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1S45-I ISO

Return of Organization Exempt From Income Tax


Form 990-EZ
Under section 501(c) of the Internal Revenue Code (except black lung benefit trust or
private foundation) or section 4947(a)(1) nonexempt charitable trust
1994
► For organizations with gross receipts less than $100,000 and total assets This Form is
Depertmenl si lti< Treasury less than $250,000 at the end of the year. Open to Public
Internal Re«eage Str>icc The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection
A For the 1994 calendar year. OR fiscal year beginning 1994. and ending 19
Pleese C Name of organization
B Ctiect il D Employer identification number
i—}T"9' ote IRS
I 'address libel or
ryilniliil
!■■" irelura prim or jSAVE A L I F E FOUNDATION/ INC 36-3869459
□ I
Final
return
type.
See
lAiaendctf Specific
Hum
Number and street (or
174 79 W. DARTMOOR DRIVE
P.O. box if mail is not delivered to street address) Room/suite E State registration number
01026498
(required IntKuc-
>lso lor lions. City, town or post office, state, and ZIP code Check ► I | if exemption
Sine
reporting! SRAYSLAKE, IL 60030 application is pending
H Enter four-digit group exemption
G Accounting method: |_XJ Cash I 1 Accrual | | Other (specify) ► number (GEN)
I Type of organization - ► [ X ) Exempt under Section 501(c) ( 3 j <4 (insert number) OR ► □ Section 4947(a)(1) nonexempt charitable trust
Note: Section 501(cll3l organizations and section 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 9901.
J Check ► L J if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but if the
organization received a Form 990 Package in the mail, the organization should file a return without financial data. Some states requite a complete return.
K Enter the organization's 1994 gross receipts (add back lines 5b, 6b, and 7b, to line 9) ► $
97711.
H $100.000 or more, the organization must file Form 990 instead of Form 990-EZ.
K H I Statement of Revenue, Expenses, and Changes in Net Assets or Fund Balances
1 Contributions, gifts, grams, and similar amounts received Stmt 3 93405
2 Program service revenue including government fees and contracts
3 Membership dues and assessments 2875
4 Investment income
5a Gross amount from sale of assets other than inventory 5a
b Less: cost or other basis and sales expenses 5b
c Gain or (loss) from sale of assets other than inventory (line 5a less line 5b) 5c

I
6 Special events and activities (attach schedule):
a Gross revenue (not including $ of contributions
reported on line 1) 6a
b Less: direct expenses other than fundraising expenses 6b
c Net income or (loss) from special events and activities (line 6a less line 6b) 6c
7a Gross sales of inventory, less returns and allowances 7a 14 31
b Less: cost of goods sold 7b 1431
c Gross profit or (loss) from sales of inventory (line 7a less line 7b) 7c
8 Other revenue (describe ►
9 Total revenue (add lines 1. 2. 3. 4. 5c. 6c, 7c, and 8)
96280
10 Grants and similar amounts paid 10
11 Benefits paid to or for members ii
12 Salaries, other compensation, and employee benefits 12
13 Professional fees and other payments to independent contractors

I 14
15
16
Occupancy, rent, utilities, and maintenance
Printing, publications, postage, and shipping
See Statement 4
13
14
15
8163
13770
46714
Other expenses (describe ►
17 Total expenses (add lines 10 through 16)
See Statement 1 j 16 29246
18
17 97893
Excess or (deficit) for the year (line S less line 17)
19
18 -1613
Net assets or fund balances at beginning of year (from line 27. column |A))
(must agree with end-of-year figure reported on prior year's return) 19 -12961
41 20 Other changes in net assets or fund balances (attach explanation)
20
z 21 Net assets or fund balances at end of year (combine lines 18 through 20)
21 -14574
Balance Sheets If Total assets on line 25. column IB) are $250.000 or more. Form 990 must be filed instead of Form 990-EZ
(A) Beginning of year (Bl End of year
22 Cash, savings, and investments
23
-71 22 830.
Land and buildings
23
24 Other assets (describe ► See Statement 2 3931 24 13507
25 Total assets
26
3860 25 14337
Total liabilities (describe ► DUE TO CAROL SPIZZIRI
27
16821 26 28911
w Net assets or fund balances (line 27 of column (B) must agree with line 21)
2-54 S430 For Paperwork Reduction Act Notice, see page 1 of the separate instructions.
-12961 27 -14574
Form 9 9 0 - E Z (1994)
Form 990-tZ 11994) SAVE A L I F E FOUNDATION, INC 36-3869459 Pa9e2
Statement of Program Service Accomplishments Expenses
What is the organization's primary exempt purpose? See Statement 6 (Requited loi SDKclU) and (4)
Otganiraiions and 4947(a)(1)
Describe what was achieved in carrying out the organization's exempt purposes. Fully describe the services provided, the number of Irusis; optional lot ottieis.l
persons benefited, or other relevant information tor each program title.
28 TO PROMOTE EDUCATION & CONTINUING EDUCATION IN CPR & FIRST
AID NATIONALLY. TO PROMOTE, CONSISTENCY, UNIFORMITY &
SAFETY IN THE APPLICATION OF FIRST AID & (Grants $ 28a
29 CPR. TO ASSURE THAT THE BEST PROCEDURES AND HIGHEST
QUALITY MATLS ARE USED & ACCESSIBLE. TO PROMOTE GOOD
SAMARITAN LAWS. " (Grants $ 29a 99324
30

(Grants $ 30a
31 Other program services (attach schedule) (Grants S 31a
32 Total program service expenses (add lines 28a through 31a) 32 99324
■ i f T i i r i List of Officers. Directors, Trustees, and Key Employees (list each one even if not compensated.)
(B) Title and average hours (Cl Compensation (D) Contiibulioiii 10 (El Expense
(Al Name and address per week devoted to (if not paid, enter employee beoelit account and
position plans & detente
See Statement 5 -0-I compensation other allowances

k-SMm^ nther Information


Yes No
33 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description
of each activity
34 Were any changes made to the organizing or governing documents but not reported to the IRS? H ■»•»,- aiiaco a coniotmed copyol tat changes.
35 If the organization had income from business activities, such as those reported on lines 2, 6. and 7 (among others), but NOT reported on
Form 990-T. attach a statement explaining your reason for not reporting the income on Form 990-T.
a Ounng the year covered by this return, did the organization have unrelated business gross income of $ 1.000 or more or incur
liability for the section 6033(e) lax on lobbying and political expenditures?
b If "Yes." has it filed a tax return on Form 990-T, Exempt Organization Business Income Tax Return, for this year? N7A
36 Was there a liquidation, dissolution, termination, or substantial contraction during the year? (If "Yes," attach a statement)
37a Enter amount of political expenditures, direct or indirect, as described in the instructions. p> | 37a | 01
b Did the organization file Form 1120-POL, U.S. Income Tax Return for Certain Political Organizations, for this year?
38a Oid the organization borrow from, or make any loans to. any officer, director, trustee, or key employee, OR were any such loans made in a prior
year and still unpaid at the Stan of the period covered by this return?
b If "Yes." attach the schedule specified in the instructions and enter the amount involved | 38b | 2 89111
39 Section 501(c)(7) organizations "Enter:
a Initiation fees and capital contributions included on line 9 39a N/A
b Gross receipts, included on line 9. for public use of club facilities I 395 I N7A
c Does the club's governing instrument or any written policy statement prov.de for discrimination against any person because of race, color
or religion? (If "Yes," attach statement)
N/A
40 List the states with which a copy of this return is filed. ► ILLINOIS
41 The books are in care of >>CAROL S P I Z Z I R R I Telephone no. ► 7 0 8 - 5 4 9 - 7 3 5 3
Locatedat»v 1 7 4 7 9 W. DARTMOOR DR. GRAYSLAKE, IL
ZIP code ► 60030
42
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041, U.S. Income Tax Return for Estates and Trusts.-Check here ► □
and enter the amount of tax-exempt interest received or accrued during the tax year ► | 42 | N/A I
Under penalties al perjury. I declare Ihii I have tiamined init teluin. iacludi
Please ng tccomponying schedules and statements. and 10 Ihe best ol my knowledge aod btliel. il is due.
coitett. and complete. Oeclatalioo ol piepaiti (older loan ollicei) is bastd on all ioloimation ol which prepatei has any knowledge.
Sign
Here
t I L
r Signature of officer n-._
Date ^ Title
Preparer's Date
Paid Check if Preparer's SSN
signature
Pieparer's self -employed ►[Z^l
Firm's name (or
Use Only E.I. No. ►
yours if self-employed) ^
4J3431 And
and arfdr^cc
address ^
.'2-12-94
ZIP codeaV
SCHEDULE A
(Form 990)
Organization Exempt Under 501(c)(3) 0MB he. IS4S-004?

(Except Private Foundation!, and Section 501(e), 501(11, SCMlkl, or Section 4 9 4 7 U I I I I

Department ol Ihe Treesury


miticiil Aenenje Senice
Nonexempt Charitable Trust
Supplementary Information 1994
► Must be completed by the above organisations and attached to their Form 990 (or Form 990E2I.
Mame Employer identification number
SAVE A LIFE FOUNDATION INC. 36-3869459
C S B T Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
( S e e i n s t r u c t i o n s . ) (List each one. If there are none, enter "None.")
lal Name and address of employees paid (bl Title and average hours 14) Cootribulions lo (el Expense
per week devoted to employee beotlii
more than $50,000 (cl Compensation plant & 4elened account and other
position toinpemiiion allowances
None

Total number of other employees paid


over$50.000 ► | t

L £ ] | l i l Compensation of the Five Highest Paid Independent Contractors f o r Professional Services


( S e e i n s t r u c t i o n s . ) (List each one (whether individuals or firms.) (If there are none, enter "None."))

(al Name and address of each independent contractor paid more than $50,000 (blType of service I d Compensation

None

Total number of others receiving over


$50.000 for professional services

Statement About A c t i v i t i e s Yes No


1 During the year, has the organisation attempted to influence national, state, or local legislation, including any attempt to influence public
opinion on a legislative matter or referendum?
If "Yes," enter the total expenses paid or incurred in connection wilh the lobbying activites. ► $ 2 7 1 2 .
Organisations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A. Other
organisations checking "Yes." must complete Part Vl-B AND attach a statement giving a detailed description of
the lobbying activities.
2 During the year, has the oganisation, either directly or indirectly, engaged in any of the following acts with any of iis trustees, directors,
officers, creators, key employees, or members of their families, or with any taxable organisation with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary:
a Sale, exchange, or leasing of property?
2a
b Lending of money or other extension of credit?
2b
c Furnishing of goods, services, or facilities?
2c
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?
2d
e Transfer of any part of its income or assets?
2e
If the answer to any question is "Yes." attach a detailed statement explaining the transactions.
3 Does the organisation make grants for scholarships, fellowships, student loans, etc.?
4 Attach a statement explaining how the organisation determines that individuals or oranisations receiving grants or loans from it in
furtherance of its charitable programs qualify to receive payments. (See instructions.)
S430 For Paperwork Reduction Act Notice, see page 1 of the Instructions to Form 990 lor Form 990-E2I.
Schedule A (Form 99011994
423101
12-12-94
9350713 758985 SAVE50 060 SAVE A LIFE FOUNDATION, INC. 18616924
Schedule A (Form 990) 1994 SAVE A LIFE FOUNDATION, INC 36-3869459 Page2
| j g | j ^ ^ | Rpggnn for Non-Private Foundation Status (See instructions for definitions I
The organization is not a private foundation because it is (please check only ONE applicable box):
S l I A church, convention of churches, or association of churches. Section 170(b)! 1)IA)|i).
6 □ A school. Section 170(b)(1)(A)(ii). (Also complete Part V, page 3.)
7 □ A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iiil.
8 □ A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).
9 □ A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital's name, city,
and state ►
10 □ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule below.)
11a □ An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(1)(A)(vi). (Also complete the Support Schedule below.)
11b □ A community trust. Section 170lb)(1)(A)(vi). (Also complete the Support Schedule below.)
12 DO An organization that normally receives: (a) no more than 33 1/3% of its Support from gross investment income and unrelated business taxable
income (less section 511 tax) from businesses acquired by the organization after June 30. 1975, and (b) more than 33 1/3% of its support from
contributions, membership fees, and gross receipts from activities related to its charitable, etc., functions - subject to certain exceptions.
See section 509(a)(2). (Also complete the Support Schedule below.)
13 □ An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in:
(1) lines 5 through 12 above; or (21 section 501(c)(4). (5). or (6). if they meet the test of section 509(a)(2). (See section 509(a)(3).)
Provide the following information about the supported organizations. (See instructions for Part IV. line 13.)
(b) Line number
(al Name(s) of supported organization(s)
from above

14 \_i An organization organized and operated to test for public safely. Section 509(a)(4). (See instructions.)

Support Schedule (Complete only if you checked boxes on lines 10, 11, or 12 above.) Use cash method of accounting.
Calendar year (or fiscal year
beginning inl ► (al 1993 (b) 1992 (cl 1991 (d) 1990 (el Total
15 Cilti, gums, and conuibuiiont received.
(Do not include unusual grams. See
line 2 8 ) 7199. 7199.
16 Membership fees received

17 Grots ttceipls Iron •emissions.


aeichandise sold oi seivicrs peiloimed.
or lumilhing ol lecililies in any activity
thai it not a business unreined lo Ihe
oiganiritioo's charitable. etc.. purpose

18 Cross Income Irom imeictl. dividend!.


mourns received lion payments on
securities loans Iseclion SI2(a)(b)l, lenti.
royalties, and unrelated business laiaule
income [less section SI I lairs) Irom
businesses acquired by Ihe organization
alter Juae 30. 1975

19 Net income from unrelated business


activities not included in line 18
Z0 Ta« revenges levied lor Ihe organization's
stnelit and either paid lo il or eipended
oo ill bthalf

21 The value ol services or lacililies


lurnished lo Ihe organization by a
governmental unit without charge. Oo nol
include ihe value ol seivices oi lacililies
generally lurnished lo Ihe public without
cbaige
22 Other income. Attach a schedule. Oo nol
include gain oi (loss) hom tale ol capital
astelt
23 Total of lines 15 through 22 7199. 0. 0. 0. 7199.
24 Line 23 minus line 17 . 7199. 7199.
25 Enter 1 % of line 23 72.
26 Organizations described in lines 10 or 11:
a Enter 2 % of amount in column (e). line 24 N/A
b Attach a list (which is not open to pub ic inspection) showing t le name of and amount :ontributed by each pers on (other than a
governmental unit or publicly supporte d organization) whose tt tal gifts for 1990throu gh 1993 exceeded thee mount shown
in line 26a. Enter the sum of all these excess amounts here ► N/A
(Support Schedule continued on page 3)
423111
12-12-94 4
9350713 758985 SAVE50 060 SAVE A LIFE FOUNDATION, INC 18616924
Schedule A (form 9901 1964 SAVE A L I F E FOUNDATION, INC. 36-3869459 pa9e 3
leffllll S u p p o r t S c h e d u l e (contmued) (Complete only if you checked a box on lines 10, 11, or 12.)

27 Organizations described on line 12: ~~ ~~ " '


a Attach a list, for amounts shown on lines 15. 16. and 17. to show the name of, and total amounts received m each year from, each "disqualified person "
Enter the sum of such amounts for each year:
119931
2_L (1992) <L (199D 0. (19901 0.

, A h ™ w ° S h ° W ' '"[ !?'? " T 9 h 1 9 9 3 ' , h e """" ' ' • " n d * m 0 U n t i n C ' u d e d in N n e 1 7 , 0 r ' M e h p e f s o n , 0 , h e r , h a n a "disqualified person") from whom
the organization rece.ved. during that year an amount that was more than the larger of (1l the amount on line 25 for the year or IZI $5 000 IncLie
organizations described on lines 5 through 11. as well as individuals. After computing the difference between the amount received an"d the larger amount
3
descnbed in (1) or 12). enter the sum of all these differences (the excess amounts) lor each year-
,1993)
< L L H992I (K 099,) 0 . (1990) 0.

28 For an organization described in line 10.11. or 12. that received any unusual grants during 1990 through 1993. attach a list (which is not open to
public inspection) lor each year showing the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant
Do not include these grants in line 15. (See instructions.) None
B S D Private School Questionnaire
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
N/A
29 Ooes the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing Yes No
instrument, or in a resolution of its governing body?
30 29
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues
and other written communications with the public dealing with sludent admissions, programs, and scholarships?
31 30
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period ol
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves?
31
If "Yes." please describe; .f "No." please explain. (If you need more space, attach a separate statement.)

32 Ooes the organization maintain the following: "


a Records indicating the racial composition of the student body, faculty, and administrative staff?
32a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis?
e Copies of all catalogues, brochures, announcements, and other written communications to the publ.c dealing with student
32b
admissions, programs, and scholarships?
32c
d Copies of all material used by the organization or on its behalf to solicit contributions?
32d
II you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.)

33 Does the organization discriminate by race in any way with respect to: ~
a Students' rights or privileges?
33a
b Admissions policies?
33b
c Employment of faculty or administrative staff?
33c
d Scholarships or other financial assistance?
a Educational policies? 33d
33e
f Use of facilities?
g Athletic programs? 331

h Other extracurricular activities? 33a


33h
If you answered "Yes" to any of the above, please explain. (If you need more space, attach a separate statement.)

34 a Does the organization receive any financial aid or assistance from a governmental agency? ~ ~
34a
b Has the organization's right to such aid ever been revoked or suspended?
34b
If you answered "Yes" to either 34a or b. please explain using an attached statement
35 Cef,i,y
WB
1 8 7 W« 7 ^ f " ^ " h M C ° m P " e d W U h , h B 8 P P " e a b , e r e " " f e m e n , s • ' "<«'<"« 4.01 through 4.05 ol Rev. Pr.c. 7 5 - 5 0 .
" • 587, covering racial nondiscrim.nation? If "No," attach an explanation. (See instructions for Part V.)
35

«23I21
12-12-94
350713 758985 SAVE50 060 SAVE A LIFE FOUNDATION, INC. 18616924
Seneduie AlForm 990) 1994 SAVE A L I F E FOUNDATION, I N C . 36-3869459 p8qe4
' fiETWJP^ I Ohhyinrf F w p a nHifr a , k y C l ^ ^ f i ^ j D..U|;^ ^ h l r j T j r -
_ (To be completed ONLY by an eligible organization that filed form 5768) N/A
Check here ► a l I If the organization belongs to an affiliated group.
Check here ► b [ | If you checked a and "limited control" provisions apply.

lb)
Limits on Lobbying Expenses (al
To be completed for ALL
Affiliated group totals
(The term "expenditures" means amounts paid or incurred) electing organizations

N~7A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures (see Part Vl-A instructions) 39
4 0 Total exempt purpose expenditures (add lines 38 and 39) 40
4 1 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
NolovorS 500.000 20% ol ihe jmouni on lint 40

Ortf $600,000 bul noi Dvtr SI.OOO.000 $100,000 plus 15% ol Ihc ticcsi o>» $500,000

0«ei S 1.000.000 bm col over SI.500.DO0 SI75.000 plus 10% ol Ihe m t i i o . t i $1,000,000 41
OiorS1.SOO.000 bul not o««f S17.000.0U0
Over $17.000.000
42 Grassroots nontaxable amount (enter 2 5 % of line 41)
$225,000 plus Sk ol lot i i c t s t o«oi S 1.500.000
S 1,000.000
] 42
43 Subtract line 42 from line 36. E n t e r - 0 - i f line 42 is more than line 36 43
44 Subtract line 41 from line 38. E n t e r - 0 - i f line 41 is more than line 38 44

Caution: File Form 4720 if there is an amount on either line 43 or line 44.

4-Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501 (h) election do not have to complete all of the five columns
below. See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4-Year Averaging Period


N/A
Calendar year (or (a) lb) (c) Id) (el
fiscal year beginning in) 1S94 1993 1992 1991 Total
45 Lobbying nontaxable
amount
_0_
46 Lobbying ceiling amount
(150% of line 45(e))
0
47 Total lobbying
expenditures
0.
48 Grassroots nontaxable
amount
49 Grassroots ceiling amount
1150% of line 48(e))
0.
50 Grassroots lobbying
expenditures
Part Vl-B Lobbying Activity by Nonelecting Public Charities
(For reporting by organizations that did not complete Part Vl-A)
During the year, did the organization attempt to influence national, state or local legislation, including any attempt to
influence public opinion on a legislative matter or referendum, through the use of: Yes No Amount
a Volunteers

b Paid staff or management (include compensation in expenses reported on lines c through h)


t Media advertisements
d Mailings to members, legislators, or the public
263.
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 alegislative body
2449
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means
i Total lobbying expenditures (add lines c through h)
2712.
" " y e s " <° '"V o' the above, also attach a statement giving a detailed description of the lobbying activities.
See Statement 7
423131
12-12-94
3350713 758985 SAVE50
060 SAVE A LIFE FOUNDATION, INC. 18616924
Schedule A (Form 990) 1994 SAVE A L I F E FOUNDATION, INC
36-3869459 paaes
l i f l i W H Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
i i Did the reporting organization directly or indirectly engage many of the following with any other organization described in section Yes No
501(c) of the Code (other than section 501(c)(3l organizations) or in section 527, relating to political organizations?
Transfers from the reporting organization to a noncharitable organization of:
(il Cash
Slali)
(ii) Other assets
alii)
Other transactions:
(i) Sales of assets to a noncharitable exempt organization
blil
(ii) Purchases of assets from a noncharitable exempt organization blii) X
liii) Rental of facilities or equipment
bliiil
liv) Reimbursement arrangements
b(iv)
Iv) loans or loan guarantees
b(vl
Ivi) Performance of services or membership or fundraising solicitations
bfvil
Sharing of facilities, equipment, mailing lists or other assets, or paid employees
If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always indicate the fair market value of the"
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any
transaction or sharing arrangement, indicate in column (d) the value of the goods, other assets, or services received. N/A
(al (bl Ic)
Line no. Amount involved
(d)
Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is the organization directly or .nd.rec.y affiliated with, or related to. one or more tax-exempt organizations described in section 501(c) of the
Code (other than section 501(c)(3)) or in section 527?
b '< "Yes," complete the following schedule. N/A □ es v [X]Nc
~W ~ 1 (bl (cl
Nime
"' organization Type of organization Description of relationship

423141
12-12-94
J350713 758985 SAVE50 060 SAVE A LIFE FOUNDATION, INC 18616924
SAVt A Lift* FOUNDATION, INC. 36-3869459

Form 990-EZ Other Expenses Statement

Description Amount
CONFERENCE 2011.
MEALS AND ENTERTAINMENT 2465.
OFFICE SUPPLIES & EXPENSE 4502.
MERCHANDISE PRODUCTS 9569.
TRAVEL 7861.
MISCELLANEOUS 2838.
Total to Form 990-EZ, line 16 29246

Form 990-EZ Other Assets Statement

Description Beg. of Year End of Year


Other Depreciable Assets - Book Value 3931 13507
Total to Form 990-EZ, line 24 3931. 13507

9350713 758985 SAVE50 8 Statement(s) 1, 2


060 SAVE A LIFE FOUNDATION, INC. 18616924
SAVt; A LIFE FOUNDATION, INC. 36-3869459

Form 990-EZ Occupancy, Rent, Utilities and Maintenance Statement

Description
Amount
Depreciation/Amortization
Other Expenses 2731.
11039.
Total to Form 990-EZ, line 14
13770.

Form 990-EZ Part IV - List of Officers, Directors, Statement


Trustees and Key Employees

Average Employee
Hours Compen- Ben Plan Expense
Name and Address Title per Week sation Contrib Acct
CAROL SPIZZIRRI - 17479 W. PRESIDENT 100
DARTMOOR DR, GRAYSLAKE IL
STEPHEN J. COLE - 17377 W.
DARTMOOR DR, GRAYSLAKE IL
DONNA SIEGFRIED - 1121
SPRING LAKE DR, ITASCA, IL
ADAM ZAKROCZYMSKI - 384 9
SWANSON CT, GURNEE, IL
0. 0. 0.
*ALPH SHENEFELT - 76 N.
PARKSIDE AVE, GLEN ELLYN,
IL
0. 0. 0.

>orm 990-EZ Statement of Organization's Primary Exempt Purpose Statement 6


Part III

.'xplanation

•ROMOTE EDUCATION & CONTINUING EDUCATION IN CPR & FIRST AID NATIONALLY,

chedule A Statement of Lobbying Activities - Part VI-B Statement

£ £ £ » iS ™" E AID G S A CPR N "W,n»«'« T H A T P


°"^- FIREFIGHTERS AND BE

10
J350713 758985 SAVE50 «^„ Statement(s) 4, 5. 6, 7
060 SAVE A LIFE FOUNDATION, INC. 18616924
Form 4562 Depreciation and Amortization
(Including Information on Listed Property) 990 -EZ
0MB No. 1615-0172

Ocpa'lmeni ol the Treasury


Internal Revenue Service ISSI ► Attach this form to your return.
1994
Attachment
Nanelt) snona on return Sequence No. 6 7
Identifying number

SAVE A LIFE FOUNDATION, INC. 36-3869459


Busineis 01 activity lo which this form relates ~~

Form 990-EZ Page 1


I j f l j l l A c t i o n To Expense Cettain Tangible Properly (Section 179) (Notc:H you have any "listed Property," complete Part V belore vou complete Part ,)
1 Maximum dollar limitation (U an enterprise Jone business, see instructions.)
$17.500
2 Total cost ol section 179 property placed in service during the tax year
3 Threshold cost of section 179 property before reduction in limitation
$200,000
4 Reduction in limitation. Subtract line 3 from line 2. H zero or less, enter - 0 -
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter - 0 - . (If married filing
separately, see instructions.)
la) Description ol property ft) COM (c) fleeced coil

7 Listed property. Enter amount from line 26


8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7
9 Tentative deduction. Enter the smaller of line 5 or line 8
10 Carryover of disallowed deduction from 1993
10
11 Taxable income limitation. Enter the smaller of taxable income (not less than jero) or line 5 11
12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12
13 Carryover of disallowed deduction to 1995. Add lines 9 and 10. less line 12 ► 13
Note: Do not use Part II or Part III below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers, or property used for
entertainment, recreation, or amusement). Instead, use Part V for listed property. !»»periy useo lor

■ I f f T i l l l MACRS Depreciation For Assets Placed in Service ONLY During Yout 1994 Tax Year IDo Not Include Listed Propertyl
lb) Month and
(il Classification ol properly yeir pieced (c) Basis lot depreciation Id) Recovery
(Business/investment use only) period le] Convention II) Method (gl Depreciation deduction
in stl«ict

Section A • General Depreciation System (GPS)


14 a 3-year property
b 5-year property
c 7-year property
12307 7 Yrs. HY FOOD! 1759
d 10-year property
e 15-year property
f 20-year property

g Residential rental property 27.5 yrs. MM S/L


27.5 yrs. MM S/L
h iMonresidential real property MM S/L
MM S/L
Section B - Alternative Depreciation System (ADS)
15 a Class life
S/L
b 12-year
12 yrs. S/L
c 40-year
40 yrs. MM S/L
m i H U Other Depreciation (Do Not Include Listed Property)
16 G0S and AOS deductions for assets placed in service in tax years beginning before 1994 16 548
17 Property subject to section 168(f)(1) election
17
18 ACRS and other depreciation
18
lifoif I J s..n,mjry ~ —~
19 Listed property. Enter amount from line 25
19
20 Total. Add deductions on line 12, lines 14 and 15 in column (g), and lines 16 through 19. Enter here
and on the appropriate lines of your return. (Partnerships and S corporations - see instructions) 20 2307.
21 For assets shown above and placed in service during the current year, enter the portion of I
the basis attributable to section 263A costs 21
S430 For Paperwork Reduction Act Notice, see page 1 of the separate instructions.
BZvl Form 4562 (1994)
-U-94 11
9350713 758985 SAVE50 060 SAVE A LIFE FOUNDATION, INC 18616924
r-ormiaiu t m o
Page 2
i m X i
' *Vc£uoVXmTm™?n"- C,
'Uin °'he' VehiC
'"- Cri
""» Teleph<
"'"- Ce
"ai" C
° " " " " « " - ■■« P "»P"ty Used for EntertainmJt,

£.% aft'factSBrsr^Scri asaj 8 ^ ra,eor deducn,i9eiaseexpense- com',ei ,e °ni> *»• "»•«*—«•-■—^ u. (


Section A: - Depreciation
r
• and
— - Other
—■■■» Information
w..n«»iun (Caution:
iv.«uuun; See
a e e instructions
instructions for
l o r l.mitauons
limit for automobiles.)
22a Do you have evidence to support the business/investment use claimed? I I Yes I I No
22b II "Yes." is the evidence written? L I Yes I I No
(al le) Basis for
(bl Date Business/ (dl depreciation Ifl (it
Type of property <gl (hi
placed in investment Cost or (business/ Recovery Method / Elected
(list vehicles first) investment Depreciation
service use percentage other basis period Convention section 179
use only) deduction
cost
23 Property used more than 5 0 % in a qualified business use:

%
24 Properly used 60% or less in a qualified business use:

S/L
S/L
S/L
S/L
25 Add amounts in column (h). Enter the total here and on line 19, page 1
25
26 Add amounts in column d). Enter the total here and on line 7. page 1
26
Section B - Information Regarding Use of Vehicles - If you deduct expenses for vehicles:
• Always complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person
. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section
for those vehicles.
(al lb) (cl (dl (e) (fl
27 Total business/investment miles driven during the Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle
year (DO NOT include commuting miles)
28 Total commuting miles driven during the year
29 Total other personal (noncommuting) miles driven
30 Total miles driven during the year.
Add lines 27 through 29
Yes No Yes No Yes No Yes No Yes No Yes No
31 Was the vehicle available for personal use
during off-duty hours?
32 Was the vehicle used primarily by a more
than 5% owner or related person?
33 Is another vehicle available for personal
use?
Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B. Note: Section B must always
be completed for vehicles used by sole proprietors, partners, or other more than 5% owners or related persons.

Yes No
34 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your
employees?
35 0o you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? (See instructions for vehicles used by corporate officers, directors, or 1 % or more owners.)
36 Oo you treat all use of vehicles by employees as personal use?
37 Do you provide more than five vehicles to your employees and retain the information received from your employees
concerning the use of the vehicles?
38 Do you meet the requirements concerning qualified automobile demonstration use?
■ . u ! - " " V°Uf a"SWef'" 34
' "• 36
' 37
' or 3 B is
"Yes/' y o u n e e d no1 c o n
"" e l e Sec,ion B
<°r " « " v « e d vehicles
I r f T i M l Am 0 r ii„tion ~ '
(bl Date
(•I Otscription ol cons imoilililion (c) Araoiti/tbl* Id) Cote (el Amortiittign
ptiiod or III Atnadizttion
atnounl stcli'on
piictnl»9« lor (hit y e n
39 Amortitation of costs that begins during your 1994 tax year:

40 Amortisation of costs that began before 1994


40 424
41 Total. Enter here and on "Other Deductions" or "Other Expenses" line of your return
41 424
I2J2
21-94
12
5350713 758985 SAVE50 060 SAVE A LIFE FOUNDATION, INC 18616924
Return of Organization Exempt From Income Tax OMB Mo 1S4S-0CM7

Form 990 Under section 501 (c) ol the Internal Revenue Code (except black lung benefit trust or
1995
Department ol the Treasury private Inundation) or section 4947(a)(1) noneiempl charitable trust
This Form Is Open
Internal Revenue Service Note: The organization may have to use a copy ol this return to satisfy state reporting requirements. to Public Inspection
A For the 1995 calendar year. OR tax year period beginning ,1995. and ending ,19
g Chock it
C Name of organization D Employer identification number
90 Please
OS"" use IRS
label or
oddresft
print or [SAVE A L I F E FOUNDATION, INC. 36-3869459
□ Initial
return
type-
Number and street (or P.O. box if mail is not delivered to street address) Room/suite E State registration number


Jn
Final
return
See
Specific
Amended Instruc'
return lions.
17479 W. DARTMOOR DR.
City, town, or post office, state, and ZIP code
01026498
(rtawedttse F Check ► C D if exemption
bSsc
rtfioftno
IGRAYSLAKE, I L 60030 application is pending
6 Type of organization G O Exempt under 501(c) ( 3 )A (insert number) OR ►! 1 section 4947(a)(1) nonexempt chartitable trust
Note: Section 501 (c)(3) exempt organliations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 990)
H(a) Is this a group return filed for affiliates? I I Yes l"X I Ha If either box in H is checked *Yes,* enter four-digit group
(b) If *Yes.' enter the number of affiliates for which this exemption number (GEN) ►
return is filed: ► 1 Accounting method: I X I Cash I 1 Accrual
□ Yes I S NO
f C) tt Uira a separate return Hied by an omanteallon covered by a croup ruling? Other (specify) ►
K Check here ► C D if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but
if it received a Form 990 Package in the mail, it should file a return without financial data. Some states require a complete return.
Note: Form 990-EZ may be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year.
ranirStatement of Revenue, Expenses, and Changes in Net Assets
Contributions, gifts, grants, and similar amounts received:
a Direct public support la 110,761
b Indirect public support 1b
c Government contributions (grants) 1c
d Total (add lines 1 a through 1 c) (attach schedule of contributors) S T M T 1 STMT 2
(cash$ 4 2 , 9 1 1 . noncashS 67,850 ) 1d 110,761,
2 Program service revenue including government fees and contracts (from Part VII, line 93)
3 Membership dues and assessments 1,410.
4 Interest on savings and temporary cash investments
5 Dividends and interest from securities
6 a Gross rents 6a
b Less: rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe ►
8 a Gross amount from sale of assets other (A) Securities (B) Other
than inventory 8a
b Less: cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gain or (loss) (combine line 8c, columns (A) and (8)) 8d
Special events and activities (attach schedule):
Gross revenue (not including $ of contributions
reported on line 1a)
b Less: direct expenses other than fundraising expenses 9b
c Net income or (loss) from special events (subtract line 9b from line 9a) 9c
10 a Gross sales of inventory, less returns and allowances 10a 14
b Less: cost ol goods sold 10b 14
c Gross profit or (loss) from sales of inventor/ (attach schedule) (subtract line 10b from line 10a) STMT .3 10c
11 Other revenue (from Part VII. line 103) 11
12 Total revenue (add lines 1d. 2.3.4.5.6c. 7.8d. 9c. 10c. and I D 12 112,171
13 Program services (from line 44,column (B)) 13 62,445
8 14 Management and general (from line 44, column (Q)
c 14 14,711
& 15 Fundraising (from line 44. column (D)) 15 33,318
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44. column (AH 17 110,474
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 1,697
to 19 Net assets at beginning of year (from line 73. column (A)) 19 <14,574
20 Other changes in net assets (attach explanation) SEE STATEMENT 4 20 <7^_24 3
21 Net assets at end of year (combine lines 16.19. and 20) 21 <20,120
LHA For Paperwork Reduction Act Notice, see page 1 of the separate Instructions. Form 990 (1995)
S23O01
01-03-96
Form 990 (1995)
SAVE A LIFE FOUNDATION, INC. 36-39604^9 Page2
■ti»»lll Statement of AH organizations must complete column (A). Columns (B). (C). and (0) are required for section 501(c)(3) and
I K I U I I Functional E x p e n s e s (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.
Do not include amounts reported on line (B) Program (C) Management
6b. 8b, 9b. 10b. or 16 of Part I. (A) Total services and general (D) Fundraising
22 Grants and allocations (attach schedule)
cash S noneash $ 22 / ' ' '
23 Specific assistance to individuals (attach schedule) 23
24 Benefits paid to or for membe rs (attach schodult) 24

2 5 Compensation of office's, directors. etc. 25 0. 0. 0. 0.


26 Other salaries and wages 26
27 Pension plan contributions 27
26 Other employee benefits 28
29 Payroll taxes 29 ,
30 Professional fundraising fees. 30 ^■^S." \ .W Vi V f Wft W * * f «■ \ %
* s •.

31 Accounting fees 31
32 Legalfees 32 150. 150.
33 Supplies 33 1,618. 1,618.
34 Telephone 34 3,788. 3,788.
35 Postage and shipping 35 778. 778.
36 Occupancy 36 1,200. 1,200.
37 Equipment rental and maintenance 37 3,650. 3,650.
38 Printing and publications 38 9,293. 9,293.
39 Travel 39 8,005. 8,005.
40 Conferences, conventions, and meetings 40 1,773. 1,773.
41 Interest 41
42 Depreciation, depletion, etc. (attach schedule) 42 3,935. 3,935.
43 Cither expenses (itemize):
a 43a
b 13b
c 43c
d 13d
e SEE STATEMENT 5 tI3e 76,284. 33,255. 9,711. 33,318.
44 Total functional expenses (add lines 22 through 43)
Organizations completing columns (B>(D), cony these
totals to lines 13-15 44 110,474. 62,445. 14,711. 33,318.
Reporting of Joint Costs. - Did you report in column (B) (Program services) any joint costs from a combined educational campaign and
fundraising solicitation? ► I I yes Q T | No
If •Yes." enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program
services $ ; (iii) the amount allocated to Management and general $ ;and
r
rv) the amount
frv) amo allocated lo Fundraising $ .
Statement of Program Service Accomplishments
What is the organization's primary exempt purpose? ► S E E S T A T E M E N T 6 Program Service
Ail organiiotions must describe their exempt purpose achievements. State the number of cflenls served, publications Issued, etc. Oiscuss achievements
Expenses
(Required tor 501(c)(3) and
that are not nwasurabla. (Section 501(c)(3) and (4) organliationa and 4947(a)(1) nonexempt charitable busts must also enter the amount ol grants and (4) ergs., and 4947(a)(1)
allocations to others.) trusts; but optional far others.)

a SEE STATEMENT 7

(Grants and allocations $ 62,445

(Grants and allocations S

(Grants and allocations S

(Grants and allocations $


e Other program services (attach schedule) (Grants and allocations $
f Total of Program Service Expenses (should equal line 44. column (B). Program services) 62,445
523011
1?-»7.9S
Form 990(1995) SAVE A LIFE FOUNDATION, INC. 36-3869459 Paoea
Balance Sheets
Note: Wiiere required, attached schedules and amounts within the description column should be (A) (B)
for end-of-year amounts only. Beginning of year End of year

45 Cash - non-interest-bearing 830 * 45 1,096.


46 Savings and temporary cash investments 46

47 a Accounts receivable
b Less: allowance for doubtful accounts
47a
47b
I
48 a Pledges receivable
b Less: allowance for doubtful accounts
48a
48b
i
49 Grants receivable 49
SO Receivables due fiom officers, directors, trustees, and key employees (attach
schedule) 50
J3
« 51 a Other notes and loans receivable 51a 111;
1 52
b Less: allowance for doubtful accounts
Inventories for sale or use
Sib 51c

53 Prepaid expenses and deferred charges 53


54 Investments - securities (attach schedule) 54
55 a Investments - land, buildings, and
equipment: basis 55a
b Less: accumulated depreciation (attach "*:>:v::'

schedule) 55b
56 Investments - other (attach schedule) 56
57a 17,406.
57 a
b
Land, buildings, and equipment: basis .
Less: accumulated depreciation S T A T E M E N T 8 57b 1 7,091. 13,507. ii! 10,315.
58 Other assets (describe ► D E S I G N A T E D CASH 57e
1 8,477.

59 Total assets (add lines 45 through 58) (must equal line 74) .. 1 4 , 3 3 7 . 59 19,888.
60 Accounts payable and accrued expenses 60
61 Grants payable 61
8 62 Deferred revenue
jg*
63 Loans from officers, directors, trustees, and key employees 28,911. 63 40,008.
JS 64 a Tax-exempt bond liabilities 64 a
b Mortgages and other notes payable 64b
65 Other liabilities (describe ► ) 65

66 Total liabilities (add lines 60 throuoh 65) 28,911. 66 40,008.

0
c
Organizations that follow SFAS 117, check here ►

67
69 and lines 73 and 74
Unrestricted
L K J and complete lines 67 through

< 1 4 , 5 7 4 . : "67 <20,120.>
a 68 Temporarily restricted 0. 0.
& 69 Permanently restricted 0 . 64 0.
■v
c Organizations that do not follow SFAS 117, check here ► I I and complete lines
a
L. 70 through 74
0
70 Capital stock, trust principal, or current funds 70
• 71 Paid-in or capital surplus, or land, bldg., and equipment fund 71
<in 72 Retained earnings, accumulated income, endowment, or other funds 72
Z
o

_L
73

r
4
Tnlal net assets or fund balancess (add lines 67 through 69 OR lines)r 0 through 72;
column (A) must equal line 19 and column (B) must equal line 21) ...
Total liabilities and net assets/fund balances (add lines 66 and 73) r
<14,574.>
1 4 , 3 3 7 . 1 74
w <20,120.>
19,888.

S23021
12-27-95
Form 990 (1995) SAVE A LIFE FOUNDATION. INC
Part IV-A Reconciliation of Revenue per Audited 36-3869459 Page 4
Part IV-B Reconciliation of Expenses per Audited
Financial Statements with Revenue per Financial Statements With Expenses per
Return Return
a Total revenue, gains, and other support
a Total expenses and losses per
per audited financial statements "NTA" audited financial statements "N7A~
b Amounts included on line a but not on b Amounts included on line a but not on
line 12, Form 990: line 17. Form 990:
(1) Net unrealized gains (1) Donated services
on investments $ and use of facilities $
(2) Donated services (2) Prior year adjustments
and use of facilities $ reported on line 20,
(3) Recoveries of prior Form 990 L
yeargrants $ (3) Losses reported on
(4) Other (specify): line 20. Form 990
(4) Other (specify):

Add amounts on lines (1) through (4)


Add amounts on lines (1) through (4) >
Line a minus line b e Line a minus line b ►
Amounts included on line 12, Form d Amounts included on line 17, Form
990 but not on line a: 990 but not on line a:
(1) Investment expenses Investment expenses
not included on (1)
not included on
line 6b, Form 990 line 6b. Form 990 $
(2) Other (specify): Other (specify):
(2)

Add amounts on lines (1) and (2) . Add amounts on lines (1) and (2)
Total revenue per line 12. Form 990 Total expenses per line 17, Form 990
(line c plus line d) (line c plus tine d)
X List of Officers, Directors, Trustees, and Key Employees (Ust each one even if not compensated.)
(B) Title and average hours (C) Compensation (D)ContnDutiom to
employee benefit
(E) Expense
(A) Name and address per week devoted to (If not paid, enter plant 1 deferred account and
position other allowances
CAROL S P I Z Z I R R I PRESIDENT
1 7 4 7 9 W. DARTMOOR DR, GRAYSLAKE, I L 100 0. 0. 8,000.
STEPHEN J . COLE TREASURER
1 7 3 7 7 W. DARTMOOR DR, GRAYSLAKE, I L O. 0. 0.
SANDY ENGBER SECRETARY
1 7 5 9 3 W. DARTMOOR DR, GRAYSLAKE, I L 0. 0. 0.
LEE JUNGKANS VICE PRES.
8 3 2 0 W. BLUE MOUND AVE, WAUWATOSA, WI O. 0. 0.

Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100.000 from your
organization and all related organizations, of which more than $10,000 was provided by the related organizations? ► C D Yes QG No
If "Yes," attach schedule (see instructions).

623031
12-27-95
Form990(1995) SAVE A LIFE FOUNDATION, INC. 36-3869459 Pages
f iftjyil Other Information
Yes N o
76 Did the organization engage in any activity not previously reported to the IRS? II •Yes.* attach a detailed description of each activity 76
77 Were any changes made in the organizing or governing documents, but not reported to IRS?
77
II "Yes," attach a conformed copy of the changes.
78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78a
b If "Yes," has it filed a tax return on Form 990T, Exempt Organization Business Income Tax Return, for this year? .N/A. 78li
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year?
79
it'Yes," attach a statement;
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies, trustees, officers, etc.,to any otherexempt or nonexempt organization? 80a
b If "Yes," enter the name of the organization ►
and check whether it is L3 exempt OR □ nonexempt.
81 a Enter the amount of political expenditures, direct or indirect, as described in the
instructions for line 81 | gj3 |
b Did the organization file Form 1120-P0L. U.S. Income Tax Return for Certain Political Organizations, for this year? 81b
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than
fair rental value? 82a X
b If •Yes.* you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an
expense in Part II. (See instructions for reporting In Part III) | Mb I 13,000. %.-.
83 a Did the organization comply with the public Inspection requirements for returns and exemption applications? 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b
84 a Did the organization solicit any contributions or gifts (hit were not tax deductible? 84a
b If *Yes.' did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? N/A
84b
65 Section 501(c)(4). (5). or (6) organizations. - a Were substantially ail dues nondeductible by members? ...N/A 65a
Did the organization make only in-house lobbying expenditures of $2,000 or less? N/A 85b
If "Yes" to either 85a or 85b do not complete 65c through 85h below unless the organization received a waiver for proxy tax owed
lor the prior year.
Oues, assessments, and similar amounts from members 85c N/A
Section 162(e) lobbying and political expenditures 65d N/A
Aggregate nondeductible amount of section 6033(e)(1 )(A) dues notices 85e WA­
Taxable amount of lobbying and political expenditures (line 85d less B5e) 851 N/A
g Does the organization elect to pay the section 6033(e) tax on the amount in 851? .7ZZZZZI N/A
85o
h II section 6033(e)(1)(A) dues notice were sent, does the organization agree to add the amount in 851 to its reasonable estimate of dues
allocable to nondeductible lobbying and political expenditures for the following tax year? N/A 85h
86 Section 501 (c)(7) organizations. - Enter:
a Initiation fees and capital contributions included on line 12 66a N/A
b Gross receipts, included on line 12. for public use of club facilities 86b "N7A"
87 a Section 501 (c)(12) organizations. - Enter: Gross income from members or shareholders 87a WA"
b Gross income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87b N/A
At any time during the year, did the organization own a 50% or greater interest In a taxable corporation or partnership?
If ■Yes.* complete Part IX
86
89 Public interest law firms. - Attach information described in the instructions.
90 List the states with which a copy of this return is filed ► I L L I N O I S
91 The books are in care of ►CAROL SPIZZIRRI Telephone no. ► 8 4 7 - 5 4 9 - 7 3 5 3
Located at ► J / 7 4 7 9 W. DARTMOOR D R . , GRAYSLAKE, I L ZIP Code ^ 6 0 0 3 0
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041. U.S. Income Tax Return for Estates and Trusts, check here
and enter the amount of tax-exempt interest received or accrued during the tax year **» I gz I N/A
► □

823041
M-27-9S
Form990(1995) FOUNDATION,
SAVE A LIFE INC. 3 6 -- 3 8 6 9 4 5 9 Page6
|*£ i|2{J| Analysis of Income-Producing Activities
Enter gross amounts unless otherwise Unrelated business income Excluded by section 512. 513, or SI 4 rci
(B) (C) (D) Related or exempt
indicated. Exclu­
Business Amount sion Amount
93 Program service revenue: code code
function income

(al
fbl
10
(dl
(el
(1)
(g)Fees and contracts from government agencies
94 Membership dues and assessments 1,410.
95 Interest on savings and temporary
cash investments
96 Dividends and interest from securities
97 Net rental income or (loss) from real estate: -
(a) debt-financed property
(b)nol debt-financed property
98 Net rental income or (loss) from personal property
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue:
a
b
c
d
e
104 Subtotal (add columns (B).(D). and (E)) ■M§MM 0. 0. 1,410.
105 TOTAL (add line 104, columns (B), (D), and (E)) 1,410.
Note: (Line 105 plus line I d . Part I. should equal the amount on line 12. Part I.)
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
exempt purposes (other than by providing funds for such purposes).
94
r MEMBERSHIP DUES - CORPORATE AND INDIVIDUALS

I n f o r m a t i o n R e g a r d n g T a x a b l e S u b s i d i a r i e s (Complete this Part If the "res' box on BB Is checked.)


Name, address, and employer identification Percentage of End-of-year
Nature of business activities Total income
number of corporation or partnership ownership interest assets
~N7A"
%

Under penalties or perjury, I declare that I have examined this relum, including accompanying schedules and statement*, and to the best ol my knowtedgs and twtief, it is true.
correct, and complete. Declaration ol preparer (outer than officer) is based on all information of which prapsror has any knowledge.
Please
Sign
Here Signature of officer Date Title
Date Check if Preparer's social security no.
Preparer's ^
self- . .
Paid signature r employed ► I I
Preparer*; Firms name (or yours COLE, MARTIN & C O . , L T D . E.I. NO. ►
Use Only if self-employed) L 7 3 0 1 N . LINCOLN A V E , S T E . 140
and address ZIPcode ► 60646
623161
LINCOLNWOOD, ILLINOIS
1227 95
SCHEDULE A
(Form 990) Organization Exempt Under 501(c)(3) CMBNo 1S45-0O47

(Except Private Foundation), and Section 501 (e). 501 (I), 501 (k). or Section 4947(a)(l)
Nonexempl Charitable Trust
Department or lha Treasury
Internal Revenue Servica
Supplementary Information
► Must be completed by the above organization! and attached to their Form 990 (or Form 99QE2)
1995
Name of the organization
Employer identification number
_ „ SAVE A LIFE FOUNDATION, INC. J366:j
3a fiQdSQ
3869459
| M U Compensation of the Five Highest Paid Employees Other Than Offtcers, Directors, a n d Trustees
(See instructions.) (List each one. If there are none, enter •Wone • irusiees
(a) Name and address of each employee paid (b) Title and average hours
(c) Compensation i remptoyoo
e barteM (e)Expense
. joni/ibuttons to
more than $50,000 per week devoted to account and other
position
hss
componmion

| COI
allowances

Total number of other employees paid


over $50,000
liMUl Compensation of the Five Highest Paid Independent Contractors for Professional ServTceT
free instructions.) gist each one fwhelher individuals or firms) fit there are none enrer-Nnn. •»
(a) Name and address of each independent contractor paid more than $50,000
(b) Type of service (c) Compensation

NONE

Total number of others receiving over


$50.000 for professional services . -;r
LHA
For Paperwork Reduction Act Notice, see page 1 ol the Instructions to Form 990 (or Form 990-E2).
Schedule A (Form 990) 1995
623101
12-19-99
Schedule A (Form 990) 1995 SAVE A L I F E FOUNDATION, INC.
3 6 - 3 8 6 ,9459 Page 2
Statement About Activities
Yes No
During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public
opinion on a legislative matter or referendum?
If "Yes.* enter the total expenses paid or incurred in connection with the lobbying activites. ► $

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A. Other
organizations checking Yes." must complete Part Vl-B AND attach a statement giving a detailed description of
the lobbying activities.
! During the year, has the oganization. either directly or indirectly, engaged in any of the following acts with any of its trustees directors
officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary: ft
a Sale, exchange, or leasing of property? 3r
2a X
b Lending of money or other extension of credit?
2b X
c Furnishing of goods, services, or facilities?
2c X
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)?
2d X
e Transfer of any part of its income or assets?
2e X
If the answer to any question is Yes." attach a detailed statement explaining the transactions.
3 Does the organization make grants for sch olarships. fellowships, student loans, etc.?
3 X
4 Attach a statement explaining how the organization determines that individuals or organizations receiving grants or loans from it in
y j£mu2nCe 0t 't5 Cha"tal)le Df0Qrams oualiftf "> receive payments. /See instructions.)
IrTiirl Reason for Non-Private Foundation Status (See instructions for definitions i
The organization is not a private foundation because it is (please check only ONE applicable box):
5 D A church, convention of churches, or association of churches. Section I70(b)(1 )(A)(i).
6
a A school. Section 170(b)(1 )(A)(ii). (Also complete Part V, page 4.)
7
□ A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).
6
□ A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).
9
□ A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospital's name city
and state ► ^ ^ _ _ ^ _ _ '
10
An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)fA)(iv)
(Also complete the Support Schedule In Part IV-A.)
11a □ An organization that normally receives a substantial part ot Its support from a governmental unit or from the general public
Section i70(b)(1)(A)(vl). (Also complete the Support Schedule In Part IV-A.)
11b
12
□ A community trust. Section i70(b)(l)(A)(vi). (Also complete the Support Schedule In Part IV-A)
EH An organization that normaily receives: (a) no more than 331/3% of Its support from gross Investment income and unrelated business taxable
income less section 511 tax) from businesses acquired by the organization after June 30.1975. and (b) more than 331/3% of its support from
contributes, membership fees, and gross receipts from activities related to its charitable, etc.. functions - subject to certain exceptions
See section 509(a)(2). (Also complete the Support Schedule In Part IV-A.)

13
□ An organization that is not controiled by any disqualified persons (other than foundation managers) and supports organizations described in-
_ .
(11
;
hies

5 through
;
12 above;■ -or ■-.
(2) section 501fc)f4,. a\. nr ,6V if they meet the test of section 509ra)/2,. « M m m - 509(a)(3))
.-..^... . w „ ». iv,,. ii t .i B y nisei UIB IB
lOWinO information annul trip simnnrlort n«,»nh,ii...... / e „ . ! . . . _ . - . : ?l°n*i- l J " >emuii 3U»(a||j).)
Provide the following information about the supported organizations. (See instructions 'on paoe 4.1 . . ~

(a) Name(s) of supported organization^) (b) Line number


from above

14 □ An organization organized and operated to test for public safety. Section 509(a)(4). (See Instructions on page 4.)

623111
12-1996
Schedule A (Form 990) 1995 SAVE A L I F E FOUNDATION, INC. 36-3869459 Pages
Support Schedule (Complete only if you checked a box on lines 1 0 , 1 1 , or 12 above.) Use cash m e t h o d of accounting.
Note: You may use the worksheet in the instructions tor converting from the accrual to the cash method of accounting.
Calendar year (or fiscal year
beginning In) (a) 1994 (b) 1993 (c) 1992 (d) 1991 (e) Total
"J 5 Oitta. grants, and contributions received.
(Do not include unusual grants. S n
tint 88.) 93,405. 7,199. 100,604.
16 Membership fees received 2,875. 2,875.
17 Gross receipts from admissions,
merchandise sold or services
performed, or furnishing of facilities
in any activity that is not a business
unrelated to the organization's
charitable, etc.. purpose
18 Gross income from interest.
dividends, amounts received from
payments on securities loans (sec­
tion 512(a)(5)). rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30,1975
19 Net income from unrelated business
activities not included in fine 18
20 Ta> revenues levied lor the organization's
benefit and diner paid to it or upended
on Its behalf

21 The value of services or facilities


furnished to the organization by a
governmental unit without charge.
Do not include the value of services
or facilities generally furnished to
the public without charge
22 Outer Income. Attach a schedule. Oe not
include gain orfloss)from sole of capital
assets
23 Total of lines 15 through 22 96,280. 7,199. 0. 0. 103,479.
24 Line 23 minus line 17 96,280 7,199. 103,479
25 Enter 1 % of line 23 963. 72.
26 Organizations described In lines 10 or 11 :i Enter 2% of amount in column (e), line 24 ► 26a N/A
Attach a list (which is not open to public inspection) showing the name of and amount contributed by each person (other than a >'-
''■?'N
governmental unit or publicly supported organization) whose total gifts for 1991 through 1994 exceeded the amount shown
in line 26a. Enter the sum of all these excess amounts > 26b N/A

c Total support for section 509(a)(1) test: Enter line 24, column (e) .► 26c N/A
d Add: Amounts from column (e) for lines: 18 _ | 19 J _ • MVVASW
22 J 26b X > 26d N/A
e Public support (line 26c minus line 26d total) > 26e ~N7A"
f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) N/A
► 261
27 Organlialtons described on line 12: a For amounts included in lines 15.16, and 17 that were received from a "disqualified person.'atlach a list to show the name
of. and total amountsjecieved in each year from each 'disqualified person,' Enter the sum of such amounts for each year.
0994) P..-.. (1993) 0 . . . (1992) 0 . . . (1991) 0...
For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount received for each year.
that was more than theiargerof (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11. as weft as
individuals.) After computing the difference between the amount received and the larger amount decribed in (1) or (2). enter the sum of these differences (the
excess amounts) for each year:
099«) P./!. (1993) 0.,. (1992) Q.... (1991) 0...

Add: Amounts from column (e) for lines: 15 | _ 100,604. 16 L 2,875.


17 | 20 $_ 21 $ _ ► 27c 103,479.
Add:Line27atotal $ 0 . and tine 27b total $_ 0_. ► 27d 0.
Public support (lines 27c. total minus line 27d total) ► 27e 103,479.
Total support for section 509(a)(2) test: Enter amount on line 23. column (e) 27! I S 103,479.
Public support percentage (line 27e (numerator) divided by line 27f, (denominator)) 27g_ 100%
h Investment income percentage (line 18 column (e) (numerator) divided by line 27f (denominator)! ► 27h .0000%
28 Unusual Qrants: For an organization described in line 10.11. or 12. that received any unusual grants during 1991 through 1994. attach a list (which is not open to
public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a brief description of the nature of the orantOo not include
these grants in line 15. (See instructions.)
(23121
■ NONE
01-06-96
Schedule A (Form 990) 1995 SAVE A LIFE FOUNDATION, INC. 36-3869459 Page 4
Private School Questionnaire
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing Yes No
instrument, or in a resolution of its governing body?
30 29
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues.
and other written communications with the public dealing with student admissions, programs, and scholarships?
30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves?
31
II "Yes; please describe; if •No.*please explain. (If you need more space, attach a separate statement.)

'">?

32 Ooes the organization maintain the following:


Records indicating the racial composition of the student body, faculty, and administrative staff?
32a
Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis?
32b
Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student
admissions, programs.and scholarships?
32c
Copies of all material used by the organization or on its behalf to solicit contributions?
32d
If you answered W t o any of the above, please explain. (If you need more space, attach a separate 'statement!)

33 Does the organization discriminate by race in any way with respect to:
a Students' rights or privileges?
33a
b Admissions policies?
c Employment of faculty or administrative staff?
33b
33c
d Scholarships or other financial assistance?
33d
e Educational policies?
f Use of facilities?
33e
33f
9 Athletic programs?
33a
h Other extracurricular activities?
33h
If you answered •Yes' to any of the above, please explain. (If you need more space, attach a separate statement!)

34 a Does the organization receive any financial aid or assistance from a governmental agency?
34a
b Has the organization's right to such aid ever been revoked or suspended? 34b
if you answered Yes' to either 34a or b, please explain using an attached statement.
35 Does the organization certify lhat it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50
1975-2 C.B. 587. covering racial nondiscrimination? If 'Mo.' attach an explanation
35

8*3131
12-19 95
Schedule A (Form 990) 1995 SAVE A L I F E FOUNDATION/ INC. 36-3869459 PT<
Part Vl-A Lobbying Expenditures by Electing Public Charities
(To be completed ONLY by an eligible organization that filed Form 5768)
N/A
Check here ► a 0 If the organization belongs to an affiliated group.
Check here ► b I — I If you checked "a* above and 'limited contror provisions apply.

Limits on Lobbying Expenditures (a)


Affiliated group totals To be completed for ALL
(The term 'expenditures' means amounts paid or incurred) electing organizations
WA"
36 Tolal lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Tolal lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount. Enter the amount from the following table •
II the amount on line 40 is -
Not over SSOO.000
The lobbying nontaxable amount Is •
20*4 of tno tmount on lino 40
m
^ ^ 5
'-$
-$,-

OverJ500.00OtiuInotowS1.O0O.000 $100,000 p l j i 15K ol Out oxosu ovw $500,000

Cw$1,000,00Obutrtotovw$1,S00,000 (175,000 pint I OK or tho w c « u ovw $1,000,000 41


O»«$1.506,000butnotoverS17,000,00O $22S.Oobphi§ 5M or the oxcau ovw $1,500,000

Over $17,000,000 $1,000,000

42 Grassroots nontaxable amount (enter 25% of line 41) 42


43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44

Caution: if there is an amount on either line 43 or line 44. file Form 4720.

4-Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501 (h) election do not have to complete an of the five columns
below. See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4-Year Averaging Period


N/A
Calendar year (or (a) (c)
1
(d) (e)
fiscal year beginning In) 1995 1994 1993 1992 Total
45 Lobbying nontaxable
amount
46 Lobbying ceiling amount
o.
(150% of line 45(e)) AT «v,1 0.
47 Total lobbying
expenditures .
0.
48 Grassroots nontaxable
amount
0.
49 Grassroots ceiling amount
(150% of line 48(e))
0.
50 Grassroots lobbying
expenditures
0.
Part Vl-B Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A)
N/A
During the year, did the organization attempt to Influence national, state or local legislation, including any attempt to
influence public opinion on a legislative matter or referendum, through the use of: Yes No Amount
a Volunteers
b Paid staff or management (include compensation in expenses reported on lines c through h)
c Media advertisements
d Mailings to members, legislators, or (he public
e Publications or published or broadcast statements
I Grants to other organizations for lobbying purposes
g Direct contact with legislators, their staffs, government officials, or a legislative body
h "allies, demonstrations, seminars, conventions, speeches, lectures, or any other means
I Total lobbying expenditures (add lines c through h)
0.
If 'Yes' to any of the above, also attach a statement giving a detailed description of the■ Vobbyino activities!
(23141
12-19-SS
Sc^uleA(Form990)i995 SAVE A LIFE FOUNDATION, INC. 36-3869459
Page 6
IJEHSUI Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, rebting to political organizations?
Transfers from the reporting organization to a noncharitable exempt organization of:
Yes No
(I) Cash
51a(i) X
(ii) Other assets
a(ii) X
Other transactions:
(I) Sales of assets to a noncharitable exempt organization b(i) X
(fi) Purchases of assets from a noncharitable exempt organization X
mil)
(iii) Rental of facilities or equipment b(lii) X
(Iv) Reimbursement arrangements T b(h>)
7~r
X
(v) Loans or loan guarantees b(v) X
(vi) Performance of services or membership or fundraising solicitations
b(vi) X
Sharing of facilities, equipment, mailing Bsts, other assets, or paid employees c X
If the answer to any of Uie above is -Yes; complete the following schedule. Column (b) should always indicate thei fair market: value of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any
transaction or sharing arrangement, indicate In column (d) the value of the poods, other assets, or services received. N/A
(a) (b) (c)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is the organization directly or indirectly affiliated with, or related to. one or more tax-exempt organizations described in section 501(c) of the
Code (other than section 501(c)(3)) or in section 527? \—] Y
6S LXlNo
b If 'Yes.' complete the following schedule. N/A —
(a) (b)
Name of organization Type of organization Description of relationship

823151
12-19-95
Depreciation and Amortization Detail
FORM 990 PAGE 2 990
Asset Description of property

Number Dale
placed Method/ Life Line Cost or
IRC sec. or rate No. Basis Accumulated
in service other basis reduction Current year
depreciation/amortization deduction
ORGANIZATION COSTS
JJWiiP 60M 41 2,120. 530. 424.
OFFICE EQUIPMENT
12,31,93|200DB|7.00 117 2,236.
OFFICE EQUIPMENT 86777 391.
i|06,30,94|2QODB|7.00 TT 12,307.
OFFICE EQUIPMENT 1,759 3,014
ii106,30,95|200DB|7.00 |l5CT 743
** TOTAL 990" PAGE 2 DEPRECIATION & AMORTIZATION 106.
17,406. 3,156. 3,935.

J L
J L
J L

«• Current year section 179 (D) - Asset disposed


SAVE A LIFE FOUNDATION, INC. 36-3869459

FORM 990 INCOME AND COST OF GOODS SOLD STATEMENT 3


INCLUDED ON PART I, LINE 10

INCOME
1. GROSS RECEIPTS 14
2. RETURNS AND ALLOWANCES
3. LINE 1 LESS LINE 2 14
4. COST OF GOODS SOLD (LINE 15) 14
5. GROSS PROFIT (LINE 3 LESS LINE 4)
COST OF GOODS SOLD
8. INVENTORY AT BEGINNING OF YEAR
9. MERCHANDISE PURCHASED 14
10. COST OF LABOR
11. MATERIALS AND SUPPLIES
12. OTHER COSTS
13. ADD LINES 8 THROUGH 12 14
14. INVENTORY AT END OF YEAR
15. COST OF GOODS SOLD (LINE 13 LESS LINE 14). . 14

STATEMENT(S) 3
SAVE A LIFE FOUNDATION, INC.
36-3869459

FORM 990 OTHER CHANGES IN NET ASSETS OR FUND BALANCES STATEMENT 4

DESCRIPTION
AMOUNT
1994 FINANCIAL STATEMENTS RESTATED FOR ADDITIONAL TRAVEL
EXPENSES
<7,243.>
TOTAL TO FORM 990, PART I, LINE 20
<7,243.>

FORM 990 OTHER EXPENSES STATEMENT

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


PROGRAM MANAGEMENT
DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING
BANK CHARGES 318. 318
DUES & SUBSCRIPTIONS 461. 461.
MANAGEMENT FEE 8,000. 8,000.
NEWSLETTER 343. 343.
OFFICE EXPENSE 382. 382.
OTHER TAXES 155. 155.
MISCELLANEOUS 84. 84.
PROMOTION 20,172. 20,172.
RAFFLE PRIZES &
AWARDS 21,300. 21,300.
VIDEOS 12,740. 12,740.
FOOD 12,018. 12,018.
INSURANCE 311. 311.
rOTAL TO FM 990, LN 43 76,284. 33,255 9,711. 33,318,

^ORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT


PART III

IXPLANATION

•0 PROMOTE EDUCATION AND CONTINUING EDUCATION IN CPR AND FIRST AID


ATIONALLY.

STATEMENT(S) 4, 5, 6
SAVE A LIFE FOUNDATION, INC.
36-3869459

FORM 990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT 7

STATEMENT

TO PROMOTE EDUCATION & CONTINUING EDUCATION IN CPR & FIRST


AID NATIONALLY. TO PROMOTE, CONSISTENCY, UNIFORMITY &
SAFETY IN THE APPLICATION OF FIRST AID & CPR. TO ASSURE
THAT THE BEST PROCEDURES AND HIGHEST QUALITY MATERIALS ARE
USED AND ARE ACCESSIBLE. TO PROMOTE GOOD SAMARITAN LAWS

GRANTS EXPENSES
TO FORM 990, PART III, LINE A
62,445

FORM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 8

COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
ORGANIZATION COSTS 2,120. 954. 1,166.
OFFICE EQUIPMENT 2,236. 1,258. 978.
OFFICE EQUIPMENT 12,307. 4,773. 7,534.
OFFICE EQUIPMENT 743. 106. 637.
TOTAL TO FORM 990, PART IV, LINE 57 17,406 7,091 10,315.

STATEMENT(S) 7, 8
foim 4562 Depreciation and Amortization
(Including Information on Listed Property)
OMB No 1545-017J

Department of the Treasury


Internal Revenue Service (99) ►• Attach this farm to your return. 990 1995
Attachment
Namefc) shown on return Sequence No 6 7
Business or activity to which this torn reuiu
Identifying number

SAVE A LIFE FOUNDATION, INC. FORM 990 PAGE 2


l 1 E Tn CertanTan9 e Pfoperty (secl n 179) (Note: vfl have antf,Lis,ed PMm c 36-3869459
™ "*I"T ?.""" ' "" "' "" ° " »- v * 1* ^ = ~ , > wwr3fI
1 Maximum dollar limitation (If an enterprise 2one business, see instructions.) ' ^~ 1 7J,i 5 0 0 ,
2 Total cost of section 179 property placed in service durinp. the tax year
3 Threshold cost of section 179 property before reduction in limitation
$200.000
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing
separately. see instructions
(a) Description or property
(b)Co»l (c) Elected cost

:v ^ ?<f-\

_.
7 Listed property. Enter amount from line 27
6 Total elected cost ol section 179 property. Add amounts in column (c), lines 6 and 7
9 Tentative deduction. Enter the smaller of line 5 or line 8
10 Carryover of disallowed deduction from 1994
10
11 Taxable income limitation. Enter the smaller of taxable income (not less than zero) or line 5
11
12 Section 179 expense deduction. Add lines 9 and 10. but do not enter more than line 11
12
13 Carryover of disallowed deduction to 1996. Add lines 9 and 10. less line 12 ► !""»"

o „ 0 , ! f ; l 0 l 0 i , U Srecreation,
entertainment,
e P a
1 " o r or
Part
' " b e l 0 w .!°f Instead,
amusement).
,is ,ed p r o p e r t y
. use Part ( » V« 'for
« ™listed
l * « . property.
« t a i n other vehicles, cellular telephones, certain
. « " computers
• tuwuuwi*.ormproperty
propenyused
useoforror

k i f l i l l l MACRS Depreciation For Assets Placed In Service ONLY During Your 1995 Tax Year (Do Not Include Listed Property)
— Section A • General Asset Account Election
14 II you are making the election under section 168(i)(4) to group any assets placed in service during the tax year into one or more general asset accounts
check this box. See instructions
(a) CltssiicaHon of property
(b) Month and
yew pieced (c) Basis (or depredation (d) Recovery
>□
(Business/Investment use only) period I (e) Convention (Q Method (gl Depreciation deduction
in service

' ^ -.s
15 a 3-year property
•* * f \f v.
b 5-year property f

c 7-year property -> 'V *,, ', 743. 7 YRS. HY 200DB 106.
d 10-year property
e 15-year property s> \^
f 20-year property ' ' ' V

g Residential rental property


/ 27.5 yrs. MM S/l
1 27.5 yrs. MM S/L
h Nonresidential real property [
1 MM S/L
1 . MM S/L I
Section C -Alternative Peprecialion System (ADS) (See instructions)
16 a Class life
S/L
b 12-year
12 yrs. S/L
c 40-year
40 yrs. MM S/L
l i f l j l l i l Other Depreciation (Do Wot Include Listed Properly)
17 GOS and ADS deductions for assets placed In service in tax years beginning before 1995
17 3,405.
18 Property subject to section 168(f)(1) election
18
19 ACRS and olher depreciation
I J S f f H U Summary ^ ^ ^ ^ 19

20 Listed property. Enter amount from line 26


20
21 Total. Add deductions on line 12. lines 15 and 16 in column (g). and lines 17 through 20. Enter here
and on the appropriate lines of your return. Partnerships and S corporations - see instructions
22 For assets shown above and placed in service during the current year, enter the portion of f
21 3,511.
the basis attributable to section 263A costs |
22
LHA For Paperwork Reduction Act Notice, see page 1 ol the separate Instructions.
Form 4562 (1995)
Form 4562 (1995)
Page
Entertainment, Recreation, or Amusement -
mi,ea0e
^flf^Xl^SWg™ 'a,e" d8dUC,in°lease expense c o m
' »le,e m
» « * ■ ™- " ' " " i n s (a, through (c) of
Section A • Depreciation and Other Information (Caution: See instructions for limitations for automobiles.)
23a op you h av e evidence to support the business/investment use claimed? I I Yat I I Hn 23b If "Yes: is the evidence written? | | yPt | [
(a) it) (e) Basis, for No
(b) Date (d) 0) (9)
Type of property placed in Business/ depreciation (h) (•)
Cost or .(business/ Recovery Method/ Depreciation Elected
(list vehicles first) service investment other basis investment
use percentage period Convention deduction section 179
use only)
24 Property used more than 50% in a qualified business use: cost

%
%
%
25 Property used 50% or less in a qualified business use
% S/L-
sn.<
S/L-
% S/L-
26 Add amounts in column (h). Enter the total here and on line 20. page 1
27 Add amounts in column (i). Enter the total here and on line 7. page 1 1
Section B • Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner ■ or related person
II you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.

