8-1 2 7 32 4 3 Page 2lPHrt Ill I-(Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

3 Using the organizationls acquisition, accession, and other records, check any of the following that are a significant use of its collection items(check all that apply):

a Z1 Public exhibition d E Loan or exchange programsb 1:1 Scholarly research e 1:1 Otherc lj Preservation for future generations

4 Provide a descnption of the organization"s collections and explain how they further the organization"s exempt purpose in Part XIV.5 During the year, did the organization solicit 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 orqanizationls coIlection"7 E Yes Cl NoI Pilrl N1 E$cr0W and Cusiodial Arrangements. Complete if organization answered "Yes" to Form 990, Part IV, line 9, or

reported an amount on Form 990, Part X, line 21

1 a ls the organization an agent, trustee, custodian or other intermediary for contnbutions or other assets not includedon Form 990, Part X? Z1 Yes 1:1 Nob If "Yes," explain the arrangement in Part XIV and complete the following table:

Amountc Beginning balance 1cd Additions during the year 1de Distnbutions dunng the year 1ef Ending balance 112a Did the organization include an amount on Form 990, Part X, line 21? l...1 Yes l-.1 No

b If "Yes " explain the arrangement in Part XIV.I P83 V 1-lEnd0Wrneni Funds. Complete rf the organization answered "Yes" to Form 990, Part IV, line 10

a Current year (I3) Prior year c 77T7w07y0ar7s7l7Jai:k7 Three yearsghack e 7F0uryears back1a Beginning of year balance 77A H H HMM H 7:-M-HI 7.17%*b Contributions Y Y Y Y 7 7 Yc Net investment earnings, gains, and losses AAAAA Hd Grants or scholarships W W 7 7 7 7 7 7 Y Y Y Y Y 7 7 7 777e Other expenditures for facilities

and programsf Administrative expensesg End of year balance 7 7 7

2 Provide the estimated percentage of the year end balance held as:a Board designated or quasi-endowment P %b Permanent endowment P %c Term endowment P %

3a Are there endowment funds not in the possession of the organization that are held and administered for the organizationby:

(i) unrelated organizations(ii) related organizations

b If *Yes* to 3a(ii), are the related organizations listed as required on Schedule FI?

4 Descnbe in Part XIV the intended uses of the organization"s endowment fundsI PQI? Vi 1 Investments - Land, Buildings, and Equipment. See Form 990, Pan x, line 10.

Descnption of investment (a) Cost or other (b) Cost or other (c) Accumulated (d) Book valuebasis (investment) basis (other) depreciation1a I-and 236,214. .................................... .. 236,214.b Buildings 1,291,462. 202,966. 1,088,496.

c Leasehold improvementsd Equipment 412,233. 273,412. 138,821.e Other

Total. Add lines 1a through 1e. (Column (Q must equal Form 990, Part X, column QL line 1O@L) P 1 , 4 6 3 , 5 3 1 .Schedule D (Fonn 990) 2009

ui

ZO

90205202-01-10 f2 2

10121102 751928 12448 2009.04040 FEMINIST WOMEN*S HEALTH CEN 1244811

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schedule D" Form 990) 2009 FEMINIST WOMEN I S HEALTH CENTER , INC . 5 8-1 2 7 32 4 3 Page 3I Part Vlllllnvestments - Other Securities. See Form 990, Part X, line 12.

(a) Description of security or category (b) Book value (c) Method of valuation:(including name of security) Cost or end-of-year market valuelfinancial denvatives

Closely-held equity interestsOther

Total (Col (pf must equal Form 990, Pait X, col (Q) line 12 ) P I I I I I I I I I I IIIII Part VIII Investments - Program Related. See Form 990, Pan X, line 13.

(a) Description of investment type (b) Book value (c) Method of valuation:Cost or end-of-year market value

Total. (CoII(it3) must equal Form 990, Part X, col (Q) line 13 ) PI Pad IX Other Assets. See Form 990, Part X, line 15(a) Description (b) Book value

TotaI.I(ICIoIIumn (Q) must equal Form 990, Part X, col (Q) line 15.) PI Partx 1 Other Liabilities. see Form 990, Pan x, une 25. uuuuuuuuuuuuuu H1. (3) Descnptlon of hablmy (b) Amount .............................................................. ...Federal income taxes

Total. (Column (Q) must equal Form 990, PartX, col@) I/ne 25) P III II I I II ----------- II II I I II II I I2. FIN 48 Footnote In Part XIV, provide the text of the footnote to the organization"s tlnancial statements that reports the organization*s liability foruncertain tax positions under FIN 48.

