September 10, 2002

Mr. Richard Stock

Chief of Staff
Office at the Attorney General
100 West Randolph Street
Chicago, Illinois 60601

Dear Mr. Stock:

Please accept this letter as a request from Save A Ufe Foundation (SALF) for a funding grant
from your agency in the amou nt of $25,000.

Briefly, SALF is a not-for-proftt organization whose primary mission is to educate and train
every person living in the United States of America in Basic Ufe Supporting First Aid Skills.
SALF works with children from kindergarten through grade 12, businesses, corporations,
organizations and governmental entitles. In the last several years SALF has trained 500,000
children in Illinois. The Save A Life Foundation believes if every American could be trained in
Basic Bystander Life Supporting Skills, they would be empowered not only in their everyday
lives, but they would also become America's greatest asset in any emergency or crisis.

SALF is currently expanding their presence throughout illinois. Our goal is to have branch
offices in all of the 12 EMS regions throughout the state, as well as opening facilities in
Pennsylvania, Wisconsin and Florida. We are expanding our State Board of Directors and
developing a National Board of Directors to reflect this growth. Also, we are developing a
core group of corporate partners whom we recognize as an essential component in SALF's
mission to train all Americans.

I look forward to hearing from you about the possibiltties of this grant You may contact me
at my office located at 2012 Appleton Drive, Springfield, Illinois 62707, telephone 217/726-
6422 or my cell at 217/415-5710. Thank you for your consideration in this matter.

Sincerely,

_V~Cl.?
Bennett R. Krause
National Director of Legislative Affairs
SALF
Sep 24 02 01:2Gp BE!nn~'tt R Krlluse 217728S625 p.3

I
lItICKGROUNIJ: . I I ., I
On Labor Day, 1992, ~hnr: IJean Spizzirri was ;involve in a fatal car accident. The
people first to arrive at
~h scene were police officers. Despite her serious injuries,
Christina's life might have b n ~aved had they have lknown w to render prompt basic first
aid. It was later discCvcle1 tHat this is Dot a requireme fur police. firefighters, 911
dispatchers, school teachers, co~hes and other public s s to be trained in life saving
skills. ' II I I I

Since 1993 the Save. t:-- iff ~otUl~tion. (~ALF) ;called n co~urUty leaders to :wee
measures to make basic eIhetjg~y aid trammg as part of t curriculum for all American
school students. Spearheahed cy SALF, national and state agencies now are realizing that
pre-EMS aid is needed by the~'BYstanders" to reduce deaths d disabling injuries. Dr. Peter
Safar (CPR founder) an~ tiro
.:J:~ Heimlich (Heimlich euver founder) have sat on our
Board of Director's since siAnF'~inception. '

In early 1995, SALF begj lJ;~g

a select aUdie~e of II¥nois elementary and secondary
students in basic Life SuPho~~" First Aid (LSFA) skills by local;EMS providers. State
lawmakers who approPriaf~ cis through the illinois D artment of Public Health fOT
statewide ~ soon recorr S J F'B age appropr:e progr. s and leaching system,

The Illino 1& Department o~ ~b4C Health, Department of C dren and Famity Services and
the Illinois State Boarq,,!t
o:~udation approve the progr , in addition to others. Unlike
other programs, our instru fs ak paramedics, firefighters, ,choolllU!SCS. police offices and
nurses who have Emerg
private EMS. ' J y. Medical Services credentIDIst as well as those working for
"
The Save A Life FOU~li n SPU,F) instructors havl succes fully trained more than .500,000
Skills Training in IllinoiS h 01 throughout the ;state,' luding northern, central, and
southern regions of'the Btafu.I following counties have b nefited from SALF training:
'
Northern Illinois ~ Cook. including chlchso Pu lie Schools, DeKalb, DuPage,
Grandy, Kanakakee, entlall, Lake, Will 'and Winne o.
Central 1llino4 ~ ona,
Christian, Coles, Effin barn. Fayette, Logan, Macon,
Macoupin, Mont,go fMasOn, Menard, Morgan, aIDS, Sangamon, Schuyler and
Shelby.
S()uthern nlinois
'I r lin, Hamilton,
'
Jefferson,
and Williamson: !