(a) (b) (c) (d) (B)


28 Total business/investment miles driven during the (')
Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle
year (DO NOT include commuting miles)
29 Total commuting miles driven during the year
30 Total other personal (noncommuting) miles driven
3' Total miles driven during the year.
Add lines 28 through 30
Yes No Yes No Yes No Yes
32 No Yes No Yes No
Was the vehicle available for personal use
during off-duty hours?
33
Was the vehicle used primarily by a more
than 5% owner or related person?
34 is another vehicle available for personal
use? ..
Section C • Questions tor Employers Who Provide Vehicles for Use by Their Employees
Answer these quest.ons to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related
persons ■

Yes No
3S DO you maintain a written policy statement that prohibits all personal use of vehicles, including commuting by your
employees?
36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting by your
employees? (See instructions for vehicles used by corporate officers, directors, or 1% or more owners.)
37
Do you treat all use of vehicles by employees as personal use?
38
Do you provide more than five vehicles to your employees, obtain information from your employees about
the use of the vehicles, and retain the information received?
39
Do you meet the requirements concerning qualified automobile demonstration use?
rJs&t^ZninZn > 0 3 5 ' 3 6 ' 3 7 ' 3 8 ' " " " " " nWi> 0tCOm MBg
" ° ^'"Mtt"«"^''^''''*''
(a) (b)
Description of costs <0 (d) (e) M
fOileiinortaion Amoftfnbt* Coda
topics amount Amoffottoei Amortluliafl
soction (of mil y«w
40 Amortization of cosls that begins during your 1995 tax year:

Amortization of costs that began before 1995


3MB No 1S4S-0047
Return of Organization Exempt From Income Tax
Form 990 Under section 501 (c) ol the Internal Revenue Code (except black lung benefit trust or
private foundation) or section 4947(a)(1) nonexempt charitable trust
1996
Department ol Ihe Treasury This Form Is Open
Internal Revenue Service Note: The organization may have to use a copy of this return to satisfy state reporting requirements. to Public Inspection
A For the 1996 calendar year, OR tax year period beginning , 1996. and ending .19
D Chech If: C Name of organ iiation O Employer identification number
□°L Change Please
use IRS
address label or
SAVE A L I F E FOUNDATION, INC. 36-3869459
print or

□□
Initial
return
Final
return
type.
See
Specific
Number and street (or P.O. box if mail is not delivered to street address)
17479 W. DARTMOOR DR.
Room/suite E State registration number
01-026,498
□ A m e n d e d Instruc­
return tions. City, town, or post office, state, and ZIP code F Check if exemption
[teoHtdiso
SRAYSLAKE, I L 60030 application is pending
G Type of«>
icpo
organization - ► Q D Exempt under 501(c) ( 3 )<4 (insert number) OR ► □ section 4947(a)(l) nonexempt chartitable trust
Note: Section S01 (c)(3) exempt ornanlzatlons and 4947(a)(1) nonexemptcharitable trusts M U S T attach a completed Schedule A (Form 090).
H(a) is this a group return filed for affiliates? C U Yes Q O No I If either box in H Is checked "Yes,* enter four-digit group
(b) If "Yes.* enter the number of affiliates for which this exemption number (GEN) ► _
return is filed: ► J Accounting method: I X I Cash I I Accrual
( t ) Is Iha a separate return Bled ay i n organiiilion covered by a group ruling? □ Yes [ E H No □ Other (specify) ►
X Check here ► I I if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but
if it received a Form 990 Packaoe in Ihe mail, it should file a return without financial data. Some states require a complete return.
No e: Form 9S0-EZ may be used bv organizations with Ofoss receiots less than $100,000 and total assets less than $250,000 at end of year.
oH I U 1
Revenue, Expenses, a n d Changes in Net Assets or Fund Balances
Contributions, gifts, grants, and similar amounts received:
a Direct public support 1a 37,566.
b Indirect public support 1b
c Government contributions (grants! 1c
d Total (add.lines 1a through 1c) (attach schedule of contributors) S T M T 1 :■ ■■

(cash$ 1 8 , 1 3 4 . noncash$ 1 9 , 4 3 2 . ) id 37,566.


2 Program service revenue Including government fees and contracts (from Part VII, line 93)
3 Membership dues and assessments 3 1,527.
4 Interest on savings and temporary cash investments 4
5 Dividends and interest from secu rities ;■■'.
5
6 a Gross rents 6a
b Less: rental expenses 6b
c Net rental income or (loss) (subtract line 6b Irom line (ia)
a
c 7 Other investment income (describe ► ) 7
0
> 8 a Gross amount from sale of assets other (A) Securities (B) Other
--'«•■ r'.'
a than inventory 8a
b Less: cost or other basis and sales expenses 8b ':'■ ■-. ~

c Gain or (loss) (attach schedule) 8c


d Net gain or (loss) (combine line 8c, columns (A) and (I ))
9 Special events and activities (attach schedule):
a Gross revenue (not including $ of contributions :<:': :'■•■■'.

reported on line la) . . . . 9a


b Less: direct expenses other than fundraising expenses 9b
c Net income or (loss) from special events (subtract line 3b from line 9a) . . 9c
* • * . : ' ■ •

10 a Gross sales of inventory, less returns and allowances 10a


rj Less: cost of aoods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 1Oa) 10c
11 Other revenue (from Part VII, line 103)
12 Total revenue (add lines Id. 2.3.4.5.6c. 7. 8d. 9c. 10c. and 11) 39,093.
13 Program services (from line 44, column (B)) 33,938.
in 14 Management and general (from line 44, column (C)) 18,474.
c 15 Fundraising (from line 44, column (0)) . 2,025.
K
Ul 16 Payments to affiliates (attach schedule)
17 Total expenses (add lines 16 and 44. column (A)) 54,437.
1B Excess or (deficit) for the year (subtract line 17 from line 12) <15,344.>
«f 19 Net assets at beginning of yea r (from line 73, column (AI) <20,120.>
0.
H 20 .
21
Other changes in net assets (attach explanation)
Net assets or fund balances at end of year (combine lines IB, 19. and 20) -21 .
20
<35,464.>
LHA For Paperwork Reduction Act Notice, see page 1 ol the separate Instructions. Form 990 (1996)
B230O1 2
12-1396
OORflS SAVE50 070 SAVE A L I F E FOUNDATION, I N C . SAVE50 1
form 990 099*) SAVE A LIFE FOUNDATION. INC. 36-3869459 Page2
TEEfflW Statement of
Functional Expenses
All organizations must complete column (A). Columns (B). (C). and (0) are required toi section 501(c)(3) and
(4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.
Oo not include amounts reported on line (B) Program
6b. Bb, 9b, 10b. or 16 of Part I. (A) Total (C) Management
services and general (0) Fundraising
22 Grants and allocations (attach schedule)
caah $ noncash $ 22
23 Specific assistance to individuals (attach schedule) 23
24 Benefits paid to or for members (attach schedule) 24
25 Compensation of officers, directors, etc. 25 0.
26 Other salaries and wages 26
27 Pension plan contributions 27
28 Other employee benefits 28
29 Payroll taxes 29
30 Professional tundraising fees 30
31 Accounting fees 31
32 Legalfees 32 1,150 1,150
33 Supplies 33
34 Telephone 34 3,619. 2,171 1,448.
35 Postage and shipping 35 1,954 1,954
36 Occupancy 36 1,200. 1,200
37 Equipment rental and maintenance 37
38 Printing and publications 38 4,620 4,620
39 Travel 39 10,549. 6,329. 4,220
40 Conferences, conventions, and meetings 40 3,372 3,372
41 Interest 41
42 Depreciation, depletion, etc. (attach schedule) 42 5,277. 4,853 424
43 Other expenses (itemize):
a 43a
b 43b
c 43c
d 43d
B SEE STATEMENT 2 43el 22,696. 10,639. 10,032 2,025.
44 Total functional axpenae* (taa line. 22 through 43)
Organization. completing columns (B)-(D), cany the**
total* lo line. 13-18 44 I 54,437. 33,938. 18,474. 2,025.
Reporting ol Joint Costs. • Did you report in column (B) (Program services) any Joint costs from a combined educational campaign and
fundraising solicitation? ► □ Yes 1X1 No
11 *Yes.' enter (I) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $
[the amount allocated lo Management and general $ and (iv) the amount allocated to Fundraising $
Statement of Program Service Accomplishments
What is the organization's primary exempt purpose? ► S E E STATEMENT 3
Program Service
Expenses
vi orBanlMllon. mu.iao.o1B. their exempt purpote echievemenl. Stato Iho number of client, aerved, publication. issued, etc Olscun achievements that am not (Required lor 501(4(3) and
waiurable. (Suction 80110(3) tntf (4) organHallona «na 4947(a)(1) nonaxempt charllabl* Iruits mutt al.o enter the amount ol grant, ana allocation, to other.) |4) org... and 4947(e)(1)
Iru.ta; but optional for other.)
a SEE STATEMENT 4 '

(Grants and allocations $ 33,938.

(Grants and allocations S

(Grants and allocations $

(Grants and allocations S


i Other program services (attach schedule) (Grants and allocations $
Total ol Program Service Expenses (should equal line 14. column (8). Program services)
1L
101 33,938,
13-96
nprm savKsn 070 SAVE A LIFE FOUNDATION, INC. SAVE50 1
Form990(1996) SAVE A L I F E FOUNDATION, INC. 36-3869459 Page3
Balance Sheets
Note: Where required, attached schedules and amounts within the description column should be (A) (B)
for end-of-year amounts only. Beginning of year End of year

45 Cash - non-interest-bearing 1,096 • 45 7,167.


46 Savings and temporary cash investments 46

47 a Accounts receivable 47a


b Less: allowance tor doubtful accounts 47b 47e

48 a Pledges receivable 48a


b Less: allowance for doubtful accounts 48b 48c
49 Grants receivable 49
SO Receivables from officers, directors, trustees, and key employees (attach
schedule) SO
Z 51 a Other notes and loans receivable 51a
a 52
b Less: allowance for doubtful accounts
Inventories for sale or use
51b sic
52
53 Prepaid expenses and deferred charges 53
54 Investments - securities (attach schedule) 54
55 a Investments - land, buildings, and
equipment: basis SSa
b Less: accumulated depreciation (attach
schedule) 55b 55c
56 Investments - other .. 56
57 a Land, buildings, and equipment: basis 57a 28,606.
b Less: accumulated depreciation STMT 5 57b 12,367. 10,315. 57c 16,239.
58 Other assets (describe ► D E S I G N A T E D C J\SH ) 8,477. 58 0.

59 Total assets (add lines 45 through 58) (must equal line 74) . . 19,888. 59 23,406.
60 Accounts payable and accrued expenses 60
61 Grants payable 61
8 62 Deferred revenue 62
•* 63 Loans from officers, directors, trustees, and key employees 40,008. 63 58,870.
.3 64 a Tax-exempt bond liabilities 64a
b Mortgages and other notes payable 64b
65 Other liabilities (describe ► ) 65

65 Total liabilities (add lines 60 throuah 65) 40,008. fiB 58,870.


Organlzatloni thai follow SFAS 117, check here ► I X I and complete lines 67 through
69 and lines 73 and 74
v>
ti 67 Unrestricted < 2 0 , 1 2 0 . = ►67 <35,464.>
u
c
a 66 Temporarily restricted 0 . 66 0.
3
•o
69 Permanently restricted 0 . 69 0.
c Organliallons that do not lollow SFAS 117, check here ► I I and complete lines
3
u. 70 through 74
•> 70 Capital stock, trust principal, or current funds
0 70

<
1 71
72
Paid-in or capital surplus, or land, building, and equipment fund
Retained earnings, endowment, accumulated Income, or other ftmds ....
71
72
« JZ Total net assets or fund balances (add lines 67 through 69 OR ines 70 through 72;
z column (A) must equal line 19 and column (B) must equal line 2 D < 2 0 , 1 2 0 . > 73 <35,464.>
''4 Total liabilities and net assets / lund balances (add tin es66< ind 73) 1 9 , 8 8 8 . 1 74 23,406.

13021
J-13-86
mom; cavern 070 SftVE a T.TFF. FOUNDATION. TNC. SAVE50 1
Form 990 (1996) SAVE A LIFE FOUNDATION, INC. 36-3869459 Page 4
Part IV-A Reconciliation of Revenue per Audited R e c o n c i l i a t i o n of E x p e n s e s p e r A u d i t e d
Financial Statements with Revenue per Financial Statements With Expenses per
Return Return
a Total revenue, gains, and other support a Total expenses and losses per
per audited linancial statements ~N7A~ audited financial statements "N7A
b Amounts included on line a but not on
bAmounts included on line a but not on line 17. Form 990:
line 12, Form 990:
(1) Donated services
(1) Net unrealized gains and use of facilities... $
on investments $ (2) Prior year adjustments
(2) Donated services reported on line 20,
and use ol facilities $ Form 990 $
0) Recoveries of prior (3) Losses reported on
yeargrants $ line 20, Form 990 ..$
(«) Other (specify): (4) Other (specify):

Add amounts on lines (1) through (4) ► Add amounts on lines (1) through (4) ►
e Line a minus line b ► c Line a minus line b ►
d Amounts included on line 12, Form d Amounts included on line 17, Form
990 but not on line a: 990 but not on line a:
(l) Investment expenses (D Investment expenses
not included on not included on
line 6b. Form 990 $. line 6b, Form 990 ..$_
|2) Other (specify): (2) Other (specify):

Add amounts on lines (1) and (2) I Add amounts on lines (1) and (2)
e Total revenue per line 12. Form 990 Total expenses per line 17, Form 990
(line c plus line d) ^ Ie (line c plus line d)
m-*nmm List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated)
(B) Title and average hours (C) Compensation (D)Contributiont to (E) Expense
(A) Name and address per week devoted to employes>benefit
benefit
(II not paid, enter pltnt&defMTSd
JelefToc account and
position eornaeneatton other allowances
CAROL SPIZZIRRI PRESIDENT

174 79 W. DARTMOOR PR, GRAYSLAKE, IL 100 0. 0. 7,864


STEPHEN J . COLE TREASURER

17377 W. DARTMOOR PR, GRAYSLAKE, IL O. 0.


SANDY ENGBER SECRETARY

17593 W. DARTMOOR PR, GRAYSLAKE, IL 0. 0. 0.


LEE JUNGKANS ~" VICE PRES.

3320 W. BLUE MOUNP AVE, WAUWATOSA, WI 0. 0. 0.

Oid any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related
organisations, of which more than $10.000 was provided by the related organizations? It 'Yes: attach schedule. ► C H Yes Q T ] No
Form 990(1996} SAVE A L I F E FOUNDATION, INC 36-3869459 Page 5
Other Information Yes No
76 Oid the organization engage in any activity not previously reported to the IRS? It "Yes," attach a detailed description of each activity 76
77 Were any changes made in the organizing or governing documents but not reported to IfiS? 77
If "Yes." attach a conformed copy of the changes.
7Ba Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78a
b If "Yes," has it filed a tax return on Form 990-T for this year? N/A 78b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? 79
If "Yes," attach a statement;
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? 80a
If "Yes," enter the name of the organization ►
and check whether it is | I exempt OR I I nonexempt.
81 a Enter the amount of political expenditures, direct or indirect, as described in the
instructions for line 81 I 61 a I 0 <
b Did the organization file Form 1120-POL for this year? 81b
62 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than
fair rental value? 82a
b If "Yes," you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an
expense in Part II. (See instructions for reporting in Part III) I 82b I 3 ,OOP
83 a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b
84 a Did the organization solicit any contributions or gifts that were not tax deductible? 84a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? N / A 84b
85 501(c)(4), (5), or (6) organizations, -a Were substantially all dues nondeductible by members? N/A.. 85a
b Did the organization make only in-house lobbying expenditures of $2,000 or less? N / A B5b
if "Yes" to either 85a oi 85b, do not complete 65c through 85h below unless the organization received a waiver for proxy tax owed
for the prior year.
c Dues, assessments, and similar amounts from members 85c N/A
d Section 162(e) lobbying and political expenditures 85d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices B5e N/A
I Taxable amount of lobbying and political expenditures (line 85d less 85e) . 851 "NTA"
g Does the organization elect to pay the section 6033(e) tax on the amount in 851? NTA" 85q
h If section 6033(e)(1 )(A) dues notice were sent, does the organization agree to add the amount in 851 to its reasonable estimate of dues
ailocable to nondeductible lobbying and political expenditures for the following tax year? N/A_ B5h
501(c)(7) organizations. - Enter:
a Initiation fees and capital contributions included on line 12 86a N/A
b Gross receipts, included on line 12, for public use of club facilities 86b "NTA"
87 501(c)(12) organizations. -Enter: a Gross income from members or shareholders 87a NTA
b Gross income from other sources. (Oo not net amounts due or paid to other sources
against amounts due or received from them.) 87b N/A
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership?
If "Yes," complete Part IX 88
89 a 501(c)(3) organizations. - Enter: Amount of tax paid during the year under:
section4911 ► 0 ^ ; s e c t i o n 4912 ► 0 ^ ; s e c t i o n 4955 ► 0.
b 501(c)(3) and 501(c)(4) organizations. - Oid the organization engage in any section 4958 excess benefit
transaction during the year? If "Yes," attach a statement explaining each transaction 89b
c Enter: Amount of tax paid by the organization managers or disqualified persons during the year under
section 4958 ► 0_
t Enter: Amount of tax in 89c, above, reimbursed by the organization 0,
90 list the states with which a copy of this return Is filed ► I L L I N O I S

II The books are in care of ► CAROL SPIZZIRRI Telephoneoo> 8 4 7 - 5 4 9 - 7 3 5 3

Located at ► 1 7 4 79 W. DARTMOOR D R . , GRAYSLAKE, IL Zip +4 ► 6 0 0 3 0

Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in' lieu of Form 1041.- Check here ► □
and enter the amount of tax-exempt interest received or accrued during the lax year 92 N/A

?3041
1-1396
inarm RAVES0 070 SAVE A LIFE FOUNDATION, INC SAVE50 1
'orm 990 (1996) SAVE A LIFE FOUNDATION, INC 36-3869459 Page 6
lyijeVill Analysis of Income-Producing Activities
Unrelated business income Excluded by section SI?, 513. Q' 514
Enter gross amounts unless otherwise (E)
IB) (C) (0) Related or exempt
indicated o '*'
Business Exclu­
Amount sion Amount function income
93 Program service revenue: code code

(a)
(b)
(e)
W
(e)
(f)
(g) Fees and contracts from government agencies
94 Membership dues and assessments 1,527.
95 Interest on savings and temporary
cash investments
96 Oividends and interest from securities
97 Net rental income or (loss) Irom real estate:
(a)debt-financed property
(b) not debt-financed property
98 Net rental income or (loss) Irom personal property
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue:
a
b
c
d _ _ _
e
104 Subtotal (add columns (fl).(D), and (E)) O. 1,527.
105 TOTAL (add line 104. columns (B), (0). and (E)) 1,527.
Hole: (Line 105 plus line 1d. Part I. should equal the amount on line 12. Part I.)
pjSBMIII Relationship of Activities to the Accomplishment of Exempt Purposes
Line No Explain how each activity for which income is reported in column (E) of Part VII contributed Importantly to the accomplishment of the organization's
T exempt purposes (other than by providing funds for such purposes),
94 MEMBERSHIP DUES - CORPORATE AND INDIVIDUALS

IJJHIKI Information Regard ng Taxable Subsidiaries (Complete this Part HlneTes" box on 86 Is checked.)
Name, address, and employer identification Percentage of End-of-year
Nature of business activities Total income
number of corporation or partnership ownership interest assets
N/A
%
%
ja
Under penalties ol penury, I deeltrs that I havo examined this retum. Including accompanying schedules and statements, and to the best ol my knowledge and betlel. It Is true.
correct, and compielo Declaration of prepamr (other than officer) is based on all information ol which preparer has any knowledge
Please
Sign
Here Signature of officer Date W Type or print name and title
Date Check if Preparer's SSN
Preparer's ^ self-
Paid signature r employed ► o
Preparer's Firm's name (or yours MARTIN, & C O . , LTD.
COLE , EIN
it self-employed) ^ 7 3 0 1 N . LINCOLN A V E . , 140
Use Only

673161
and address ►i
LINCOLNWOOD, I L ZIP+ 4 60646
1M3-96 8
/ i n an i c A\7c«;n 070 RRVK A T.TFF. FOUNDATION, INC. SAVE50 1
OMBNo 1S45-C047
SCHEDULEA Organization Exempt Under 501(c)(3)
(Form 990) (Except Private Foundation), and Section 501(e), 501(0.501(h). 501(n) or Section 4947(a)(1)

Department ot the Treasury


Nonexempt Charitable Trust
Supplementary Information 1996
Intemai Revenue Service
► Must be completed by the above organiialions and attached to their Form 990 (or Form 990EZ).
Employer identification number
Name of the organization
SAVE A LIFE FOUNDATION, INC. 36 3 8 6 9 4 5 9
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
|0) Contributions to (e) Expense
(b) Title and average hours employee Benefit
(a) Name and address ot each employee paid per week devoted to ,c, Compensation pt«m & dofemad account and other
more than $50,000 position compensation allowances

NONE __

Total number of other employees paid


0
Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions.) (List each one (whether Individuals orfirms.) (If there are none, ente "None.'))
(b) Type of service (c) Compensation
(a) Name and address of each independent contractor paid more than $50,000

NONE

Total number of others receiving over


$50,000 for professional services
LHA For Paperwork Reduction Act Notice, see page 1 ol the Instructions to Form 990 (or Form 990-EZ) Schedule A (Form 990) 1996
823101
IJ 16-96
c nwir«;n nm .QM/P ft T.TFF. FOUNDATION. INC. SAVE50 1
.Schedule A (Form 990) 1996 SAVE A LIFE FOUNDATION, INC. 36-3869459 PageZ
Statement About Activities Yes No
During I tie year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public
opinion on a legislative matter or referendum?
If "Yes,* enter the total expenses paid or incurred in connection with the lobbying activites. ► $
Organizations that made an election under section 501(h) by tiling Form 5768 must complete Part Vl-A. Other
organizations checking 'Yes." must complete Part Vl-B ANO attach a statement giving a detailed description of
the lobbying activities.
2 During the year, has the oganization. either directly or indirectly, engaged in any of the following acts with any of its trustees, directors.
officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary:
a Sale, exchange, or leasing of property? 2a

b Lending of money or other extension of credit? 2b

c Furnishing of goods, services, or facilities? . 2c

d Payment of compensation (or payment or reimbursement ol expenses if more than $1.000)? 2d

e Transfer of any part of its income or assets? 2e


If the answer to any question is "Yes." attach a detailed statement explaining the transactions.
3 Does the organization make grants for scholarships, fellowships, student loans, etc.?
4 Attach a statement explaining how the organization determines that individuals or organizations receiving grants or loans from ft in
furtherance of its charitable programs Qualify to receive payments. (See instructions.)
fjEiMEM Reason for Non-Private Foundation Status (See instructions.)
The organization is not a private foundation because it is (please check only ONE applicable box):
5 □ A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i)
6 □ A school. Section I70(b)(l )(A)(ii). (Also complete Part V, page 4.)
7 □ A hospital or a cooperative hospital service organization. Section l70(b)(l)(A)(iii).
8 □ A Federal, state, or local government or governmental unit. Section I70(b)(l )(A)(v).
9 □ A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hospllal's name, city,
and slate ►
10 □ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule in Part IV-A.)
11a □ An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(l)(A)(vi). (Also complete the Support Schedule in Part IV-A)
11b □ A community trust. Section 170(b)(1 )(A)(vi). (Also complete the Support Schedule in Part IV-A.)
12 (3An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30.1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)

13 □ An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in:
(1) lines 5 through 12 above: or (2) section 501(c)(4). (5). or 161. if they meet the test of section 509(a)(2). (See section 509(a)(3).)
Provide the following information about the supported organizations. (See instructions on page 4 )
(b) Line number
(a) Namefs) of supported organizational from above

14 | J An organization organized and operated to lest for public safety. Section 509(a)(4). (See instructions on page 4.]

Z3111
Z-16-96 10
Rnvpsn 070 RAVE A T.TFK FOUNDATION. TNC SAVE50 1
Schedule A (Form 990) 1996 SAVE A LIFE FOUNDATION, INC. 36-3869459 Pages
Support Schedule (Complete only if you checked a box on lines 1 0 . 1 1 . or 12 above.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year
beginning In) (a) 1995 (b) 1994 (c) 1993 (d) 1992 (e) Total
1Q Gifts, grants, and contributions received.
(Do nol include unusual grants See
line 28) 110,761 93,405. 7,199 211,365
16 Membership fees received 1,410 2,875 4,285
17 Gross receipts from admissions,
merchandise sold or services
performed, or furnishing of facilities
in any activity that is not a business
unrelated to the organization's
charitable, etc., purpose
18 Gross income from interest.
dividends, amounts received from
payments on securities loans (sec
lion 512(a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30.1975
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied lot trie organization's
benefit and either paid to it or expended
on Its behalf ,

21 The value of services or facilities


furnished to the organization by a
governmental unit without charge.
Oo not include the value of services
or facilities generally furnished to
the public without charge
22 Other Income. Attach a schedule Oo not
Include gain or (loss) from sale ol capital
assets

23 Total of lines 15 through 22 112,171 96,280. 7^199. 215,650,


24 Line 23 minus fine 17 112,171. 96,280. ^199. 215,650.
25 Enter 1 % of line 23 1,122. 963. 72.
26 Organizations described in lines 10 or 11:a Enter 2% of amount in column (e), line 24 ► 26a "N7A"
b Attach a list (which is not open to public inspection) showing the name of and amount contributed by each person (other than a
governmental unit or publicly supported organization) whose total gifts for 1992 through 1995 exceeded the amount shown
in line 26a. Enter the sum of all these excess amounts ► 26b N/A

Total support for section 509(a)(1) test: Enter line 24, column (e) 26c N/A
Add: Amounts from column (e) for lines: 18 J 19 .
22 J 26b 26d N/A
Public support (line 26c minus line 26d total) 26e "NTA"
I Public support percentage (line 26e (numerator) divided by line 26c (denominator)) 261 ~N7A"
27 Organizations described on line 12: a For amounts included in lines 15,16, and 17 that were received from a 'disqualified person,' attach a list to show the name
of. and total amounts received in each year from each 'disqualified person.* Enter the sum of such amounts for each year.
(1995) 0. (igg4) 0 . (1993) Q.... (1992) P •.
b For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount received for each year,
that was more than thelargerof (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11, as well as
individuals.) After computing the difference between the amount received and the larger amount decribed in (1) or (2). enter the sum of these differences (the
excess amounts) tor each year:
(1995) P . . . (1994) 0 . (1993) P..-. (1992) P.-.

c Add: Amounts from column (e) for lines: IS $ 211,365. 16$ 4,285.
17 $ 20 $ 21 $ 27c 215,650.
d Add: Line 27a total $ 0 . and line 27b total $ o. ► 27d 0.
e Public support (line 27c, total minus line 27d total) ► 27e 215,650.
1 Total support for section 509(a)(2) test: Enter amount on line 23. column (e) ► 1 271 f S 215,650.
g Public support percentage (line 27e (numerator] divided by line 27f, (denominator)) ► 27fl 100%
h Investment income percentane (lino 18 column e) (numerator) divided by line 271 (denominator)) ► 27h .0000%
•8 Unusual Grants: For an organization described in line 10.11, or 12, that received any unusual grants during 1992 through 1995, attach a list (which is not open to
public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant.Oo not include
these grants in line 15. (See instructions.) NONF
M121
3-2S-97 11
RBVPSO 070 SAVE A T.TFR FOUNDATTON. INC. SAVE50 1
Schedule A (Form 990) 1996 SAVE A L I F E FOUNDATION, INC
TT 36-3869459 Page 4
Private School Questionnaire
(To be completed ONLY by schools that checked the box on tine 6 in Part IV) N/A

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charier, bylaws, other governing Yes No
instrument, or in a resolution of its governing body? 29
30 Does the organization include a statement ot its racially nondiscriminatory policy toward students in all its brochures, catalogues.
and other written communications with the public dealing with student admissions, programs, and scholarships? 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves? 31
It "Yes." please describe; if "No." please explain. (If you need more space, attach a separate statement.)

32 Does the organization maintain the following:


Records indicating the racial composition of the student body, faculty, and administrative staff?
32a
Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis?
32b
Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student
admissions, programs, and scholarships?
32c
Copies of all material used by the organization or on its behalf to solicit contributions?
32d
If you answered W t o any of the above, please explain. (If you need more space, attach a separate statement.)

33 Does the organization discriminate by race in any way with respect to:
Students'rights or privileges?
33a
Admissions policies?
33b
Employment of faculty or administrative staff?
33c
Scholarships or other financial assistance?
33d
Educational policies?
33e
Use of facilities?
331
g Athletic programs?
33o
h Other extracurricular activities?
33h
If you answered "Yes" to any of the above, please explain. (If you need more space, attach a separate statement.)

M a Does the organization receive any financial aid or assistance from a governmental agency?
34a
b Has the organization's right to such aid ever been revoked or suspended? 34b
If you answered "Yes" to either 34a or b, please explain using an attached statement.
15 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50.
1875-2 C.B. 5B7, covering racial nondlscrlmlnation? It •No." attach an explanation
36

1131
»fr96
12
">nn«;
savR^n 0 70 SAVR A T.TFR FOUNDATION. INC. SAVE50 1
Schedule A (Form 990) 1996 SAVE A LIFE FOUNDATION, INC. 36-3869459
Part Vl-A Lobbying Expenditures by Electing Public Charities
(To be completed ONLY by an eligible organization that tiled Form 5768) N/A
Check here ► a C D II the organization belongs to an affiliated group.
Check here ► b U3 It vou checked "a* above and limited control" provisions apply.
(b)
Limits on Lobbying Expenditures U) To be completed for ALL
Affiliated group totals
electing organizations
(The term "expenditures' means amounts paid or incurred)
N/A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Totalexempt purpose expenditures (add tines 38 and 39) 40
41 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount Is •
Not over $500,000 20M ot the amounl on lino 40

Over $500,000 bul not over 11.000,000 $100.000 pus 1 5 « ol lite excess over $500,000

Over SI ,000,000 but not over Si .£00.000 S17S.000 plus 10H ol the excess over S1,000,000 41
Over SI.SOO.OOO out not over $17,000.030 $225,000 plus 9 W ol the excess over S1.9O0.O0O

OverS17,000,000 $1.000.000

42 Grassroots nontaxable amount (enter 25% of line 41) 42


43 Subtract line 42 from line 36. Enter-0-if line 42 Is more than line 36 43
44 Subtract line 41 fromline 38. Enter -0- if line 41 is more than line 38 44

Caution: if lhare is an amount on either line 43 or line 44. file Form 4720.

4-Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501(h) election do not have to complete all of the five columns
below. See the instructions for lines 45 Ihrough 50.)

Lobbying Expenditures During 4-Year Averaging Period N/A


Calendar year (or (a) (b) (c) «0 (e)
fiscal year beg Inning in) ► 1996 1995 1994 1993 Total

45 Lobbying nontaxable
amount
0.
46 Lobbying ceiling amount
(150% of line 45(e))
0.
47 Total lobbying
expenditures
0.
46 Grassroots nontaxable
amount
0.
49 Grassroots ceiling amount
- > \ • - 0.
(150% of line 48(e))
SD Grassroots lobbying
expenditures
0.
Part Vi-B Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) N/A
During the year, did the organization attempt to influence national, state or local legislation, including any attempt to
Yes No Amount
influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers
b Paid staff or management (include compensation In expenses reported on lines c Ihrough h)
c Media advertisements
d Mailings to members, legislators, or the public
e Publications or published or broadcast statements
I Grants to other organizations for lobbying purposes
g Direct contact with legislators, theirstaffs, government officials, or a legislative body
h Rallies, demonstrations, seminars, conventions, speeches, lectures. or any other means
I Total lobbying expenditures (add lines c through h)
II "Yes' lo any of the above, also attach a statement giving a detailed description of the lobbying activities.

623141
12 16 36 13
f l A n o n e CnVFRO 070 SAVE A LIFE FOUNDATION, INC. SAVE50 1
Schedule A (form 990} 1996 SAVE A L I F E FOUNDATION, INC. 36-3869459 Page 6
I t f l i ' l l l Information Regarding Transfers To and Transactions and Relationships With Noncharitabte
Exempt Organizations
SI Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of: Yes No
(I) Cash Sia(l) X
(II) Other assets a(ii) X
b Other transactions:
(i) Sales of assets to a noncharitable exempt organization b(l) X
(if) Purchases of assets from a noncharitable exempt organization b(ll) X
(Hi) Rental of facilities or equipment b(lll) X
(Iv) Reimbursement arrangements b(lv) X
(») Loans or loan guarantees b(v) X
(vl) Performance of services or membership or fundraising solicitations b(vl) X
e Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d II the answer to any of the above is "Yes," complete the following schedule. Column (b) should always indicate the fair market value of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any
transaction or sharing arrangement, indicate In column (d) the value of the goods, other assets, or services received- N/A
(a) (b) (e) (d)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501 (c) of the
Code (other than section 501(c)(3)) or in section 527? a> | ) Y e s [K] No
b If 'Yes,' complete the following schedule. N/A
(a) (b)
Name of organization Type of organization Description of relationship

S23191
12-16-96 14
inRrm RAVRSn 070 SAVR A T.TFK FOUNDATION. INC. SAVE50 1
SAVE A LIFE FOUNDATION, INC. 36-3869459

^ORM 990 OTHER EXPENSES STATEMENT

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


PROGRAM MANAGEMENT
ASCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING

SANK CHARGES 69. 69.


)UES & SUBSCRIPTIONS 11. 11.
)UTSIDE SERVICES 12,648. 7,589. 5,059.
INSURANCE 1,850. 1,850.
)FFICE EXPENSE 3,035. 3,035.
)THER TAXES 8. 8.
IAFFLE PRIZES &
VWARDS 2,025. 2,025.
iRT WORK AND
SUPPLIES 3,050. 3,050.

?OTAL TO FM 9 9 0 , LN 4 3 22,696. 10,639 10,032 2,025.

'ORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT


PART I I I

IXPLANATION

'O PROMOTE EDUCATION AND CONTINUING EDUCATION IN CPR AND FIRST AID
IATIONALLY.

16 STATEMENT(S) 2 , 3
fiinnfln"; KAVP.SO 070 SAVE A LIFE FOUNDATION, INC. SAVE50_1
SAVE A LIFE FOUNDATION, INC. 36-3869459

ORM 990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT 4

ESCRIPTION OF PROGRAM SERVICE ONE


0 PROMOTE EDUCATION & CONTINUING EDUCATION IN CPR & FIRST
ID NATIONALLY. TO PROMOTE, CONSISTENCY, UNIFORMITY &
AFETY IN THE APPLICATION OF FIRST AID & CPR. TO ASSURE
HAT THE BEST PROCEDURES AND HIGHEST QUALITY MATERIALS ARE
SED AND ARE ACCESSIBLE. TO PROMOTE GOOD SAMARITAN LAWS.

GRANTS EXPENSES
0 FORM 990, PART III, LINE A 33,938.

DRM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 5

COST OR ACCUMULATED
2SCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE

W3ANIZATION COSTS 2,120. 1,378. 742.


?FICE EQUIPMENT 2,236. 1,537. 699.
iTICE EQUIPMENT 12,307. 6,925. 5,382.
•TICE EQUIPMENT 743. 288. 455.
)PIER 8,000. 1,600. 6,400.
)MPUTER 1,500. 300. 1,200.
IINTER 500. 100. 400.
)MPUTER 1,200. 240. 960.

)TAL TO FORM 9 9 0 , PART I V , LN 57 28,606. 12,368. 16,238.

17 STATEMENT(S) 4, 5
"»'"":n A-7CI C7\T7E> A T Tup ETtMKinBTTflM TVJC fi&VFSn 1
Depreciation and Amortization Detail pQRM 990 PAGE 2 990
Description of property

Number Date Method/ Life Line Cost or Basis Accumulated Current year
placed IRC sec. or rate No. other basis reduction depreciation/amortization deduction
in service
: ORGANIZATION COSTS
S 12,31,93 60M 4 1 2,120. 1 954. 424.
i D F F I C E EOUIPMENT
:lljl2,31,93 2 0 0 D B 7 . 0 0 1 7 2,236. 1,25B. 279.
O F F I C E EQUIPMENT
06.30.94200DBI7.00 17 12,307. 4,773. 2,152.
A 3 F F I C E EQUIPMENT
06,30,95 2 0 0 D B I 7 . 0 0 1 7 743. 106. 182.
c COPIER
01|15|96200DB5.00 15B 8,000. 1,600.
6 COMPUTER
|02|15|96200DB5.00 15B 1,500. | 3 0 0 .
7 PRINTER
^|02,15,96200DB5.00 15B 500. 100.
t COMPUTER
p4,15|96200DB5.00 15B 1,200. 240.
* * TOTAL 9 9 0 PAGE 2 DEPRECIATION & AMORTIZATION
28,606. 7,091. 5,277.
1 1 1 '

, , 1

■:.11 , ,

i i

■m . ,

m\ , , i
,:.V V | |

■m . .

i i

iM , ,
ill , ,
%'i i i

N . .
m , , 1
M , , 1 1

m . .
m . . 1 1
m . .
-1 i . l
16261
# - Current year section 179 (0) ■ Asset disposed
1-22-88 18
^nnRnR KAVRSO 070 SAVE A LIFE FOUNDATION, INC. SAVE50 1
OMB No 1545-017?

4562 Depreciation and Amortization


fotm

Department ol he Treasury
Internal Revenue Sen/tec
(Including Information on Listed Property) 990
► Attach this form to your return.
1996
Attachment
Sequence No. 6 7
Nameis) shown on return Business or activity lo which this form relates Identifying number

SAVE A LIFE FOUNDATION, INC. FORM 9 9 0 PAGE 2 36-3869459


Election To Expense Certain Tangible Property (Section 179) (Note: If you have any listed property .'completePart V belore you complete Part I.
1 Maximum dollar limitation. If an enterprise zone business, see instructions 17,500
2 Totalcostof section 179 property placed in service
3 Threshold cost of section 179 property before reduction in limitation $200,000
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter-0-
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing
separately, see instructions
la) Description of properly (e) Cost (Dullness only) (e| Elected cost

7 Listed property. Enter amount from line 27


8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7
9 Tentative deduction. Enter the smaller of line 5 or line 8
10 Carryover of disallowed deduction from 1995 10
11 Business income limitation. Enter the smaller of business income (not less than zero) or line S 11
12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12
13 Carryover of disallowed deduction to 1997. Add lines 9 and 10, less line 12 M 13
Note: Do not use Part II or Part III below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers, or property
used for entertainment, recreation, or amusement). Instead, use Part V for listed property.
U f c m J MACRS Depreciation For Assets Placed In Service ONLY During Your 1996 Tax Year |Do Not Include Listed Property.) ~
Section A - General Asset Account Election
14 If you are making the election under section 168(f)(4) to group any assets placed in service during the tax year into one or more general asset
accounts, check this box. See Instructions ► L J
Section B - General Depreciation System (GPS) (See instructions.)
(b) Month and (c) Basis for depredation
(a) Classification of property year placed (business/investment use (6) Recovery
penod (e) Convention (0 Method (g) Depreciation deduction
In service only - see instructions)

15 a 3-year property
b 5-year property 11,200. 5 YRS. HY 200DB 2,240.
c 7-year property
d 10-year property
e 15-year property
f 20-year property
g 25-year property 25 yrs. S/L
/ 27.5 yrs.
MM S/L
h Residential rental property
/ 27.5 yrs.
MM S/L
/ MM S/L
/ MM S/L
Section C • Alternative Depreciation System (ADS) (See instructions.)
16 a Class life S/L
b 12-year 12 yrs. S/L
c 40-year / 40 yrs. MM S/L
Other Depreciation (Do Not Include Listed Property)
17 GDS and ADS deductions for assets placed In service in tax years beginning before 1996 17 2,613
18 Property subject to section 168(0(1) election 18
19 ACRS and other depreciation 19
■■rsliem Summary
20 Listed property. Enter amount from line 26 20
21 Total. Add deductions on line 12, lines 15 and 16 in column (g), and lines 17 through 20. Enter here
and on the appropriate lines of your return. Partnerships and S corporations - see instructions 21 4,853.
22 For assets shown above and placed in service during the current year, enter the
portion of the basis attributable to section 263A costs . . . . 22 I
LHA For Paperwork Reduction Act Notice, see page 1 of the separate instructions. Form 4562 (1996)
'» 19
'noon* RBVPSn 070 RAVK A T.TFE FOUNDATION. INC SAVES0 1
Form 4562 (1996)
Listed Property • Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for
Entertainment, Recreation, or Amusement
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 23a. 23b. columns (a)
through (c) of Section A, all of Section B. and Section C if applicable.
Section A - Depreciation and Other Information (Caution: See instructions for limitations for automobiles.)
23a Do you have evidence to support the business/investment use claimed? I "1 Yes I I No 23blf 'Yes.' is the evidence written? I I Yes P H No
(c) <e) (0 (9) (h) (i)
(a) (b) Date (d)
Elected
placed in Business/ Cost or
Basil (or depreciation Recovery
Method/ Depreciation
Type of property investment (buitness/mveslmcnt section 179
(list vehicles first) service other basis use only)
period Convention deduction
use percentage cost
24 Property used more than 50% in a qualified business use
%
JL
%
%
25 Property used 50% or less in a aualified business use:
% S/L- ^SM:0-:M-
% S/L- ^^M&ti&M
% S/L- ^iilmM'mi}
% S/L- M^SmM^
26 Add amounts in column (h). Enter the total here and on line 20. page 1 26 &£££&■ ^ : ->.
27 Add amounts in column (i). Enter the total here and on line 7, page 1 27
Section B • Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner.* or related person.
If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for
those vehicles.
(a) (b) (c) (d) (e) (f)
28 Total business/investment miles driven during the Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle
year (00 NOT include commuting miles)
29 Total commuting miles driven during the year
30 Total other personal (noncommuting) miles

31 Total miles driven during the year.


Add lines 28 through 30
Yes No Yes No Yes No Yes No Yes No Yes No
32 Was the vehicle available for personal use
during off-duty hours?
33 Was the vehicle used primarily by a more
than 5% owner or related person?
34 Is another vehicle available for personal

Section C • Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5%
owners or related persons.
Yes No
35 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your
employees?
36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See instructions for vehicles used by corporate officers, directors, or 1 % or more owners
37 Do you treat all use of vehicles by employees as personal use?
38 Do you provide more than five vehicles to your employees, obtain information from your employees about
the use of the vehicles, and retain the Information received?
39 Do you meet the requirements concerning qualified automobile demonstration use?
Note: If your answer to 35.36.37.38. or 39 Is 'Yes.' you need not complete Section B for the covered vehicles.
Amortization
(a) (b) (c) (d) (e) (f)
Description ol costs Oifctmoruiecn Amort n« bio Codo Arwttltion Amortization
beomj amount section peitcd Of pcrcenBgt for this year

40 Amortization of costs that begins during your 1996 tax year:

41 Amortization of costs that began before 1996 41 424.


42 Total. Enter here and on "Other Deductions' or "Other Expenses" line of your return 42 424.
a 20
1-96 CMrrcn KBVF n I.TFR FntJNDATTON. INC. SAVE50 1
mn
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
>an 990 Under section 501(c) of the Internal Revenue Code (except black lung benolit trust or 1997
Department of the Treasury private foundation) or section 4947{a)(1) nonexempt charitable trust This Form is Open
Internal Revenue Service Niite: The organization may nave to use a copy of this return to satisfy state reporting requirements. to Public Inspection
A For the 1997 calendar year, OR tax year period beginning ,1997. and ending ,19
rj Check if.
han9e Please C Name of organization D Employer Identification number
l[X]C-
of use IRS
address rabel or
SAVE A LIFE FOUNDATION, INC. 36-3869459

print or
Initial type.
return See Number and street (or P.O. box if mail is not delivered lo street address) Room/suile E State registration number
□ Final
return Specific 4825 N . SCOTT STREET 74A 01-026,498
□ A m e n d e d Instruc­
return tions. City, town, or post office, state, and ZIP+4 F Check I I if exemption
{required also
lotbhte
report'ng)
S C H I,-—-.
L L E R P A R K , I L= - 60176 application is pending
G Type of organization —► U L I Exempt under 501(c) ( 3 ) ^ (insert number) OR ► | | section 4947(a)(1) nonexempt chartltable trust
Note; Section 601(c)(3) exempt organizations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 990).
H(a) Is this a group return filed for affiliates? ,,,.,..,.... CZZi Yes B ] No I if either box In H Is checked"
(b) If "Yes," enter the number of affiliates for which this
return is filed: ►
exemption number (GEN) Wd4lsl-b\
i Accounting method: Q D > Accrual
(C) 'Is tnt3 a separate return filed by an organization covered by a group ruling? □ Yes DTI Mn □ Other (specify) ►
K Check here ► I—I if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS; but
if it received a Form 990 Package fn the mail, it should file a return withoutfinancialdata. Some states require a complete return.
Note: Form 990-EZ may be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year.
l i g j i l l R e v e n u e , E x p e n s e s , a n d C h a n g e s i n Net A s s e t s o r Fund B a l a n c e s
Contributions, gifts, grants, and similar amounts received:
a Direct public support 1a 101,330
b Indirect public support 1b

I c Government contributions (grants)


d Total (add lines j a through 1c) (attach schedule of contributors) S T M T 1
(cash$ 2 7 , 8 3 5 . noncash$, 73,495. )
1c
STMT 2
1d 101,330,
2 Program service revenue including government fees and contracts (from Part VII, line 93)
> 3 Membership dues and assessments 550,
4 Interest on savings and temporary cash investments
O 5 Dividends and interest from securities
6 3 Gross rents 6a
b Less: rental expenses 6b
8 c Net rental income or (loss) (subtract line 6b from line 6a)
7 Other investment income (describe ►
6c

8 a Gross amount from sale of assets other (A) Securities <B) Other
than inventory 8a
b Less: cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d [C0£n.bjnesline*!fcblumns (A) and (B)) 8d
ihedule):
of contributions

b
ela)
191
pejisffs 6$!f§@an 1
fqf}8raising expenses.
9a
9b
c itcome_p^jlojsifarawpe«i3rtvHrife (subtract line 9b from line 9a) 9c
10 a }ross saJes.pf»ip^tM l e y returns and allowances 10a 3,339
b ISSdisoId-rrrT. . 10b 3,339
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) STMT.. .3. 10c
11 Other revenue (from Part Vil, line 103) 11
12 Total revenue (add lines Id, 2,3,4,5,6c, 7,8d, 9c, 10c, and 11) 12 101,880,
13 Program services (from line 44, column (6)) 13 64,992,
14 Management and general (from line 44, column (C)) 14 23,219.

1 15
1B
17
Fundraising (from line 44,column (D))
Payments to affiliates (attach schedule)
Total expenses (add lines 16 and 44, column (A)) .
18
16
17
7,215,

95,426,
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 6,454
19 Met assets or fund balances at beginning of year {from IHIB 73, column (A)) <35,464.>
A
19
20 Other changes fn net assets or fund balances (attach explanation) 20 0.
21 Met assets or fund balances at end of year (combine lines 18,19, and 20) . 21 <29,010.>
IHA For Paperwork Reduction Act Notice, see page 1 of the separate instructions Form 990 (1997)
723001
12-05-97
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC, SAVE50_1 |
Form 990 {1997) SAVE A L I F E FOUNDATION. INC. 36-3869459 Page2
M ^ f f l l l S t a t e m e n t of Alt organizations must complete column (A). Columns (3), (C), and (D) are required for section 505(c)(3) and
I W i l l l l l Functional Expenses (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.
Do not Include amounts reported orl line
6b, Sti,9b. 10b, or 16 of Parti. If (A) Total
(B) Program
services
(C) Management
and qeneral (D) Fundraising
22 Grants and allocations (attach schedule)
cash $ noncash$ 22 l§^?Si|!^ii
23 Specific assistance to individuals (attach schedule) 23 ismsssiisitt
;
24 Benefits paid to or for rnernbers (attach schedule) 24 $ S | ^::?Sf!§sl*^SltMflil
25 Compensation of officers, directors, etc. 25 O. 0. 0. 0.
26 Other salaries and wages 26
27 Pension plan contributions 27
28 Other employee benefits 28
29 Payroll taxes 29
30 Professional fundraising fees 3D
31 Accounting fees 31
32 Legal fees 32
33 Supplies 33
34 Telephone 34 4,222. 2,533. 1,689.
35 Postage and shipping 35 2,034. 2,034.
36 Occupancy 36 1,200. 1,200.
37 Equipment rental and maintenance 37 18,080. 10,848. 7,232.
A",
38 Printing and publications 38 3,893. 3,893.
39 Travel 39 2j.622. 1,573. 1,049.
40 Conferences, conventions, and meetings 40 17,184. 17,184.
41 Interest . 41
42 Depreciation, depletion, etc, (attach schedule) 42 9,308. 8,884. 424.
43 Other expenses (itemize):
a 43a
b 43b
c 43c
d i 43d
B SEE STATEMENT 4 43e 36,883. 18,043. 11,625. 7,215.
44 Total functional expenses (add lines 22 through 43)
OrganizattonS'completing columns (BHD), cam/ these
44 95,426. 64,992. 23,219. 7,215.
departing of Joint Costs, - Did you report in column (B) (Program services) any joint costs from a combined educational campaign and
fundraising solicitation? ► □ Yes QT) No
If "Yes,' enter (i) the aggregate amount of these Joint costs $ _ ; (ii) the amount allocated to Program services $ ,
(iii) the amount allocated to Management and general $ and (iv) the amount allocated to Fundraising $
]ffl Statement of Program Service Accomplishments
What Is the organization's primary exempt purpose? ► S E E S T A T E M E N T 5
Program Service
Expenses
(Ml organizations must describe inelr exempt purpose achieverncnts In a clear and concise manner. State the number or clients served, publications Issued, etc. Discuss (Required for B01 (c)(3) and
achievements that are not measurable. (Section 501(c)(3) and (4) organizations and 4947(a)(1) nonaxempt charitable trusts Imust also enter the amount of grants and <4) orgs., and4947(aj<1)
allocations to others.) _____ trusts; but optional for others.)
a SEE STATEMENT 6

(Grants and allocations $ 64,992

(Grants and allocations $

(Grants and allocations $

(Grants and allocations $


e Other program services (attach schedule) (Grants and allocations $
f Total at Program Service Expenses (should equal line 44, column (B), Program services) 64,992,
723011
12-09-97
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50 1
Form 990 (1997) SAVE A L I F E FOUNDATION, INC. 36-3869459 Page3
l i S Q l i l Balance Sheets
Note: Where required, attached schedules and amounts within the description column should be (A) (B)
for end-of-year amounts only. Beginning of year End of year

45 Cash-non-interest-bearing 7,167. 45 6,719.


46 Savings and temporary cash investments 45

47 a Accounts receivable 1 47a


b Less: allowance fordoubtful accounts 47b 47c

48 a Pledges receivable 48a


iiiiiiiiilill
b Less: allowance fordoubtful accounts 48b 48c
49 Grants receivable 49
50 Receivables from officers, directors, trustees, and key employees (attach
schedule) 50
51 a Other notes and loans receivable 51a
* b Less: allowance fordoubtful accounts 5ib 51 c
52 Inventories for sale or use 52
53 Prepaid expenses and deferred charges 53
54 Investments - securities (attach schedule) 54
55 a Investments - land, buildings, and
equipment: basis 55a
b Less:'accumulated depreciation (attach
schedule) 55b 55c
56 Investments - other 56
57 a Land, buildings, and equipment: basis 57a 46,016.
b Less: accumulated depreciation STMT 7 57b 21,675. 16,239. 57c 24,341.
58 Other assets (describe ► 1 58

59 Total assels (add lines 45 through 58) (must equal line 74) 23,406. 59 31,060.
60 Accounts payable and accrued expenses . .. 60
61 Grants payable 61
in
62 Deferred revenue ... 62
•*£
63 Loans from officers, directors, trustees, and key employees 58,870. 63 60,070.
ID 64 a Tax-exempt bond liabilities .. 64a
3 b Mortgages and other notes payable 64b
65 Other liabilities (describe ► ') 65

66 Total liabilities (add lines 60 throuah 65) 58,870. 66 60,070.


Organizations that follow SFAS117, check here ► I X I and complete lines 67 through
69 and lines 73 and 74
in
67 Unrestricted . . <35,464. >67 <29,010.>
c 68 Temporarily restricted . ... 68
£
■a
69 Permanently restricted 69
c Organizations that do not follow SFAS 117, check here I*" C D and complete lines
3
u. 70 through 74
o 70 Capital stock, trust principal, or current funds , 70
4* '
71 Paid-in or capital surplus, or land, building, and equipment fund 71
< 72 Retained earnings, endowment, accumulated Income, or other funds 72
z 73 Total net assets or fund balances (add lines 67 through 69 0 R Pines 70 through 72;
column (A) must equal line 19 and column (B) must equal line 21) < 3 5 , 4 6 4 . >73 <29,010.>
74 Total liabilities and not assets / fund balances (add lines 6 5 and 73) 2 3 , 4 0 6 . 74! 31,060.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of Information about a particular organization. How the public
perceives an organization in such cases may be determined by the Information presented on its return. Therefore, please make sure the return is complete and accurate
and fully describes, In Part 111, the organization's programs and accomplishments.

723021
12-05-97

13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVES0 1


fmmMuum

Form 990 ( 1997) SAVE A L I F E FOUNDATION, I N C . 36-3869459 Page4


Reconciliation of Revenue per Audited ■ i E T ^ i r a ^ Reconciliation nf Exnansps r>e>r Audited
Financial, Statements with Revenue per Financial Statements With Expenses per
Return Return
Total revenue, gains, and other support a Total expenses and losses per
per audited financial statements N7A audited financial statements N/A
b Amounts Included on line a but not on
b Amounts included on tine a but not on line 17, Form 990:
line 12, Form .990:
(1) Donated services
(1) Net unrealized gains and use of facilities ..,$
on investments .... .$. (2) Prior year adjustments
(2) Donated services reported on line 20,
and use of facilities, Form 990 $,
(3) Recoveries of prior
yeargrants
(3) Losses reported on
line 20, Form 990 . . $.
illlli
(4) Other (specify): (4) Other (specify):
$
Add amounts on lines (1) through (4) Add amounts on lines (1) through (4) ►
c Line a minus line b Line a minus line b ►
d Amounts Included on line 12, Form Amounts included on line 17, Form
990 but not on line a: 990 but not on line a:
(1) Investment expenses (1) Investment expenses
not included on not included on
line 6b, Form 990 ...$ line 6b, Form 990 . .$_
(2) Other (specify): (2) Other (specify):
$ _
Add amounts on lines (1) and(2) ... Add amounts on lines (1) and (2)
e Total revenue per line 12, Form 990 Total expanses per line 17, Form 990
(line c plus line d) (line c plus line u)
pSETiff^ List of Officers, Directors, Trustees, a n d Key Employees (List each one even if not compensated.)
(B) Title and average hours (C) Compensation (D)Contribution3to (E)Expense
(A) Name and address per week devoted to (if not paid, enter employee benefit
plans & deferred account and
position cornoensatl an other allowances
CAROL SPIZZIRRI PRESIDENT
4825 N. SCOTT ST, SCHILLER PARK, IL
100 O.
STEPHEN J. COLE TREASURER
17377 W. DARTMOOR PR, GRAYSLAKE, IL
O. O.
SANDY ENGBER SECRETARY
17593 W. DARTMOOR PR, GRAYSLAKE, IL
LEE JUNGKANS VICE PRES.
8320 W. BLUE MOUND AVE, WAUWATOSA, WI
0.

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related
organizations, of which more than $10,000 was provided by the related organizations? If "Yes," attach schedule, ► I I Yes [ X J Ho
Form 990(1997) SAVE A LIFE FOUNDATION, INC. 36-3869459
M l Other Information Yes No
76 Did the organization engage in any activity not previously reported to the IRS? If "Yes,- attach a detailed description of each activity 76
77 Were any changes made in the organizing orgoveming documents but not reported to the IRS? 77
If "Yes," attach a conformed copy of the changes. 11
78 a Did the organization have unrelated business gross Income of $1,000 or more during the year covered by this return? 78a X
b If "Yes," has it filed a tax return on Form 990-T for this year? N/A 78b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? 79
If Yes," attach a statement;
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? 80a x""
b IfYes/enterthenameoftheorganization ►
and check whether it is I I exempt OR I I nonexempt. mm
81 a Enter the amount of political expenditures, direct or Indirect, as described in the
instructions for line 81 „ | 81a I O,
Did the organization file Form 1120-POL for this year? am
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than
fair rental value? 82a
b If "Yes," you may indicate the value of these items here. Do not Include this amount as revenue In Part l or as an
expense in Part II, (See instructions for reporting in Part III) j 82b I 6,000
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a X
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b X
84 a Did the organization solicit any contributions or gifts that were not tax deductible? 84a X
b if "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? N/A 84b
85 501(c)(4), (5), or (6) organizations.-a WBre substantially all dues nondeductible by members? N/A 85a
Did the organization make only in-house lobbying expenditures of $2,000 or lass? N/A 85b
If "Yes" was answered to either 85a or 85b, do not complete 85c Ih rough 85h below unless the organization received a waiver for proxy tax
owedfortheprioryear.
c Dues, assessments, and similar amounts from members 85c N/A
d Section 162(e) lobbying and political expenditures 85d N/A
B Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices N/A
f Taxable amount oflobbying and political expenditures (line 85d less 85e) 85f N/A
g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? N/A 85q
h If section 6033(e)(1)(A) dues notice were sent, does the organization agree to add the amount In 85f to its reasonable estimate of dues


allocable to nondeductible lobbying and political expenditures forthe following tax year? , N/A 85h
86 501(c)(7) organizations. - Enter:
a Initiation fees and capital contributions Included on line 12 86a N/A
b Gross receipts, included on line 12, for public use of club facilities 86b N/A
87 501(c)(12) organizations.-Enter: a Gross Income from members or shareholder? 87a N/A
;?:$■#■:
b Gross income from other sou rces. (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87b N/A
88 At any time during the year, did thB organization own a 50% or greaterinterest in a taxable corporation or partnership?
if "Yes," complete Part IX
89 a 501 (c)(3) organizations. - Enter: Amount of tax Imposed during the year under:
section4911 ► 0^_;section 4912 ► 9_^;section4955 ►
b 501(c)(3) and 501(c)(4) organizations. - Did the organization engage In any section 4958 excess benefit
89b
IIS
transaction during the year? If Yes," attach a statement explaining each transaction
c Enter: Amount of tax imposed on the organization managers or disqualified persons du ring the year under
sections 4912,4955, and 4958 0.
6 Enter: Amount of tax in 89c, above, reimbursed by the organization , 0.
90 a List the states with which a copy of this return Is filed ► . . . I L L I N O I S
b Number of employees employed in the pay period that includes March 12,1997 90b

91 The books are in care of ► CAROL SPIZZIRRI Telephone no. ► 8 4 7 - 9 2 8 - 9 6 8 3

Located at ► 4 8 2 5 N . SCOTT STREET, STE 7 4 A , SCHILLER PARK, I L ZIP + 4 ► 6 0 1 7 6

gz Section 4947(a)(1) nonexempt charitable trusts filing Form 990 In lieu of Form 1041.- Check here, ► □
and enter the amount of tax-exempt interest received or accrued during the tax year 92 N/A

723041
12-05-97
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50 1
Fornri990Q997) SAVE A L I F E FOUNDATION, I N C . 36-3869459 Page 6
VJhiWtm Analysis of Income-Producing Activities ~
Enter gross amounts unless otherwise > Unrelated business Income Excluded bv section 512, 513, or 514
(E)
indicated. <A) <B) (C)
Exclu­ (0) Related or exempt
Business Amount sion
93 Program service revenue: code code
Amount function income
fa)
(b)
(c)
(d)
(e)
(f) Medicare/Medicaid payments
(g)Fees and contracts from government agencies
94 Membership dues and assessments 550.
95 Interest on savings and temporary
cash investments
98 Dividends and interest from securities
97 Net rental income or (loss) from real estate: * :-- , - ^ ** * s, ' -N s
V, v > V
(a)debt-financed property
jb) not debt-financed property
98 Net rental income or (loss) from personal property . . . .
99 Other investment income
10Q Gain o r (loss) from sales of assets
otherthan inventory
101 Wet income o r (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue:
a
b
C

d
e
104 Subtotal (add columns (B), (D), and (E)) 1111111: 0. ws. 0. 550.
105 TDTAL (add line 104, columns (6), (0), and (E)) 550,
Note: (Line 105 plus line 1 d, Part I, should equal the amount on line 12. Part I.)
1 Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain how each activity for which income is reported in column <E) of Part VII contributed importantly to the accomplishment of the organization's
T exempt purposes (otherthan by providing funds for such purposes).
94 MEMBERSHIP DUES - CORPORATE AND INDIVIDUALS

HET11H1 I n f o r m a t i o n R e g a r d i n g T a x a b l e S u b s i d i a r i e s (CompletethisPartiltiie"Yes"boxona8ischecKed,)
Name, address, and employer identification Percentage of End-of-year
Nature of business activities Total income
number of corporation or partnership ownership interest assets
N/A

Under penalties of perjury, a declare that I have examined thisreturn,Including accompanying schedules and statements, and to the best of my knowledge and belief, It is true,
•ect, andxorrpleta.jBedaratlon of preparer (other than officer) Is based on all information of which preparer has any Knowledge.
Please
Sign Kl&\
Here Oats/ V Type or print name arjd title
Date Check if Preparer's S9N

Paid signatu i:WJLJ.h.7^jL^


Preparer' self-
*f~Jl~ &£-employed ► j I
Prepare r"s Firm's name (or yours COLE, MARTIN, & C O . , L T D . EIN
Us s Only If self-employed) [ V 7 3 0 1 N . LINCOLN A V E . , 1 4 0
and address i^LINCOLNWOOD, I L ziP + 4 ► 60646
723161
12-05-97
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50 1

I
SCHEDULE A
(Form 990)
Organization Exempt Under 501(c)(3) OMB No. 1545-0047

(Except Private Foundation), and Section 501(e), 5Q1(I), 501(k), 50l(n) or Section 4947(a)(1)

Department of UIB Treasury


Internal Revenue Servfca
Nonexempt Charitable Trust
Supplementary Information 1997
►Mustfiecompletedtoytrie above organizations and attached to Uielr Form 990 (or Form 99DEZ).
Name of the organization Employer Identification number
SAVE A L I F E FOUNDATION, I N C . 36; 3869459
I j ^ m Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
( S e e i n s t r u c t i o n s . ) (List each one, If there are none, enter'None.')
(a) Name and address of each employee paid (b) Title and average .hours (d) Contributions 1a (e)Expense
per week devoted to (c) Compensation employee benefit
plans & deferred account and other
more than $50,000 position compensation allowances

NONE

Total number of other employees paid


over $50,000
0Ver»3U,UUU W |
Compensation of the Five Highest Paid Independent Contractors for Professional Services
V \$&i^km^%$}%<?.l*?A!:&» mmmmm ?&§£.,

(a) Name and address of each independent contractor paid more than $50,000 (6) Type of service (c) Compensation

NONE

Total number of others receiving over


$50,000 for professional services ^ O iiiiiiiiiiifiiiiiiiiiiiiiiiiB
LHA For PaperwDrX Reduction Act Notice, see page 1 of the Instructions to Form 99D (or Form 990-EZ). Schedule A (Form 990) 1997

723101
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13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50 1


Schedule A {Forrr. 990) 1997 SAVE A L I F E FOUNDATION, INC. 36-3869459 Page2
HJeEO Statement About Activities Yes No
During the year, has the organization attempted to influence national, state, or local legislation, Including any attempt to Influence public
opinion on a legislative matter or referendum?
If "Yes," enter the total expenses paid orincurred in connection with the lobbying actrvrtes. ► $
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A. Other
organizations checking "Yes," must complete Part Vl-B AND attach a statement giving a detailed description of
the lobbying activities.
During the year, has the oganization, either directly or indirectly, engaged In any of the following acts with any of its trustees, directors,
officers, creators, key employees, or members of theirfamilies, or with any taxable organization with which any such person is
affiliated as an officer, director, trustee, majority owner, or principal beneficiary: tkfi?!>:
a Sale, exchange, orleasing of property? 2a

b tending of money or other extension of credit? , Zb

G Furnishing of goods, services, orfacilities? 2c

d Payment of compensation (or payment or reimbursement of expenses If more than $1,000)? 2d

e Transfer of any part of Its Income or assets? 2e X


If the answer to any question is "Yes/ attach a detailed statement explaining the transactions.
3 Does the organization make grants for scholarships, fellowships, student loans, etc.? X
4 Attach a statement explaining how the organization determines that individuals or organizations receiving grants or loans from lit in diiillf
furtherance of Its charitable programs qualify to receive payments, (See Instructions.'!
■iffTiira Reason for Non-Private Foundation Status (See instructions.) in
The organization is not a private foundation because it Is (please check only ONE applicable box):
5 □ A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).
6 □ A school. Section 170(b)(1)(A)(ii). (Also complete Part V, page 4.)
7 □ A hospital or a cooperative hospital service organization. Section l70(b)(i)(A)(ill).
8 □ A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v),
9 □ A medical research organization operated In conlunction with a hospital. Section i70(b)(1)(A)(iii). Enter the hospltars name, city,
and state ►
10 □ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule In Part IV-A.)
11a □ An organization that normally receives a substantial part of its support from a governmental unit orfrom the general public.
Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)
11b □ A community trust. Section 17Q(b){J)(A)(vi).<Also complete the Support Schedule in Part IV-A.)
12
m An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 331/3% of
Its support from gross Investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30,1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)

13 I I An organization that Is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in:
, (1) lines 5 through 12 above: or 12) section 501 (c)(4), (5), or (6), if they mBet the test of section 509(a)(2). (See section 509(a)(3).)
Provide the following information about the supported organizations, (See Instructions on page 4.)
(b) Line number
from above
(a)Hamefs^ of supported organization^

14 | | An organization organized and operated to test for public safety. Section 509(a)(4). (See instructions on page 4.)

723111
12-05-97 8
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC, SAVE50 1
Schedule A (Form 990) 1997 SAVE A L I F E FOUNDATION, IMC 36-3869459 Page3
liHilt'gil Support Schedule (Complete only If you checked a box on line 1 0 , 1 1 , or 12 above.) Use cash m e t h o d of accounting.
Note: You may use the worksheet in the instructions forconverting from the accrual to the cash method of accountinq.
Calendar year (or fiscal year
beginning in) ► (a) 1996 (b) 1995 (c) 1994 (d) 1993 (B) Total
15 Gifts, grants, and contributions received.
(Do not Include unusual grante. See
Jine2a.) 37,566. 110,761. 93,405. 7,199. 248,931.
16 Membership fees received 1,527. 1,410. 2,875. 5,812.
17 Gross receipts from admissions,
merchandise sold or services
performed, orfurnishing of facilities
In any activity that Is not a business
unrelated to the organization's
charitable, etc., purpose
18 Gross income from Interest,
dividends, amounts received from
payments on securities loans (sec­
tion 512(a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30,1975
19 Net income from unrelated business
activities notfnduded in line 18 ...
20 Taxrevenueslevied for the organization's
benefit and either paid to It or expended
on Ite behalf . .. .

Z1 The value of services or facilities


furnished to the organization by a
governmental unit without charge.
Oo not Include the value of services
or facilities generally furnished to
the public without charge
22 Otfterlncome. Attach a schedule. Do not 1
Include gain or/Joss) from sale of capital
assets
23 Totaloflines15through22 39,093. 112,171. 9 6 , 280 .| 7,199. 254,743.
24 tine 23 minus line 17 39,093. 112,171. 96,280. 7,199. 254,743.
25 Enter 1% of line 23 391. 1,122. 963. 72.
26 Organizations described In lines 10 or 1 1 : a Enter 2% of amount In column (e),lln i24 ► 26a N/A
b Attach a list (which is n ot opBn to public inspection) showing the name of and amount <contributed by each parson (other than a
governmental unit or publicly suppoited organization) whose total gifts for 1993 throug h 1996 exceeded the amount shown
in line 26a. Enter the sum of all these excess amounts ► 26b N/A

c Total support for section 509(a)(1) ft st: Enter line 24, column (e) ► 26c N/A
d Add: Amounts from column fe) for lines: 18 19 •;-; ^ y^ * ^
22 26 b ► 26d N/A
e Public support (line 26c minus line 26d total) ► 26e N/A
f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) ► 26f N/A %
27 Organizations described on line 12: a For amounts included in lines 15,16, and 17 that werereceivedfrom a "disqualified person," attach a list to show Ihe name
of, and total amounts received In each year from each "disqualified person." Enter the sum of such amounts for each year.
(1996) P.. (1995) P... (1994) P.«. (1993) 0,
For any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount received for each year,
that was more than thelargerof (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described in lines 5 through 11, as well as
individuals.) After computing the difference between the amount received and the larger amount decribed in (1) or (2), enter the sum of these differences (the
excess amounts) for each year:
(1996) 0.. (1995) Q... (1994) P.-. (1993) 0.

Add: Amounts from column (e) for lines: 15. 248,931. 16. 5,812.
17 20 21 ► 27c 254,743,
Add: Line 27a total 0 . and line 27b total L . ... ► 27d 0,
Public support (line 27c, total minus line 27d total) 27e 254,743.

Total support for section 509(a)(2) test: Enter amount on line 23, column (e) 254,743. ZTf I $
Public support percentage (line 27e (numerator) divided by line 27f, (denominator)) ► 27g, 100%
Investment income percentage (line 18 column (e) (numerator) divided b y l i n e 27f (denominator)) ► 27h .0000%
2g Unusual Grants: For an organization described In line 10,11, or 12, that received any unusual igrants during 1993 through 1996, attach a list (which Is not open to
public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Oo not include
these grants in line 15. (See Instructions.)
WON-R
723121
12-05-97

13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50 1


Schedule A {Farm 990)»997 SAVE A L I F E FOUNDATION, INC. 36-3869459 Page4
M^MMM Private School Questionnaire
(Jo be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No
29 Does the organization have a racially nondiscriminatoty policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body? 29
■■> { "■ s
30 Does the organization include a statement of its racially nondiscrinninatory policy toward students in all its brochures, catalogues,
and overwritten communications with the public dealing with student admissions, programs, and scholarships? 30
31 Has the organization publicized its facially nondiscrinninatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if rt has no solicitation program, in a way that makes the policy known , "; - ^
to ail parts of the general community it serves? 31
If "Yes," please describe; If "No," please explain. (If you need more space, attach a separate statement.)
V*:
!> \_
S
s --

-, * *
•o
32 Does the organization maintain the following:
a Records indicating the racial composition of the student body, faculty, and administrative staff? 32a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondlscriminatory basis? 32b
o Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student
admissions, programs, and scholarships? 32c
d Copies of all material used by the organization or on its behalf to solicit contributions? 32d
If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.)
■:

■v

33 Does the organization discriminate by race in any way with respect to:
a Students'rights or privileges? 33a
b Admissions policies? 33b
c Employment of faculty or administrative staff? .... 33c
d Scholarships or otherfinancial assistance? . ... 33d
a Educational policies? . . . . 33e
f Use of facilities? 33f
g Athletic programs? 33q
h Other extracurricular activities? . 33h
If you answered "Yes" to any of the above, pleasB explain. {If you need more space, attach a separate statement.)
iljl
$&■:?:??
Ipllli
f;^^

34 a Does the organization receive any financial aid or assistance from a governmental agency? , 34a
b Has the organization's right to such aid ever been revoked or suspended? 34b
i % *

If you answered "Yes" to either 34a or b, please explain using an attached statement. "*
35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of Rev. Proc. 75-50,
1975-2 C.B. 587, covering racial nondlscrimination? If "No," attach an explanation 35

723131
12-05-97 10
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50_1
ScheduleiA£orn990)3957 SAVE A L I F E FOUNDATION, INC, 36-3869459 Pages
liiflilMgil Lobbying Expenditures by Electing Public Charities
(To be completed ONLY by an eligible organization that filed Form S768) N/A
Check here ► a I I If the organization belongs to an affiliated group.
Checkhere ► ti I I ifyminhHcked'a'aboveand'limitedcontrorprovisionsapply,
(b)
Limits on Lobbying Expenditures To be completed for ALL
Affiliated group totals
(The term "expenditures' means amounts paid orincurred)
N/A
36 Total lobbying expenditures to Influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 Is - The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40 -i
Ov6r$500,000butnotover$1,O00,000 . . .. $100,000 p l u s 1 E % oftheexcesa over$500,000 1

Over$1,000,000tutnotover$1,500,000 $175,000 plus 1 0 % of tne excess over $1,000,000 \ 41


Over$1,500,000fcutnotover$17.000,000 , . $225,000plus5% of ttieexcess overSl.500,000 \
Over$17,000,000 $1,000,000 J
42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36. Enter-0-if line 42 is more than line 36 43


44 Subtract line 41 from line 38. Enter-0-if line 41 is more than line 38 44

Caution: If there is an amount on either line 43 or line 44, you must file Form 4720. ll|l|lllllllS;RK| aiiiiliiii
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns
below. See the Instructions for lines 45 through 50.)

Lobbying Expenditures During 4-Year Averaging Period N / A

Calendar year (or (a) (6) GO (e)


fiscal year beginning in) ► 1997 1996 1995 1994 Total
45 Lobbying nontaxable
amount 0.

lillSliSISI IlllillliililllllIlllSIISSIIli
45 Lobbying ceiling amount
(150%ofllne45fe)) 0.
47 Total lobbying
expenditures 0.
48 Grassroots nontaxable
0.
49 Grassroots ceiling amount
(150% of line 48(e))
50 Grassroots lobbying
illiiliiiililiiiililii
llllllllllllil
■milillltil 0.

expenditures 0.
Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) N/A
During the year, did the organization attempt to Influence national, state or local legislation, Including any attempt to
Yes No Amount
influence public opinion on a legislative matter or referendum, througli the use of:
a Volunteers
h Paid staff or management (include compensation In expenses reported on lines c through fi)
c Media advertisements
d Mailings to members, legislators, or the public ,
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 other means
1 Total lobbying expenditures (add lines c through h)
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities.