3?8,.5%,, 2 3 seheauie D (Form 990) 200910121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 12448*1

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Schedule D*(Form 990) 2009 FEMINIST WOMEN I S HEALTH CENTER , INC . 5 8- 1 2 7 32 4 3 Page 4I Part Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements

1

2

@QNlQUI5Gd

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 1Net unrealized gains (losses) on investmentsDonated services and use of facilities

Investment expensesPnor penod adjustmentsOther (Descnbe in Part XIV.)Total adjustments (net). Add lines 4 through 8Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9

1 2,940,336.2 2,823,071.

Q

117,265.

AOIONQU

00117,265.10 y 10

I.PaHrt Xltu 1 Reconciliation of Revenue per Audited Financial Statements With Revenue per Retum1 Total revenue. gains, and other support per audited tlnancial statements 1 2 , 9 6 9 , 5 5 4 .2

cde

34

abc

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

Net unrealized gains on investmentsDonated services and use of facilities

Recoveries of pnor year grantsOther (Describe in Part XIV.)

Add lines 2a through 2dSubtract 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 7bOther (Descnbe in Part XIV.)Add lines 4a and 4b

2alillilIZI

4a

1llhlllElIIllIElr

26 on3 2,969,554.

4:: 429,218.)Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12) 5 2 , 9 4 0 , 3 3 6 .5

I P811 Xml Reconciliation of Expenses per Audited Financial Statements With Expenses per Return1

2abcde

4abc

5

Total expenses and losses per audited financial statements 1 2 , 8 5 2 , 2 8 9 .Amounts included on line 1 but not on Form 990, Part IX, line 25:Donated services and use of facilities

Prior year adjustmentsOther losses

2alillilother (Descnbe in Pan xiv.j m 2 9 , 2 1 8 .Add lines 2a through 2d 2e 2 9 , 2 1 8 .3 Subtract line 2e from line 1 3 2 , 82 3 , 0 7 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 7bOther (Descnbe in Part XIV.)Add lines 4a and 4b

. 4aEli 4c 0 .

Total ex enses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18) 5 2 , 8 2 3 , 0 7 1 .I Part ,XIVI-Suupplemental InformationComplete this part to provide the descnptions required for Part Il, lines 3,5, and 9: Part III, lines 1a and 4: Part IV, lines 1b and 2b: Part V, line 4: PartX, line 2: Part XI, line 8: Part XII, lines 2d and 4b: and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

COST OF GOODS SOLD INCLUDED IN EXPENSES ON FINANCIAL STATEMENTS

PART XIII, LINE 2D - OTHER ADJUSTMENTS:

COST OF GOODS SOLD INCLUDED IN EXPENSES ON FINANCIAL STATEMENTS

93205402-01-10

Schedule D (Fomi 990) 2009

2410121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 1244811

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SCHEDULE G Supplemental Information Regarding OWN" 154500"iFo""990 N990-EZ) Fundraising or Gaming Activities

P Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, ,DePa""*e"* of *"9 T"*a5"fY or if the organization entered more than $15,000 on Fomi 990-EZ, line 6a. open Tn puma:""e""" R9/e""" sem" P Attach to Form 990 or Form 990-EZ. P See separate instructions. lnspecaonName of the organization Employer identitication number

FEMINIST WOMEN*S HEALTH CENTER, INC. 58-1273243

,$tt2glx12I::r.LComplete if the organization answered *Yes* to Form 990, Part IV, line 17. Form 990-EZ filers are not1 Indicate whether the organization raised funds through any of the following activities. Check all that apply.a D Mail solicitations e 1:1 Solicitation of non-government grantsb lj Internet and email solicitations f Z1 Solicitation of government grantsc lj Phone solicitations g Z1 Special fundraising eventsd lj In-person solicitations

2 a Did the organization have a wntten or oral agreement with any individual (including officers, directors, trustees orkey employees listed in Form 990, Part Vll) or entity in connection with professional fundraising services? E Yes 1:1 No

b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to becompensated at least $5,000 by the organization. A t d