: I

of this ~ro' t i to enhance our miskion, w ich is t~ educate and train every

i Ei
The main focus
person in Basic Life S;U~o . t Aid. and to expand rot the rural
communities. Open
branch offices in an of ,12 S Regions and
provide .. in Irino
is' rural businesses.
Sep 24 02 01:26p Bl!'nngtt R I(rau~e 2177266625 1".4

I I
I

.! ; I
I
BUDGET:
6f I ples comprised
Ji
The following is a list of 11; Illinois school districts and the cost of
providing training to ther :
Salem Scho 1 Ii ict #111 (Marion County)
K-5 ~@ $5.00/student "" $, 3.350, 0
:t=.

6-8 0= @ S8.00/stude:rit:.: 2 6 6.
o $ 6,966. 0

South C

K-5
6.12
:=
=
s=':
tral q::ommunity Unit District #401

~17J
44j~@ $8.00/student
! ,0
1>: U1,585.
54
$5,129.0
Kinm

0
0
y, Marion County)

Camp pintle p chool District #3 .

K-S
6-12
=
::::: 6
15V $S.OO/studeot
$8.00/student
""
"'"
s 2,265.
504 0
0

o al $ 6,769. 0

C)U chool District # 15 .

K-5
6-12 l
J 34
~92
I to
$5.00/student:=
$8.00/student:::.t
$ 3,170. 0

s
4.736. Q
7,906. 0

Rantoul Citt
s~ 01 District #137 (Champai CountL
!
K-5
6-12 J 8
al
1 ITo
J 1,13 $5.00/student:= $ 5,695. 0
S8.00/student =: 3.9 2. 0
$ 9,607. 0 :

Cast; Co t S~ 01 Districts (Cas, COunty)

K-5 1,~l $S.OO/student.., $ 5,080 00
I
:
6-12 = 1'1
$8.00/student ... 32.00 s.s I

Edw
K-S
1 J
T al

12,15
ie
$13,91200

U School District # 7 ~ Toral

S5.00/student = $13,75000
$S.OO/student;::: sao 032 00
(

nrolllll,L l'reK = 6,615

I
6-12 l...! 3,V5

I
T al
t! $43,782 00

Menard County S~boo1s .

Greenview C U hool District #200
K-5 _lJ- ~ 1'2 SS.OO/student = s 560. 0
6-12 ~ ~61 $8. ~O/student = 1 296.
I T tal s 1,856. 0
 ! I I 1

r:0uJi iPO
_··.--r----I-- - ---r- - - --- -
'ling Expenses $ 2,300

SUPPLIES: Ii I [ I
L__100!
[

Ofilce I
'Iiotil plies $ 400

TIWNING: i I
6,50°1
In-Service (Lo
Supp lies I
Travel I
j s.10,000
600
uot 1 $17,100
.I .I
TELECOMMUNIUA NS: I
Telephone ~e ic L 500 I'
11
otal i "e ommunications s 500
! Ii I ~25,OOO j
TOTAL OPERIA ~G UDGET
I: .
[
!
I
.

I i
I I I
, I
 9/ n tZ~.9.d*w-. ~~ K. ~*-&</(_.
t4*~ w(6~K~ ~
~ eo»_.
~(~I? - I~le - &.&;(_<;
9(rJ. ~~Q~! M.d. /~ o; ~ ~

rdM./V'A. c:.&. F~ ~~~ ';?)7~7~~-~C..?~.