12-05-87 11
13230902 758985 SAVE50 050 SAVE A L I F E FOUNDATION, INC. SAVES0 1
Schedule A (Form 990) 1997 SAVE A L I F E FOUNDATION, I N C . 36-3869459 Page6
l i l W i H Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
51 Old the reporting organization directly or indirectly engage In any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of: Yes No
(I) Cash 51a(i) X
(ii) Other assets a(il) X
b Other transactions:
(i) Sales otassets to a noncharitable exempt organization _ b(l) X
(II) Purchases of assets from a noncharitable exempt organization b(H) X
(iii) Rental of facilities orequipment b(iii) X
(Iv) Reimbursement arrangements h(iv) X
(v) Loans or loan guarantees _ _ n(v) X
<vi) Performance of services or membership orfundraising solicitations D(Vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always Indicate the fair market value of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value In any
transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received, N/A
(a) (b) <<0 (d)
Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described In section 501(c) of the
Code (otherthan section 501(c)(3))orin section 527? ,,..► CZ3 Yes D D No
b If "Yes," complete the following schedule. N / A

(a) (b) (e)


Name of organization Type of organization Description of relationship

723151
12-05-97 12
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC SAVES0 1
Depreciation and Amortization Detail
990
Description of property
Asset
Number % \ placedDate Method/ Life Line Cost or Basis Accumulated Current year
In service IRC SBC. or rate No. otharbasis reduction depreciation/amortization deduction
1 3RGANIZATION COSTS
--v 12|31|9 3 ;60M 41 2,120. 1,378. 424.
2 DFFICE EQUIPMENT
VH12|31,93200DB7.00 17 2,236. 1,537. 200.
3 DFFICE EQUIPMENT
V;06|30|94200DB7.00 17 12,307. 6,925. 1,537.
4 DFFICE EQUIPMENT
; J r\06,3O^52OODB7.OO 17 743. 288. 130.
5 COPIER
^101,15,96 200DB 5 . 0 0 17 8,000. 1,600. 2,560.
6 COMPUTER
; ;^i02|15|96 2 0 0 D B 5 . 0 0 17 1,500. 1 300.1 480.
7 PRINTER
C;;';; 02,15,9 6 200DB5 . 0 0 17 500. 100. 160.
8 COMPUTER
,v;04|15,96 2 0 0 D B 5 . 0 0 17 1,200. 240. 384.
9 COPIER
;
vOL15|97|200DB 5 . 0 0 15B 8,000. ! 1,600.
10 COMPUTER
f^O 2,05,972 OODB5 . 0 0 15B 2,000. 400.
1 1 OFFICE EQUIPMENT
-^-02^5^720006 7.00 |15C 850. 121.
12 COMPUTER
-:\ 04,17,9 7|200DB 5 . 0 0 15B 1,200. 240.
1 3 COMPUTER
•yi;05,18|97200DB5.00 15B 2,698. ._! 540.
14 COMPUTER MONITER
<55J0 6|07|97|200DB5 . 0 0 15B| 275.1 55.
1 5 COMPUTER
_.. 1
A,108,01,9712000615.00 |15B| 1,937. 1 387.
1 6 PRINTER
:*,. 11,10,97 200DB 5 . 0 0 15B 450. 90.
* * TOTAL 9 9 0 PAGE 2 DEPRECIATION & A M O R T I Z A T I O N
1
:■>! i i 46,016. 12,368. 9,308.

;. . i i 1
:H , , 1 1 1 1

^ i l l 1
i i I t
«> . i i 1 1
*. . . 1 1 1 1 1
«V i i i 1 1 1 1
; ;
~ 1 i i 1
-v i i 1

M i l ' 1
716261
# - Cu rrent year section 179 (D) ■ Asset disposed
10-07-97
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC, SAVE50 1
SAVE A LIFE FOUNDATION, INC. 36-3869459

FORM 990 INCOME AND COST OF GOODS SOLD STATEMENT 3


INCLUDED ON PART I, LINE 10

INCOME
1. GROSS RECEIPTS 3,339
2. RETURNS AND ALLOWANCES
3. LINE 1 LESS LINE 2 3,339

4. COST OF GOODS SOLD (LINE 15) 3,339


5. GROSS PROFIT (LINE 3 LESS LINE 4)
COST OF GOODS SOLD
8. INVENTORY AT BEGINNING OF YEAR
9. MERCHANDISE PURCHASED 3,339
10. COST OF LABOR
11. MATERIALS AND SUPPLIES
12. OTHER COSTS
13. ADD LINES 8 THROUGH 12 3,339

14. INVENTORY AT END OF YEAR


15. COST OF GOODS SOLD (LINE 13 LESS LINE 14). . 3,339

16 STATEMENT(S) 3
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50_1
maom

SAVE A LIFE FOUNDATION, INC, 36-3869459

FORM 990 OTHER EXPENSES STATEMENT 4

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


PROGRAM MANAGEMENT
DESCRIPTION TOTAL SERVICES ANE> GENERAL FUNDRAISING

BANK CHARGES 0.
DUES & SUBSCRIPTIONS 744. 744.
OUTSIDE SERVICES 19,371. 11,623. 7,748.
INSURANCE 825. 825.
OFFICE EXPENSE 2,210. 2,210.
OTHER TAXES 8. 8.
RAFFLE PRIZES &
AWARDS 5,645. 5,645.
ART WORK AND
SUPPLIES 6,100. 6,100.
PROMOTION 1,570. 1,570.
SEMINARS 320. 320.
1 MISCELLANEOUS

TOTAL TO FM 990, LN 43
90.

36,883. 18,043.
90.

11,625. 7,215.

9 FORM 990 STATEMENT OF ORGANIZATION' S PRIMARY EXEMPT PURPOSE


PART III
STATEMENT 5

It
EXPLANATION
TO PROMOTE EDUCATION AND CONTINUING EDUCATION IN CPR AND FIRST AID
NATIONALLY.

17 STATEMENT(S) 4, 5
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50_1
)
r SAVE A LIFE FOUNDATION, INC. 36-3869459

FORM 990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT

:>
DESCRIPTION OF PROGRAM SERVICE ONE
TO PROMOTE EDUCATION & CONTINUING EDUCATION IN CPR & FIRST
AID NATIONALLY. TO PROMOTE, CONSISTENCY, UNIFORMITY &
SAFETY IN THE APPLICATION OF FIRST AID & CPR. TO ASSURE
THAT THE BEST PROCEDURES AND HIGHEST QUALITY MATERIALS ARE
USED AND ARE ACCESSIBLE. TO PROMOTE GOOD SAMARITAN LAWS.

GRANTS EXPENSES
TO FORM 990, PART III, LINE A 64,992.

FORM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 7

COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE

ORGANIZATION COSTS 2,120. 1,802. 318.


OFFICE EQUIPMENT 2,236. 1,737. 499.
OFFICE EQUIPMENT 12,307. 8,462. 3,845.
OFFICE EQUIPMENT 743. 418. 325.
COPIER 8,000. 4,160. 3,840.
COMPUTER 1,500. 780. 720.
PRINTER 500. 260. 240.
COMPUTER 1,200. 624. 576.
COPIER 8,000. 1,600. 6,400.
COMPUTER 2,000. 400. 1,600.
OFFICE EQUIPMENT 850. 121. 729.
COMPUTER 1,200. 240. 960.
COMPUTER 2,698. 540. 2,158.
COMPUTER MONITER 275. 55. 220.
COMPUTER 1,937. 387. 1,550.
PRINTER 450. 90. 360.

TOTAL TO FORM 990, PART IV, LN 57 46,016. 21,676. 24,340.

18 STATEMENTS) 6, 7
13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50_1
OMB No. 1545-0172

4562 Depreciation and Amortization


Form

Department of the Treasury


{Including Information on Listed Property) 990 1997
Internal Revenue Service ► Attach this form to your return. Attachment
Sequence Mo. 6 7
Name(s) shown on return Business or activity to which thla form relates OdenUfying number

SAVE A LIFE FOUNDATION/ INC. [FORM 990 PAGE 2 36-3869459


■ i E T i l l Election To Expense Certain Tangible Property (Section 179) (Note: If you have any 'listed property/complete Part V before you complete Part I.)
Maximum dollar limitation. If an enterprise zone business, see instructions 1 18/000,
Total cost of section 179 property placed In service
Threshold cost of section 179 property before reduction In limitation $200,000
Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter-0-
Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing
separately, see instructions
(a) Description of property {b) Cost (business use only) (C) Elected cast

7 Listed property. Enter amount from line 27


8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7
9 Tentative deduction. Enter the smaller of line 5 or line 8
10 Carryover of disallowed deduction from 1996 10
11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 11
12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12
VH j A j i s>,Uj,' ;vkM 1^'WjAjjj 1 sw
13 Carryover of disallowed deduction to 1998. Add lines 9 and 10, less line 12 ► 13 ' %■ ^t- O ^-.w ■?^J^yj.jfc _ y? y? ,^\y3 ^:»
Note: Do not use part U or Part III below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers, or property
used for entertainment, recreation, or amusement). Instead, use Part V for listed property.
| ^ m ) j MACRS Depreciation For Assets Placed in Service ONLY During Your 1997 Tax Year p p Not Include Listed Property.)
Section A - General Asset Account Election
14 If you are making the election under section 168(f)(4) to group any assets placed in service during the tax year Into one or more general asset
accounts, check this box. See instructions ► \_J
Section B - General Depreciation System (GPS) (See instructions.)
(c) Basis for depreciation
(a)Classification Dfproperty
^a {business/Investment use
only - see instructions)
id) Recovery
period {<B) Convention (I) Method (g) Depreciation deduction

15 a 3-year property
b 5-year property 16,560. 5 YRS. HY 200DB 3,312.
c 7-year property 850. 7 YRS. HY 200DB 121.
d
e
10-year property
15-year property mm
f
g
20-year property
25-year property wm /
25yrs.
27.5 yrs.
MM
S/L
S/L
h Residential rental property 27.5 yrs.
MM S/L
/
/ MM S/L
i Nonresidential real property
/ MM S/L
Section C - Alternative Depreciation System (ADS) (See instructions.)
16 a Class We
b 12-year
c 40-year /
mt& 12 yrs.
40 yrs. MM
S/L
S/L
S/L
Hi/itiMllh Other Depreciation (Do Not Include Listed Property.) (See instructions.)
17 GDS and ADS deductions for assets placed in service In tax years beginning before 1997 17 5,451.
18 Property subject to section 168(f)(1) election 18
19 ACRS and other depreciation 19
m n j j ^ J Summary (See instructions.)
20 Listed property. Enter amount from line 26 20
21 Total. Add deductions on line 12, lines 15 and 16 in column (g), and lines 17 through 20. Enter here
and on the appropriate lines of your return. Partnerships and S corporations ■ see instructions. 21 8,884.
22 For assets shown above and placed jn service during the current year, enter the
portion of the basis attributable to section 263A costs 22

LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 4562 (1997)
716251 1 Q
10-22-97

13230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVE50_1


Form 4562(1997) Page 2
Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for
Entertainment, Recreation, or Amusement
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 23a, 23b, columns (a)
through <c) of Section A, all of Section B, and Section C if applicable.
Section A - iDepreciat on a n d Other Information (Caution: See Instructions for limits for passanger automobiles.)
23a Do you have evidence to support the business/Investment use claimed? I ] YB^ | | N O 23blf 'Yes,' Is the evidence written? f Z H Yes CZ3 No
(a) (b) Date M) (e) (g) (h) 0)
Type of property placed in Business/ Basis far depreciation Elected
Cost or Recovery Method/ Oepreclation
(list vehicles first) service investment |b u s in esa/ln vestmen t
deduction section 179
other.basis usa only) period Convention
use percentage cost
24 Property used more than 50% in a qualified business use:

%
%

25 property used 5 0 % or less in a qualified business use:


% S/L- \'»tfv.VV
% S/L- V^OvS1
%
_ %
S/L-
\^S*
26 Add amounts in column (h). Enter the total here and on line 20, page 1
S/L-
26
i:^.;?*;
v,''>tf##
27 Add amounts !ln column (1). Enter the total here and cin line 7, page 1 , I 27
Section B - Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner," or related person.
Jf you provided vehicles to your employees, first answer the questions fn Section C to see if you meet an exception to completing this section for
those vehicles.
(a) (b) <c) (e) <f>
28 Total business/investment miles driven during the Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle
year (DO NOT include commuting miles) .
29 Total commuting miles driven during the year
30 Total other personal (noncommuting) miles
driven
31 Total miles driven during the year.
Add lines 28 through 30
Yes No Yes No Yes No Yes No Yes No Yes No
32 Was the vehicle available for personal use
during off-duty hours? ...
!33 Was the vehicle used primarily by a more
than 5% owner or related person?
3 4 Is another vehicle available for personal
use7
Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to detemiine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5%
owners or related persons.
No
35 Do you maintain a written policy statement that prohibits all personal use of vehicles, Including commuting, by your
employees?.
36 Oo you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See instructions for vehicles used by corporate officers, directors, or 1 % or more owners
37 Do you treat all use of vehicles by employees as personal use?
38 Do you provide more than five vehicles to your employees, obtain information from your employees about
the use of the vehicles, and retain the information received?
39 Do you meet the requirements concerning qualified automobile demonstration use7 ,
Note: If your answer to 35, 36, 37,38, or 39 Is 'Yes,' you need not complete Section B for the covered vehicles.
■anmi Amortta5S7
w (b)
Sato amorfalon
(c)
Amortizable Code
w (f)
Amortization
bw'rs amount section AmortaHon for this year
Description of costs period or petcenags
40 Amortization of costs that begins during your i 997 tax year:

41 Amortization of costs that began before 1997 41 424.


42 Total. Enter here and on 'Other Deductions'or'Other Expenses'line of your return 1 42 424,
7162S2
31-14-98
20
3230902 758985 SAVE50 050 SAVE A LIFE FOUNDATION, INC. SAVES0 1
2758 Application for Extension of Time To File
71995)
Certain Excise, Income, Information, and Other Returns OMB No. 1545-0148
"^eTreasuiy ► File a separate application for each return.

Name Employer Identification numbw


Please typo or SAVE A LIFE FOUNDATION, INC. 36 13869459
print. Hie the Number, street (or P.O. box n o. if mail is not delivered to street address)
original and one
copy by the due
date for filing 17479 W. DARTMOOR DR.
your return. City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
GRAYSLAKE, I L 60030
Note: Corporate Income tax return filers must use Form 7004 to request an extension of time to file. Partnerships, REM1CS, and
trusts must use Form 8736 to request an extensio of time to file Form 1065,1066, or 1041.
1 I request an extension of time until 08/D ,19 9$ , to file (check only one):
□ Form706-GS (D) □ Form 990-T (401(a) or 408(a) trust) □ Form 1120-ND (4951 taxes) □ Form 8612
□ Fo rm 706-GS (T) □ Form 990-T (trust other than above) □ Form 3520-A □ Form 8513
I S Form 990 or 990-EZ □ Form 1041 (estate) □ Form 4720 □ Form 8725
□ Form 990-BL □ Form 1041-A □ Form 5227 □ Form 8804
□ Form 990-PF □ Form 1042 □ Form 6069 □ Form 8831
if the organization does not have an office orpiace of business In the United States, check this box ,. ►□
2a Forcalendaryear19 f 7 — ■ or other tax year beginning ..-. ■ ." and ending
b if this tax year Is for loss than 12 months, check reason: □ Initial return Final return □ Change in accounting period
3 Has an extension of time been previously granted for this taxyear? , ( □ Yes LSNO
4 State in detail why you need thB extension
ADDITIONAL TIME IS NEEDED IN ORDER TO OBTAIN THE INFORMATION NECESSARY
TO FILE A COMPLETE AND ACCURATE RETURN.
5a if this form Is for Form 706-GS(D), 706-GS(T), 990-BL, 990-PF, 990-T, 1041 (estate), 1042,1120-ND, 4720,
6069,8612,8613,8725,8804, or 8831, enterthe tentative tax, less any nonrefundable credits. $,
b If this form is for Form 990-PF, 990-T, 1041 (estate), 1042, or 8804, enter any refundable credits and
estimated tax payments made. Include any prioryear overpayment allowed as a credit $
c Balance due.Subtract line 5b from line 5a. Include your payment with this form, or deposit with FTD
coupon if required , , $ N/A
Signature and Verification
Under penalties of perjury, I declare that 1 have examined this form, including accompanying schedules and statements, and to the bust of my knowledge and belief,
it is true, correct, and complete; and that I am authorized to prepare this form.

Signature >ulM±*~0'7ft*z£z-to> efrh


FILE ORIGINAL AND ONE COPY. The IRS will show below whether or not your application Is approved and will return the copy.
Date ►.<rV3^
Notice to Applicant - T o Be Completed by IRS
O Z j w e HAVE approved your application. Please attach this form to your return.
□ We HAVE NOT approved your application. However, we have granted a 10-day grace period from the later of tiie date
shown below or the due date of your return (including any prior extensions). This grace period is considered a valid ^ ^
extension of time Selections otherwise required to be made on a timely return. Please attach this fomi to your return. 4 - y t .< .r
| I we HAVE NOT approved your application. After considering your reasons stated in item 4, wo cannot grant your request for
an extension of time to file. We are not granting the 10-day grace period.
| I We cannot conskJeryour application because it was filed after the due date of the return for which an extension was requested..
^
□ Other 4 ^ 9u -
l??o^
.By:.
-"':-i-.vl Date
Director

,a senf.'
If you want a copy of this form to be returned to an address otherthan that shown above, please enter the address to which the copy should be enrrf C*t*

Name
Please COLE, MARTIN, & C O . , LTD.
Type Number, street (or P.O. box no. if mail Is not delivered to street address)
or 7 3 0 1 N . LINCOLN A V E . , 140
Print City, town, or post office, state, and ZIP code. For a foreign address, see instructions.
LINCOLNWOOD, I L 60646
LHA For Paperwork Reduction Act Notice, see separate instructions. Form 2758 (Rev. 5-95)
613941
11-08-96
19
SAVE50 080 SAVE A LIFE FOUNDATION, INC. SAVE50 1
16200805
OMB No. 154S-0047
Form 990 Return of Organization Exempt From Income Tax
Under section 501(c) of the Internal Revenue Code (except black lung benefit
trust or private foundation) or section 4947(a)(1) nonexempt charitable trust
1998
This Form la
D e p a r t m e n t of t h a Treasury Open to Public
Note: The organization may have to use a copy of this return to satisfy state reporting requirements.
Intern a.] R e v e n u e Service
Inspection
A For the 199B calendar year, OR tax year period beginning ■.ijaSJBranfreiraTnlfl ,19
B Check if: Please C Name of organization, number and street, clfyytowj nm^tate^TiJIgi; Employer Identification number
Change of use IRS
address label or Save a L i f e Foundation 36-3869459
Initial return
print or Telephone number
type.
Final return See 4825 N. Scott Street #7#A! (847)928-9683
Specific
Amended return Instruc­ Schiller Park, IL 6017 .Checks ( J if exemption application
(required also for
stats reporting) tions. is pending
G Type of organization • Kj Exempt under section 501 (c)(3 ) * (ins,sjjjiuiffief) ;
0FriF,[^fsectlon
[iiBer>0FriF ,
rrsictli 4947(a)(l) nonexempt charitable trust
Note: Section 501(c)(3) exempt organizations and 4947(a)(1) nonexempt charitable trusts MUST attach a completed Schedule A (Form 990).
H(a) Is this a group return filed for affiliates? [ J Yes [R] No 1 if either box in H is checked 'Yes," enter four-digit
group exemption no. (GEN)^
(b) If "Yes," enter number of affiliates for which return Is filed: ►_ J Accounting method: [ ] Cash JX] Accrual
( c ) Is thisaseparate retqm filed by an organization covered byagragp ruling? . . Y e s X NO [~l0'her (specify) ►
K Check here ► Q if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS;
but if it received a Form 990 Package in the mail, it should file a return without financial data. Some states require a complete return.
Note: Form 990-EZ may be used by organizations with gross receipis less than $100,000 and total assets less than $250,000 at end of year-
R e v e n u e , E x p e n s e s , and Changes in Net A s s e t s or Fund Balances (See Specific Instructions on page 13.)
Contributions, gifts, grants, and similar amounts received:
a Direct public support 1a 21,289,
b Indirect public support 1b
c Government contributions (grants) 1c 600,000.
d Total (add lines 1 a through 1c) (attach schedule of contributors)
(cash $ 6 2 1 , 2 8 9 . noncash $ 621,289.
2Program service revenue including government fees and contracts (from Part VII, line 93).
3Membership dues and assessments
4Interest on savings and temporary cash investments 67 6.
5Dividends and Interest from securities
6a
Gross rents 6a
b
Less: rental expenses 6b
c
Net rental income or (loss) (subtract line 6b from line 6a). 6c
7Other investment income (describe ►
Revenue Gross amount from sale of assets other
8a (A) Securities (B) Other
than inventory 8a
b Less: cost/other basis & sales expenses. 8b
ffi c Gain or (loss) (attach schedule) 8c
d Net gain or (loss) (combine line 8c, columns (A) and (B)).. 8d
Q
i Special events and activities (attach schedule)
Gross revenue (not including $ of
z contributions reported on line 1a) 9a 6,134
m b Less: direct expenses other than fundraising expenses 9b 1,660.
o c Net income or (loss) from special events (subtract line 9b from line 9a) 9c 4,474,
-£? 1 0 a Gross sales of inventory, less returns and allowances 110a
as b Less: cost of goods sold |10b
CD C Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a). 10c
S3 1 1 Other revenue (from Part VII, line 103) : 11
1 2 Total revenue (add lines 1d, 2, 3,4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 626,439,
13 Program services (from line 44, column (B)) 13 132,799,
14 Management and general (from line 44, column (C)) 14 25,031.
Expenses 15 Fundraising (from line 44, column (D)) 15 1,879.
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)).. 17 159,709.
1 8 Excess or (deficit) for the year (subtract line 17 from line 12) 18 466,730,
Net 1 9 Net assets or fund balances at beginning of year (from line 73, column (A)). 19 -29,010,
Assets 2 0 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18,19, and 20).. 21 437,720,
For Paperwork Reduction Act Notice, see page 1 of the separate Instructions, CAA 8 99012 NTF ia76a GLD 4224 Form 9 9 0 (1998)

\o
Form 990 (1998) Save a Life Foundation 36-3869459 Page 2
H H H i Statement of All organizations must complota column (A), Columns (B), (C), and (O)ara required lor section 5D1(c)(3) and (4) organizations and
Functional Expenses section 4947(aX1)nonoxempt charitable trusts but optional for others. (Sea Specific Instructions on page 17.)

22
Do not include amounts reported on line
Bb, 8b, 9b, 10b, or 16 of Part I.
Grants and allocations (attach schedule) . . .
1 (A) Total (B) Program
services
(C) Management
and general
(D) Fundraising

(cash? cash$ 22
23 Specific assistance to Individu als (attach sen.). 23
24 Benefits paid to or for members (attach sch.) . 24
25 Compensation of officers, directors, etc 25 35,000 33,125 625 1,250.
26 Other salaries and wages 26 25,044. 25,044
27 Pension plan contributions 27
28 Other employee benefits 28 262 262
29 Payroll taxes 29 1,709 1,709
30 Professional fundraising fees 30
31 Accounting fees ■, 31 1,191 1,191
32 Legal fees 32 10,000 10,000
33 Supplies 33 7,120 6,992 113. 15.
34 Telephone 34 6,554 6,255 100. 199.
35 Postage and shipping 35 1,022 941 27. 54
36 Occupancy 36 314 275, 33
37 Equipment rental and maintenance 37 200 170, 10 20,
38 Printing and publications 38 7,412 7,412
39 Travel 39 6,262 5,712 215 335.
40 Conferences, conventions, and meetings... 40 2,200 1,455 745,
41 Interest 41 154 154
42 Depreciation, depletion, etc. (attach schedule) , 42 12,527 12,527,
43 Other expenses (itemize): a S t l t l t A t t 43a 42,738 32,256 10,482
43b
43c
43d
43e
44 Total functional expenses (add linos 22 through
43)Organizations completing columns
(B)-(D), carry these totals to lines 13-15.. 44 159^709, 132,799 25,031 1,879.
Reporting of Joint Costs, - - Did you report in column (B) (Program services) any joint costs from a combined educational
campaign and fundraising solicitation? > D Yes g No
if "Yes," enter (I) the aggregate amount of these joint costs . . . $ ; (II) amt. allocated to Prog, services . . $_
(ill) the amount allocated to Management and general $ ; and(lv) amt allocated to Fundraising $
Statement of Program Service Accomplishments (See Specific instructions on page 20.)
m
What is the organization's primary exempt purpose?^- Promote L i f e Saving F i r s t A i d Program Service
Expenses
Ail organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of clients (Required for501(cX3)
served, publications issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4) organizations and and (4) orgi., and 4947(aX1)
4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) trusts; but optional
for others.)
a IL PILOT PROGRAM-Teach Life Saving First Aid to
IL School Children
8000 T a u g h t (Grants and allocations $ 132,799,

(Grants and allocations $

(Grants and allocations $

(Grants and allocations $


e Other program services (attach schedule) (Grants and allocations $
f Total of Program Service Expenses (should equal line 44, column (B), Program services) ► 132,799.
8 99012 GLD 4224
Farm990(1998) Save a L i f e Foundation 36-3869459 Page3
llllfflli Balance Sheets (Sea Specific Instructions on page 20.)
Note: Where required, attached schedules and amounts within the description (A) (B)
column should be for end-of-year amounts only. Beginning of year End of year
45 Cash — non-interest-bearing 6,719 45 122,721.
46 Savings and temporary cash investments. 46 359,017,
4 7 a Accounts receivable 47a
b Less: allowance for doubtful accounts. 47b 47c

48a Pledges receivable


III
48a
b Less: allowance for doubtful accounts 48b 48c
49 Grants receivable , 49
50 Receivables from officers, directors, trustees, and key employees
(attach schedule) 50
5 1 a Other notes and loans receivable (attach
schedule) 51a
b Less: allowance for doubtful accounts 51b
5 2 Inventories for sale or use 52
5 3 Prepaid expenses and deferred charges... 53
5 4 Investments — securities (attach schedule). 54
5 5 a Investments — land, buildings, and
equipment: basts 55a
b Less: accumulated depreciation (attach
schedule) 55b 55c
5 6 Investments — other (attach schedule).... 56
5 7 a Land, buildings, and equipment: basis 57a 75,894.
b Less: accumulated depreciation (attach
schedule) 57b 32,082. 24,341 57c 43,812,
58 Other 58
assets (dascrjba <

59 Total assets (add lines 45 through 58) (must equal line 74). 31,060 59 525,550.
60 Accounts payabla and accrued expenses , 60 1,474
61 Grants payable < 61
62 Deferred revenue 62
63 Loans from officers, directors, trustees, and key employees (attach mm
schedule) , 6 0 , 0 7 0 , 63 61,521
6 4 a Tax-exempt bond liabilities {attach schedule) 64a
b Mortgages and other notes payable (attach schedule) 64b 19,907.
liabilities (describe ► S tlTTC AttCnU 65 4,928

6 6 Total liabilities (add lines 60 through 65). 6 0 , 0 7 0 . 66 87,830,


Organizations that follow SFAS 117, check here. .► [X] and complete lines 67
through 69 and lines 73 and 74.
6 7 Unrestricted - 2 9 , 0 1 0 . 67 137,720
6 8 Temporarily restricted 68 3 00,000
6 9 Permanently restricted 69
Organizations that do not follow SFAS 117, check here. , ► [ ] and complete
lines 70 through 74.
70 Capital stock, trust principal, or current funds
w 70
71 Paid-in or capital surplus, or land, building, and equipment fund 71
72 Retained earnings, endowment, accumulated income, or other funds.... 72
73 Total net assets or fund balances (add lines 67 through 69 OR lines 70
through 72; column (A) must equal line 19 and column (B) must equal
line 21) -29,010 437,720.
74 Total liabilities and net assets /fund balances (add lines 66 and 7 3 ) . . 31,060 74 525,550,
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization. How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments,
CAA 8 99034 NTF187S0 GLD 4225
Form990(199a) Save a L i f e Foundation 36-3869459 Page 4
SB tcm-li Reconciliation of Revenue per Audited
Financial Statements with Revenue per
Reconciliation of Expenses per Audited
Financial Statements with Expenses per
Return (See Specific Instructions, page 22.) Return
a Total revenue, gains, and other support a Total expenses and losses per audited
' per audited financial statements ► financial statements
b Amounts included on line a but not on b Amounts included on line a but not
line 12, Form 990: ori line 17, Form 990:
(1) Net unrealized gains (1) Donated services
on investments . . $ & use of facilities.. $ 42,500.
(2) Donated services (2) Prior year adjust­
& use of facilities . $ 42, 500 ■ ments reported on
(3) Recoveries of prior line 20, Form 990 . $_
year grants $ (3) Losses reported on
(4) Other (specify): line 20, Form 990 . $
(4) Other (specify):
Materials $ 30,945.
Add amounts on lines (1) through (4) . . ► Materials 30,945.
Add amounts on Iine3 (1) through ( 4 ) . . 73,445,
C Una a minus line b ► 626,439 C Line a minus line b 159,709.
d Amounts included on line 12, d Amounts included on line 17,
Form 990 but not on line a: Form 990 but not on line a:
(1) Investment expenses (1) Investment expenses
not included on not included on
line 6b, Form 990 $_ line 6b, Form 990 . $
(2) Other (specify): (2) Other (specify): -A

3
$
Add amounts on lines (1) and (2) ► Add amounts on lines (1) and ( 2 ) . . . .
e Total revenue per line 12, Form 990 Total expenses per Una 17, Form 990
(Una c plus line d) ► e 626,439 (line c plus line d), 159,709.
® List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated; see Specific
Instructions on page 22.}
(B) Title and average (C) Compensation (D) Contributions to (E) Expense
(A) Name and address hours per week (if not paid, employee benefit plans account and other
devoted to position enter -0-.) & deferred comp. allowances
See A t t a c h e d
0. 0. 0.

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your
organization and all related organizations, of which more than $10,000 was provided by the related organizations? ► QYes No
If "Yes," attach schedule — see Specific Instructions on page 22.

CAA 8 99034 NTF18761 GLD4225


Form990 (1998) Save a L i f e Foundation 36-3869459 Page 5
Other l n f o r m a t i o n ' ( S e e Specific Instructions on page 23.) Yes No
76 Did organization engage in any activity not previously reported to IRS? If "Yes," attach detailed description of each activity 76 X
77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77
If "Yes," attach a conformed copy of the changes.
78a Did the organization have unrelated business gross income of $1,ooo or more during the year covered by this return? . . . 78a X
b If "Yes," has It filed a tax return on Form 990-T for this year? 78b N/A
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement . . 79 X
80a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?
m
80a X
b If "Yes," enter the name of the organization ►
and check whether it is [ J exempt OR [ J nonexempt.
81a Enter the amount of political expenditures, direct or indirect, as described in the
Instructions for line 81 |81a[ *
b Did the organization file Form 1120-POL for this year? 81b
82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value? 82a
If "Yes," you may indicate the value of these items here. Do not include this amount
as revenue in Part I or as an expense in Part II. (See instructions for reporting in
Part III.) , j82b| 73,445
83a Did the organization comply with the public inspection requirements for returns and exemption applications?
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b X
84a Did the organization solicit any contributions or gifts that were not tax deductible?
b If 'Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? 84b N/A
85 301(c)(4), (5), or (6) organizations. — a Were substantially all dues nondeductible by members? -. , 85a N/A
Did the organization make only In-house lobbying expenditures of $2,000 or less? 85b N/A
If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year.
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures 85d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e
f Taxable amount of lobbying and political expenditures (line 85d less 85a) 85f
g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? 85g N/A
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount In 85f to its reasonable
h estimate of due3 allocabls to nondeductible lobbying and political expenditures for the following tax year? 85hN/A
501(c)(7) organizations. — Enter: a Initiation fees and capital contributions included on
86 line 12 86a
Gross receipts, included on line 12, for public use of club facilities 86b
87 501(C)(12) organizations. — Enter:
a Gross income from members or shareholders 87a
b Gross Income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87b
88 At anytime during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership?
If "Yes," complete Part IX 88 X
89a 501 (c)(3) organizations. — Enter: Amount of tax Imposed on the organization during the year under:
section 4911 ► ; section 4912 ► ; section 4955 ►
b 501(c)(3) and 501(c)(4) organizations. ~ Did the organization engage in any section 4958 excess benefit transaction
during the year? If "Yes," attach a statement explaining each transaction 89b X
c Enter; Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 ►
d Enter: Amount of tax on line 89c, above, reimbursed by the organization ►
90a List the states with which a copy of this return is filed ► I L L I N O I S
b Number of employees employed in the pay period that includes March 12,1998 (See Instructions.) 90b <J
91 The books are in care of»- CAROL S P I Z Z I R R I Telephone no>8 4 7 - 9 2 8 - 9 6 83
Located at ► 4 8 2 5 N . SCOTT STREET, SCHILLER PARK ZIP + 4 ^ 6 0 1 7 6
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 — Check here
and enter the amount of tax-exempt Interest received or accrued during the tax year 92
>D
CAA 8 99056 NTF18782 G L D 2877
Form 990 (1998) Page 6
Save a Life Foundation 36-3869459
Analysis of Income-Producing Activities (See Speciiic instructions on page 27.)
Enter gross amounts unless Otherwise Unrelated business income Excluded by section 512, 513, or 514 (E)
Indicated. (B) (C) (D) Related or exempt
Business
S3 Program service revenue: coda Amount Exclusion code Amount function income
a
b
c
d
e
f Medicare/Macftcaid payments
g Fees and contracts from govt. agoncies .
94 Membership dues and assessments . . .
95 Intereston savings and temporary cash
Investments 14 676
96 Divid ends and tntorestfrom securities. . . .
97 Net rental income or (lass) from real estate;
3 debt-financed property
B mBfamHtiMrixma
b n o t debt-financed property
Q3 Net rental income or (loss} from personal
property
99 Otherinvestmentincome
100 Gain or(loss) from sales of assets other
than inventory
101 Net income or(loss)from special events. . 4,474.
102 Gross proflt/(loss) from sales of Inventory ,
103 Other revenue: a
b
c
d
e (EBBS
104 S u b t o t a l (add columns (B),(D), and (E)|. . .
""12s 676. 4,474
105 Total (add line 104, columns (B), (D), and (E)). 5,150.
Note: (Line 105 plus line,1d, Part I, should equal the amount on line 12, Part I.)
Fpgrwnr Relationship of Activities to the Accomplishment of Exempt Purposes (See specific instructions on pg. 28.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the
organization's exempt purposes (other than by providing funds for such purposes).
95 INCIDENTAL ITEMS FROM PROGRAM OPERATIONS
101 INCIDENTAL ITEMS FROM PROGRAM OPERATIONS

liflKBfl Information Regarding Taxable Subsidiaries (Complete this Part if "Yes" box on line 88 is checked.)
Name, address, and employer identification Percentage of Nature of Tolal End-of-year
ownersnip
number of corporation or partnership interest business activities income assets
%

Under penaltiss of perjury, I declare that I have examined this return, including accompanying achadulaa and statements, and to the best of my knovuladgo and
Please belief . i t is truo, correct, and complete. Dec[aratiarM>tprHparBr(otherthan officer) is based an all information of which praparer hasany knowledge. (Sea

Sign
'ir-?Wl
Here Type or print name and title.

CAA B 99056 NTF13783 G L D 2877


Software by Tax and Accounting Software Corp.
SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB No. 1545-0047
( F o r m 990) ' (Except Private Foundation) and Section 501(e), 501(f), S01(k),
501(n), or Section 4347(a)(1) Nonexempt Charitable Trust
Supplementary Information 1998
Dapartment of* tko Treasury See separate Instructions.
Internal Revenue Service ► Must be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the organization Employer identification number
_Save a Life Foundation 36-3869459
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See Instructions on page 1. List each one. If there are none, enter "None.")
(a) Name and address of each employee paid more (b) Title and average hours ( d ) Contributions to (e) Expense
(c) Compensation ompl. bonef It plans & account and
than $50,000 per week devoted to position daferrttd compensation other allowances

NONE

Total number of other employees paid over


$50,000 ,
Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions on page 1. List each one (whether individuals or firms). If there are none, enter "Nona.")

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

NONE

Total number of others receiving over $50,000 for


professional services ►•
For Paperwork Reduction Act Notice, see page 1 of the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990) 1998
CAA 8 990A12 NTFia437 QLD 3274
Schedule A (Form goo) 1998 S a v e a L i f e Foundation 36-3869459 Page2
Statements About Activities Yes No
During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to
influence public opinion on a legislative matter or referendum?
If "Yes," enter total expenses paid or incurred in connection with the lobbying activities ► $
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A. Other
organizations checking "Yes," must complete Part Vi-B AND attach a statement giving a detailed description of the
lobbying activities.
During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any of its
trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with
which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary:

a Sale, exchange, or leasing of property?

b Lending of money or other extension of credit? 2b X

C Furnishing of goods, services, or facilities? 2c X


S e e P a r t V Form 9 9 0
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? 2d X

e Transfer of any part of its income or assets? 2e X


if the answer to any question is "Yes," attach a detailed statement explaining the transactions.

3 Does the organization make grants for scholarships, fellowships, student loans, etc.? X
4 a Do you have a section 403(b) annuity plan for your employees? 4a
b Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans
from it in furtherance of its charitable programs qualify to receive payments. (See instructions on page 2.) • ■
:
'iPa Reason for Non-Private Foundation Status (See instructions on pages z through 4.)
■-Hal" mm®
The organization is not a private foundation because it is: (Please check only ONE applicable box.)
5 A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).
6 A school. Section 170(b)(1)(A)(ii). (Also complete Part V, page 4.)
7 A hospital or a cooperative hospital service organization. Section i70(b)(1)(A)(iii).
8 A Federal, state, or local government or governmental unit. Section i70(b)(i)(A)(v).
9 A medical research organization operated in conjunction with a hospital. Section 17Q(b)(1)(A)(iil). Enter the hospital's name, city,
and state ►
10 Q An organization operated for tha benefit of a college or university owned or operated by a governmental unit. Section 170(b)(l)(A)(iv).
(Also complete the Support Schedule in Part IV-A.)
11a JXJ An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(l)(A)(vi). (Also complete the Support Schedule in Part IV-A.)
11 b _ A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)
12 An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc., functions — subject to certain exceptions, and (2) no more than 33 1/3% of its
support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30,1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)
13 \\ An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See
section 509(a)(3).)
Provide the following information about the supported organizations. (See instructions on page 4.)
(b) Line number
(a) Name(s) of supported organization(s) from above
Schedule A (Form 990) 199B Save a Life Foundation 36-3869459 Page 3
^m S u p p o r t S c h e d u l e (Complete only if you checked a box on lina 10,11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
Calendar year (or fiscal year beginning i n ) ^ - (a) 1997 (b) 1996 (C) 1995 (d) 1994 (e) Total
G i f t s , grants, and contributions
15
recaivad. ( D o not include unusual
grants. See line 28.)
101,330 37,566 110,761 93,405 343,062
M e m b e r s h i p f s s s received .
550 1,527 1,410 2,875 6,362
17 Grose receipts f r o m admissions,
merchandise sold or services
p e r f o r m e d , or furnishing of
facilities fn any activity t h a t is n o t
a business unrelated t o t h a
organization's c h a r i t a b l e , e t c . ,
purpose

18 Gross rncomo f r o m interest,


dividends, amounts received f r o m
payments on securities loans
(section 512(a)(5)), r e n t s ,
royalties, and unrelated business
taxable Income (less section S11
t a x e s ) from businesses acquired
b y t h e organization a f t e r J u n e 3 0 ,
1S75
~\ Q N B I income f r o m u n r e l a t e d
business activities n o t included in
fjne 18

20 T a x revenues levied f o r t h e
organization's b e n e f i t and e i t h e r
p a i d to it or e x p e n d e d on its
bahaif

T h e value of services or facilities


furnished to t h a organization by
a governmental unit w i t h o u t
c h a r g e . Do n o t i n c l u d e t h e value
of services o r f a c i l i t i e s generally
furnished to t h e public w i t h o u t
chargo ,

22 O t h e r income. A t t a c h a s c h e d u l e .
Do notinclude gain or (loss) f r o m
sate of capital assets ,

2 3 T o t a l o f linas 15 t h r o u g h 2 2 , 101,880 39,093 112,171. 96,280. 349,424


2 4 Line 2 3 minus line 17 .
101,880. 39,093 112,171. 96,2(
25 Enter 1 % of lino 23
1,019. 391. 1,122
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 ►
Attach a list (which is not open to public inspection) showing the name of and amount contributed by each
person (other than a governmental unit or publicly supported organization) whose total gifts for 1994
through 1997 exceeded the amount shown in line 26a. Enter the sum of all these excess amounts ►

Total support for section 509(a)(1) test: Enter line 24, column (e).
Add: Amounts from column (e) for lines: 18 19
22 26b" 3,012.
Public support (line 26c minus line 26d total)
Public support percentage (line 26e (numerator) divided by line 26c (denominator)). 99.138 %
27 Organizations described on line 12: a For amounts included In lines 15,16, and 17 that were received from a "disqualified person,"
attach a list to show the name of, and total amounts received in each year from, each "disqualified person." Enter the sum of such amounts
for each year:

(1937) (1996) (1995) (1994)


b For any amount included in line 17 that was received from a nondisquaiifled person, attach a list to show the name of, and amount received
for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include in the list organizations described
in lines 5 through 11, as well as individuals.) After computing the difference between the amount received and the larger amount described in
(1) or (2), enter the sum of these differences (the excess amounts) for each year:

(1997) (1996) (1995) (1994)

C Add: Amounts from column (e) for lines: 15 16


17 20 21 27c
d Add: Line 27a total and line 27b total. 27d
e Public support (line 27c total minus line 27d total) ► 27e
f Total support for section 509(a)(2) test: Enter amount on line 23, col. (e) ► | 27f |
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ► 27g
h Investment Income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) ► 27h
28 Unusual Grants: For an organization described in line 10,11, or 12 that received any unusual grants during 1994 through 1997, attach a list
(which is not open to public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a brief
description of the nature of the grant Do rot Include these grants in line 15. (See instructions on page 4.)
CAA 8 990A34 NTf= 18489 GLD 3275
Schedule A (Form 990) 1998 Save a L i f e Foundation 36-3869459 Page 4
Private S c h o o l Questionnaire (See instructions on page 4.)
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
Yes No
29 Does the organization have a racially nondiscrlminatory policy toward students by statement in its charter, bylaws, other
governing instrument, or in a resolution of its governing body? 29
30 Does the organization include a statement of its racially nondiscrlminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs, and
scholarships? 30
31 Has the organization pu blicized its racially nondiscriminatory policy through newspaper or broadcast media during the
period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes
the policy known to all parts of the general community it serves? 31
If "Yes," please describe; if "No," please explain. (If you need more space, attach a separate statement.)

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff? 32a
b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
basis? 32b
C Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with
student admissions, programs, and scholarships? 32c
d Copies of all material used by the organization or on its behalf to solicit contributions? , 32d
If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.)

33 Does the organization discriminate by race in any way with respect to:

a Students' rights or privileges?

b Admissions policies? 33b

C Employment of faculty or administrative staff? 33c


d Scholarships or other financial assistance? 33d

e Educational policies? 33e

f Use of facilities? 33f

g Athletic programs? 33g

h Other extracurricular activities? 33h

If you answered "Yes" to any of the above, please explain. (If you need more space, attach a separate statement.)

34a Does the organization receive any financial aid or assistance from a governmental agency?. 34a

b Has ihe organization's right to such aid ever been revoked or suspended? 34b
If you answered "Yes' to eilher 34a or b, please explain using an attached statement.

35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 of
Rev. Proc. 75-50,1975-2 C.B. 587, covering racial nondiscrimination? If "No," attach an explanation 35
CAA 8 990A34 NTF18400 GLD 3275
Schedule A (Form 990) 1998 S a v e a L i f e Foundation 36-3869459 Page 5
iBJBi^il Lobbying- Expenditures by Electing Public Charities (See Instructions on page e.)
(To be completed O N L Y by an eligible organization that filed Form 5768)
Check here ►• a if the organization belongs to an affiliated group.
Check here ► b if you checked " a " above and "limited control" provisions apply.

Limits on Lobbying Expenditures


(The term "expenditures" means amounts paid or incurred.)
3 6 Total lobbying expenditures to influence public opinion (grassroots lobbying)
3 7 Total lobbying expenditures to influence a legislative body (direct lobbying)
3 8 Total lobbying expenditures (add lines 36 and 37)
3 9 Other exempt purpose expenditures
4 0 Total exempt purpose expenditures (add lines 38 and 39)
4"l Lobbying nonlaxable amount. Enter the amount from the following table —
If the amount on line 40 is — The lobbying nontaxable amount Is - -
Not over $500,000 2 0 % o f t h e amount on line 40
Over $500,000 but not over $1,000,000. . . $100,000 plus 15% of the excess over$50O,000
Over $1,000,000 but not over $1,500,000 . $175,000 plus 10% of the excess nv«r $1,000,000 ^
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of tho excess ovar $1,500,000
Over $17,000,000 $1,000,000 _
4 2 Grassroots nontaxable amount (enter 25% of line 41)
4 3 Subtract line 42 from line 36. Enter - 0 - if line 42 is more than line 36
4 4 Subtract line 41 from line 38. Enter - 0 - if line 41 Is more than line 38

Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
4-Year Averaging Period Under Section 501(h) •
(Some organizations that made a section 501 (h) election do not have to camplete all of the fivB columns below.
See the instructions for lines 45 through 50 on page 7.)

Lobbying Expenditures During 4-Year Averaging Period

Calendar year (or fiscal (a) (b) (C) (d) (e)


year beginning In) ► 1998 1997 1996 1995 Total
4 5 Lobbying
nontaxable amount.
4 6 Lobbying ceiling
amount (150%
of line 45(e)) . . .
4 7 Total lobbying
expenditures.,
4 8 Grassroots
nontaxable amount.
4 9 Grassroots ceiling
amount (150%
of line 48(e)) . .
5 0 Grassroots lobbying
expenditures

!S£iS Lobbying Activity by Nonelecting Public Charities


(For reporting only by organizations that did not complete Part Vl-A) (See instructions on page 8.)
During the year, did the organization attempt to influence national, state or local legislation, including any
Yes No Amount
attempt to influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers
b Paid staff or management (Include compensation in expenses reported on lines 0 through h.)
C Media advertisements
d Mailings to members, legislators, or the public
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 other means
i Total lobbying expenditures (add lines c through h)

If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities.
CAA a 990A56 NTF18491 GLD 3276
Schedule A (Form 990) 1998
—F5BT '
Save a Life Foundation 36-3869459 Page 6
Information-Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
51 Did the reporting organization directly or Indirectly engage in any of the following with any other organization described in section 501(c) of
the Code (other ihan section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of; Yes No
(i) Cash 51a(i) X
(ii) Other assets a(il) X
b Other transactions:
(I) Sales of assets to a noncharitable exempt organization b(i) X
(Ii) Purchases of assets from a noncharitable exempt organization b(!i) X
(ill) Rental of facilities or equipment b(iii) X
(Iv) Reimbursement arrangements b(iv) X
(v) Loans or loan guarantees b(v) X
(vl) Performance of services or membership or fundraising solicitations b(vi) X
C Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the
goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in any transaction
or sharing arrangement, show in column (d) the value of the goods, other assets, or services received:

(a) (b) <c) (d)


Line no. Amount Involved Name of noncharitable exempt organization Description of transfers, transactions, & sharing arrangements

■ -

5 2 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in
section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ► [~j Yes (R]rto
b If "Yes," complete the following schedule:
(a) (b) (0
Name of organization Type of organization Description of relationship
Supplemental Schedules -1998 Page: 1
Company: Save a Life Foundation EIN: 36-3869459

Form 9 90 - Exempt Organization Tax Return


Line 9a - Special Fundraising Events and Activities

Description of Event Gross Rec. Contrib. Exp.

Various Fundraisers 6,134. 0. 1,660.

TOTAL 6,134. 0. 1,660.

Form 390 - Exempt Organization Tax Return


Line 42 - Depreciation, Depletion, Etc.

Description (A) Total (B)Program (C) Mgmt. & (D)Fund-


Services General raising

Depreciation 12,209. 12,209. 0.


Amortization . 318. 318. 0.

TOTAL 12,527. 12,527.

Form 990 - Exempt Organization Tax Return


Line 43 - Other Expenses

Description (A) Total (B)Program (C) Mgmt. & (D) Fund-


Services General raising

Auto expense 561. 561. 0. 0.


Computer expenses 20,187. 13,547. 6,640. 0.
Consulting fees 7,215. 7,215. 0. 0.
Instructor fees 3,200. 3,200. 0. 0.
Insurance 2,390. 0. 2,390. 0.
Licenses & permits 90. 0. 90. 0.
Marketing 6,135. 6,135. 0. 0.
Recruitment 1,598. 1,598. 0. 0.
Miscelleanous 660. 0. 660. 0.
Awards 340. 0. 340. 0.
Bank charges 39. 0. 39. 0.
Dues & subscriptions 32.3. 0. 323. 0.

TOTAL 42,738 32,256. 10,482,

Continued on Page 2
Form 990 (1998) Save a Life Foundation 36-2171716
Part IV
Line 57

Land, Buildings, and Equipment

Asset Basis Accum Depr Book Value

Office Equipment 43,896 19,873 24,023


Vehicle 31,998 0 31,998

Total 75,894 19,873 56,021


Form 990 (1998) Save a Life Foundation 36-3869459
Part IV ■ '
Line 63

Loans from Officers, Directors, Trustees, and Key Employees

Due to Carol Spizzirri $61,521


Form 990 (1998) Save a Life Foundation 36-3869459
PartV

List of Officers, Trustees, and Directors

Contributions to Expense account


Title & Average Hours employee benefit and other
Name and Address per Week Compensation plans allowances

Judge Sam Amirante Director 0


4825 N. Scott Street
Schiller Park, IL 60176

Mr. Rick Bronstein Director


4825 N. Scott Street
Schiller Park, IL 60176

Ms. Carol Spizzirri Executive Director $ 35,000


4825 N. Scott Street 40 H RS
Schiller Park, IL 60176

The above individuals put in time at Save a Life Foundation as needed, except where indicated.
otherwise.
Supplemental Schedules-1998 Page: 2
Company: Save a Life F6undation EIN: 36-3869459

Form 990 - Part IV - Balance Sheets


Line 64b - Mortgages and Other Notes Payable

Description Amount

Vehicle Loan 19,907.


Date of Loan: 09/07/98
Maturity Date: 09/07/02
Original Amount: 21,668

TOTAL 19,907,

Form 990 - Part IV - Balance Sheets


Line 65 - Other Liabilities

Description Amount

Payroll Liabilities t < •. -747.


Interest Due to State of IL 5,675.

TOTAL 4,928.
OMBNo. 1545-0047
" Form 9 9 0 Return of Organization Exempt from Income Tax
I Under section 501(c) of the Internal Revenue Code (except black lung benefit trust 1999
*I . or private foundation) or section 4947(aX1) nonexempt charitable trust This Form Is Open
inie.rai P « « I S St-/« ' Note: The organization may have to use a copy of this return to satisfy state reporting requirements. to Public Inspection
For the 19S9 calendar year, Or tax year period beginning , 1999, and ending
Checx if: C Name of organization D Employer Identification Number
please use
) C-,a-ja of? ioz'iss IRSIibd Save A Life Foundation 36-3869459
or print
1 crfype.
See
Number & street (or P.O. box if mail is not delivered to street add;) Room/suita E Telephone number

specific 4825 N. Scott Street 74A (847) 928-9683


instruc­
I [ A-rended return tions. City, Town or Country Stale 2IP+4 Check.. L3 if exemption
(fagutrw: a'so for
state resorting) Schiller Park IL 60176 application is pending
G Type of organization *" |X) Exempt under section 501(c) 3 •'(insert number) or »~ [ ) section 4947(a)(1) nonexempt charitable trust
Note: Section 501(cX3) exempt organizations and4347(aX1) nonexempt charitable trusts Must attach a completed
Schedule A (Form 990).
(a) Is this a group return filed for affiliates? [ J Yes (xj No
I If either box in H is checked 'Yes,' enter four-digit group
exemption number (GEN) *~
(b) If 'Yss,' enter the number of affiliates for which this return is filed J Accounting method: |~|cash (Xj Accrual
(c) Is this a separate return filed by an organization covered by a group ruling? Yes X No | | Other (specify) . . . **
K Check here .. *- £ J if the organization's gross receipts are normally not more than $25,000. The organization need not tile a return with the
IRS; but if it received a Form 990 package in the mail, it should file a return without financial data. Some states require a complete return-
Note: Form 990-EZmay be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year.
I f & r | | | | l | Revenue, Expenses, and Changes in Net Assets or Fund Balances (see instructions)
1Contributions, gifts, grants, and similar amounts received:
a
Direct public support la 21,043.
b
Indirect public support lb
c
Government contributions (grants) 1c 600,000.
d
Total (add lines la through 1c) (attach schedule of contributors)
o
(cash $ 6 2 1 , 0 4 3 . noncash $ 0) L-rld.Stmt. Id 621,043.
p Program service revenue including government fees and contracts (from Part VII, line 93) 16,831.
o Membership dues and assessments
Interest on savings and temporary cash investments 24,575,
Dividends and interest from securities
6a Gross rents [ 6a
b Less: rental expenses 6b
HI c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe **
(A) Securities (B) Other
8a Gross amount from sale of assets other
than inventory Sa
v b Less: cost or other basis and sales expenses 8b
E
N c Cain or (loss) (attach schedule) 8c
- U
e d Net gain or (loss) (combine line 8c, columns (A) and (B)) . 8d
9 Special events and activities (attach schedule)
a Gross revenue (not including . . . I 9, 038 .
of contributions reported on line 1 a) Ll3. 25.637.
b Less; direct expenses other than fundraising expenses |_9b 25,578,
c Net income or (loss) from special events (subtract line 9b from line 9a) See. I r 9 . S t m t 9c 59.
10a Gross sales of inventory, less returns and allowances 10a
b Less: cost of goods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from Part VII, line 103) 11 440.
12 Total revenue (add lines I d , 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, anrJ'H)^ ^ ^ ^ . / J W 12 662,948.
13 Program services (from line 44, column (8)) JA. 498,438.
14 Management and general (from line 44, column (C)) 14 17,958.
15 Fundraising (from line 44, column (D)) 15 36,568.
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)) 17 552,964.

A
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 109,984.
Hi 19 Net assets or fund balances at beginning of year (from line~7 19 437,720.
20 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 547,704.
BAA For Paperwork Reduction Act Notice, see separate instructions. TEEA0I01 OS/,10/39 Form 990 (1999)
^
8478244B12
S5-1^-08 88:64- AHLBECK AND COMPANY 1D=8478244S12 P ■ Q2

Farm990(1999) Save A Life Foundation 36-3869459 Page 2


S t a t e m e n t o f F u n c t i o n a l E x p e n s e s Ait organizations must complete column (A). Columns (6), (C), and (D) are
required for section 501 (c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.

Do not include amounts reported on line (B) Program ( Q Management


Eh. 8b, 9b, Wb, or 16 oiPart I. services and general (D) Fundraising

22 Grants and allocations (attach schedule)


(cash $ ,.__
(ion-cash $
23 Specific a&sistsnce to individuals (Jttach sth)
24 Benefits paid w t< for mentors (attach s c h ) . .
25 Compensation of officers, directors, etc 105.857 _.98,355. 2.501 5.001.
26 Othei salaries and wogas .' 26 134.491 113,786 4,024 16.681,
27 Pension p l a n c c n t r i b i / t i o n s 27
2H Other e m p l o y e e benefits 2B 3.101 2,071 915 115,
29 Payroll taxes 29 19.037 16.674 531 1,832.
30 Professional fundraising fees 30
31 Accounting feos 31 21.343 19.292 1.270, 781.
32 Laoalfees 32
33 Supplies '.. 33 18,187 17,358 210, 619.
34 Telephone 34 15,286 14.009 426 851,
35 Postage and shipping £S 6,300 5.736 186, 378.
36 Occ^rpancy ,. 36 16,262 14,900. 445. 917.
37 Equipment rental and maintenance . 37 1,257 1.144 38 75
33 Printing and publications 38 37.857 33.086 170. 4,601,
39 Travel 39 21,393 20,476 413. 504.
40 ConfsiBnces, ccwwtkjns, and mselirgs 40 2.230_ 1.001 769 460.
41 Interest 41 4.226 3,888 127. 211.
42 DsptKiatiaji, depletion, eic (attach aJieduls),. 42 14,097 12.886 403. 808.
43 Other e/rsnsis (itemize) a 43a
b_Auto_ Expense 43b 3,197. 2.909. 96 192.
«= .Awards _&_ Recogni_t_jon. 43c 734, 199 0. 535,
•L^OX. Charges~ _ _ ~ 43 d 408, 371 12 25,
e See Other Expenses Stmt 43e 127,701 120,297, 5.422. 1,982,
44 Total functional espeniat (add lines 22 - 43).
Orrjmiiationi completing column; (B) - (D),
carry U m a total > to lil>»» 13 - 1S 44 552.964 498.438. 17.958, 36.568,
Reporting ot Jo'int Costs - Did you report in column (B) (program services) any joint costs from a combined ,—. .—,
educational campaign and fundraising solicitation? •* | _ j Yes [XJ No
' 'Yes,' enter (j) the aggregate amount ot these joint costs $ i (ii) the amount allocated to program services
; (iii) the amount allocated to management and general $ . ; and <iv) the amount allocated
jo fundraising $
l&li&ffllil Statement of Program Service Accomplishments
What is the organization's primary exempt purposa? •- J ' X Q . l l P t e J . j f e_ p a v i n g _ f i T S t _ ai_d_ _ Program Service Expense*
(Rcouirod for S0l(e)(3) and
All organizations must describe thoir exempt purpose achievements in a clear and concise manner. State the number of (4) orcanistlons aptf
chants served, publications issued, etc. Discuss achievements that are not measurable, (Section 501 (c)(3) & (4) organ- 4947(oWl) trustt; but
nations ft section 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to otlfers.) OM'orral fprotfiers.)
a
_Kil'j_Programs- promotjon. and teachjng_ of J \f e, saving_fj rst_
-?1 <L JO _I_U 1_noi s _£ chopI _cjhi i d ren _ (47 u77 3 _chi I d_r e n _t a ugjvt)_ _ _

(Grants and allocations S


-p-a 455.592.
b .ot hes r _T raj rri^£_Pj' 9 &r_aJ?i-J>j" 2il0-tio_n_ 10.4. i %3?i? i r ^ . it. 1 it_e_ layji n^
J\l L 3_ i"Ld_ t o_ _i ndj v |d_ua I £ other^than _s_choqij age_ chj \ d r_en_ ~ ~
(584 clients served)
(Grants and allocations £ 0^1 42.846;

(Grants and allocations %

(Grants and allocations S


e Other program services (Grants and allocations $
r Total of Program Service Expenses (should equal line 44. column (6), program services) 493,438.
BAA TCEA01M 12>1W» Form 990 (1999)
Form990(1959) Save A L i f e Foundation 36-3869459 Page 3

ffS^lffi-i] Balance Sheets (See instructions)


Note: vV"=-e <sz- 'ed, attached schedules and amounts within the description (A) (B)
cz-^rr- srcjia te for end-of-year amounts only. Beginning of year End of year
122,721. 45 8,925.
359,017. 46 500,845.

47a 1.750.
47b 0. 0. 47c 1.750.

48a
b Less: allowance for doubtful accounts 48 b 48 c
49 Grants receivable 49

A 50 Receivables from officers, directors, trustees, and key employees


s (attach schedule) . . . . ' 50
s 51 a Other notes & loans receivable (attach schedule) .. 51a
E
S 57 b 51c
52 Inventories for sale or use 0. 52 26,593.
0. 53 18,227.
54
55a Investments - land, buildings, & equipment: basis . 55 a
b Less: accumulated depreciation
55 b 55 c
56
57a 107,023.
b Less: accumulated depreciation
(attach schedule) L.-.57.. Stm.t 57b 46,180. 43.812. 57 c 60,843.
58 Other assets (describe ► D e p o s i t s ).. 0. 58 162.
59 Total assets (add lines 45 throuqh 58) (must equal line 74) 525,550. 59 617,345.
60 Accounts payable and accrued expenses 1,474. 60 4,166.
L 61 Grants payable ; 61
A 62 Deferred revenue 62
B
t 63 Loans Irom officers, directors, trustees, and key employees (attach schedule) . . . 61,521. 63 65,475.
I
1 64a
7
1 b Mortgages and other notes payable (attach schedule) 19,907. 64b 0.
S 65 Other liabilities (describe »- See L i n e 6 5 S t Tit ■ ).. 4,928. 65 0.
66 Total liabilities (add lines 60 through 65) 87,830. 66 69,641.
Organizations that follow SFAS 177, check here *■ JXJ and complete lines 67
¥ through 59 and lines 73 and 74,
67 Unrestricted 137,720. 67 247,704.
3 300,000. 68 300,000.
1
I 69 Permanently restricted 69
0 Organizations that do not follow SFAS 117, check here »■ \_\ and complete lines
R
70 through 74.

1
B
71 Paid-in or capital surplus, or land, building, and equipment f und
70
71
72 Retained earnings, endowment, accumulated income, or olh er funds 72
t
73 TblaJ net assets or fund balances (add lines 67 through 69 o r lines 70 Ihrough
72; column (A) must equal line 19 and column (B) must equ;al line 21) 437,720. 73 547,704.
74 Total liabilities and net assets/fund balances (add line s66 and73) 525,550. 74 617,345.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization. How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore,
please make sure the return is complete and accurate and fuity describes, in Part III, Irre organization's programs and accomplishments.

BAA

TEEA0103 08/M/99
Q5-19-QS Q8:G5 AHLBECK AMD COMPANY ID = B 4 7 B 2 4 4 - Q 1 2 P . S3

.Foriri 990 (1599) Save A Life Foundation 36-3869459 _pagejs


Reconciliation of R e v e n u e per A u d i t e d !gffi3 Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (Soe instructions.) per Return
a i :.Ui .'=.=.-,(.■;. ^ *a, i'c ether .vjpsort Total expenses and losses per
:rr:-: a ' . T C J Kiirw.B 676,098. audited financial statements.., 566,114,
O J.TVxnTs " C X t C ' C1 T.6 a but Amounts included on line a but not
~e: c«. I r e l«f, -orm 990: on line 17, Form 990:

(1) 'ss: i_-rea: zea O) Donated serv­


"s-rs of: ices and m e
'"viijiriers . 5_ of facilities . . 8,750.
(2) >-r : atea serv- (Z) Prior year adjust­
.Mi; una Lse ments reported on
=f racii ties . . . . $ 8,750 lirta 20, Form 990 .

(3) ^eavtriK c( pricr (3) Lwws reported on


/ w ;raiits $ • lint 20, form 990 .,
(4) Othsr (specify): (4) Other (specify):
_SU£pl fes ^UpJJljies
S 4,400 $ 4,400.
Ada amounts on lines (1) Add amounts on lines (1)
i 13.150. through (4) 13,150.
through (4)
662,948 Line a minus lira b 552.964.
Amounts included on line 12, Amounts included on line 17,
Form 990 but not on line a: Form 990 but not on lino a:
(1) Investment
expanses not (1) Investment
included on expenses not
line 6b, included on line
Form 990 $_ 6b, Form 990 . .
(2) Ottmr (specify): (2) Other (spacify):

S
Add amounts on lines (1) and (2) Add amounts on lines O ) and (?) . . . *■

t Total revenue per line 12, Form Total expenses per line 17, Form
030 (line c plus line d ) , . . 562,948. 990 (Una c plus line d) *■ 552,964,
;Sfe$tl L i s t of O f f i c e r s . D i r e c t o r s , T r u s t e e s , a n d K e y E m p OVees (List each one even if not compensated; see instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
per week devoted (if not paid, employee benafit account and othsr
(A) Name and address to position enter-Q-) plans and deferred sltau/ances
compensation
_ClL°J_§pJ zz i_rj_ i.
Pres/Exec Dir 40 83.359, 372-, _0,
_DI L. _ s iarL LltiJ 9.
Director 20.832, 0.
Carlos Costes
Director 0.
Jam L. Amirante
Director 0.
Scott Anderson
Pi rector
Deloris M. Burnam
Director o.
Dr. Scott Betzelos
Director 1,666 0.
_Bob _Cpnroy_
Pi rector 0.

if.es Lisl of Officers, Etc. Statement

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000
from your organization and all related organizations, of which more than $10,000 was provided by the
related organizations? □ Yes' .0N*
If 'Yes,' attach schedule - see instructions. .
TE£Jdr« tf/?j«g Form 99D{1999)
BAA
Form990 (1999) Save A L i f e Foundation 36-3869459 Page 5
l U f i & M I ] Other Information (See specific instructions.) Yes No
76 Die the crzanzabori engage in any activity not previously reported to the IRS? If 'Yes,' attach a detailed description mm.
cf sacr at- , -, 76
77 Were any craves made in the organizing or governing documents but not reported to the IRS? 77
'' 'Yes,' a:?acr a conformed copy ol !he changes. mm
78a D;c r.e z-'czr-zaticn nave unrelated business gross income of $1,000 or more during the year covered by this return? 78a
b If v es, ras it Sled a tax return on Form 990-T for this year? 78 b
79 Was there a liqu.dation, dissolution, termination, or substantial contraction during the year? If 'Yes/ attach
a statement 79 X
30a 's (he organisation related (olher than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc, to any olher exempt or nonexempt organizalion? 80 a lii
X
b Jf'Yes,' enter Ihe name of Ihe organization *- ' #§3 IP
and check whether it is [ j exempt or
81 a Enter the amount of political expenditures, direct or indirect, as described in the instructions [_81aJ
b Did Ihe organization file Form 1120-POL for this year?
f_| nonexempt.
0_
81b
#mm s
KB8HS-

x
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value? 82 a
HP
b If 'Yes,' you may indicate the value of these items here. Do not include this amount as
revenue in Part I or as an expense in Part II. (See instructions for reporting in Part III.) .1 82b] 13,150, lii
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a
b Did-the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b
84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax
nnt rax deductible?
rffiriuclihlR? 84b
%i$m Wi
85 501(c)(4), (5), or (6) organizations, a Were substantially all dues nondeductible by members? 85a
b Did the organization make only in-house lobbying expendilures ol $2,000 or less? 85b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for ihe prior year.
-Sift*
c Dues, assessments, and similar amounts from members
d Section 162(e) lobbying and political expenditures
85c
85d
>w ? '04
e Aggregate nondeductible amount of Section 6033(e)(1)(A) dues notices 85 e > S3*
:W&
f Taxable amount of lobbying and political expendilures (line 85d less 85e) 85f
g Does the organization elect to pay the Section 6033(e) tax on the amount in 85f? 85 g
h If Section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount in 85f to its reasonable
estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85 h
86 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on ?'?$>
line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86 b
87 501(c)(12) organizations. Enter: a Gross income from members or shareholders 87a
b Gross income from other sources. (Do not net amounts due or paid to olher sources
against amounts due or received from them.) 87b
88 At any time during Ihe year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from Ihe organization under Regulations Sections 301.7701-2 and 301.7701-3?
If "Yes,' complete Part IX 88
x
89a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under: mm.
Section4911 »■ 0 . ; Section4912»- 0 . ; Section4955*
b 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any Section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year? If 'Yes," attach a statement
explaining each transaction 69b
c Enter: Amount of tax imposed on the organization managers or disqualified persons during Ihe year under
Sections 4912, 4955, and 4958
d Enter: Amount of tax on line 89c, above, reimbursed by the organization *"
90a List Ihe states with which a copy of this return is filed *■ _I I l_1_no \S
b Number of employees employed in the pay period that includes March 12, 1999 (see instructions) ~ [90 b£
91 The books are in care of v _CaLOJ-_ 1.RJ^^i-TX ] Telephone number »- _(847)_928-9683 _
Located at »■ 4 8 2 5 . N.__ J c o t X 1t_._ f ^ A ^ S j r h m e r _Pa?k _ J I L _ ZIP +■ 4 «► 6pi7_6_"
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lien of Form 1041 - Check here ►" [j
and enter the amount o( tax-exempt interest received or accrued during the tax year ►"[ 92 [
BAA Form 990 (1999)
TEEA0105 IJ/20W
Form 990 (1999) Save A L i f e Foundation 36-3869459 Page 6
[If fftfsai Analysis of In come-Producing Activities (See instructions.)
Unrelated business income Excluded by section 512, 513, or'514 (E)
Er.:sr g'css S T C . - I S -nless (A) (B) (C) Related or exempt
othervTss ~z :=tec:. Amount Exclusion code Amount function income
Business cade
93 Program ser.ce revenue:
a Proe-ar, Fees 16,831.
b
c
d
e
f Meaicare/Medicaid payments
g Fees 3. contracts from government agencies . . .
94 Membership dues and assessments ..
95 Interest en savings & temporary cash invmnts.. 14 24.575.
96 Dividends & interest from securities ..
97 fet rental income ac (loss) from real estate: S1.v.:':W-*"*'K|iis«:f:-S-:»":>
naMiiwmmmmmmm
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other Investment income
TOO Gain or (loss) from sales of assets

101 Net income or (loss) from special events 59.


102 Gross profit or (loss) from sales of inventory . . . .
103 Other revenue: a
b Miscellaneous
illiiti 440.
c
d
e
104 Subtotal (add columns (8), (D), and (E)) ^WWSSi 24,575. 17,330.
105 Total (add line 104, columns (8), (D), and (E)). _ 41,905.
Note: (Line 105plus line Id, Part I, should equal the amount on line 12, Part I.)
l l l t t i f j i l l l Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).
93a Promote and teach life savins first aid programs
101 To supplement funding required to perform and carry out the life
103a saving first aid programs

MrJBflll Information Regarding Taxable Subsidiaries and Disregarded Entities (See instructions.) N/A
(A) (B> (C)
Name, address, and EIN of corporation, Percenlape ol Nature of activities Total End-of-year
partnership, or disregarded entity ownership interest income assets
%

Under penalties of perjury, ' declare that I have examined this return, including accompanying schedules and statements, and to the best of m y knowledge and befief, it is
Please true, cofrect, ana complete. Declaration of prepurer (other than orticer) is based on all inrormabon of which prepaier has any knowledge, (See instructions.)

Sign
Here Signature of Officer Date Type or Print N a m e and TiWe

Dale Prepaicr-s SSN or PTIN


Paid
n 339-46-6475
Check if
Prepjfer's self.
Pre­ Signature
05/16/00 employed

pare r's Fern's N a m e


Ahlbeck & Company
Use (or yours if
1665 Elk Boulevard EIN 36-2991500
self-err ployed)
Only and Address
Des Plaines IL ZIP+ 4 60016-4798
BAA TEEA0IO6 13/27/99 Form 990 (1999)
Department of tha Treasury Internal Revenue Service

Schedule A Organization Exempt Under 1999


(Form 990) Section 501(c)(3) IRS use only — Do not wrila or staple in this space.

(Except Private Foundation) and Section 501(e), 501(f), 501(|ri, 501(r>), pr Section 4947(aX1) L™B No. 1545-0047
Nonex«mpt Charitable Trust Supplementary Information - (See separate Instructions.)
Must be completed by the above organizations and attached to their Form 990 or 990-EZ.
ISsrr.e z' r e Cr;ar zii'Z^ Employer Identification Number

Save A Life Foundation 36-3869459


\far£l >^TCompensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
■See instructions. List each one. if there are none, enter 'None.')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employes benefit account and other
than $50,000 devoted to position plans & deferred allowances
compensation

None

Total number of other employees paid


over $50,000 None
■ E . M l B f l J Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions. List each one (whether individuals or firms), if there are none, enter 'None.')

(a) Name and address of each Independent contractor paid more than $50,000 (b) Type of service (c) Compensation

None

Total number of others receiving over


$50,000 for professional services *~ None
BAA For Paperwork Reduction Act Notice, see tha instructions for Form 990 and Form 990-EZ. Schedule A (Form 990) 1999

FEEA0401 CS/W/99
Schedule A ( F e n 9=2) 1999 Save A L i f e Foundation 36-3869459 Page 2

[ j j a i r j l i i f i Statements About Activities Yes No

D-r.-.g tie ,ear, ias the organization attempted to influence national, state, or local legislation, including any attempt
:c r.tCs-.:s z'joiic cp',r,,on on a legislative matter or referendum?
: v
e=, »i>er ".-e :olal expenses paid or incurred in connection with Ihe lobbying activities . . . . K $ .
Ogarizarors 'rat made an election under section 501(h) by filing Form 5768 must complete Part Vl-A. Other
crga-'zatiors chewing 'Yes,' must complete Part Vl-B and attach a statement giving a detailed description of the
Icoo/ ~g activities.

2 D. r ~.~ iwe year, has the organization, either directly or indirectly, engaged in any of the following acts with any of its
trustees, cl rectors, officers, creators, key employees, or members ol their families, or with any taxable organization
w'th which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary: 3>;
*#A
</■<■

a Sale, exchange, or leasing of property? 2a

b Lending of money or other extension of credit? 2b

c Furnishing of goods, services, or facilitiss? 2c

d Payment of compensation (or payment or reimbursement of expenses it more than $1,000)? S e e . P.t. .V,. . F/n. 3 9 0 . 2d

e Transfer of any part of its income or assets? 2e


If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions.

3 Does the organization make grants for scholarships, fellowships, student loans, etc?
4a Da you have a section 403(b) annuity plan for your employees?
b Attach a statement to explain how the organization determines that individuals or organizations receiving grants
or loans from it in furtherance of its charitable programs qualify to receive payments. (See instructions.)

J j J F J i K i J i Reason for Non-Private Foundation Status (See instructions,


•M
The organization is not a private foundation because it is (please check only One applicable box):
5 _ A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).
6 _ A school. Section 170(b)(l)(A)(ii). (Also complete Part V, page 4.)
7 _ A hospital or a cooperative hospital service organization. Section 170(b)())(A)(iii).
8 _ A federal, state, or local government or governmental unit. Section l70(b)(l)(A)(v).
9 L J A medical research organization operated in conjunction with a hospital. Section 170(b)(l)(A)(iii). Enter the hospital's name, city,
and stale ►■
10 [_J An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(l)(A)(iv).
(Also complete the Support Schedule in Part 1V-A,)
11a [Xj An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section l70(b)(l)(A)(vi). (Also complete ihe Support Schedule in Part IV-A.)
l l b Q f l community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)
12 O An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
Irom gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)
13 LJ An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See
section 509(a)(3).)