(i) Name of individual .. iyrsgmqggf (iv) Gross receipts 1g()vz0fr::gc:g::1eF(-jaigy) (VD Amount paldor entity (fundraiser) (H) Activity from activity fUf1df3lSef to (or retained by)contributions? listed in col. (i) organization

Yes No

Total P3 List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

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

9:42081 02-os-io

2 5

10121102 751928 12448 2009.04040 FEMINIST WOMENIS HEALTH CEN 12448*1

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Schedule G* Form 990 or 990-EZ) 2009 FEMINIST WOMEN I S HEALTH CENTER , INC . 5 8-1 2 7 32 4 3 Page 2I Palffll FUI*1drai$ing Events. Complete if the organization answered "Yes" to Form 990, Pait IV, line 18, or reported more than $15,000

on Form 990-EZ, line 6a. List events with gross receipts greater than $5.000.(a) Event #1 (b) Event #2 (c) Other events

0 0 9 CHOICE 0 0 9 STAND NONE M) Total mmsELEBRAT ION P FOR RE PRO (add co," (3) through

(event type) (event type) (total number) col. (6))

VENUS

1 Grossreceipts 5,359. 53,572. 58,931.

Re

2 Less: Charitable contnbutions 2 1 84 3 - 3 7 I 7 72 - 40 I 6 15 ­3 Grossincome(line1minusline2) 2,516. 15,800. 18, 316.4 Cash prizes

5 Noncash pnzes

SESect Expen

6 Rent/facility costs

7 Food and beverages

Dr

EntertainmentOtherdirectexpenses 2,516.Direct expense summary. Add lines 4 through 9 in column (d) P ( 1 8 , 3 1 6 Q

89

10

7 11 Net income summary. Combine line 3, column (Q), and line 10 P 0 ­I P372 In 1 Gaming. Complete if the organization answered *Yes* to Form 990. Part IV, line 19, or reported more than

$15,000 on Form 990-EZ, line 6a.

(b) Pull tabs/instant (d) Total gaming (addbingo/progressive bingo (C) other gaming col. (a) through col (c))

Revenue

(a) Bingo

1 Gross revenue

2 Cash pnzes

ect Expenses

3 Noncash pnzes

- 4 Rent/facility costs

Dr

5 Other direct expensesLlYes % uYes % L-,Yes %@6 Volunteer labor M No LJ No LJ No f7 Direct expense summary. Add lines 2 through 5 in column (d) P ( )8 Net gaminq income summary. Combine line 1, column (Q), and line 7 P

Yes No9 Enter the state(s) in which the organization operates gaming activities: 5a Is the organization licensed to operate gaming activities in each of these states? 9ab If "No," explain" 3

10a Were any of the organization"s gaming licenses revoked, suspended or tem1inated dunng the tax year? 10ab lf "Yes," explain:

11 Does the organization operate gaming activities with nonmembers? 1112 ls the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to 1administer charitable qaminq? . 12932082 02-oc-io Schedule G (Fomi 990 or 990-EZ) 20091 26

10121102 751928 12448 2009.04040 FEMINIST WOMEN S HEALTH CEN 12448-1

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- . a ,gmamegpmnwomgwfmgmg FEMINIST WOMENIS HEALTH CENTER, INC. 58-1273243 Pme3u Yes No13 Indicate the percentage of gaming activity operated in:a The organization"s facility 13a %b An outside facility E %14 Enter the name and address of the person who prepares the organization"s gaming/special events books and records:

Name P

Address P

15a Does the organization have a contract with a third party from whom the organization receives gaming revenue? 15a

b If "Yes," enter the amount of gaming revenue received by the organization P $ and the amountof gaming revenue retained by the third party P $ .

c If "Yes," enter name and address of the third party:

Name P

Address P

16 Gaming manager information:

Name P

Gaming manager compensation P $

Descnption of services provided P

1:1 Director/oft"icer 1:1 Employee lj Independent contractor

17 Mandatory distnbutions:a Is the organization required under state law to make chantable distributions from the gaming proceeds to 5retain the state gaming license? 17ab Enter the amount of distributions required under state law to be distnbuted to other exempt organizations or spent in theorqanization"s own exempt activities durinq the tax year P $ 3,

Schedule G (Form 990 or 990-EZ) 2009

93208302-08-10

2710121102 751928 12448 2009.04040 FEMINIST WOMEN"S HEALTH CEN 1244811

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. s , 5SCHEDULE 0 Supplemental Information to Form 990

OMB N0 1545-0047

(Farm 990) Complete to provide information for responses to specific questions on 2 0 0 9Fom1 990 or to provide any additional infonnation.