1f./!~ r~~
&~~ ~fJ1~./'(~.
9~3 .f~ ~ {~ /I{_,_. H~.
'1 ~ ~~f-{ {JJ 1m It • I( ~ w.JJ. jrJ1c
.P/y.~,LVJ. et''i!e '1 s-t 9!<~ rf (;4/f ~ .
o/:ftf M~ SLK~~ - ~~

~ :to r:- ~ -A ~4i~

~.1'LA~-\).t:1...Q •
ry
/ _-. 'n ~J(. . \ • .
/0 Iii! K~ w.j_ ~~''-Ut\..II, ·,J./1 ..0 '> . (!._,~'*- ''''-''1:
'\~'-'A. - 0_e.,.i~'' ' ' ~~.
IDrt>~ ~~ \)~ -\r ~.
 'Dafe { (Oats) Agency Head (Signature)
COpy 1
I
Bill Franklin

Floyd Perkins

Per our procedures for distribution of discretionary grants, please review the accompanying
infonnation on a proposed $25,000.00 grant distribution to San A Life Foundanon. Attorney
General Ryan has indicated that he is committed to supporting the Save A Life Foundation and
their programming.

As per our procedure, you are being provided with a copy of the organization's latest 990, and a
description of the Florence Brown Settlement (contained in this memo). I have attached their
expenditure intent project budget for your review.

As of today, there are $27 5,562.58 uncommitted funds in tile Florence Brown settlement .

...,'...1' .........
.__--- -_ ..--_. r"'-J--- - "'-0'·"'" .I.

As of today, there are $275,562.58 uncommitted funds in the Florence Brown settlement.
Florence Brown Settlement - Court order entered November 18, 1997 authorizing the Attorney
General to distribute to "public 501 (c)(3) organizations that qualify as fifty percent deductible
charities under Internal Revenue Code L 70 (6)(1)(A).·· No further court order is required for
distri burien.

Please initial this cover memo ~nd retus-n to Monica ZunigA. If you have my questi ons about
the proposed distribution. please do not hesitate to contact me. If you have questions about the
settlement itself, please contact Floyd Perkins at 814-3966.

RS/roz
Attachments

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Amount 1 26,000.001
~escription C ---'
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,,",odify on.- 110/1g120041 Modify N.m" ~--,kl.:..cin --, ShO!O loUK '- ---'

OAG- fiscal Affairs User: bmcfarland Thursday October 1, 2009 3:47pm

For Help, press F) NUM

'='=~~-:--~-----"ILLINOIS CHARITABLEORGANIZATION
ILLINOIS CHARITABLE ANNUALREPORT
ORGANIZATION ANNUAL REPORT FonnAG990·
FormAG990-
Revised I.
Attorney ~~fl~r~L~I~~J~1A;.DI9.A.~
Attome), General LISA MADIGAN State
~~at~.of Illinois
of Illi,ll:ois .r :
Revised I.
Chantable trustBureau,100
Charitable Trust Bureau, '100 WestRandolph'
West Randolph
AMT 3rd Floor, Chicago, Illinois 60601
3rd Floor, Chicago, Illinois 60601 CO #
CO # 01026498
01026498
Check all Items attached:
rw.„.w„ «^c- . o • -. Check all Items attached
Report f~r the,Fi~9al
..p~riod;.. .. • Kl Copy of IRS Return
Report for the. Fiscal Period: Man Checks E copy of IRS Return
10 Audiled Financial Statements
Begin'h'ing oi
Beginning 01 /I oi
01 /2002 to*
P.".bt,.check,
to 0KJ Copy
D
Audited Financial
of Form IFe Statements
Ih.Ullnots
3ft££ Copy of Form IFC
C~r11y 0 $15.00 Annual Report Filing FI
& Ending.
& Ending 12 ,I 31 /2002 CM*
Fund
D $15.00 Annual Report Filing Fi
0 $100.00 Report Filing Fe.
BjyoFona a S100.00 Late Report FilingFe.
Federal ID # 363869459 MO
MO DAY 1lI111I
Are contributionstothe organization tax deductible? C3 Yes Q No

