Short Form

FO"i

'990-EZ Return of Organization Exempt From Income TaxUnder section 501(c ), 527, or 4947(aXl) of the Internal Revenue Code

(except private foundations)

- Do not enter social security numbers on this form as it may be made public.

Depa,&nen: of t`-e Tre ury • Information about Form 990-EZ and its instructions is at www.frs.gov/forrn990.merna , Re.e":.e Sen•¢e

OY.No i55 UUS.7

2014Open to Public

Inspection

A For the 2014 calendar year , or tax year beginning , 2014, and endingB Che_k .r npp; icable C D Employer idenbfrcation numberJ Addres.-.- chance

r4,rnecn .,ge ALLIANCE OF STATES WITH PRESCRIPTION 26-36414 82r^r„.d1fe71T7 MONITORING PROGRAMS E eirp one. '-' e

1906 EAST BROADWAY AVENUE (70 1} 328-9537(X^ r,:. :wn/ L:m:alccBISMARCK, ND 58501

Amended eturn F Group Exempt-on

A.-,;^lic aticr perdrrg N„mber

G Ac: untng hfetnoc. Cash DAccrual Other (specify) ► I H Check ► [TI if the organization is not

I Website : ' N/A requ red to attach Scnedu!e B

r I c7 (Ferny 990, 990'-E_, cr 9990-PF)) insert no) UO4941 a(I/`r !_lc,,i,^:) [] ^OI k'r) (J Tax- exempt status (check cnry r^e, - (X( ..EO( • (

K Fnr^- o* organizavon X Cc:coreuon [J Trust Association , Other

L Add lines 5b, 6c ac,c 7o to line 9 to determine Gloss receipts. If gross receipts are $200,000 or more, or if tote.assets (Part :1, column (B) below, are $00,000 or more, file Form 990 instead of For-.- 990-=Z $ 6 , 208.

Part I I Revenue , Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organ, zatron used Sched:.!e Cl to respo-id to any cuestion in this Part : X!

1 Contributions, efts grants, and simi!a! amounts received - 1

2 grogram service revenge including oo•'ernrnent fees and contracts. 2

3 Membership dues and assessn-E;,,ts 3 6,200.

4 Investment income 4 8.

5a Gross amount from sale of assets other than inventory 5aj

b less cost or other basis and saes e,tpe,,sas 5 b,

e 6a n or i'oss) from sal e _t assets other than inventory (Subtract line 5b fram line 5a) 5 c!

6 Gaming and fud,aising events

Ea Gross income from gaming (attach Scheau'e G if neater than $15,000) Gal

Eb Gross ncorr.e from funcra,sing events Ii-OT including $ of contributions

Nu

''arn fundraising events reported on I,ne 1) (attacn Schedule G if the sum0 i 6 bl) -of such gross income and contributions exceeds $15,00

c Less direct expenses h-cm gaming and °unaraisrrg events - I 6 c;

d Net income or (loss) from Gaming ana tundraising events (add lines 6a and6d6b and subtract l ine 6c)

7 a Gross sales of nventory, less returns and allowances 7 a j

b Less cost of goods solo : t^-'c Grass profit or (toss) tro;r tales of inventory (Subtract fire 7h from line a) (^ E N 7 c

8 Other revenue (describe in Schedule 0) 8

9 Total revenue . Add lines 1, 2, 3, 4. 5c• 6d, 7c. and 8 °p fn 9 6 208

10 Grants and similar amounts Palo (list in Schedule 0)

Ig

4 10 23, 122.

11 Benefits paid to or for members jCO) 11

12 Salaries, other compensation, and emp-oyee benefits_

OGDEN U

12

13 Professional fees and othet payments to independent contraclo-s TC G^ 13 950.

14 Occupancy, rent, utrrt,es, and maintenance 14

E 15 Panting, publications, postace, anc shipping. 15S 16 Other expanses (desc roe i^ Schedule 0) See Schedule 0 16 365.

17 Total expenses . Add lines 10 through 16 17 24 , 437.

18 Excess or (deficit) for the yeas (Subtract line 17 from line 9) 18 -18,229.A

N s 1 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must aa, ee wan end-of-yearE E flour e reported on prior year's return) 19 18,229.T s 20 Other changes in net assets or fund balances (explain in Schedule 0) 20

r 21 Net assets or fund balances at end of year. Combine lines 18 through 20 - ' 21 0.

BAA For Paperwork Reduction Act Notice , see the separate instructions . Form 990-EZ (2014)

TEEA0803L 05/28)14

ii

Folm 990-EZ (201/i) ALLIANCE OF STATES WITH PRESCRIPTION 26-3641.482 Page 2Part II Balance Sheets (see the instructions for Part II) '®

Cneck if the oroanization used Schedule 0 to respond to any q uestion Irl this Part II X

(A) Begmn rq of year (B) End of year22 Cash, savings, and Investments 18 , 229. 22 23 , 122.23 Land and buloings

24 Other assets (desci be in Schedule 0) 2425 Total assets 18 229. 25 23 , 122.26 Total liabilities (describe in Schedule 0) See Schedule 0 0. 26 23 , 1227

127 Net assets or fund balances (line 27 of cok mn (B) must agree with line 21) 18 , 22 9. Z7 0.Part II I Statement of Program Service Accomplishments (see the Instructions for Part iii)

Check if the of ganlzetion used Schedule 0 to respond to any question in this Pert III. ,Expenses-

(Requued for section 501What is the organization's primary efemnt purpose' See Schedule 0Describe the organlzat-on's program service accomplishments for each of its m ree tarqest program services, aseasu'ed by expenses in a clear and concise manner, describe the services provided, the number of pe'sons

benefited, and other relevant information for eacn program title

(c) (3) and 501(c)(4)organizations, optionalfor others )

28 See Schedule 0

- - - - - - - - - - - - - - - - - - -- - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - ----- --------------------(Grants ) if amount melt yes for elfin gra nts, check here 8a 3, 4 87.

29

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

-an-

ts-^c----------- )

I-

f-p-is-2-mou

-nt-

inc!u-d-?s-

fo--

rei n ray -

he-ck-

h re---------

Gr nts, c 9a

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

fo re i g n

30

^k here 30 a31 Other program services (descrioe in Schedule O)

(Grants $ ) If t-iis amount includes foreign grants, check here 31 a32 Total program service expenses (add lines 28a through 31 a) 32 23,487.Part IV , I List of Officers , Directors , Trustees , and Key Employees ( list eadi one even if not compensated - see the tns:ruc tIons for Part IV)

Check ;f the organlzat'on used Schedule 0 to respond to any question in this Part IV Ii

(a) Name and utle(b) Aver a hours per

reek c^ Yoted topos'trcn

(c) Reportable co.rpeneator(Forms W-W 099 MIS 11

( if not paid . enter -0-)

(d) Health benefits,contributions to employeebenefit plans , and deferred

compensation

(e) Esumaied amount ofotner cempersation

MICHAEL WISSEL---------------------President _ 5 0. 0. 0.JOE FONTENOTVice President =- =KATHY ZAHNTreasurer

5

5

0.

0.

0.

0.

0.

0.BARBARA CARTERSecretary i 5 0. 0. 0.