Provide the following information about the supported organizations. (See instructions.)

(a)Name(s) of supported organization^) (b) Line number


from above

14 1 1 An organization organized and operated to test for public safely. Section 509(a)(4). (See instructions.)
BAA TEEA0402 12/20/39 Schedule A (Form 990) 1999
Schedule A (Form 99C) 1999 Save A L i f e Foundation 36-3869459 Page 3
Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: Ycu may use Ihe worksheet in the instructions for converting from the accrual to the cash method of accounting.

Calendar yearfpr fiscal year <3 (e)


beginning ir») ** 1& 1996 , & Total
I99S
15 Girts, grants and contributions
received (Do <"~o: include
u-iusja! cr'ants. See line 28.) , . . 621,289. 101,330. 37,566. 110,761. 870.946.
IS Membership fees received 550. 1,527. 1.410. 3,487.
17 Gross rectpts from admissions,
mer:haidise sold or services performed,
or furnisiirig of facilities in any activity
that is rot a onsiness unrelated to the
organization's charitable, etc, purpose .. 6,134. 6,134.
18 Gross income from interest, dividends,
amounts received from payments on
securities tas (Section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less Section Sll taxes)
from businesses acquired by the organ-
676. 676.
19 Net income (rom unrelated business
activities not included in line 13
20 Tax revenues levied for the
organisation's benefit and
either paid to it or expended

21 The value of services or


facilities lurnished to the
organization by a governmental
unit without charge. Do not
include trie value of services or
facilities generally furnished to
the public without charge
22 Other income. Attach a
schedule. Do not include
gain or (loss) (rom sale of

23 Total of lines 15throuqh22 628,099. 101,880. 39.093. 112.171. 881,243.


621,965. 101,880. 39,093. 112.171. 875,109.
25 Enter 1% of line 23
26 Organizations described on lines 10 or 11:
6,281.1 1,019.
a Enter 2% of amount in cc
391. 1,122.
26 a
msH1 7 . 5 0 2 .
b Attach a list (which is not open to public inspection) showing the name of and amount contributed by each
person (other than a governmental unit or publicly supported organization) v, hose total gifts for 1995 through
1998 exceeded the amount shown in line 26a. Enter the sum of all these exc 26b
c Total support for Section 509(a)(1) test: Enter line 24, c 26c 875.109.
d Add: Amounts from column (e) for lines: 18 676. 19
22 26b ** 26 d 676.
e Public support (line 26c minus line ?fie 874,433.
f Public support percentage (line 2 26 f 99.92 %
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person,' attach a list to show the name of, and total
amounts received in each year from, each 'disqualified person.' Enter the sum of such amounts for each year;
(1998) (1997) (1996) (1995)
bFor any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount
received for each year, that was more than the larger of (1) the amount on line 25 for lha year or (2) $5,000. ("Include in the list
organizations described in lines 5 through 11, as well as individuals.) After computing the difference between the amount received
and Ihe larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year:
(1998) (1997) : (1996) (1995)
c Add: Amounts from column (e) for iines: 15 16
27c
d Add: Line 27a total and line 27b total 27d
e Public support (line 27c total minus line 27d total) 27 e
f Total support for section 509(a)(2) test: Enter amount on line 23, column (e) H 27f |
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27g
h Investment income percentage (line 18, column (e) (numerator) divided by line 271 (denominator)) . 27h
28 Unusual Grants: For an organization clescribed in line 10, I I , or 12 that received any unusual grants during 1995 through 1998, attach a
list (which is not open to public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a
brief description of the nature of the grant. Do not include these grants in line 15. (See instructions.)
BAA 7EEAM03 12/20/99 Schedule A (Form 990) 1999
schedule A (Fo-rr 590) 1999 Save A L i f e Foundation 36-3869459 Page 4
'« :iii * 1 ** s * ( ||j Private School Questionnaire (See instructions.)
(To be completed Only by schools that checked the box on line 6 in Part IV) N/A
Yes No
29 Cess ihe ;;car»za!ion have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
othe' governing instrument, or in a resolution of its governing body? 29

30 Does '.he organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
and scnclarsnips? 30
a -f^>

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
»;.'«
Ihe period of solicitation for students, or during the registration period if if has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves? 31
If 'Yes,1 please describe; if 'No,' please explain. (If you need more space, attach a separate statement.)
KU

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff? 32a
■fst,
v.
i
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis? 32 b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
wilh student admissions, programs, and scholarships? ; 32c
d Copies of all material used by the organization or on its behalf to solicit contributions? 32d

If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement.)

33 Does the organization discriminate by race in any way with respect to:
®
a Students' rights or privileges? 33 a

b Admissions policies? 33b

c Employment of faculty or administrative staff? . 33c

d Scholarships or other financial assistance? 33 d

e Educational policies? 33 B

f Use of facilities? 33f

g Athletic programs? 33g

h Other extracurricular activities? 33h

If you answered 'Yes' to any of the above, please explain. (If you need more space, attacti a separate statement.)
mi
mm
34a Does the organization receive any financial aid or assistance from a governmental agency? 34a

■ill
b Has the organization's right to such aid ever been revoked or suspended? 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement.

35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev Proc 75-50, 1975-2 C.B. 587, covering racial nondiscnmination? if 'No,' attach an explanation 35
BAA TEEAQ404 12/20/99 Schedule A (Form 990) 1999
Schedule A (Form sso) :999 Save A L i f e Foundation 36-3869459 Page 5
WM^^Mi Lobbying Expenditures by Electing Public Charities (See instructions.)
(To t s C2r-,p;sted Only by an eligible organization that filed Form 5768) N/A
u
Check e-e *■ a i if U-e organization belongs to an affiliated group.
Check -ere ► b if you checked 'a' above and 'limited control' provisions apply.

Limits on Lobbying Expenditures (a) (b)


Affiliated group To be completed
totals for all electing
(The term 'expenditures' means amounts paid or incurred.) organizations
36Tatai Icboying expenditures to influence public opinion (grassroots lobbying) 36
37Total lobbying expe 37
38Total Icbbying expe 38
39Other exempt pup 39
40 Total exempt purpc 40
41Lobbying nontaxab e amount. Enter the amount from the following table —
If the amount onlir e 40 is - The lobbying nontaxable amount is —
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $193,000 plus 15% of (he excess over $500,000
Over $1,000,000 but notover $1,500,000 $175,000 plus 10% of the excess over $1,000,000 - 41
Over $1,500,000 but notover $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 . $1,000,000
42 Grassroots nontaxa 42
43 Subtract line 42 fro 43
44 Subtract line 41 fro n line 38. Enter -0- if line 41 is more than line 38 44
Caution: inhere is an amount on either line 43 or line 44, you must file Form 4720.
mmmmmm!§t!H!$!i§li
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have lo complete all of the live columns below.
See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c)


(or fiscal year 1999 1998 . 1997 1996 Total
beginning in) *■

45 Lobbying nontaxable
amount
V"t ?/lVCS! ~> >< < if
46 Lobbying ceiling amount
(150% of line 45(e)) . . . . '
47 Total lobbying
expenditures
48 Grassroots non-
taxable amount
":-'■ V> t.1 ^' --* J: •" !,$'l • "v> .-'
49 Grassroots ceiling amount
(150% of line 48(e))
50 Grassroots lobbying

iSil Lobbying Activity by Nonelectinq Public Charities


(For reporting only by organizations that did not complete Part Vl-A) (See instructions.)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of: Yes No Amount

a Volunteers X
b Paid staff or management (include compensation in expenses reported on lines c through h.) X
X
JLJ
IT
XJ
X
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means "X
i Total lobbying expenditures (add lines c through h) J:J:J:>::¥?:>?i?::<;--!:w

If 'Yes' to any of the above, also attach a statement giving a detailed description oi the lobbying activities.
BAA TEEAM05 }2f20m Schedule A (Form 990) 1999
Schedule A (Form 590; 1999 Save A L i f e Foundation 36-3869459 Page 6
£$ I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 C d r e -=rc r>g cganizaticn directly or indirectly engage in any of the following with any other organization described in section 501(c)
zt i:e Czza ^ec tnan section 501(c)(3) organizations) or in section 527, relating to political organizations?
a T-a~s?e*s 'rom t-e reporting organization to a noncharitable exempt organization of: Yes No
(i)Cas- 51 a (1) X
(ii)C'r-e' assets a(ii) X
b O r e ' :ransacticns:
(i)Sa =s o' exchanges of assets with a noncharitable exempt organization b(i) X
(ii)pjrchases of assets from a noncharitable exempt organization b(ii) X
(iii)Renal of facilities, equipment, or other assets b(iii) X
(iv)Reirr.bursement arrangements b(!u) X
(v)Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is 'Yes,' complete the following schedule. Column (b) should always show the fair market value of
the goods, other assets, or services given by the reporting organization. If Iho organization received less than fair mark ' ---■■■- '
any transaction or sharing arrangement show in column (d) the value of the goods, other assets, or services received:
(a) <b) (c) (d)
Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations .—. .—.
described in section 501 (c) of the Coda (other than section 501(c)(3)) or in section 527? *" U ^ e s CJ ^°
b If 'Yes,1 complete the following schedule:
(a) j (b) (c)
Name of organization Type of organization Description of relationship

BAA TEEA040S 12OT/99 Schedule A (Form 990) 1999


Saue A Life Foundation 36-3869459 1

Form 993, Page 1, Part I, Line 9


Special'Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Contributions Revenue Expenses (Loss)

Dinner Event 34,525. 9,038. 25,487. 25,487. 0.


Various Merchandise 150. 150. 91. 59.

Total 34,675. 9,038. 25,637. 25,578. 59^

Form 990, Page 2, Part II, Line 43


Other Expenses Stmt

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


Total Program Management Fundraising
Other expenses (itemize) services and general

Computer Expenses 22,542. 21,592. . 388. 562.


C o n s u l t i n g Fees 36,765. 33,615. 3.150. 0.
C o n t r a c t Labor 1,697. 1,564. 25. 108.
Dues & S u b s c r i p t i o n s 800. 419. 381. 0.
Equipment R e n t a l 1,740. 1,584. 52. 104.
I n s t r u c t o r s Fees 64,015. 64,015. 0. 0.
Insurance 7,072. 6,435. 212. 425.
Licenses & Permits 1,063. 1,044. 17. 2.
Marketing 9,534. 8,849. 45. 640.
Memorial Fund Expenses 370. 0. 370. 0.
Miscellaneous 1,157. 443. 713. 1.
Recruitment 2,321. 2,193. 39. 89.
Research/Evaluation 1,123. 1,042. 30, 51.

Total 150,199. 142,795. 5,422. _ 1,982.

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

O f f i c e Equipment 75,025. 38.020. 37,005.


Vehicles 31,998. 8,160. 23,838.

Total 107.023. 46,180. 60,843.

Form 990, Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

Payroll L i a b i l i t i e s -747. 0.
I n t e r e s t due t o S t a t e o f IL 5,675. 0.
Save A Lite Foundation 36-3869459 2

For~i S90, Page 3, Part IV, Line 65 Continued


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

Total 4,928. 0.

Form 990, Page 4, Part V


List of Officers, Etc. Statement

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


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter-0-) benefit plans and other
to position and deferred allowances
compensation

Note: The Individuals above,


except as noted, spend time
as needed in their capacity
on the Board, They can be
contacted c/o Save a L i f e
Foundation, 4S25 N. Scott St.
#74A. S c h i l l e r Park, IL 60i76

Total
Save A Life Foundation 36-3869459 3

Supporting Statement of:

Form 990 p 2 / L i n e 42(B)

Description . Amount

O f f i c e Equipment-Program D e p r e c i a t i o n 8,316.
Vehicles-Program Depreciation 4,570.

Total 12,886.

Supporting Statement of:

Form 990 p 2 / L i n e 42(C)

Description Amount

O f f i c e Equipment-Mgmt & Genrl D e p r e c i a t i o n 260.


V e h i c l e s - M g m t & Genrl D e p r e c i a t i o n 143.

Total 403.

Supporting Statement of:

Form 990 p 2 / L i n e 42(D)

Description Amount

O f f i c e Equipment-Fundraising Depreciation 521.


Vehicles-Fundraising Depreciation 287.

Total 808.

Supporting Statement of:

Form 990 p 3 / L i n e S3, column (B)

Description Amount

Due t o C a r o l Spizzirri 65,475.

Total 65,475.
Form 2758 Application for Extension of Time to File
Certain Excise, Income, Information, and Other Returns
OMB No. 1545-0148

<R«v June 195&)


*~ File a separate application for each return.
Internal neserce S t v :fiame
» Employt r ld«tsti flcatian Humbir
Please type cr
pr'nt. Fi.a tis Save A L i f e Foundation.. 36-3869459
original and Number, Street, and Room or Suite Number (or P.O. box number, if mail is not delivered to street address)
one copy by
ire due date 4825 N. Scott Street, #74A
for filing your City, Town or Post Office, Stain, and ZIP Cade. For a Foreign Address, See Instruction*.
rettrn. See
instructors. S c h i l l e r Park, IL 60176
Note: Corporate income tax return filers must use Form 7004 to request an extension of time to file. Partnerships. REMICs, and trusts
must use Form8736to request an extension of time to file Form 1065. 1066, or 1041
1 I request an extension of time until Au& 15 >_?PQ.Q_' t° t,,e (check only one);
Form706-GS(D) Form 990-T (Sec 401(a) or 408(a) trust) Form 1120-ND {Sec 4951 taxes) _ Form 8612
Form 706-GS(r) Form 990-T (trust other than above) ■ Form 3520-A Form 8613
Form 990 or 990-EZ Form 1041 (estate) (see instructions) Form 4720 Form 8725
Form 990-BL Form 1041-A Form 5227 Form 8804
Form 990-PF Form 1042 Form 6069 Farm 8831
If the organization does not have an office or place of business in the United States, check this box *"f~\
2a For calendar year _19 9 9 _ , or other tax year beginning ,_ _ and ending _ , .
b If this tax year is for less than 12 months, check reason: £ j Initial return [_] Final ratum |_JChange in accounting period
3 Has an extension of time to file been previously granted for this tax year? Q Yes (X]No
4 State in detail whyyou need the extension _Need_ a d d i t i o n a l J t J me _to _Cpnip_iJ.e _ t h e
_flQ.aJ1£L3J-_LnJ:pr.nlaJ;iP_n_ Deeded to jcpraplete Jor_m_ 990_

5a If this form is for Form 706-GS(D), 706-GS(T), 990-BL, 990-PF, 990-T, 1041 (estate), 1042. 1120-ND, 4720,
6069, 8612, 8613, 8725, 8804, or 8831, enter the tentative tax, less any nonrefundable credits. See instructions
b If this form is for Farm 990-PF, 990-T, 1041 (estate), 1042, or 8804, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit $
c Balance due. Subtract line 5b from line 5a. Include your payment with this form, or deposit with FTD
coupon if required. See instructions $

Signature and Verification


Under penalties til perjury, I declare that I have examined this form, including accompanying schedules and statements, and to (he best of my knowledge and belier. it is true,
correct, and complete; andJhat I am authorized to prepare this form.

Signature,>■ ' f w C /. ^ C e ^ f Till. » M M BJ< BLVD. OES PLA1NES. IL 6QQlft M» " * / ' O o
File Original and One Copy. The IRS will show below whether or not your application Is approved and will return the copy.
Notice to Applicant - To be completed by the IRS

n We Have approved your application. Please attach this form to your return.
We Have Not approved your application. However, wa have granted a 10-day grace period from the later of the date shown below or the
due date of your return (including any prior extensions). This grace period is considered to be a valid extension of time for elections
otherwise required to be made on a timely filed return. Please attach this form to your return.

| | We Have Not approved your application. After considering (he reasons stated in item 4, we cannot grant your request for an extension
of time to file. We are not granting the 10-day grace period.

H We cannot consider your application because it was filed after the due date of the return for which an extension was requested.
Other:

By:

If you want a copy of this form to be returned to an address other than that shown above, please enter the address to which the copy should he senL
Nam»

Ahlbeck & Company


Please Number, Street, and Room or Suite Number (or P.O. box number, if mail h not delivered to street address)
Type
or 1665 Elk Boulevard
Print City, Town or Post Office, Slate, and ZIP Code- for a Foreign Address, See Instructions.

Des Plaines, IL 60016-4798


BAA For Paperwork Reduction Act Notice, see separate instructions.
F1F2OS0I ?i/?s«a Form 2758 (Rev 5-98)
Forrr 990 Return of Organization Exempt from Income Tax
OMB No. 1545-0047

Under section 501(c) of the Internal Revenue Code (except black lung benefit trust 2000
or private foundation), section 527, or section 4947<aX1) nonexempt charitable trust Open 1o Public
_*pa-r-«e-- r* ?>* i -eatery
l - ' r ~ i = *.#'«jt Service The organization may have to use a copy of this return to satisfy state reporting requirements. inspection
Fo- the 2000 calendar year, or tax year period beginning . 2000, and ending ,20
!>ec^ ' applicant; C Name of organization D Employer Identification Number
Pleaee Uftt
X Otango of addre&s IRS libel
or print
Save A Life Foundation 36-3869459
Change of name or type. Number I street (or P.O. box it mail is not delivered to street adoV) Room/mite E Telephone number
See
| Srubal return e pacific
Inetruc-
9950 Lawrence 300 (847) 928-9683
r-i tlon*. City, Town or Country Stats ZJP code F Check it application pending

l Final return Schiller Park IL 60176


i ■ Amended return Note: H and I are not applicable to section 527 orgs.
G Organization type (check only one) ^ |X | 501(c) 3 "* (insert no.) I 1 527 or ^ J 4947(a)(1) H ( a ) Is Hire a group return for affiliate*' \_\ Yes [Xj No
• Section 501(cX3) organizations and 4947(aX1) nonexempt charitable H { b ) If "yes." enter number of affiliates*1
trusts must attach a completed Schedule A (Form 990 or 990-EZ). H (c) Are all affiliates included? L j Yes LJ No
J Accounting method: _ Cash [X | Accrual _ Other (specify) (If 'no,' attach a list. See instructions)
K Check here * | (if the organization's gross receipts are normally not more than H ( u ) Is this a separate return filed by an
$25,000. The organization need not file a return with the IRS; but if the organization organrzabon covered by a group njling? ycs |X pj0

received a Form 990 Package in the mail, it should tile a return without financial data. I Enter 4-digit group etempb'on no. (GEN)**
Some states require a complete return. Check this box if the organization is not required
to attach Schedule B (Form 990 or 990-EZ) ►■ Q j

jPaj#ii;;l Revenue, Expenses, and Changes in Net Assets or Fund Balances (see instructions)
1 Contributions, gifts, grants, and similar amounts received:
a Direct public support 1a 32,878
b Indirect public support lb
c Government contributions (grants) 1c 650,000
Ta Ehiougn Ic) (cash*_,
otal (add
d Total (adi lines
noncash i ) Id 682,878.
2 39,186.
Program service revenue including government fees and contracts (from Part VII, line 93)
3
Membership dues and assessments
4 8,725.
Interest on savings and temporary cash investments
5
Dividends and interest from securities
6aGross rents 6a
b
Less: rental expenses 6b
c
Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe *"
(A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory 8a
b Less: cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gain or (loss) (combine line 8c, columns (A) and (B)) 8d
9 Special events and activities (attach schedule)
a Gross revenue (not including . $ 6 , 540
of contributions reported on line la) 9a 15,579.
b Less: direct expenses other than fundraising expenses 9b 14,928.
c Net income or (loss) from special events (subtract line 9b from line 9a) See L T 9 . S t i n t . . 9c 651.
10a Gross sales of inventory, less returns and allowances IOI
b Less: cost of goods sold 10b
c Gross piofit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from Part VII, line 103) 11 136.
12 Total revenue (add lines Id, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 731,576.
1
^ > ^ p _^grrim "jpruirni (*rrrn l!mr "\ column (B)) 13 711,626.
~~x 14 M a n a p e J i ^ J g i P ^ E ^ I (fr( line 44, column (C)) 14 143,155.
<=£ 15 Fiimuidlsing {.ntm ime m (D)) 15 43,601
16 <f$ lyments to affiliates
tes (atta
(attai Cfe :hedule) J6_
roc
17 !jat»iEW»jfc3s6dr~ l | f t id 44, column (A)) 17 898,382.
Fi new nr frjeflf't) far <h* subtract line 17 from line 12) 18 ■166,806.
Net aQ^S glfunVcj ba^rfes at jeginning of year (from line 73, column (A)) 19_ 547,704.
20 iiOther ehtiiiguj. n nd balances (attach explanation) 20_
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 380,898.
BAA For Paperwork Reduction Act Notice, see separate instructions. TEEA010I 12/26/00 Form 990 (2000)

l<
. Form $90-?:o: Save A L i f e Foundation 36-3869459 Page 2
Eftfrf"' 1 S t a t e m e n t Of F u n c t i o n a l E x p e n s e s All organizations must complete column (A). Columns (8), (C), and (D) are
■ «ecj -»i - c sect cr. 501 (c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.

Z?z -cv .--ctr's 5.-r*x;nrs reported on line (B) Program (C) Management
£c 5c ?r, " 5 or 16 cf Part 1. (A) Total services and general (D) Fundraising

22 j r c s r r jixatcfis (attach schedule)


as-, $ ::.^:v!:XvW:.::-::!0:iv^vhvRo>i^v:o:!o::.>
-C--C3S.1 $ ) 22 : :
: ( : :: :: J :
: ! :ivSvSW^r:v>^v. :?vftv. :? . ?;^ . S .v^ .y
^vHxJ:v^:
.•.M-.-<r:-.M .^: : - : ^vJ:
.--?ro.-:
:
*"*v:'-
:-.?:<*T!o:
:
'"< : "i : 'j^
:o>;>'\:--': «o+ i
23 Specie issuance to individuals (attach sch) 23 >x£v&o*o:: <M :■.r.'.y: \>: :ir.'.:r.wy. :c^j
24 Jsrefts paid to or for members (attach sch) 24 vv&JSvtt : : :?&-?£ -:::?iv:f iv'jlv:<2vS8

25 Co-nsensaticn of officers, directors, etc 25 104.900. 97,557. 5,245. 2,098.


26 Other salaries and wages 26 187,407. 130,187. 27,076. 30,144.
27 Pension plan contributions 27
28 Other employee benefits 28 8,994. 0. 8,994. 0.
29 Payroll taxes 29 23,703. 18,369. 2,705. 2,629.
30 Professional fundraising fees 30
31 Accounting fees 31 13,922. 3,598. 10,223. 101.
32 Legal fees 32 49,783. 35,582. 13.488. 713.
33 Supplies 33 21,696. 17,832. 3,864. 0.
34 28,463. 23,894. 4.569. 0.
35 Postage and shipping 35 8,592. 8.090. 2. 500.
36 Occupancy 36 36.432. 5.532. 30,833. 67.
37 Equipment rental and maintenance 37 1,995. 1,669. 326. 0.
38 Printing and publications 38 46,804. 40,932. -75. 5,947.
39 Travel 39 10.093. 10.088. 5. 0.
40 Conferences, conventions, and meetings 40 11,447. 10.629. 584. 234.
41 Interest 41 3.954. 2.934. 540. 480.
42 Depreciation, depletion, etc (attach schedule) 42 16,858. 0. 16,858. 0.
43 Other expenses (itemize):
a A u t o Expense 43a 3,547. 0. 3,547. 0.
b Bank Charges 43b 2,338. 1.553. 755. 30.
c Branch Development 43 c 54,493. 54,493. 0. 0.
d Computer Expenses 43 d 50,218. 44,450. 5,768. 0.
e See Other Expenses Stmt 43 e 212,743. 204,237. 7,848. 658.
44 Total fuictionil tipenm (add lines 22 - 43).
Organizations completing column* (8) - (D),
carry th»»» totals to linn 13-15 44 898,382. 711,626. 143,155. 43,601.
Reporting of Joint Costs - Did you report in column (B) (program services) any joint costs from a combined |—. ,—.
educational campaign and fundraising solicitation? ►" | | Yes [Xj No
If "Yes,- enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to program services
$ ; (iii)the amount allocated to management and general ; and (iv) the amount allocated
to fundraising $ .
i i r l i i i i Statement of Program Service Accomplishments
What is the organization's primary exempt purpose? ► _P r omp t e 1 j f e_ s a vj n g _fi r s_t_ a id_ Program Service Eiptnus
(Required for 501(0(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of (4) organization* and
clients served, publications issued, etc. Discuss achievements that are not measurable, (Section 501 (c)(3) & (4) organ- 4947(a)(1) trustt; but
izations & section 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others.) optional for othtrt.)
a
SI d'_?_ P r_°£ La_m.§ _"_ I L°391 ion _ a^n_d_ te_a c h \ug _o_f_ !_ i_fe _s_a_ying_fi_r_st
314. S2_LU Ln_°J 1 JSh^P}_ch_iIdr en _(_ 100, 228_ chi_ldren_ ta_ught)

(Grants and allocations f 0. ) 521,220.


b
S2LP9£3ite_ Progra_m_ - _Pjpniotion_ and_ teachi_ng_of_ J.ife_ sa_yj n^
_f i QS_t_ a i_d_ t o_ j nd_i v i_d_ua I s_ p t he_r_than _s_choo_lj; age_ ch_U dren
(1676 clients served)
(Grants and allocations S _o_J. 41,808.
c
Jiy. e _ Angel s _Pf pgram _-_ Pr_oniot_ipr] Jil)d_t_each_ing _of_l_i_f e _sayi_ng_f i_rst^
J j d _tpthe_pj3l ic_e_ j_n_ _the _51ate_of Il_l_i nqi_s

(Grants and allocations $ 0. ) 11,653.


dJranch_D_eve lopm e_n t/E_xpan_sjon _Prqgram _-_Expand_ to _sateUite_office
inside and outside the State of Illinois

(Grants and allocations $ _P_U. 134,644.


e Other program services .. S e e atta.ched. (Grants and allocations $ _?_U. 2,301
f Total of Program Service Expenses (should equal line 44, column (B), program services) 711.626.
BAA TEEA0I02 09/20/00 Form 990 (2000)
Form990 ?:o:; S3ve A L i f e Foundation 36-3869459 Page 3
:
PJrtfy ~1 Balance Sheets (See instructions)

Note. ,'.'-~?e 'equired, attached schedules and amounts within the description (A) (8)
:>~rrm should be (or end-of-year amounts only. D
Beginning of year End of year
45 Cash - noninterest-bearmg 8,925. 45 500.
46 Savngs and temporary cash investments

47a Accounts receivable


b Less: allowance for doubtful accounts
47 a
47 b
3,987.
500,845.

1,750.
■46 332,812.

3,987.

48a
b Less: allowance for doubtful accounts 48b 48c
49 Grants receivable 49

A 50 Receivables from officers, directors, trustees, and key employees


s (attach schedule) 50
s
E
s
51 a Other notes & loans receivable (attach schedule) .. 51a
b Less: allowance for doubtful accounts 51b
ill
51c
52 Inventories for sale or use 26.593. 52 52.188.
53 Prepaid expenses and deferred charges 18,227. 53 11,305.
54 Investments — securities (attach schedule) * Q Cost [ ] ] FMV 54
55a Investments - land, buildings, &. equipment: basis . 55 a
b Less: accumulated depreciation
(attach schedule) 55 b
I55 c
56 Investments - other (attach schedule)
57a Land, buildings, and equipment: basis
bLess: accumulated depreciation
(attach schedule) L-.57..Stm.t
5B Other assets (describe ► D e p o s i t S
57a

57b
117,663.

63,038.
)..
■56

6 0 , 8 4 3 . 57c
1 6 2 . 58
54,625.
162.
59 Total assets (add fines 45 through 58) (must equal line 74) 6 1 7 , 3 4 5 . 59 455.579.
60 Accounts payable and accrued expenses 4 , 1 6 6 . 60 8,648.
L 61 Grants payable 61
A 62 Deferred revenue 62
B
1 63 Loans from officers, directors, trustees, and key employees (attach schedule) .. 6 5 , 4 7 5 . 63 65,450.
L
64a Tax-exempt bond liabilities (attach schedule) 64a
T
1 b Mortgages and other notes payable (attach schedule) 0 . 64b
S 65 Other liabilities (describe »• See L i n e 65 S t Ht ) 0 . 65 583.

1
A
S
66 Total liabilities (add lines 60 through 65)
Organizations that follow SFAS 117, check here ► [XJ and complete lines 67
through 69 and lines 73 and 74.
67 Unrestricted
68 Temporarily restricted
49,294.
498,410.

6 9 , 6 4 1 . 66

67
68
74,681.

-27,648.
408,546.
I
8

°
69 Permanently restricted
Organizations that do not follow SFAS 117, check here »■
70 through 74.
70 Capital stock, trust principal, or current funds
Q and complete lines

71 Paid-in or capital surplus, or land, building, and equipment fund



69

70
71
72 Retained earnings, endowment, accumulated income, or o Iher funds 72
73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
72; column (A) must equal line 19 and column (B) must equal line 21) 547,704. 73 380,898.
74 Total liabilities and net assets/fund balances (add hn es 66 and 73) 617,345. 74 455.579.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization. How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments.

BAA

TEEA0I03 12/22/00
FormMC T.OJ) Save A L i f e Foundation 36-3869459 Page 4
Ifairt'lV-A -; Reconciliation of Revenue per Audited ;!rl%i$^&'ijj Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions.) per Return
a ~?A rwenue, gains, and other support a Total expenses and losses per audited
::- audited financial statements 786.251 financial statements * 953,057.
:::":':; >:':i>:":u:':<:>:::>^i'>:":oS':o::«:»: :":«£:><
b Amounts included on line a but :
; 'ft v f:": vfft vfhv:';": v'\: w :":':«>:1'; >:':«: : i ^ : : b Amounts included on line a but not
not on line 12, Form 990: i'MjJf ftjjft ft*: ft;ft :>■>: :jvf ij.vfSHlvftlyftv
online 17, Form 990: " J: v ! : S i x " i - : v ! : f t " j f t " jft : $ft-A v ! : f t v : Ji:! v i \'i

(1) Net unrealized (1) Donated serv­ ii! : :i 'y\ i^Ji v / f t ^ftv Jft^Jft>;Ji v >: i j i *ft|>?ftj j ? :11
gains on ices and use
investments . . . . $ of facilities . . . $
(2) Donated serv­ (2) Prior year adjust­ £»:*;¥->;':■>;:<•: :«;_:oft : o " : » : :¥>:IK:; :^>;j : ' 1 - -

ices and use ments reported on :■>::«:<■: » K W : < * : :<■: :w :o: ■■:■■•:.;.: >><;w: ;.
i ft* if: j> > :ft-:t:"ft ■ f :":; |ft'i j j jfi ;■> j j :t|:| j,: '*£ ;,:<* J;
of facilities . . . . line 20, Form 990 . . . . $_ ft:*fi>:
>^>f1o:":«1w! > !:T»fto>"?:« :t¥: :i>>::o>u^
"ivftfvSjvJftl^

(3) Recoveries of prior (3) Losses reported on


year grants line 20, Form 990 $_
v'SvJ
(4) Other (specify): (4) Other (specify):
Oonated H a t e r t f t U
/ ! iivJSvJSWiivi'i'io: Donated Materials
54,675 $ 54,675.
Add amounts on lines (1) through (A) *" 54.6757 Add amounts on lines (1) through (A) *■ 54,675
c Line a minus line b *" 731,576. Line a minus Irne b 898,382
d Amounts included on line 12, Amounts included on line 17,
Form 990 but not on line a: Form 990 but not on line a:

(1) Investment expenses (1) Investment expenses ^ftvft'ioftvft^ftvft^ftv^ftv&vv.:*:^


not included on line not included on line 6b,
;?'ft : i'X- : ft : : ft : .*ft- : x : . : : ft : : fft : : ft : .*"£ : : S : . o : V i
6b, Foim 990 $_ Form 990 $_
o>! y|ift"ftftj>: -ft- j : j : : $£\ft- : i f t : ; f t > - $ > : $ j - ^ :
(2) Other (specify): (2) Other (specify):
: :<■: :%■" :■*:_;<•:: ;••>: :(■>;:•>: :ot: ^ y o - - ; ; ■;*<;>■■-(
: " : w : » : ':<•: ft^ftvftwftvi-ftlSfft^ftsx ft; TO V
<•>: :■>: :c: :<■>: :•>: y.-y. :vy.w. : e : : « : :»■>: x:■:•■■::>
J $ : : o i : »^:-v:;.:: :o:: : * : :<->:<v. :■;■>;,:■■*:•;> ■"■<:; 5
£^Sij%jSi&i £ ?™SS ?* jji iix i Sx £>^ftii jii
Add amounts on lines (1) and (2) Add amounts on lines O) and (2) ..
e Total revenue per line 12, Form e Total expenses per line 17, Form
990 (line c plus line d) 731,576. 990 (line c plus line d) 898,382,
liltflilti List of Offl cers, Directors, Trustees, and Key Employees (List each one even if not compensated; see instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
(A) Name and address per week devoted (if not paid, employee benefit account and other
to position enter -0-) plans and deferred allowances
compensation
Carol Spizzirri
Pres/Exec Dir 40 104,900. 568. 0.
Dr. Stan Zy_dlo^ J r .
Di rector 0. 0. 0.
Carlos A. A z c o i t i a
Di rector 0. 0. 0.
Sam L. Amirante
Di rector 0. 0. 0.
Scott Anderson
Di rector 0. 0. 0.
D e l o r i s M. Burnam
Director 0. 0. 0.
Dr. Scott Betzelos
Di rector 0. 0. 0.
Martin a. Sandoval
Di rector 0. 0. 0.
Michael E. L a v a l l e
Di rector 0. 0. 0.

See List of Officers, Etc. Statement

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000
from your organization and all related organizations, of whicn more than $10,000 was provided by the
related organizations? □ Yes 0NO
If 'Yes,' attach schedule - see instructions.
BAA TCEA0104 09/21/00 Form 990 (2000)
Form 990 :?:>:0) Save A L i f e Foundation 36-3869459 Page5
%'j|r|yi' j Other Information (See specific instructions.) N/A Yes No
76 2 z r e c-ganization engage in any activity not previously reported to the IRS? If 'Yes,1 attach a detailed description SO!
: ' each activity 76
77 tVere any changes made in the organizing or governing documents but not reported to the IRS? 77
x
' 'Yes,' attach a conformed copy of the changes.
78a D d ihe organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78a
b !f 'Yes,' has it filed a tax return on Form 990-T for this year? 78b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach
a statement 79
80a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization? 80a
b If 'Yes,' enter the name of the organization *■ _ _
and check whether it is [ J exempt or
81 a Enter the amount ol political expenditures, direct or indirect, as described in the instructions I 81a
b Did the organization file Form 1120-POL for this year?
\_j nonexempt.

81b
i
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at vA':wi:t>:

substantially less than fair rental value? 82 a X


b If 'Yes,' you may indicate the value of these items here. Do not include this amount as
revenue in Part I or as an expense in Part II. (See instructions for reporting in Part III.) 82b 54,675.
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83 b
84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax deductible?
not tax deductible? 84b
B5 501(c)(4), (5), or (6) organizations, a Were substantially all dues nondeductible by members? 85a
b Did the organization make only in-house lobbying expenditures of $2,000 or less? 85b
It 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year.
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures
e Aggregate nondeductible amount of Section 6033(e)(1)(A) dues notices ..
f Taxable amount of lobbying and political expenditures (line 85d less 85e).
g Does the organization elect to pay the Section 6033(e) tax on the amount in 85f?
85d
85e
85f
85g


h If Section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount m 85f to its reasonable
estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85 h
86 501(c)(7) organizations. Enter: a Initiation tees and capital contributions included on
;«;pi
line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86 b
87 501(c)(12) organizations. Enter: a Gross income from members or shareholders ..,
b Gross income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them,)
67a

87b
At any time during the year, did trie organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations Sections 301.7701-2 and 301,7701-3?
i ■
If 'Yes,' complete Part IX 88
89a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under:
Section 4911 ►• 0 . ; Section 4912 ► 0 . ; Section 4955' 0. Mil
b 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any Section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year? If 'Yes,' attach a statement
explaining each transaction 89b
c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under
Sections 4912. 4955, and 4958
d Enter: Amount of tax on line 89c, above, reimbursed by the organization
90a List the states with which a copy of this return is filed * Illinois
b Number of employees employed in the pay period that includes March 12, 2000 (see instructions) | 90b|
91 The books are in care of ► .Car_0_l_SpJ ZZi_r_r ^ Telephone number ► J847_)_92_8_;96_83_
Located at ► _995_0_ Lawrenc_e_ Suj t e J O Q 3sh C J i f JacX. _1 IL _ ZIP code ■- _60176
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the tax year *"| 92 |
*"D
BAA Form 990 (2000)
TEEA0105 12/20/OO
Form 990 rZJX: Save A L i f e Foundation 36-3869459 Page 6
IMUM^t Analysis of Income-Producing Activities (See instructions.)
Unrelated business income Excluded by section 512, 513, a: 5)4
<E)
Er-.e- C-J-SS a-ncjrts unless (A) (B) (C) (D) Related or exempt
: r s ' « s « rdcated Business code Exclusion code Amount function income
Amount
93 Program serv.ce revenue:
a Program Fees 38,386,
b Conferences 800.
c
d
e
f Medicare/Medicaid payments
g Fees & contracts fiom government agencies ,.
94 Membership dues and assessments ..
95 Interest on savings & temporary cash mvmnts.. 14 8.725.
96 Dividends & interest from securities ..
97 Net rental income or (loss) from real estate: !f|a|t!$|5ysi|:}
a debt-financed property
^^i|i^i|ji|i|i|i||i^|i§
ilPiililllittli
b not debt-financed property
98 Net rental income or (loss) from pers prop ..
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events . . . . 651.
102 Gross profit or (loss) from sales of inventory . . . .

103 Other revenue: a ?:'":o::«: :1S: : ¥ # : ' : « : « : :»?: :o: iioM>!>?:'


•i^^-^:%i#£$s£:-: i^SixSHg-inSSiift: £S=:";S>=» v »
: :$:: :*:: :o:.: :o>: ::.:>: : ¥ : : « * :<:>: : ^ : :■ -:-.,.
:
= * * : =S:. :<■:: » : :■>: :o: :<■?: :o>: >$:«:iicjK'+Niw::«: :j

b Miscellaneous 136.
c
d
e
104 Subtotal (add columns (B), (D), and (E)) . . . . ;£&!*:>■;:*>:'&*&::?: s;i^S;?i:SII; 8.725. 39,973.
105 Total (add line 104, columns (B), (D), and (E)) . 48,698.
Note: Line 105 plus line Id. Part I. should equal the amount on line 12, Part I.

mmm Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions.)


Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).
93a Promote and t e a c h l i f e s a v i n g f i r s t a i d programs
101 To s u p p l e m e n t f u n d i n g r e q u i r e d t o p e r f o r m and c a r r y out the l i f e
103a s a v i n g f i r s t a i d programs

mmmInformation
(A)
Reqardinq Taxable Subsidiaries and Disregarded Entities (See instructions.)
(B) (CO (D) (E)
N/A

Name, address, and EIN of corporation, Percentage ot Nature of activities Total End-of year
partnership, or disregarded entity ownership inteiest income assets
%
%
%
%
I P r t l X i i i Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions.)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal
Yes QNo
benefit contract?
bDid the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
Note: If 'Yes' to b. file Form 8870 and Form 4720 (see instructions).
Yes 0 LJNo

e n a l t e l of perjury, I declare that I have ciammed tils return, including accompanying schedules and sbtements,, and to the
t h * best
b « t of my knowledge and belief, it-i
itjs I
Please rrect.^ana^oinplel*^ Declaration ol preparer (oths£fran officer) is based on air information o^w/ych pre^iarer has aipHurowledge.
arw^tnowlftdge. ( S e e instructions.)
instructions. * ) i /
Sign
Here •ouaipag
Datt Tyfcrw'oj P r i r ^ N a m * and ' itlft '

Mmj
Date CJieck if Preparer s S S N or PTIN
Paid Pieparer'i
Of A o'OI self-
Pre-
arer's
Signature

Ahlbeck & Company


employed
£1 339-46-6475
Cse
Only
Firm's name (or yours
it self-employed) and
address, and ZIP code
1665 Elk Boulevard EIN 36-2991500
Des Plaines IL 60016 P h o n e no *" (847) 824-4000
BAA TEEAO106 12/21/00 Form 990 (2000)
D*partment of ^e Treasury Internal Rovenu* Service

Schedule A Organization Exempt Under 2000


(Form 99C or 990-EZ) S e c t i o n 5 0 1 ( c ) ( 3 ) tRS use only ~ Do not wnle or staple in this space.

(Except Private Foundation) and Section 501(e), 501(f), 501(k), 501(n), or Section 4947(aX1) OMB No. 1545-0047
Nonexempt Charitable Trust Supplementary Information - (See separate instructions.)
► Must be completed by the above organizations and attached to their Form 990 or 990-EZ
N a - * c' r * Cnjaruiabon Employer Identification Number

Save A L i f e Foundation 36-3869459


lPatt1'#ix:-l Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions. List each one. If there are none, enter 'None.')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans & deferred allowances
compensation

None

Total number of other employees paid


over $50,000 ►■ None
WM Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions. List each one (whether individuals or firms). If there are none, enter 'None.')

(a) Name and address of each independent contractor paid more than $50,000 (b)Type of service (c) Compensation

None

Total number of others receiving over


$50,000 for professional services *■ None ip>1I^W^^^§M'^S^IK^^m§^i^lil
BAA For Paperwork Reduction Act Notice, see the instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2000

TEEA0401 09(19/00
Schedu.e A - - — 99C o- 390-EZ) 2000 Save A Life Foundation 36-3869459 Page 2
;
|Paft©' : i Statements About Activities Yes No

1 Z-jrq r e yea', nas the organization attempted to influence national, state, or local legislation, including any attempt
:: r ' _erce outi ic opinion on a legislative matter or referendum?
f • es, enter the total expenses paid or incurred in connection with the lobbying activities . . . . * " $
Organizations that made an election under section 501(h) by filing Form 5758 must complete Part Vl-A. Other
o-ganizations checking 'Yes,' must complete Part Vl-B and attach a statement giving a detailed description of the
lobbying activities.
3:":i ;>"!": 3 :

Jj;>vJSc*l i
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any of its
trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization
with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary:
a Sale, exchange, or leasing of property? 2a
;;•£;$;•< i
b Lending of money or other extension of credit? 2b

c Furnishing of goods, services, or facilities? .. 2c

d Payment ol compensation (or payment or reimbursement of expenses if more than $1,000)? See - P t V , . . Fm . 9 9 0 . 2d

e Transfer of any part of its income or assets? 2e


If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions.

3 Does the organization make grants for scholarships, fellowships, student loans, etc?
4a Do you have a section 403(b) annuity plan for your employees? 4a
b Attach a statement to explain how the organization determines that individuals or organizations receiving grants
or loans from it in furtherance of its charitable programs quality to receive payments, (See instructions.)

Reason for Non-Private Foundation Status (See instructions.)


The organization is not a private foundation because it is (please check only One applicable box):
5 A church, convention of churches, or association of churches. Section 170(b)(l)(A)(i).
6 _ A school. Section 170(b)(l)(A)(ii). (Also complete Part V, page 5.)
7 A hospital or a cooperative hospital service organization, Section 170(b)(l)(A)(iii).
8 A federal, state, or local government or governmental unit. Section 170(b)(l)(A)(v).
9 _ A medical research organization operated in conjunction with a hospital. Section 170(b)(l)(A)(iii). Enter the hospital's name, city,
and state ► ■ _
10 LJ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(l)(A)(iv).
(Also complete the Support Schedule in Part IV-A.)
11a |XJ An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(l)(A)(vi). (Also complete the Support Schedule in Part IV-A.)
l i b L J A community trust. Section 170(b)(l)(A)(vi). (Also complete the Support Schedule in Part IV-A.)
12 LJ An organization that normally receives: (1) more than 33-1/3*/. ot its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)

13 [ J An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (See
section 509(a)(3).)

Provide the following information about the supported organizations. (See instructions.)

(a) Name(s) of supported organization(s) (b) Line number


from above

14 f l An organization organized and operated to test for public safety. Section 509(a)(4). (See instructions.)
BAA TEEA0402 12)11/00 Schedule A (Form 990 or Form 990-EZ) 2000
Schedule A --..— 99C ;• 990-EZ) 2000 Save A L i f e Foundation 36-3869459 Page 3
&jfi$fV~A 1 Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
Calenear year (or fiscal year (e)
beginning in) ** 1999 1958 1997 1996 Total
*
15 Gifts, grants, and contributions
-ece:ved. (Do not include
'_r_sjal grants. See line 28.) ... 621,043. 621.289. 101,330. 37,566. 1.381.228.
16 Membership fees received 550. 1.527. 2,077.
17 Gross receipts from admissions,
merchandise sold or services performed,
oi furnishing o1 facilities in any activity
that is not a business unrelated to the
organization's charitable, etc, purpose 41,158. 6.134. 47,292.
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (Section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less Section 511 taxes)
from businesses acquired by the organ­
ization after June 30, 1975 24,575. 676. 25,251.
19 Net income from unrelated business
activities not included in line 13
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge. Do not
include the value of services or
facilities generally furnished to
the public without charge
22 Other income. Attach a
schedule. Do not include
gain or (loss) from sale of
capital assets
23 Total of lines 15 through 22 . . . . 686,776. 628,099. 101,880. 39,093. 1,455,848.
24 Line 23 minus line 17 645.618. 621.965. 101.880. 39.093. 1,408,556.
25 Enter 1% of line 23 6,868. 6,281. 1,019. 3 9 1 . £ i!"i :■$;-: 3JxX?-J;>;;!>J-,;K: :Kjj;<f>: :'■">: ■%
26 Organizations described on lines 10 or 11: a Enter 2% of amount in co lumn (e), line 24 *■ 26a 28,171.
b Attach a list (which is not open to public inspection) showing the name of and amount contributed by each
person (other than a governmental unit or publicly supported organization) whose total gifts for 1996 through
1999 exceeded the amount shown in line 26a. Enter the sum of all these exc ess amounts *■ 26 b
c Total support for Section 509(a)(1) test: Enter line 24, column (e) »- 26 c 1,408,556.
ft:":iv':Si.':>!
d Add: Amounts from column (e) for lines: 18
22
25,251. 19
26b ....►" 26 d
iiiiifiill!
25,251.
• Public support (line 26c minus line 26d total) *■ 26 e 1,383,305.
f Public support percentage (line 2 He (numerator) divided by line 26c (denominator)) ►■ 26 f 98.21 %
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' attach a list (which is not open to public
inspection) to show the name of, and total amounts received in each year from, each 'disqualified person.' Enter the sum ol such amounts
for each year:
(1999) (1998) (1997) (1996)
bFor any amount included in line 17 that was received from a nondisqualified person, attach a list to show the name of, and amount
received for each year, that was more than the larger of (1) 'he amount on line 25 for the year or (2) $5,000. (Include in the list
organizations described in lines 5 through 11, as well as individuals.) After computing the difference between the amount received
and the larger amount described in (l)or (2), enter the sum of these differences (the excess amounts) for each year:
(1999) (1998) (1997) (1996)
c Add: Amounts from column (e) for lines: 15 16
17 20 21 27c
d Add: Line 27a total and line 27b total 27d
e Public support (line 27c total minus line 27d total) 27e S!!K.l!MI«.i!!*!!!;Wi!;
f Total support for section 509(a)(2) test: Enter amount on line 23, column ( e ) . . . . 27f ;:3::SCii::5?S:>SisiSS!?:s?iiSSiS

g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27g %
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)). 27h
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 19% through 1999, attach a
list (which is not open to public inspection) for each year showing the name of the contributor, the date and amount of the grant, and a
brier description of the nature of the grant. Do not include these grants in line 15. (See instructions.)
BAA TEEAM03 12/10/00 Schedule A (Form 990 or 990-EZ) 2000
Schedule A :^c—i 99C or 990EZ) 2000 Save A L i f e Foundation 36-3869459 Page 4
j j j j p i i r ^ l Private School Questionnaire (See instructions.)
(To be completed Only by schools that checked the box on line 6 in Pert IV) N/A
Yes No

29 I/oes r e cganization have a racially nondiscriminatory policy toward students by statement rn its charter, bylaws,
or.er governing instrument, or in a resolution of its governing body? 29

30 Does S~e organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
ard scholarships? 30
> >
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves? 31
If 'Yes,' please describe; if 'No,' please explain. (It you need more space, attach a separate statement.)
1
■> > ^

< t o

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff? . 32a

b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis? 32b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? 32c
d Copies of all material used by the organization or on its behalf to solicit contributions? 32d

11
If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement.) w$$

33 Does the organization discriminate by race in any way with respect to:

a Students' rights or privileges? 33a


m
b Admissions policies? 33b

c Employment of faculty or administrative staff? 33c

d Scholarships or other financial assistance? 33d

a Educational policies? 33 e

f Use of facilities? 33f

g Athletic programs? 33g


h Other extracurricular activities? 33h

's"s™»-
If you answered 'Yes1 to any of the above, please explain. (If you need more space, attach a separate statement.)

ft ■iSlffiUj

34a Does the organization receive any financial aid or assistance from a governmental agency? 34i

b Has the organization's right to such aid ever been revoked or suspended? 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement.

35 Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev Proc/5-50, 1975-2 C.B. 587, covering racial nondiscrimination? If 'No,' attach an explanation 35
TEEA04M 12/1 WOO Schedule A (Form 990 or 990-EZ) 2000
Schedule A (Fz--^ 990 zr 990-EZ) 2000 Save A L i f e Foundation 36-3869459 Page 5
Pij|E:ffi-Av>l Lobbying Expenditures by Electing Public Charities (See instructions.)
c oe completed Only by an eligible organization that filed Form 5768)

Check " e ' e ►


Check -&-e ► E if the organization belongs to an affiliated group.
if you checked 'a' above and 'limited control' provisions apply.

Limits on Lobbying Expenditures (■) (b)


Affiliated group T o be completed
totals for all electing
(The term 'expenditures' means amounts paid or incurred.) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
i...■ ..'.'.. '.■,. .U...U..'.U..'.i..OJ..%U.U"J..
41 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
':w:":v:V.o^!>:ivf:<vfiv>:VJ>:»fl«^":xfl»:1{
Not over $500,000 20% of the amount on line 40 .L:r^:^U:^:J^1>Kft::^^x^v?:y^Ss.»:ji.:^:y^:":yi

Over 1500.000 but not ovei $1,000,000 $100,000 plus 15% of the excess over $500,000 ■:>-:;:^r;;;>:£:^:w>:^>:>L>>;l<:^&:^>

Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41
.. :■>: :o: :*■:::■>: :w>:*>: :<■>:«■: :<■>: :(*>::<•:l>o:j
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% ot the excess over $1,500,000 ■>::■>: :v. :*>::■>: w.:»: K-K :►-:■:■!*: : « : : » : :«:>
:■»::«:■»■: :<•>: :•>: :<■>: : « : < « r : o * r * : : :■>: » > „ *

Over $17,000,000 $1,000,000


42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720. lilflPlpipiPlllPislili
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c) (e)


(or fiscal year 2000 1999 1998 1997 Total
beginning in) ►

45 Lobbying nontaxable
amount

46 Lobbying ceiling amount


(150% of line 45(e)) lililllli^ ^ ^ g ^ ^ ^ S i"|:|&fiiSl;«lil«sl@if
47 Total lobbying
expenditures

48 Grassroots non-
taxable amount

49 Grassroots ceiling amount


(150% of line 48(e))
IIIIIJIIIIIIIj liiliiisiiii :>y&:;i":wH^?:;H[v^ Sn^UH^HdH[:fHUH^3:?Ni:^SS:^;^

50 Grassroots lobbying
expenditures
RlrWBPLobbvinqAc ;tivity by Nonelecti ng Public Charitie;
(For reporting only by organizations that did not complete Part Vl-A) (See instructions.)

During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of: Yes No Amount
to- :>:*:*■<£■$■ ■&■£■ ■&■ :•>>■<!* 0 i * x S
a Volunteers X
b Paid staff or management (include compensation in expenses reported on lines c through h.) X vJivj:v::^^iv^x^:iv«:^x?S3Kvjs^

c Media advertisements X
d Mailings to members, legislators, or the public X
e Publications, or published or broadcast statements X
f Grants to other organizations for lobbying purposes X
g Direct contact with legislators, their staffs, government officials, or a legislative body X
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X
i Total lobbying expenditures (add lines c through h) Mliilil!
If 'Yes' to any of the above, also attach a statement givmg a detailed description of the lobbying activities.
BAA TEEA0405 Ian/Do Schedule A (Form 990 or 990-EZ) 2000
Schedule A ^ : ~ i 990 ;^ 990-EZ) 2000 Save A L i f e Foundation 36-3869459 Page 6
Pajli^Tiinformation Regarding Transfers to and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 Dia r e .-eocmng organization directly or indirectly engage in any of the following with any other organization described in section 501(c)
c' r e Cede (ether than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Tra-s'e's from the reporting organization to a noncharitable exempt organization of: Yes No
(i)Cash 51 a (i) X
(ii)Cther assets «(") X
b Other transactions:
(i)Sales or exchanges of assets with a noncharitable exempt organization b(i) X
(ii)Purchases ol assets from a noncharitable exempt organization b(ii) X
(iii)Rental of facilities, equipment, or other assets b (lii) X
(iv)Reimbursement arrangements b(iv) X
(v)Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraising solicitations b(wi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is 'Yes,' complete the following schedule. Column (b) should always show the fair market value of
the goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in
any transaction or sharing arrangement, show in column (a) the value of the goods, other assets, or services received:
(b) (c)
Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations . . . .
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? * [_J Yes |Xj No
b If 'Yes.' complete the following schedule:
(b) (c)
Name of organization Type of organization Description of relationship

BAA TEEA0406 09/20/00 Schedule A (Form 990 or 990-EZ) 2O00


OMB No. 1545-0047
Schedule B Schedule of Contributors
(Form 990 or 990-EZ)
Supplementary information for line Id of Form 990 or
Departme-l c' r t ""eajury
Internal 3eve-v^t Servitt
and line f of Form 990-EZ (see instructions) 2000
NIITM of Or^amzition Employer Idcndflcifloii Nurnbtr

5ave A L i f e Foundation 36-3869459


Organisation type (check one) - Section: 501 (c)( 3 ) •* (enter number); [ ] 527 or
4947(a)(1) nonexempt charitable trust
A Section 501(c)(7), (8), or (10) organizations — Check this box if the organization had no charitable contributors who contributed more
than $ 1,000 during the year. (But see General rule below.) * U
Enter here the total gifts received during the year for a religious, charitable, etc, purpose. »• $
BAA For Paperwork Reduction Act Notice, see instructions for Form 990 and Form 990-EZ. Schedule B (Form 990 or 990-EZ) (2000)

TEEA0701 12/20/00
Schedule B :~s~-, 990 z' 990-EZ) (2CO0) Page 1 of 2 of Part I
Nanto of Orgiiurteii Employtr Identification Number

Save A l i £ e Foundation 36-3869459


P S t O Contributors
(•) (b) (0 (d)
Number Name, address and ZIP code Aggregate Type of contribution
contributions

1 Individual X
Payroll
$ 600,000. Noncash
(Complete Part II if a
noncash contribution.)

(a) (c) <d)


Numb* Aggregate Type of contribution
contributions

2 Individual JX
Payroll _
$ 50a000. Noncash \_
(Complete Part II if a
noncash contribution.)

(a) (c) (d)


Numbc Aggregate Type of contribution
contributions

Individual
Payroll
$ Noncash
(Complete Part II if a
noncash contribution.)

(a) (b) (c) (d)


Number Name, address and ZIP code Aggregate Type of contribution
contributions

Individual
Payroll
$ Noncash
(Complete Part II if a
noncash contribution.)

(a) <b) (c) <d)


Number Name, address and ZIP code Aggregate Type of contribution
contributions

Individual
Payroll
$ Noncash
(Complete Part II if a
noncash contribution.)

(a) (b) <<0 (d)


Number Name, address and ZIP code Aggregate Type of contribution
contributions

Individual
Payroll
% Noncash
(Complete Part II if a
noncash contribution.)

BAA TEEA0702 12/21A50 Schedule B (Form 990 or 990-EZ) (2000)

\
■ Save A Life Fcurcation 36-3869459 1

Form 990, Page 1, Part t. Line 9


Special Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Contributions Revenue Expenses (Loss)

Dinner Event 20,800. 6,540. 14.260. 14,260. 0.


Various Merchandise 1.319. 1,319. 668. 651.

Total 22.119. 6,540. 15.579. 14,928. 651.

Form 990, Page 2, Part II. Line 43


Other Expenses Stmt

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


Total Program Management Fundraising
Other expenses (itemize) services and general

C o n s u l t i n g Fees 38,391. 37,891. 500. 0.


Dues & S u b s c r i p t i o n s 577. 187. 285. 105.
Education 1,606. 1,156. 450. 0.
Equipment R e n t a l 4,719. 4,323. 396. 0.
I n s t r u c t o r s Fees 112,152. 112,152. 0. 0.
Insurance 5.500. 0. 5.325. 175.
Licenses & Permits 680. 570. 110. 0.
Marketing 7,648. 7,648. 0. 0.
Miscellaneous 676. 204. 94. 378.
Professional Fees-Other 390. 240. 150. 0.
Program Coordinator 1,666, 1,666. 0. 0.
Promotional 5,507. 5,278. 229. 0.
Recruitment 527. 218. 309. 0.
Reimbursed Program Fees 70. 70. 0. 0.
Research/Evaluation 493. 493. 0. 0.
Temporary Help 32,141. 32,141. 0. 0.

Total 212,743. 204,237. 7,848. 658.

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

O f f i c e Equipment 85,665. 49,878. 35,787.


Vehicles 31,998. 13.160. 18,838.

Total 117,663. 63.038. 54,625.


Save A Life Foundation 36-3869459
Form 990, Page 2, Part III, Line E
Statement of Program Service Accomplishments

Line E - Other Program Services

New Program Development - Research & development for new ways (o serve the community
Program Service Expenses $2,301

\
Save A Life Foundation 36-3869459 2

Fsrm 990. Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

I n s t r u c t o r Deposits 0. 190.
Due t o M o r e l l i Fund 393.

Total 583.

Form 990, Page 4, Part V


List of Officers, Etc. Statement

<A) <B> (C) (D) (E)


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

Note: The Individuals above,


except as noted, spend time
as needed i n t h e i r capacity
on t h e Board, They can be
c o n t a c t e d c / o Save a L i f e
Foundation, 9950 Lawrence
Ste 300. S c h i l l e r Park, I I 60176

Total
Save A Life Foundation 36-3869459 3

Supporting Statement of:

Form 990 p 2 / L i n e 42 column (C)

Description Amount

O f f i c e Equipment - Mgmt & Genl D e p r e c i a t i o n 11,858.


V e h i c l e s - Mgmt & Genl D e p r e c i a t i o n 5,000.

Total 16,858.

Supporting Statement of:

Form 990 p 3 / L i n e 6 3 . column (A)

Description Amount

Due t o C a r o l Spizzirri 65,475.

Total 65,475.
OMBNo 1545-0047
Form 990 Return of Organization Exempt from Income Tax
Under Section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
2001
(except black lung benefit trust or pnvate foundation)
Department of the Treasury
Open to Public
Internal Revenue Service - The organization may have to use a copy of this return to satisfy state reporting requirements Inspection
For the 2001 calendar year, or tax year beginning , 2001, and ending
Check if aptdtcatJ* C Name of organization D Employer Identification Number
Please use
Address change IRS label Save A L i f e Foundation 36-3869459
or print
Name change or type Number street (or P 0 box il mail is not delivered to street addr) Room/suite Telephone number
Sea
Initial return •pacific 9950 Lawrence 300 (847) 928-9683
Instruc­
Final return
Amended return
tion* City Town or Country

Schiller Park
State

IL
ZIP code + 4

60176 \ \ Other (specify)*"


0 Accrual

Application pending • Section 501 (cX3) organizations and 4947(a)(1) nonexempt H sndl or» notapplKabh to Section 527 orgoniZations
chantable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' | j Ye» j X j No
(Form 990 or 990-EZ).
H ( b ) If yes, enter number of affiliates
G Web site- »■ www s a l f org
H ( C ) Are all affiliates melided* Q ] Ye* \_\ No
J Organization type ,-, ,—. ,-, (If no, attach a list See instructions )
( C h e c k O n l y One) *" | X ] 501(c) 3 * (insert n o ) | _ ) 4947(a)(1) or [_J 527
H ( d ) It tfus a separate return hied by an
K Check here * | ) if the organization's gross receipts are normally not more than
organization covered by a group ruling' y M | x j No
$25,000 The organization need not file a return with the IRS, but if the organization
received a Form 990 Package in the mail, it should U\e a return without financial data Enter 4 digit group GEN
Some states require a complete return M Check *• [_j it the organization is not required
L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 » 1 , 7 5 8 , 8 9 9 to attach Schedule B (Form 990, 990 EZ, or 990 PF)
[Part F,^>-:::J Revenue, Expenses, and Changes in Net Assets or Fund Balances (see instructions)
1 Contributions, gifts, grants, and similar amounts received
a Direct public support la 88.699 3$&
b Indirect public support lb
c Government contributions (grants) 1c 1,470,470 ■
d
Ta°t"^dcilTcS)S(caSh$ encash $ ) Id 1,559,169
2 Program service revenue including government fees and contracts (from Part VII, line 93) 115,423
3 Membership dues and assessments
4 Interest on savings and temporary cash investments 3,275
5 Dividends and interest from securities
6 a Gross rents 6a
b Less rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe **
(A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory 8a
b Less cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gain or (loss) (combine line 8c, columns (A) and (B)) 8d
9 Special events and activities (attach schedule) iV:-
a Gross revenue (not including $ 4 4 , 564 of contributions
reported on line la) 9a 73,491
b I riv rlirnnt tiripffmn nthrr than fundraising expenses 9b 70,761
c^£UeVr5&; .) froiT special events (subtract line 9b from line 9a) See L-9 Stoit 9c 2,730
I P * Gross sales of invent) ess returns and allowances 10a
bxess. cx>si Qjjaaods 10b
ITJT nossiirom .tfgqof inventory (attach schedule) (subtract line 10b from line 10a) 10c
fl' OUltJI I H U I U C (IllWH VII, line 103) 11 7,541
i2QQDBMi»U5F lines d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 1.688.138
T3 PlUyrmil bmvii.es (fi urn-tine 44, column (B)) 13 749.494
14 Management and general (from line 44, column (C)) 14 111.917
15 Fundraising (from line 44, column (D)) 15 13.630
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)) 17 875,040
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 813.098
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 380,898
20 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 1,193.996
BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA0101 01/16/02 Form 990 (2001)

V" n
Form 990(2001) Save A Li f e Foundation 36-3869459 Page 2
P a t t t e n S t a t e m e n t Of F u n c t i o n a l E x p e n s e s All organizations must complete column (A) Columns (B), (C), and (D) are
required for section 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others

Do not include amounts reported on line • 0 koV (B) Program (C) Management
6b, 8b. 9b, 10b or 16 of Part 1 (A) Total services and general (D) Fundraising

22 Giants and allocations (att sen) ojo> %°-5-o?££:3°&-b,?0^jHj a.f a j a ^ f t - \ i ^ w s ^ f f l j ^ g a v s '


(cash- $
non cash $ ) 22
23 Specific assistance to individuals (att sen) 23
24 Benefits paid to or for members (att sen) 24
25 Compensation of officers, directors, etc 25 94,309 93,366 472 472
26 Other salaries and wages 26 156,361 133.800 13,191 9.370
27 Pension plan contributions 27
28 Other employee benefits 28 11.384 10,511 653 220
29 Payroll taxes 29 25,050 23,357 579 1,114
30 Professional fundraising fees 30
31 Accounting fees 31 22,593 6,621 15,972 0
32 Legal fees 32 16,100 15.481 165 454
33 Supplies 33 8,054 14.082 2,457 -8,485
34 Telephone 34 24,430 22.493 220 1,717
35 Postage and shipping 35 5,355 1,681 3,090 584
36 Occupancy 36 40,289 7.371 32.918 0
37 Equipment rental and maintenance 37 10.519 7,297 3,222 0
38 Printing and publications 38 8,611 17.359 -8,783 35
39 Travel 39 10.020 15,691 -5,935 264
40 Conferences, conventions, and meetings 40 3,677 1.519 1,298 860
41 Interest 41 3.305 0 3,305 0
42 Depreciation, depletion, etc (attach schedule) 42 16,662 0 16,662 0
43 Other expenses not covered above (itemize)
a Auto Expense 43a 1,233 1,203 30 0
b Bank Service Fees 43 b 2,070 387 1,650 33
c Branch Development 43 c 14.648 14,648 0 0
d Computer Expenses 43d 22,572 22.572 0 0
e See Other Expenses Stmt 43 o 377.798 340.055 30,751 6,992
44 Total functional a i p t n u i (add lines 22 43)
Organization* completing columni (B) (D),
carry these totals to lines 13 IS 44 875,040 749.494 111,917 13,630
Joint Costs Check * Q if you are following SOP 98 2
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services7 * [ _ ] Yes [X] No
If "Yes,' enter (i) the aggregate amount of these joint costs $ , (n) the amount allocated to program services
$ , (hi) the amount allocated to management and general $ , and (iv) the amount allocated
to fundraising $
Part 11 H Statement of Proqram Service Accomplishments
What is the organization s primary exempt purpose 7 *■ Promote l i f e saving f i r s t a i d Program Service Expenses
(FtMuirodfor 501(e)(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of (A) organizations and
clients served, publications issued, etc Discuss achievements that are not measurable (Section 501(c)(3) & (4) organ 4947(a)M) trusts, but
izations & section 4947(a)(1) nonexempt charitable trusts must also enter the amount o f grants & allocations to o t h e r s ) optional for others )

a Kid's Programs - Promotion and teaching of life saving first


aid to Illinois school children (66,196 children taught)

(Grants and allocations $ 0 ) 236,180


bCorporate Program - Promotion and teaching of life saving
first aid to individuals other than school-age children

(Grants and allocations $ 0 ) 7.413


c Blue Angels Prog_ram - Promotion and teaching of life saving first
aid to the police in the State of Illinois

(Grants and allocations $ 0 ) 31,604


d Branch Development/Expansion Program - Expand to satellite office
inside and outside the State of Illinois

(Grants and allocations $ 0 ) 472,489


e Other program services See attached (Grants and allocations $ 0 ) 1.808
f T o t a l of Program Service Expenses (should equal line 4 4 , column (B), program services) fr» 749,494
BAA TEEA0102 01/01/02 Form 990 (2001)
Form 990 (2001) Save A L i f e Foundation 36-3869459 Page 3
PattWM Balance Sheets (See instructions)

Note Where required attached schedules and amounts within the description (B)
column should be for end of-year amounts only Beginning of year End of year
45 "Cash — non interest bearing 500 45 115,104
46 Savings and temporary cash investments 332.812 46 300.464

47a Accounts receivable 47a 2,907


b Less allowance for doubtful accounts 47 b 3.987 47c 2,907
V1* >*■ o J r S
ftV-"?
48a Pledges receivable 48a 20,000
b Less allowance for doubtful accounts 48b 48c 20,000
49 Grants receivable 49 718,887
A 50 Receivables from officers, directors, trustees, and key
s employees (attach schedule) 50
E 51 a Other notes & loans receivable (attach sen) 51a
S b Less allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 52,188 52 47,209
53 Prepaid expenses and deferred charges 11.305 53 17.398
54 Investments - securities (attach schedule) * " [ ] Cost | | FMV 54
55a Investments — land, buildings, & equipment basis 55 a
b Less accumulated depreciation
(attach schedule) 55 b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment basis 57a 118,338
b Less accumulated depreciation
(attach schedule) L-57 Stmt 57b 79,699 54,625 57c 38,639
58 Other assets (describe * See Line 58 Stm t ) 162 58 11,185
59 Total assets (add lines 45 through 58) (must equal line 74) 455,579 59 1.271.793
60 Accounts payable and accrued expenses 8,648 60 8.702
L 61 Grants payable 61
A 62 Deferred revenue 62
1 63 Loans from officers, directors, trustees, and key employees (attach schedule) 65,450 63 68,755
1 6 4 a Tax exempt bond liabilities (attach schedule) 64a
T
1 b Mortgages and other notes payable (attach schedule) 64b
S 65 Other liabilities (describe ► S e e L i n e 65 S t m t ) 583 65 340
66 Total liabilities (add lines 60 through 65) 74,681 66 77,797
Organizations that follow SFAS 117, check hero »■ [Xj and complete lines 67 > ■. ■■

N
through 69 and lines 73 and 74
?
A 67 Unrestricted -27,648 67 112.566
S
S 68 Temporarily restricted 408,546 68 1,081.430
J 69 Permanently restricted 69
0 Organizations that do not follow SFAS 117, check here ►■ Q and complete lines
R
70 through 74
G 70 Capital stock, trust principal, or current funds 70
B 71 Paid in or capital surplus, or land, building, and equipment fund 71
8 72 Retained earnings, endowment, accumulated income, or other funds 72
\ 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
i 72, column (A) must equal line 19 and column (B) must equal line 21) 380,898 73 1.193.996
74 Total liabilities and net assets/fund balances (add lirles 66 and 73) 455,579 74 1,271.793
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments

BAA

TEEA0I03 09/25/01
Form990 (2001) Save A L i f e Foundation 36-3869459 Page 4
[RartlfeAa Reconciliation of Revenue per Audited PartiVrB:]Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions ) per Return
a Total revenue, gams, and other support a Total expenses and losses per audited
per audited financial statements 1,838,502 financial statements ■
b Amounts included on line a but b Amounts included on line a but not
not on line 12, Form 990 on line 17, Form 990
(1) Net unrealized (1) Donated serv
gains on ices and use
investments of facilities
(2) Donated serv­ (2) Prior year adjust
ices and use ments reported on
of facilities line 20, Form 990
(3) Recoveries of prior (3) Losses reported on
year grants line 20, Form 990
(4) Other (specify) (4) Other (specify)
-*- " V ^ V w >■-
See A t t a c h e d See Attached
150,364
Add amounts on lines (1) through (4) 150,364 Add amounts on lines (1) through (4)
c Line a minus line b 1.688,138 c Line a minus line b
'"•0*0
d Amounts included on line 12, d Amounts included on line 17,
Form 990 but not on line a Form 990 but not on line a.
& - >r,
0 ) Investment expenses 0 ) Investment expenses
not included on line not included on line
6b, Form 990 $ 6b, Form 990
(2) Other (specify) (2) Other (specify)

$ $
Add amounts on lines (1) and (2) Add amounts on lines (1) and (2)
e Total revenue per line 12, Form Total expenses per line 17, Form
990 (line c plus line d) 1,688,138 990 (line c plus line d) 875,040
Part V -j List of Officers, Directors, Trustees, and Key Emp o y e e s (List each one even if not compensated, see instructions )
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
(A) Name and address per week devoted Of not paid, employee benefit account and other
to position enter -0-) plans and deferred allowances
compensation
£ i rol _ Spj z z i_r_r ^
P r e s / E x e c Di r 40 94,309 2,290
Sam Amirante
Vice President 0
Daniel Caravello
Treasurer
Martin A Sandoval
Secretary
Carlos M Azcotia
Director
Dr _ Stanl ey_ Z^dlo_
Director
Or Scott Betzelos
Director
Deloris M Burnam
Director
Michael Lavalle
Director

See List of Officers, Etc Statement 0


75 Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations 7 □ Yes g ] No
If 'Yes,' attach schedule - see instructions
BAA TEEA01C4 10/1MJ1 Form 990 (2001)
Form 990 (2001) Save A L i f e Foundation 36-3869459 Page 5
PgrfeVlffijOther Information (See specific instructions) Yes No
76 Did the organization engage in any activity not previously reported to the IRS' If "Yes,"
attach a detailed description of each activity 76
*m X
7
77 Were any changes made in the organizing or governing documents but not reported to the IRS 77
If 'Yes,' attach a conformed copy of the changes /.£,<
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return 7 78a
b If 'Yes,' has it filed a tax return on Form 990-T for this year7 78b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the
<fVgC
year 7 If 'Yes,' attach a statement 79
80a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization 7 80a X
b If 'Yes,' enter the name of the organization ►
and check whether it is [_] exempt or {_J nonexempt
81a Enter direct or indirect political expenditures See line 81 instructions | 81 a| 0_
b Did the organization file Form 1120-POL for this year 7 81b X
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value 7 82a
b If 'Yes,' you may indicate the value of these items here Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part III) 82 b I 79.602 ii£&
83a Did the organization comply with the public inspection requirements for returns and exemption applications7 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions 7 83b
84a Did the organization solicit any contributions or gifts that were not tax deductible 7 84a
£T73
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were £&J
not tax deductible 7 84b
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members 7 85a
b Did the organization make only in house lobbying expenditures of $2,000 or less 7 85b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver tor proxy tax owed for the prior year a< ms
J?
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures 85 d
e Aggregate nondeductible amount of Section 6033(e)(1)(A) dues notices 85« 3 ■ixc-j' • 3 5:: i
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f
g Does the organization elect to pay the Section 6033(e) tax on the amount on line 85f7 85g
h If Section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year7 85 h
86 501(c)(7) organizations Enter a Initiation fees and capital contributions included on
line 12 86a is? 3&
b Gross receipts, included on line 12, for public use of club facilities 86b ?y

I
87 501(c)( 12) organizations Enter a Gross income from members or shareholders 87a
b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them ) 87b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations Sections 301 7701 2 and 301 7701 3 7
If 'Yes,' complete Part IX 88
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under
Section4911 ► 0 , Section 4912*■ 0 , Section 4 9 5 5 " 0 $J

b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any Section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year 7 If 'Yes,' attach a statement
explaining each transaction 89b

c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under Sections 4912, 4955, and 4958 * ■

0
d Enter Amount of tax on line 89c, above, reimbursed by the organization * ■

0
90a List the states with which a copy of this return is filed *■ _I l l_1_pp 1_S
b Number of employees employed in the pay period that includes March 12, 2001 (see instructions) r90bi 9
91 The books are in care of ■• _Car_q_l_5pJ z z i _ r j ] _ Telephone number * (847) 928-9683
Located at *■ _9950_ Lawrenc_e_ Sui t e _300,_Schi_l_ler_ _Park IL ZIP+4 - 60176
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here TJ
and enter the amount of tax exempt interest received or accrued during the tax year 92
BAA Form 990 (2001)
TEEA0105 01JD1TO
Form990(200l) Save A L i f e Foundation 36-3869459 Page6
f PartVft; Analysis of Income-Producing Activities (See instructions)
Unrelated business income Excluded by section 512, 513, or 514
(E)
Note Enter gross amounts unless (A) (Q Related or exempt
otherwise indicated Business code Amount Exclusion code Amount function income
93 Program service revenue
a Program Fees 17,979
b Course M a t e r i a l s 97,444
c
d
e
1 Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash invmnts 14 3.275
96 Dividends & interest from securities
97 Net rental income or (loss) from real estate ;*$?,% ^ % y S ;.--;■■;'&y-» > ? ^ " > X ^ > * ^ " V v V i I £«%¥£&&!$
a debt financed property
b not debt financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gam or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events 1 2.730
102 Grots profit or 0 ° " ) fro™ sales of inventory
103 Other revenue a - > ■ > , ,■-> * V j *-C *<*>*,*<*' i V i . v &*■£" *?>,<?>**?', ,*&ust &&$ ^ > X C |
b Miscellaneous 7.541
c
d
e
104 Subtotal (add columns (B), (0), and (E)) ■■ *V ^V***1**; v/^ ( --r^ 6.005 122,964
105 Total (add line 104, columns (B), (D), and (E)) 128.969
Note Line W5plus line Id, Part I, should equal the amount on line 12 Part I
frfrrtW Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions)
Line No Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes)
93a,93b Promote and teach life saving first aid programs
103a To supplement funding required to perform and carry out the life
saving first aid programs

Part DC* Information Regarding Taxable Subsidiaries and Disregarded Entities (See instructions) N/A
(A) (B) (C) (D) <E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of year
partnership, or disregarded entity ownership interest income assets

girtX? Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract'
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract 7
Note If 'Yes' to (b), file Form 8870 andForm 4720 (see instructions)
UndoTpenalbes perjur d«c|are that I have examined this return including accompanying schedules and statements and to the. best of my knowledge and belief, it is
true icon-act and qpleti arabon of prsparer (other than officer) le-osied on
f i air
alt information
information of
ol which
whic preparer has any knowM '
^
M Date
OMBNo 1545-0047
Organization Exempt Under
Schedule A Section 501(c)(3)
(Form 990 or 990-EZ)
(Except Pnvate Foundation) and Section 501(e), 501(f), 501(k), 50l(n), or Section 4947(a)(1)
Nonexempt Chantable Trust Supplementary Information — (See separate instructions )
Supplementary Information — (see separate instructions)
2001
Department ol (he Treasury
Internal Revenue Service *■ Must be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the Organization Employer Identification Number

Save A L i f e Foundation 36-3869459


fiart^l^y] Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions List each one If there are none, enter 'None *)
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans S deferred allowances
compensation

Laura F i l l Q p e l l I

V i l l a Park, IL 60181 Ntl Project Coordinator 40 58.000 0 0

Total number of other employees paid


over $50,000 *
^Parttt 1 Compensahon of the Five Highest Paid Independent Contractors for Professional Services
(See instructions List each one (whether individuals or firms) If there are none, enter 'None ')

(a) Name and address of each independent contractor paid more than $50,000 (b)Type of service (c) Compensation

None

Total number of others receiving over


$50,000 for professional services *■
BAA For Paperwork Reduction Act Notice, see the instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2001

TEEA0401 01/24/02
Schedule A (F orm990or990EZ)2001 Save A L i f e Four dat i o n 36-3869459 Page 2

P a r M I ^ Statements About Activities (See instructions) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendum 7 If "Yes," enter the total expenses paid
or incurred in connection with the lobbying activities ^ $
(Must equal amounts on line 38, Part Vl-A, or line i of Part Vl-B)
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI A Other
organizations checking 'Yes,' must complete Part VI 8 and attach a statement giving a detailed description of the
lobbying activities M
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary7 (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions ) sty
a Sale, exchange, or leasing of property 7 2a

b Lending of money or other extension of credit 7 2b

2c
c Furnishing of goods, services, or facilities 7
See Pt V. Fm 990
2d
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7

e Transfer of any part of its income or assets 7 2e

3 Does the organization make grants for scholarships, fellowships, student loans, etc 7 (See Note below)
4 Do you have a section 403(b) annuity plan for your employees7
Note Attach a statement to explain how the organization determines that individuals or organizations receiving > .^ .O ••/■. O 0> -J.CO O OJ
■ ■*-H-o w o o : o/io-o. o0 o.°J
grants or loans from it in furtherance of its charitable programs qualify' to receive payments ■. ■"■ ■.O^O.O, . o ^ of ./o, ^*

;ww\ R e a s o n for N o n - P r i v a t e F o u n d a t i o n S t a t u s (See instructions)

The organization is not a private foundation because it is (please check only One applicable box)
5 A church, convention of churches, or association of churches Section 170(b)(l)(A)(i)
6 ~ A school Section 170(b)(l)(A)(n) (Also complete Part V )
7 A hospital or a cooperative hospital service organization Section 170(b)(l)(A)(m)
8 A federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 _ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(m) Enter the hospital's name, city,
and state *■
10 L | An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV A )
11a 0 An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV A )
11 b Q A community trust Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV A )

12 L_) An organization that normally receives O) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV A )
13 C j An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3))

Provide the following information about the supported organizations (See instructions )

(a) Name(s) of supported organization(s) (b) Line number


from above

14 I t An organization organized and operated to test for public safety Section 509(a)(4) (See instructions )
BAA TEEAM02 01/21/02 Schedule A (Form 990 or Form 990 EZ) 2001
Schedule A (Form 990 or 990 EZ) 2001 Save A L i f e Foundation 36-3869459 Page 3
|PartlV-AHSupport Schedule (Complete only if you checked a box on line 10, 11, or 12) Use cash method of accounting.
Note You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year (e)
beginning in) * 2000 .& 1998 .& Total
15 Gifts, grants, and contributions
received (Do not include
unusual qrants See line 28 ) 682,878 621.043 621.289 101.330 2,026.540
16 Membership fees received 550 550
17 Gross receipts from admissions,
merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 52,664 41,158 6,134 99.956
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (Section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less Section 511 taxes)
from businesses acquired by the organ
ration after June 30, 1975 8,725 24.575 676 33.976
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge Do not
include the value of services or
facilities generally furnished to
the public without charqe
22 Other income Attach a
schedule Do not include
gain or (loss) from sale of
capital assets
23 Total of lines 15 through 22 744,267 686.776 628,099 101,880 2,161.022
24 Line 23 minus line 17 691,603 645.618 621.965 101,880 2,061.066
25 Enter 1% of line 23 7,443 6.868 6.281 1,019 _ -f 3 o < - . - : \ , o ft ^ j t

26 Organizations described on lines 10 or 11 a Enter 2% of amount in column (e), line 24 26 a 41,221


b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unitr publicly
r.
supported organization) whose total gifts for 1997 through 2000 exceeded the amount shown in line 26a Do not file this list
with your
return Enter the total of all these excess amounts 26 b
c Total support for Section 509(a)(1) test Enter line 24, column (e) 26 c 2.061.066
dAdd Amounts from column (e) tor lines 18 33,976 19
22 26b 26 d 33.976
e Public support (line 26c minus line 26d total) 26 e 2.027.090
f Public support percentage (line 26e (numerator) divide>d by line 26c (denom nator)) 26 f 98 35 %
27 Organizations descnbed on line 12
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return Enter the sum of
such amounts for each year
(2000) (1999) (1998) (1997)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to
show the name of, and amount received for each year, that was more than the larger or (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return After
computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences
(the excess amounts) for each year
(2000) (1999) (1998) (1997)
c Add Amounts from column (e) for lines 15 16
17 20 21 27c
d Add Line 27a total and line 27b total 27d
e Public support (line 27c total minus line 27d total) 27©
f Total support for section 509(a)(2) test Enter amount from line 23, column (e) _27f
______
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27a
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) 27h
28 Unusual Grants For an organization described in line 10, 11, or 12 that received any unusual grants during 1997 through 2000, prepare a
list (or your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return Do not include these grants in line 15
BAA TEEAM03 i2A3i«i Schedule A (Form 990 or 990 EZ) 2001
Schedule A (Form 990 or 990 EZ) 2001 Save A Li f e Foundation 36-3869459 Page 4
£«rfcV$£*&» Private School Questionnaire (See instructions)
(To be completed Only by schools that checked the box on line 6 in Part IV) N/A
Yes No

29 Does the organization have a racially nondiscnminatory policy toward students by statement in its charter, bylaws,
other "governing instrument, or in a resolution of its governing body' 29

30 Does the organization include a statement of its racially nondiscnminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
and scholarships7 30
if
iW
■ % *

31 Has the organization publicized its racially nondiscnminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves7 31
If Yes," please describe, if 'No,' please explain (If you need more space, attach a separate statement)
381
& !i $8*
32 Does the organization maintain the following Hit*? ■M*
a Records indicating the racial composition of the student body, faculty, and administrative staff7 32a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscnminatory basis 7 32b

c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships7 32c
32 d
d Copies of all material used by the organization or on its behalf to solicit contributions7

If you answered 'No' to any of the above, please explain (If you need more space, attach a separate statement)
is
3ft
+j-.<r?