LEGAL
LEGAL
SAVE A
SAVE LIFE FOUNDATION
A LIFE FOUNDATION
RECEIVb
NAME
NAME
MAil
9950 W.LAWRENCE
9950 W. LAWRENCE AUG192003
AUG 1 9 2003 A) ASSETS A)$
MAIL
#300
#300 972,4U
ADDRESS
ADDRESS SCHILLER PARK.
PARK. IL ATTORNEV GENERAL
ATTORNEY GENERAL
SCHILLER IL 60176
60176 CHARITABLE B) LIABILITIES B) $
ITY. STATE
CITY. STATE CHA'UTABLe TRUST
TRUST 99,127
C) NET ASSETS C)S
ZIP CODE
ZIP CODE
873,291
I.I. SUMMARY OF ALL REVENUE ITEMS DURING THE YEAR: PERCENTAGE AMOUNT
D) PUBLIC
D) PUBLIC SUPPORT.
SUPPORT, CONTRIBUTIONS
CONTRIBUTIONS && PROGRAM
PROGRAM SERVICE
SERVICE REV.
REV. (GROSS
(GROSS AMTS.)
AMTS.)
24.77% D)S
272.QOP
E) GOVERNMENT
E) GOVERNMENT GRANTS
GRANTS && MEMBERSHIP
MEMBERSHIP DUES
DUES E)$
77.76 % E)$
856.81?
F) OTHER
F) OTHER REVENUES
REVENUES F)$
(2.53) % F)$ (27,745
G)TOTAL
G) TOTAL REVENUE,
REVENUE, INCOME
INCOME AND
AND CONTRIBUTIONS
CONTRIBUTIONS RECEIVED (ADD
RECEIVED D,E. &&F)
(ADD D.E. F) 100% G)$
G)$
1,101.982
II.II, SUMMARY
SUMMARY OF
OFALL
ALL EXPENDITURES
EXPENDITURES DURING
DURING THE
THE YEAR:
YEAR:
H)$
HI OPERATING
H) OPERAT'NGCHAAIT~BLE EXPENSE
PROGRAM EXPENSE
CHARITABLE PROGRAM

I)I) EDUCATION
EDUCATION PROGRAM
PROGRAM SERVICE
SERV1CEEXPENSE
EXPENSE 0/0 I) $

TOTAL CHARITABLE
J)J) TOTAL CHARITABLE PROGRAM
PROGRAM SERVICE
SERVICE EXPENSE
EXPENSE (ADD
(ADD HH&&I) I,
J1) JOINT
JOINT COSTS
COSTS ALLOCATED
ALLOCATED TO
TO PROGRAM
PROGRAM SERVICES
SERVICES (INCLUDED
(INCLUDED IN J):
INJ): $s
J1)
K) GRANTS
K) GRANTS TO
TOOTHER
OTHER CHARITABLE
CHARITABLE ORGANIZATIONS
ORGANIZATIONS
----~----------
% K)$
L)L) TOTAL
TOTAL CHARITABLE
CHARITABl.E PROGRAM
PROGRAM SERVICE
SERVICE EXPENDITURE (ADD J.J&&K)
EXPENDITURE (ADD K) % l.) $

M) MANAGEMENT
M) MANAGEMENT AND
AND GENERAL EXPENSE
GENERAL EXPENSE % M)$
1.193.fl4fi
8'.44... % M)S
120,044
N) FUNDRA1SING
N) FUNDRAISING EXPENSE
EXPENSE % N)$
7 . 772.
2.> N)$
~) TOTAL
O) TOTAL EXPENDITURES
EXPENDITURES THIS
THIS PERIOD (ADD L,L. M,
PERIOD (ADD M, &&N)
N) 100 % 0)$
109 -7Q7
100% 0)$ 1,422,68
1,422.68
III.SUMMARY
III. SUMMARY OF
OFALL
ALL PAID
PAID FUNDRAISER
FUNDRAISER AND
AND CONSULTANT
CONSULTANT ACTIVITIES
ACTIVITIES: ~.... -. - _. - - -- - --.
(AttachAttorney
(Attach Attorney General
GeneralReport
ReportofofIndividual
IndividualFundralsing
Fundralsing Campaign-
Campaign· Form
FormIFC. Onefor
IFC. One foreach
eachPFR
PFR.)
j
PROFESSIONAL FUNDRAISERS:
PROFESSIONAL FUNDRAISERS: '
190 % P)$