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

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

-------------------------------------------- -------------------^

----------------------I

---------------------^

BAA TEE<+ast2i 0508r14 Form 990-EZ (22014)

Fort-, 990-EZ (2014) ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 Page 3

Part V I Other Information (Note the Schedule A and aersonal benefit :ontraci statement ; equ,,en,ents r See Schedule 0 ,-,the :rsiructr(;ns fo r Part V) Check if the organization used S ch edule 0 t o r espond to any question in mis Part V ;XI

33 D;d the o. gan;zation engage in any significant activity not previously reported to the !RS' Yes No

If 'Yes,' provide a cetailed description of each activity n Schecu'e 0 33 X34 Were cry sigiimont c"srges mode tc tl'e org3nzrlg or governing aocuments7 if 'Yea,' ar acn a ca•roniad copy of the cmerdey dacur:ie is if t"e. ref!ct

a C-,31( e to the organizati on's nc're 0t-lervase, exol.n the charge cn Schedule 0 (nee instructions) 34 X35 a Did the o•-ganizatrcn have unrelated business gross income of $1.000 or more dur,ng the yea, from business actrv ties -J

(suer as +r•ose recor-ed on I;r,es 2. 6a, and - a, a n --ng others)? 35 a X

b If 'Yes ' to line 35a, has tte of gani_at,on `r.ed a Form 990-T for the year? If 'No,' ci ovide an. eipianet,on r Schedule 0 35b

c Was tie organrZaiior, a section 501(c)(4), 50i(c)(5), or 501(c)(6) organization subject to scOtron 6033(e) notice,repott•ng, ana proxy tax requuements during the year7 if 'Yes,' complete Schedule C, pa"t III 35c X

36 Did the organization uncergo a i:guidaticn, drsso,ut•on, terrrrnaton, or significant I{---I}-disaos:tio;t of net assets dur,rg tr,e year? if 'Yes,' complete applicable parts of Sc.,edu'e N 36 X

37 a Enter ameu,,t of political expe'd,tures, arrect or 'ncu ect, as described in the instructions ► 1 37a l 0.

b D;d the ergarnrza ionr file Form 1120-POL or this year? 1 37 b { X

38a D a the organization borrow from, or mane any loans to, any officer, director, trustee, or key employee or wereany such scars made in a prior year and still cutstano ng at the erd of the tax year coverer by this •eturn? 38a

b if "-es,' complete Sche;iu!e L, Part II ano enter the total {amount involved - i 38bi N/A

39 Sec:,on 501(c)17,' or Ian,zat,ons Erter•

a initiation fees and capital ceri'ibutions included on line 9 39a l N/A

b Gross rece,p*,s, Included on lire 9, for puDlic use of club facilities 39b1 N/A

40a Sect or, 50!(c)(3) organizatlo"s Enter amount of tax imposed on the organization during he year under

section 4911 Q section 4912 1, 0 sec;icn 4955 0.

b Sect:an 501(c)(3;, 5C 1(c)(4), and 50l c)(29) organizations Dia the o; ganization engage in any section 4953 excess fbene` t ansaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been

repo-led on any of its Dior Forms 990 or 990-EZ' If 'Yes,' complete Scnedule L. Part t - 40b , X

c Section 501(c)(3) 501(c)(4), and 501(c)(29) organizations Enter amount of tax imposr,a on organizationma-ragers or d•squalifred persons during the year under sections 491-", 4955, and 495$ ll^ 0 .

d Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations Enter arnount of tax on one 43c •er'nbursedby the organization 0 _

e fill orga^Izations At any t'me curing the tax year, was the oroa'mizaiion a party to a prch•bitea taxshelter transaction;' If 'Yes,' complete Form 3886-T L40 e X

41 List Vie sates with ;ch a copy of thus return is fi,ea " Non e

42 a The ergan ¢at-on'shocks are in ca,n of ► KATHY ZAHN _ - _ _ _ _ Telephone no O1^ 2^ SLocatec at ", ZIP - 4- -_ $0axii^ jj%1P- C- srOA wt, AYt -.&SIvA Y.l06 Sa l - -

b At any time du:,ng the calendar year . did the organization have an i nterest in of a signature or other authority over a Yes No

financia l account -n a foreign country (such as a nark account, securities account , or other fin ancial account)? 42 b

If 'Yes,' ente' t` e name of tire fo: e:gn country X- -

I r

See the i:rstruchans fer eccepi :ors aid filing requirements for FmCEN Form I l , Report of Foreig n Bank and Financial Accounts (FBAR)

c At any time during toe calendar year , did tie organization maintain an office euts,de the U.S ' 42 c; , X

if 'Yes, ' enter the name of the foreign country:

43 Sect+on L947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 - Check here

and enter the ,.m-,u-.t of tx -exempt interest received or acci ued durin g the tax year ' . , -143

44a Did the organization maintain any donor advised funds during th- year' If 'Yes,' Form 990 must be completed insteadof Form 9'x`0 EZ

b Did Ire organization operate one or more hospital facritres during the year? If 'Yes,' Farm 990 most be complerecinstead ofFormn 990-EZ

c Did Me organizat or receive any payments for indoor tanning services during the year'

d If 'Yes' to line 4=c, has the organization filed a Form 720 to report these payments?1' No,' provide a-, erplan.7tion in Scheduie 0

45a Did the organization have a controlled entity within the meaning of section 512(b)(13)'

b Did the organ ratron receive any payment from or engage in any transaction a nth a controlled enhlp within the meaning of section 5i2(b)(13;7 If 'Yes,Form Q-97 and Schedrue P may nwJ to be completed instead of Form 990-EZ (see instructions)

LI N/AN/A

Yes No

1 44a X

44b X

44c i X

I 44d,

1 45 a X

45b _LXForm 990-EZ (2014)

ALLIANCE OF SATES t 1 H PRESCRIPTION 26-3641482 4'Yes No

46 -^ _ -e l'. ..J `? ,.• "E'; ...... c rc'C'

... ... .. _ t.. - . .. C-''..C? s as .. ) ..'P ... _ .._ c . ''? 46

'P art V I , Section 501(cX3) organizations only- All section 5011(c)(3) organizations must a;!swer questions 47-49b and 5^ and comclete the tables.

for lines 50 and 5'

--- - - - - ------•--- - - -Yes No

i . ^,^ .,47 - ., c, -' z.,, - .. , SCCI'Jp 5 1 :: ac.'c r'"F-cc • c tt, c _ -

, 47 y48 $ - :-El C'^,? 78 `' -c_ ,CC-_,. 'Yes,

48

49a _c'- n^• a !+Z s' a';z"•-o: ,. 4•._ ' e P'al-:) L Z ,:!: 49ah v<,s- _ 49b-

50 :-., e a c- c,Z vc e pc ,s-ac a rc oyes (o:- 't-a- cff'r-is : .^,'. es? • ee i^ \1 C'?C I :..... `J'am . f° ja, ^. .V..1 .. .-_ ..^'S^.'C ^-o .-., 0: :,._ ^ c?i,.:'_7 :".. F c ^ c•':-' •v '

(b) we In (d)c .ce ^ •-r

(c)r

(o ) _ ;^ . . ^(a) •^ . z . .. ,. .. • • ; _e r. e, e+ - -` .. . , v _ + _

F .::r^,. r ^' , ^f ea ca-c ^'.;^ 3 ,

- -- - - - -

51 n .'S7-ye

cI-,ezi avc:' eac` ^.. ,. r' ajt-c •-.':,^,. ,....