33 Does the organization discriminate by race in any way with respect to sS


■j>$j&v?. -■?*£

a Students' rights or privileges7 33a

b Admissions policies7 33b

c Employment of faculty or administrative staff7 33c

d Scholarships or other financial assistance7 33d

e Educational policies 7 33e

f Use of facilities7 33f

g Athletic programs 7 33g

h Other extracurricular activities7 33h

If you answered 'Yes to any of the above, please explain (If you need more space, attach a separate statement)

:lt
i :o< •

34a Does the organization receive any financial aid or assistance from a governmental agency7 34a

b Has the organization's right to such aid ever been revoked or suspended7 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement
H ¥£3
35 Does the organization certify that it has complied with the applicable requirements of
sections 4Oi through 4 05 of Rev Proc 75 50, 1975 2 C B 587, covering racial
nondiscrimmation7 If 'No,' attach an explanation 35
TEEADW4 09/2M)l Schedule A (Form 990 or 990 EZ) 2001
Schedule A (Form 990 or 990 EZ) 2001 Save A L i f e Foundation 36-3869459 Page5
»arfe>VfcA£lLobbying Expenditures by Electing Public Charities (See instructions)
(To be completed Only by an eligible organization that filed Form 5768)
Check if the organization belongs to an affiliated group Check *■ b | | if you checked a' and 'limited control' provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed
totals for all electing
(The term 'expenditures' means amounts paid or incurred ) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table - 'JvK ..V V £ V<
If the amount on line 40 is - The lobbying nontaxable amount is — V l• ^*s- <
.<Vs,
— ■^ / h :
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 - 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 $1,000,000 _
42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36 Enter 0 if line 42 is more than line 36 43
44 Subtract line 41 from line 38 Enter -0 if line 41 is more than line 38 44
Caution If there is an amount on either line 43 or line 44, you must file Form 4720 'V/^^: !->^v:V4<S*l
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below
See the instructions for lines 45 through 50 )

Lobbying Expenditures During 4 -Year Averaging Penod

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2001 2000 1999 1998 Total
beginning in) '

45 Lobbying nontaxable
amount
■ IP IXIJ'i.n,uauj i■inwunn 1.1 HIi g u v
T^T'^t
46 Lobbying ceiling amount ■.-,'XMr:
(150% of line 45(e))

47 Total lobbying
expenditures

48 Grassroots n o n
taxable a m o u n t

49 Grassroots ceiling amount


(150% of line 48(e)) ■'' S * 4 *

50 Grassroots lobbying
expenditures
PafEYH&^l Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part VI A) (See instructions)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers X
b Paid staff or management (include compensation in expenses reported on lines c through h ) X
c Media advertisements X 0
d Mailings to members, legislators, or the public X 0
e Publications, or published or broadcast statements X 0
f Grants to other organizations for lobbying purposes X 0
g Direct contact with legislators, their staffs, government officials, or a legislative body X 0
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X 0
i Total lobbying expenditures (add lines c through h ) V** „*"*%<& 0
If 'Yes to any of the above, also attach a statement giving a detailed description of the lobbying activities
BAA Schedule A (Form 990 or 990 EZ) 2001

TEEA040S 12/31/01
Schedule A (Form 990 or 990 EZ) 2001 Save A L i f e F o u n d a t i o n 36-3869459 Page 6
iFirfcyiK-j Information Regarding Transfers To and Transactaons and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 Did the reporting organization directly or indirectly engage in any ol the following with any other organization described in section 501(c)
of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations7
a Transfers from the reporting organization to a noncharitable exempt organization of Yes No
(i)Cash 51 a (i) X
(n)Other assets a(iO X
b Other transactions
(i)Sales or exchanges ot assets with a noncharitable exempt organization b(i) X
(ii)Purchases of assets from a noncharitable exempt organization b(ii) X
(iu)Rental ot facilities, equipment, or other assets b (m) X
(iv)Reimbursement arrangements b(iv) X
(v)Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is 'Yes,' complete the following schedule Column (b) should always show the fair market value of
the goods, other assets, or services given by the reporting organization If the organization received less than fair market value in
any transaction or sharing arrangement, show in column (a) the value of the goods, other assets, or services received
(b) (c) (d)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax exempt organizations .—. .—.
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527' *■ | j Yes [Xj No
b If 'Yes,' complete the following schedule
(a) (b) (c)
Name of organization Type of organization Description of relationship

BAA TEEA0406 09/25AI Schedule A (Form 990 or 990 EZ) 2001


Schedule B OMBNo 1545-0047
(Form 990, 990-EZ,
or 990-PF) Schedule of Contributors
Department of the Treasury
Internal Ravenue Service
Supplementary information for
line 1 of Form 990,990-EZ and 990-PF (see instructions)
2001
Nama ol Organization Employer Identification Number

Save A l i f e Foundation 36-3869459


Organization type (check one)
Filers of Section
Form 990 or 990 EZ 501(c)( 3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization

Form 990 PF 501(c)(3) exempt private foundation


4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation

Check if your organization is covered by the general rule or a special rule (Note Only a Section 501(c)(7), (8), or (W) organization can check
box(es) for both the general rule and a special rule - see instructions )

General Rule —
r~] For organizations filing Form 990, 990 EZ, or 990 PF that received, during the year, $5,000 or more (in money or property) from any one
contributor (Complete Parts I and I I )

Special Rules -
[x]For a Section 501(c)(31 organization filing Form 990, or Form 990 EZ, that met the 33 1/3% support test of the regulations under sections
509(a)(l)/170(b)(l)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of 55,000 or 2% of the
amount on line 1 of these forms (Complete Parts I and II)

DFor a Section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990 EZ, that received from any one contributor, during the year,
aggregate contributions or bequests of more than $1,000 for use exclusively tor religious, charitable, scientific, literary, or educational
purposes, or the prevention of cruelty to children or animals (Complete Parts I, II, and III)

□ For a Section 501(c)(7), (8), or (10) organization filing Form 990, or Form 990 EZ, that received from any one contributor, during the year,
some contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than
$1,000 (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable,
etc, purpose Do not complete any of the Parts unless the general rule applies to this orgainization because it received nonexclusively
religious, charitable, etc , contributions of $5,000 or more duing the year) ** $

Caution Organizations that are not covered by the general rule and/or the special rules do not file Schedule B (Form 990, 990 EZ, or 990-PF)
but must check the box in the heading of their Form 990 Form 990 EZ, or on line 1 of their Form 990 PF, to certify that they do not meet the
filing requirements of Schedule B (Form 990, 990 EZ, or 990 PF)
BAA Schedule B (Form 990, 990 EZ, or 990 PF) (2001)

TEEA07O1 I2/3CW1
Schedule B (Form 990, 990 EZ, 990 PF) (2001) Page 1 to 1 of Part I
Name of Organization Employer Identification Number

Save A L i f e Foundation 36-3869459


IPart! C o n t r i b u t o r s (see instructions)

(a) (b) (c) (d>


Number Name, address and ZIP + 4 Aggregate Type of contribution
contributions

Person X
Payroll _
$ 600.000 Noncash
(Complete Part II if there is
noncash contribution)

(a) (c) <d)


Number Aggregate Type of contnbution
contributions

Person X
Payroll
$ 870,470 Noncash
(Complete Part II if there is
noncash contribution)

(") (c) <d)


Number Name, address and ZIP + 4 Aggregate Type of contnbution
contnbutions

Person
Payroll
$ Noncash
(Complete Part II if there is
noncash contribution)

(a) (b) (c) (d)


Number Name, address and ZIP + 4 Aggregate Type of contnbution
contnbutions

Person
Payroll
$ Noncash
(Complete Part II if there is
noncash contribution)

(a) (b) (c) (d)


Number Name, address and ZIP + 4 Aggregate Type of contnbution
contnbutions

Person
Payroll
$ Noncash
(Complete Part II if there is
noncash contribution)

<a) (b) (c) (d)


Number Name, address and ZIP + 4 Aggregate Type of contnbution
contnbutions

Person
Payroll ^^
$ Noncash
(Complete Part II if there is
noncash contribution)

BAA TEEA0702 01/D2AJ2 Schedule B (Form 990, 990 EZ, 990 PF) (2001)
Save A Life Foundation 36-3869459 1

Form 990, Page 1, Part I, Line 9


Special Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Contn buttons Revenue Expenses (Loss)

Dinner Event 115.325 44,564 70,761 70.761 0


Other 2,730 2,730 2,730

Total 118,055 44,564 73,491 70.761 2,730

Form 990, Page 2, Part II, Line 43


Other Expenses Stmt

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


Other expenses not Total Program Management Fundraising
covered above (itemize) services and qeneral

C o n s u l t i n g . Fees 126.555 111,567 8,466 6,522


Dues & S u b s c r i p t i o n s 184 22 137 25
I n s t r u c t o r s Fees 105,478 104.998 480 0
Insurance 9.238 7,302 1,902 34
Licenses & Permits 1,770 105 1,665 0
Marketing 8,035 6.809 980 246
Miscellaneous 6,707 245 6,380 82
Recruitment 4,263 4.211 52 0
Cost o f Goods S o l d 10,724 966 9,675 83
T r a i n i n g & Development 1,238 1.238 0 0
Training Supplies 99,426 100.669 -1.243 0
Website 4.180 1,923 2.257 0

Total 377,798 340,055 30,751 6,992

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

O f f i c e Equipment 86,340 61,539 24.801


Vehicles 31,998 18,160 13.838

Total 118,338 79,699 38.639

Form 990, Page 3, Part IV, Line 58


Other Assets Statement

Beginning End of
Line 58 - Other Assets: of Year Year

Deposits 162 0
Save A Life Foundation 36-3869459 2

Form 990, Page 3, Part IV, Line 58 Continued


Other Assets Statement

Beginning End of
Line 5 8 - O t h e r A s s e t s : of Year Year

Total 162 11,185

Form 990, Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities' of Year Year

I n s t r u c t o r Deposits 190 340


Due t o M o r e l l i Fund 393 0

Total 583 340

Form 990, Page 4, Part V


List of Officers, Etc. Statement

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


Name and address Title and Compensation Contributions Expense
average hours per Of not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

Robert Conroy
Director 0 0 0
Wayne Roberts
Director 0 0 0
Note The individuals above
except as noted, spend time
as needed in t h e i r capacity
on the Board, They can be
contacted c/o Save a L i f e
Foundation, 9950 Lawrence
Ste 300 S c h i l l e r Park, I L 60176

Total
Save A Life Foundation 36-3869459 3

Supporting Statement of

Form 990 p 2 / L i n e 42 c o l u m n (C)

Description Amount

Depreciation Expense - O f f i c e E q u i p m e n t 11,662


Depreciation Expense - V e h i c l e 5,000

Total 16,662

Supporting Statement of'

Form 990 p 2 / 0 t h e r Program S e r v i c e Exp

Description Amount

New Program Development - Research and d e v e l o p m e n t 1,808


f o r new ways t o s e r v e t h e c o m m u n i t y

Total 1,808

Supporting Statement of

Form 990 p 3 / L i n e 6 3 , column (B)

Description Amount

Due t o C a r o l S p i z z i r n , P r e s i d e n t / E x e c Director 68,755


I n t e r e s t Rate - V a r i a b l e

Total 68,755

Supporting Statement of

Form 990 p 4 / P a r t IV-A, Line b(4)

Description Amount

Donated M a t e r i a l s , S e r v i c e s , and Facilities 79,602


S p e c i a l E v e n t s Expense 70,762

Total 150,364
Save A Life Foundation 36 3869459 4

Supporting Statement of.

Form 990 p 4 / P a r t IV-B, Line b(4)

Description Amount

Donated M a t e r i a l s . S e r v i c e s , and F a c i l i t i e s 79,602


S p e c i a l Events Expenses 70,761

Total 150,363
ON© No 1S45-0047
Return of Organization Exempt from Income Tax
Under section 501(c), 527, or 4947(a)(1) ° f the Internal Revenue Code 2002
(except black lung benefit trust or private foundation)
Department of the Treasury Open to Public
Internal Revenue Service *■ The organization may have to use a copy of this return to satisfy state reporting requirements Inspection
For the 2002 calendar year, or tax year beginning , 2002, and ending
Chech if applicable C Name of organization D Employer I d e n l i B c i t o n Number
Pleas* u s *
Address change IRS l « b d Save A L i f e Foundation 36-3869459
or print
Name change or type Number iUeel (01 P O box it mail ra not delivered I D s t i e t t addr) Roomrsurte E Telephone number
Set
Initial return specific 9950 Lawrence 300 (847) 9 2 8 - 9 6 8 3
Instruc­
Final return tions. City town or country State ZIP code <-4
F ftSBSS1"" U«" 0
Amended return
Application pending
Schiller Park
Section 501(cX3) organizations and 4947(a)(1) nonexempt
IL 60176 n Other (specify) 1
H and I are net appftcablc to section 527 organizations
Accrual

chantable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliate*' I | Yes [ X ] No
(Form990or990-EZ).
H ( b ) II "Yes, enter number of affiliates * "
G Website www s a l f orR
H (C) Are all affiliates included 7 Q Yes Q No
J

K
Organization type
(check only one) 501(c) m
3 ■* (insert n o ) | | 4947(a)(1) or

Check here ^ Q if the organization's gross receipts are normally not more than
I I SZ7
(If No attach a Bst See instructions )

H ( d ) Is this a separate return filed by an


organization cowered by a group ruling* I [Yes fxl NQ
$25,000 The organization need not file a return with the IRS, but if the organization
received a Form 990 Package in the mar), it should file a return without financial data I Enter 4-digil
fligil CGEN
Some states require a complete return.
M Check *■ | | if the organization is not required
L Gross receipts Add lines 6b. 8b. 9b, and 10b to line 1 2 ^ 1 . 1 6 4 , 6 1 9 to attach Schedule B (Form 990, 990-EZ, or 990-PF)
Part Ifffetl Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
1 Contributions, gifts, grants, and similar amounts received
a Direct public support la 93,946
b Indirect public support lb
c Government contributions (grants) 1c 856,819
d Total (add lines *
9 5 0 , 7 6 5 noncash $ 950,765
la through 1c) (cash > )
2 Program service revenue including government fees and contracts (from Part VII, line 93) 178,962
3 Membership dues and assessments
O 4 Interest on savings and temporary cash investments 2 , 154
5 Dividends and interest from securities
6a Gross rents 6a
b Less rental expenses 6b
Q c Net rental income or (loss) (subtract line 6b from line 6a) 6c
HI 7 Other investment income (describe *"
(A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory 8a 0
OH b Less cost or other basis and sales expenses 8b 3,091
03) c Gam or (toss) (attach schedule) See L - 8 S t m t 8c -3,091.
d Net gain or (loss) (combine line 8c, columns (A) and (B)) 3d -3,091
9 Special events and activities (attach schedule)
a Gross revenue (not including
reported on line la)
$ 6 1 , 093 of contributions
9a
9b
32,513 m
b Less direct expenses other than fundraising expenses 59,546
c Net income or (loss) from special events (subtract line 9b from line 9a) See L-9 Stmt 9c -27.033
10a Gross sales of inventory, less returns and allowances 10a ^
b Less cost of goods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from Part VII, line 103) 11 225
12 Total revenue (add lines I d , 2, 3, 4, 5, 6c 7, 8d, 9c, 10c, and 11) 12 1, 1 0 1 , 9 8 2
13 PrcjgTaTT jmn (B)) 13 1,192,846
14 Ma tage |44, column (C)) 14 120,044
15 Fu cfc ismg (from line 44, colur i >» 15 109,797
16 Pa ri,s , fl ii'e) 16
17
"5 A trt WMB5M
To art xpenses (add lines 16 a r, column (A)) 17 1,422,687
18 ^s^rjjLifiLiLV.fpr the viidKsgt
Ex:es SSbJract line 17 from line 12) 18 -320,705
19 N<; ning of year (from line 73 column (A)) 19 1, 1 9 3 , 9 9 6
20 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 873,291
BAA For Paperwork Reduction Act Notice, see the separate instructions TEEA0101 09/05/0? Form 990 (2002
)021
Form990(2002) Save A L i f e Foundation 36-3869459 Page 2
Part II Statement of Functional Ex p e n s e s All organizations must complete column (A) Columns (B), (C), an d (D) are
required for section bUi(c)(J) and 4) organizations and section 4947(a)(1) nonexempt charitable trusts but optio nal for others
Do not include amounts reported on line (B) Program (C) Management
6b. 8b, 9b. JOb, or 16 of Part 1 (A) Total services and general (D) Fundraising

22 Grants and allocations (att sell)


(cash $ -
non-cash $ ) 22
23 Specific assistance to individuals (att sen) 23
24 Benefits paid to or for members (att sen) 24
25 Compensation of officers, directors, etc 25 95,330 94,376 477 477
26 Other salaries and wages 26 325.988 314,293 1,551 10.144
27 Pension plan contributions 27
28 Other employee benefits 28 11,126 10,948 53 125
29 Payroll taxes 29 39,026 37,790 254 982
30 Professional fundraising fees 30
31 Accounting fees 31 5,167 4.543 624
32 Legal fees 32 9,598 8.438 1,160
33 Supplies 33 16,270 23.915 -7,771 126
34 Telephone 34 36,932 33,261 3.335 336
35 Postage and shipping 35 5,796 3.804 1,099 893
36 Occupancy 36 38,923 24.581 14,055 287
37 Equipment rental and maintenance 37 8,142 6.728 1,238 176
38 Printing and publications 38 15,218 9,141 6,077
39 Travel 39 51,733 13.779 32,018 5.936
40 Conferences, conventions, and meetings 40 10,157 10,157
41 Interest 41 3,472 3,472
42 Depreciation, depletion, etc (attach schedule) 42 17,059 17,059
43 Other expenses not covered above (itemize)
a Auto Expense 43a 1,228 1.133 95
b Bank S e r v i c e Fees 43 b 378 10 368
c Branch Development 43c 131,763 129,363 2.400
dComputer Expenses 43d 9,148 3,139 6.009
e See Other Expenses Slmt 43e 590,233 463.457 36,829 89.947
44 Total functional expenses (add lines 22 431
Organizations completing columns (B) - (D),
carry1 these totals to lines 13 15
—- - - — ^ 1
44 1
1,422,687 1,192,846 120,044 109.797
Joint Costs Check -\_J if you are following SOP 98 2
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services1 * L J Yes [Xj No
If 'Yes,' enter (i) the aggregate amount of these |Oint costs $ .. (ii) the amount allocated to program services
$ , (in) the amount allocated to management and general $ , and (iv) the amount allocated
to fundraising $
Part Ml Statement of Program Service Accomplishments
What is the organization s primary exempt purpose 7 *■ _P£Omp_te_J. i_fe_ s a y j ng_ _fir_S_t_a_id Program Service Expenses
(Requiied tar 501(c)(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of (4) oigan 12aIIOns and
clients served, publications issued, etc Discuss achievements that are not measurable (Section 501(c)(3) & (4) organ 4947(a)(1) trusts but
izations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others ) optional tor others)
a
J ^ ^ ' j - P r o S C a j p s _-_ PrpjpotJ °!1 _aI}d J ^ a c h j i n&. 5 t J i t e _ s a v i ng, _firs_t
a i d t o I l l i n o i s school c h i ldren_ J51_, 951_ chi_ldre_n_taught).

{Grants and allocations $ 0 ) 344,020


b
_Corp_ora_te_Progr_ajn_-_ ?rqmoti_on_a_nd_t_each_in&_of _ l j f e _sa\nng
f i r s t a i d t o i n d i v i d u a l s o t h e r _than_ schppl_-_age _chi_t_dren

(Grants and allocations $ 0 ) 11,382


c
_PAl e _ AQgels_ ri9J^am_ j J^rpmo_tjqi^ and. tea_chi_ng_of_ J. Lfe_sa\n 1g_ f i_r_st
J l ' l . t O - t h e . j)oli_ce_i_n_ th_e_St_a_te _ o f _ n i i n p _ i s

(Grants and allocations $ 0 ) 12,890


d_Bra_n_ch _Develofjment/_E^:rja_nj i_qn_ Pr_ogram_ ;__Exp_a_nd _tp_sa_teU_i te of f_i_ce
inside and outside the State of Illinois

(Grants and allocations % 0 ) 824 554


e Other program services (Grants and allocations $ )
f Total of Program Service Expenses (should equal line 44, column (B), program services) *• 1, 192 846
BAA TEEA0102 01/22/03 Form 990 (2002)
Form 990 (2002) Save A L i f e Foundation 36-3869459 Page 3

Part IV Balance Sheets (See instructions)


Note Where required, attached schedules and amounts within the description (A) (B)
column should be for end of year amounts only Beginning of year End of year
45 Cash - non-interest-bearing 115,104 45 176,046
46 Savings and temporary cash investments 300,464 46 301,108

47 a Accounts receivable 47 a 6,771


b Less allowance for doubtful accounts 47b 2,907 47 c 6,771

48a Pledges receivable 48a 20,000


b Less allowance for doubtful accounts | 48b 20,000 48c 20,000
49 Grants receivable 718,887 49 317,968
50 Receivables from officers, directors, trustees, and key
employees (attach schedule) 50
51 a Other notes & loans receivable (attach sch) 51a
b Less allowance for doubtful accounts I 51 b 51c
52 Inventories for sale or use 47,209 52 77,028
53 Prepaid expenses and deferred charges 17,398 53 9,214
54 Investments - securities (attach schedule) " D CostQ FMV 54
55a Investments - land, buildings, & equipment basis 55a
b Less accumulated depreciation
(attach schedule) I 55b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment basis 57a 131,217
b Less accumulated depreciation
(attach schedule) L - 57 SUtit 57 b 66,934 38,639 57c 64,283
58 Other assets (describe "■ S e e L i n e 5 8 Stmt ) 11.185 58 0
59 Total assets (add lines 45 through 58) (must equal line 74) 1.271,793 59 972,418
60 Accounts payable and accrued expenses 8.702 60 26,510
61 Grants payable 61
62 Deferred revenue 62
63 Loans from officers, directors, trustees, and key employees (attach schedule) 68,755 63 72,227
64 a Tax e x e m p t bond liabilities (attach schedule) 64a
b Mortgages and other notes payable (attach schedule) 64b
65 Other liabilities (describe »- See L i n e 65 Stmt 340 65 390
66 Total liabilities (add lines 60 through 65) 77,797 66 99,127
Organizations that follow SFAS 117, check here [Xjand complete lines 67
through 69 and lines 73 and 74
67 Unrestricted 112,566 67 227,529
68 Temporarily restricted 1,081,430 68 645,762
69 Permanently restricted 69
Organizations that do not follow SFAS 117, check here L J and complete lines
70 through 74
70 Capital stock, trust principal, or current funds 70
71 Paid m or capital surplus, or land, building, and equipment fund 71
72 Retained earnings, endowment, accumulated income, or other funds 72

73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
72, column (A) must equal line 19, column (B) must equal line 21) 1,193,996 73 873,291
74 Total liabilities and net assets/fund balances (add lines 66 and 73) 1,271,793 74 972,418
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments

BAA

TEEA0103 09/0-VO2
Form990(2002) Save A L i f e Foundation 36-3869459 Page 4
Part IV-A | Reconciliation of Revenue per Audited P a r t h A B j Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions ) per Return
a Total revenue, gams, and other support Total expenses and losses per audited
per auditedfinancialstatements 1,284,609 financial statements ■ 1,605,314
b Amounts included on line a but Amounts included on fine a but not
not on line 12, Form 990 on line 17, Form 990
(1) Net unrealized ' - . _ ' Ji 0 ) Donated serv
gains on ices and use
investments of facilities
(2) Donated serv­ (2) Prior year adjust
ices and use merits reported on
of facilities line 20, Form 990

(3) Recoveries of prior (3) Losses reported on


year grants line 20, Form 990
(4) Other (specify) (4) Other (specify)
See A t t a c h e d See A t t a c h e d
182.627
Add amounts on lines (1) through (4) 182,627 Add amounts on lines (1) through (4) 182,627
c Line a minus line b 1,101,982 c Line a minus line b 1,422,687
d Amounts included on line 12,
Form 990 but not on line a
d Amounts included on line 17,
Form 990 but not on hne a
SfeSi?
0 ) Investment expenses 0 ) Investment expenses
not included on line not included on line
6b, Form 990 6b, Form 993
(2) Other (specify) (2) Other (specify)

$ $
and
Add amounts on tines (1) and (2) Add amounts on lines (1) (2)
Total revenue per line 12, Form Total expenses per hne 17, Form
990 (line c plus line d) 1.101,982 990 (line c plus line d) 1,422.687
Part V List of Officers, Directors, r u s t e e s , a n d K e y E m p l o y e e s (List each one even if not compensated, see instructions )
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
per week devoted (if not paid, employee benefit account and other
(A) Name and address to position enter -0-) plans and deferred allowances
compensation
_Car_o_l_Sp_i zz I_rr i_

Pres/Exec D i r 40 95,330 2 . 153


Daniel Caravello

Treasurer
Martin A Sandoval

Secretary
Carlos M Azcotia

Director
_pr _Stanley_ _Z^dl_o_

Director

See List of Officers, Etc Statement


0

75 Did any officer director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations 7 * D Yes 0 No
If 'Yes, attach schedule - see instructions
BAA Form 990 (2002)

TEEA01W 01/2203
Form 990 (2002) Save A L i f e F o u n d a t i o n 36-3869459 Page5
Part VI | Other Information (See instructions) Yes No
76 Did the organization engage in any activity not previously reported to the IRS 7 If 'Yes,'
attach a detailed description of each activity 76
77 Were any changes made in the organizing or governing documents but not reported to the IRS 9 77
tf "Yes," attach a conformed copy of the changes
553
78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return 7 78 a
b If 'Yes,' has it filed a tax return on Form 990-T for this year 7
x
78 b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the ^21;
year 7 If 'Yes,' attach a statement 79
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common J.SS
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization 7 80 a
x
b If 'Yes,' enter the name of (he organization +■
and check whether it is [ J exempt or | j nonexempt
81 a Enter direct or indirect political expenditures See tine 81 instructions | 81 a| 0_
b Did the organization file Form 1120-POL for this year 7 81b
82 a Did the organization receive donated services or the use of materials equipment, or facilities at no charge or at
substantially less than fair rental value 7 82a
b l f "Yes,' you may indicate the value of these items here Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part III ) 82 b 123,081
83a Did the organization comply with the public inspection requirements for returns and exemption applications 7 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions 7 83b
84a Did the organization solicit any contributions or gifts that were not tax deductible 7 84a
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were k*a
not tax deductible 7 84b
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members 7 85 a
b Did the organization make only in house lobbying expenditures of $2,000 or less 7 85 b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures 85d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e
f Taxable amount of lobbying and political expenditures (line 85d less 85e) | 85 f
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f 7
h If section 6033(eXlXA) dues notices were sent, does the organization agree to add the amount on line S5f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year7
86 501(c)(7) organizations Enter a Initiation fees and capital contributions included on
line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86b
87 501(c)(\2) organizations Enter a Gross income from members or shareholders 87a
b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them ) 87b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701 -2 and 301 7701 -3 7
If Yes, complete Part IX
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under
section 4911 * 0 section 4912 *■ 0 , section 4955 *■
b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year7 If Yes,' attach a statement
explaining each transaction

c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912, 4955, and 4958 ►
0
d Enter Amount of tax on tine 89c, above, reimbursed by the organization ** 0
90 a List the states with which a copy of this return is filed ■■ J l l A P P ! 5
b Number of employees employed in the pay period that includes March 12, 2002 (See instructions ) hob] 10
91 The books are in care of *■ _ C a r p _ l _ S p j z z i_rr ] Telephone number »- (847) 928-9683
Located at - 9950_ Law_rence_Su_i_te _300,_Schi_Uer_ Par_k_ IL ZIP i-4 »- 60176
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here
and enter the amount of tax exempt interest received or accrued during the tax year 92
u
BAA Form 990 (2002)
TEEA0105 01/22/03
Form990(2002) Save A L i f e F o u n d a t i o n 36-3869459 Paae 6
Part VII Analysis of Income-Producing Activities (See instructions)
Unrelated business income Excluded by section 512, 513, or 514 (E)
Note Enter gross amounts unless (A) (B) (C) (D) Related or exempt
otherwise indicated Business code Amount Exclusion code Amount function income
93 Program service revenue
a Program Fees 31.693
b Course M a t e r i a l s 149.980
c Branch Fee -2.916
d Membership Dues 205
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash invmnts 14 2.154
96 Dividends & interest from securities
97 Net rental income or (loss) from real estate i
a debt financed property
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory 18 -3.091
101 Net income or (loss) from special events 1 -32.128
102 Gross profit or (loss) from sales of inventory
r s- * *■
103 Other revenue a - , .vr- -r - - M.v-i
b Miscellaneous 225
c
d
e
104 Subtotal (add columns (B), (D), and (E)) >i '-*-- " fct* '-*>iM^fetottA& -33,065 179.187
105 Total (add line 104, columns (B), (D), and (E)) 146.122
Note: Line 105 plus line Id, Part I, should equal the amount on line 12. Part I
Part VIII- Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes)
93a,93b, Promote and teach life saving first aid programs
93c,93d Promote and teach life saving first aid programs
103a To supplement f u n d i n g r e q u i r e d t o p e r f o r m and c a r r y out the l i f e
s a v i n g f i r s t a i d programs
Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (See instructions) N/A
(A) I (B) I (C)
(C) \ (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End of year
partnership, or disregarded entity ownership interest income assets

%
%
%
Part X 1 Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions)
a Did the organization, dunng me year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract7 Yes X No
7
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract _ Yes X No
Note If 'Yes' to(b), file Form 8870 and Form 4720 (see instructions)
ties ot penury I declare that I have examined this return including accompanying schedules and statements and to the best of my knowledge and belief ■tis
and cotfiplfije ^eQlara^lOfl ot preparer (other than ofl^eO is cased on all wiformalion of w h * h preparer has any knowledge .

Date'

IbELNT/fiUflSbeR
OMB No 1545-0047
Organization Exempt Under
SCHEDULE A Section 501(c)(3)
(Form 990 or 990-EZ)
(Except Private Foundation) and Section 501(e), 501(0. 501 (k),
501(n), or Section 4947(aX1) Nonexempt Charitable Trust
Supplementary Information — (See separate instructions )
2002
Department of the Tieasuiy
Internal Revenue Sennce MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the onjanizalwn Employer identification nunber

Save A L i f e Foundation 36-3869459


Part Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions List each one If there are none, enter 'None ')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans and deferred allowances
compensation

None

Total number of other employees paid ^ i


over $50,000
Part II Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions List each one (whether individuals or firms) If there are none, enter 'None ')

(a) Name and address of each independent contractor paid more than $50,000 (b)Type of service (c) Compensation

Bennett R Krause

2012 A p p l e t o n D r i v e , Springfield, IL 62707 E s t a b l i s h f u n d i n g s o u r c e s and c o n t r a c t s 51,154

Total number of others receiving over


$50 000 for professional services *"
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ Schedule A (Form 990 or 990 EZ) 2002

TEEA0401 01/22/03
Schedule A (Form 990 or 990-EZ) 2002 Save A L i f e Foundation 36-3869459 Page 2

Part Statements About Activities (See instructions) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence pubtic opinion on a legislative matter or referendum 7 If "Yes," enter the total expenses paid
or incurred in connection with the lobbying activities *" $
(Must equal amounts on line 38, Part VI A, or line i of Part VI B )
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A Other
organizations checking 'Yes,' must complete Part VI B AND attach a statement giving a detailed description of the
lobbying activities
2 During the year, has (he organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary 7 (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions )

a Sale, exchange, or leasing of property 7 2a

b Lending of money or other extension of credit 7 2b

c Furnishing of goods, services, or facilities 7 2c


See P a r t V, Form 990
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000) 7 2d

e Transfer of any part of its income or assets 7 2e

3 Does the organization make grants for scholarships, fellowships, student loans, etc 7 (See Note below )
4 Do you have a section 403(b) annuity plan for your employees 7
Note Attach a statement to explain how the organization determines that individuals or organizations receiving
grants or loans from it in furtherance of its charitable programs 'qualify' to receive payments

Part IVr-' Reason for Non-Private Foundation Status (See instructions)


The organization is not a private foundation because it is (Please check only ONE applicable box )
5 A church, convention of churches, or association of churches Section 170(b)(l)(A)(i)
6 " A school Section 170(b)(l)(A)(ii) (Also complete Part V )
7 A hospital or a cooperative hospital service organization Section 170(b)(l)(A)(iu)
8 A Federal, slate, or local government or governmental unit Section 170(b)(1)(A)(v)
9 _ A medical research organization operated in conjunction with a hospital Section 170(b)(l)(A)(m) Enter the hospital's name, city,
and state *■
10 Q An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )
11a W l An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV A )
1 1 b [ ] A community trust Section 170(b)(l )(A)(vi) (Also complete the Support Schedule in Part IV-A )

12 | _ | An organization that normally receives (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV A )

13 L J An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3))

Provide the following information about the supported organizations (See instructions)

(a) Name(s) of supported organization^) (b) Line number


from above

14 I | An organization organized and operated to test for public safety Section 509(a)(4) (See instructions )
BAA TEEAM02 01/22/03 Schedule A (Form 990 or Form 990 EZ) 2002
Schedule A (Form 990 or 990 EZ) 2002 Save A L i f e Foundation 36-3869459 Page 3
P a r t IV-A | S u p p o r t S c h e d u l e (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of accounting.
Note You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year (a) (b) Ce)
beginning in) 2001 2000 1999 Total
15 Gifts, grants, and contributions
received (Do not include
unusual grants See line 28 ) 820.282 682,878 621,043 621,289 2,745.492
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 197,535 52,664 41, 158 6.134 297,491
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(aX5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxes)
from businesses acquired by the organ
izabon after June 30, 1975 3,275 8,725 24,575 676 37,251
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge Do not
include the value of services or
facilities generally furnished to
the public without charge
22 Other income Attach a
schedule Do not include
gam or (loss) from sale of
capital assets
23 Total of lines 15 through 22 1,021,092 744.267 686,776 628,099 3,080.234
24 Line 23 minus line 17 823,557 691,603 645.618 621,965 2,782,743
25 Enter 1 % of line 23
26 Organizations described on lines 10 or 11
10,211 7,443
a Enter 2% of amount in column (e), line 24
6,868 6,281
26 a
2SED
.55,655
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly
supported organization) whose total gifts for 1998 through 2001 exceeded the amount shown in line 26a Do not Me this list with your
return Enter the total of all these excess amounts 26 b
c Total support for section 509(a)(1) test Enter line 24, column (e) 26 c 2,782.743
d Add Amounts from column (e) for tines 18 37,251 19 ,■*-*. * J

22 26 b 26 d 37,251
e Public support (line 26c minus line 26d total) 26 e 2,745.492.
f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) 26 f 9 8 66 %
27 Organizations described on line 12
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return Enter the sum of
such amounts for each year
(2001) (2000) (1999) (1998)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to
show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through 11, as welt as individuals ) Do not file this list with your return After
computing the difference between the amount received and the larger amount described m(1) or (2), enter the sum of these differences
(the excess amounts) for each year
(2001) (2000) (1999) (1998)
c Add Amounts from column (e) for lines 15 16
17 20 21 27 c
d Add Line 27a total and line 27b total 27d
e Public support (line 27c total minus line 27d total) 27 e
I Total support for section 509(a)(2) test Enter amount from line 23, column (e) 27 f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27a %
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) 27 h %
28 Unusual Grants For an organization described in line 10 11, or 12 that received any unusual grants during 1998 through 2001 prepare a
list for your records to show, lor each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return Do not include these grants in line 15
BAA TEEA0-103 08/12/02 Schedule A (Form 990 or 990 E2) 2002
Schedule A (Form 990 or 990 EZ) 2002 Save A L i f e Foundation 36-3869459 Page 4
PartV (Private School Questionnaire (See instructions)
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No
29 Does the organization have a racially nondiscnminatory policy toward students by statement in its charter bylaws,
other governing instrument, or in a resolution of its governing body 7 29
-
30 Does the organization include a statement of its racially nondiscnminatory policy toward students in all its brochures,
catalogues, and other written commumcalions with the public dealing with student admissions, programs,
and scholarships7 30

31 Has the organization publicized its racially nondiscnminatory policy through newspaper or broadcast media during ■5

the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves 7 31
If 'Yes,' please describe, if 'No,' please explain (If you need more space, attach a separate statement)

32 Does the organization maintain the following


a Records indicating the racial composition of the student body, faculty, and administrative staff 7 32 a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscnminatory basis 7 32 b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships 7 32 c
d Copies of all material used by the organization or on its behalf to solicit contributions 7 32 d

If you answered 'No' to any of the above, please explain (If you need more space, attach a separate statement)

P|
33 Does the organization discriminate by race in any way with respect to
>.,>*v?
7
a Students' rights or privileges 33 a

b Admissions policies 7 33 b

c Employment of faculty or administrative staff 7 33 c

d Scholarships or other financial assistance 7 33 d

e Educational policies 7 33 e

f Use of facilities 7 33 f

g Athletic programs 7 33g

h Other extracurricular activities 7 33 h

If you answered Yes' to any of the above, please explain (If you need more space, attach a separate statement)

34a Does the organization receive any financial aid or assistance from a governmental agency 7 34a

b Has the organization's right to such aid ever been revoked or suspended 7 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement 1
35 Does the organization certify that it has complied with the applicable requirements of - —
sections 4 01 through 4 05 of Rev Proc 75 50, 1975 2 C B 587, covering racial
nondiscnmination 7 If 'No,' attach an explanation 35
BAA TEEA0404 01/24/03 Schedule A (Form 990 or 990 EZ) 2002
Schedule A (Form 990 or 990-EZ) 2002 Save A Life Foundation 36-3869459 Page5
[Part Vl-A I Lobbying Expenditures by Electing Public Chanties (See instructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check *■ a | | if the orqanization belongs to an affiliated group Check +■ b if you checked 'a' and 'limited control" provisions aDDlv
(a) 0>)
Limits on Lobbying Expenditures Affiliated group To be completed
totals for ALL electing
(The term 'expenditures' means amounts paid or incurred ) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table — t
\
If the amount on line 40 is - The lobbying nontaxable amount is - t ' . » 3 " V ^ i i - ' - «*~ ', *

Not over $500,000 20% of the amount on tine 40


Over $500,000 but not over $1 000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 - 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 *■* J

Over $17,000,000 $1,000,000


42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38 Enter -0 if line 41 is more than line 38 44
Caution If there is an amount on either line 43 or line 44, you must file Form 4720 s *"* t ' i ._ - . . .,.,..)
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below
See the instructions for lines 45 through 50)

Lobbying Expenditures During 4 -Year Averaging Penod

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2002 2001 2000 1999 Total
beginning in) *•

45 Lobbying nontaxable
amount
J
46 Lobbying ceiling amount .- ■■ / ;t ^ *- r-_
s - 4 ,
{150% of line 45(e))
47 Total lobbying
expenditures
48 Grassroots non
taxable amount
49 Grassroots ceiling amount - ,
(150% of line 48(e))
50 Grassroots lobbying
expenditures
PartVI-B lLobbvinqA*:tivity by Nonelect inc Public Chantie S

During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers X
b Paid staff or management (Include compensation in expenses reported on lines c through h ) X
c Media advertisements X 0
d Mailings to members, legislators, or the public X 0
e Publications, or published or broadcast statements X 0
f Grants to other organizations for lobbying purposes X 0
g Direct contact with legislators, their staffs, government officials, or a legislative body X 0
h Rallies demonstrations, seminars, conventions, speeches, lectures, or any other means X 0
i Total lobbying expenditures (add lines c through h ) 0
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities
BAA Schedule A (Form 990 or 990 EZ) 2002

TEEA0405 08/12AJ2
Schedule A(form 990 or 990 EZ) 2002 Save A L i f e Foundation 36-3869459 Page 6
Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions) ^ ^
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c)
of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations 7
a Transfers from the reporting organization to a noncharitable exempt organization of Yes No
(i)Cash 51 a (i) X
ODOther assets a 00 X
b Other transactions
(i)Sales or exchanges of assets with a noncharitable exempt organization b(i) X
(ii)Purchases of assets from a noncharitable exempt organization bC'D X
(iii)Rental of facilities, equipment, or other assets b(iii) X
(iv)Reimbursement arrangements b(.v) X
(v)Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of Ihe above is 'Yes,' complete the following schedule Column (b) should always show the fair market value of
the goods, other assets, or services given by Ihe reporting organization If the organization receivea less than fair market value in
any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) (b) (c) (d)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax exempt organizations .—.
described in section 501(c) of the Code (other than section 501 (c)(3)) or in section 527? *" | _ | Yes |Xj No
b If 'Yes,' complete Ihe following schedule
(a) (b) <c)
Name of organization Type of organization Description of relationship

BAA TEEAM06 08/12/02 Schedule A (Form 990 or 990-EZ) 2002


Form 8868 Application for Extension of Time to File an
December 2000)
Exempt Organization Return OMB No 1545 1709

apartment of the Treasury


iternal Revenue Semce *~ File a separate application for each return
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
• If you are filing for an Additional (not automatic) 3-Month Extension, c o m p l e t e only Part II (on page 2 of Ihis form)
Note Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed
"^U
Form 8868

Part-k -% Automatic 3-Month Extension of Time — Only submit original (no copies needed)
Note Form 990-T corporations requesting an automatic 6 month extension — check this box and complete Part I only

All other corporations Ohduding Form 990 C filers) must use Form 7004 to request an extension of time to rile income tax returns Partnershin^

FtEMICs and trusts must use Form 8736 to request an extension of time to file Form 1065 1066, or 1041 '
Name ol Exempt Organization Employer tdenltCicauon number
Type or
pnnt Save A L i f e Foundation 36-3869459
File by Ihe Number street and room or suite number If a P O box see instructions
due dale for
filing your 9950 Lawrence , #300
return See City town or post otfce For a foreign address see nstructions stale ZIP code
instructions
Schiller Park IL 60176
Check type of return to be filed (file a separate application for each return)
X Form 990 Form 990-T (corporation) Form 4720
Form 990 BL Form 990 T (Section 401(a) or 408(a) trust) Form 5227
Form 990 EZ Form 990 T (trust other than above) Form 6069
Form 990-PF Form 1041 A Form 8870
* If the organization does not have an office or place of business in the U n i t e d States, check this box
► If this is for a Group Return, enter the organization's four digit Group E x e m p t i o n Number (GEN) If this is for the whole group
=rr
check this box *- |_J If it is for part of the group, check this box *• [ _ ] and attach a list with the names and EINs of all members
the extension will cover
1 I request an automatic 3-month (6-month, for 990-T corporation) extension of time until A u g 15 ,20 03
to file the exempt organization return for the organization named above The extension is for the organization's return for
calendar year 20 0 2
tax year beginning 20 , and ending , 20
2 If this tax year is for less than 12 months, check reason Q j Initial return l l Final return 1 I Change in accounting period
3a If this application is for Form 990 BL, 990-PF, 990 T. 4720, or 6069, e n t e r the tentative tax, less any
nonrefundable credits See instructions $
b If [his application is for Form 990-PF or 990 T, enter any refundable credits and estimated tax payments made
Include any prior year overpayment allowed as a credit $
c Balance Due Subtract line 3b from line 3a 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 $
Signature and Verification
Under penalties of perjury I declare that I hove examined this return including accompanying schedules and statements and to the best of mv krtowledae and belief itl l i< i,... ~ —■
s Hue
complete and that I am authorized to prepare thrt form ' * ' " " W and

Signature
BAA For Paperwork Reduction Act Notice, see instructions Form 8868 (12 2000)
Form 990 Schedule of Gains and Losses from 2002
Line 8(A) and 8(B) Sale of Assets Other than Inventory
Statement *■ Attach to return

Name Employer Identification Number


Save A L i f e Foundation 36-3869459

Part I, Line 8, Column (A) Securities

Public Securities

Gross
Description Sales Price Basis

Publicly Traded Securities Cost


Sellinq Expenses
Basis

N o n p u b l i c Securities

Cost, other basis or


Date Acquired Date S o l d Gross FMV when donated
Description and Method and to W h o m Sales Price (State which on top)

Total Securities

Gain or (Loss) from Sale of Securities

Part 1, Line 8 , C o l u m n ( B ) Other Assets

Date Acquired Date Sold Gross Cost, other basis or


Description and Method and to Whom Sales Price FMV when donated

O f f i c e Equipment Cost 12,255


Depreciation -9,164
various various Basis 3,091
Donated/ Purchased scrapped 0 Donation FMV
Cost
Depreciation
Basis
Donation FMV
Cost
Depreciation
Basis
Donation FMV
Cost
Depreciation
Basis
Donation FMV

Total Other Assets 3,091

Gain or (Loss) from Sale of Other Assets -3 091

TEEW0201 SCR 01/23/03


Save A Life Foundation 36 3869459 1

Form 990, Page 1, Part I, Line 9


Special Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Co ntn but tons Revenue Expenses (Loss)

Dinner Event 87,360 55,000 32,360 58,174 -25,814


Race 6,093 6,093 0 1,158 -1,158
Other 153 0 153 214 -61

Total 93,606 61,093 32,513 59.546 -27,033

Form 990, Page 2, Part II, Line 43


Other Expenses Stmt

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


Other expenses not Total Program Management Fundraising
covered above (itemize) services and general

C o n s u l t i n g Fees 78,003 77,370 476 157


Dues & S u b s c r i p t i o n s 917 667 250
E m p l o y e e Bonus 1,949 1,949
Independent Contractors 191.090 119,489 -11 71.612
I n s t r u c t o r s Fees 9 3 , 188 93,188
Insurance 10,728 8.432 2 , 161 135
Licenses & Permits 593 543 50
MarketiHR 60,560 39.813 3.028 17.719
Miscellaneous -6,346 -534 -5,812
Payroll Service 1,156 3, 126 6 24
Recruitment 498 259 239
C o s t o f Goods S o l d 30.383 28 30.355
T r a i n i n g Supplies 123,203 122,391 812
Website 4,311 1,895 2,416

Total 590,233 463.457 36.829 89,947

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

O f f i c e Equipment 92,085 63.021 29,064


Vehicles 39,132 3,913 35,219

Total 131,217 66,934 64,283

Form 990, Page 3, Part IV, Line 58


Other Assets Statement

Beginning End of
Line 58 - Other A s s e t s of Year Year

Credit Card Deposits Outstanding 11,185 0


Save A Life Foundation 36-3869459 2

Form 990, Page 3, Part IV, Line 58 Continued


Other Assets Statement

Beginning End of
Line 58 - Other Assets: of Year Year

Total 11,185

Form 990, Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

Instructor Deposits 340 390

Total 340 390

Form 990, Page 4, Part V


List of Officers, Etc Statement

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


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

Dr Scott Betzelos
Director
0 0 0
Deloris M Burnam
Director
0 0 0
Michael Lavalle
Oirector
0 0 0
Robert Conroy
Director
0 0 0
Wayne Roberts
Director
0 0 0
Note The individuals above,
except as noted, spend time
as needed in t h e i r capacity
on the Board, They can be
c o n t a c t e d c/o Save a L i f e
Foundation, 9950 Lawrence
Ste300 S c h i l l e r Park IL 60176

Total
Save A Life Foundation 36-3869459 3

Supporting Statement of*

Form 990 p 2 / L i n e 42 c o l u m n (C)

Description Amount

Depreciation Expense - O f f i c e Expense 10,646


Depreciation Expense - Vehicle 6,413

Total 17,059

Supporting Statement of

Form 990 p 3 / L m e 63, column (A)

Description Amount

Due t o C a r o l S p i z z i r n , P r e s i d e n t / E x e c Director 68,755


I n t e r e s t Rate - V a r i a b l e

Total 68,755

Supporting Statement of:

Form 990 p 3 / L m e 63, column (B)

Description Amount

Due t o C a r o l S p i z z i r n , P r e s i d e n t / E x e c Director 72,227


I n t e r e s t Rate - V a r i a b l e

Total 72.227

Supporting Statement of*

Form 990 p 4 / P a r t IV-A, Line b(4)

Description Amount

Donated M a t e r i a l s . S e r v i c e s , and Facilities 123,081


S p e c i a l E v e n t s Expense 59.546

Total 182,627

Supporting Statement of

Form 990 p 4 / P a r t IV-B. Line b(4)

Description Amount

Donated Materials, Services, and Facilities 123,081


Save A Life Foundation 36-3869459 4

Continued
Supporting Statement of.

Form 990 p 4/Part IV-B, Line b(4)

Description Amount

S p e c i a l Events Expenses 59,546

Total 182,627
OMB No 1545-0047
Form, 990 Return of Organization Exempt from Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
2003
(except black lung benefit trust or private foundation)
Open to Public
Department of the Treasury
Internal Revenue Service ►• The organization may have to use a copy of this return to satisfy state reporting requirements Inspection
For the 2003 calendar year, or tax year beginning , 2003, and ending
Check if applicable C Name of organization D Employer Identification Number
Please use
Address change IRS label Save A L i f e Foundation 36-3869459
or print
Name change or type. Number and street (or P O box if mail is not delivered to street addr) Room/suite Telephone number
See
Initial return specific 9950 Lawrence 300 (847) 928-9683
instruc­
Final return tions. City, town or country State ZIP code + 4 F m S ' " 9
Dcash 0 Accrual

Amended return Schiller- Park IL 60176 | | Other (specify)*-

Application pending • Section 501(c)(3) organizations and 4947(aX1) nonexempt H and I are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' | | Yes [ X j No
(Form 990 or 990-EZ).
H ( b ) If 'Yes,' enter number of affiliates *
G Website: »~ www, s a l f .OTR
H ( c ) Are all affiliates included' \_\ Yes \_\ No
J Organization type r-n r-, r-i (If 'No,' attach a list See instructions)
(Check only o n e j * [ A ] 501(C) 3 - (insert no) I I 4947(a)(1) or I I 527
H ( d ) Is this a separate return filed by an
K Check here *" [ J if the organization's gross receipts are normally not more than
organization covered by a group ruling' yes \X\ No
$25,000 The organization need not file a return with the IRS, but if the organization
received a Form 990 Package in the mail, it should file a return without financial data I Group Exemption Number *~
Some states require a complete return. ffl Check ►■ Q if the organization is not required
L Gross receipts- Add lines 6b, 8b, 9b, and 10b to line 12 *~ 3 7 2 , 9 5 8 . to attach Schedule B (Form 990, 990-EZ, or 990-PF).
Part I 1 Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
1 Contributions, gifts, grants, and similar amounts received:
a Direct public support la 193,165
b Indirect public support lb
c Government contributions (grants) 1c 37,488,
d Total
la through IcMcash $ 2 33 00 ,, 66 55 33 . . noncash $ _ 0 . ) Id 230.653
2 Program service revenue including government fees and contracts (from Part VII, line 93) 131,166.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments 795,
5 Dividends and interest from securities
6 a Gross rents 6a
b Less, rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
_JL-Othewnvestmant income (describe
(A) Securities (B) Other
^ -furossjrnauntjn
l a a u n t lfrom sales of assets other
" A w f inventory 8a 5,250
b Less, cost or other basis and sales expenses 8b 7,926
1 GalhorVlosI)(attachschedule) See L - 8 Strut 8c ■2,676
_ d Net gam or'(loss) (combine line 8c, columns (A) and (B)) 8d ■2,676.
•' Y -— :, ~vSnts and activities (attach schedule). If any amount is from gaming, check here
-a-Gross"revenue (not including $ 0. of contributions
'□
reported on line la) 9a 1,504.
b Less, direct expenses other than fundraising expenses 9b 100.
c Net income or (loss) from special events (subtract line 9b from line 9a) See L-9 Stmt 9c 1.404.
10a Gross sales of inventory, less returns and allowances 10a
b Less cost of goods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from Part VII, line 103) 11 3,590.
12 Total revenue (add lines I d , 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 364,932,
13 Program services (from line 44, column (B)) 13 861,501.
14 Management and general (from line 44, column (Q) 14 92,611.
15 Fundraising (from line 44, column (D)) 15 168,086.
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)) 17 1,122,198.
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 -757,266.
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 873,291.
20 Other changes in net assets or fund balances (attach explanation) 20 •20,000.
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 96,025.
BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA0101 11/24/03 Form 990 (2003)
SCANNED M *■ 8 2004 ',y\
Form990(2003) Save A L i f e Foundation 36-3869459 Page 2
Part II S t a t e m e n t Of F u n c t i o n a l E x p e n s e s
All organizations must complete column (A) Columns (B), (C), and (D) are
required for section 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others

Do not include amounts reported on line (B) Program (C) Management


6b, 8b, 9b, 10b, or 16 of Parti (A) Total services and general (D) Fundraising

22 Grants and allocations (att sch)


(cash $
non-cash $ ) 22
23 Specific assistance to individuals (att sch) 23
24 Benefits paid to or for members (att sch) 24
25 Compensation of officers, directors, etc 25 71,250. 70,538. 356. 356.
26 Other salaries and wages 26 323,341. 281,014. 9,924. 32,403.
27 Pension plan contributions 27
28 Other employee benefits 28 14,676. 13,246. 445. 985.
29 Payroll taxes 29 30,945. 26,994. 1,352. 2,599.
30 Professional fundraising fees 30
31 Accounting fees 31 9,917. 6,535. 3,382. 0.
32 Legal fees 32 4,069. 1,634. 2,435. 0.
33 Supplies 33 8,661. 7,145. 1,120. 396.
34 Telephone 34 30,375. 23,523. 4,317. 2,535.
35 Postage and shipping 35 5,993. 2,614. 40. 3,339.
36 Occupancy 36 76,366. 70,874. 2,913. 2,579.
37 Equipment rental and maintenance 37 9,666. 9,305. 25. 336.
38 Printing and publications 38 24,260. 21,538. 349. 2,373.
39 Travel 39 30,267. 26,133. 397. 3,737.
40 Conferences, conventions, and meetings 40 51,780. 41,461. 38. 10,281.
41 Interest 41 11,053. 5,702. 5,351. 0.
42 Depreciation, depletion, etc (attach schedule) 42 26,618. 3,900. 22,718. 0.
43 Other expenses not covered above (itemize)
a Auto Expense 43 a 1,390. 658. 732. 0.
b Bank Service Fees 43 b 398. 0. 236. 162.
c Branch Development 43 c -8,793. -8,793. 0. 0.
d Computer Expenses 43 d 2,799. 0. 2,799. 0.
e See Other Expenses Stmt 43 e 397,167. 257,480. 33,682. 106,005.
44 Total functional expenses (add lines 22 - 43).
Organizations completing columns (B) - (D),
carry these totals to lines 13-15 44 1,122,198. 861,501. 92,611. 168,086.
Joint Costs. Check * " Q if you are following SOP 98-2
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services' *"LJ Yes [X] No
If 'Yes,' enter (i) the aggregate amount of these joint costs $ , (ii) the amount allocated to Program services
$ , (iii) the amount allocated to Management and general $ and (iv) the amount allocated
to Fundraising $
Part III 1 Statement of Program Service Accomplishments
What is the organization's primary exempt purpose7 - _P£Omote_ _l i_fe_ Sa_VJ ng_ _f T_ r_S_t _ a i d Program Service Expenses
(Required for 501(c)(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of (4) organizations and
clients served, publications issued, etc. Discuss achievements that are not measurable (Section 501(c)(3) & (4) organ- 4947(a)(1) trusts, but
izations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others.) optional for others)
a
_!<ld_'j_P.rogr_ams _-_ Promo t_i on _and Jteachi ng_ of _ l | f e_ savj rj£ _f j.r_s_t_
31<L _to J J l i_noi_s_ .school _cjill_d_ren_ _(55_, 737_ chi_ldr_e_n_taught)

(Grants and allocations $ 0- ) 379,648.


b
Jor_RPI§.te_P_rogr_am_^ i>rqmoti_on_and_t_eachj ng _of _l_i f e j a v u i g
_fiC.st_aijd_tp_indj vi_d_uals_other _than_ sch_oot-_a£e . c h i l d r e n

(Grants and allocations $ 0- ) 13,336.


c
-SfiCJ-PStield. JuTj-dlQJL L _ R uL a J_ Grant

(Grants and allocations $ 0. ) 30,760.


d
3L^.nSh _u^yelogiiLerjt/Ej<rjanji_qn_ Prp£La3-Z. J2<2.a_nd_to_sa_teU_i te _of f_i_ce
i n s i d e and o u t s i d e the State of I l l i n o i s

(Grants and allocations $ 0. ) 437,757.


e Other program services (Grants and allocations $ )
f Total of Program Service Expenses (should equal line 44, column (B), Program services) ► 861,501.
BAA TEEA0102 10/03/03 Form 990 (2003)
Form 990 (2003) Save A L i f e Foundation 36-3869459 Page3
Part IV Balance Sheets (See instructions)

Note: Where required, attached schedules and amounts within the description (A) (B)
column should be for end-of-year amounts only Beginning of year End of year
45 Cash — non-interest-bearing 176,046. 45 -5,556.
46 Savings and temporary cash investments 301,108. 46

47 a Accounts receivable 47 a 22,715.


b Less allowance for doubtful accounts 47 b 6,771. 47 c 22,715.

48a Pledges receivable 48a


b Less allowance for doubtful accounts 48b 20,000. 48c
49 Grants receivable 317,968. 49 100,000.
A 50 Receivables from officers, directors, trustees, and key
S employees (attach schedule) 50
s 51 a Other notes & loans receivable (attach sch) 51a
E
1
s b Less' allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 77,028. 52 67,019.
53 Prepaid expenses and deferred charges 9,214. 53 4,634.
54 Investments - securities (attach schedule) * n C o s t n FMV 54
55a Investments — land, buildings, & equipment: basis 55 a

b Less' accumulated depreciation


(attach schedule) 55 b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment, basis 57 a 362,771.
b Less accumulated depreciation
(attach schedule) L-57 Stmt 57 b 91,274. 64,283. 57 c 271,497.
58 Other assets (describe *■ ) 58
59 Total assets (add lines 45 through 58) (must equal line 74) 972,418. 59 460,309.
60 Accounts payable and accrued expenses 26,510. 60 28,796.
L 61 Grants payable 61
A 62 Deferred revenue 62
1 63 Loans from officers, directors, trustees, and key employees (attach schedule) 72,227. 63 139,648.
L
1 64a Tax-exempt bond liabilities (attach schedule) 64a
T
1 b Mortgages and other notes payable (attach schedule) 64b 194,416.
E
S 65 Other liabilities (describe ► See L i n e 6 5 S t m t ) 390. 65 1,424.
66 Total liabilities (add lines 60 through 65) 99,127. 66 364,284.
Organizations that follow SFAS 117, check here ►• |Xj and complete lines 67
N
E through 69 and lines 73 and 74
A 67 Unrestricted 227,529. 67 -3,975.
68 Temporarily restricted 645,762. 68 100,000.
* 69 Permanently restricted 69
0 Organizations that do not follow SFAS 117, check here ►■ [ J and complete lines
R
70 through 74
U 70
N 70 Capital stock, trust principal, or current funds
D
71 Paid-in or capital surplus, or land, building, and equipment fund 71
B
A 72 Retained earnings, endowment, accumulated income, or other funds 72
A
N 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
C
E 72, column (A) must equal line 19, column (B) must equal line 21) 873,291. 73 96,025.
74 Total liabilities and net assets/fund balances (add h nes 6(3 and 73) 972,418. 74 460,309.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments

BAA

TEEA0103 10/01/03
Form990 (2003) Save A L i f e Foundation 36-3869459 Page 4
Part IV-A Reconciliation of Revenue per Audited PartlV-B 1 Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions.) per Return
a Total revenue, gams, and other support a Total expenses and losses per audited
per audited financial statements 625,261 financial statements * 1,382,527.
b Amounts included on line a but b Amounts included on line a but not
not on line 12, Form 990 on line 17, Form 990
(1) Net unrealized (1) Donated serv­
gams on ices and use
investments $ of facilities
(2) Donated serv­ (2) Prior year adjust­
ices and use ments reported on
of facilities line 20, Form 990

(3) Recoveries of prior (3) Losses reported on


year grants line 20, Form 990
(4) Other (specify). (4) Other (specify).
_See_A_tta_che_d See Attached
$ 260,329. $ 260,329.
Add amounts on lines (1) through (4) 260,329. Add amounts on lines (1) through (4) 260,329.
Line a minus line b 364,932. c Line a minus line b 1,122,198.
Amounts included on line 12, d Amounts included on line 17,
Form 990 but not on line a: Form 990 but not on line a:

0 ) Investment expenses (1) Investment expenses


not included on line not included on line
6b, Form 990 $_ 6b, Form 990 $
(2) Other (specify) (2) Other (specify)

$ $
Add amounts on lines (1) and (2) Add amounts on lines (1) and (2)

e Total revenue per line 12, Form Total expenses per line 17, Form
990 (line c plus line d) 364,932, 990 (line c plus line d) 1,122,198.
Part V 1 List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated, see instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
per week devoted Of not paid, employee benefit account and other
(A) Name and address to position enter -0-) plans and deferred allowances
compensation
_Ca r o l _ S p j z z i_r r i_

Chairman/Exec Dir40 71,250. 1,701


-W a. Ite r _D_u d y_c_z_

Vice Chairman
Alan Thavisouk

Secretary/Treasurer
J o tLn_ P °_nJ 5 avy _

Director
Mark Mitchell

Director 0.