.~
P) TOTAL AMOUNT RAISEO BY PAID PROFESSIONAL FUNDRAISERS
P) TOTAL AMOUNT RAISED BY PAID PROFESSIONAL FUNDRAISERS
Q) TOTAL FUNDRAISERS FEES AND EXPENSES cis
Q) TOTAL FUNDRAISERS FEES AND EXPENSES
R) NeT RECEIVED BYTHE CHARITY (P MINUS Q=R) % R)$
R) NET RECEIVED BY THE CHARITY (P MINUS Q=R)
PROFESSIONAL FUNDRAISING CONSULTANTS:
PROFESSIONAL FUNDRAISING CONSULTANTS:
S)$
S)S)TOTAL
TOTAL AMOUNT PAID TO PROFESSIONAl. FUNDRAlSING CONSULTANTS
AMOUNT PAID TO PROFESSIONAL FUNDRAISING CONSULTANTS

IV.COMPENSATION
IV. COMPENSATION TO
TOTHE
THE(3)
(3)HIGHEST
HIGHEST PAID
PAID PERSONS
PERSONS DURING
DURING THE
THE YEAR:
YEAR:
T)$
T) NAME. TITLE: : a r o l S o i z z i r r r i Praflidanf T)S
95.33C
U) NAME. TITLE: Linda Poost Finance D i r e e c t o UU)$
)$
41,215
V)$
V) NAME. TITLE: Dane Neal. Director of Medaa Relations V)$
39.fin
Ust on back side of instructions
CODEt'!AT...r.n.'>I",,1 Ust on back side of instructions
V.V. CHARITABLE
CHARITABLE PROGRAM
PROGRAM DESCRIPTION:cHAi?/r/.
DESCRIPTION: CHARITABLE
W) DESCRIPTION:
W) DESCRIPTION: L1£
PROGRAM (3 HIGHEST BY $ EXPENDED)
BL£(»«ocM*p««5weSTBy*£XPENoe£vcooEc>»T6GowES
CODE
CODE
r-------~~-------
WW)#
e Savine F i r s t Aid Training )#
_DJJ
X)X) DESCRIPTION:
OESCRIPTION:
X X)#
)#
Y)Y) DESCRIPTION:
DESCRIPTION: Y)#
Y)#
 ~ .
;rHE.ANSWER
IF THE TC?ANY
ANSWER TO T~E FOLLOWING
ANY OF THE FOLLO~I,NG ,I~ VI;S! ATTACH
IS YES, _'TTACH A DETAILED
DETAILED EXPLANATION:
EXPLANATION: ' YES NO
NO
WAS THE
1. WAS
1. THE ORGANIZATION
ORGANIZATION THE
THE SUBJECT
SUBJECT OF
OF ANY
ANY COURT
COURT ACTION,
ACTION, FINE.
FINE, PENALTY
PENALTY OR
OR JUDGMENT?
JUDGMENT? ,1.

2.
2. HAS THE
HAS THE ORGANIZATION
QRGANIZATION OR
OR AA CURRENT
CUR~.ENT DIRECTOR.
DIRECTOR, TRUSTEE.
T~USTEE, OFFICER
OFFICER OR
OR EMPLOYEE
EMPLOYEE THEREOF
THE~EOF,
EVER SEEN CqNVIGTED BY ANY COURT OF 'ANY MIDSQEMEANOR INVOLVING THE'MISUSE
EVER BEEN CONVICTED BY ANY COURT OFANYMIDSQEMEANOR INVOLVING THE MISUSE OR OR
MISAPPROPRIATION OF FUNDS OR ANY FELONY?
MISAPPROPRIATION OF FUNDS OR ANY FELONY? 2.