C '•f'.

- -(a)'a -.: •,a .... _ . F.: cc o• er :- c ^,_. c ^r (b) ' a' - _- (e)

None----- --- -----^- ---- --

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C) ' D;E. ', i ^... t.• a' -- , ^, ccr C:C 1: , c -cc,0`3 CL--, 'CC_

52 /Elf r, cc ' . ..,_ :. - a' Note , t, -c• , ; 'C):

SignHere ^Cct J-h -_ Z_^^,^, i e4S(4rer

PaidPreparerUse Only Ea e :r_• _

r ewe

S:.^.•,^ Coe

Public Charity Status and Public Support OMB o 1515 7SCHEDULE A

Complete if the organization is a section 501(cX3) organization or a section 201 4(Form 990 or 990-EZ) 4947(aXl) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ.Open to PublicInformation about Schedule A Form 990 or 990 -EZ) and its instructions i sCepartnert of lt•e Treal. ry (Form Inspection

.n'e:na! Re . enue Service at twww. irs.gov/form990.

Name of the organization ALLIANCE OF STATES WITH PRESCRIPTION Employer identification number

MONITORING PROGRAMS 26-3641482Part I I Reason for Public Charity Status (All organizations must complete this part.) See instructions.The organization is not a private foundation because it is (Foi lines 1 thrcdgh I 1 chec ; only cna oox )

1 A church, convention of cnurcnes, or association of churches descri bed in section 170(bX1XAXi).

2 u A school described I n section 170 (bX1XAXii ). (Attach Scnedule E )

3 U A hospital or a cooperative hospital service organization described i n section 170(bX1XAX!tf)•

4 HA medical research organization operated in conjunction with a hosv!ta' aescrioed i n section 170(b)(1XAXiI1 ) Enter the hospital's

name, c,ty, and state--- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --

5 rI An organization operated for the benefit of a college or un!vers,ty owned ci operated by a governmental unit descneed i n sectionu 170(bX1XAXiv). (Compte:e Part it )

6 fl A federa , state, or local government or governmental unit cescribed i n section 170(bX1XAXv).

7 H An organization t--tat not mally receives a substantia' pa! t of !is st.ppoi t from a governmental un.: or from the genet a! public describedt^ in section 170(bX1XAXvi). (Complete Part II )

8 I I A community trust descr'bed in section 170(bX1XAXvi ). (Complete Pai t iI )

9 J An organization flat normally receives: (1) more than 33-', /3% of its suppoit f!om ccntr!butions, memoe!ship fees, and gi oss receiptsfrom activities related to its exempt functions - subject to certain e'+ceohcns and (2) no more than 33 112% of its suopci t from grossinvestment income anti unrelated business taxable Income (less section 51 1 tax) from businesses acquirea by the organization afterJune 30, 1975 See section 509(aX2). (Complete Part III.)

10 0 An oiga,i!zation organized and operated exclusively to test for public safety See section 509(aX4).

11 II An organ:zation organized and operated exclusively for toe benefit of, to perform the functions of or to carry out the purposes of oneor -no! e publicly supported organizations described ' n section 509(aXl) or section 509(aX2). See sect i on 509(aX3). Check, the box iniii-es 1',a through 1 'Id that describes the type of supporting organization one compiete tines I le, l if, and l lg.

a i^ Type I. A supporting organization operated, supervised, or controlled by its suooorted organization(s), typically by giving the supportedorganization(s) the power to regularly appoint or elect a majority of the directors of trustees of the supporting organization You mustcomplete Part IV , Sections A and B.

b Type If. A supporting organization supervised or controlled in connection with its supported ot gen!zation(s). oy having control orman_gement of the supporting ornanization vested in the same persons that control or manage tie supported oigan!zatron(s) Youmust complete Part IV, Sections A and C.

c F] Type III functionally integrated . A supporting organization operated in connection with ara fuoct!ona!iy integratec wntn, its supportedorgan!=at!cn(s) (see instructi ons). You must complete Part IV, Sections A, D, and E.

d [] Type III non-functionally integrated . A supporting organization opei ated in connection with its suppoi led of ganization(s) that is notrunct!ona 1!y integrated. The organ'zat,on generally must satisfy a a!stnbution requirement and an attentiveness requirement (seeinstructions) You must complete Part IV, Sections A and D, and Part V.

e 11 Check ih s box if the or(-an'zat!on received a written determination hem the IRS that is a Type I, Type !i, Type !II functionallym•egrated, or Type Ill non-functionally integrated supporting organization.

f Enter tie number of supported organizations

g Prcviae the roitcwing inforration about the supported orgen!zation(s)

Q) Name of Supportedorganrzatron

(u) ESN Oil) Type of organirefor.(described on lines i -9above or !RC section III{see ,nstnrcirons)'

Qv) Is i,eorganization !,usedit, your govern ng

document'

(v) Arrou't of monetary

support (see artructions)(vi) Amount of other

support (see in5'n,ctrons)

Yes No

(A)

(B)

(C)

(D)

(E)

Total

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-E7- Schedule A (Form 900 or 990-EZ) 2014

IEEAQ401L omens

Scnedute A (Form 990 or 9990-EZ) 2014 ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 Page 2(PartII Support Schedule for Organizations Described in Sections 170(bX1XA)(iv) and 170(bX1XAXvi)

(Complete only if you checked the box on lire 5, 7, or 8 of Part I or if the organization failed to qualify nce• Part III It toeorganization fads to qualify under the tests I sted below, please complete Part !I!

ction A. Public Support

Calendar year (or fiscal yearbeginning in ) ► (a) 2010 (b) 2011

111(c) 2012 (d) 2013 e() 2014 (f) Tota!

1 Gifts, grants cnntribu:ions, a,id -'- - '-nemherehip lees Deco :pert (Do notmcl ole aiiy'unusuai groitc,')

2 Tax revenues lev,ec :oi themganizanon's benefit andeither paid to or expenaedon its beha!r

3 The value of services offacilities furnished by agovernmental unit ;o theorganization without cnaige

4 Total . Add lies 1 through 3

5 The portion of totalcontributions by each person(other than a governmentalunit or publicly supportedorganization) included on line Ithat exceeds 2% of tre amountshown an line i 1, column (f)

6 Public support . Subtract line 5from line 4

Section B. Total Support

Calendar year (or fiscal yearbeginning in) ►7 Amounts from line 4

8 Gross income `! orn interest,dividencs,, payments receivedon securities loans, rents,rovalt!es and income fromsimilar sources

9 Ner income from unrelateabusiness acbwt,es. Nnether ornot the business is regularlycamed on

10 Other income Do nat Includegain or loss f' cn t`ie sale ofcapital assets (Explain inPar: VI.) -

11 Total support . Add lines 7through 10

(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total

12 Gross receints from related activities, etc (see instructions) - 12

13 First five years . If the Form 990 is for the organization's first, second, third, fourttr, cr fifth tax year as a section 501(c)(3)organization, check this box and stop here , . ►

Section C . Computation of Public Support Percentage _14 Publ,c support percentage for 2014 (line 6, column (f) divided by Tine i 1, column (0) 14 %