See List of Officers, Etc Statement


0. 0. 0.
75 Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations7 □ Yes 0NO
If 'Yes,' attach schedule - see instructions
BAA Form 990 (2003)

TEEA0104 10/02/03
Form 990 (2003) Save A L i f e Foundation 36-3869459 Page 5
Part VI Other Information (See instructions.) Yes No
7
76 Did the organization engage in any activity not previously reported to the IRS If 'Yes,'
attach a detailed description of each activity 76
77 Were any changes made in the organizing or governing documents but not reported to the IRS7 77
If 'Yes,' attach a conformed copy of the changes.
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78 a
b If 'Yes,' has it filed a tax return on Form 990-T for this year 7 78 b

79 Was there a liquidation, dissolution, termination, or substantial contraction during the


year 7 If 'Yes,' attach a statement 79

80a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization7 80 a
b If 'Yes,' enter the name of the organization *■
and check whether it is L J exempt or \_J nonexempt
81 a Enter direct and indirect political expenditures See line 81 instructions | 81 a| (L
b Did the organization file Form 1120-POL for this year 7 81b

82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value 7 82 a

blf 'Yes,' you may indicate the value of these items here Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part III) 82 b 301,609.
83a Did the organization comply with the public inspection requirements for returns and exemption applications 7 83 a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions7 83 b
84a Did the organization solicit any contributions or gifts that were not tax deductible7 84a

b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax deductible7 84b
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members 7 85 a
b Did the organization make only in-house lobbying expenditures of $2,000 or less? 85 b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year.
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures 85 d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85 e
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85 f
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7 85 g
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85 h
86 501(c)(7) organizations Enter, a Initiation fees and capital contributions included on
line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86b
87 501 (c)(l2) organizations Enter a Gross income from members or shareholders 87 a

b Gross income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87 b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301.7701 -2 and 301 7701 -3 7
If 'Yes,' complete Part IX 88
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under
section 4911 ►• 0. , section 4912 ►■ 0. , section 4955 ►- 0.
b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year 7 If 'Yes,' attach a statement
explaining each transaction 89 b

c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912, 4955, and 4958 *"_ 0.
d Enter- Amount of tax on line 89c, above, reimbursed by the organization *•_ 0.
90a List the states with which a copy of this return is filed ► J I L i i i p i _ s _ , _ W i _ s c o n s j i n , _ P e n n s y l v a n i a
b Number of employees employed in the pay period that includes March 12, 2003 (See instructions ) f90b1 13
91 The books are in care of »- _ C a r o l _ S p j z z i _ r n Telephone number »■ _(847_)_928-96_83_
Locatedat - _9950_ Law_renc_e_S_uj t e JP0,_Schi_Uer_f ar_k_ IL_ ZIP + 4 ►
■ _6017_6_
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the tax year H 92 |
-n
BAA Form 990 (2003)
TEEA0105 12/23/03
Form990(2003) Save A L i f e Foundation 36-3869459 Page6
Part VII | Analysis of Income-Producing Activities (See instructions)
Unrelated business income Excluded by section 512, 513, or 514
(E)
Note: Enter gross amounts unless (A) (B) (C) (D) Related or exempt
otherwise indicated Business code Amount Exclusion code Amount function income
93 Program service revenue
a Program Fees 36,016.
b Course M a t e r i a l s 95,150.
c
d
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash invmnts 14 795.
96 Dividends & interest from securities
97 Net rental income or (loss) from real estate 1
a debt-financed property
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory 18 -2,676.
101 Net income or (loss) from special events 1 1,404.
102 Gross profit or (loss) from sales of inventory
103 Other revenue a 1
b Miscellaneous 3,590.
c
d
e
104 Subtotal (add columns (B), (D), and (E)) -477. 134,756.
134,279.
Note: Line 105 plus line Id, Part I, should equal the amount on line 12, Part I
Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).
93a,93b Promote and teach life saving first aid programs.
103a To supplement f u n d i n g r e q u i r e d t o perform and c a r r y out the life
s a v i n g f i r s t a i d programs.

Part IX 1 Information Regarding Taxable Subsidiaries and Disregarded Entities (See instructions) N/A
(A) (B) (C) (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of-year
partnership, or disregarded entity ownership interest income assets
%
%
%
%
Part X I Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions.)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Yes No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract7 Yes No
Note: If 'Yes' to (b), file Form 8870 andform 4720 (see instructions)
Underfpefftelties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, dorreot, and aBrnplele Jjeclaration of preparer (otherttian officerVis based on all information of which preparer has any knowledge

I q-ii-o4-
H Date
OMBNo 1545-0047
- Organization Exempt Under
SCHEDULE A Section 501(c)(3)
(Form 990 or 990-EZ)
(Except Private Foundation) and Section 501(e), 501(f), 501 (k),
501 (n), or Section 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information — (See separate instructions.)
2003
Department of the Treasury
Internal Revenue Service *• MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the organization Employer identification number

Save A L i f e Foundation 36-3869459


Part 1 | Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions List each one If there are none, enter 'None ')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans and deferred allowances
compensation

None

Total number of other employees paid


over $50,000 *• None
Part II | Compensation of the Five High est Paid Independent Con tractors for Pro fessional Servii:es
(See instructions. List each one (whether individuals or firms) If there are none, enter 'None.')

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

Bennett R. Krause

2012 Appleton D r i v e , S p r i n g f i e l d , IL 62707 Establish funding sources and contracts 70,769.

Total number of others receiving over


$50,000 for professional services *" None
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2003

TEEA0401 08/28/03
Schedule A (Form 990 or 990-EZ) 2003 Save A L i f e Foundation 36-3869459 Page2
Part III Statements About Activities (See instructions) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendum? If 'Yes,' enter the total expenses paid
or incurred in connection with the lobbying activities *" $
(Must equal amounts on line 38, Part VI-A, or line i of Part VI-B ) 1 X
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other
organizations checking 'Yes,' must complete Part Vl-B AND attach a statement giving a detailed description of the
lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary7 (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions.)

a Sale, exchange, or leasing of property7 2a X

b Lending of money or other extension of credit7 2b X

c Furnishing of goods, services, or facilities 7 2c X


See Part V, Form 990
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7 2d X

e Transfer of any part of its income or assets? 2e X


3a Do you make grants for scholarships, fellowships, student loans, etc? (If 'Yes,' attach an
explanation of how you determine that recipients qualify to receive payments.) 3a X
b Do you have a section 403(b) annuity plan for your employees7 3b X
4 Did you maintain any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds 7 4 X
Part IV Reason for Non-Private Foundation Status (See instructions)
The organization is not a private foundation because it is (Please check only ONE applicable box )
5 A church, convention of churches, or association of churches. Section 170(b)(l)(A)(i).
6 _ A school Section 170(b)(1)(A)(n). (Also complete Part V.)
7 _ A hospital or a cooperative hospital service organization Section 170(b)(l)(A)(m)
8 A Federal, state, or local government or governmental unit Section 170(b)(1 )(A)(v)
9 \_ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(m) Enter the hospital's name, city,
and state -
10 [ J An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )

11a [Xj An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A.)

11 b L J A community trust Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV-A )

12 L J An organization that normally receives (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions — subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975. See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )

13 L J An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1) lines 5 through 12 above, or (2) section 501 (c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3))

Provide the following information about the supported organizations (See instructions )

(a) Name(s) of supported organization(s) (b) Line number


from above

14 I | An organization organized and operated to test for public safety Section 509(a)(4) (See instructions )

BAA TEEA04O2 01/19/04 Schedule A (Form 990 or Form 990-EZ) 2003


Schedule A (Form 990 or 990-EZ) 2003 Save A L i f e Foundation 36-3869459 Page
P a r t I V - A | S u p p o r t S c h e d u l e (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
Calendar year (or fiscal year (a) (b) (c) (e)
beginning in) ** 2002 2001 2000 1999 Total
15 Gifts, grants, and contributions
received (Do not include
unusual grants. See line 28 ) 1,371,684. 820,282. 682,878. 621,043. 3,495,887.
16 Membership fees received

17 Gross receipts from admissions,


merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 207,836. 197,535. 52,664. 41,158. 499,193.
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxes)
from businesses acquired by the organ­
ization after June 30,1975 2,154. 3,275. 8,725. 24,575. 38,729.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge Do not
include the value of services or
facilities generally furnished to
the public without charge
22 Other income. Attach a
schedule Do not include
gain or (loss) from sale of
capital assets
23 Total of lines 15 through 22 1,581,674. 1,021,092. 744,267. 686,776. 4,033.809.
24 Line 23 minus line 17 1,373,838. 823,557. 691,603. 645,618. 3,534.616.
25 Enter 1% of line 23 15,817. 10,211. 7,443. 6,868.
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 *" 26 a 70,692.
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly
supported organization) whose total gifts for 1999 through 2002 exceeded the amount shown in line 26a Do not file this list with your
return. Enter the total of all these excess amounts *" 26 b
c Total support for section 509(a)(1) test. Enter line 24, column (e) *■ 26 c 3,534,616.
d Add. Amounts from column (e) for lines. 18 38,729. 19
22 26b * 26 d 38,729.
e Public support (line 26c minus line 26d total) *" 26e 3,495,887.
f Public support percentage (line 26e (numerator) divid sd by line 26c (denonlinator)) ► 26 f 98.90 %
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return. Enter the sum of
such amounts for each year
(2002) (2001) (2000) (1999)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to
show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return. After
computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences
(the excess amounts) for each year.
(2002) (2001) (2000) (1999)
c Add Amounts from column (e) for lines 15 16
17 20 21 27 c
d Add Line 27a total and line 27b total 27 d
e Public support (line 27c total minus line 27d total) 27 e
f Total support for section 509(a)(2) test Enter amount from line 23, column (e) 27 f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27fl
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) 27 h %
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 1999 through 2002, prepare a
list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return. Do not include these grants in line 15
BAA TEEAO403 08/29/03 Schedule A (Form 990 or 990-EZ) 2003
Schedule A (Form 990 or 990-EZ) 2003 Save A L i f e Foundation 36-3869459 Page 4
PartV Private School Questionnaire (See instructions)
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body7 29

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
and scholarships7 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves 7 31
If 'Yes,' please describe, if 'No,' please explain (If you need more space, attach a separate statement)

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff? 32 a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis? 32 b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? 32 c
d Copies of all material used by the organization or on its behalf to solicit contributions7 32 d

If you answered 'No' to any of the above, please explain (If you need more space, attach a separate statement.)

33 Does the organization discriminate by race in any way with respect to.

a Students' rights or privileges7 33 a

b Admissions policies 7 33 b

c Employment of faculty or administrative staff7 33 c

d Scholarships or other financial assistance7 33 d

e Educational policies7 33e

f Use of facilities 7 33 f

g Athletic programs7 33q

h Other extracurricular activities 7 33 h

If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement)

34a Does the organization receive any financial aid or assistance from a governmental agency7 34a

b Has the organization's right to such aid ever been revoked or suspended7 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of
sections 4 01 through 4 05 of Rev Proc 75-50, 1975-2 C B 587, covering racial
nondiscrimination7 If 'No,' attach an explanation 35
BAA TEEA0404 08/28/03 Schedule A (Form 990 or 990-EZ) 2003
Schedule A (Form 990 or 990-EZ) 2003 Save A L i f e Foundation 36-3869459 Page 5
Part Vl-A Lobbvinq Expenditures by Electinq Public Charities (See mstructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check *■ a if the organization belongs to an affiliated group Check *■ b if you checked 'a' and 'limited control' provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed
totals for ALL electing
(The term 'expenditures' means amounts paid or incurred ) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is —
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 $1,000,000
42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501 (h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50 )

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2003 2002 2001 2000 Total
beginning in)*•

45 Lobbying nontaxable
amount
46 Lobbying ceiling amount
(150% of line 45(e))

47 Total lobbying
expenditures

48 Grassroots non-
taxable amount
49 Grassroots ceiling amount
(150% of line 48(e))

50 Grassroots lobbying
expenditures
Part Vl-B | Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See instructions)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers X
b Paid staff or management (Include compensation in expenses reported on lines c through h.) X
c Media advertisements X
d Mailings to members, legislators, or the public X
e Publications, or published or broadcast statements X
f Grants to other organizations for lobbying purposes X
g Direct contact with legislators, their staffs, government officials, or a legislative body X
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X
i Total lobbying expenditures (add lines c through h.)
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities
BAA Schedule A (Form 990 or 990-EZ) 2003

TEEA0405 08/28/03
Schedule A (Form 990 or 990-EZ) 2003 Save A L i f e Foundation 36-3869459 Page 6
Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c)
of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations7
a Transfers from the reporting organization to a noncharitable exempt organization of' Yes No
(i)Cash 51 a (i) X
(ii)Other assets a(ii) X
b Other transactions'
(i)Sales or exchanges of assets with a noncharitable exempt organization b(i) X'
(ii)Purchases of assets from a noncharitable exempt organization b(ii) X
(iii)Rental of facilities, equipment, or other assets b(iii) X
(iv)Reimbursement arrangements b(iv) X
(v)Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is 'Yes,' complete the following schedule Column (b) should always show the fair market value of
the goods, other assets, or services given by the reporting organization If the organization received less than fair market value in
any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) (b) (c) (d)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations .—. . .
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? *" |_j Yes [Xj No
b If 'Yes,' complete the following schedule-
(a) (b) (c)
Name of organization Type of organization Description of relationship

BAA TEEA0406 09/05/03 Schedule A (Form 990 or 990-EZ) 2003


Form 990 Schedule of Gains and Losses from 2003
Line 8(A) and 8(B) Sale of Assets Other than Inventory
Statement *~ Attach to return

Name Employer Identification Number


Save A L i f e Foundation 36-3869459

Part I, Line 8, Column (A) Securities


Public Securities

Gross
Description Sales Price Basis

P u b l i c l y Traded Securities Cost


Selling Expenses
Basis

Nonpublic Securities

Cost, other basis or


Date Acquired Date Sold Gross FMV when donated
Description and Method and to Whom Sales Price (State which on top)

Total Securities

Gain or (Loss) from Sale of Securities

Part 1, Line 8, Column (B) Other Assets


Date Acquired Date Sold Gross Cost, other basis or
Description and Method and to Whom Sales Price FMV when donated

Vehicle Cost 8,343.


Depreciation -417.
05/01/03 11/01/03 Basis 7,926.
5,250. Donation FMV
Cost
Depreciation
Basis
Donation FMV
Cost
Depreciation
Basis
Donation FMV
Cost
Depreciation
Basis
Donation FMV

Total Other Assets 5,250. 7,926.

Gain or (Loss) from Sale of Other Assets ■2,676.

TEEW0201 SCR 10/20/03


Save A Life Foundation . 3.6-3869459 1

Form 990, Page 1, Part I, Line 9


Special Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Contributions Revenue Expenses (Loss)

Race 708. 0. 708. 100. 608.


Other 796. 0. 796. 0. 796.

Total 1,504. 0. 1,504. 100. 1,404.

Form 990, Page 2, Part II, Line 43


Other Expenses Stmt

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


Other expenses not Total Program Management Fundraising
covered above (itemize): services and general

C o n s u l t i n g Fees 14,972. 14,972. 0. 0.


Dues & S u b s c r i p t i o n s 317. 0. 317. 0.
Independent Contractors 168,025. 77.968. 0. 90,057.
I n s t r u c t o r s Fees 63,999. 63,749. 200. 50.
Insurance 9,472. 10,263. -945. 154.
Licenses & Permits 775. 818. -43. 0.
Market!ng 13,464. -2.384. 402. 15,446.
Miscellaneous 2,558. 0. 2,558. 0.
Payroll Service 2,679. 1.840. 608. 231.
Recruitment 132. 108. 24. 0.
C o s t o f Goods S o l d 14,628. 0. 14,628. 0.
T r a i n i n g Supplies 77,633. 77,583. 50. 0.
Website 13,513. 12,563. 883. 67.
Program Development 15,000. 0. 15,000. 0.

Total 397,167. 257,480. 33,682. 106,005.

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

Land 20,000. 0. 20,000.


BuiIding 181,912. 4,548. 177,364.
O f f i c e Equipment 121,727. 74,980. 46,747.
Vehicles 39,132. 11,746. 27,386.

Total 362,771. 91,274. 271,497.


Save A Life Foundation 36-3869459

Form 990, Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

I n s t r u c t o r Deposits 390. 490.


Real E s t a t e Taxes P a y a b l e 934.

Total 390. 1,424.

Form 990, Page 4, Part V


List of Officers, Etc. Statement

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


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

Richard Stipher
Director
0. 0. 0.
Note: The individuals above,
except as noted, spend time
as needed in thei r capacity
on the Board, They can be
contacted c/o Save a L i f e
Foundation, 9950 Lawrence
S t e 3 0 0 , S c h i l l e r Park, IL 60176

Total
0.
Save A Life Foundation, 36-3869459 3

Supporting Statement of:

Form 990 p 1/Lme 20

Description Amount

Bad debt losses -20,000.

Total ■20,000.

Supporting Statement of:

Form 990 p 2 / L m e 42 column (B)

Description Amount

Depreciation Expense - Program Expense 3,900.

Total 3,900.

Supporting Statement of:

Form 990 p 2 / L m e 42 column (C)

Description Amount

Depreciation Expense - Office Expense 14,468.


Depreciation Expense - Vehicle 8,250.

Total 22,718.

Supporting Statement of:

Form 990 p 3 / L i n e 6 3 , column (A)

Description Amount

Due to Carol Spizzirri, President/Exec. Director 72,227.


Interest Rate - Variable

Total 72,227.

Supporting Statement of:

Form 990 p 3/Line 63, column (B)

Description Amount

Due to Carol Spizzirri, President/Exec. Director 139,648.


Interest Rate - Variable
Save A Life Foundation' 36-3869459 4

Continued
Supporting Statement of:

Form 990 p 3 / L i n e 63, column (B)

Description Amount

Total 139,648.

Supporting Statement of:

Form 990 p 4 / P a r t IV-A, Line b(4)

Description Amount

In-Kind Contributions 260,229.


S p e c i a l Events Expenses 100.

Total 260,329.

Supporting Statement of:

Form 990 p 4 / P a r t I V - B , Line b(4)

Description Amount

In-Kind Contributions 260,229.


S p e c i a l Events Expenses 100.

Total 260,329.
Form 8868 Application for Extension of Time to File an
(December 2000)
Exempt Organization Return OMB No 1545-1709

Department of the Treasury


Internal Revenue Service *~ File a separate application for each return
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
—,' If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form)
IT
Note: Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed
Form 8868.

Parti I Automatic 3-Month Extension of Time - Only submit original (no copies needed)
Note: Form 990-Tcorporations requesting an automatic 6-month extension — check this box and complete Part I only
D
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns Partnerships,
REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.
Name of Exempt Organization Employer identification number

Type or
print
File by the Save A Life Foundation 36-3869459
due date for Number, street, and room or suite number If a P 0 box. see instructions
filing your
return See 9950 Lawrence , #300
instructions City, town or post office For a foreign address, see instructions state ZIP code

Schiller Park IL 60176


Check type of return to be filed (file a separate application for each return)
X Form 990 Form 990-T (corporation) Form 4720
Form 990-BL Form 990-T (Section 401 (a) or 408(a) trust) Form 5227
Form 990-EZ Form 990-T (trust other than above) Form 6069
Form 990-PF Form 1041-A Form 8870
• If the organization does not have an office or place of business in the United States, check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group,
n
check this box *■ \_J If it is for part of the group, check this box *~ \_J and attach a list with the names and EINs of all members
the extension will cover.
1 I request an automatic 3-month (6-month, for 990-T corporation) extension of time until A l l f i 16 , 20 0 4 ,
to file the exempt organization return for the organization named above The extension is for the organization's return for-
calendar year 20 03
tax year beginning 20 _ , and ending ^ ^ , 20
2 If this tax year is for less than 12 months, check reason: L J Initial return \ \ Final return Q Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions . . . $
b if this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made.
Include any prior year overpayment allowed as a credit .. $
c Balance Due. Subtract line 3b from line 3a. 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 $
Signature and Verification
Under penalties of per|ury, I declare that I have examined this return, 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 TW r J&S
BAA For Paperwork Reduction Act Notice, see instructions.
Title
Cf/- Date r f> /OS
Form 8868 (12-2000)

FIFZ0501 01/05/04
Form W 3 (12-2000) Save A Life Foundation 36-3869459 Page 2
? If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box GX
Note: Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed
Form 8868.
? If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1),
Pdrt II | Additional (not automatic) 3-Month Extension of Time Must File Original and One Copy
Name of Exempt Organization Employer Identification number

Type or
print Save A Life Foundation 36-3869459
Number, street, and room or suite number If a P O box, see instructions For IRS Use Only
File by the
extended
due date for
flling the 9950 Lawrence , #300
return See
Instructions City, town or post office, state and ZIP code For a foreign address, see Instructions

Schiller Park IL 60176


Check typo of return to be filed (file a separate application for each return):
Form 990 Form 990-EZ Form 990-T (Section 401(a) or 408(a) trust) Form 1041-A Form 5227 Q Form 8870
Form 990-BL Form 990-PF Form 990-T (trust other than above) Form 4720 Form 6069
Stop: Do not complete Part II If you were not already granted an automatic 3-month extension on a previously filed Form 8868.
? If the organization does not have an office or place of business In the United States, check this box . G [~~]
? If this Is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) . If this is for the
whole group, check this box G [ J . If it is part of the group, check this box G [_J and attach a list with the names and EINs of all
members the extension Is for.
4 I request an additional 3-month extension of time until _Nov 1_5 ,20 _04 .
5 For calendar year _200_3_ , or other tax year beginning _ ,20 _ and ending _ ,20 .
6 If this tax year Is for less than 12 months, check reason: L J Initial return (_J Final return \_\ Change In accounting period
7 state in detail why you need the extension .Moretime j s r e q u j r ^ J o gatherjhe inforrnaUcwneeded
ip_accurajejy_cj)mplete_the .return.

8 a If this application Is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits See instructions

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 ... $
c Balance due. Subtract line 8b from line 8a. Include your payment with this form, or, If required, deposit with
FTP coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See Instructions . $
Signature and Verification
Under penalties of perjury, I declare that I have examined this form. Including accompanying schedules and statements, and lo the best of my knowledge and belief, It Is true,
correct, and complete, and that I am authorized to prepare this form

Signature 1)J ?, A&jtf Title Ov\ &/• Of

y Notice to Applicant' To be Completed by the IRS

B We have approved this application Please attach this form to the organization's return.
We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the
due date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of time for
elections otherwise required to be made on a timely filed return. Please attach this form to the organization's return.
□ We have not approved this application. After considering the reasons stated in item 7, we cannot grant your request for an extension of
time to file. We are not granting a 10-day grace period

B We cannot consider this application because it was filed after the due date of the return for which an extension was requested.
Other- !>'
IAL
Director

Alternate Mailing Address ' Enter the address if you want the copy of this application for an<additional 3-month extension returned to an
address different than the one entered above

Number and street (Include suite, room, or apartment number) or a P O box number
Type or
print
City or town, province or state, and country (including postal or ZIP code)

BAA FIFZ0502 01/05/04 Form 8868 (Rev 12-2000)


Form 8868 (12-2000) Save A Life Foundation 36-3869459 Page 2
? If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box

Note: Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed
Form 8868.
? If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).
Part II Additional (not automatic) 3-Month Extension of Time ' Must File Original and One Copy
Name of Exempt Organization Employer identification number

Type or
print Save A Life Foundation 36-3869459
Number, street, and room or suite number If a P O box. see instructions For IRS Use Only
File by the
extended
due date lor
Tiling the 9950 Lawrence, #300 "i;-:^":
return See
instructions City, town or post office, state, and ZIP code For a foreign address, see instructions

Schiller Park IL 60176


Check type of return to be filed (file a separate application for each return):
Form 990 Form 990-EZ Form 990-T (Section 401(a) or 408(a) trust) Form 1041-A Form 5227 [ ] Form 8870
Form 990-BL Form 990-PF Form 990-T (trust other than above) Form 4720 Form 6069
Stop: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
? If the organization does not have an office or place of business in the United States, check this box G \_\
? If this is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) . If this is for the
whole group, check this box G [_] If it is part of the group, check this box G [ J and attach a list with the names and EINs of all
members the extension is for
4 I request an additional 3-month extension of time until _N.9Y_ 1? • 20 .04 .
5 For calendar year _2003_ , or other tax year beginning _ ,20 _ and ending _ ,20
6 If this tax year is for less than 12 months, check reason: [ J Initial return \_\ Final return Q Change in accounting period
7 state in detail why you need the extension .MjpreJ'IPJ? is_r§!qy jred_to gather_the i nformataineeded
_to_accuratejy_cornplete ihe_return.

8 a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions

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 $
c Balance due. Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit with
FTP coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions $
Signature and Verification
Under penalties of perjury, 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 i)J ■>. jmt Title G CPA Date '/'v/oy


Notice to Applicant' To be Completed by the IRS
We have approved this application. Please attach this form to the organization's return.
B We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the
due date of the organizabon's return (including any prior extensions) This grace period is considered to be a valid extension of time for
elections otherwise required to be made on a timely filed return. Please attach this form to the organization's return.

D We have not approved this application. After considenng the reasons stated in item 7, we cannot grant your request for an extension of
time to file. We are not granting a 10-day grace period.

R We cannot consider this application because it was filed after the due date of the return for which an extension was requested.
Other

By

Alternate Mailing Address ' Enter the address if you want the copy of this application for an additional 3-month extension returned to an
address different than the one entered above

Number and street (include suite, room, or apartment number) or a P.O box number
Type or
print
City or town, province or state, and country (including postal or ZIP code)

BAA FIFZ0502 01/05/04 Form 8868 (Rev 12-2000)


CHANGE IN ACCOUNTING FhKlUL)

Form 990 Return of Organization Exempt from Income Tax


OMBNo 1545-0047

^2003~2OO4
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
Open to Public
Department of the Treasury
Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements Inspection

A For the 2003 calendar year, or tax year beginning Jan 1 —r-gew, and ending Jun 30 2004
B Check if applicable C Name of organization 2004 D Employer Identification Number
Please use
Address change IRS label Save A L i f e Foundation 36-3869459
or print
Name change or type. Number and street (or P O box if mail is not delivered to street addr) Room/suite Telephone number
See
Initial return specific 9950 Lawrence 300 (847) 928-9683
instruc­
Final return tions. City, town or country State ZIP code + 4 Cash
IxJ Accrual
Amended return Schiller Park IL 60176 I | Other (specify)* -

Application pending > Section 501 (cX3) organizations and 4947(a)(1) nonexempt H and I are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' | | Yes | X j No
(Form 990 or 990-EZ).
H ( b ) If 'Yes,' enter number of affiliates ^
G W e b s i t e : ^ WWW, s a l f . o r g
H ( c ) Are all affiliates included' [_J Yes \_\ No
J Organization type r—i r—i r—i (If 'No,' attach a list See instructions)
( C h e c k Only o n e ) *~ | X J 501(c) 3 ■* (insert n o ) | _ J 4947(a)(1) or I I 527
H ( d ) Is this a separate return filed by an
K Check here *" [_} if the organization's gross receipts are normally not more than
organization covered by a group ruling' yes | X | No
$25,000 The organization need not file a return with the IRS, but if the organization
received a Form 990 Package in the mail, it should file a return without financial data I Group Exemption Number *■
Some states require a complete return.
M Check *■ [ J if the organization is not required
L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 »- 1 , 1 5 4 , 7 5 5 to attach Schedule B (Form 990, 990-E2, or 990-PF)

Part I 1 Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
1 Contributions, gifts, grants, and similar amounts received
a Direct public support la 87,988.
b Indirect public support lb
c Government contributions (grants) 1c 1,040,000.
d Total (add lines t 1 1 3 7 QQQ u t
la through lc) (cash > L , i c l , J O O ■ noncash 3> _
0, ) Id 1,127,988.
2 Program service revenue including government fees and contracts ( f r o m Part V I I , line 93) 27,856.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments
5 Dividends and interest from securities
6 a Gross rents 6a
b Less, rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe **
(A) Securities (B) Other
8 a Gross amount from sales of assets other
than inventory 8a_
b Less- cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8_£
d Net gain or (loss) (combine line 8c, columns (A) and (B)) 8d

-ss- 9 Special events and activities (attach schedule) If any amount is from gaming, check here d
a Gross revenue (not including $ 2 , 638 . of contributions
S3
reported on line la) 9a 600,
OO b Less, direct expenses other than fundraising expenses | 9b 600.
c Net income or (loss) from special events (subtract line 9b from line 9a) See L-9 Stmt 9c
LU 10a Gross sales of inventory, less returns and allowances 10a
CD
b Less, cost of goods s o l d / v > ^ I 10b
Q c Gross profit or (loss) from sales of jnvSntOQfJattach schedule) (subtract line 10b from line 10a) 10c
11 ■1,698.
LU 11 Other revenue (from p/rt f l j ^
12 Total revenue (add hr/es>)d, [-9c,J0c, and 11) 12 1,154,155
2
13 Program services (fy mnl|B>K^' 13 151,664.
14 Management and (from lifie^j^okjmn\%bj 14 21,328.
15 Fundraising (from 15 7,215.
S 16 Payments to affiliate: 16
E
S 17 Total expenses (add lines 1 17 180,207.
18 a c H u j e V 7 fro 18 973,948.
19 Net assets or fund balances at beginning
u n g of yea?
year (1
(from line 73, c o l u m n (A)) 19 96,025
20 Other changes in net assets or fund balances (attach explanation) 20
21 Net assets or fund balances at end of year (combine lines 18, 19, a n d 20) 21 1,069,973.
BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA010I 11/24/03 Form 9 9 0 4 2 9 e 9 T
2004

1
2004
Form 99(M38e3r Save A L i f e Foundation 36-3869459 Page 2
Part If S t a t e m e n t Of F u n c t i o n a l E x p e n s e s
All organizations must complete column (A) Columns (B), (C), and (D) are
required for section 501 (c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.

Do not include amounts reported on line (B) Program (C) Management


6b, 8b, 9b, 10b, or 16 of Parti (A) Total services and general (D) Fundraismg

22 Grants and allocations (att sch)


(cash $
non-cash $ ) 22
23 Specific assistance to individuals (att sch) 23 i
24 Benefits paid to or for members (att sch) 24
25 Compensation of officers, directors, etc 25 20,000. 20,000. 0. 0.
26 Other salaries and wages 26 27,907. 27,907. 0. 0.
27 Pension plan contributions 27
28 Other employee benefits 28 -414. -414. 0. 0.
29 Payroll taxes 29 4,646. 4,646. 0. 0.
30 Professional fundraismg fees 30
31 Accounting fees 31
32 Legal fees 32 5,850. 5,850. 0. 0.
33 Supplies 33 -35. 2. -37. 0.
34 Telephone 34 5,109. 5,109. 0. 0.
35 Postage and shipping 35 543. 524. 0. 19.
36 Occupancy 36 54,347. 54,347. 0. 0.
37 Equipment rental and maintenance 37
38 Printing and publications 38
39 Travel 39 11,392. 5,446. 0. 5,946.
40 Conferences, conventions, and meetings 40 9,945. 9,945. 0. 0.
41 Interest 41 6,323. 3,315. 3,008. 0.
42 Depreciation, depletion, etc (attach schedule) 42 16,958. 0. 16,958. 0.
43 Other expenses not covered above (itemize)1
a Bank Service Fees 43 a 260. -264. 524. 0.
b Computer Expenses 43 b 119. 119. 0. 0.
c C o n s u l t i n g Fees 43 c 1,000. 1,000. 0. 0.
dDues & S u b s c r i p t i o n s 43 d 1,217. 1,217. 0. 0.
e See Other Expenses Stmt 43 e 15,040. 12,915. 875. 1,250.
44 Total functional expenses (add lines 22 - 43)
Organizations completing columns (B) - (D),
carry these totals to lines 13 -15 44 180,207. 151,664. 21,328. 7,215.
Joint Costs. Check * Q if you are following SOP 98-2.
Are any joint costs from a combined educational campaign and fundraismg solicitation reported in (B) Program services' *■[_] Yes [X] No
If 'Yes,' enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services
$ , (Hi) the amount allocated to Management and general $ , and (iv) the amount allocated
to Fundraismg $
Part III | Statement of Program Service Accomplishments
What is the organization's primary exempt purpose7 *■ .P£9jT^.te__l T_fe_ s a v i D_g_ f ir_St_a_i d Program Service Expenses
(Required for 501(c)(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of (4) organizations and
clients served, publications issued, etc Discuss achievements that are not measurable (Section 501(c)(3) & (4) organ- 4947(a)(1) trusts, but
izations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others ) optional for others)
a
J<ld'_s_Prpgrams _-_ Prpmotj on _and J:eac_hnng_ of_ J.j.fe_ savi ng^_f i_r_s_t_
J1<1 S9. JfJ-lLHPls. i c hop I _cn T_ldr en_ (7_ 1_8_ chj ld_ren _taught)_

(Grants and allocations $ 0. ) 11,638.


b
jCorppra_te_P_rogram_-_ Promot ipn_a_nd _teac_hj ng^ p f _ l j f e_ _sav_i p g
_flC_s_t_a_id_tp_i_ndjvi_dual_s_ot_her__than_ school_-_age _chT_ldre_n_il_14_t_augh_t)

(Grants and allocations $ 0- ) 8,021


c
A l L l f d . Jl e altp_G_rant_ -_P_rpmo_tjon_ of Jn!e_rJ£dcJ_P_r.ep.a_rJQg_
C h i l d r e n Conference (100 attendees)

(Grants and allocations $ 0. ) 20,000.


d_Ex p_an s i_qn _ Prp g ram _ -_ J x p_a n d _t o _s_a t ell j te_ o f_fj c e_
inside and outside the State of Illinois

(Grants and allocations $ 0. ) 112,005.


e Other program services (Grants and allocations $ )
f Total of Program Service Expenses (should equal line 44, column (B), Program services) * ■

151,664.
BAA TEEA0102 10/03/03 Form 990-(eee3r
2004
2004
Form990.^aeo3T Save A L i f e Foundation 36-3869459 Page 3

PartIV Balance Sheets (See instructions)

Note: Where required, attached schedules and amounts within the description (A) (B)
column should be for end-of-year amounts only Beginning of year End of year
45 Cash - non-interest-bearing -5,556. 45 3,399.
46 Savings and temporary cash investments 0. 46 9,892.

47 a Accounts receivable 47 a 13,415.


b Less, allowance for doubtful accounts 47 b 0. 22,715. 47 c 13,415.

48a Pledges receivable 48a


b Less allowance for doubtful accounts 48b 48c
49 Grants receivable 100,000. 49 1,057,000.
A 50 Receivables from officers, directors, trustees, and key
s employees (attach schedule) 50
s 51 a Other notes & loans receivable (attach sch) 51a
E
T
S b Less allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 67,019. 52 54,371.
53 Prepaid expenses and deferred charges 4,634. 53 10,968.
54 Investments - securities (attach schedule) ►□ Costn FMV 54
55a Investments - land, buildings, & equipment basis 55 a
b Less accumulated depreciation
(attach schedule) 55 b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment- basis 57 a 362,771.
b Less accumulated depreciation
(attach schedule) L - 5 7 S tm t 57 b 108,232. 271,497. 57 c 254,539.
58 Other assets (describe *■ ) 58
59 Total assets (add lines 45 through 58) (must equal line 74) 460,309. 59 1,403,584.
60 Accounts payable and accrued expenses 28,796. 60 37,377.
L 61 Grants payable 61
A 62 Deferred revenue . 62
1 63 Loans from officers, directors, trustees, and key employees (attach schedule) 139,648. 63 157,655.
1 64a Tax-exempt bond liabilities (attach schedule) . . 64a
1 b Mortgages and other notes payable (attach schedule) 194,416. 64b 137,155.
s 65 Other liabilities (describe »- See L i n e 6 5 S t m t ) 1,424. 65 1,424.
66 Total liabilities (add lines 60 through 65) 364,284. 66 333,611.
Organizations that follow SFAS 117, check here *■ |Xj and complete lines 67
N
through 69 and lines 73 and 74
f
A 67 Unrestricted -3,975. 67 -69,570.
68 Temporarily restricted 100,000. 68 1,139,543.
1 69 Permanently restricted
Organizations that do not follow SFAS 117, check here *• [ ] and complete lines
69
0
R
70 through 74
G 70 Capital stock, trust principal, or current funds 70
B 71 Paid-in or capital surplus, or land, building, and equipment fund 71
A* 72 Retained earnings, endowment, accumulated income, or other funds 72
ft 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
C 72, column (A) must equal line 19, column (B) must equal line 21) 96,025. 73 1,069,973.
74 Total liabilities and net assets/fund balances (add 1nes 66 and 73) 460,309. 74 1,403,584.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments.

BAA

TEEA0103 10/01/03
i 2004
Form990^aeear Save A L i f e Foundation 36-3869459 Page 4
Part IV-A Recbnciliafion of Revenue per Audited Part IV-B I Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions.) per Return
a Total revenue, gains, and other support a Total expenses and losses per audited
per audited financial statements 1,227,755, financial statements ■ 253,807.
b A m o u n t s included on line a but b Amounts included on line a but not
not on line 12, Form 990 on line 17, Form 990
(1) Net unrealized (1) Donated serv­
gains on ices and use
investments of facilities 72,500.
(2) Donated serv­ (2) Prior year adjust­
ices and use ments reported on
of facilities 72,500. line 20, Form 990

(3) Recoveries of prior (3) Losses reported on


year grants line 20, Form 990
(4) Other (specify) (4) Other (specify)'
See A t t a c h e d See Attached
1,100. 1,100.
Add amounts on lines (1) through (4) 73,600. Add amounts on lines (1) through (4) 73,600.
c Line a minus line b 1,154,155. c Line a minus line b 180,207,
d Amounts included on line 12, d Amounts included on line 17,
Form 990 but not on line a: Form 990 but not on line a:

(1) Investment expenses (1) Investment expenses


not included on line not included on line
6b, Form 990 $ 6b, Form 990 $_
(2) Other (specify) (2) Other (specify).

$ $
Add amounts on lines (1) and (2) Add amounts on lines (1) and (2)

e Total revenue per line 12, Form e Total expenses per line 17, Form
990 (line c plus line d) 1,154,155. 990 (line c plus line d) 180,207,
Part V List of Officers, Directors, rustees, and Key Emp o y e e s (List each one even if not compensated, see instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
per week devoted (if not paid, employee benefit account and other
(A) Name and address to position enter -0-) plans and deferred allowances
compensation
_C a r_oJ _ Sp_i z z_i_r r i_

Chairman/Exec Dir40 20,000. 1,334.


Rita M u l l m s

Chai rwoman
_f 6 &gy_ T_rj m ble_

Vice Chairwoman
Nadme Levick

Secretary
J)ou!g_ Browne

Treasurer

See List of Officers, Etc Statement


0
75 Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations7 □ Yes 0No
If 'Yes,' attach schedule — see instructions
BAA Form 990-f£003)
2004
TEEA0104 10/02/03
2004
Form 990 (geear Save A L i f e Foundation 36-3869459 Page 5
Part VI I Other Information (See instructions) Yes No
7
76 Did the organization engage in any activity not previously reported to the IRS If 'Yes,'
attach a detailed description of each activity 76
77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77
If 'Yes,' attach a conformed copy of the changes
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return 7 78 a
b If 'Yes,' has it filed a tax return on Form 990-T for this year 7 78 b

79 Was there a liquidation, dissolution, termination, or substantial contraction during the


year 7 If 'Yes,' attach a statement 79
80a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization7 80 a
b If 'Yes,' enter the name of the organization *■
and check whether it is [_J exempt or \_J nonexempt.
81 a Enter direct and indirect political expenditures See line 81 instructions | 81 a | 0_.
b Did the organization file Form 1120-POL for this year? 81b

82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value 7 82 a

b If 'Yes,' you may indicate the value of these items here Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part III ) 82b 73,000.
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83 a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions7 83 b
84a Did the organization solicit any contributions or gifts that were not tax deductible7 84a

b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax deductible7 84b
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members 7 85 a
b Did the organization make only m-house lobbying expenditures of $2,000 or less 7 85 b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures 85 d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85 f
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7 85 g
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year7 85 h
86 501 (c)(7) organizations Enter a Initiation fees and capital contributions included on
line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86 b
87 501(c)(12) organizations Enter' a Gross income from members or shareholders 87 a

b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87 b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701 -2 and 301 7701 -3 7
If 'Yes,' complete Part IX 88
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under.
section 4911 ► 0. , section 4912 - 0. ; section 4955 ► 0
b 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year7 If 'Yes,' attach a statement
explaining each transaction 89 b X
c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912, 4955, and 4958 *" 0.
d Enter1 Amount of tax on line 89c, above, reimbursed by the organization ►
90a List the states with which a copy of this return is filed ►■ _ I I L i _ n o i _ s _ , _ W i _ s c o n _ s j n , _ Pennsy_l_yani_a
b Number of employees employed in the pay period that includes March 12, 2003 (See instructions ) IJObl
91 The books are in care of * _Car_oJ_Spj z z _ i _ r r i Telephone number - _(847J_928-9683.
Located at «► _?950_ Lawjence_Su_i te _300 ,_Schi_Uer_ Par_k_ IL ZIP + 4 ► _60176 '_
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 — Check here
and enter the amount of tax-exempt interest received or accrued during the tax year ._. H 92 |
-n
BAA Form 990 (2093)—
TEEA0105 12/23/03 2004
2004
FormS»90-(20Q3ySave A L i f e Foundation 36-3869459 Page 6
Part VII Analysis of Income-Producing Activities (See instructions)
Unrelated business income Excluded by section 512, 513, or 514
Note: Enter gross amounts unless (E)
(A) (B) (C) (D) Related or exempt
otherwise indicated
Business code Amount Exclusion code Amount function income
93 Program service revenue
a Program Fees 23,160.
b Course M a t e r i a l s 1,340.
c Branch Fee 3,356.
d
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash mvmnts 14 9.
96 Dividends & interest from securities
97 Net rental income or (loss) from real estate I
a debt-financed property
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory
103 Other revenue a .- ■ ■

1
b Miscellaneous -1,698.
c
d
e
104 Subtotal (add columns (B), (D), and (E)) 9. 26,158.
105 Total (add line 104, columns (B), (D), and (E)) 26,167,
Note: Line 105 plus line Id, Part I, should equal the amount on line 12, Part I
Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).
93a - 93c Promote and teach life saving first aid programs.
103a To supplement funding required to perform and carry out the life
saving first aid programs

Part IX 1 Information Regarding Taxable Subsidiaries and Disregarded Entities (See instructions.) N/A
(A) (B) (C) (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of-year
partnership, or disregarded entity ownership interest income assets
%
%
%
%
Part X | Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions.)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract' Yes No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract7 Yes No
Note: If 'Yes' to (b), file Form 8870 and Form 4720 (see instructions)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, aOrMCt, arts conmlete Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge
dge
"X
Please fY&ide'vf ff-ound^y II
Date

\wr\def
Date Check if Preparer's SSN or PTIN (see
General Instruction W)
I self-
« OMBNo 1545-0047
Organization Exempt Under
SCHEDULE A Section 501 (cX3)
(Form 990 or 990-EZ) 2004
(Except Private Foundation) and Section 501(e), 501(0, 501 (k),
501 (n), or Section 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information — (See separate instructions.)
Department of the Treasury
Internal Revenue Service *- MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the organization Employer identification number

Save A L i f e Foundation 36-3869459


Part 1 | Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions List each one If there are none, enter 'None.')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans and deferred allowances
compensation

None

Total number of other employees paid 1


over $50,000 *• None i
Part II | Compensation of the Five High est Paid Independent Conltractors for Pro Fessional Servk:es
(See instructions. List each one (whether individuals or firms) If there are none, enter 'None ')

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

None

i
Total number of others receiving over i
$50,000 for professional services *" None 1
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 99O-EZ)-20©3

TEEA0401 08/28/03
2004
Schedule A (Form 990 or 990-EZ)-eee»- Save A L i f e Foundation 36-3869459 Page 2

Parti Statements About Activities (See instructions) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendum? If 'Yes,' enter the total expenses paid
or incurred in connection with the lobbying activities *" $
(Must equal amounts on line 38, Part Vl-A, or line i of Part Vl-B )
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A Other
organizations checking 'Yes,' must complete Part Vl-B AND attach a statement giving a detailed description of the
lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary' (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions )

a Sale, exchange, or leasing of property? 2a

b Lending of money or other extension of credit 7 2b

c Furnishing of goods, services, or facilities' 2c


See Part V, Form 990
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)' 2d

e Transfer of any part of its income or assets 7 2e


7
3a Do you make grants for scholarships, fellowships, student loans, etc (If 'Yes,' attach an
explanation of how you determine that recipients qualify to receive payments.) 3a
b Do you have a section 403(b) annuity plan for your employees7 3b
4 Did you maintain any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds7

Part IV Reason for Non-Private Foundation Status (See instructions.)


The organization is not a private foundation because it is (Please check only ONE applicable box.)
5 A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6 ~ A school Section 170(b)(1)(A)(n). (Also complete Part V.)
7 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(m).
8 A Federal, state, or local government or governmental unit. Section 170(b)(l)(A)(v).
9 _ A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(m). Enter the hospital's name, city,
and state ►■
10 |_J An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule in Part IV-A )
11a | A ] An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )

11 b Q A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )

12 O An organization that normally receives. (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax') from businesses acquired by the
organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )

13 L J An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in 0 ) l|r)es 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3))

Provide the following information about the supported organizations (See instructions )

(a) Name(s) of supported organization(s) (b) Line number


from above

14 [ I An organization organized and operated to test for public safety. Section 509(a)(4) (See instructions )

BAA TEEA0402 01/19/04 Schedule A (Form 990 or Form 990-EZ)-€6e3"—


2004
2004
Schedule A (Form 990 or 990-EZ)-geerJ Save A L i f e Foundation 36-3869459 Page 3
P a r t I V - A | S u p p o r t S c h e d u l e (Complete only if you checked a box on I me 10, 11, or 12) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year (c) (e)
beginning in) *" —3602 2003 ■260-t 2002 56602001 -+9992000 Total
15 Gifts, grants, and contributions
received (Do not include
unusual grants See line 28) 448,621. 1,371,684. 820,282. 682,878. 3,323,465.
16 Membership fees received

17 Gross receipts from admissions,


merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 120,316. 207,836. 197,535. 52,664. 578,351.
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxes)
from businesses acquired by the organ­
ization after June 30,1975 795. 2,154. 3,275. 8,725. 14,949.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge. Do not
include the value of services or
facilities generally furnished to
the public without charge
22 Other income Attach a
schedule Do not include
gain or (loss) from sale of
capital assets
23 Total of lines 15 through 22 569,732. 1,581,674. 1,021,092. 744,267. 3,916,765.
24 Line 23 minus line 17 449,416. 1,373,838. 823,557. 691,603. 3,338,414.
25 Enter 1 % of line 23 5,697. 15,817. 10,211. 7,443.
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 *■ 26 a 66,768.
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly
supported organization) whose total gifts for 1999 through 2002 exceeded the amount shown in line 26a Do not file this list with your _ J
return. Enter the total of all these excess amounts *" 26 b 0.
c Total support for section 509(a)(1) test Enter line 24, column (e) . *" 26 c 3,338,414.
d Add Amounts from column (e) for lines 18 14, 949 . 19 1
22 26b 0. ► 26 d 14,949.
e Public support (line 26c minus line 26d total) *" 26e 3,323,465.
f Public support percentage (line i !6e (numerator) divid ed by line 26c (denonlinator)) ► 26 f 99.55 %
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return. Enter the sum of
such amounts for each year
(2002) (2001) (2000) (1999)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to
show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return. After
computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences
(the excess amounts) for each year:
(2002) (2001) (2000) (1999)
c Add Amounts from column (e) for lines 15 16
17 20 21 27 c
d Add Line 27a total and line 27b total 27d
e Public support (line 27c total minus line 27d total) 27 e
f Total support for section 509(a)(2) test Enter amount from line 23, column (e) 27 f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27fl
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) 27 h
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 1999 through 2002, prepare a
list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return. Do not include these grants in line 15
BAA TEEA04O3 08/29/03 Schedule A (Form 990 or 990-EZ)-2963—
2004
2004
Schedule A (Form 990 or 990-EZ) 2663" Save A L i f e Foundation 36-3869459 Page 4
PartV Private School Questionnaire (See instructions)
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No
29 Does the organization have a racially nondiscnminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body? 29
i
30 Does the organization include a statement of its racially nondiscnminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
and scholarships7 30

31 Has the organization publicized its racially nondiscnminatory policy through newspaper or broadcast media during i
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that . _J
makes the policy known to all parts of the general community it serves7 31
If 'Yes,' please describe, if 'No,' please explain (If you need more space, attach a separate statement)

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff7 32 a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscrimmatory basis? 32 b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? 32 c
d Copies of all material used by the organization or on its behalf to solicit contributions7 32 d

If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement)

33 Does the organization discriminate by race in any way with respect to


_ J
a Students' rights or privileges7 33 a

b Admissions policies? 33 b

c Employment of faculty or administrative staff7 33 c

d Scholarships or other financial assistance? 33 d

e Educational policies7 33e

f Use of facilities 7 . . . 33 f

g Athletic programs7 33fl

h Other extracurricular .activities7 33 h

If you answered 'Yes' to any of the above, please explain (If you need more space, attach a separate statement)

34a Does the organization receive any financial aid or assistance from a governmental agency? 34a

b Has the organization's right to such aid ever been revoked or suspended7 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of
sections 4 01 through 4 05 of Rev Proc 75-50, 1975-2 C.B. 587, covering racial
nondiscrimmation7 If 'No,' attach an explanation 35
BAA TEEA0404 08/28/03 Schedule A (Form 990 or 990-EZ) 2Q63-—
2004
2004
'Schedule A (Form 990 or 990-EZ)-3eer Save A Life Foundation 36-3869459 Page 5
Part Vl-A Lobbying Expenditures by Electing Public Charities (See instructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check *• a ~~| if the organization belongs to an affiliated group Check " b if you checked 'a' and 'limited control' provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed
totals for ALL electing
(The term 'expenditures' means amounts paid or incurred.) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table - i

If the amount on line 40 is — The lobbying nontaxable amount is - i


Not over $500,000 20% of the amount on line 40 1
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 |
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 - 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 I

Over $17,000,000 $1,000,000 i

42 Grassroots nontaxable amount (enter 25% of line 41) 42


43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720 i

4 -Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501 (h) election do not have to complete all of the five columns below
See the instructions for lines 45 through 50 )

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2003 2002 2001 2000 Total
beginning in) *

45 Lobbying nontaxable
amount

46 Lobbying ceiling amount


(150% of line 45(e))
47 Total lobbying
expenditures

48 Grassroots non-
taxable amount

49 Grassroots ceiling amount


(150% of line 48(e)) .

50 Grassroots lobbying
expenditures
PartVI-B | Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See instructions )
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers X I
b Paid staff or management (Include compensation in expenses reported on lines c through h.) X |
c Media advertisements X
d Mailings to members, legislators, or the public X
e Publications, or published or broadcast statements X
f Grants to other organizations for lobbying purposes X
g Direct contact with legislators, their staffs, government officials, or a legislative body X
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X
i Total lobbying expenditures (add lines c through h.)
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities
BAA Schedule A (Form 990 or 99O-EZ)-2003—
2004
TEEA0405 08/28/03
2004
Schedule A (Form 990 or 990-EZ) 2663" Save A L i f e Foundation 36-3869459 Page 6
Part VII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c)
of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations7
a Transfers from the reporting organization to a noncharitable exempt organization of Yes No
(i)Cash 51 a (i) X
(ii)Other assets a(ii) X
b Other transactions
(i)Sales or exchanges of assets with a noncharitable exempt organization b(i) X
(ii)Purchases of assets from a noncharitable exempt organization b(ii) X
(iii)Rental of facilities, equipment, or other assets b (iii) X
(iv) Reimbursement arrangements b(iv) X
(v) Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraismg solicitations b(v.) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is 'Yes,' complete the following schedule. Column (b) should always show the fair market value of
the goods, other assets, or services given by the reporting organization If the organization receweo less than fair market value in
any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) (b) (c) (d)
Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations . . . .
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? *" |_| Yes (Xj No
b If 'Yes,' complete the following schedule
(a) (b) (c)
Name of organization Type of organization Description of relationship

BAA TEEA0406 09/05/03 Schedule A (Form 990 or 990-EZ) 2663"


2004
Save A Life Foundation 36-3869459 1

Form 99"0, Page 1, Part I, Line 9


Special Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Contributions Revenue Expenses (Loss)

Race 2,588. 2,588. 0. 0. 0.


Other 650. 50. 600. 600. 0.

Total 3,238. 2,638. 600. 600. 0.

Form 990, Page 2, Part II, Line 43


Other Expenses Stmt

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


Other expenses not Total Program Management Fundraising
covered above (itemize): services and general

I n s t r u c t o r s Fees 7,721. 7,721. 0. 0.


Insurance 4,053. 3,446. 607. 0.
Licenses & Permits 20. 20. 0. 0.
Marketing 1,260. 10. 0. 1,250.
Mi s c e l l a n e o u s 1,909. 1,909. 0. 0.
Payroll Service 867. 867. 0. 0.
Recruitment 670. 670. 0. 0.
C o s t o f Goods S o l d -5,531. -5,531. 0. 0.
Website 1,996. 1.803. 193. 0.
Bad Debt Expense 75. 0. 75. 0.
P r o f e s s i o n a l Fees 2,000. 2,000. 0. 0.

Total 15.040. 12.915. 875. 1.250.

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

Land 20,000. 0. 20,000.


BuiIding 181,912. 9,096. 172,816.
O f f i c e Equipment 121,727. 83,477. 38,250.
Vehicles 39,132. 15,659. 23,473.

Total 362,771. 108,232. 254,539.

Form 990, Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

I n s t r u c t o r Deposits 490. 490.


R e a l E s t a t e Taxes P a y a b l e 934. 934.
Save A Life Foundation 36-3869459 2

Form 99*0, Page 3, Part IV, Line 65 Continued


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

Total 1,424. 1,424.

Form 990, Page 4, Part V


List of Officers, Etc. Statement

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


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

Mark Mitchell
Di r e c t o r
0. 0. 0.
Irv Bock
Director
0. 0. 0.
Steve Orebaugh
Director
0. 0. 0.
Joseph Sabato
Di r e c t o r
0. 0. 0.
Note' The individuals above,
except as noted, spend time
as needed in t h e i r capacity
on the Board, They can be
contacted c/o Save a L i f e
Foundation, 9950 Lawrence
S t e 3 0 0 , Schi H e r Park, IL 60176

Total
0. 0. 0.
Save A Life Foundation 36-3869459 3

Supporting Statement of:

Form 990 p 2/Line 42 column (C)

Description Amount

D e p r e c i a t i o n Expense - O f f i c e Expense 8,497.


D e p r e c i a t i o n Expense - V e h i c l e 3,913.
D e p r e c i a t i o n Epxense - B u i l d i n g 4,548.

Total 16,958.

Supporting Statement of:

Form 990 p 3 / L m e 63, column (A)

Description Amount

Due t o Carol S p i z z i r n , P r e s i d e n t / E x e c . Director 139,648.


I n t e r e s t Rate - V a r i a b l e

Total 139,648.

Supporting Statement of:

Form 990 p 3 / L m e 64b, column (A)

Description Amount

Mortgage Dated 4 / 2 8 / 0 3 , o r i g i n a l amount: $200,000 194,416.


due d a t e : 4 / 2 8 / 0 4 , i n t e r e s t r a t e : 4.25%

Total 194,416.

Supporting Statement of:

Form 990 p 3 / L m e 63, column (B)

Description Amount

Due t o Carol S p i z z i r n , P r e s i d e n t / E x e c . Director 157,655.


I n t e r e s t Rate - V a r i a b l e

Total 157,655
Save A Life Foundation 36-3869459 1

Supporting Statement of:

Form 990 p 3 / U n e 64b, column (B)

Description Amount

Mortgage Dated 4 / 2 8 / 0 3 , o r i g i n a l amount: $200,000 137,155.


due d a t e : 7 / 2 8 / 0 4 , i n t e r e s t r a t e : 4.25%

Total 137,155.

Supporting Statement of:

Form 990 p 4 / P a r t IV-A, Line b(4)

Description Amount

S p e c i a l Events Expense 600.


Donated M a t e r i a l s 500.

Total 1,100.

Supporting Statement of:

Form 990 p 4 / P a r t I V - B , Line b(4)

Description Amount

S p e c i a l Events Expenses 600.


Donated M a t e r i a l s 500.

Total 1,100.
Form 8868 Application for Extension of Time to File an
(December 2000)
Exempt Organization Return OMB No 1545-1709

Department of the Treasury


Internal Revenue Service *" File a separate application for each return.
* If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
* If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form)
TxT
Note: Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed
Form 8868.

Patil I Automatic 3-Month Extension Of Time — Only submit original (no copies needed)
Note: Form 990-T corporations requesting an automatic 6-month extension — check this box and complete Part I only
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns Partnerships,

REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.
Name of Exempt Organization Employer identification number

Type or
print
File by the Save A L i f e Foundation 36-3869459
due date for Number, street, and room or suite number If a P 0 box, see instructions
filing your
return. See 9950 Lawrence , #300
instructions City, town or post office For a foreign address, see instructions state ZIP code

Schiller Park IL 60176


Check type of return to be filed (file a separate application for each return).
X Form 990 Form 990-T (corporation) Form 4720
Form 990-BL Form 990-T (Section 401 (a) or 408(a) trust) Form 5227
Form 990-EZ Form 990-T (trust other than above) Form 6069
Form 990-PF Form 1041-A Form 8870
• If the organization does not have an office or place of business in the United States, check this box
• If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group,
n
check this box *" LJ . If it is for part of the group, check this box *" L J and attach a list with the names and EINs of all members
the extension will cover.
1 I request an automatic 3-month (6-month, for 990-T corporation) extension of time until Feb 15 , 20 05 ,
to file the exempt organization return for the organization named above The extension is for the organization's return for:
calendar year 20 or
tax year beginning Jan 1 ,20 04 , and ending Jun 30 ,20 04
2 If this tax year is for less than 12 months, check reason: Q Initial return | | Final return |X| Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions ... $
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made
Include any prior year overpayment allowed as a credit . .$
c Balance Due. Subtract line 3b from line 3a 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 $
Signature and Verification
Under penaltiesoLngnury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and
complete, and Wat I armauthorizeJ'%) prepare this form

Signature
M.3 ,/uf.
BAA For Paperwork Reduction Act Notice, see instructions.
Title c# Date » (O/K/C*
Form 8868 (12-2000)

FIFZ0501 01/05/04
OMBNo 1545-0047
Form 990 Return of Organization Exempt from Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
2004
(except black lung benefit trust or private foundation)
Open to Public
Department of the Treasury
Internal Revenue Service *■ The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection
A For the 2004 calendar year, or tax year beginning Jul 1 , 2004, and ending Jun 30 , 2005
B Check if applicable C Name of organization D Employer Identification Number
Please use
Address change IRS label Save A Life Foundation 36-3869459
or print
Name change or type. Number and street (or P O box if mail is not delivered to street addr) Room/suite E Telephone number
See
Initial return specific 9950 Lawrence 300 (847) 928-9683
instruc­
Final return tions. City, town or country State ZIP code + 4
F fSSSSSf [Jcash E Accrual
Amended return Schiller Park IL 60176 | j Other (specify) * "
I Application pending • Section 501 (cX3) organizations and 4947(a)(1) nonexempt H and I are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' | | Yes |XJ No
(Form 990 or 990-EZ).
H ( b ) If 'Yes,' enter number of affiliates ^
G Website: ^ www, s a l f . o r g
H ( c ) Are all affiliates included' £ j Yes \_\ No
J Organization type r—• n n (If 'No,' attach a list See instructions)
(Check only O n e ) * |XJ 501(c) 3-* (insert n o ) [_} 4947(a)(1) T 1 _ | 527
H ( d ) Is this a separate return filed by an
K Check here *~ {_} if the organization's gross receipts are normally not more than organization covered by a group ruling' yos R j l No
$25,000 The organization need not file a return with the IRS, but if the organization
received a Form 990 Package in the mail, it should file a return without financial data I Group Exemption Number ►
Some states require a complete return.
M Check ►• [ ] if the organization is not required
L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 ► 1 , 7 3 2 , 1 4 0 . to attach Schedule B (Form 990, 990-EZ, or 990-PF).
Part 1 I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
Contributions, gifts, grants, and similar amounts received:
a Direct public support 1a 125,822.
b Indirect public support . . . . lb
c Government contributions (grants) 1c 1,196,000.
d Total (add lines <*- 1 *3 -i T T o o ,_ e*
la through 1c) (cash 5 1 , 3 1 / , i Z l . 4,500.)
noncash > Id 1,321,822,
2 Program service revenue including government fees and contracts (from Part VII, line 93) 310,971.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments 1,933.
5 Dividends and interest from securities
6a Gross rents 6a
b Less: rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) 6c
7 Other investment income (describe *~
(A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory 8a
b Less: cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gam or (loss) (combine line 8c, columns (A) and (B)) 8d
Special events and activities (attach schedule) If any amount is from gaming, check here
Gross revenue (not including $ 1 1 5 , 7 7 7 . of contributions
*□
reported on line la) 9a 34,312
b Less direct expenses other than fundraismg expenses 9b 34,312.
c Net income or (loss) from special events (subtract line 9b from line 9a) See L-9 Stmt 9c
Q 10a Gross sales of inventory, less returns and allowances 10a 62,234.
b Less, cost of goods sold 10b 13,149.
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c 49,085.
11 Other revenue (from Part VII, line 103) 11 868.
12 Total revenue (add lines I d , 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 1,684,679.
13 Program services (from line 44, column (B)) 13 1,699,901.
14 Management and general (from line 44, column (C)) 14 80,431,
15 Fundraismg (from line 44, column (D)) 15 170.
16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)) 17 1,780,502
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 -95,823.
19 Net assets or fund balances at beginning of year (from line 7: J9_ 1,069,973.
20 Other changes in net assets or fund balances (attach explanation) 20_
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) 21 974,150.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEAOIOI 01/07/05 Form 990 (2004)
Form 990 (2004) Save A L i f e F o u n d a t i o n 36-3869459 Page 2
Part II S t a t e m e n t Of F u n c t i o n a l E x p e n s e s
All organizations must complete column (A). Columns (B), (C), and (D) are
required for section 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.

. Do not include amounts reported on line (B) Program (C) Management


6b, 8b, 9b, Wb, or 16 of Parti. (A) Total services and general (D) Fundraismg

22 Grants and allocations (att sch)


(cash $ < * ' £*

non-cash $ ) 22 ., ,
23 Specific assistance to individuals (att sch) 23
24 Benefits paid to or for members (att sch) 24
25 Compensation of officers, directors, etc 25 120,000. 114,000. 6,000. 0.
26 Other salaries and wages 26 286,094. 260,920. 25,174. 0.
27 Pension plan contributions 27
28 Other employee benefits 28 9,332. 8,565. 767. 0.
29 Payroll taxes 29 44,168. 40,767. 3,401. 0.
30 Professional fundraismg fees 30
31 Accounting fees 31
32 Legal fees 32 3,000. 3,000. 0. 0.
33 Supplies 33 12,209. 12,958. -751. 2.
34 Telephone 34 10,847. 10,817. 6. 24.
35 Postage and shipping 35 6,032. 6,147. -140. 25.
36 Occupancy 36 101,425. 101,425. 0. 0.
37 Equipment rental and maintenance 37 762. 762. 0. 0.
38 Printing and publications .. 38
39 Travel 39 29,308. 29,044. 264. 0.
40 Conferences, conventions, and meetings 40 13,479. 13,479. 0. 0.
41 Interest 41 6,938. 728. 6,210. 0.
42 Depreciation, depletion, etc (attach schedule) 42 30,301. 0. 30,301. 0.
43 Other expenses not covered above (itemize):
aA u t o Expense 43 a 2,281. 2,281. 0. 0.
bBank S e r v i c e Fees 43b 262. 264. -2. 0.
cBranch Development 43 c 463,853. 463,853. 0. 0.
dComputer Expenses 43 d 30. 30. 0. 0.
eSee Other Expenses Stmt 43 e 640,181. 630,861. 9,201. 119.
44 Total functional expenses (add lines 22 - 43)
Organizations completing columns (8) - (D),
carry these totals to lines 13-15 44 1,780,502. 1,699,901. 80,431. 170.
Joint Costs. Check " G if you are following SOP 98-2
Are any joint costs from a combined educational campaign and fundraismg solicitation reported in (B) Program services? * " [ J Yes [x] No
If 'Yes,' enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services
$ ; (iii) the amount allocated to Management and general and (iv) the amount allocated
to Fundraismg $
Part III 1 Statement of Program Service Accomplishments
What is the organization's primary exempt purpose7 *• See Attached Program Service Expenses
(Required for 501(c)(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of (4) organizations and
clients served, publications issued, etc. Discuss achievements that are not measurable (Section 501(c)(3) & (4) organ- 4947(a)(1) trusts, but
izations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants & allocations to others ) optional tor others)

a _Kid '_s_Progr_ams _-_ Pronroticpii. _and _teachincj_ of_ _li f_e_ sayinq_ f i r s t _
_aid _to _ I l l i n o i s _ s c h o o l j : h i l d r e n _ _[2_9_, 889_ childr_en_taug;ht2

(Grants and allocations $ 0- ) 679,505.


b^orj>_orate_P_rogram_-_ Promotion_a_nd_teaching_ of _lif e_ saving;
Jirs_t_aid_to_ individual_s_other _than_ §chool_-age_ chi_ldren_ (1_99 _taughtj_

(Grants and allocations $ 0- ) 17,612,


c_Exp_ansion_Program_-_ Expand _ t o _ s _ a t e l l i t e _ o f f i c e _
. i n s i d e _and j a u t s i d e _the _State_of_ I l l i n o i s _ LlJ?JL?-8J!:_,La.u2h_t!

(Grants and allocations $ 0. ) 984,517.


d_pther_Grants_ - J > r o m p t i o n _ a n d _ t e a c h i n g _of _ l i f § _saving_
J:i^s_t_a_id_to_ va_rious_recip_ients_ _(8_5_55 _ t a u g h t j

(Grants and allocations $ 0- ) 18,267.


e Other program services (Grants and allocations $
f Total of Program Service Expenses (should equal line 44, column (B), Program services) 1,699,901.
BAA TEEA0102 01/07/05 Form 990 (2004)
Form 990 (2004) Save A L i f e Foundation 36-3869459 Page 3

PartlV | Balance Sheets (See instructions)

Note: Where required, attached schedules and amounts within the description (A) (B)
column should be for end-of-year amounts only Beginning of year End of year
45 Cash - non-interest-bearing 3,399. 45 3,758.
46 Savings and temporary cash investments 9,892. 46 810,218.

47a Accounts receivable 47 a 22,254.


b Less allowance for doubtful accounts 47 b 0. 13,415. 47 c 22,254.

48 a Pledges receivable . 48a


b Less allowance for doubtful accounts 48b 48c
49 Grants receivable 1,057,000. 49 496,000.

A 50 Receivables from officers, directors, trustees, and key


s employees (attach schedule) 50
s 51 a Other notes & loans receivable (attach sch) 51a
E
T
S b Less allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 54,371. 52 56,501.
53 Prepaid expenses and deferred charges 10,968. 53 5,539.
54 Investments - securities (attach schedule) HH costn FMV 54
55a Investments - land, buildings, & equipment' basis 55 a

b Less: accumulated depreciation


(attach schedule) . 55 b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment, basis... 57 a 387,761.

b Less: accumulated depreciation


(attach schedule) L-57 Stmt 57 b 138,533. 254,539. 57 c 249,228.
58 Other assets (describe ►• ) 58
59 Total assets (add lines 45 through 58) (must equal line 74) 1,403,584. 59 1,643,498.
60 Accounts payable and accrued expenses 37,377. 60 505,204.
L 61 Grants payable 61
A 62 Deferred revenue 62
B
63 Loans from officers, directors, trustees, and key employees (attach schedule) 157,655. 63 163,654.
L
64a Tax-exempt bond liabilities (attach schedule) 64a
T
1 b Mortgages and other notes payable (attach schedule) 137,155. 64b 0.
E
S 65 Other liabilities (describe *■ See L i n e 65 S t m t ) 1,424. 65 490.
66 Total liabilities (add lines 60 through 65) 333,611. 66 669,348.
Organizations that follow SFAS 117, check here ►■ | x j and complete lines 67
N
through 69 and lines 73 and 74
?
A 67 Unrestricted -69,570. 67 478,150.
68 Temporarily restricted 1,139,543. 68 496,000.
* 69 Permanently restricted 69
0 Organizations that do not follow SFAS 117, check here *■ (_j and complete lines
R
70 through 74
F
U 70 Capital stock, trust principal, or current funds 70
B 71 Paid-in or capital surplus, or land, building, and equipment fund 71
i 72 Retained earnings, endowment, accumulated income, or other funds 72

a 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
1,069,973. 73
c 72; column (A) must equal line 19; column (B) must equal line 21) 974,150.
74 Total liabilities and net assets/fund balances (add I nes 66 and 73) 1,403,584. 74 1,643,498.
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments

BAA

TEEA0103 01/07/05
Form990 (2004) Save A L i f e Foundation 36-3869459 Page 4
Part IV-A 1 Reconciliation of Revenue per Audited RartlV-B 1 Reconciliation of Expenses per Audited
Financial Statements with Revenue Financial Statements with Expenses
per Return (See instructions.) per Return
a Total revenue, gams, and other support a Total expenses and losses per audited
per audited financial statements 1,937,220. financial statements. * 2,033,043

b Amounts included on line a but b Amounts included on line a but not


not on line 12, Form 990- on line 17, Form 990:
(1) Net unrealized (1) Donated serv­
gains on ices and use
investments $ of facilities $_ 190,795.
(2) Donated serv­ (2) Prior year adjust­
ices and use ments reported on
of facilities $_ 190,795. line 20, Form 990 $_

(3) Recoveries of prior (3) Losses reported on


year grants $_ line 20, Form 990 $_
(4) Other (specify): (4) Other (specify):
See A t t a c h e d See A t t a c h e d
61,746. 61,746.
Add amounts on lines (1) through (4) 252,541. Add amounts on lines (1) through (4) 252,541.
Line a minus line b 1,684,679. Line a minus line b 1,780,502,
Amounts included on line 12, A m o u n t s included o n line 17,
Form 990 but not on line a: F o r m 990 but not on line a: f-

(1) Investment expenses (1) Investment expenses


not included on line not included on line
6b, Form 990 $_ 6b, Form 990
(2) Other (specify). (2) Other (specify)-

Add amounts on lines (1) and (2) Add amounts on lines O) and (2)

Total revenue per line 12, Form Total expenses per line 17, Form
990 (line c plus line d) 1,684,679. 990 (line c plus line d) 1,780,502
Part V | List of Officers, Directors, rustees, and Key Emp o y e e s (List each one even if not compensated; see instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
per week devoted (if not paid, employee benefit account and other
(A) Name and address to position enter -0-) plans and deferred allowances
compensation
_C§£°J-_ 5fii ^ z i r r i

Chairman/Exec Dir 40 120,000, 1,839.


Rita Mullins

Vice Chairwoman
J J o u g l a s J3rowne_

Treasurer
_Peggy_ T r i m b l e _

V i c e Chairwoman
Mark M i t c h e l l

Director

See List of Officers, Etc Statement


0.

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more
than $100,000 from your organization and all related organizations, of which more than
$10,000 was provided by the related organizations? []Yes (X]NO
If 'Yes,' attach schedule - see instructions
BAA Form 990 (2004)

TEEA0104 01/07/05
Form 990 (2004) Save A L i f e Foundation 36-3869459 Page 5
Part VI Other Information (See instructions) Yes No

76 Did the organization engage in any activity not previously reported to the IRS? If 'Yes,'
attach a detailed description of each activity 76 X
77 Were any changes made in the organizing or governing documents but not reported to the IRS7 . . 77 X
If 'Yes,' attach a conformed copy of the changes. " - * • ■ - —
. i
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return 7 78 a X
b If 'Yes,' has it filed a tax return on Form 990-T for this year? 78 b

79 Was there a liquidation, dissolution, termination, or substantial contraction during the u


year 7 If 'Yes,' attach a statement 79 X

80 a Is the organization related (other than by association with a statewide or nationwide organization) through common
'- ' 'i
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization? 80 a X
b If 'Yes,' enter the name of the organization ►

and check whether it is |_| e>tempt or \_j nonexempt
81 a Enter direct and indirect political expenditures. See line 81 instructions 81 a| 0.
b Did the organization file Form 1120-POL for this year? 81b X
'' J
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value 7 82 a X

b If 'Yes,' you may indicate the value of these items here Do not include this amount as
revenue in Part 1 or as an expense in Part II (See instructions in Part III.) 82b| 205,080.
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83 a X
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions7 83b X
84a Did the organization solicit any contributions or gifts that were not tax deductible 7 84a X
-J
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax deductible7 84b
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members? 85 a
b Did the organization make only in-house lobbying expenditures of $2,000 or less? ... . 85 b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the orga iization received a
waiver for proxy tax owed for the prior year
c Dues, assessments, and similar amounts from members 85 c
d Section 162(e) lobbying and political expenditures 85 d
e Aggregate nondeductible amount of section 6033(e)(l )(A) dues notices 85 e
f Taxable amount of lobbying and political expenditures (line 85d less 85e) . . 85 f
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7 85 g
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85 h
86 501(c)(7) organizations Enter: a Initiation fees and capital contributions included on
line 12 86 a
b Gross receipts, included on line 12, for public use of club facilities 86 b
87 501(c)(12) organizations Enter a Gross income from members or shareholders 87 a
.
b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them) 87 b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable cc rporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 77C)1-2 and 301 7701-37
If 'Yes,' complete Part IX 88 X
89a 501(c)(3) organizations. Enter Amount of tax imposed on the organization during the year under: i
section 4911 ►■ 0 . , section 4912 »• 0 . , section 4955 ►■ 0.
-I
b 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess ben jfit transaction
during the year or did it become aware of an excess benefit transaction from a prior year7 If 'Yes,' i attach a statement
explaining each transaction 89 b X
c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912, 4955, and 4958 . *" 0.
d Enter Amount of tax on line 89c, above, reimbursed by the organization *"_ 0.
90a List the states with which a copy of this return is filed *■ J l l i n o i s _ , _Wiscqnsin_,_ PejinsyJ-yania,_ _Arizona_, I n d i a n a
b Number of employees employed in the pay period that includes March 12, 2004 (See instructions) f^bl 1
91 The books are in care of > _ C a r o l _ S p J . z z i r r i Telephone number ►• J 847_)_928-96_83
Located at »• _?950_ Lawrenc_e_ S u i t e _3 00 ,_Schi_ller . P a r k . IL ZIP + 4 »• _6017_6
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here *■ | |
and enter the amount of tax-exempt interest received or accrued during the tax year H 92 |
BAA Form 990 (2004)
TEEA0105 01/07/05
Form 990 (2004) S a v e A L i f e Foundation 36-3869459 Page 6
Part VM Analysis of Income-Producing Activities (See instructions.)
. Unrelated business income Excluded by section 512, 513, or 514
(E)
Note: Enter gross amounts unless (A) (B) (C) (D) Related or exempt
otherwise indicated Amount Exclusion code function income
Business code Amount
93 Program service revenue.
a P r o g r a m Fees 35,265.
b Course M a t e r i a l s 259,353.
c B r a n c h Fee 5,433.
d C o n f e r e n c e / S e m i n a r Income 10,920.
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash mvmnts 14 1,933.
% Dividends & interest from securities
1 wt '■ " - ■* - *■
97 Net rental income or (loss) from real estate
X
"&), r f' \, ' , . |
a debt-financed property
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gam or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory 49,085.
103 Other revenue: a < - ' , , ■■ * * ^ < -rf; ,~< .- '., •*/< - ^ »'• t'-f , .. |
b Miscellaneous 868.
c
d
e
104 Subtotal (add columns (B), (D), and (E)) 1,933. 360,924.
(D), and (E)) 362,857.
Note: Line 105 plus line Id, Part I, should equal the amount on line 12, Part I
Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).