3.
3. DID THE
DID THE ORGANIZATION
ORGANIZATION MAKE
MAKE A
A GRANT
GRANT AWARD
AWARD OR OR CONTRIBUTION
CONTRIBUTION TOTO ANY
ANY ORGANIZATION
ORGANIZATION ININ WHICH
WHICH
ANY OF·ITS OFFICERS,DIRECTORSOR TRUSTEES OWNS AN INTEREST;OR WAS IT A PARTY TO ANY TRANSACTION
ANY OFITS OFFICERS. DIRECTORS OR TRUSTEES OWNS AN INTEREST; OR WAA IT A PARTY TO ANY TRANSACTION
IN WHICH
IN WHICH ANY
ANY OF
OF ITS
ITS OFFICERS,
OFFICERS, DIRECTORS
DIRECTORS OROR TRUSTEES
TRUSTEES HAS A MATERIAL
HAS A MATERIAL FINANCIAL
fiNANCIAL INTEREST:
INTEREST; OR
OR DID
DID
ANY OFFICER, DIRECTOR OR TRUSTEE RECEIVE ANYTHING OF VALUE NOT REPORTED AS COMPENSATION?
ANY OFFICER. DIRECTOR OR TRUSTEE RECEIVE ANYTHING OF VALUE NOT REPORTED AS COMPENSATION? 3.

44 HAS THE
HAS THE ORGANIZATION
ORGANIZATION INVESTED
INVESTED IN
IN ANY
ANY CORPORATE
CORPORATE STOCK
STOCK IN
IN WHICH
WHICH ANY
ANY OFFICER,
OFFICER. DIRECTOR
DIRECTOR OR
OR
TRUSTEE OWNS MORE THAN 10% OF THE OUTSTANDING SHARES?
TRUSTEE OWNS MORE THAN 10% OF THE OUTSTANDING SHARES? 4.

5.
5. IS ANY
IS ANY PROPERTY
PROPERTY OF
OF THE
THE ORGANIZATION
ORGANIZATION HELD
HELD IN
IN THE
THE NAME
NAME OF
OF OR
OR COMMINGLED
COMMINGLED WITH THE
WITH THE
PROPERTY OF
PROPERTY OF ANY
ANY OTHER
OTHER PERSON
PERSON OR
OR ORGANIZATION?
ORGANIZATION? 5.

DID THE
6. DID
6. THE ORGANIZATION
ORGANIZATION USE
USE THE
THE SERVICES
SERVICES OF
OF AA PROFESSIONAL
PROFESSIONAL FUNDRAISER?(ATTACH
FUNORAISER?( ATTACH FORM
FORM IFC
IFe )) 6.

7a. DID
7a. 010THE
THE ORGANIZATION
ORGANIZATION ALLOCATE
ALLOCATE THE
T~E COST
COST OF
OF ANY
ANY SOLICITATION,
SOLICITATION, MAILING,
MAILING, ADVERTISEMENT
ADVERTISEMENT OR
OR
LITERATURE COSTS BETWEEN PROGRAM SERvrCE AND FUNORAISING EXPENSeS?
LITERATURE COSTS BETWEEN PROGRAM SERVICE AND FUNDRAISING EXPENSES? 7.

IF ."YES", ENTER
7b. IF-"YES".
7b. ENTER (i) THEAGGREGATE
(i)THE AGGREGATE AMOUNT
AMOUNT OF OF THESE
THESE JOINT
JOINT COSTSJ
COSTS :(ii) THE AMOUNT
_:(ii) THE AMOUNT
.ALLOCATED
ALLOCATED TO TO PROGRAM
PROGRAM SERVICES
SERVICES $$ THE AMOUNT
(iii) THE
;:(Hi) AMOUNT ALLOCATED
ALLOCATED TO
TO MANAGEMENT
MANAGEMENT
AND GENERAL
AND GENERAL S ;:AND
AND (iv)
(Iv) THE AMOUNT ALLOCATED
THE AMOUNT AllOCATED TO TO FUNDRAISING
FUNORAISING S_
...__ _

DIDTHE
8. DID
B. THEORGANIZATION
ORGANIZATIONEXPEND
EXPENDITS
ITSRESTRICTED
RESTRICTED FUNDS
FUNDS FOR
FORPURPOSES
PURPOSESOTHER
OTHERTHAN
THANRESTRICTED
RESTRICTED
PURPOSES?
PURPOSES? 8.8.