15 Public suppo't percentage from 2013 Schedule A, Part II, line 14 .. . . 15 %

16a 33- 113°/. support test -- 2014 . If the orga,azation did not ch::ck trte box on incI'3, cnri Inc,line 14 r; 33 1/3% or more, chuck this boxand stop here. I ha orq-iniejtron quahficu a.; a pLblicly suppei ted or ar,n,,rt,on , ► I]

b 33-1131/6 support test - 2013. If the organizatio^ r d d not chock a box on line 13 or IGo, and line 15 s 33-1/3% or more, check this box aand stop here . The organization qualities as a pubt,cly supported organization. , , , . ►

17a 10%-facts-and-circumstances test - 2014 . If the organization aid ro` check a box on line 13, 16a. or 16b, and Inc.14 is 10%or more, aria it the organization meets the 'facts-and-crrcurnstances' test, check this box and stop here . Ezp a,n in Part VI ho:.,the organization meets tie 'facts-and-circumstances' test The organization q'..alifies as a publicly suppo ted orgarrzatron ►

b 10%-facts-and -circumstances test - 2011 11 the organization did not check a box or. line 1:5, i6a, t6o, c. 17a, and line .5 is 10%or more. and if the orgarl!zabon meets the 'facts-and-curet, rstances' test, check this box and stop here . Explain in Part VI how theo-gan'zat'on meets fr,e 'acts-ana-c'rcurns:a-^ces' test. The c ga•rra:'en qualif'es as a p-;bl'cty sucpo'ted organ zaticn . . ► 8

18 Private foundation . If the organization did not cneck a box on line 13, 16a, 16b, 17a, or 17b, check mis boy and see 'nisi-. uc:nns ►

BAA Schecu ! e A (Form 990 or 490-EZ) 2014

TEEA9402L ran5J'4

Schecule A (Form 990 or 990-E_) 2014 ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 Page 3

Part III Support Schedule for Organizations Described in Section 509(aX2)(Cornalete only ,f you c; eckea the box on tine 9 c' Part I or if the oraan;zavon failed to quality under Part 'I. If the organzaPPen taleto qualrfv under the tests listed aelow, olease complete Part I1.)

Section A. Public SupportCalendar year (or fiscal yr beginning In) ► (a)20 10 (b) 201 1 (c) 2012 (d) 20 i3 (e)2O 14 (f) Total

1 Gifts, crams, contnODUOrsand membership teesreceived. ;Do rot includeany 'unusual grants) 8,000.1 6 , 200. 6,700.1 3 , 900. 6 , 200. 31 , 000.

2 Gross receipts trom admrssons, -nerchard,se so,c orservices per formed, or facilities Ifurntshea in any act vity that is

-u,_aoon sre'ated to the rgatax- e<empt purpose 0.

3 Goss receipts iron- activitiesmat are not an u-reiated tradeor business under secr,on 513. 0.

4 1 ax revenues levv..d for the

or Garn"at,en's benefit a,-de-rner paid to or expended onits bcnaif 0.

5 Tne value of se; v,ces orfacilities furnished by agovernmental un;t to theorganization without charge 0.

6 Total . Add lines I through 5 8,000, 6,200. 6,700.j 3,900. 1 6,200. 31,000,7 a Amounts induced on lines 1,

2, and 3 rece,veo fromdrsqualrf e: per sons 0 . 0. 0 . 0 . 0 . 0.

b Amourts ;nc;uded or lines 2a-'d 3 r eceivoa tr o th ctner hancisquai, iecI persons tnatexceed the greater o-$5,000 orI% of the amount on ,ne 13for the vear 0. 0. 0. 0. 0 . 0.

cLdclines 7aano7o 0. 0. 0. 0. O. 0.8 Public support (Sdbtract line

7cfrom-rne6) 31,000.

Section B. Total Support

Calendar year (or fiscal yr beginning in) ► (a) 2010 (b) 201 1 (c) 2_012 (d) 2013 (e) 2014 1 (f) T o:a,

9 Amounts f om Ine G 8, 000. 6,200.1 6,700.1 3, 900. 6, 200. 31 00 0.10 a Cross income trots interest, wvideno:, }

payments received on woof ithes loans,(

rents, royalties and incane frmn!sonrlat sources 11.5 . 8. 24.

b Unrelated business taxableincome (less sector 511

taxes) from businessesacqun ed after June 30 1975 0.

cAcdlines l0aand10b 0. 0. 5. 11.j 8. 24.11 'let wconne from unrelated business

activities not Included in line l3b,

vtetner or not the bus,ness isregularly carried on 0.

12 Other income Do not ;rciude rga,n or loss from the sale or.capital assets (Explain inPart V.) 0.

13 Total support . (Add lines 9,lOc, 11 and 12) 8, 000 . j 6,200. 1 6,705.1 3,911. 1 6,208. 1 31,024'

14 First five years . If the Form 990 i s tar the organization's first, secona , third, fourth, or fifth tax year as a section 501(c)(3) rjof ganization, check this box and stop here . !

Section C . Computation of Public Su pport Percentage15 Public support percentage for 2014 (line 8, column (t) divided by lire 13, column (f)) j 15 99.92 %

16 Public suoport percentage from 2013 Schedu;e A. Par t I I I , line 15 16 0.00 %

Section D . Computation of Investment Income Percentage17 Investment income percentage for 2014 (line 10c, column (0 aiviced by line 13, column (f`j) 17 0.08 %

18 Investment income percentage from 2013 Schedule A, Part III, line 17 18 0.00 %

19 a 33-113% support tests - 2014. If L' e organization did not check the box on line 14-, anc line 15 is more than 33.1/3%, and line 17is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization FXI

b 33-113% support tests - 2013 . If the organization did not check a box on line 14 or Inc•19a, and line 16 is more than 33-1/3%, andline 18 is not more than 33-1/3% check this box and stop here . The organization qualifies as a oublicly supported organization

20 Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ► j

BAA TEEA040a 07117!14 Sche dule A (Font' 990 or 990-EZ) 2014

Scneaule A (Foim 990 or 490-E?) 2014 ALLIANCE OF STATES WITH PRESCRIPTION 26-364148 Page 4Part IV Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete SectionsA and B. If you checked 11 b of Part I, complete Sections A and C. If you checked 11 c of Part I. completeSections A, D, and E. If you checked 11 d of Part I, complete Sections A and D, and complete Part V )

Section A . All Supporting Organizations

1 Are all of the organization's supported organizations listed by rame in the argan+zat,on's governing docum:nts-,If 'No,' describe in Part VI now the supporteo organizations are des.gnated It designated by class of purpose deccrrbeInc des:gna',on If histo'rc and continuing ielat,cnstiip e;.piain 1

2 Did the organization have any supported organization that does not have an IRS determination of status under section509(a)(1) or (2)' if 'Yes 'explain in Part VI how the organization determined that the suppoi led organization wasdescribed in section 5( a)(1) o' (2) 2

3 a Did the organ zation have a supported o, gan,zet+on described in section 501 (c)(4), (5), or ;6) % if 'Yes,' answer ih,,ano (c) below 3.

