Short Fonn Fm 990-EZ . Return of Organization Exempt From Income Tax OMB No 1545-1150 Under(except section 501 (c), 527, or 4847(a)(1) ofthe lntemal Revenue Code black lung benefit tiust or pnvate foundation) * Sponsonng organizations of donor advised funds and controlling organizations as defined in section 512(b)(13) must file Form ma use this form open to Pubns Department of the Treasury Y inspection 990 All other organizations with gross receips less than $500,000 and total assets less than $1,250,000 at the end of the year . lntemal Revenue Service * The organization may have to use a copy of this return to satisfy state reporting requirements A For the 2009 calendar B Check if applicable ear, or tax year beginning , 2009, and ending C Address change a or FIGHTING CHANCE, INC. Name change mn or PO BOX 1358 Initial retum 53:. SAG HARBOR, NY 11963 Termination gpeduc D Employer ldeiitticatloii number 0 2 - 0 53 63 8 8 E Telephone number 631-725-4691 Amended return Inmlc* tions. Number * F Group Exemption Application pending P 0 Section 50-gc? o/yanizahbns and 4.947(a%7) nonexempt chanbble b-usb G ACCOUNTING meU"l0d5 I-I Cash Accfual H Check * If the organization is not mu a ch a completed Schedule (Form 9.90 or 990-Z. Other (speci%) l Website: * WWW. FIGHTINGCHANCE . ORG required to attach Schedule B (Form 990, J Tu-exemtstatus(checkonlyone)- ,XI 50l(g) ( 3 ) *(insertno) I I4947(a)(l)or 1 1527 99O"EZ"0r 99O"PF) S, K Check * I Iif the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000. A orm 990-EZ or Form 990 return is not required, but If the organization chooses to file a return, be sure to flle a complete return. L Add lines 5b, 6b, and 7b, to llne 9 to determine gross recelptsg if $500,000 or more, flle Form 990 * 445 234. 1 397,973. instead of Form 990-EZ lPant I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) 1 Contributions, gifts, grants, and similar amounts received Program servlce revenue lncludlng government fees and contracts 2 3 4 b.p Membership dues and assessments . . Investment Income 5a Gross amount from sale of assets other than Inventory 5a Less" cost or other basis and sales ex enses E c Gain or (loss) from sale of assets other than inventory (Subtract In 5b from ln 5a) 6 Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here c 5 Ll reported on line 1) Ga 47 250 . Less: dlrect expenses other than fundraising expenses E 48 339 . a Gross revenue (not including S 127, 220 . of contributions b 6c , -1 089. c Net income or (loss) from special events and activities (Subtract Ilne 6b from line 6a) . b Less: cost of goods soldI 7aI. 7a Gross sales of inventory, less returns and allowances c Gross profit or (loss) from sales of Inventory (Subtract line 7b from line 7a) 8 Other revenue (describe * 9 Total revenue. Add lines 1, 2, 3, 4, Sc, 6c, 7c, and 8 . 10 Grants and similar amounts pald (attach schedule) 7c )*89 396,895. 1o 11 Benefits paid to or for members 12 Salaries, other compensation, and employee benefits 13 Professional fees and other payments to independent contr rs 0 14 Occupancy, rent, utilities, and maintenance . 15 Printing, publications, postage, and shipping , 16 Other expenses (describe * SEE STATEMENT 1 17 Total expenses. Add lines 10 through 16 18 Excess or (deficit) for the year (Subtract line 17 from line 9) 19 20 21 11 12"" 176,413. 13 7,350. 14 27,583. . 15 1 16 155,144. e 17 366,490. 18 30, 405. figure reported on prior year"s return) . Other changes in net assets or fund balances (attach explanation) . Net assets or fund balances at end of year. Combine Innes 18 through 20 .Z0-ll . .. 19 215, 553. Net assets or fund balances at beglnning of year (from Inne 27, column (A)) (must agree with end-of-year . .. e 21 245,958. il, , BRIGIICB Sheets. If Total assets on line 25, column (Q) are $1,250,000 or more file Form 990 instead of Form 990-EZ. (See the instructions for Part ll.) (A) Beglnning of year 22 Cash, savings, and investments . . 23 Land and buildings 25 Totalassets . . .. . . 24 26 Total liabllltles (describe * SEE STATEMENT 3 ) . Other assets (descrlbe * SEE STATEMENT 2 ) f 27 Net assets or fund balances (line 27 of column (Q) must agree with line 21) BAA For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. 1EEAo8o31. oi/so/io (Q) End of year 136,308. 28 255 57,56of 158,596. 33,508. 222, 123. lt 251,443. 6,570. 5,485. 215,553. 245,958. 26 Z/ Form 990-EZ (2009) FIGHTING- CHANGE, INC . 02-0536388 Paqe 2 lPal1IIl I Statement of Program Service Accomplishments (See the instructions.) EXPGHSSS program title. for o ers.) What is the organization"s primary exempt purpose? SEE STATEMENT 4 g3(f?g)I(r3e)dE,f,.?