9.9. HAS
HAS THE
THEORGANIZATION
ORGANIZATIONEVER
EVERBEEN
BEENREFUSED
REFUSED REGISTRATION
REGISTRATIONOR
ORHAD
HADITS
ITS REGISTRATION
REGISTRATION OR
ORTAX
TAXEXEMPTION
EXEMPTION
SUSPENDED OR
SUSPENDED OR REVOKED
REVOKED BY
BYANY
ANY GOVERNMENTAL
GOVERNMENTAL AGENCY?
AGENCY? 9,9.
X i
WAS THERE
10. WAS
10. iHERE OR
ORDO
DOYOU
YOU HAVE
HAVE ANY
ANYKNOWLEDGE
KNOWLEDGE OFOFANY
ANYKICKBACK.
KICKBACK, BRIBE.
BRIBE, OR ANY THEFT
ORANY THEFT, DEFALCATION
DEFALCATION
MISAPPROPRIATION, COMMINGLING
MISAPPROPRIATION, COMMINGLING OROR MISUSE
MISUSE OF
OFORGANIZATIONAL
ORGANIZATIONAL FUNDS?
FUNDS? 10.
10.
"__--'---I

LISTTHE
11. LIST
11. THENAME,
NAME,ADDRESS
ADDRESS AND
ANDTHE
THEACCOUNT
ACCOUNT ##OF
OFTHE
THEFiNANCIAL
FINANCIAL INSTITUTIONS
INSTITUTIONS WHERE
WHERE THE
THE ORGANIZATION
ORGANIZI\ TION
MAINTAINS ITS
MAINTAINS ITSTHREE
THREE LARGEST
LARGEST ACCOUNTS:
ACCOUNTS:

Roval American Bank. 1000 Tower Lane. B e n s e n v i l l e . IL 60106

Account 0 200-913-2 & 301-427-11

12. NAME AND TELEPHONE NUMBER OF CONTACT PERSON: C a r o l S p i z z i r r l (847) 928-9683

ALLATTACHMENTS
ALL A HMENTSMUST ACCOMPANY
ACCOMPANYTHIS
THISREPORT
REPORT• -SEE
SEEINSTRUCTIONS
INSTRUCTIONS

UNDER PENAL TVOF

UNDERPENALTY OFPERJURY,
PERJURY,I (WE)
I (WE)THE
THEUNDERSIGNED
UNDERSIGNEDDECLARE
DECLAREAND
ANDCERTIFY THAT I I(WE)
CERTIF'(-THAT (WE)HAVE EXAMINEDTHIS
HAVE EXAMINED THISANNUAL
ANNUAL'REPORT
REPORT
AND THE ATTACHED DOCUMENTS, INCLUDING ALL THE SCHEDULES AND STATEMENTS AND THE FACTS
AND THE ATTACHED DOCUMENTS. INCLUDING ALL THE SCHEDULES AND STATEMENTS AND THE FACTS THEREIN STATED ARF THEREIN STATED ARE
TRUE AND COMPLETE AND FILED WITH THE tLLtNOIS ATTORNEY GENERAL FOR THE PURPOSE OF HAVING
TRUE AND COMPLETE AND FILED WITH THE ILLINOIS ATTORNEY GENERAL FOR THE PURPOSE OF HAVING THE PEOPLE OF THP THE PEOPLE OF THE
STATEOF
STATE OFILLINOIS
ILLINOIS RELY
RELYTHEREUPON.
THEREUPON. I HEREBY
I HEREBY FURTHER
FURTHER AUTHORIZE
AUTHORIZE AND
ANDAGREE
AGREETO TOSUBMIT
SUBMITMYSELF
MYSELFANO THEREGISTRANT
AND THE REGISTRANT
HEREBYTO
HEREBY TOTHE
THEJURISDICTION
JURISDICTION OF OFTHE
THESTATE
STATEOFOFILLINOIS.
ILLINOIS .