b Did the organization confirm that each supported organization qualii+eo under section 501(c)(4). (5), or (6) andsatisfied the public support tests under section 509(ai(2) % If 'Yes ' describe in Part VI when and how the organ,zat,onmade the determination 3b

c Did the organ.zat+on ensure that all supsort to such organizations was used exclusively for section 170(c)(2)(6)purposes' If 'Yes,' explain in Part VI what conl ols Me organrzahon out in place to ensure such use 'I 3c

4a Was any supported o'canizat+on nut o,aan,zed in the United States ('fcre+gn supported organ,zahon')7 If'Yes'andrr you checkeo I la or 1 lb in Bart t answer (b) ano (c) below 4a

b Did the organ zation have ult i mate con trol and discret i on in deciding whether to make grants to the foreign supportedorganization? If 'Yes,' describe ,n Part Vf how the craat^zarion had such control and drsc'et,on despite being controlledor supervised by o, in connection with its supported organizations 4b

c Did the organ'zation support any foreign supported organizat+cn that does not have an IRS determinat i on uncle'sections 501(c)(3) and 5G' (a)(1) or (2)' IF Yes,' explain in Part V1 what controls the organ'zat ,on used to ensr ,, e thatah'suopo't tc the foreign supported organization was used ercfus • vely for section 170(c)(2)(B) pu'poses . 4c

5a Did the organ • zat+on acid, s !bsttute, o+ remove any supported organizations during the tar veal^ If'Yes ,' ars''e^ (bland (c) beicA, (if apolicavle) Ar'sc prov, ve detail in Part Vf, incluarng (r) the names and E/N numbers of the supportedorganizatwns added, suostruted or removed (u) the reasons for each such action , (u,) the authority undei heorganization's organizing document aurnoj izing such action and (,v) how the action was accotnphsneo (such as byamendment to the orga'iz,rg docume t) ^ 5a

b Type I or Type II only. Was any added or subst i tuted supported organization part of a class alreacy ees + gnated in theorganizat'on ' s organizing document? . . . 5b

c Substitutions only. Was the substitution the +esult of an event beyond the Organ i zation's contro l? 5c

6 Did the organ cation provide support (whether in the form of grants or the prov ision of serv i ces or `acuities) to r ^^anyone othe • than (a) its supported organizations, (b) individuals that are part of the char i table class benefited by oneor more of its supported organizatons , or (c) other support i ng organizat i ons that also support or benefit one o : more ofthe filing organ i zation's sucoorted organ,zat+ons ? If 'Yes,' provide detail in Part Vl 6

7 Did the organization provice a grant, loan, compensation , or other similar payment to a substantial contributor(defined in IRC 4953 (c)(3)(C)), a farn+ly membe, of a substantial cont . butor, or a 35-percen t controlled entity withregard to a substantial contributor ? It 'Yes . cumplale Part / of Schedule 1. (Perin 920) . 1 7

Yes I No

8 Did the organ e-ation r+ rc a loan to a disqualified person (as defined in suction 49:9) not described in liou 7?complete Part ! of S: hedule L (f'crnr 9f10) . . 8

9a Waz the organ i zation controlled directly Or indirectly at any limo daring the tax year by one o r mo•r 6--qualified pa'sonnss dcf.'ed n section 491,6 (oP,e• thai 1ouncat , or, managers and organiratiurs desc'ibua rr suction 5,?(a)(1) or (2))^If 'Yes, ' provide dela,l ,n Part VI. 9a

b Did one or more d,squal+f'ed persons (as defined 'n line 9 (a)) hold a conti ollirg interest in any entity in which thesupporting organza,ion had an interest? if ' Yes 'provide detail in Part Vf 9b

!c Did a d :squai : f ed person (as ce`:' ed n I:ne 911a)) nave an enters" !o interest in , or derive any personal benefit from,assets in which the suopcr ; ,"g or gariza ! or a-so had an inte-esr? !f 'Yes, 'provide derail in Part V1 9c l

10a 'Was the organ i zation subject tc the excess bus^ess holdings rules of IRC 4943 because of IRC 4943( 0 (regarc:ngcertain Type It suoaor`Lr _ organizations , a'.d a,• Type III non - functionally +nteerated supporting organ + zaticns)7 /f 'Yes,'answer (b) below 10a

b D.d the organ'zation ,'•. 2ve any excess bus'res ;iold-r;s in the tax year? (Use Scheclle C, Form 4720 to de;errmnewhether the erga:ttzatron had excess ' us,ness holdings) 10b

BAA EEA¢;c;t o71)71ia Schedule A (Form 990 or 9°3-EZ) 2314-

Schedu:e A (Fern 950 or 990-E?) 2014 ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482Supporting Organizations

Yes No11 Has the crganzetror accepted a gift or contr •bubon from any of the following oersons7

a A person who d't ectty or indirectly r_ontrc!s, e,tner alone or togetner with persons descr;bea in (b) and (c) ce.ow, thegoverning oocy of a supported crgcnrzat:on?

b A fam'!y member of a person described in (a) above'

c A 35% controlled enrty of a person described n (a) or (h) aoove' If 'Yes' to a b, or c, provide dela,i P Part Vl

Section B. Type I Supporting Organizatio ns

I Yes No

the o!gan'za.fon ma,rtarned a close and continuous Lvorh ng relationship with the supported Orgyeafron(s) 2

1 Did Inc directors, trustees, or membership of one or more supportea organizations have the power to re u4a•ly appo,ntor elect at least a majority of the organization's airectors cr trustees at all times durirg the tax year? it 7,;0, descroe toPart VI how the se,poortcd organization(s) e.`fect,"ety operated, supervised, or confided the crgarrzat,on's actlv,tresff the ofeantzahon rtac rro: e than one supported oraamzaf,on, describe how ire powers to appoint andlcr removedtreciors or trustees were allocated arno,g Pie st.ppor ted vrgan,zatrons and what conallrons o' l e5ir'c,',ons, if any,applied t0 such powers ;:urine use ray Y,:°r ! 1

2 Did the organization operate for the herefit of any supported organization other tear the supporter organ, za:ion(s)Ina: opera led, suNerv,saC, or ccntrc; ed the supporting organizatron? it 'Yes,' expiarn in Part Vil how ^(G1^l7fn $iichJenefir carried out the purposes of the sapportea organzatlcn(s) :hat operated, supervised, or contror:ed hasupporting vrgan,zalfon 2

Section C. Type II Supporting Organizations

Yes No

1 Were a malcrity of the organization's directors or trustees during the tax year also a malor-ty of me directors or trusteesof each of the oroart:zat(on s supported orgarrization(s)' If 'No,' describe in Part VI now control o' manager,-'et' of Te

supporting oigan.zailon was vested to me same yersor's tnat controlled or managed the suppcr'ed c: ganlzabcn ;'s) 1

Section D. All Type III Supporting Organizations

Yes No

1 Did the organizet or provice to each of its supported organizations, by the last day of the fifth month of theorganization's tax year, (t; a written notice descrlb:ng the type ano amount of support provided durne the prior taxyear, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of :beorganization's governing documents ;r effect on the date of notification, to the extent not previously provldec? 1

2 ',Here any of the orga nizatlon's officers, directors. or trustees either (1) appointee o• elected by the supporteao, ca,-tlzat;on(s) of ;r,) sel ving on the gov^el ni ,g oody of a supported organization? it"No ' exo1,3P' in Part V/ now,