103b M i s c e l l a n e o u s income t o c a r r y out t h e l i f e s a v i n g f i r s t a i d programs,

Part IX [Information Regarding Taxable Subsidiaries and Disregarded Entities (See instructions.) N/A
(A) (B) (C) (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of-year
partnership, or disregarded entity ownership interest income assets

%
Part X | Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract' Yes No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract7 Yes No
Note: If 'Yes' to (b), file Form 8870 and Form 4720 (see instructions)
Under peaatbesVof periury, I declare that I have examined this return, including accompanying schedules and statements, and to the. best of my knowledge and belief, it is
true, correct, anUcomplele (Declarajipn of preparer (otherihafiiofficerVs
JhotficerVs based on all infoi
information of which preparer has any knowledge

Please J-l JUL


Sign Signatur Date
Here Preside IfoiAfidbs
Type or print name and tttl

Date Preparer's SSN or PTIN (See

•1?./? JAW
Check if General Instruction W)
Paid Preparer's self-
Pre-
signature
12/12/05 employed
n
arer's Ahlbeck & Company
B
Firm's name (or
yours if self-
se employed), ► 1665 Elk Blvd. EIN
address, and
Only [847)824-4000
ZIP+ 4 Des P l a i n e s IL 60016-4721 Phone no

BAA TEEAOIO6 10/03/03 Form 990 (2004)


OMBNo 1545-0047
Organization Exempt Under
SCHEDULE A Section 501 (cX3)
(Form 990 or 990-EZ)
(Except Private Foundation) and Section 501(e), 501(0,501 (k),
501 (n), or Section 4947(aX1) Nonexempt Charitable Trust
Supplementary Information — (See separate instructions.)
2004
Department of the Treasury
Internal Revenue Service *■ MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the organization Employer identification number

Save A L i f e Foundation 36-3869459


Part 1 1 Compensation of the Five Highest Paid Employees Other Than Officers,Directors, and Trustees
(See instructions List each one If there are none, enter 'None ')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans and deferred allowances
compensation

Dane N e a l

9950 Lawrence, Suite 300, S c h i l l e r Park, IL 60176 N a t i o n a l P o l i c y D i r e c t o r 40 54,381. 1,456. 0.

Total number of other employees paid j>~ ?$? 't-h -;'*,-. • x


over $50,000 *" None
Part II 1 Compensation of the Five Highest Paid Independent Conltractors for Pro fessional Servic:es
(See instructions List each one (whether individuals or firms) If there are none, enter 'None.')

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

Hogan & H a r t s o n L.L.P.

Columbia Square, 555 T h i r t e e n t h S t r e e t NW, Washington D.C. 200404-1109 G o v e r n m e n t a l Consultinq 90,822.

Total number of others receiving over


$50,000 for professional services *" None i *

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2004

TEEA0401 07/22/04
Schedule A (Form 990 or 990-EZ) 2004 Save A L i f e Foundation 36-3869459 Page 2

Part 111 Statements About Activities (See instructions.) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendum7 If 'Yes,' enter the total expenses paid
or incurred in connection with the lobbying activities *" $
(Must equal amounts on line 38, Part VI-A, or line i of Part VI-B ) X
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A. Other
organizations checking 'Yes' must complete Part VI-B AND attach a statement giving a detailed description of the
lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary' (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions )

a Sale, exchange, or leasing of property' . . 2a X

b Lending of money or other extension of credit? 2b X

c Furnishing of goods, services, or facilities7 2c X


See P a r t V, Form 990
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7 2d

e Transfer of any part of its income or assets? 2e X


7
3a Do you make grants for scholarships, fellowships, student loans, etc (If 'Yes,' attach an
explanation of how you determine that recipients qualify to receive payments) 3a
b Do you have a section 403(b) annuity plan for your employees? . . 3b X
4a Did you maintain any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds? 4a X
b Do you provide credit counseling, debt management, credit repair, or debt negotiation services? ._ 4b X

PartIV Reason for Non-Private Foundation Status (See instructions.)


The organization is not a private foundation because it is. (Please check only ONE applicable box.)
5 _ A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6 = A school Section 170(b)(1)(A)(n) (Also complete Part V )
7 _ A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(m).
8 _ A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v).
9 |_J A medical research organization operated in conjunction with a hospital. Section 170(b)(l)(A)(m) Enter the hospital's name, city,
and state *■
10 L3 An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(l)(A)(iv).
(Also complete the Support Schedule in Part IV-A.)
11a KJ An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A.)

11 b L J A community trust. Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV-A)

12 L J An organization that normally receives (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975. See section 509(a)(2) (Also complete the Support Schedule in Part IV-A.)
13 I I An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See
section 509(a)(3))

Provide the following information about the supported organizations (See instructions )

(a) Name(s) of supported organization(s) (b) Line number


from above

14 I | An organization organized and operated to test for public safety. Section 509(a)(4) (See instructions )
BAA TEEA0402 07/27/04 Schedule A (Form 990 or Form 990-EZ) 2004
Schedule A (Form 990 or 990-EZ) 2004 Save A L i f e Foundation 36-3869459 Page 3
P a r t IV"A | S u p p o r t S c h e d u l e (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year (b) (c) (d) (e)
beginning in) *" 2003 2002 2001 2000 Total
15 Gifts, grants, and contributions
received. (Do not include
unusual grants. See line 28) 448,621. 1,371,684. 820,282. 682,878. 3,323,465.
16 Membership fees received

17 Gross receipts from admissions,


merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 120,316. 207,836. 197,535. 52,664. 578,351.
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxes)
from businesses acquired by the organ­
ization after June 30,1975 795. 2,154. 3,275. 8,725. 14,949.

19 Net income from unrelated business


activities not included in line 18
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge Do not
include the value of services or
facilities generally furnished to
the public without charge
22 Other income. Attach a
schedule. Do not include
gain or (loss) from sale of
capital assets
23 Total of lines 15 through 22 569,732. 1,581,674. 1,021,092. 744,267. 3,916,765.
24 Line 23 minus line 17 449,416. 1,373,838. 823,557. 691,603. 3,338,414.
25 Enter 1% of line 23 5,697. 15,817. 10,211. 7,443.
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 26 a 66,768.
?.+ ■•■
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unitr publicly
c
supported organization) whose total gifts for 2000 through 2003 exceeded the amount shown in line 26a Do not file this liswith your
return. Enter the total of all these excess amounts 26 b 0.
c Total support for section 509(a)(1) test Enter line 24, column (e) 26 c 3,338,414.
d Add: Amounts from column (e) for lines 18 14,949. 19
22 26b 0. »■ 26d 14,949.
e Public support (line 26c minus line 26d total) 26e 3,323,465.
f Public support percentage (line 2!6e (numerator) divid ed by line 26c (denonlinator)) 26 f 99.55 %
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person.' Do not file this list with your return. Enter the sum of
such amounts for each year:
(2003) (2002) (2001) (2000)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to
show the name of, and amount received for each year, that was more than the larger or (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return. After
computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences
(the excess amounts) for each year
(2003) (2002) (2001) (2000)
c Add Amounts from column (e) for lines 15 16
17 20 21 *■ 27 c
d Add Line 27a total and line 27b total ** 27 d
e Public support (line 27c total minus line 27d total) *• 27 e
f Total support for section 509(a)(2) test: Enter amount from line 23, column (e) H 27f | j
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ** 27 g %
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) *" 27 h %
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2000 through 2003, prepare a
list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return. Do not include these grants in line 15
BAA TEEAM03 07/23/04 Schedule A (Form 990 or 990-EZ) 2004
Schedule A (Form 990 or 990-EZ) 2004 Save A L i f e F o u n d a t i o n 36-3869459 Page 4
PartV Private School Questionnaire (See instructions)
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body7 29

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
and scholarships? 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves7 31
If 'Yes,' please describe, if 'No,' please explain (If you need more space, attach a separate statement.)

32 Does the organization maintain the following.


a Records indicating the racial composition of the student body, faculty, and administrative staff7 32 a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis7 32 b

c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? 32 c
d Copies of all material used by the organization or on its behalf to solicit contributions? 32 d

If you answered 'No' to any of the above, please explain (If you need more space, attach a separate statement)
i

33 Does the organization discriminate by race in any way with respect to:

a Students' rights or privileges7 33 a

b Admissions policies? 33 b

c Employment of faculty or administrative staff? 33 c

d Scholarships or other financial assistance? 33 d

e Educational policies7 33 e

f Use of facilities? 33 f

g Athletic programs7 33 g

h Other extracurricular activities7 33 h

If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement)

—-
34a Does the organization receive any financial aid or assistance from a governmental agency7 34a

bHas the organization's right to such aid ever been revoked or suspended? 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of
sections 4 01 through 4.05 of Rev Proc 75-50, 1975-2 C.B 587, covering racial
nondiscnmination? If 'No,' attach an explanation. 35
BAA TEEA04C4 07/23/04 Schedule A (Form 990 or 990-EZ) 2004
Schedule A (Form 990 or 990-EZ) 2004 Save A L i f e F o u n d a t i o n 36-3869459 Page 5
Part Vl-A | Lobbying Expenditures by Electing Public Charities (See instructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
N/A
Check ►• a (~~ if the organization belongs to an affiliated group Check ►■ b if you checked 'a' and 'limited control' provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed
totals for ALL electing
(The term 'expenditures' means amounts paid or incurred ) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table —
s. £■ •' •*•
If the amount on line 40 is — The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 - 41
h~
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 $1,000,000 — „';* ** A '* i . ~$ ' ;

42 Grassroots nontaxable amount (enter 25% of line 41) 42


43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720 ,-, -i.! - i" \ , , > ,
4 -Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4-Year Averaging Period

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2004 2003 2002 2001 Total
beginning in) -

45 Lobbying nontaxable
amount

46 Lobbying ceiling amount


(150% of line 45(e))
47 Total lobbying
expenditures

48 Grassroots non-
taxable amount

49 Grassroots ceiling amount


(150% of line 48(e)) *
50 Grassroots lobbying
expenditures
Part Vl-B | Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See instructions.)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers X 1
b Paid staff or management (Include compensation in expenses reported on lines c through h.) X 1
c Media advertisements X
d Mailings to members, legislators, or the public X
e Publications, or published or broadcast statements X
f Grants to other organizations for lobbying purposes X
g Direct contact with legislators, their staffs, government officials, or a legislative body X
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X
i Total lobbying expenditures (add lines c through h.) ,
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities.
BAA Schedule A (Form 990 or 990-EZ) 2004

TEEA0405 07/23/04
Schedule A (Form 990 or 990-EZ) 2004 Save A L i f e F o u n d a t i o n 36-3869459 Page 6
Part VII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
j Exempt Organizations (See instructions)
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c)
of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of' Yes No
(i)Cash 51 a (i) X
(ii)Other assets . . a(ii) X
b Other transactions.
(i)Sales or exchanges of assets with a noncharitable exempt organization b(i) X
(ii)Purchases of assets from a noncharitable exempt organization b(ii) X
(iii)Rental of facilities, equipment, or other assets b(iii) X
(iv)Reimbursement arrangements b(iv) X
(v)Loans or loan guarantees b(v) X
(vi) Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is 'Yes complete the following schedule Column (b) should always show the fair market value of
tne gooas, oiner asseis, or services given by the reporting organization If the organization received less than fair market value in
any transaction or sharing arrangement, show in column {d) trie value of the goods, other assets, or services received,
(a) (b) (c) «0
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501 (c) of the Code (other than section 501 (c)(3)) or in section 527' 0 Yes 0 No
b If 'Yes,' complete the following schedule:
(a) (b) (c)
Name of organization Type of organization Description of relationship

BAA Schedule A (Form 990 or 990-EZ) 2004

TEEA0406 11/29/04
Save A Life Foundation 36-3869459 1

Form 990, Page 1, Part I, Line 9


Special Events and Activities Statement

List of Three Largest Net


Events and Type and Gross Less Gross Less Direct Income
Number of Others Receipts Contributions Revenue Expenses (Loss)

Summit 145,401. 111,257. 34,144. 34,144. 0.


Race f o r L i f e 308. 140. 168. 168. 0.
Cubs Game 4,380. 4,380. 0. 0. 0.

Total 150,089. 115,777 34,312 34,312

Form 990, Page 2, Part II Line 43


Other Expenses Stmt

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


Other expenses not Total Program Management Fundraising
covered above (itemize): services and general

Website 106,466. 106,466. 0. 0.


Dues & S u b s c r i p t i o n s -972. -1,132. 160. 0.
Independent Contractors 119,807. 119,807. 0. 0.
I n s t r u c t o r s Fees 16,869. 16,869. 0. 0.
Insurance 4,539. 3,482. 1,057. 0.
Licenses & Permits 846. 115. 731. 0.
Marketing 14,833. 13,279. 1,435. 119.
Miscellaneous -235. 156. -391. 0.
Payroll Service 2,579. 2,579. 0. 0.
Recruitment 3,612. -691. 4,303. 0.
Training Supplies 322,194. 322,188. 6. 0.
Bad Debt E x p e n s e -100. 0. -100. 0.
P r o f e s s i o n a l Fees 43,455. 41,455. 2,000. 0.
Temporary S t a f f i n g 6,288. 6,288. 0. 0.

Total 640,181. 630,861. 9,201. 119.

Form 990, Page 3, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

Land 20,000. 0. 20,000.


Building 181,912. 18,191. 163,721.
O f f i c e Equipment 146,717. 96,856. 49,861.
Vehicles 39,132. 23,486. 15,646.

Total 387,761. 138,533 249,228.


Save A Life Foundation 36-3869459 2

Form 990, Page 3, Part IV, Line 65


Other Liabilities Statement

Beginning End of
Line 65 - Other Liabilities: of Year Year

I n s t r u c t o r Deposits 490. 490.


Real E s t a t e Taxes Payable 934. 0.

Total 1,424, 490.

Form 990, Page 4, Part V


List of Officers, Etc. Statement

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


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

I r v Bock
Director
0. 0. 0.
Emil J o n e s , Jr.
Director
0. 0. 0.
Steven Orebaugh
Director
0. 0. 0.
Ernesto Pretto
Director
0. 0. 0.
Note: The individuals above,
except as noted, spend time
as needed in t h e i r capacity
on the Board, They can be
contacted c/o Save a Life
Foundation, 9950 Lawrence
Ste300, Schiller Park, IL 60176

Total
Save A Life Foundation 36-3869459 3

Supporting Statement of:

Form 990 p 2 / L i n e 42 column (C)

Description Amount

Building 9,096.
Vehicle 7,826.
O f f i c e Equipment 13,379.

Total 30,301.

Supporting Statement of:

Form 990 p 3 / L i n e 6 3 , column (A)

Description Amount

Due t o C a r o l S p i z z i r r i , P r e s i d e n t / E x e c . D i r e c t o r 157,655.
I n t e r e s t Rate - Variable

Total 157,655.

Supporting Statement of:

Form 990 p 3 / L i n e 6 4 b , column (A)

Description Amount

Mortgage D a t e d 4 / 2 8 / 0 3 , o r i g i n a l amount: $200,000


due d a t e : 7 / 2 8 / 0 4 , i n t e r e s t r a t e : 4.25% 137,155.

Total 137,155.

Supporting Statement of:

Form 990 p 3 / L i n e 6 3 , column (B)

Description Amount

Due t o C a r o l S p i z z i r r i , P r e s i d e n t / E x e c . D i r e c t o r
I n t e r e s t Rate - Variable 163,654.

Total 163,654.
Save A Life Foundation 36-3869459 4

Supporting Statement of:

Form 990 p 4 / P a r t IV-A, L i n e b ( 4 )

Description Amount

Special Events Expense 34,312.


Donated Materials 14,285.
Cost of Goods Sold 13,149.

Total 61,746.

Supporting Statement of:

Form 990 p 4 / P a r t IV-B, L i n e b ( 4 )

Description Amount

Special Events Expense 34,312.


Donated Materials 14,285.
Cost of Goods Sold 13,149.

Total 61,746.
Additional Information For Tax Return

Save A Life Foundation 36-3869459

Form 990 p 2: Exempt purpose

Training and developing "Bystanders", including children as volunteers equipped with Life Saving First Aid Skills
to aid in an emergency.
Form 8868 Application for Extension of Time to File an
(Rev December 2004)
Exempt Organization Return 0MB No 1545-1709

Department of the Treasury


'ernal Revenue Service *• File a separate application for each return.
J
If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box ¥F
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
Parti I Automatic 3-Month Extension of Time - Only submit original (no copies needed)
Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part I only
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns
. . □
Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041
Electronic Filing fe-file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns noted
below (6-months for corporate Form 990-T filers) However, you cannot file it electronically if you want the additional (not automatic) 3-month
extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868 For more details on the electronic filing of this
form, visit www.irs.gov/efile
Name of Exempt Organization Employer identification number

Type or
print
File by the Save A Life Foundation 36-3869459
due date for Number, street, and room or suite number If a P O box, see instructions
filing your
return See 9950 Lawrence , #300
instructions City, town or post office. For a foreign address, see instructions state ZIP code

Schiller Park IL 60176


Check type of return to be filed (file a separate application for each return):
X Form 990 Form 990-T (corporation) Form 4720
Form 990-BL Form 990-T (section 401(a) or 408(a) trust) Form 5227
Form 990-EZ Form 990-T (trust other than above) Form 6069
Form 990-PF Form 1041 -A Form 8870

• The books are in the care of ** D o n n a Achs

■ Telephone No. *"_( 847_) _ 9_2_8 - 9_6_8 3 FAX No *'_(847_)_92_8-96_84


• If the organization does not have an office or place of business in the United States, check this box.. D
• 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 this box *" Q If it is for part of the group, check this box *■ Q and attach a list with the names and EINs of all members
the extension will cover.
1 I request an automatic 3-month (6-months for a Form 990-T corporation) extension of time until J ' e b _15 ,20 _0 6 _ ,
to file the exempt organization return for the organization named above. The extension is for the organization's return for:
calendar year 20 or
X tax year beginning _ J u l _1 ,20 _04 _ , and ending _Jun _3 0 ,20 _0 5 _ .
2 If this tax year is for less than 12 months, check reason L J Initial return Q Final return \_\ Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits See instructions $
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made.
Include any prior year overpayment allowed as a credit . . .

c Balance Due. Subtract line 3b from line 3a 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 . .

Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for
payment instructions
BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev 12-2004)

FIFZ0501 01/07/05
Form 990 Return of Organization Exempt From Income Tax
OMB No. 1545-0047

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code 2005
(except black lung benefit trust or private foundation)
Department of the Treasury Open to Public
Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection
A For the 2005 calendar year, or tax year beginning Jul 1 , 2005, and ending Jun 30 2006
B Check if applicable C Name of organization D Employer Identification Number
Pleas* use
Address change IRSIaM Save A L i f e Foundation 36-3869459
or print
Name change orjype. Number and street (or P O box if mail is not delivered to street addr) Room/suite E Telephone number
SM
Initial return specific 9950 L a w r e n c e 300 (847) 928-9683
Instruc­
Final return tions. City, town or country State ZIP code + 4 F USea?"" LJcash | x j Accrual
Amended return Schiller Park IL 60176 I | Other (specify)*1
Application pending • Section 501(c)(3) organizations and 4947(a)(1) nonexempt H and I are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A
(Form 990 or 990-EZ). H (a) Is this a group return for affiliates' | | Yes | x j No
H (b) If 'Yes,' enter number of affiliates *
G Web site: ^ www. s a l f . orcj
H (C) Are all affiliates included? Q Yes Q No
J Organization type r—, . _ . . _ . (If 'No,' attach a list See instructions)
(Check Only one) ■ »• |XJ 501(c) 3 •* (insert no) | _ | 4947(a)(1) or | _ | 527
H (d) Is this a separate return filed by an
K Check here ** [ J if the organization's gross receipts are normally not more than
$25,000. The organization need not file a return with the IRS, but if the organization organization covered by a group ruling? yM R{1 No

chooses to file a return, be sure to file a complete return. Some states require a I Group Exemption Number *
complete return.
M Check *■ |_J if the organization is not required
L Gross receipts: Add lines 6b, 8b, 9b, and 10b to line 12 *■ 9 0 2 , 4 2 6 . to attach Schedule B (Form 990, 990-EZ, or 990-PF).
Parti Revenue, Expenses, and Changes in Net Assets or Fund Balances (See instructions)
Contributions, gifts, grants, and similar amounts received:
a Direct public support ... 1a| 94,403.
b Indirect public support lb
c Government contributions (grants) 1c 700,000
d
ISlnrougn'rcf^ash $ 794,403, noncash $ ) Id 794,403.
2 Program service revenue including government fees and contracts (from Part VII, line 93) 95,335.
3 Membership dues and assessments
4 Interest on savings and temporary cash investments 4,882,
5 Dividends and interest from securities
6a Gross rents 6a
CO
b Less: rental expenses 6b
c Net rental income or (loss) (subtract line 6b from line 6a) . 6c
7 Other investment income (describe
v (A) Securities (B) Other
8a Gross amount from sales of assets other
than inventory 8a 5,800.
I"
b Less: nses . .. 8b 11,732
L..U
Z? c Gam or Strut... 8c -5,932
Net gajn d,r (loss) (comb.i ns (A) and (B)) . 8d -5,932.
O
CO
Speci
a Gross r£v"dnue (not includjrr
idule). If any amount is from gaming, check here
of contributions
'□
reportel 9a
b Less: dlteiLe^^re^o^BPffiaTrfunBfaising expenses 9b
c Net income or (loss) from special events (subtract line 9b from line 9a) 9c
10a Gross sales of inventory, less returns and allowances . 10a
b Less: cost of goods sold ... 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 Other revenue (from Part VII, line 103) 11 2,006.
12 Total revenue (add lines I d , 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) 12 890,694.
13 Program services (from line 44, column (B)) . . . 13 1,005,527.
14 Management and general (from line 44, column (Q) 14 55,716.
15 Fundraising (from line 44, column (D)) . . . 15
16 Payments to affiliates (attach schedule) .... 16
17 Total expenses (add lines 16 and 44, column (A)) 17 1,061,243.
18 Excess or (deficit) for the year (subtract line 17 from line 12) 18 -170,549,
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 974,150.
20 Other changes in net assets or fund balances (attach explanation) 20
' 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) . 21 803,601.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEA0101 02/03/06 Form 990 (2005)

& "I O^W


Form 990 (2005) Save A Life Foundation 36-3869459 Page 2
Part II J S t a t e m e n t of F u n c t i o n a l E x p e n s e s All organizations must complete column (A). Columns (B), (C), and (D) are
required for section 501 (c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others.

Do not include amounts reported on line (B) Program (C) Management


6b, 8b, 9b, 10b, or 16 of Part 1. (A) Total services and general (D) Fundraising

22 Grants and allocations (att sen)


(cash $ 412,273.
non-cash $ 4 . )
If this amount includes ._.
foreign grants, check here . *" | j 22
23 Specific assistance to individuals (att sch) 23
24 Benefits paid to or for members (att sch) 24
25 Compensation of officers, directors, etc 25 130,000. 123,500. 6,500. 0.
26 Other salaries and wages 26 313,141. 284,986. 28,155. 0.
27 Pension plan contributions . . . 27
28 Other employee benefits 28 9,033. 7,529. 1,504. 0.
29 Payroll taxes 29 46,426. 41,166. 5,260. 0.
30 Professional fundraising fees 30
31 Accounting fees . . 31
32 Legal fees.. 32
33 Supplies 33 10,707. 9,990. 717. 0.
34 Telephone 34 13,170. 12,897. 273. 0.
35 Postage and shipping .. 35 3,883. 3,865. 18. 0.
36 Occupancy 36 19,846. 15,234. 4,612. 0.
37 Equipment rental and maintenance 37 6,160. 6,069. 91. 0.
38 Printing and publications 38
39 Travel . . . 39 49,419. 49,142. 277. 0.
40 Conferences, conventions, and meetings 40 8,653. 8,583. 70. 0.
41 Interest 41 8,181. 6,320. 1,861. 0.
42 Depreciation, depletion, etc (attach schedule) 42 33,602. 33,602. 0. 0.
43 Other expenses not covered above (itemize):
a A u t o Expense 43a 6,165. 6,119. 46. 0.
b Bank S e r v i c e Fees 43b 1,084. 1,084. 0. 0.
c Computer Expenses 43c 68,110. 68,110. 0. 0.
d Website 43 d 701. 701. 0. 0.
e Dues & S u b s c r i p t i o n s 43e 115. 115. 0. 0.
f Independent Contractors 43f 36,829. 36,829. 0. 0.
g See Other Expenses Stmt 43g 296,018. 289,686. 6,332. 0.
44 Total functional expenses. Add lines 22 through
43. (Organizations completing columns (B) - (D),
carry these totals to lines 13-15) 44 1,061,243. 1,005,527. 55,716. 0.
Joint Costs. Check * Q if you are following SOP 98-2.
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? * Q Yes [x] No
If 'Yes,' enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services
$ , (iii) the amount allocated to Management and general $ ; and (iv) the amount allocated
to Fundraising $
BAA Form 990 (2005)

TEEA0102 11/OlrtS
Form990 (2005) Save A L i f e Foundation 36-3869459 Page 3
3
Statement of Program Service Accomplishments
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization. How the public perceives an organization in such cases may be determined by the information presented on its return Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments.
What is the organization's primary exempt purpose? ►■ See . A t t a c h e d Program Service Expenses
(Required tor 501(c)(3) and
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of (4) organizations and
clients served, publications issued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4) organ- 4947(a)(1) trusts: but
izations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) optional for others.)
a
. N a t i o n a l ^ Programs^- _which_deliver_ 1 ife_supporting^ J i r _ s t _ a i d _ t r a i n i n g
_to _kj 12_ _students_ i n _?A.j_ _WJi. J™_and_FL_, _ u t i 1 i z i n g _stip_end
.compensated _ins t r u e t o r s _(2 6 ,_114 JtaughtJ.

(Grants and allocations $ 0 . ) If this amount includes foreign grants, check here *" \ \ 401,055.
b_State_Programs_-^ which_dejive_r_lif e_s_uppqrting_f i r s t _aid_training_
S-2-Hrl?. -Stu^P-Dt.3-i*l _?.I , _ , i.tilizinc[_ s t i p e n d compensated . . i n s t r u c t o r s _
Jil 6 -/2§_ 6 _ t a u g h t )

(Grants and allocations $ 0 . ) If this amount includes foreign grants, check here ^ \[ 604,472
c^ranch_Programs _-_which _ d e l i v e r JLife s u p p o r t i n g _ f i r s t _ a i d J;ra_ining_
_to _Kr 12_ _students_ through. .Jn-^Kind _time_ donatiqns_frpm . v o l u n t e e r
i n s t r u c t o r s _(4^153_taught)

(Grants and allocations $ 0 . ) If this amount includes foreign grants, check here *" \ \

(Grants and allocations $ ) If this amount includes foreign grants, check here *~ \ \
e Other program services
(Grants and allocations ) If this amount includes foreign grants, check here *~ \ | |
f Total of Program Service Expenses (should equal line 44, column (B), Program services) 1,005,527.
BAA Form 990 (2005)

TEEA0103 10714/05
Form 990 (2005) Save A L i f e Foundation 36-3869459 Page 4
PartIV 1 Balance Sheets (See instructions)

Note: Where required, attached schedules and amounts within the description (A) (B)
column should be for endof-year amounts only. Beginning of year End of year
45 Cash - non-interest-bearing.... .... 3 , 7 5 8 . 45 1,007.
46 Savings and temporary cash investments 8 1 0 , 2 1 8 . 46 591,786.

47 a Accounts receivable 47 a 5,495.


b Less: allowance for doubtful accounts . . 47 b 2 2 , 2 5 4 . 47 c 5,495.
-
48 a Pledges receivable 48a
b Less: allowance for doubtful accounts . . . 48b 48c
49 Grants receivable . 4 9 6 , 0 0 0 . 49 256,000.
A 50 Receivables from officers, directors, trustees, and key
s employees (attach schedule) 50
E 51 a Other notes & loans receivable (attach sch) . . . . 51a ,-
S b Less, allowance for doubtful accounts . . . 51b 51c
52 Inventories for sale or use 56,501. 52 56,400.
53 Prepaid expenses and deferred charges 5,539. 53 11,304.
54 Investments - securities (attach schedule) .. ^I""] Cost \~\ FMV 54
55 a Investments - land, buildings, & equipment: basis . 55 a
b Less: accumulated depreciation
(attach schedule). . 55 b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment' basis 57a 395,964.
b Less: accumulated depreciation
(attach schedule) . L-5.7 S t m t 57 b 156,380. 2 4 9 , 2 2 8 . 57 c 239,584.
58 Other assets (describe *■ ) 58
59 Total assets (must equal line 74). Add lines 45 through 58 ... .... 1 , 6 4 3 , 4 9 8 . 59 1,161,576.
60 Accounts payable and accrued expenses 5 0 5 , 2 0 4 . 60 187,342.
L 61 Grants payable ... 61
A 62 Deferred revenue 62
1 63 Loans from officers, directors, trustees, and key employees (attach schedule) 1 6 3 , 6 5 4 . 63 170,183.
1 64a Tax-exempt bond liabilities (attach schedule) . . . . ... ... 64a
1 b Mortgages and other notes payable (attach schedule) . . . 0 . 64b
s 65 Other liabilities (describe ► I n s t r u c t o r D e p o s i t s ) 4 9 0 . 65 450.
66 Total liabilities. Add lines 60 through 65 . . 6 6 9 , 3 4 8 . 66 357,975.
Organizations that follow SFAS 117, check here ► |xj and complete lines 67
1 67
through 69 and lines 73 and 74.
Unrestricted
A 4 7 8 , 1 5 0 . 67 532,601.
1 68 Temporarily restricted . . . . 4 9 6 , 0 0 0 . 68 271,000.
I 69 Permanently restricted 69
O Organizations that do not follow SFAS 117, check here ► Q and complete lines
R
F
70 through 74.
U
70 Capital stock, trust principal, or current funds ... 70
0
71 Paid-in or capital surplus, or land, building, and equipment fund . 71
A-
L 72 Retained earnings, endowment, accumulated income, or other funds . 72
ft 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through
C 72; column (A) must equal line 19; column (B) must equal line 21) 9 7 4 , 1 5 0 . 73 803,601.
74 Total liabilities and net assets/fund balances. Add hnes6(5 and 73 1 , 6 4 3 , 4 9 8 . 74 1,161,576.
BAA Form 990 (2005)

TEEA0104 10/17/05
Form990 (2005) Save A L i f e F o u n d a t i o n 36-3869459 Page5
Part IV-A 1 Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See
instructions.)

Total revenue, gains, and other support per audited financial statements 1,877,081.
Amounts included on line a but not on Part I, line 12:
1 Net unrealized gains on investments . . . . bl
2Donated services and use of facilities b2 973,687,
3 Recoveries of prior year grants b3
40ther (specify): . D o n a t e d JSugpJLies
b4 12,700
Add lines bl through b4 . .. 986,387.
Subtract line b from line a 890,694.
Amounts included on Part I, line 12, but not on line a:
11nvestment expenses not included on Part I, line 6b dl
20ther (specify).
d2
Add lines dl and d2 .
Total revenue (Part I, line 12) Add lines c and d , 890,694,
Part IV-B I Reconciliation of Expenses per Audited Financial Statements with Expenses per Return

Total expenses and losses per audited financial statements 2,047,630.


Amounts included on line a but not on Part I, line 17:
1 Donated services and use of facilities . . bl 973,687
2Pnor year adjustments reported on Part I, line 20 b2
3Losses reported on Part I, line 20 b3
40ther (specify): . D o n a t e d _SUDJD1ies
b4 12,700.
Add lines bl through b4 986,387,
Subtract line b from line a . .. 1,061,243,
Amounts included on Part I, line 17, but not on line a:
11nvestment expenses not included on Part I, line 6b dl
2Other (specify):
d2
Add lines dl and d2
Total expenses (Part I, line 17). Add lines c and d 1,061,243,
Part V-A | Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee,
or key employee at any time during the year even if they were not compensated.) (See the instructions.)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
(A) Name and address per week devoted Of not paid, employee benefit account and other
to position enter -0-) plans and deferred allowances
compensation plans
Carol Spizzirri

Chairman/Exec D i r 40 130,000. 1,900. 0.


Rita Mullins

Vice Chairwoman 0. 0. 0.
Douglas Browne

Treasurer 0. 0. 0.
Peggy Trimble

Vice Chairwoman 0. 0. 0.
Mark Mitchell

Director 0. 0. 0.
See List of Officers, Etc. Statement

BAA TEEA0105 10/17/05 Form 990 (2005)


Form 990 (2005) Save A L i f e Foundation 36-3869459 Page 6
Part V-Al Current Officers, Directors, Trustees, and Key Employees (continued) Yes No
75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business as board meetings
b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule
A, Part ll-A or ll-B, related to each other through family or business relationships? If 'Yes,' attach a statement that
identifies the individuals and explains the relationship^) 75 b
c Do any officers, directors, trustees, or key employees listed in form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule
A, Part ll-A or ll-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related
to this organization through common supervision or common control 7 75 c
Note. Related organizations include section 509(a)(3) supporting organizations.
If 'Yes,' attach a statement that identifies the individuals, explains the relationship between this organization and the
other organization(s), and describes the compensation arrangements, including amounts paid to each individual by each
related organization
d Does the organization have a written conflict of interest policy? 75 d
Part V-B I Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other
B e n e f i t s (If any former officer, director, trustee, or key employee received compensation or other benefits (described below)
during the year, fist that person below and enter the amount of compensation or other benefits in the appropriate column. See
the instructions.)
(B) Loans and (C) Compensation (D) Contributions to (E) Expense
(A) Name and address Advances employee benefit account and other
plans and deferred allowances
compensation plans
None

Part VI | Other Information (See the instructions ) Yes No


76 Did the organization engage in any activity not previously reported to the IRS? If 'Yes,'
attach a detailed description of each activity 76 X
77 Were any changes made in the organizing or governing documents but not reported to the IRS? 77 X
If 'Yes,' attach a conformed copy of the changes. **
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78 a X
b If 'Yes,' has it filed a tax return on Form 990-T for this year? 78 b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the
year? If 'Yes,' attach a statement ... 79 X
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common 1
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization? 80 a X
b If 'Yes,' enter the name of the organization ►•
and check whether it is | | exempt or | | nonexempt.
81 a Enter direct and indirect political expenditures. (See line 81 instructions.) 81 a|
7
b Did the organization file Form 1120-POL for this year 81b X
BAA Form 990 (2005)

TEEA0106 11/03/05
Form990 (2005) Save A L i f e F o u n d a t i o n 36-3869459 Page 7
Part VI I Other Information (continued) Yes No
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value? . . . .... 82a

b If 'Yes,' you may indicate the value of these items here Do not include this amount as
revenue in Part I or as an expense in Part II. (See instructions in Part III.) 82b 986,387.
83 a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b
84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a

b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax deductible? 84b
85 501(c)(4), (5), or (6) organizations, a Were substantially all dues nondeductible by members? . . . . . 85a
b Did the organization make only m-house lobbying expenditures of $2,000 or less? . 85b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year.
c Dues, assessments, and similar amounts from members 85c
d Section 162(e) lobbying and political expenditures ... 85 d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices . 85e
f Taxable amount of lobbying and political expenditures (line 85d less 85e) . . 85 f
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? . . 85g
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of
dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85 h
86 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on
line 12 86a
b Gross receipts, included on line 12, for public use of club facilities 86b
87 501(c)(12) organizations. Enter- a Gross income from members or shareholders 87 a
b Gross income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them ) 87 b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301 7701-3?
If 'Yes,' complete Part IX . . . . 88
89a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under:
section 4911 ► 0 . , section 4912 »• 0 . ; section 4955 *■
b 501(c)(3) and 501 (c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year? If 'Yes,' attach a statement
explaining each transaction 89b
c Enter: Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912,4955, and 4958 •••*"_
d Enter: Amount of tax on line 89c, above, reimbursed by the organization . . . . . . . *•
90a List the states with which a copy of this return is filed *■ _ I l l i n o i _ s _ , _ W i j c q n s i n _ , _ P e n n s y l v a n i a , _ _ A r i z o n a _ , Indiana
b Number of employees employed in the pay period that includes March 12, 2005 (See instructions.) . . | 90 b] 9
91 a The books are in care of »• £ a r q l _ S j ) i z z i r r i Telephone number *■ _(847_)_928-9683
Located at ► 9950 L a w r e n c e S u i t e 3 0 0 , S c h i l l e r P a r k IL ZIP + 4 ► 60176
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a Yes No
financial account in a foreign country (such as a bank account, securities account, or other financial account)' 91b X
If 'Yes,' enter the name of the foreign country *■

See the instructions for exceptions and filing requirements for Form TD F 90-22 1, Report of Foreign Bank and
Financial Statements
c At any time during the calendar year, did the organization maintain an office outside of the United States? 91c
If 'Yes,' enter the name of the foreign country *■
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 — Check here
and enter the amount of tax-exempt interest received or accrued during the tax year . . ► 92

BAA Form 990 (2005)

TEEA0107 02/03/06
Form 990 (2005) Save A L i f e F o u n d a t i o n 36-3869459 Paqe 8
Part VII1 Analysis of Income-Producinq Activities (See the instructions )
Unrelated business income Excluded by section 512, 513, or 514
(E)
Note: Enter gross amounts unless (A) (B) (C) Related or exempt
otherwise indicated. Business code Amount Amount function income
Exclusion code
93 Program service revenue:
a P r o g r a m Fees 23,780.
b Course M a t e r i a l s 67,133.
c B r a n c h Fee 4,422.
d
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash invmnts 14 4,882.
96 Dividends & interest from securities
97 Net rental income or (loss) from real estate: , ■ ."I
a debt-financed property . .
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory 18 -5,932.
101 Net income or (loss) from special events
102 Gross profit or (loss) from sales of inventory .
103 Other revenue: a j
_ -"< • e - -. , - ,
b Miscellaneous 2,006.
c
d
e
104 Subtotal (add columns (B), (0), and (E)) ' . " -. -1,050. 97,341.
96,291,
Note: Line 105 plus line Id, Part I, should equal the amount on line 12, Part I.
Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See the instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes).

93a-c Provide l i f e s a v i n g f i r s t a i d s k i l l s t o v o l u n t e e r s t o a i d i n an
emergency.
103b M i s c e l l a n e o u s income t o c a r r y o u t t h e l i f e s a v i n g f i r s t a i d programs.
Part IX I Information Regarding Taxable Subsidiaries and Disregarded Entities (See the instructions.) N/A
(A) (B) (C) (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of-year
partnership, or disregarded entity ownership interest income assets

%
%
Part X I Information Regarding Transfers Associated with Personal Benefit Contracts (See the instructions.)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay [
b Did the organization, during the year, pay premiums, directly or mdl
Note: If 'YesLjo (b), file Form 8870 and Form 4720 (see instructions)!
examined this return, includini
— '-"- "--n officer; - ' —

Please
Sign
Here
Type or print name and title

Paid
Pre-
arer's
Preparer's
signature
► a / ->.Auf
Ahlbeck & Company
G
Firm's name (or
yours if self-
se employed), k 1665 Elk Blvd
address, and
Only ZIP+ 4 Des Plaines
BAA
OMBNo 1545-0047
Organization Exempt Under
SCHEDULE A Section 501 (cX3)
(Form 990 or 990-EZ)
(Except Private Foundation) and Section 501(e), 501(0,501 (k),
501(n), or 4947(a)(1) Nonexempt Charitable Trust
Supplementary Information — (See separate instructions.)
2005
Department of the Treasury
Internal Revenue Service MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name of the organization Employer identification number

Save A L i f e Foundation 36-3869459


Parti J Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions. List each one. If there are none, enter 'None.')
(a) Name and address of each (b) Title and average (c) Compensation (d) Contributions (e) Expense
employee paid more hours per week to employee benefit account and other
than $50,000 devoted to position plans and deferred allowances
compensation

_Dane_ N e a l
9950 Lawrence, Suite 300, Schiller Park, IL 60176 National Policy Director 4 0 63,500. 1,800.

Total number of other employees paid


over $50,000 .. .. None
Part II — A4 Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See instructions. List each one (whether individuals or firms). If there are none, enter 'None ')
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation
Hogjan & H a r t s o n L.L.P.
Columbia Square, 555 T h i r t e e n t h S t r e e t NW, Washington D.C. 200404-1109 G o v e r n m e n t a l Consulting 68,671.
Nawara F i n a n c i a l A d i s o r s I n c .
7420 W. C o l l e g e D r i v e , S t e . 2 E , P a l o s H e i g h t s , IL 60463 A c c o u n t i n g Service 51,663.

Total number of others receiving over ." > •'■;■- >'* V-". -''•■j V \ "■■ " "
$50,000 for professional services ** None
Part II — B I Compensation of the Five Highest Paid Independent Co ntractors for Other Services
(List each contractor who performed services other than professional services, whether individuals or firms. If there are none,
enter 'None.' See instructions )

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

None

Total number of other contractors receiving


over $50,000 for other services *" None
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2005

TEEA0401 08/09(05
Schedule A (Form 990 or 990-EZ) 2005 Save A L i f e Foundation 36-3869459 Page 2

Part III I Statements About Activities (See instructions.) Yes No


During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendum? If 'Yes,' enter the total expenses paid
or incurred in connection with the lobbying activities . *■ $
(Must equal amounts on line 38, Part VI-A, or line i of Part VI -B.)
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A. Other
organizations checking 'Yes' must complete Part Vl-B AND attach a statement giving a detailed description of the
lobbying activities.
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary? (If the answer to any question ;s 'Yes,' attach a detailed statement explaining the transactions.)

a Sale, exchange, or leasing of property? . . . . . . . . 2a

b Lending of money or other extension of credit? . . . . . . . . 2b

c Furnishing of goods, services, or facilities? . 2c


See P a r t V, Form 990
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? 2d

e Transfer of any part of its income or assets? 2e


3a Do you make grants for scholarships, fellowships, student loans, etc? (If 'Yes,' attach an
explanation of how you determine that recipients qualify to receive payments.) .... 3a X
b Do you have a section 403(b) annuity plan for your employees? ... 3b
c During the year, did the organization receive a contribution of qualified real property interest under section 170(h)? 3c
4a Did you maintain any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds? . . . . . . . . . . 4a
b Do you provide credit counseling, debt management, credit repair, or debt negotiation services 7 . 4b

Part IV *1 Reason for Non-Private Foundation Status (See instructions.)


The organization is not a private foundation because it is- (Please check only ONE applicable box.)
5 __ A church, convention of churches, or association of churches. Section 170(b)(l)(A)(i).
6 _ A school. Section 170(b)(1)(A)(n). (Also complete Part V.)
7 _ A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(m).
8 _ A Federal, state, or local government or governmental unit. Section l70(b)(1)(A)(v).
9 _J A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(in). Enter the hospital's name, city,
and state ►■
10 (_J An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv).
(Also complete the Support Schedule in Part IV-A.)

11a [x] An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
Section 170(b)(l)(A)(vi). (Also complete the Support Schedule in Part IV-A.)

11 b \_j A community trust. Section 170(b)(l)(A)(vi). (Also complete the Support Schedule in Part IV-A.)

12 L J An organization that normally receives (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)

13 L J An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in: (1) lines 5 through 12 above; or (2) section 50Hc)(4), (5), or (6), if they meet the test of section 509(a)(2). Check the
box that describes the type of supporting organization:
35 Type 1 l~l Type 2 I ! Type 3
Provide the following information about the supported organizations. (See instructions)

(a) Name(s) of supported organization(s) (b) Line number


from above

14 M An organization organized and operated to test for public safety Section 509(a)(4). (See instructions.)
BAA TEEA04O2 08/09/05 Schedule A (Form 990 or Form 990-EZ) 2005
Schedule A (Form 990 or 990-EZ) 2005 Save A L i f e Foundation 36-3869459 Page 3
P a r t I V - A 1 S u p p o r t S c h e d u l e (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
Calendar year (or fiscal year (e)
beginning in) ** 2004 2003 2002 2001 Total
15 Gifts, grants, and contributions
received (Do not include
unusual grants. See line 28 ) 1,882,822. 448,621. 1,371,684. 820,282. 4,523,409.
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 399,546. 120,316. 207,836. 197,535. 925,233.
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(aX5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxes)
from businesses acquired by the organ­
ization after June 30,1975 1,933. 795. 2,154. 3,275. 8,157.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf . .
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge. Do not
include the value of services or
facilities generally furnished to
the public without charge . ..
22 Other income. Attach a
schedule. Do not include
gam or (loss) from sale of
capital assets
23 Total of lines 15 through 22 2,284,301. 569,732. 1,581,674. 1,021,092. 5,456,799.
24 Line 23 minus line 17 1,884,755. 449,416. 1,373,838. 823,557. 4,531,566.
25 Enter 1 % of line 23 . 22,843. 5,697. 15,817. 10,211.
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 *" 26 a 90,631.
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly
supported organization) whose total gifts for 2001 through 2004 exceeded the amount shown in line 26a. Do not file this list with your
return. Enter the total of all these excess amounts . . . . *■ 26 b 0.
c Total support for section 509(a)(1) test: Enter line 24, column (e) . . . ... *• 26 c 4,531,566.
d Add: Amounts from column (e) for lines: 18 8,157. 19 - _. . _J
22 26b 0. . * 26 d 8,157.
e Public support (line 26c minus line 26d total) *• 26e 4,523,409.
f Public support percentage (line t !6e (numerator) divid ed by line 26c (denorrlinator)) * 26 f 99.82 %
27 Organizations described on line 12:
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person.' Do not file this list with your return. Enter the sum of
such amounts for each year:
(2004) (2003) (2002) _ _ (2001)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records
to show the name of, and amount received for each year, that was more than the larger of (1) the amount on dne 25 for the year or (2)
$5,000. (Include in the list organizations described in lines 5 through 11 b, as well as individuals.) Do not file this list with your return.
After computing the difference between the amount received and the larger amount described in (1)or (2), enter the sum of these
differences (the excess amounts) for each year:
(2004) (2003). (2002) (2001)
c Add Amounts from column (e) for lines: 15 16
17 20 21 *• 27c
d Add: Line 27a total . and line 27b total 27d
e Public support (line 27c total minus line 27d total) 27 e
f Total support for section 509(a)(2) test Enter amount from line 23, column (e) 27 f
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27fl
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator)) 27 h %
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2001 through 2004, prepare a
list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant. Do not file this list with your return. Do not include these grants in line 15.
BAA TEEA04O3 02/03/06 Schedule A (Form 990 or 990-EZ) 2005
Schedule A (Form 990 or 990-EZ) 2005 Save A L i f e Foundation 36-3869459 Page 4
Part V 1 Private School Questionnaire (See instructions.)
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body? . . .. 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs,
and scholarships? . . . . .... 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves? . 31
If 'Yes,' please describe; if 'No,' please explain. (If you need more space, attach a separate statement.)

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff? 32a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis? 32 b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships? . . . . 32 c
32 d
d Copies of all material used by the organization or on its behalf to solicit contributions? . .

If you answered 'No' to any of the above, please explain. (If you need more space, attach a separate statement.)

33 Does the organization discriminate by race in any way with respect to:

a Students' rights or privileges? 33a

b Admissions policies? 33b

c Employment of faculty or administrative staff? .... 33c

d Scholarships or other financial assistance? 33d

e Educational policies? 33e

f Use of facilities? .... 33f

g Athletic programs? .... 33g

h Other extracurricular activities? . 33 h

If you answered 'Yes' to any of the above, please explain (If you need more space, attach a separate statement)

34 a Does the organization receive any financial aid or assistance from a governmental agency? 34a

b Has the organization's right to such aid ever been revoked or suspended? 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement.

35 Does the organization certify that it has complied with the applicable requirements of
sections 4.01 through 4.05 of Rev Proc 75-50, 1975-2 C.B. 587, covering racial
nondiscrimination? If 'No,' attach an explanation. 35
BAA TEEA0404 08/08/05 Schedule A (Form 990 or 990-EZ) 2005
Save A Life Foundation
Schedule A (Form 990 or 990-EZ) 2005 36-3869459 Page5
Part Vl-A I Lobbying Expenditures by Electing Public Charities (See instructions.^
(To be completed ONLY by an eligible organization that filed Form 5768) N/A
Check » a | | if the organization belongs to an affiliated group. Check *■ b if you checked 'a' and 'limited control' provisions apply.
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed
totals for ALL electing
(The term 'expenditures' means amounts paid or incurred.) organizations
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) ... 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) . . . 38
39 Other exempt purpose expenditures . 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount. Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is —
Not over $500,000 . .... 20% of the amount on line 40 . . j
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 .. $175,000 plus 10% of the excess over $1,000,000 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 -
Over $17,000,000 $1,000,000
42 Grassroots nontaxable amount (enter 25% of line 41) . 42
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 .. .... 43
44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.

4 -Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2005 2004 2003 2002 Total
beginning in) »

45 Lobbying nontaxable
amount .. .
46 Lobbying ceiling amount
(150% of line 45(e)) .
47 Total lobbying
expenditures
48 Grassroots non-
taxable amount ..
49 Grassroots ceiling amount
(150% of line 48(e))

50 Grassroots lobbying
expenditures
Part Vl-B I Lobbying Activity by Nonelect no Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See instructions.)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of: Yes No Amount

a Volunteers X
b Paid staff or management (Include compensation in expenses reported on lines c through h.) X
c Media advertisements. . X
d Mailings to members, legislators, or the public X
e Publications, or published or broadcast statements X
f Grants to other organizations for lobbying purposes X
g Direct contact with legislators, their staffs, government officials, or a legislative body X
h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X
i Total lobbying expenditures (add lines c through h.) ...
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities.
BAA Schedule A (Form 990 or 990-EZ) 2005

TEEA04O5 08/08/05
Schedule A (Form 990 or 990-EZ) 2005 Save A L i f e F o u n d a t i o n 36-3869459 Page 6
Part VII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501 (c)
of the Code (other than section 501 (c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting organization to a noncharitable exempt organization of: Yes No
(OCash .. . . . . 51 a 0) X
(ii)Other assets ... afli) X
b Other transactions:
(QSales or exchanges of assets with a noncharitable exempt organization b(D X
(ii)Purchases of assets from a noncharitable exempt organization bOi) X
(iii)Rental of facilities, equipment, or other assets b(iii) X
(iv) Reimbursement arrangements .... .... b(iv) X
(v)Loans or loan guarantees . . . b(v) X
(vi)Performance of services or membership or fundraising solicitations .. ... b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . . . c X
d If the answer to any of the above is 'Yes,' complete the following schedule Column (b) should always show the fair market value of
the goods, other assets, or services given by the reporting organization. If the organization received less than fair market value in
any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received:
(a) (b) (c) (d)
Line no. Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? *■ \_\ Yes [x] No
b If 'Yes,' complete the following schedule:
(a) (b)
Name of organization Type of organization Description of relationship

BAA Schedule A (Form 990 or 990-EZ) 2005

TEEA0406 08/08/05
Form 990 Schedule off Gains and Losses ffrom 2005
Line 8(A) and 8(B) Sale of Assets Other than Inventory
Statement *■ Attach to return

Name Employer Identification Number


Save A L i f e Foundation 36-3869459

Part I, Line 8, Column (A) Securities


Public Securities

Gross
Description Sales Price Basis

P u b l i c l y Traded Securities Cost


Selling Expenses
Basis

Nonpublic Securities

Cost, other basis or


Date Acquired Date Sold Gross FMV when donated
Description and Method and to Whom Sales Price (State which on top)

Total Securities

Gain or (Loss) from Sale of Securities

Part 1, Line 8, Column (B) Other Assets


Date Acquired Date Sold Gross Cost, other basis or
Description and Method and to Whom Sales Price FMV when donated

V e h i c l e s and Equipment Cost 11,732.


Depreciation
various various Basis 11,732.
sold 5,800. Donation FMV
Cost
Depreciation
Basis
Donation FMV
Cost
Depreciation
Basis
Donation FMV
Cost
Depreciation
Basis
Donation FMV

Total Other Assets 5,800. 11,732,

Gain or (Loss) from Sale of Other Assets ■5,932.

TEEW0201 SCR 10/27/05


Save A Life Foundation 36-3869459 1

Additional Information

Form 990 p 3: Exempt purpose

Training and developing "Bystanders", including children as volunteers equipped with


life saving first aid skills to aid in an emergency.
Save A Life Foundation 36-3869459 1

Form 990, Page 2, Part II, Line 43


Other Expenses Stmt

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


Other expenses not Total Program Management Fundraising
covered above (itemize): services and qeneral

I n s t r u c t o r s Fees 13,044. 13,044. 0. 0.


Insurance 5,921. 5,301. 620. 0.
Licenses & Permits 2,991. 2,900. 91. 0.
Marketing 14,782. 14,782. 0. 0.
Miscellaneous 770. 0. 770. 0.
Payroll Service 2,801. 2,781. 20. 0.
Recruitment 2,257. 2,257. 0. 0.
Training Supplies 30,412. 30,412. 0. 0.
P r o f e s s i o n a l Fees 68,994. 64,966. 4,028. 0.
Temporary S t a f f i n g 21,028. 20,225. 803. 0.
Consulting 87,677. 87,677. 0. 0.
T r a i n i n g & Development 741. 741. 0. 0.
Program M i n i G r a n t s 44,600. 44,600. 0. 0.

Total 296,018. 289,686, 6,332

Form 990, Page 5, Part V-A


List of Officers, Etc. Statement

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


Name and address Title and Compensation Contributions Expense
average hours per (if not paid, to employee account
week devoted enter -0-) benefit plans and other
to position and deferred allowances
compensation

I r v Bock
Director
0. 0. 0.
Emil J o n e s , Jr.
Director
0. 0. 0.
Steven Orebaugh
Director
0. 0. 0.
Ernesto Pretto
Director
0. 0. 0.
Note: The individuals above,
except as noted, spend time
as needed in t h e i r capacity
on the Board, They can be
c o n t a c t e d c / o Save a Life
Foundation, 9950 Lawrence
Ste300, S c h i l l e r Park, IL 60176
Save A Life Foundation 36-3869459 2

Form 990, Page 4, Part IV, Lines 57a & 57b


Land, Buildings and Equipment Statement

(a) (b) (c)


Cost/Other Accumulated Book Value
Basis Depreciation

Land 20,000. 0. 20,000.


Building 181,912. 27,286. 154,626.
O f f i c e Equipment 162,862. 125,975. 36,887.
Vehicles 31,190. 3,119. 28,071.

Total 395,964. 156,380. 239,584.


Save A Life Foundation 36-3869459 3

Supporting Statement of:

Form 990 p 2/Line 25 column (B)

Description Amount

Program S e r v i c e S a l a r i e s :
Carol S p i z z i r r i 123,500.

Total 123,500.

Supporting Statement of:

Form 990 p 2/Line 25 column (C)

Description Amount

Management and General Salaries:


Carol S p i z z i r r i 6,500.

Total 6,500.

Supporting Statement of:

Form 990 p 2 / L i n e 42 column (B)

Description Amount

Building 9,096.
Equipment 22,624.
Vehicles 1,882.

Total 33,602.

Supporting Statement of:

Form 990 p 4 / L i n e 6 3 , column (A)

Description Amount

Due t o Carol S p i z z i r r i , P r e s i d e n t / E x e c . D i r e c t o r
I n t e r e s t Rate - V a r i a b l e 163,654.

Total 163,654.
Save A Life Foundation 36-3869459 4

Supporting Statement of:

Form 990 p 4 / L i n e 63, column (B)

Description Amount

Due t o Carol S p i z z i r r i , P r e s i d e n t / E x e c . D i r e c t o r
I n t e r e s t Rate-Variable 170,183.

Total 170,183.

Supporting Statement of:

Form 990 p 5 / P a r t V-A, Column ( D ) - l

Description Amount

Carol S p i z z i r r i b e n e f i t s :
Medical i n s u r a n c e 1,900.

Total 1,900.
OMBNo 1545-0047
Form 990
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
2006
(except black lung benefit trust or private foundation)
Open to Public
Department of the Treasury
Internal Revenue Service *• The organization may have to use a copy of this return to satisfy state reporting requirements Inspection
A For the 2006 calendar year, or tax year beginning 7/01 2006, and ending 6/30 2007
B Check il applicable D Employer Identification Number

Address change 36-3869459


Name change E Telephone number

Initial return (847) 928-9683


1 9
Final return F methSS! " [JCash [XJ Accrual
Amended return I | Other (specify) *"
Application pending • Section 501 cX3) organizations and 4947(aX1) nonexempt H and I are not applicable to section 527 organizations
charitable trusts must attach a completed Schedule A H ( a ) Is this a group return for affiliates' QYes I X J No
(Form 990 or 990-EZ). H ( b ) If 'Yes,' enter number of affiliates *"
G Website:* w w w . s a l f . o r c H (c) Are all affiliates included' Q Yes Q No
(If 'No,' attach a list See instructions )
J Organization type
(check only one) |X| 501(c) 3 M (insert no ) 4947(a)(1) or [~|
527 H ( d ) Is this a separate return filed by an
organization covered by a group ruling' I Iyos |xj
K Check here ** Q i f t h e organization is not a 509(a)(3) supporting organization and its No

gross receipts are normally not more than $25 000 A return is not required but if the I Group Exemption Number »»
organization chooses to file a return, be sure to file a complete return
M Check > | _ | if the organization is not required
L 925,545.
Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 to attach Schedule B (Form 990, 990-EZ, or 990-PF).
Part I | Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions.
Contributions, gifts, grants, and similar amounts received
a Contributions to donor advised funds la
b Direct public support (not included on line la) lb 31,945.
c Indirect public support (not included on line la) 1c
d Government contributions (grants) (not included on line la) Id 700,000.
Total (add lines
la through Id) (cash $ 7 3 1 , 9 4 5 . noncash $
) 1e 731,945.
2 Program service revenue including government fees and contracts (from Part VII line 93) 179,171,
3 Membership dues and assessments
4
5
Interest on savings and temporary cash investments RECEIVED 13,684,
Dividends and interest from securities
6a Gross rents M fi 2008
b Less rental expenses 6b
c Net rental income or (loss) Subtract line 6b from line 6a 6c
R
E
7 Other investment income (describe
(A) Sei
:IT
W^nirJ
V 8a Gross amount from sales of assets other
than inventory 8a
b Less, cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c

1
ir—=J
d Net gain or (loss) Combine line 8c, columns (A) and (B)
Special events and activities (attach schedule) If any amount is from gaming, check here . ►
Gross revenue (not including $ of contributions
*D
8d

reported on line lb) 9a


b Less direct expenses other than fundraising expenses 9b
c Net income or (loss) from special events Subtract line 9b from line 9a 9c
10a Gross sales of inventory, less returns and allowances 10a
b Less' cost of goods sold 10b
o c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line 10b from line 10a 10c
oo 11 Other revenue (from Part VII, line 103) 11 745.
12 Total revenue. Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11 12 925,545.
13 Program services (from line 44, column (B)) 13 1,330,239.
14 Management and general (from line 44, column (Q) 14 140,299.
15 Fundraising (from line 44, column (D)) 15
16 Payments to affiliates (attach schedule) 16
17 Total expenses. Add lines 16 and 44, column (A) 17 1,470,538.
A
18 Excess or (deficit) for the year. Subtract line 17 from line 12 18 -544,993.
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 803,601.
H S
20
21
Other changes in net assets or fund balances (attach explanation)
Net assets or fund balances at end of year. Combine lines 18, 19, and 20 21
20
258,608.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEAOI09L 01/22/07 Form 990 (2006)

(317 II
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 2
Part II Statement of Functional Ex p e n s e s All organizations must complete column (A) Columns (B), (C), and (D) are
lequned lui section 001(c)(J) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others
Do not include amounts reported on line (A) Total (B) Program (C) Management (D) Fundraising
6b, 8b, 9b, 10b, or 16 of Part1 services and general
22 a Grants paid from donor advised
funds (attach sch)
(cash $
non-cash $ )
If this amount includes _,
foreign grants, check here *" [_| 22 a
22 b Other grants and allocations (att sch)
(cash $
non-cash $ )
If this amount includes ,_.
foreign grants, check here * (J 22 b

23 Specific assistance to individuals


(attach schedule) 23

24 Benefits paid to or for members


(attach schedule) 24
25 a Compensation of current officers,
directors, key employees, etc listed in
Part V-A (attach sch) 25 a 130,000. 123,500. 6,500. 0.
b Compensation of former officers,
directors, key employees, etc listed in
Part V-B (attach sch) 25 b 0. 0. 0. 0.
c Compensation and other distributions, not
included above, to disquallfied persons (as
defined under section 4958i00)) and persons
described in section 4958(c)(3)(B)
(attach schedule) 25 c 0. 0. 0. 0.
26 Salaries and wages of employees not
included on lines 25a, b, and c 26 299,753. 271,873. 27,880.
27 Pension plan contributions not
included on lines 25a, b, and c 27

28 Employee benefits not included on


lines 25a - 27 28 8,426. 7,752. 674.
29 Payroll taxes 29 40,040. 36,837. 3,203.
30 Professional fundraising fees 30
31 Accounting fees 31
32 Legal fees 32
33 Supplies 33 56,462. 56,462.
34 Telephone 34 15,076. 13,267. 1,809.
35 Postage and shipping 35 10,226. 9,919. 307.
36 Occupancy 36 102,756. 102,756.
37 Equipment rental and maintenance 37 6,698. 5,827. 871.
38 Printing and publications 38
39 Travel 39 53,187. 52,083. 1,104.
40 Conferences, conventions, and meetings 40
41 Interest 41 8,523. 8,523.
42 Depreciation, depletion, etc (attach schedule) 42
43 Other expenses not covered above (itemize)
a See Statement 1 43 a 739,391. 641,440. 97,951.
b 43 b
c 43 c
d 43 d
e 43 e
f 43 f
g 43 g
44 Total functional expenses. Add lines 22a
through 43g (Organizations completing columns
44
(B) - (D), carry these totals to lines 1 3 15) 1,470,538. 1,330,239. 140,299. 0.
Joint Costs. Check *~[_\ if you are following SOP 98-2.
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? *-[J Yes [X] No
If 'Yes,' enter (i) the aggregate amount of these joint costs $ , (ii) the amount allocated to Program services
$ , (iii) the amount allocated to Management and general $ , and (iv) the amount allocated
to Fundraising $
BAA TEEA0102L 01/23/07 Form 990 (2006)
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 3
Part III j Statement of Program Service Accomplishments
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular
organization How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore,
please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments
What is the organization's primary exempt purpose7 ► S e e . S t a t e m e n t . 2 Program Service Expenses
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of (Required for 501(c)(3) and
A) organizations and
4947(a)(1) trusts, but
optional tor others)

a NATIONAL PROGRAMS - WHICH DELIVER LIFE SUPPORTING FIRST AID TRAINING


"TO"K"-I2 STUDENTS" IN ~PA7 WI7"IN"AND"F"LT"UTILIZING LOCAL'EMERCENCY"
MIDCCAL ISERVICE JWM&ZK WJWMIZ """I:::::::II:::::
:::
(Grants and allocations $ ) If this amount includes foreign grants, check here 302,613.
b_STAT_E_PROGRAMS_-_ MLCH_DELIVER_LIFE JUPP_QRTING_FIRST AID TRAINING,TO
_K-12_ STU_DENT_S_UTILIZING _LOCA_L_EMERCE_NCY _MEDI_CAL .SERVICE _PROV_ipER_S_AS_.
INSTRUCTORS-.

(Grants and allocations $ ) If this amount includes foreign grants, check here
c.BRANCH_P_RQGRAMS _-_ WHICH .DELIVER _LIFE_ SUPPORTING _FIRST_AI_D_TRAINI_NG_TO_
n 218,280.

_Kzl2_ STUDENTS.UTILIZING _LpCA_L_EM_ERCE_NCY MEDICAL .SERVICE .PROVIDERS.AS_


-INSTRUCTORS.

" "
(Grants and allocations $ ) If this amount includes foreign grants, check here 809,346.

(Grants and allocations $ ) If this amount includes foreign grants, check here

n
e Other program services
(Grants and allocations $ ) If this amount includes foreign grants, check here
f Total of Program Service Expenses (should equal line 44, column (B), Program services) 1,330,239.
BAA Form 990 (2006)

TEEA0103L 01/18/07
Form 990 (2006) SAVE A L I F E FOUNDATION 36-3869459 Page4
Part IV Balance Sheets (See the instructions.)
Note: Where required, attached schedules and amounts within the description (A) (B)
column should be for end-of-year amounts only Beginning of year End of year
45 Cash — non-interest-beanng 1,007. 45 52,909.
46 Savings and temporary cash investments 591,786. 46 130,655.

47a Accounts receivable 47 a 3,250.


b Less allowance for doubtful accounts 47 b 5,495. 47 c 3,250.
- ■ > * ' -

48a Pledges receivable 48a


b Less allowance for doubtful accounts 48b 48c
49 Grants receivable 256,000. 49 4,899.
50 a Receivables from current and former officers, directors, trustees, and key
employees (attach schedule) 50 a 2,750.
b Receivables from other disqualified persons (as defined under section 4958(f)(1))
and persons described in section 4958(c)(3)(B) (attach schedule) 50 b
A
s 51 a Other notes and loans receivable
s
E (attach schedule) 51a
T
S b Less allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 56,400. 52 41,767.
53 Prepaid expenses and deferred charges 11,304. 53
54a Investments — publicly-traded securities *" Cost FMV 54a
b Investments - other securities (attach sch) *" Cost FMV 54b
55a Investments — land, buildings, & equipment basis 55 a

b Less accumulated depreciation


(attach schedule) 55 b 55 c
56 Investments - other (attach schedule) 56
57a Land, buildings, and equipment basis 57 a 399,685.
b Less accumulated depreciation
(attach schedule) Statement 3 57 b 186,092. 239,584. 57 c 213,593.
58 Other assets, including program-related investments
(describe ■ ) 58
59 Total assets (must equal line 74) Add lines 45 through 58 1,161,576. 59 449,823.
60 Accounts payable and accrued expenses 187,342. 60 9,540.
61 Grants payable 61
L 62 Deferred revenue 62
A
B 63 Loans from officers, directors, trustees, and key
1
employees (attach schedule) See Stm 4 170,183. 63 178,974.
1
64a Tax-exempt bond liabilities (attach schedule) 64a
b Mortgages and other notes payable (attach schedule) 64b
S
65 Other liabilities (describe ► See S t a t e m e n t 5 ) 450. 65 2,701.
66 Total liabilities. Add lines 60 through 65 357,975. 66 191,215.
Organizations that follow SFAS 117, check here *■ [X] and complete lines 67
N
E through 69 and lines 73 and 74
T
A 67 Unrestricted 532,601. 67 258,608.
S
S 68 Temporarily restricted 271,000. 68
T 69 Permanently restricted 69
0 Organizations that do not follow SFAS 117, check here * Q and complete lines
R
70 through 74
F
U
N 70 Capital stock, trust principal, or current funds 70
0
71 Paid-in or capital surplus, or land, building, and equipment fund 71
A 72 Retained earnings, endowment, accumulated income, or other funds 72
L
A
N
C 73 Total net assets or fund balances. Add lines 67 through 69 or lines 70 through
E 72 (Column (A) must equal line 19 and column (B) must equal line 21) 803,601. 73 258,608.
74 Total liabilities and net assets/fund balances. Add tines66 arid 73 1,161,576. 74 449,823.
BAA Form 990 (2006)

TEEA0104L 01/18/07
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 5
Part IV-A Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See the
instructions.)

a Total revenue, gains, and other support per audited financial statements a 1,256,155.
b Amounts included on line a but not on Part 1, line 12
1 Net unrealized gains on investments bl
2Donated services and use of facilities b2 330,610.
3Recovenes of prior year grants b3
40ther (specify)
-
b4
Add lines b l through b4 b 330,610.
c Subtract line b from line a c 925,545.
d Amounts included on Part 1, line 12, but not on line a:
1 Investment expenses not included on Part 1, line 6b dl
20ther (specify). J
d2
Add lines dl and d2 d
e Total revenue (Part 1, line 12) Add lines c and d *■
e 925,545.
Part IV-B Reconciliation of Expenses per Audited Financial Statements with Expenses per Return

a Total expenses and losses per audited financial statements a 1,801,148.


b Amounts included on line a but not on Part 1, line 17.
1 Donated services and use of facilities bl 330,610. *
2Pnor year adjustments reported on Part 1, line 20 b2
3Losses reported on Part 1, line 20 b3
40ther (specify)
b4
Add lines b l through b4 b 330,610.
c Subtract line b from line a c 1,470,538.
d Amounts included on Part 1, line 17, but not on line a:
11nvestment expenses not included on Part 1, line 6b dl
20ther (specify)
d2
Add lines dl and d2 d
e Total expenses (Part 1, line 17) Add lines c and d ► e 1,470,538.
Part V-A Current Officers, Directors, Trustees, and Key Employees (List 6 ach person who was a i officer, director, trustee,
or key employee at any time during the year even if they were not compensated ) (See the instructions)
(B) Title and average hours (C) Compensation (D) Contributions to (E) Expense
(A) Name and address pertrPeoksrted Of not paid,
enter -0-)
K ' ^ l f deferred
compensationtlans
CC
a °aHSwaan?eosther

CAROL SPIZZIRRI P r e s i d e n t & CEO 130,000. 0. 838.