..
BEBESURESURE TO
TOINCLUDE
INCLUDE ALL
ALL FEES
FEES DUE:
DUE:
SIGNATURE ( DATf /
1.)1.)REPORTS
REPORTS AREARE DUE
DUE WIIHIN SIX
WITHIN SIX
MONTHS
MONTHS OF OFYOUR FISCALYEAR
YOUR FISCAL YEAR EN
E(\
2.)2.)FOR
FORFEES
FEES DUE see INSTRUCTIONS...
DUE SEE INSTRUCTIONS. _ Htcjm^ E-Ui«.Lf ^,UL\.
?.)~.)REPORTS
REPORTS THAT
THAT ARE
ARE LATE
LATE OR
OR TRE"A"SOREROn'ROSTE~~pJ~'
"TRFASUREFTBrPROSTEElPRIFirNSfl' SIGNATURE DAT?! i
INCOMPLETE
INCOMPLETE AREARESUBJECT
SUBJECT TO
TOAA
$100.00
$100.00PENALTY.
PENALTY.
hx^
l>l:It~ T. AMM..6E
yA - t f g ^c.. :1
:. ,', PREPARER(PRWTNW
PREPA~ER (PRlNT~1¥h'l. " .SlGN}>.IURE '" DATE
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..

SAVEA UFE FOUNDATION,

FOUNDATION, INC.
INC.
AHLBECK6rCOMPANY
AHLBECK&COMPANY
SAVE A LIFE
AUDITED FINANCIAL
AUDITED FtNANCIALSTATEMENTS
STATEMENTS CERTIFIED
CERTIFIED
PUBLIC
DECEMBER 31.
DECEMBER 31,2002 AND DECEMBER
2002 AND DECEMBER 31,
31. 2001
2001 PUBLIC
ACCOUNT ANTS
ACCOUNTANTS
 ..
SAY
S A V EE A
A LlF
L I F EE F
FOUNDATION,
OUNDATION, INC
I N C ..

'.' .STATEMENT ACTIVITIES

STATEMENT OF ACTIVITIES
{t'!'
.. :,.;

31.2002
For the Year Ended December r1, 2200
Temporarily
Temporarily
Unrestricted
Unrestricted Restricted
Restricted Total
Total
INCOME
INCOME

Public Support
Public Support
Contributions
Contributions $ 1,353
1,353 $ $ 1,353
1,353
Private Grants
Private Grants 31,500
31,500 31,500
31,500
Contributions In
Contributions In Kind 123,081
123,081 123,081
123.081
Special Events
Special Events Gross
Gross Income
Income 93,606
93,606 93,606
93.606
Total Public
Total Public Support
Support 249,540
249,540 249,'40
249,540

Government Contracts
Government Contracts
State of Illinois -- IDPH
Slate of Illinois IDPH 600,000
600.000 600,000
600,000
State ofIllinois
State of 1l1inois-- DCCA
DCCA 200,000
200,000 200.000
State of
State of Illinois
Illinois -- Attorney
Attorney General
General 25,000 25,000
Federal - HHSlCDC
Federal - HHS/CDC 31,819
31,819 31.819
Total Government
Total Government Contracts
Contracts 25,000
25,000 831,819
831,819 856,819
856,819

Other Income
Other Income
Program Service
Program Service Fees
Fees 31,693
31,693 31,693
31,693
Miscellaneous
Miscellaneous 225
225 225
225
Course Materials
Course Materials 149,980
149.980 149,980
149,980
Branch Fee
Branch Fee (2,916)
(2.916) (2,916)
(2,916)
Membership Dues
Membership Dues 205
205 205
205
Total Other
Total Other Income
Income 179,187
179,187 179,187
179,187

TOTAL INCOME
TOTAL (balances carried
INCOME (balances carried forward)
forward) 453,727
453,727 831,819
831,819 1,285,546
1,285,546

THEACCOMPANYING
THE ACCOMPANYING NOTES
NOTES ARE
AREAN
ANINTEGRAL
INTEGRAL PART
PARTOF
OFTHESE
THESE STATEMENTS
STATEMENTS

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