3 By reason of the relationship described in (2), did the organization's supported organizations have a s;gnlf:cantvoce in the orgen.zabon's investment policies and in do ecting the use of the organization's incone or assess atall I mes during the tax year' !f 'Yes 'describe IT-, Par VI the role the organization's supported o: gan'zat;ons prayeain rh,s regard 3

Section E . Type III Functionally - Integ rated Supporting Organizations

1 Check the bo., next to the method that the organization used to satisf/ the integral Part lest eutrng toe year (see instructions):

a Tne organization satiated the Activities Test Complete line 2 below

b The organization is the pa-ent of each of its supported organizations Complete line 3 below

c _j The organization supported a governmental entity. Descr.'be r Fait VI how you supported a government entity (see inst'ucIons)

2 Activities Test Answer (a) and (b) below. !Yes

a D:c substantially all of the organization's activities during the tax yea directly further the exempt purposes of thesupportec organization(s) to which the organization was responsive" !f 'Yes, ' then in Part VI identify those supportedorganizations and explain now these activities directly furthered their exempt purposes, how we organization wasresponsive to those supoorred organizations, and how the organization determined that these activities consl,tutedsubstanr;adv ail of ,is activities 2a

b Dra the activities described in (a) constitute activities that, but for the organization's involvement, one or more ofthe organization's supported organization(s) would have been enraged in? If'Yes,'explain in Part VI the reasons forthe organzatrcn's positron that its supported organization(s) would have engaged in these actrvrhes but for theorganization's 113v0tvenrent I 2b

3 Parent of Supported Organizations Answer (a) and (b) below.

a Did the organization have the power to regularly appoint c• elect a majority of the officers, do ectors, or trustees ofeach of the supported or ganrzations' Provide details i n Part V1 3a

b Did the organization exerc se a substantial degree of o,rectlon over the policies, programs, and activities of each of itssuppol ted or ganlzatrons? If 'ves,' describe In Part Vf the tole played by the otganiza ttcn in th is regard 3b

BAA TSEA0405L 07/18114 Sc!;eau,e A (Form 990 or 990 EZ) 2014

Scnedule A (Form 9910 or 990-EZ) 2014 ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 ' rage 6Part V Type III Non-Functionally Integrated 509(aX3) Supporting Organizations

1 0 Check here rt the organization satisfied the In:egrai Part Test as a qualifying bust on November _-0 197C. See instructions. Allother Type III non-functiona lly intecra:ed supporting organizations must compete Sections A through E

Section A - Adjusted Net Income (A) Pi rcr ''ear (B) Current Year(optional)

1 Net short-term cacrtal ga n 1

2 Recoveries of prior-year distriburrons 2

3 Otner gross income (see insti uct;ons) 3

4 Add lines I through 3 4

5 Depreciation and de pl etion 5

6 Portion of operating expenses paid cr incur ed for production or collection of grossincome or for management, conservation, or maintenance of property neld forproduction of income (see instructions) 6

7 Other expenses (see instructions, 7

8 Adj usted Net Income (subtract lines 5, 6 and 7 from line 41) 8

Section B - Minimum Asset Amount (A) Prici Year (C) Current Year(optional)

1 Aggregate fair market value of all nor-e tempt-use assets ;see instructions for shorttax year or assets hold for part of year)

a Average monthly value of securities . la

b Average monthly cash balances lb

c Fair market value cf other non-exempt-use assets 1c

d Total (add lines ta, Ib, and lc) 1d

e Discount clamed for blockage or otherfactors (exciain in detail n Part VI),

2 Acquisition indebteeness applicable to non-exempt use assets . 23 Subtract line 2 from line id 3

4 Cash deemee held for exempt use Enter 1.112% of line 3 (for greater amount,see instructions) - 4

5 Net value of n on-exempt-use assets (suotract line 4 from line 3) - 5

6 Multiply line 5 oy 035 - 6

7 Recoveries of prior-year distrrbut,cns 7

8 Minimum Asset Amount (add line 7 to fine 6) - 8

Section C - Distributable Amount Current Year

1 Adjusted net income for prior year (from Secti on A, line S. Column A) 1

2 Enter 85% of line i 2

3 Minimum asset amour' for prior year (from Section B, line 8, Column A). 3

4 Enter greate r of line 2 or line 3 4

5 Income tax imposed in prior year

6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergencytemporary reduction (see instructions) 6

7 11 Check here if the current year is the organization'c first as a non-functionally-integrated Type III su:port rig organizationksec msrrucr or

.,

).

BAA Schedule A (Form 900 or 9=90-E7.) 2014

TEEAO mna114

Scpecule A (Form 990 cr 990-EZ) 2014 ALLIANCE OF STATES WITH PRESCRIPTION

Part V I Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Section D - Distributions Current Year

1 Amounts paid to supported crganizatlons to accomplish exempt purposes - l

2 Amounts paid to per fo'rt' activity that directly fu tners exempt purposes of supacrted organizations,in excess of income from activity

3 Adm+n+s^-atlve expenses paid to accomplish exempt purposes o uoported organizations

4 Amounts paid to acou+re exempt- use assets_____ _

5 Qualified s et-aside amounts ;prior IRS approval requ ir e d)

6 Other d+s+r+hut+ons (desc, be i n Part VI). See instructions

7 Total annual distributions . Add ;nes 1 through 6.

8 Distributions to attentive supported organizations to which the o+gan:zatio+l is respons,ve (prcwce detailsIn Part VI ). See instructions

9 Distributable amount for 2014 from Section C, line 6

10 Line 3 amount divided by Line 9 amount(r) (ii)

Section E - Distribution Allocations (see instructions) Excess Underdistribut + onsDistributions Pre-2014

(iu)

D + stnbutableAmount for 2014

1 Dlstr+bu:able amount for -7014 from Section C. line 6

2 Lr-,derd+sti+but+ons, if any, for years prior to 2014 (reasonablecause +eeured - see instructions)

3 Excess dlstribu;ions carryover, if any, to 2014-

a

c

d

e From 2013

f Total of ties 3a though e . {

g Applied to u-derd,stribut!ons of prior years

-h Applied to 2014 distributable amount --^

+ Carryover f,cm 2009 rot applied (see ir'structions)

f Remainder S ubtract lines 3g, 3h, and 31 fron 3f

4 D+st+ibu:ions for 2014 from Section D,H -^e 7• $

- -a Applied to underd:stributiors of prior years ^

b Applied to 2014 d,stnbutaole amount

c Remainder Subtrac t li nes 4a and 4b from 4 . . .

5 Roma;nm5 underdish ibuhons for years prior to 2014 if any

Subtract lines 3g and 4a from line 2 (if amount greater than

zel o, see instructions)

6 Rema;nine underd+stribut+ons for 2014 Subtract lines 3h and 4b

from line 1 (if amount greater than zero, see insvuct:ons)

7 Excess distributions carryover to 2015 . Add Ilnes 31 a-i d 4c

8 Bl eakdown of line 7.

a

bC

d Excess from 2013

e Excess from 2014 .

BAA

26-3641482

Schedule A (Form 990 or 990-EZ) 2014

'EEA04,17L 1Or3111s

Sched. le A (Form 990 or 990 E-L) 2014 ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 Page 8Part VI jSupplemental Information . Provide the explanations required by Part II, line 10; Part II, line 17a or 17b;

and Part III, line 12 Also complete this part for any additional information. (See instructions).