9950 LAWRENCE #300 40
SCHILLER PARK, I L 60176
RITA MULLINS Secretary 0. 0. 0.
9950 LAWRENCE #300 , 0
SCHILLER PARK, I L 60176
DOUGLAS BROWNE Treasurer 0. 0. 0.
9950 LAWRENCE #300 0
SCHILLER PARK, IL 60176
JOHN DONLEAVY Director 0. 0. 0.
9950 LAWRENCE #300 0
SCHILLER PARK, IL 60176
ANDY KNAPP Director 0. 0. 0.
9950 LAWRENCE #300 0
SCHILLER PARK, IL 60176

BAA TEEAO105L 01/18/07 Form 990 (2006)


Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 6
Part V-A| Current Officers, Directors, Trustees, and Key Employees (continued) Yes No
75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business as board meetings *"_5
b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule
A Part MA or ll-B, related to each other through family or business relationships7 If 'Yes,' attach a statement that
identifies the individuals and explains the relationship(s) 75 b
If
c Do any officers, directors, trustees, or key employees listed in form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule
A, Part ll-A or ll-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related
to the organization7 See the instructions for the definition of'related organization' 75 c
li
If 'Yes,' attach a statement that includes the information described in the instructions
d Does the organization have a written conflict of interest policy 7 75 d X
Part V-B | Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other
B e n e f i t s (If any former officer, director, trustee, or key employee received compensation or other benefits (described below)
during the year, list that person below and enter the amount of compensation or other benefits in the appropriate column See
the instructions)
(C) Compensation (D) Contributions to (E) Expense
(B) Loans and (if not paid, employee benefit account and other
(A) Name and address enter -0-)
Advances plans and deferred allowances
compensation plans
_None_

Part VI 1 Other rnformatton (See the instructions. Yes No


76 Did the organization make a change in its activities or methods of conducting activities 7
U&L
If 'Yes,' attach a detailed statement of each change 76
77 Were any changes made in the organizing or governing documents but not reported to the IRS 7 T7
If 'Yes,' attach a conformed copy of the changes
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return 7 78 a
b If 'Yes,' has it filed a tax return on Form 990-T for this year 7 78 b N, A
79 Was there a liquidation, dissolution, termination, or substantial contraction during the
year 7 If 'Yes,' attach a statement 79
80a Is the organization related (other than by association with a statewide or nationwide organization) through common 3£L
membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization 7 x
b If 'Yes,' enter the name of the organization ► N / A
and check whether it is Q exempt or Q nonexempt.
81 a Enter direct and indirect political expenditures (See line 81 instructions ) | 81 a| 0.
b Did the organization file Form 1120-POL for this year 7 . 81b
BAA Form 990 (2006)

TEEA0106L 01/18/07
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 7
I Part VI I Other Information (continuedQ Yes No

82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at
substantially less than fair rental value7 82 a

blf 'Yes,' you may indicate the value of these items here. Do not include this amount as
revenue in Part I or as an expense in Part II (See instructions in Part I I I ) 82 b I 330,610
M
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a X
bDid the organization comply with the disclosure requirements relating to quid pro quo contributions7 83 b X
84a Did the organization solicit any contributions or gifts that were not tax deductible 7 84a
*?*-
'Uti^^^™
not tax
include with every solicitation an express statement that such contributions or gifts were
84b 'A
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members 7 85 a N
b Did the organization make only in-house lobbying expenditures of $2,000 or less 7 85 b
If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year.
c Dues, assessments, and similar amounts from members 85 c N/A
d Section 162(e) lobbying and political expenditures 85 d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85 e N/A
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85 f N/A
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f 7 851 N/A
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on llne 85f to its reasonable estimate of &
dues allocable to nondeductible lobbying and political expenditures for the following tax year' 85 h N/A
86 501(c)(7) organizations Enter a Initiation fees and capital contributions included on
line 12 86 a N/A
b Gross receipts, included on line 12, for public use of club facilities 86 b N/A ; %
87 501(c)(12) organizations Enter, a Gross income from members or shareholders 87 a N/A
b Gross income from other sources (Do not net amounts due or paid to other sources I *
against amounts due or received from them )
88 a At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701 -2 and 301 7701 -3 7
If 'Yes,' complete Part IX
87 b N/A

88 a
m
b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of
section 512(b)(13)7 If 'Yes,' complete Part XI » 88 b
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under
section 4911 ► 0._ , section 4912 - jCL , section 4955 ► _0_.
b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year 7 If 'Yes,' attach a statement # Ife
explaining each transaction 89 b
c Enter Amount of tax imposed on the organization managers or disqualified persons during the
year under sections 4912, 4955, and 4958 0.
d Enter Amount of tax on line 89c, above, reimbursed by the organization *- 0.
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter transaction 7 89e
f All organizations Did the organization acquire a direct or indirect interest in any applicable insurance contract 7 89 f

g For supporting organizations and sponsoring organizations maintaining donor advised funds Did the supporting &■?
organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during
89 g
90a List the states with which a copy of this return is filed ► _ I L , _ W I , _ PA,_ A Z , _ V T

b Number of employees employed in the pay period that includes March 12, 2006
(See instructions) 90 bl
91 a The books are in care of * CARO_ S P I Z Z I R R I Telephone number » (847) 928-9683
Located at * _9950_ LAWJtfNCjfsTujTE l o g J S C H J L L E X P A R K T L , ^p"^"j0Vl_l

Yes No
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a
financial account in a foreign country (such as a bank account, securities account, or other financial account)7 91b X
If 'Yes,' enter the name of the foreign country *-

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and
Financial Accounts
Ml
BAA Form 990 (2006)

TEEA0107L 01/18/07
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 8
Part VI Other Information (continued) Yes No
c At any time during the calendar year, did the organization maintain an office outside of the United States7 91c X
If 'Yes,' enter the name of the foreign country . -
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 7041 - Check here
and enter the amount of tax-exempt interest received or accrued during the ax year H 92
N/A
N/A
n
Part VII Analysis of Income-Producing Activities (See the instructions.)
Unrelated business income Excluded by section 512, 513, or 514
Note: Enter gross amounts unless (A) (B) (C) (D) Related or exempt
otherwise indicated Business code Amount Exclusion code Amount function income
93 Program service revenue
a COURSE M A T E R I A L S 165,155.
b PROGRAM FEES 14,016.
c
d
e
f Medicare/Medicaid payments
g Fees & contracts from government agencies
94 Membership dues and assessments
95 Interest on savings & temporary cash mvmnts 14 13,684.
96 Dividends & interest from securities
97 Net rental income or (loss) from real estate
a debt-financed property
b not debt-financed property
98 Net rental income or (loss) from pers prop
99 Other investment income

100 Gain or (loss) from sales of assets


other than inventory
101 Net income or (loss) from special events
102 Gross profit Of (loss) from sates of inventory

103 Other revenue a . "• '- j


b MISCELLANEOUS 745.
c
d
e
104 Subtotal (add columns (B), (D), and (E)) 13,684. 179,916.
105 Total (add line 104, columns (B), (D), and (E)) 193,600.
Note: Line 105 plus line le, Part I, should equal the amount on line 12, Part I
Part VIM Relationship of Activities to the Accomplishment of Exempt Purposes (See the instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment
of the organization's exempt purposes (other than by providing funds for such purposes)
93A-C PROVIDE LIFE SAVING FIRST AID SKILLS TO VOLUNTEERS TO AID IN AN EMERGENCY.
103-B M T Q I T T T jHFnnc INCOME
MISCELLANEOUS TwrnMC TO nwv THE
raoov OUT
T H CARRY T H C LIFE QM/TMr:FIRST
T T I T SAVING a
C T D Q T AID PROGRAMS.
B1MC

Part IX [ Information Regarding Taxable Subsidiaries and Disregarded Entities (See the instructtons.
(A) (B) (C) (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of-year
partnership, or disregarded entity ownership interest income assets
N/A

Part X I Information Regarding Transfers Associated with Personal Benefit Contracts (See the instructions.)
a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefft contract? Yes No
b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract7 Yes No
Note: If 'Yes' to (b), file Form 8870 and Form 4720 (see instructions).
BAA TEEA0108L 04/04/07 Form 990 (2006)
Form 990 (2006) SAVE A LIFE FOUNDATION 36-3869459 Page 9
Part XI 1 Information Regarding Transfers To and From Controlled Entities. Complete only if the
organizaiion is a controlling organization as defined in section 512(b)(13).
Yes No
106 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of the Code7 If
'Yes,' c o m p l e t e the schedule below for each controlled entity

(A) (B) (C)


Employer Identification (D)
C
Namceon1rdo l[|dssenot!tyach Number Amount of transfer

Totals

Yes No
107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If
'Yes,' complete the schedule below for each controlled entity
(A) (B) (C)
Employer Identification (D)
N a n
c ^ K ! , y a c h Number Amount of transfer

Totals
- . ■ • ' ; # < ■ &

Yes No
108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest, rents, royalties, and
annuities described in question 107 above7
Underpwalties of penury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
tnief correi^. a n d ^ p n ^ e l e Declaration of preparer (otherjh^n^officer) f based on all lnformation of which preparer has any knowledge ;

Please ■r//v/cs

Paid
Pre-
F,rmsname(or C B I Z ACCTG ■ , TAX & ADVISORY SERVICES, L'LC
Bas?r's yours ,f self- „ „
e^pioyedf ► One S o u t h Wacker Dr
„ g ^ l g 0 0
EIN > 34-1853929
Only address.and C h i c a g o , IL 6 0 6 0 6 - 4 6 3 0 Phone no - (312) 602"6800
BAA Form 990 (2006)

TEEA0110L 01/19/07
OMBNo 15450047
Organization Exempt Under
SCHEDULE A Section 501(c)(3)
(Form 990 or 990-EZ)
(Except Private Foundation) and Section 501(e), 501(0, 501(k),
501 (n), or4947(aX1) Nonexempt Charitable Trust
Supplementary Information - (See separate instructions.)
2006
Department of the Treasury
Internal Revenue Service MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.
Name ol the organization Employer identification number

SAVE A LIFE FOUNDATION 36-3869459


Parti Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See instructions. List each one. If there are none, enter 'None.')
(b) Title and average (c) Compensation
(a) Name and address of each
P ee
hours per week «ebKf,t (e) Expense
account and other
em ,r?ayn $arre devoted to position allowances

-See.Statement. 6.
113,520. 0. 1,308.

Total number of other employees paid


over $50,000 ►
0
Part II - A 1 1ompensation nf the eive eighest Paid Independent Contractors for rrofessional Services
(See instructions. List each one (whether individuals or firms). If there are none, enter 'None.')
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

See Statement 7
77,039.

Total number of others receiving over


$50,000 for professional services - 0
Part II - B | Compensation of the Five Highest Paid Independent Co ntractors for Other Services
(List each contractor who performed services other than professional services, whether individuals or
firms. If there are none, enter 'None.' See instructions.)
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

_None_

Total number of other contractors receiving


over $50,000 for other services *
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form1 990-EZ.
V»n.P7
0 ■
.-■
•■■ ^%^mmm
^ r h o r l i lie A
A (Form
( F n r m 990
QQH or
nr 990-EZ)
Q Q n . F ^ 2006
OnnC
Schedule

TEEA0401L 01/19/07
Schedule A (Form 990 or 990-EZ) 2006 SAVE A LIFE FOUNDATION 36-3869459 Page2

p^rnr Statements About Activities (See instructions.) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt
to influence public opinion on a legislative matter or referendum7 If 'Yes,' enter the total expenses paid
or incurred in connection with the lobbying activities ►■
$ N/A
(Must equal amounts on line 38, Part Vl-A, or line i of Part Vl-B > X
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part Vl-A Other
organizations checking 'Yes' must complete Part Vl-B AND attach a statement giving a detailed description of the
lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any
taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal
beneficiary7 (If the answer to any question is 'Yes,' attach a detailed statement explaining the transactions )

a Sale, exchange, or leasing of property7


I
2a
ft

_X_

b Lending of money or other extension of credit? 2b X

c Furnishing of goods, services, or facilities7 2c X


See Form 990, Part V
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7 2d X

e Transfer of any part of its income or assets? 2e X


3a Did the organization make grants for scholarships, fellowships, student loans, etc7 (If 'Yes,' attach an
explanation of how the organization determines that recipients qualify to receive payments) 3a X

b Did the organization have a section 403(b) annuity plan for its employees7 3b X
c Did the organization receive or hold an easement for conservation purposes, including easements
to preserve open space, the environment, historic land areas or historic structures7 If
'Yes,' attach a detailed statement 3c X

d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services7 3d X
4a Did the organization maintain any donor advised funds7 If 'Yes,' complete lines 4b through 4g If 'No,' complete lines
4f and 4g 4a X

b Did the organization make any taxable distributions under section 4966? 4b N/A
c
Did the organization make a distribution to a donor, donor advisor, or related person7 4c N/A

d Enter the total number of donor advised funds owned at the end of the tax year *• N/A

e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year N/A
f Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised
funds included on line 4d) where donors have the right to provide advice on the distribution or investment of
amounts in such funds or accounts

g Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year ►-
0.
BAA TEEA0402L 04/04/07 Schedule A (Form 990 or Form 990-EZ) 2006
Schedule A (Form 990 or 990-EZ) 2006 SAVE A LIFE FOUNDATION 36-3869459 Page 3

Part IV I Reason for Non-Private Foundation Status (See instructions.)


I certify that the organization is not a private foundation because it is (Please check only ONE applicable box )

5 Q A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)

6 Q A school Section 170(b)(1)(A)(n) (Also complete Part V )

7 □ A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ni)

8 [ ] A federal, state, or local government or governmental unit Section 170(b)(l)(A)(v)

9 L]] A medical research organization operated in conjunction with a hospital Section 170(b)(l)(A)(m) Enter the hospital's name, city,
and state »• _,

10 n An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )

11a f x ] An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV-A )

11 b Q A community trust Section 170(b)(l)(A)(vi) (Also complete the Support Schedule in Part IV-A )

12 n An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-1/3% of its support
from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the
organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A.)

13 □
An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the
requirements of section 509(a)(3) Check the box that describes the type of supporting organization •
|~|Type |~~|Type II I~~|Type lll-Functionally Integrated |~|Type Ill-Other
Provide the following information about the supported organizations. (See instructions )
(a) (b) (c) (d) (e)
Name(s) of supported Employer identification Type of Is the supported Amount of
organization(s) number (EIN) organization (described organization listed in support
in lines 5 through 12 the supporting
above or IRC section) organization's
governing
documents?
Yes No

K
Total 0.

14 | ~ I An organization organized and operated to test for public safety Section 509(a)(4) (See instructions )
BAA Schedule A (Form 990 or 990-EZ) 2006

TCEA0407L 01/22/07
Schedule A (Form 990 or 990-EZ) 2006 SAVE A LIFE FOUNDATION 36-3869459 Page 4
PartIV-A | S u p p o r t S c h e d u l e (Complete only if you checked a box on line 10, 11, or 12) Use cash method of accounting.
Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year (a) (b) (c) (d) (e)
beginning in) •" 2005 2004 2003 2002 Total
15 Gifts, grants, and contributions
received (Do not include
unusual grants See line 28 ) 1,034,403. 1,882,822. 448,621. 1,371,684. 4,737,530.
16 Membership fees received 0.
17 Gross receipts from admissions,
merchandise sold or services performed,
or furnishing of facilities in any activity
that is related to the organization's
charitable, etc, purpose 112,094. 399,546. 120,316. 207,836. 839,792.
18 Gross income from interest, dividends,
amounts received from payments on
securities loans (section 512(a)(5)),
rents, royalties, and unrelated business
taxable income (less section 511 taxess
from businesses acquired by the organ­
ization after June 30, 1975 4,882. 1,933. 795. 2,154. 9,764.
19 Net income from unrelated business
activities not included in line 18 0.
20 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf 0.
21 The value of services or
facilities furnished to the
organization by a governmental
unit without charge Do not
include the value of services or
facilities generally furnished to
the public without charge 0.
22 Other income Attach a
schedule Do not include
gam or (loss) from sale of
capital assets S e e S t i n t 8 2,006. 2,006.
23 Total of lines 15 through 22 1,153,385. 2,284,301. 569,732. 1,581,674. 5,589,092.
24 Line 23 minus line 17 1,041,291. 1,884,755. 449,416. 1,373,838. 4,749,300.
25 Enter 1 % of llne 23 11,534. 22,843. 5,697. 15,817. , :-.WM&
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 *- 26 a 94,986.
b Prepare a list tor your records to show the name of and amount conttrbuted by each pprson nother rhaa n agvernmentaa luit to rpulicly
supported organization) whose total gifts for 2002 through 2005 exceeded the amount shown in line 26a Do not file this list with your ,vfi*£ft&
return Enter the total of all these excess amounts . *• 26 b
c Total support for section 509(a)(1) test Enter line 24, column (e) •" 26 c 4,749,300.
d A d d Amounts from column (e) for lines 18 9,764. 19 . V^^*l
22 2,006. 26b 26 d 11,770.
e Public support (line 26c minus line 26d total) »* 26 e 4,737,530.
f Public support percentage (line 26e (numerator) divid ed by line 26c (deno minator)) - 26 f 99.75 %
27 Organizations described on line 12: N/A
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the
name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return. Enter the sum of
such amounts for each year
(2005) (2004) (2003) (2002)
bFor any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records
to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2)
$5,000 (Include in the list organizations described in lines 5 through l i b, as well as individuals ) Do not file this list with your return.
After computing the difference between the amount received and the larger amount described in (1)or (2), enter the sum of these
differences (the excess amounts) for each year:
(2005) (2004) (2003) (2002)
c Add Amounts from column (e) for lines 15 16
17 20 21 27 c
d Add Line 27a total and line 27b total 27 d
e Public support (line 27c total minus line 27d total) ► 27e
f Total support for section 509(a)(2) test- Enter amount from line 23, column (e) H 27f |
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 27g
h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator) 27 h %
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2002 through 2005, prepare a
list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the
nature of the grant Do not file this list with your return. Do not include these grants in line 15
BAA TEEA04O3L 01/19/07 Schedule A (Form 990 or 990-EZ) 2006
Schedule A (Form 990 or 990-EZ) 2006 SAVE A LIFE FOUNDATION 36-3869459 Page5
Part V Private School Questionnaire (See instructions.)
(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A
Yes No

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body7 29

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,
catalogues, and other written communications with the public dealing with student admissions, programs, '
and scholarships 7 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that
makes the policy known to all parts of the general community it serves7 31
If 'Yes,' please describe, if 'No,' please explain (If you need more space, attach a separate statement)

32 Does the organization maintain the following:


a Records indicating the racial composition of the student body, faculty, and administrative staff 7 32 a
b Records documenting that scholarships and other financial assistance are awarded on a racially
nondiscriminatory basis 7 32 b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
with student admissions, programs, and scholarships 7 32 c
d Copies of all material used by the organization or on its behalf to solicit contributions 7 32 d

H y o u aiisYvercu u \\J a y o e a u u v e , |j e a o c e x ^ f l a i i i ^ you necu mUI e s p a L , c , a t t a c i i a o c j j a r a i c o l a i c i NtM 11 )


• -i

-J-Z.

33 Does the organization discriminate by race in any way with respect to •A','

a Students' rights or privileges 7 33 a

b Admissions policies 7 33 b

c Employment of faculty or administrative staff 7 33c

d Scholarships or other financial assistance? 33 d

e Educational policies 7 33e

f Use of facilities 7 33 f

g Athletic programs 7 33 g

h Other extracurricular activities? 33 h

If you answered 'Yes' to any of the above, please explain. (If you need more space, attach a separate statement.)

34a Does the organization receive any financial aid or assistance from a governmental agency 7 34a

bHas the organization's right to such aid ever been revoked or suspended 7 34b
If you answered 'Yes' to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of &
sections 4 01 through 4 05 of Rev Proc 75-50, 1975-2 C.B 587, covering racial
nondiscrimmation7 If 'No,' attach an explanation. 35 |
BAA TEEA04O4L 01/19/07 Schedule A (Form 990 or 990-EZ) 2006
Schedule A (Form 990 or 990-EZ) 2006 SAVE A LIFE FOUNDATION 36-3869459 Page 6
Part Vl-A Lobbying Expenditures by Electing Public Charities (See instructions )
(To be completed ONLY by an eligible organization that filed Form 5768) N/A
Check - a if the organization belongs to an affiliated group. Check ► b if you checked 'a' and 'limited control' provisions apply
(a)
Limits on Lobbying Expenditures Affiliated group To be completed
totals
(The term 'expenditures' means amounts paid or incurred )
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 - 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Over $17,000,000 $1,000,000
42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720 \-.>~;:v^ .-; ■ V '

4-Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 through 50 )

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c) (d) (e)


(or fiscal year 2006 2005 2004 2003 Total
beginning in) '

45 Lobbying nontaxable

46 Lobbying ceiling amount


(150% of line 45(e))

ISSn'SSSSS0
47

48 Grassroots non-
taxable amounL
49 Grassroots ceiling amount
(150% of line 48(e)) ^iSKr
50 Grassroots lobbying
expenditures
PartVI-B | Lobbying Activity by Nonelecting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See instructions ) N/A
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers -•'■-./

b Paid staff or management (Include compensation in expenses reported on lines c through h.)
c Media advertisements
d Mailings to members, legislators, or the public
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 other means
i Total lobbying expenditures (add lines c through h.)
If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities
BAA Schedule A (Form 990 or 990-EZ) 2006

TEEAC405L 01/19/07
Schedule A (Form 990 or 990-EZ) 2006 SAVE A L I F E FOUNDATION 36-3869459 Page 7
Part VII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See instructions)
51 ^ W o T T ^ ^ ^ ^ descnbed in section501(c)

a Transfers from the reporting organization to a noncharitable exempt organization of Yes No


(i)Cash 51 a (i) X
(ii)Other assets a(ii) X
bOther transactions
(i)Sales or exchanges of assets with a noncharitable exempt organization b(i) X
(ii)Purchases of assets from a noncharitable exempt organization b(ii) X
(iii)Rental of facilities, equipment, or other assets b(iii) X
(iv)Reimbursement arrangements b(iv) X
(v)Loans or loan guarantees b(v) X
(vi)Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of. the above is 'Yes,' .complete the. following schedule Column (b). should alwaysf show the fair market value of
the goods, other assets,. or. .services
. . . ....
given by the reporting 1.-_ .<..--
organization . .
If the organization receive*cl lless " — ' ' '
than fair market '
value in
any Transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or c services received
(a) (b) (c) (d)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements
N/A

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations „ _
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ► \J Yes [X] No
b If 'Yes,' complete the following schedule
(a) (b) (c)
Name of organization Type of organization Description of relationship
N/A

BAA Schedule A (Form 990 or 990-EZ) 2006

TEEA0406L 01/19/07
2006 Federal Statements Page1
Client 18015 SAVE A LIFE FOUNDATION 36-3869459
5/14/08 0253PM

Statement 1
Form 990, Part II, Line 43
Other Expenses

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


Program Management
Total Services & General Fundraisina
AUTO EXPENSE 3,104. 2,948. 156.
BAD DEBTS 1,850. 1,850.
BANK SERVICE FEES 2,806. 2,806.
COMPUTER EXPENSES 56,148. 47,726. 8,422.
CONSULTING 183,778. 156,212. 27,566.
DEPRECIATION 33,211. 33,211.
DUES AND SUBSCRIPTIONS 1,827. 1,645. 182.
INDEPENDENT CONTRACTORS 20,040. 20,040.
INSTRUCTOR FEES 3,216. 3,216.
INSURANCE 10,227. 1,841. 8,386.
LEGAL AND ACCOUNTING 92,842. 81,926. 10,916.
LICENSES AND PERMITS 10,409. 9,889. 520.
MARKETING AND PROMOTIONAL 157,101. 157,101.
MEETINGS 6,648. 6,648.
MISCELLANEOUS 405. 385. 20.
OFFICE SUPPLIES 15,149. 14,846. 303.
PAYROLL SERVICE 3,093. 2,691. 402.
PROGRAM MINI-GRANTS 92,141. 92,141.
TEMPORARY STAFFING 37,548. 1,126. 36,422.
TRAINING AND DEVELOPMENT 388. 388.
UTILITIES 5,522. 5,522.
WEBSITE 1,938. 1,938.
Total $ 739,391. $ 641,440. $ 97,951. 0.

Statement 2
Form.990 , Part III
Orgaiization's Primary Exempt Purpose

TRAINING AND DEVELOPING "BYSTANDERS", INCLUDING CHILDREN, AS VOLUNTEERS EQUIPPED


WITH LIFE SAVING FIRST AID SKILLS TO AID IN AN EMERGENCY.

Statement 3
Form 990, Part IV, Line 57
Land, Buildings, and Equipment

Accum. Book
Category Basis Deprec. Value
Machinery and Equipment $ 166,583. $ 140,353. $ 26,230.
Buildings 181,912. 36,382. 145,530.
Land 20,000. 20,000.
Miscellaneous 31,190. 9,357. 21,833.
Total $ 399,685. $ 186,092. $ 213,593.
2006 Federal Statements Page 2
Client 18015 SAVE A LIFE FOUNDATION 36-3869459
5/14/08 02 53PM

Statement 4
Form 990, Part IV, Line 63
Loans from Officers, Directors Trustees, and Key Employees
B a l a n c e Due
L e n d e r ' s Name: CAROL SPIZZIRRI
Lender's T i t l e : PRESIDENT
Repayment Terms: DUE ON DEMAND
I n t e r e s t Rate: 5.00%
Purpose of Loan: OPERATIONS
O r i g i n a l Amount: 61,496.
Balance Due:
ft* J—Mt

Statement 5
Form 990, Part IV, Line 65
Other Liabilities

INSTRUCTOR DEPOSITS $ 2,700.


Rounding 1.
Total $ 2,701.

Statement 6
l ^ a ^ V i v e H i g h e s t Paid Employees

DANE NEAL
Name and Address
T i t l e & Average
Hours Worked
NATL POLICY DIR
Compen-
sation
63,520.
Contribut.
EBP & DC ssss 584.
9950 LAWRENCE, SUITE 300 40
SCHILLER PARK, IL 60176 0.

VINCENT DAVIS DIR -STATE/MILI 50,000. 724.


9950 LAWRENCE, SUITE 300 40
SCHILLER PARK, IL 60176 0.

Total $ 113,520. $ 0. $ 1,308.

Statement 7
Paid Professional Service Contractors
Name and Address TvDe of Se rvice (Compensation
HOGAN & HARTSON LLP CONSULTING 77,039.
COLUMBIA SQUARE, 555 THIRTEENTH ST
WASHINGTON, DC 20004

Total $ 77,039.
f

OMBNo 1545-0047
Return of Organization Exempt From Income Tax
Forrr.* * J * J U
Department of the Treasury
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)
2007
Open to Public
Internal Revenue Service ► The organization may have to use a copy of this return to satisfy state reporting requirements inspection
A For the 2007 calendar year, or tax year beginning JUL 1 , 2007 and ending JUN 30, 2008
B Check if C Name of organization D Employer identification number
applicable
use IRS

□ Address
change
label or
pnnt or SAVE A LIFE FOUNDATION 36-3869459
□ Name
change
□Initial
type
See Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number
return Specific 9 950 LAWRENCE 300 (847) 928-9683
□ Termin­
Instruc­
tions City or town, state or country, and ZIP + 4 r Accounting method: Accrual


ation
Amended
return
Application
SCHILLER PARK, IL 60176
• Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts
□ Other ^
(specify) W-

pending H and I are not applicable to section 527 organizations


must attach a completed Schedule A (Form 990 or 990-EZ).
H(a) Is this a group return for affiliates' I I Yes I X I No
G Website- ►HTTP ; / /WWW. S A L F . COM H(b) If "Yes," enter number of affiliates ► N/A
J O r g a n i z a t i o n t y p e (check onlyone)^ I X I 501(C) ( 3 )M pnsertno) | | 4 9 4 7 ( a ) ( 1 ) or I I 527 H(c) Are all affiliates included? N/A IZZlYes I INO
K Check here if the organization is not a 509(a)(3) supporting organization and its gross (If "No," attach a list)
H(d) Is this a separate return filed by an or-
receipts are normally not more than $25,000 A return is not required, but if the organization ganization covered by a group ruling? I I Yes I X I No
chooses to file a return, be sure to file a complete return I Group Exemption Number ► N/A
M Check ► I X I if the organization is not required to attach
L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 ► 62 7j_368 Sch B (Form 990, 990-EZ, or 990-PF)
Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances
Contributions, gifts, grants, and similar amounts received
Contributions to donor advised funds 1a
Direct public support (not included on line 1a) 1b 750
Indirect public support (not included on line 1a) 1c
Government contributions (grants) (not included on line 1a) 1d
Total (add lines 1a through 1d) (cash $ noncash $ 750, 1e 750,
Program service revenue including government fees and contracts (from Part VII, line 93) 598,359
Membership dues and assessments
Interest on savings and temporary cash investments 774
Dividends and interest from securities
Gross rents 6a
Less rental expenses 6b
Net rental income or (loss) Subtract line 6b from line 6a 6c
Other investment income (describe ►
8a Gross amount from sales of assets other (A) Securities (B) Other
than inventory 8a
b Less cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gam or (loss) Combine line 8c, columns (A) and (B) 8d
Special events and activities (attach schedule) If any amount is from gaming, check here ►
Grossrevenue(not including $ o.
of contributions reported on line 1b) 9a 3,125.
Less direct expenses other than fundraising expenses 9b 1,764.
Net income or (loss) from special events Subtract line 9b from line 9a SEE STATEMENT 1 9c 1,361
10 Gross sales of inventory, less returns and allowances 10a 17,523,
Less cost of goods sold 10b 6,050.
C~sJ Gross profit or (loss) from sales of inventory (attach schedule) Subtract line 10b from line 10a STMT 2 10c 11,473,
11 Other revenue (from Part VII, line 103) 11 6,837
12 Total revenue. Add lines 1e, 2, 3,4,5,6c, 7,8d, 9c, 10c, and 11 12 619,554
< * 13 Program services (from line 44, column (B)) 13 695,691
—) 4» 14 Management and general (from line 44, column (C)) DEC 1 9 2QQ8 14 30,359
Q | 15 Fundraising (from line 44, column (D)) 15
16 Payments to affiliates (attach schedule) 16
17 Total expenses Add lines 16 and 44, column (A)
OGDEM, UT 17 726,050.
< 18 Excess or (deficit) for the year Subtract line 17 from line 12 18 <106,496.>
(0|S
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 258,608.
20 Other changes in net assets or fund balances (attach explanation) 20 0.
<
21 Net assets or fund balances at end of year Combine lines 18,19, and 20 21 152,112
723001
12-27-07 LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2007) 1\
1 9
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
Form 990 (2007) SAVE A L I F E FOUNDATION 36-3869459 Page2
Partfl Statement of All organizations must complete column (A) Columns (B), (C),and (D)are required for section 501(c)(3)
Functional Expenses and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others
Do not include amounts reported on line (A) Total (B) Program (C) Management (D) Fundraising
6b, 8b, 9b, 10b, or 16 of Part 1. services and general
22a Grants paid from donor advised funds
(attach schedule)
(cash $ U • noncash $ " •]
If this amount includes foreign grants, check here 22a
22b Other grants and allocations (attach schedule)
(cash $ U • noncash $ o.J
If this amount includes foreign grants, check here 22b
23 Specific assistance to individuals (attach
schedule) 23
24 Benefits paid to or for members (attach
schedule) 24
25a Compensation of current officers, directors, key
employees, etc listed in Part V-A 25a 36,042. 33,159. 2,883. 0.
b Compensation of former officers, directors, key
employees, etc listed in Part V-B 25b 0. 0. 0. 0.
c Compensation and other distributions, not included
above, to disqualified persons (as defined under
section 4958(f)(1)) and persons described in
section 4958(c)(3)(B) 25c
26 Salaries and wages of employees not
included on lines 25a, b, and c 26 253,995. 233,675. 20,320.
27 Pension plan contributions not included on
lines 25a, b, and c 27
28 Employee benefits not included on lines
25a • 27 28 9,576. 8,810. 766.
29 Payroll taxes 29 55,224. 50,806. 4,418.
30 Professional fundraising fees 30
31 Accounting fees 31 20,325. 20,325.
32 Legal fees 32 31,042. 31,042.
33 Supplies 33 49,597. 49,557. 40.
34 Telephone 34 11,780. 11,427. 353.
35 Postage and shipping 35 9,606. 9,510. 96.
36 Occupancy 36 62,666. 62,666.
37 Equipment rental and maintenance 37 593. 593.
38 Printing and publications 38
39 Travel 39 45,522. 44,611. 911.
40 Conferences, conventions, and meetings 40 315. 315.
41 Interest 41 8,343. 8,343.
42 Depreciation, depletion, etc. (attach schedule) 42 14,409. 14,409.
43 Other expenses not covered above (itemize)
a 43a
b 43b
c 43c
d 43d
e 43e
f 43f
q SEE STATEMENT 3 43q 117,015. 116,443. 572.
44 Total functional expenses Add lines 22a through
43g (Organizations completing columns (B)-(D),
carry these totals to lines 13-15) 44 726,050. 695,691. 30,359. 0.
Joint Costs. Check ► if you are following SOP 98-2
Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services' ►□ Yes GG No
If "Yes," enter (i) the aggregate amount of these joint costs $ N/A , (II) the amount allocated to Program services $_ N/A
(iii) the amount allocated to Management and general $ N/A , and (iv) the amount allocated to Fundraising $ N/A
723011
12-27-07 Form 9 9 0 (2007)

12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1


Form 990 (2807) SAVE A L I F E FOUNDATION 36-3869459 Page3
Part flt Statement of Program Service Accomplishments (See the instructions)
Form 990 is available for public inspection and, for some people, serves as the pnmary or sole source of information about a particular organization.
How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the
return is complete and accurate and fully descnbes, in Part III, the organization's programs and accomplishments

What is the organization's primary exempt purpose 9 ► SEE STATEMENT 4 Program Service
Expenses
(Required for 501(c)(3)
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of and(4)orgs ,and
clients served, publications issued, etc Discuss achievements that are not measurable. (Section 501(c)(3) and (4) 4947(a)(1) trusts, but
organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.) optional for others)

a NATIONAL PROGRAMS - WHICH DELIVER AGE-APPROPRIATE LIFE


SUPPORTING FIRST AID TRAINING TO K-12 STUDENTS IN PA, WI,
IN, VT UTILIZING LOCAL EMERGENCY MEDICAL SERVICE PROVIDERS
AS INSTRUCTORS

(Grants and allocations $ ) If this amount includes foreign grants, check here 181,849
b STATE PROGRAMS - WHICH DELIVER AGE-APPROPRIATE LIFE
SUPPORTING FIRST AID TRAINING TO K-12 STUDENTS IL UTILIZING
LOCAL EMERGENCY MEDICAL SERVICE PROVIDERS AS INSTRUCTORS

(Grants and allocations $ ) If this amount includes foreign grants, check here ► □ 63,434
c BRANCH PROGRAMS - WHICH DELIVER AGE APPROPRIATE LIFE
SUPPORTING FIRST AID TRAINING K-12 STUDENTS AL, AK, AZ, AR,
CA, FL, GA, HI, IL, IN, KY, LA, MA, MI, MS, MO, NJ, NM, NC,
OK, OR, PR, SC, TX, WV, WI, WY UTILIZING LOCAL EMERGENCY
MEDICAL SERVICE PROVIDERS AS INSTRUCTORS.
(Grants and allocations $ ) If this amount includes foreign grants, check here ~^TJ 450,408

(Grants and allocations $ If this amount includes foreign grants, check here ► □
e Other program services (attach schedule)
(Grants and allocations $ If this amount includes foreign grants, check here ► □
f Total of Program Service Expenses (should equal line 44, column (B), Program services) 695,691.
Form 9 9 0 (2007)

723021
12-27-07

12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065


Form990 (2007) SAVE A L I F E FOUNDATION 36-3869459 Page4
PaPt I V B a l a n c e S h e e t s (See the instructions.)
Note: Where required, attached schedules and amounts within the descnption column (A) (B)
should be for end-of-year amounts only. Beginning of year End of year

45 Cash - non-interest-bearing 52,909. 45 142,653.


46 Savings and temporary cash investments 130,655. 46 107.

47 a A c c o u n t s receivable 47a 67,329.


b Less, allowance for doubtful accounts 47b 3,250. 47c 67,329.

48 a Pledges receivable 48a


b Less allowance for doubtful accounts 48b 48c
49 Grants receivable 4,899. 49
50 a Receivables from current a n d former officers, directors, trustees, and
key employees 2,750. 50a 3,248.
b Receivables from other disqualified persons (as defined under section
U) 4958(f)(1)) a n d persons described in section 4958(c)(3 (B) 50b
51 a Other notes and loans receivable 51 a
< b Less allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 41,767. 52 35,717.
53 Prepaid expenses a n d deferred charges 53
54 a Investments • publicly-traded securities ► I I Cost I I FMV 54a
b Investments ■ other securities ► □ Cost □ FMV 54b
55 a Investments - land, buildings, and
equipment, basis 55a

b Less- accumulated depreciation 55b 55c


56 Investments ■ other 56
57 a Land, buildings, and equipment: basis 57a 403,935.
b Less accumulated depreciation 57b 204,001. 213,593. 57c 199,934.
58 Other assets, including program-related investments
(describe ► S E C U R I T Y DEPOSIT ) 0. 58 2,753.
59 Total assets (must equal line 74). Add lines 45 throuqh 58 449,823. 59 451,741.
60 A c c o u n t s payable a n d accrued expenses 9,540. 60 49,817.
61 Grants payable 61
62 Deferred revenue 62
.2 63 Loans from officers, directors, trustees, and key employees STMT 5 178,974. 63 247,112.
64 a Tax-exempt b o n d liabilities 64a
'3 b Mortgages and other notes payable 64b
65 Other liabilities (describe ► SEE STATEMENT 6 ) 2,701. 65 2,700.

66 Total liabilities. A d d lines 60 throuqh 65 191,215. 66 299,629.


Organizations that follow SFAS 117, check here ► and complete lines
67 through 69 and lines 73 a n d 7 4 .
67 Unrestricted 258,608. 67 152,112.
c
CO 68 Temporarily restricted 68
CO
m 69 Permanently restricted 69
■o
c Organizations that do not follow SFAS 117, check here ► and
3
LL complete lines 70 through 7 4 .
o
70 Capital stock, trust principal, or current f u n d s 70
in 71 Paid-in or capital surplus, or land, building, a n d equipment fund 71
in
72 Retained earnings, e n d o w m e n t , accumulated income, or other funds 72
<
Z 73 Total net assets or fund balances. Add lines 67 through 69 or lines 70 through 72
(Column (A) must equal line 19 and column (B) must equal line 21) 258,608. 73 152,112.
74 Total liabilities and net assets/fund balances. Add Inies66and73 449,823. 74 451,741.
Form 9 9 0 (2007)

723031
12-27-07
4
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
Form 990 (2007) SAVE A L I F E FOUNDATION 36-3869459 page5
Part iV-A Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (See the
instructions )
a Total revenue, gains, and other support per audited financial statements a 1,003,158.
b Amounts included on line a but not on Part 1, line 12:
1 Net unrealized gains on investments b1
2 Donated services and use of facilities b2 375,790.
3 Recoveries of prior year grants b3
4 Other (specify): SEE STATEMENT 7 b4 7,814.
Add lines b1 through b4 b 383,604.
c Subtract line b from line a c 619,554.
d Amounts included on Part I, line 12, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify). d2
Add lines d1 and d2 d 0.
e Total revenue (Part I, line 12). Add lines c and d ► e 619,554.
Part IV-B Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
a Total expenses and losses per audited financial statements a 1,109,654.
b Amounts included on line a but not on Part I, line 17
1 Donated services and use of facilities b1 375,790.
2 Prior year adjustments reported on Part I, line 20 b2
3 Losses reported on Part I, line 20 b3
4 Other (specify)- SEE STATEMENT 8 b4 7,814.
Add lines b1 through b4 b 383,604.
c Subtract line b from line a c 726,050.
d Amounts included on Part I, line 17, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify)- d2
Add lines d1 and d2 d 0.
e Total expenses (Part I, line 17) Add lines c and d ► e 726,050.
Part V-A Current Officers, Directors, Trustees, and Key Employees (List each person who was an office ', director, trustee,

(B) Title and average hours (C) Compensation (D)Contnbutions


employee benefit
to (E)Expense
(A) Name and address per week devoted to (It not paid, enter plans & deferred account and
position compensation plans other allowances
CAROL S P I Z Z I R I P R E S I D E N T & C EO -0-)
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 40.00 33,380. 2,662. 0.
R I T A MULLINS SECRETARY
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 2.00 0. 0. 0.
DOUGLAS BROWNE TREASURER
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 2.00 0. 0. 0.
JOHN DONLEAVY DIRECTOR
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 2.00 0. 0. 0.
ANDY KNAPP DIRECTOR R E S I GNED 6 / 2 008
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 2.00 0. 0. 0.
ERNESTO A PRETTO DIRECTOR
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 2.00 0. 0. 0.
MARK MITCHELL DIRECTOR
9 9 5 0 LAWRENCE # 3 0 0
S C H I L L E R PARK, I L 60176 2.00 0. 0. 0.

Form 9 9 0 (2007)
723041 12-27-07

12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065


Form 990 (2007) SAVE A L I F E FOUNDATION 36-3869459 Page6
PartV-A Current Officers, Directors, Trustees, and Key Employees (continued) Yes No
75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business at board
meetings ►

b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,
Part ll-A or 11-8. related to each other through family or business relationships'' If "Yes," attach a statement that identifies
the individuals and explains the relationship(s) 75b

c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,
Part ll-A or ll-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the
organization? See the instructions for the definition of "related organization." 75c
If "Yes," attach a statement that includes the information described in the instructions.
d Does the organization have a written conflict of interest policy 9 75d
Part V-B Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other
B e n e f i t s (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during
the year, list that person below and enter the amount of compensation or other benefits in the appropriate column See the instructions)
(C) Compensation (D) Contributions to (E)Expense
(A) Name and address (B) Loans and Advances (if not paid, employee benefit
plans & deferred account and
NONE enter-0-) compensation plans other allowances

Part V> Other Information (See the instructions) Yes No


76 Did the organization make a change in its activities or methods of conducting activities'' If "Yes," attach a detailed
statement of each change 76 _x_
77 Were any changes made in the organizing or governing documents but not reported to the IRS 7 77 X
If "Yes," attach a conformed copy of the changes.
78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return'' 78a _X_
b If "Yes," has it filed a tax return on Form 990-T for this year"? N/A 78b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement 79 X
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc , to any other exempt or nonexempt organization9 80a X
b If "Yes," enter the name of the organization^ N/A
and check whether it is exempt or nonexempt
81 a Enter direct and indirect political expenditures. (See line 81 instructions.) I 81a I 0 <
b Did the organization file Form 1120-POL for this year? 81b
Form 9 9 0 (2007)

723161/12-27-07

12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065


Form 990 (2007) SAVE A LIFE FOUNDATION 36-3869459 Page7
Part VI Other Information (continued) Yes No
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially
less than fair rental value? 82a
b If "Yes," you may indicate the value of these items here. Do not include this
amount as revenue in Part I or as an expense in Part II.
(See instructions in Part III.) I 82b I 375 , 790
83 a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions'' 83b
84 a Did the organization solicit any contnbutions or gifts that were not tax deductible 9 84a
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible'' N/A 84b
85 a 501(c)(4), (5), or(6) Were substantially all dues nondeductible by members? N/A 85a
b Did the organization make only in-house lobbying expenditures of $2,000 or less 9 N/A 85b
If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver for proxy tax owed for the prior year.
Dues, assessments, and similar amounts from members 85c N/A
Section 162(e) lobbying and political expenditures 85d N/A
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e N/A
Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/A
Does the organization elect to pay the section 6033(e) tax on the amount on line 85f 9 N/A 85q
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f
to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the
following tax year'' N/A 85h
86 501(c)(7) organizations Enter: a Initiation fees and capital contributions included on
line 12 86a N/A
Gross receipts, included on line 12, for public use of club facilities 86b N/A
87 501(c)(12) organizations Enter a Gross income from members or shareholders 87a N/A
b Gross income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them ) 87b N/A
88 a At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701 -2 and 301.7701 -3?
If "Yes," complete Part IX 88a
b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of
section 512(b)(13)9 If "Yes," complete Part XI 88b
89 a 501(c)(3) organizations Enter: Amount of tax imposed on the organization during the year under
section 4911 ► 0 . .section 4912 ► 0 . , section 4955 ► 0.
501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit
transaction during the year or did it become aware of an excess benefit transaction from a prior year9
If "Yes," attach a statement explaining each transaction 89b
Enter Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 ► 0
Enter- Amount of tax on line 89c, above, reimbursed by the organization ► 0
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter transaction'' 89e
f All organizations Did the organization acquire a direct or indirect interest in any applicable insurance contract'' 891
g For supporting organizations and sponsonng organizations maintaining donor advised funds Did the supporting organization,
or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year9 X
90 a List the states with which a copy of this return is filed ► SEE STATEMENT 9 ^ _ ^ _ _ _
b Number of employees employed in the pay period that includes March 12, 2007 | 90b
91 a The books are in care of ► C A R O L S P I Z Z I R I Telephone no ► ( 8 4 7 ) 928-9683
Located at ► 9 9 5 0 W. LAWRENCE, SCHILLER PARK, IL ziP + 4 ► 6 0 1 7 6
At any time during the calendar year, did the organization have an interest in or a signature or other authority over Yes No
a financial account in a foreign country (such as a bank account, securities account, or other financial account) 9 91b X
If "Yes," enter the name of the foreign country ► N/A
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank
and Financial Accounts
Form 9 9 0 (2007)

723162/12-27-07

12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065


Form 990 (2007) SAVE A L I F E FOUNDATION 36-3869459 Page8
Part VI Other Information (continued) Yes No
c At any time during the calendar year, did the organization maintain an office outside of the United States? 91c
If "Yes," enter the name of the foreign country ► N/A
92 Section 494 7(a)(1) nonexempt chantable trusts filing Form 990 in lieu of Form 1041 - Check here ► LJ
and enter the amount of tax-exempt interest received or accrued during the tax year ► | 92 | N/A
Part VII Analysis of Income-Producing Activities (See the instructions)
Note: Enter gross amounts unless otherwise Unrelated business income Excluded by section 512, 513, or 514
(E)
indicated. (A) (B) (C) (D)
Business Exclu­ Related or exempt
Amount sion Amount function income
93 Program service revenue: code code
a DARE MIGHTY THINGS
b BRANCH DEVELOPMENT 593,430.
c PROGRAM FEES 4,929.
d
e
f Medicare/Medicaid payments
g Fees and contracts from government agencies
94 Membership dues and assessments
95 Interest on savings and temporary cash investments 14 774.
96 Dividends and interest from securities
97 Net rental income or (loss) from real estate:
a debt-financed property
b not debt-financed property
98 Net rental income or (loss) from personal property
99 Other investment income
100 Gain or (loss) from sales of assets
other than inventory
101 Net income or (loss) from special events 01 1,361.
102 Gross profit or (loss) from sales of inventory 11,473.
103 Other revenue
a MISCELLANEOUS 6,837.
b
c
d
e
104 Subtotal (add columns (B), (D), and (E)) 0. 2,135. 616,669.
105 Total (add line 104, columns (B), (D), and (E)) 618,804
Note: Line 105 plus line le, Part I, should equal the amount on line 12, Part I.
Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See the instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
▼ exempt purposes (other than by providing funds for such purposes)
SEE STATEMENT 10

Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (See the instructions)
(A) (B) (C) (D) (E)
Name, address, and EIN of corporation, Percentage of Nature of activities Total income End-of-year
partnership, or disregarded entity ownership interest assets
%
N/A %
%
%
Part X Information Regarding Transfers Associated with Personal Benefit Contracts (See the instructions.)
(a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract' 1 1 Yes 1 X 1 No
(b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract' 1 1 Yes 1 X 1 No
Note: If "Yes" to (b), file Form 8870 and Form 4720 (see instructions).
Form 9 9 0 (2007)

723163
12-27-07
8
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065
Form 990 (2007) SAVE A L I F E FOUNDATION 36-3869459 page9
Part XI | Information Regarding Transfers To and From Controlled Entities. Complete only if the organization is a
controlling organization as defined in section 512(b)(13). N/ A
Yes No
106 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of the Code? If "Yes,
complete the schedule below for each controlled entity,
(A) (B) (C) (D)
Name, address, of each Employer Description of Amount of
controlled entity Identification transfer transfer
Number

Totals
Yes No
107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If "Yes,"
complete the schedule below for each controlled entity
(A) (B) (C) (D)
Name, address, of each Employer Description of Amount of
controlled entity Identification transfer transfer
Number

Totals
Yes No
108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest, rents, royalties, and
annuities described in question 107 above 9
Under penaltws of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete Declarationof preparer (other than officer) is based on all information of which preparer has any knowledge

Please
Sign Signature of officer
VMA /hpj£- Date
Here
Type or print name and title
i?J> IEJU %Fs I Yrin!L-
Preparer's ^ Check if Preparer's SSN or PTIN (See Gen Inst X)
Paid self- . .
signature W employed ►• I I
Preparer's Firm's name (or
Use Only yours if BORHART SPELLMEYER & COMPANY EIN ►
self-employed), ^ 2 2 0 5 POINT BLVD, SUITE 160
address, and
ZIP+ 4 ELGIN, IL 6 0 1 2 3 - 7 8 4 0 Phoneno ► ( 8 4 7 ) 695-1775
Form 9 9 0 (2007)

723164/12-27-07

12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065


SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB No 1545-0047

(Forrh 990 or 990-EZ) (Except Private Foundation) and Section 501(e), 501(f), 501 (k),

Department of the Treasury


501(n), or 4947(a)(1) Nonexempt Charitable Trust
S u p p l e m e n t a r y lnformation-(See s e p a r a t e instructions.) 2007
Internal Revenue Service ^ MUST be completed by the above organizations and attached to their Form 990 or 990-EZ
Name of the organization Employer identification number
SAVE A LIFE FOUNDATION 36 3869459
Part C Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See page 1 of the instructions List each one If there are none, enter 'None *)
(b) Title and average hours (d) Contributions to (e)Expense
(a) Name and address of each employee paid
per week devoted to (c) Compensation employee benefit
plans & deferred account and other
more than $50,000 position compensation allowances
DANE NEAL NATL P O L I C Y D I R
9950 LAWRENCE # 3 0 0 , S C H I L L E R PARK, IL 40.00 63,520.

Total number of other employees paid


over $50,000 ► 0
Part ll-A Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See page 2 of the instructions List each one (whether individuals or firms) If there are none, enter 'None')

(a) Name and address of each independent contractor paid more than $50,000 (b)Type of service (c) Compensation

NONE

Total number of others receiving over


$50,000 for professional services ► 0
Part H-B Compensation of the Five Highest Paid Inde pendent Contract ors for Other Services
(List each contractor who performed services other than professional services, whether individuals or
firms If there are none, enter "None" See page 2 of the instructions )

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation

NONE

Total number of other contractors receiving over


$50,000 for other services ► 0

723101/12-27-07 LHA For Paperwork Reduction Act Notice, see the Instructions tor Form 990 and Form 990-EZ Schedule A (Form 990 or 990-EZ) 2007
10
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATION 36-3869459 Page2
P a r t HI S t a t e m e n t s A b o u t A c t i v i t i e s (See page 2 of the instructions) Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence
public opinion on a legislative matter or referendum' If "Yes," enter the total expenses paid or incurred in connection with the
lobbying activities ► $ $ (Must equal amounts on line 38, PartVI-A, or
line i of Part Vl-B)
Organizations that made an election under section 501 (h) by filing Form 5768 must complete Part Vl-A. Other organizations
checking "Yes" must complete Part Vl-B AND attach a statement giving a detailed description of the lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors,
trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such
person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary' (If the answer to any question is "Yes,"
attach a detailed statement explaining the transactions )
a Sale, exchange, or leasing of property' 2a X
b Lending of money or other extension of credit' 2b X
c Furnishing of goods, services, or facilities' 2c X
d Payment of compensation (or payment or reimbursement of expenses if more than $ 1 , 0 0 0 ) ' S E E PART V—A, FORM 990 2d
e Transfer of any part of its income or assets' 2e
3 a Did the organization make grants for scholarships, fellowships, student loans, etc ' (If "Yes," attach an explanation of how
the organization determines that recipients qualify to receive payments) 3a
b Did the organization have a section 403(b) annuity plan for its employees' 3b
c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space,
the environment, historic land areas or historic structures' If "Yes," attach a detailed statement 3c
d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services' 3d
4 a Did the organization maintain any donor advised f u n d s ' If "Yes," complete lines 4b through 4g If "No," complete lines 4f
and4g 4a
b Did the organization make any taxable distributions under section 4 9 6 6 ' N / A 4b
c Did the organization make a distribution to a donor, donor advisor, or related person' N / A 4c
d Enter the total number of donor advised funds owned at the end of the tax year ► N/A
e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year ► N/A
f Enter the total number of separate funds or accounts owned at the end of the year (excluding donor advised funds included on
line 4d) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts ► 0.
g Enter the aggregate value of assets in all funds or accounts included on line 4f at the end of the tax year ► 0.

Schedule A (Form 990 or 990-EZ) 2007

723111
12-27-07
11
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065
Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATION 36-3869459 Page3
Part
P a r t IV
IV I F
R e a s o n f o r N o n - P r i v a t e F o u n d a t i o n S t a t u s (See pages 4 through 8 of the instructions)

1 certify that theorganization is not a private foundation because it is (Please check only ONE applicable box)
5 CZl A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6 □ A school Section 170(b)(1)(A)(n) (Also complete Part V )
7 □ A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(m)
8 □ A federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 □ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(m) Enter the hospital's name, city,
and state ►
10 □ An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A)
11a m An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A)
11b □ A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A)
12 □ An organization that normally receives (1) more than 3 3 1 / 3 % of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc , functions - subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30,1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A)

13 □ An organization that is not controlled by any disqualified persons (other than foundation managers) and otherwise meets the requirements of section
509(a)(3) Check the box that describes the type of supporting organization
□ Type I Type II □ Type lll-Functionally Integrated □ Type Ill-Other

Provide the following information about the supported organizations. (See page 8 of the instructions)

(a) (b) (c) W (B)


Name(s) of supported organization(s) Employer Type of organization Is the supported Amount of
identification (described in lines organization listed in support
number (EIN) 5 through 12 above the supporting
or IRC section) organization's
governing documents7

Yes No

Total ►

14 I I An organization organized and operated to test for public safety Section 509(a)(4) (See page 8 of the instructions )
Schedule A (Form 990 or 990-EZ) 2007

723121
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12
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065
Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATION 36-3869459 Page4
P a r t 1V-A Support Schedule (C Dmplete only if you checked a box on line 10,11, or 12.) Use cash method of accounting.
Note: You may use tin? worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year (or fiscal year
beginning In) ► (a) 2006 (b) 2005 (c) 2004 (d) 2003 (e) Total
15 Gifts, grants, and contributions
received (Do not include unusual
grants See line 28 ) 983,046. 1,034,403. 1,882,822. 448,621. 4,348,892.
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services
performed, or furnishing of
facilities in any activity that is
related to the organization's
charitable, etc, purpose 181,416. 112,094. 399,546. 120,316. 813,372.
18 Gross income from interest, divid­
ends, amounts received from pay­
ments on securities loans (section
512(a)(5)), rents, royalties, income
from similar sources, and unrelated
business taxable income (less
section 511 taxes) from businesses
acquired by the organization after
June 30,1975 13,684. 4,882. 1,933. 795. 21,294.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and either
paid to it or expended on its behalf
21 The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities generally furnished to
the public without charge
22 Other income Attach a schedule SEE STATEME NT 11
Do not include gam or (loss) from
sale of capital assets 745. 2,006. 2,751.
23 Total of lines 15 through 22 1,178,891. 1,153,385. 2,284,301. 569,732. 5,186,309.
24 Line 23 minus line 17 997,475. 1,041,291. 1,884,755. 449,416. 4,372,937.
25 Enter 1 % of line 23 11,789. 11,534. 22,843. 5,697.
26 Organizations described on lines 10 or 1 1 : a Enter 2% of amount in column (e), line 24 ► 26a 87,459.
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental
unit or publicly supported organization) whose total gifts for 2003 through 2006 exceeded the amount shown in line 26a
Do not file this list with your return Enter the total of all these excess amounts ► 26b 0.
c Total support for section 509(a)(1) test Enter line 24, column (e) ► 26c 4,372,937.
d Add Amounts from column (e) for lines 18 2 1 , 2 9 4 . 19
22 2 , 7 5 1 . 26b ► 26d 24,045.
e Public support (line 26c minus line 26d total) ► 26e 4,348,892.
f Public support percentaqe (line 26 e (numerator) divided by line 26c (denominator) ► 26f 99.4501%
27 Organizations described on line 12: a For amounts included in lines 15,16, and 17 that were received from a "disqualified person," prepare a list for your
records to show the name of, and total amounts received in each year from, each "disqualified person " Do not file this list with your return Enter the sum of
such amounts for each year N/A
(2006) (2005) (2004) (2003)
For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of,
and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations
described in lines 5 through 11b, as well as individuals ) Do not file this list with your return. After computing the difference between the amount received and
the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year N / A
(2006) (2005) (2004) (2003)
Add Amounts from column (e) for lines 15 16
17 20 21 ► 27c N/A
d Add Line 27a total and line 27b total ► 27d N/A
e Public support (line 27c total minus line 27d total) ► 27e N/A
f Total support for section 509(a)(2) test Enter amount on line 23, column (e) ► | 27f | N/A
q Public support percentage (line 27e (numerator) divided by line 271 (denominator)) ► 27q N/A %
h Investment income percentaqe (line 18, column (e) (numerator) divided by line 27f (denominator)) ► 27h N/A %
28 Unusual Grants: For an organization described in line 10,11, or 12 that received any unusual grants during 2003 through 2006, prepare a list for your records to
show, for each year, the name of the contnbutor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your
return. Do not include these grants in line 15 vrrwr-ci
723131 12-27-07 NONE Schedule A (Form 990 or 990-EZ) 2007
13
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065
Schedule A (Form 990 or 990-EZ) 2007 S A V E A L I F E F O U N D A T I O N 36-3869459 Pages
PartV Private School Questionnaire (See page 9 of the instructions) N/A
(To be completed ONLY by schools that checked the box on line 6 in Part IV)

Yes No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing b o d y ' 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships' 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves' 31
If "Yes," please describe, if "No," please explain (If you need more space, attach a separate statement)

32 Does the organization maintain the following


a Records indicating the racial composition of the student body, faculty, and administrative staff' 32a
b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis' 32b
c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student
admissions, programs, and scholarships' 32c
d Copies of all material used by the organization or on its behalf to solicit contributions' 32d
If you answered "No" to any of the above, please explain (If you need more space, attach a separate statement)

33 Does the organization discriminate by race in any way with respect to


a Students' rights or privileges' 33a
b Admissions policies' 33b
c Employment of faculty or administrative staff' 33c
d Scholarships or other financial assistance' 33d
e Educational policies' 33e
f Use of facilities' 331
q Athletic programs' 33q
h Other extracurricular activities' 33h
If you answered "Yes" to any of the above, please explain (If you need more space, attach a separate statement)

34 a Does the organization receive any financial aid or assistance from a governmental agency' 34a
b Has the organization's right to such aid ever been revoked or suspended' 34b
If you answered "Yes" to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering racial nondiscrimination' If "No," attach an explanation 35
Schedule A (Form 990 or 990-EZ) 2007

723141
12-27-07

14
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065
Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATION 36-3869459 Page 6
Part Vr-A Lobbying Expenditures by Electing Public Charities (See page 11 of the instructions) N/A
(To be completed ONLY by an eligible organization that filed Form 5768)
Check ► a I I if the organization belonqs to an affiliated group Check ► b I I if you checked "a" and "limited control" provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed for all
(The term "expenditures" means amounts paid or incurred ) totals electing organizations

N/A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37
38 Total lobbying expenditures (add lines 36 and 37) 38
39 Other exempt purpose expenditures 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is ■ The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40

Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1.000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000

Over $17,000,000 $1,000,000


42 Grassroots nontaxable amount (enter 25% of line 41) 42
43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43
44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44

Caution If there is an amount on either line 43 or line 44, you must file Form 4720

4-Year Averaging Period Under Section 501(h)


(Some organizations that made a section 501(h) election do not have to complete all of the five columns
below Seethe instructions for lines 45 through 50 on page 13 of the instructions )

Lobbying Expenditures During 4-Year Averaging Period


N/A
Calendar year (or (a) (b) (c) W (e)
fiscal year beginning in) ► 2007 2006 2005 2004 Total
45 Lobbying nontaxable
amount 0.
46 Lobbying ceiling amount
_ 0.
(150% of line 45(e))
47 Total lobbying
expenditures 0.
48 Grassroots nontaxable
amount 0.
49 Grassroots ceiling amount
(150% of line 48(e)) 0.
50 Grassroots lobbying
expenditures 0.
PartVMJ Lobbying/Activity by Nonelec ting Public Charities
(For reporting only by organizations that did not complete Part Vl-A) (See page 14 of the instructions ) N/A
During the year, did the organization attempt to influence national, state or local legislation, including any attempt to
Yes No Amount
influence public opinion on a legislative matter or referendum, through the use of
a Volunteers
b Paid staff or management (Include compensation in expenses reported on lines c through h )
c Media advertisements
d Mailings to members, legislators, or the public
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 other means
i Total lobbying expenditures (Add lines c through h.) 0.
If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities
723151
12-27-07 Schedule A (Form 990 or 990-EZ) 2007
15
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Schedule A (Form 990 or 990-EZ) 2007 SAVE A L I F E FOUNDATION 36-3869459 Page7
Part VII I Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations (See page 14 of the instructions)
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations'
a Transfers from the reporting organization to a noncharitable exempt organization of Yes No
(i) Cash 51a(i) X
(u) Other assets a(ii) X
b Other transactions
(i) Sales or exchanges of assets with a noncharitable exempt organization b(l) X
(n) Purchases of assets from a noncharitable exempt organization b(ii) X
(in) Rental of facilities, equipment, or other assets b(lii) X
(iv) Reimbursement arrangements b(iv) X
(v) Loans or loan guarantees b(v) X
(vi) Performance of services or membership or fundraising solicitations b(vi) X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market value of the
goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any
transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received N/A
(a) (b) (c) (d)
Line no Amount involved Name of noncharitable exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the
Code (other than section 501(c)(3)) or in section 527' ► [ Z H Yes CK] No
b If "Yes," complete the following schedule N/A
(a) (b) (c)
Name of organization Type of organization Description of relationship

723152
12-27-07 Schedule A (Form 990 or 990-EZ) 2007
16
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065
SAVE A LIFE FOUNDATION 36-3869459

FORM 990 SPECIAL EVENTS AND ACTIVITIES STATEMENT

GROSS CONTRIBUT. GROSS DIRECT NET INCOME


DESCRIPTION OF EVENT RECEIPTS INCLUDED REVENUE EXPENSES OR (LOSS)

GOLF OUTING 3,125 3,125. 1,764. 1,361

TO FM 990, PART I, LINE 9 3,125 3,125. 1,764. 1,361

17 STATEMENT(S) 1
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
SAVE A LIFE FOUNDATION 36-3869459

FORM 990 INCOME AND COST OF GOODS SOLD STATEMENT 2


INCLUDED ON PART I, LINE 10

INCOME
1. GROSS RECEIPTS 17,523
2. RETURNS AND ALLOWANCES
3. LINE 1 LESS LINE 2 17,523

4. COST OF GOODS SOLD (LINE 13) 6,050


5. GROSS PROFIT (LINE 3 LESS LINE 4) 11,473
COST OF GOODS SOLD
6. INVENTORY AT BEGINNING OF YEAR 41,767
7. MERCHANDISE PURCHASED
8. COST OF LABOR
9. MATERIALS AND SUPPLIES
10. OTHER COSTS
11. ADD LINES 6 THROUGH 10 41,767

12. INVENTORY AT END OF YEAR 35,717


13. COST OF GOODS SOLD (LINE 11 LESS LINE 12). . 6,050

18 STATEMENT(S) 2
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
SAVE A LIFE FOUNDATION 36-3869459

FORM 990 OTHER. EXPENSES STATEMENT 3

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


PROGRAM MANAGEMENT
DESCRIPTION TOTAL SERVICES AND> GENERAL FUNDRAISING
AUTO EXPENSE 5,895. 5,600. 295.
BANK SERVICE FEES 782. 782.
COMPUTER EXPENSES 4,420. 4,420.
CONSULTING 70,404. 70,404.
DUES AND
SUBSCRIPTIONS 2,475. 2,228. 247.
INSURANCE 8,712. 8,712.
LICENSES AND PERMITS 3,880. 3,880.
MARKETING AND
PROMOTIONAL 4,667. 4,667.
MISCELLANEOUS 60. 57. 3.
PAYROLL SERVICE 2,692. 2,665. 27.
PROGRAM MINI-GRANTS 6,500. 6,500.
TRAINING AND
DEVELOPMENT 215. 215.
UTILITIES 5,316. 5,316.
PROFESSIONAL FEES -
OTHER 997. 997.
TOTAL TO FM 990, LN 43 117,015. 116,443. 572.

FORM 990 STATEMENT OF ORGANIZATION' S PRIMARY EXEMPT PURPOSE STATEMENT 4


PART III

EXPLANATION

TO EQUIP CITIZENS, STARTING WITH CHILDREN (K-12), WITH BASIC LIFE


SUPPORTING FIRST AID (LSFA) SKILLS TO EMPOWER BYSTANDERS IN AIDING THE
INJURED OR ILL IN A TIME OF AN EMERGENCY.

19 STATEMENT(S) 3, 4
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
SAVE A LIFE FOUNDATION 36-3869459

FORM 990 LOANS PAYABLE TO OFFICER'S, DIRECTOR'S, ETC STATEMENT

ORIGINAL
LENDER'S NAME AND TITLE LOAN AMOUNT

CAROL SPIZZIRI, PRESIDENT 61,496

DATE OF MATURITY
NOTE DATE TERMS OF REPAYMENT INTEREST RATE

DUE ON DEMAND 5.00%

SECURITY PROVIDED BY BORROWER PURPOSE OF LOAN

NONE OPERATIONS
FMV OF
DESCRIPTION OF CONSIDERATION CONSIDERATION BALANCE DUE

NONE 0. 247,112

TOTAL TO FORM 990, PART IV, LINE 63, COLUMN B 247,112

FORM 990 OTHER LIABILITIES STATEMENT

BEGINNING
DESCRIPTION OF YEAR END OF YEAR
INSTRUCTOR DEPOSITS 2,700. 2,700,
ROUNDING 1.
TOTAL TO FORM 990, PART IV, LINE 65 2,701 2,700

FORM 990 OTHER REVENUE NOT INCLUDED ON FORM 990 STATEMENT

DESCRIPTION AMOUNT
SPECIAL EVENT EXPENSE NETTED AGAINST REVENUE ON 990 1,764.
COST OF GOODS SOLD NETTED AGAINST REVENUE ON 990 6,050.

TOTAL TO FORM 990, PART IV-A 7,814.

20 STATEMENT(S) 5, 6, 7
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
SAVE A LIFE FOUNDATION 36-3869459

FORM 990 OTHER EXPENSES NOT INCLUDED ON FORM 990 STATEMENT

DESCRIPTION AMOUNT
SPECIAL EVENT EXPENSE NETTED AGAINST REVENUE ON 990 1,764.
COST OF GOODS SOLD NETTED AGAINST REVENUE ON 990 6,050.

TOTAL TO FORM 990, PART IV-B 7,814.

FORM 990 LIST OF STATES RECEIVING COPY OF RETURN STATEMENT


PART VI, LINE 90

STATES
IL,AL,AK,AR,AZ,CA,CO,CT,DE,FL,GA,HI,ID,IN,KS,KY,LA,ME,MD,MA,MI/MN,MS,MO,MT
NE,NV,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,UT,VT,VA,WA,WV,WI,WY,TX,NH,IA

FORM 990 PART VIII - RELATIONSHIP OF ACTIVITIES TO STATEMENT 10


ACCOMPLISHMENT OF EXEMPT PURPOSES

LINE EXPLANATION OF RELATIONSHIP OF ACTIVITIES

93A SALF WAS GRANTED $590,000 TO TRAIN 170 EMERGENCY MEDICAL SERVICE
PROVIDERS AS INSTRUCTORS AT 33 MILITARY BASES IN 2 7 STATES AL, AK, AZ,
AR, CA, FL, GA, HI, IL, IN, KY, LA, MA, MI, MS, MO, NJ, NM, NC, OK,OR,
PR, SC, TX, WV, WI, WY TO TEACH THEIR 7,000 AT-RISK HIGH SCHOOL AGE
STUDENTS LIFE SUPPORTING FIRST AID TRAINING AND PROVIDE ALL TRAINING
EQUIPMENT, MATERIALS, TESTING SUPPLIES FOR BOTH NEW INSTRUCTORS AND
STUDENTS. SALF MONITORED AND EVALUATED TRAINING, COLLECTED DATA AND
REPORTED SUCCESS OF TESTING COMPONENT FOR EACH INSTRUCTOR AND OF THE
STUDENTS.
93B PROGRAMS TO PROVIDE LIFE SAVING FIRST AID SKILLS TO VOLUNTEERS TO AID
IN AN EMERGENCY.
103A MISCELLANEOUS NON-CLASSIFIABLE INCOME

SCHEDULE A OTHER INCOME STATEMENT 11

2006 2005 2004 2003


DESCRIPTION AMOUNT AMOUNT AMOUNT AMOUNT

MISCELLANEOUS 745. 2,006. 0. 0.

TOTAL TO SCHEDULE A, LINE 22 745. 2,006. 0. 0.

21 STATEMENT(S) 8, 9, 10, 11
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
OMBNo 1545-0172

4562-FY Depreciation and Amortization 990


2007
Department of the Treasury
(Including Information on Listed Property)
Attachment
Internal Revenue Service ► See separate instructions. ► Attach to your tax return. Sequence No 6 7
Name(s) shown on return Business or activity to which this form relates Identifying number

SAVE A L I F E FOUNDATION FORM 9 9 0 PAGE 2 36-3869459


P a r t i: Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I
1 Maximum amount. See the instructions for a higher limit for certain businesses 125,000
2 Total cost of section 179 property placed in service (see instructions)
3 Threshold cost of section 179 property before reduction in limitation 500,000
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-
5 Dollar limitation for tax year Subtract line 4 from line 1 If zero or less, enter-0- If married filing separately, see instructions

6 (a) Descnption of property (b) Cost (business use only) (c) Elected cost

7 Listed property. Enter the amount from line 29


8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7
9 Tentative deduction. Enter the smaller of line 5 or line 8
10 Carryover of disallowed deduction from line 13 of your 2006 Form 4562 10
11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 11
12 Section 179 expense deduction Add lines 9 and 10, but do not enter more than line 11 12
13 Carryover of disallowed deduction to 2008. Add lines 9 and 10, less line 12 13
Note: Do not use Part II or Part III below for listed property Instead, use Part V
PartH Special Depreciation Allowance and Other Depreciation (Do not include listed property )
14 Special depreciation allowance for qualified property (other than listed property) placed in service during
the tax year 14
15 Property subject to section 168(f)(1) election 15
16 Other depreciation (including ACRS) 16 14,376
P a r t Hi MACRS Depreciation (Do not include listed property.) (See instructions)
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2007 17 33
18 If you are electing to group any assets placed in service dunng the tax year into one or more general asset accounts, check here
Section B - Assets Placed in Service During 2007 Tax Year Using the General Depreciation System
(b) Month and (c) Basis for depreciation
(a) Classification of property (d) Recovery
year placed (business/investment use (e) Convention (f) Method (g) Depreciation deduction
penod
in service only - see instructions)

19a 3-year property


b 5-year property
c 7-year property
d 10-year property
e 15-year property
f 20-year property
q 25-year property S/L 25yrs
/ MM S/L 27.5 yrs
h Residential rental property / MM S/L 27 5 yrs.

i Nonresidential real property


/ 39 yrs MM S/L
/ MM S/L
Section C - Assets Placed in Service During 2007 Tax Year Using the Alternative Depreciation System
20a Class life S/L
b 12-year 12 yrs. S/L
c 40-year / 40 yrs MM S/L
Part IV Summary (see instructions)
21 Listed property Enter amount from line 28 21
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21
Enter here and on the appropriate lines of your return. Partnerships and S corporations • see instr 22 14,409.
23 For assets shown above and placed in s ervice during th e current year, enter the
portion of the basis attributable to sectic)n 263A costs 23
04-29-08 LHA For Paperwork Reduction Act Notice, see separate instructions. Form 4562-FY (2007)
22
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1
Form 4562-FY (2007) SAVE A L I F E FOUNDATION 3 6 - 3 8 6 9 4 5 9 Page 2
PartV Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment,
recreation, or amusement)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a)
through (c) of Section A, all of Section B, and Section C if applicable.
Section A - Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles)
24a Do you have evidence to support the business/investment use claimed' 1 1 Yes 1 1 No24b If "Yes," is the evidence written? 1 1 Yes 1 1 No
(a) (b) (c) (d) (e) (f) (g) (h) (i)
Type of property Date placed Business/ Cost or Basis for depreciation Depreciation Elected
investment use (business/investment
Recovery Method/
(list vehicles first) in service other basis period Convention deduction section 179
percentage use only) cost
25 Special depreciation allowance for qualified listed property placed in service during the tax year and
used more than 50% in a qualified business use 25
26 Property used more than 50% in a qualified business use
%
%
%
27 Property used 50% or less in a qualified business use:
% S/L-
% S/L-
% S/L-
28 Add amounts in column (h), lines 25 through 27 Enter here and on line 21, page 1 28
29 Add amounts in column 0), line 26. Enter here and o i line 7, page 1 29
Section B - Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person.
If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for
those vehicles.
(a) (b) (c) (d) (e) W
30 Total business/investment miles driven during the Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle
year (do not include commuting miles)
31 Total commuting miles driven during the year
32 Total other personal (noncommutmg) miles
driven
33 Total miles driven during the year.
Add lines 30 through 32
34 Was the vehicle available for personal use Yes No Yes No Yes No Yes No Yes No Yes No
during off-duty hours''
35 Was the vehicle used primarily by a more
than 5% owner or related person''
36 Is another vehicle available for personal
use 9
Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5%
owners or related persons
37 Do you maintain a written policy statement that prohibits all personal use of vehicles including commuting, by your Yes No
employees''
38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See the instructions for vehicles used by corporate officers, directors, or 1 % or more owners
39 Do you treat all use of vehicles by employees as personal use"7
40 Do you provide more than five vehicles to your employees, obtain information from your employees about
the use of the vehicles, and retain the information received 9
41 Do you meet the requirements concerning qualified automobile demonstration use 9
Note: If your answer to 37, 38, 39, 40, or 41 is "Yes," do not complete Section B for the covered vehicles
P a r t V l Amortization
(a) (b) (c) (d) (e) (f)
Description of costs Date amortization Amortizable Code Amortization Amortization
beams amount section period or oercentaqe for this vear
42 Amortization of costs that begins during your 2007 tax year:

43 Amortization of costs that began before your 2007 tax year 43


44 Total. Add amounts in column (f). See the mst ructions for where to report 44
716272 04-29-08 Form 4562-FY (2007)
23
12211201 758549 6065 2007.07000 SAVE A LIFE FOUNDATION 6065 1

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