Department ol the TreasuryIntemal Revenue Service , Attach to Fon" 990*mwnwPmwcinspection

Name of the organizationFEMINIST WOMEN"S HEALTH CENTER, INC.

Employer identification number58-1273243

FORM 990, PART VI, SECTION B, LINE 11: THE FORM 990 IS REVIEWED AND

APPROVED BY THE ORGANIZATION*S EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE.

A COPY OF THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO

FILING.

FORM 990, PART VI, SECTION B, LINE 12C: BOARD MEMBERS SIGN A CONFLICT OF

INTEREST FORM WHEN JOINING THE BOARD OF DIRECTORS AND THEN ANNUALLY

THEREAFTER.

FORM 990, PART VI, SECTION B, LINE 15A: THE EXECUTIVE DIRECTORIS SALARY IS

DETERMINED BY THE BOARD OF DIRECTORS BASED UPON THEIR EVALUATION.

FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS

GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS

AVAILABLE TO THE PUBLIC UPON REQUEST.

LHA For Privacy Act and Papen/vork Reduction Act Notice, see the Instructions for Form 990.33?5J."w

28

Schedule O (Form 990) 2009

10121102 751928 12448 2009.0404O FEMINIST WOMEN*S HEALTH CEN 12448 1

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1 Iii

l I A .Form 8868, (Rev 4-2009) Page 20 If *au are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box , , PNote. Only complete Part II if you have already been granted an automatic 3-month extension on a previously tiled Form 8868.0 If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

Additional (N01 Automatic) 3-Nl0nth EX1eri$i0n Of Time. Only tile the original (no copies needed).Name of Exempt Organization ff Employer identification number

Type or

P""* EMINIST woMENfs HEALTH CENTER, INC. 58-1273243Fi u in ­Qfengwe Number, street, and room or suite no. If a P.O. box, see instructions. g I For IRS use onlygm-11210- 1924 CLIFF VALLEY WAYng aretum see City, town or post office, state, and ZIP code. For a foreign address, see instructions.""s""c"""s" TLAN TA , GA 3 0 3 2 9

-..­f I ,

Check type of return to be filed (File a separate application for each retum):Form 990 iii Form 990-EZ lj Form 990-T (sec. 401(a) or 40B(a) trust) E Form 1041-A ij Form 5227 ij Form 8870

Form 990-Bi. CH Form 990-PF III Form 990-T (irusi other than above) CJ Form 4720 III Form eoee

STOPI Do not complete Part ll if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

NANCY BOOTHEO Thebogkgafelnthecareoff *"Telephone No.P 404-248-5445 FAX No. P

0 If the organization does not have an office or place of business in the United States, check this box , P Ei0 If this is for a Group Return, enter the organization*s four digit Group Exemption Number (GEN) . If this is for the whole group, check thisbox P I-I . If it is for part of the group, check this box P U and attach a list with the names and ElNs of all members the extension is for.4 I request an additional 3-month extension of time until NOVEMBER 1 5 f 2 0 1 0.

For calendar year 2 0 0 9 , or other tax year beginning ,and ending .If this tax year is for less than 12 months, check reason: L.-I Initial retum IJ Final retum Ll Change in accounting penodState in detail why you need the extension

5

NIU?

THE TAXPAYER IS AWAITING ADDITIONAL THIRD PARTY INFORMATION TO FILE ACOMPLETE AND ACCURATE RETURN.

8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits. See instructions. aa $b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated

tax payments made. Include any prior year overpayment allowed as a credit and any amount paid *-previously with Form 8868. Bb $c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit

with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. 8c $ N/ ASignature and Verification

Under penalties of peiiury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,it is true, correct, and complete, and that I am authorized to prepare this form

Signature P GM/A - Title P CPA Date P 8Form aaeemev 4-2009

o

92383205-25-09

I