BAA SchedU.Je A (Form 9 O or 0,90•EZ) 2014

TEEAD438L WrIM4

SCHEDULE N Liquidation, Termination, Dissolution, or Significant Disposition of Assets(Form 990 or 990-EZ) ► Complete if the organization answered 'Yes' to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.

► Attach certified copies of any articles of dissolution, resolutions, or plans.

D-paihnent of Ilia Treasury ► ► Attach to Form 990 or 990-EZ.

:ntoiral Re.enu- Serr(ce Information about Schedule N (Form 990 or 990-EZ) and its instructions is at www.lrs.gov/form990.

0MG No 1545.0047

201 4Open to Public

Inspection

Na•ne of tic orcanizatio.i ALLIANCE OF STATES WITH PRESCRIPTION Employer identification number

MONI TORING PROGRAMS__-_ 12 6-3641 482-Part I Liquidation, Termination, or Dissolution . Complete this part if the otganlzation answered 'Yes' to Folm 990, Part IV, line 31, or Form 990•EZ

line 36. Part f can be duplicated if additional space is needed.(a) Description of asset ( s)distribute) or transaction

expenses paid

(b) Date ofr'istrlb;ronn

(c) Far market value ofasset(s) drstnhuted oramount of tlansaclion

expenses

(d) Method ofdoermining FMV forassal(s) distributed ortransaction expense s

(e) EIN of rectprent ( t) Naive and address of recipient (g) IRC section ofrecipient ( s) (if tax-exempt) or type of

entity

CASH 4/30/15 23,1-2 CASH/LIQUIDITY

57-0996525 NASCSA72 BROOK STREETQUINCY , MA 02170

501C3

Yes No

2 Did or will any officer, director, trustee, or key employee of the organs. atlon.

a Become a director or b ustef, of a successor or transferee organization? 2 a X

b Become an employee of, or independent contractor for, c successor or transferee organizafion7 2b X

c Become a direct or indn ect owner of a successor of transferee organization? .. 2c X

d Receive, or become entitled to, compensation of other sim,lar payments as a result of the organization's liquidation, tei minat on, or dissolution? .. - 2d

e If the organ zat,on answered 'Yes' to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part ill.,

BAA For Paperwork Reduction Act Notice , see the Instructions for Form 990 or Form 990 -EZ. TEEA4701L 05128114 Schedule N (Form 9 or 990•E7.) (2014)

Schedjie N (Form 990 or 990-E7 (2014) ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 Page 2Part I Liquidation , Termination, or Dissolution (continued)

Note. If the organization distributed a I of -s assets during thc- tax yeas, then Form 990, Part X, column (6), line 16 (Total assets, and line 26(Total liabilities), should equal - 0-. Yes No

3 Did the organizatlon distribLte As assets :r accordarce with its governing instrument(s)? If 'No,' describe in Part 111 3 X4 a Is the organization regurrcd to notify the attorney gonerat or other appropr:ate state official of its intent to dissolve, liquidate, or termmate7 ... ... 4 a Xb If 'Yes', did the organization provide s,ic't ret,ce' ... ... ... 4 b

5 Did the organization discharge or pay el! of •ts liabilities in accordance with state laws' 5 X6 a Did ttha organization have any tax-exempt bonds outstanding during the year? . . 6 a Xb If 'Yes' to line 6,1, clad the organization dischrrge c- de!case a!! of its tax-exempt bond liabilities during the lax year in accordance with the Internal Revenue Code and state laws? 6 b

c If 'Yes,' to line bb, describe in Part III '-owv 'e organization defeased or other wise settled these liabilities If 'No' to I.ne 6b,expla.n in fart III

Ll^a rt.ll Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization ' s Assets. Complete this part if the organization answered'Yes' to Form 99 0, Part IV, line 32, or Form 990-EZ, lin e 36. Part II can be duplicate d if additional snare is needprrl(a) Desript io r of asset ( s) (b) Oath cfchs tnbuted or uan sachon C,st-,b.: Pea

expenses paid

(c) Fdir market value ofasset ( s) distributed oramount of tr ansaction

experses

(d ) Method ofdetermining HMV for

asset ( s) distributed ortran sacti on expenses

(e) EIN of recipient ( f) Name and address of recipient (g) IRC section ofiecipient ( s) (if tax-exempt ) or type of

entity

Yes No2 Did or will any officer, director , trustee , or key employee of the organi z ation.

a Become a d i i ector or h ustee of a slccessor cr t-ansferee organization? 2ab Become an employee of, or independent contractor for, a successor or transferee organization '. . . 2 bc Become a direct or induect owner of a successor or transferee organization' 2 cd Receive , or become entitled to, corrpc sation or other similar payments as a result of the organization 's significant disposition of assets' 2 d

v,, u, ,^5wv CU I e Lu ,:,'y v' r're questions ort ones za inrougn do, provioe me name of the person invo!vea and explain in Part IllBAA TEEra7o2r_ 05126/1.- Schedule N (Foi m 990 or 990-E7-) (2014)

SChe:JLle N (Form 990 or 993-EZ; (20i 4) ALLIANCE OF STATES WITH PRESCRIPTION 26-3641482 Page 3Part III I Supplemental Information . Provide the information required by Part I, lines 2e and 6c. and Part II,

line 2e. Also complete this part to provide any additional information.

BAA TEEti3703L O6n8r;4 Schedule N (Form 990 or 990 EZ) (2014)

SCHEDULE 0(Form 990 or 990-EZ)

Depart ncnt of the Treasurylnt e rn.,l Re.enue Se n.ic e

Supplemental Information to Form 990 or 990-EZComplete to provide information for responses to specific questions on

Form 990 or 990-EZ or to provide any additional information.Attach tor- 990 or 990-E7

0MB No IB45 0047

1 2014Information about Schedule 0 (Form 990 or 990-EZ) and its instructions is I Open to Public

at Inspection

Name of me org"at'n ALLIANCE OF STATES WITH PRESCRIPTIONMONITORING PROGRAMS

Form 990-EZ , Part I, Line 10Grants and Similar Amounts Paid In Excess of $5,000

Payments to Affiliates

Employer identificabon number

126-3641482

Name: NASCSAAddress: 72 BROOK STREET

QUINCY, MA 02170Purpose of payment: TO TERMINATE BRANCH NFPAmount:

Form 990-EZ. Part I, Line 16Other Expenses

Conferences, Conventions, and MeetingsLICENSE FEES

Form 990-EZ, Part II, Line 26Total Liabilities

DUE TO NASCSA UPON CLOSING

Beginning Ending

$ 0. 23,122.Total 0. 23,122.

Form 990-EZ . Part III - Organization ' s Primary Exempt Purpose

TO ESTABLISH PROGRAMS TO MONITOR THE PRESCRIBING AND DISPENSING OF PRESCRIPTION

DRUGS AND ALSO TO PROVIDE A FORUM FOR INFORMATION EXCHANGE AMONG STATE AND FEDERAL

AGENCIES, AS WELL AS SERVING AS A RESOURCE FOR CONTACT AND OTHER INFORMATION ON

PRESCRIPTION MONITORING PROGRAMS.

Form 990-EZ, Part 111, Line 28 - Statement of Program Service Accomplishments

TO ESTABLISH PROGRAMS TO MONITOR THE PRESCRIBING AND DISPENSING OF PRESCRIPTION

DRUGS AND ALSO PROVIDE A FORUM FOR INFORMATION EXCHANGE AMONG STATE AND FEDERAL

AGENCIES, AS WELL AS SERVING AS A RESOURCE FOR CONTACT AND OTHER INFORMATION ON

PRESCRIPTION MONITORING PROGRAMS.

$ 23,122.

$ 315.50.

Total 365.

BAA For Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990 -EL TEEA4901L e311e/14 Scheaule 0 (Fore 990 or c90-EZ) 014

Scredu!e 0 (Form 990 or 990-E?) 2014 °'ge 2

:ame of 9•e . rgarizatson ALLIANCE OF STATES WITH PRESCRIPTION I Employer identification number

MONITORING PROGRAMS 126-3641482

Form 990- EZ. Part V - Regarding Transfers Associated with Personal Benefit Contracts

(a) Did the organization, during the year, receive any funds, directly or

indirectly, to pay premiums on a personal benefit contract? No

(b) Did the organization, during the year, pay premiums, directly or

indirectly, on a personal benefit contract? No

BAA Schedu le 0 (Form 990 or 990-EZ) 2014

TEEEM9O2L 03!18,14

I YI II III IR IIIII U I I I I IVI Nn II Y IIY I130501

ROSS MILLERSecretary of State204 North Carson Street, Suite 1Carson City, Nevada 89701-4520(775) 684-5708Website: www.nvsos.gov

I Nonprofit Dissolution(PURSUANT TO NRS 82.451)

USE BLACK INK ONLY • DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY

Certificate of DissolutionFor a Nevada Nonprofit Corporation

Voluntary Dissolution by Directors and Members or by Directors Alone;Directors to Act as Trustees For Liquidation and Winding Up of Corporate Affairs

(Pursuant to NRS 82.451)

1. Name of corporation:The Alliance of States with Prescription Monitoring Programs, Inc.

2. Names and addresses , either residence or business, of the president, secretary, andtreasurer , or the equivalent thereof, and all directors of the corporation (attach a plain 8112" x 11"sheet to list additional directors):

Vacant N/A

President or Equivalent Address

Barbara A. Carter MN Board of Pharmacy, 2829 University Ave., Ste. 530, Minneapolis, MNSecretary or Equivalent Address

Kathy Zahn 1906 East Broadway Ave., Bismark ND 58501Treasurer or Equivalent Address

Vacant N/ADirector Address

Vacant N/A

Director Address

3. Effective date and time of filing: (optional) Date: October 8, 2014 Time: 12:00 PM

(must not be later than 90 days after the Certificate is filed)

4. Officer Signature:I declare that a resolution to dissolve the above named corporation has been adopted by the board of directors and by any superiororganization whose approval Is required by a provision of the articles authorized by NRS 82 091 . If there are members entitled to voteto take action upon the resolution to dissolve, the undersigned further declare that the resolution has been adopted by a majority of allthe voting power

^^CXLR-4-- Secretary IC)/&Signature Title Date

Filing Fee : $50.00IMPORTANT: Failure to Include any of the above information and submit with the proper fees may cause this filing to be rejected.

This form must be accompanied by appropriate fees . Nevada Secretary or Slate x2451 Nonprofit DiesoluuonRevised : 8-31-11

ASPMPVALLIANCE OF STATES WITH PnzSCRIPTION MOf11(?OEW G PROGRALAS

Special Membership MeetingFriday, August 1, 2014

AGENDA

1. Call to Order

II. Attendance

III. Call for Additional Agenda Items

IV. Consideration of the Dissolution and Winding up of the Alliance (ASPMP)

as per Bylaws

V. NASCSA Annual Conference Announcement

VI. Adjourn

MEETING

Call to OrderThe Special Meeting of the membership of the Alliance (ASPMP) was called to

order at 1:06p (CT)

II. Attendance-see attachment A

Ill. Call for Additional Agenda Items

No additional items added

IV. Consideration of the Dissolution and Winding up of the Alliance (ASPMP)

as per BylawsA motion for the voluntary dissolution and winding up of the Alliance of Stateswith Prescription Monitoring Programs, in accordance with the Bylaws, and atransfer of assets to the National Association of State Controlled SubstancesAuthorities (NASCSA) was made by Barbara Carter (MN) and seconded by KariShanard-Koenders (SD). Hearing no discussion a roll call vote was requested.The voting resulted in 27 Ayes , 1 No and 1 Abstention (see attachment A fordetails).

Therefore the Executive Board of the Alliance (ASPMP) will move forward with

filing the appropriate paperwork with the Nevada Secretary of State's Office andtransferring of the assets to the National Association of State ControlledSubstances Authorities (NASCSA).

www.pmpalliance.org

ASPMPALLIANCE OF STATES WITH PRESCRIPTION MONITORING PROGRAMS

V. NASCSA Annual Conference AnnouncementVice President Fontenot urged all members to attend the upcoming NASCSA

conference to be held in Savannah , GA. Prior to the start of the NASCSA

conference the Alliance (ASPMP) membership will meet the morning of October

21, 2014 to discuss the future as part of NASCSA. Further information regarding

the details of the meeting will be shared in the near future.

VI. AdjournThe Special Meeting of the membership of the Alliance (ASPMP) was adjournedat 1:32p (CT)

certify that the foregoing are true and accurate minutes.

Barbara A Carter, SecretaryAlliance of States with Prescription Monitoring Programs

Vacant, President

Joe Fontenot, Vice President

Kathy Zahn, Treasurer

Chad Garner, Member at Large

Deborah Brown, Member at Large

Carl Flansbaum, Member at Large

Andrew Holt, Member at Large

www.pmpalliance.org

ATTACHMENT "AMEMBER STATE Representatives Name PRESENT VOTE

AYE NO ABSTAIN

Alabama Charles Thomas X X

Alaska Brian Howes X X

Arizona Dean Wright X X

Arkansas Denise Robertson X X

Colorado Tia Johnson X X

Connecticut Xaviel Soto X X

Delaware Samantha Nettesheim/Dave Dryden

District of Columbia Patricia D'Antonio

Georgia Ronnie Higgins X X

Idaho Ellen Mitchell X X

Illinois Craig Berberet

Indiana Holly Walpole X X

Kansas Marty Singleton X X

Kentucky Dave Hopkins X X

Louisiana Joe Fontenot X X

Maine John Lipovsky X X

Maryland Michael Baier

Michigan Tim Smith X X

Minnesota Barbara Carter X X

Mississippi Deborah Brown X X

Montana Donna Peterson

Nebraska Deb Bass

Nevada Lisa Adams X X

New Jersey James Mielo

New Mexico Carl Flansbaum X X

North Carolina Nelam Patel X X

North Dakota Kathy Zahn X X

Ohio Chad Garner x X

Oregon Todd Beran x X

South Carolina Christie Frick x X

South Dakota Kari Shanard-Koenders x X

Tennessee Andrew Holt x X

Utah Marvin Sims x X

Washington Chris Baumgartner x X

West Virginia Michael Goff x X

Wyoming Mary Walker x X

Saskatchewan, Canada Laurie Van Der Woude