(g fiction Describe what was achieved in carrying out the organization"s exempt urposes. In a clear and concise manner, or anizations and section describe the services provided, the number of persons benefited, or other relevant information for each 49g.71Sa)(l) trusts: optional 28 .Fl QUE NG. SILULNEE .?.BQV.I1.9ES. EQU.NE ELINQ .F 913 .fLUlC.13B.Pl4l7l@il7E AND EEELR. .FEMLLI ES. IEIIOQQH. IIS. EEJQSI "LE, - E052 LN.-EI AND .C.0LiPlRE1iC.E. QE.NI 1211- - - - - -@@--g---@---@------*[email protected] jGrants $ ) If this amount includes foreign grants, rgiecz h-ere ------- --:VT 28a 313, 562 . 29 jGrants S ) lf this amount includes foreign gi*-antsicgriecz here ------- --:VT 29a 30 @--1--th--Q*[email protected]*1.-----..--.- $Grants S ) lf this ann-ciun-t.in-ciidesforeign-gr-arTt5 angel. Fefe ------- --:I-I, 30a 31 Other program services (attach schedule) . jGrants $ ) If this amount includes foreign grants, check here * I-I 31 a 32 Total rogram service expenses (add lines 28a through 31 a) * 32 313, 562 . IPB# IV r List Of 0ffiC8l*S, Dil*8Cf0l*S, TrU$t8B$, Bhd K8y Empl0y66$. List each one even if not compensated. (See the instrs.) (b) Title and average hours (c) Compensation (lf (d) Contributions to (e) Expense account to position eferred compensation (a) Name and address per week devoted not paid, enter -0-.) emtployee benefit plans and and other allowances g-.---1-------1-.--@-1- SEE STATEMENT 5 0. 0. O. [email protected]@-*- [email protected]@...-----..-*[email protected] @-.---.-----.-1--1--1--@ 1-.---1---..@1---@----@- 11..--.------@---------4-. --4---1--.-@[email protected]@---.... [email protected]@-11--.-----q@1 --..--.------@-1---@@--- 1-..------@-------1-1-- 1-.--*@------.--.1------ --,-.-*1-------.------.1- [email protected]@- --..--11-1----.1-1---1-- --@[email protected]@@--1--.-@1--..,..- @@[email protected]@11 .-1.,--.-1------.@-----11- -1.,---1-1---......-.-----1@ ,1.,--.1-----.--.---.----.-.1 -*.,--.1--.----.--.-@-@--@1 [email protected].@1------ --,-------11------1----. --.------.--Q------1----. --..--1-..---.----11--@@-- BAA TEE/iosizi oi/so/io Form 990-EZ (2009) Fofmggo-5242009) FIGHTING -CHANGE INC. oz-0536388 Pages PartV I Other Infomeation (Note the statement requirements in the instrs for Part V.) 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? If "Yes," attach a conformed copy of the changes 33 X 35 If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, attach a statement explaining why the organization did not report the income on Form 990-T reporting, and proxy tax requirements? . . 35a X a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice, b If "Yes," has it filed a tax return on Form 990-T for this year? . . . 35b 36 Did theIforfganization undergo a liquidation, year? " es," complete applicable parts of dissolution, Schedule N termination, or significant disposition of net assets during the 37a Enter amount of political expenditures, direct or indirect, as described in the instructions *I 37aI 0 . b Did the organization file Form 1120-POL for this year? . 38a Did 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 outstanding at the end of the period covered by this return? amount involved 38b N/ A b If "Yes," complete Schedule L, Part II and enter the total a Initiation and capitalorganizations. contributions included on line 39 Sectionfees 501(c)(7) Enter. 9 . 39a N/A b Gross receipts, included on line 9, for public use of club facilities N/A 40a Section 501 (c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 * 0 . 5 section 4912 * 0 . 5 section 4955 * 0 . b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or is it aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization"s prior Forms 990 or 990-EZ? If Yes, complete Schedule L, Part I c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization " by the organization . * 0 40a X managers or disqualified persons during the year under sections 4912, 4955, and 4958 . * 0 . d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T 41 List the states with which a copy of this return is filed * NONE 42a The organization"s books are in care of * QIy-LNEEl,- ------------------ - I Telephone no. * -( 63 l) 725- 4 64 6 Weleda* * .P9.13.0l4.1.3@fi-L5*1if3..P1?lRl39fll*1X ..................... -- ZIP +4 * .1-1553122222:: b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a No financial account in a foreign country (such as a bank account, securities account, or other financial account)? . X lf "Yes," enter the name of the foreign country: * See the instructions for exceptions and filing requirements for Fonn TD F 90-22.1, Report of a Forelgn Bank and Flnanelal Accounts. c At any time during the calendar year, did the organization maintain an office outside of the U.S.? . X If "Yes," enter the name of the foreign country: * 43 Section 4947(a)(l) nonexempt charitable trusts filing Form 990-EZ in lieu of Fonn 1041 - Check here . * III N/A and enter the amount of tax-exempt interest received or accrued during the tax year . . . *I 43 I N/A of Form 990-EZ . . No I 44 Did the organization maintain any donor advised funds? If "Yes," Form 990 must be completed instead X Form 990 must be completed instead of Form 990-EZ 45 X BAA reeaosizi. oi/so/io Form 990-EZ (2009) 45 ls any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? lf "Yes," 3-9 Form 990-EZ (2009) FIGHTING -CHANCE, INC 02-0536388 Pa e 4 lPart Vl 1 Secti-on 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 46-49b and complete the tables for lines 50 and 51. 46 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I 47 Dld the organization engage In lobbying activities? ll" "Yes," complete Schedule C, Part ll . 48 ls the organization a school as described in section 170(b)(1)(A)(il)? If "Yes," complete Schedule E 49a Did the organization make any transfers to an exempt non-charitable related organization? b If "Yes," was the related organization a section 527 organization? 50 Complete this table for the organization"s tive highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. lf there ls none, enter "None " (b)Title and average (c)Compensati fi o on nu(d)C onstrib to emJaloyee (e) Expense (I) Name andthan address of eachdevoted employee paid hours per week benefit plansother an account and more $100,000 to position deferred compensation allowances .NQNE ................... - f Total number of other employees paid over $100,000 * 51 Complete this table for the organlzatlon*s five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None." (I) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation NONE Sign .................... -- -1-- x------------- dTotal number of other independent contr ctors a releivlng over $100,000 . . * Y i I , ldgder e, corr/, penaltles ec, an comp gf periuiry, I geclare l h ve d thi relum, including and statements, e e eclaratlon ofthat eparer o erexa th in n officer) is based on allaccompanying information ofschedules which preparer has any and wle to geest y knowledge and belief, it is / Hero nature of officer V Date , DUNCAN DARROW PRESIDENT & CEO Type or pnnt name and title * Pre arer"s Date check If I(,gggaihesrtrI1t:ctieTiis,)yIng Number 5:16#-Iirm"s s.g3am,.name * Sting- or 1 wh & I 3/09/1o Zfllsioyed -VltPoo174355 02265 23,:p"T.,$,Z3*f2( v Po Box 1307 ( 1 Em - 11-2883699 Only %p"3i?"*"" SOUTHAMPTON, NY 11969-1307 Pima - (631) 283-2370 BAA Form 990-EZ (2009) May the IRS discuss this return with the preparer shown above? See instructions *txt Yes t t No TEEAOsi2L oirso/io OMB No 1545-0047 SCHEDULE A (F emi 990 or 990-EZ) 2009 I " Public Charity Status and Public Support Complete if the organization Is a sectlon 501(c)(3) or a section 4947(a)(1) nonexempt charitab eorganlzatlon trust. Department of the Treasury Intemal Revenue Service * Attach to Form 990 or Fonn 990-EZ. * See separate Instructions. Name of the organization toPdm oizmumonc Employer lileiitltlcatleii number FIGHTING CHANCE, INC. IOZ-0536388 IPartl #Reason for Public Chanty Status (All organizations must complete this part.) See instructions The o@nization is not a private foundation because it is: (For lines 1 through I I, check only one box.) 1 A church, convention of churches or association of churches described in sectlon170(bX1XAXl). 2 A school described in sectlon170(bX1)(AXll). (Attach Schedule E.) A hospital or cooperative hospital service organization described in section 170(bX1XA)(lil). A medical research organization operated in conjunction with a hospital described in sectlon170(bX1)(AXlii). Enter the hospital"s name, city, and state: ------------------------------------------------- - 5 6 7 X B An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(bX1XAXiv). (Complete Part ll.) A federal, state, or local government or governmental unit described in section 170(bX1XAXv). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(bX1XA)(vi). (Complete Part ll.) A community trust described in sectIon170(b)(1XAXvi). (Complete Part ll.) 9 An organization that normally receives: (1) more than 33-1/3 % ofexceptions, its support and from(2) contributions, and gross receipts from activities related to its exempt functions - subject to certain no more thanmembershya 33-1/3 "0 offees, its support from gross investment income and unrelated business taxable income (less section 51 1 tax) from businesses acquired by the organization after June 30, 1975. See sectlon 509(a)(2). (Complete Part Ill.) An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 10 11 An organization organizedorganizations and operated exclusively the benefit of, toorperform functionsSee of, section or cag-,rg out theCheck purposes one or more publicly supported described infor section 509(a)(l) sectionthe 509(a)(2). 9(aX3). the of box that describes the type of supporting organization and complete lines lle through 11h. a IjType I b IjType ll c EI Type Ill - Functionally integrated d D Type Ill- Other By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified ersons other check this box . . a. gfbagiarz f)o(g?dation managers and other than one or more publicly supported organizations described in section 509(a)(1g)or section f If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization, lj I 9 Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) No below, the governing body of the supported organization? . : (Ill) a 35% controlled entity of a person described in (I) or (ii) above? (ll) a family member of a person described in (i) above? h Provide the following information about the supported organizations. Ili. (I) Name of Supported (ll) EIN (ll1)Type ol organization (ht) ls the (ll) Did you notify (VI) Is the (Vll)Amount of Support Organization (descnbed on lines 1-9 or anization in col the organization in organization in col above or IRC section 5 listed in your col U) of G) organized in the (see lneUlldl0lio)) iovemintg, ocumen your support? U S 7 Yes No Yes No Yes No I I I Total BAA For Privacy Act and Paperwoit Reductlon Act Notice, see the Instructions for Fonn 990 or 990-EL Schedule A (Form 990 or 990-EZ) 2009 TEEA040lL 02/05/10 Schedule A (Form 990 or 990-EZ) 2009 FIGHTING CHANCE, INC . O2-0536388 Page 2 I art tl 1Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part 1.) Section A. Public Support Calend-ar year (or fiscal year beglnning ln) * Gifts, grants, contributions and membership fees received. Do not include "unusual grants) Tax revenues levied for the (a) 2005 (b) 2006 (c) 2007 (d) 2008 269,111 356,283. 370,164. 397,973. (e) 2009 (f) Total 1,393,531. organizations and ei er paid to itbenefit or expended on its behalf . 0. The valuefurnished of services or acilities to the orgtanifgatiop a gogernmtental uni wi ou c by arge. o no include the value of services or facilities furnished to the publicgenerally withou charge Total. Add lines 1-through 3 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (0 269,111 356,283. 370,164. ..................... . 0. 397, 973 o. 1,393,531. 837,237. Public support. Subtract line 5 from line 4 . 556,294. 1 Section B. Total Support Calendar year (or fiscal year beginning in) * Amounts from line 4 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income form similar sources Net income from unrelated business activities, whether or not the business is regularly carried on . Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV.) . . through 10 . Total support. Add lines 7 (e) 2009 (f) Total (a) 2oo5 (b) 2006 (c) 2007 (d) 2008 269,111 356,283. 370,164 397,973 o. 1,393,531. 225 873. 711 11 1,920. 0. 1ll Gross receipts from related activities, etc. (see instructions) 0. I12 0. . 1,395,351. organization, check this box and stop here * II(-L First five years. lf the Form 990 is for the organization"s first, second, third, fourth, or fifth tax year as a section 501 (c)(3) Section C. Computation of Public Support Percentage 14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f) 14 % 15 Public support percentage from 2008 Schedule A, Part ll, line 14 . . . % .. -Q 16a 33-1I3support test - 2009. lf the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box and stop here. The organization qualifies as a publicly supported organization . rifj b 33-1/3 support test - 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . 17a 10%-facts-and-clrcumstances test - 2009 If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization. * EI b 10%-factsfand-clrcumstances test - 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the AA Schedule A (Form 990 or 990-EZ) 2009 18 Private foundation. lf the did not check a box line,organization 13, 16a, 16b,qualifies 17a, or 17b, this box and seeorganization. instructions * * H organization meets theorganization "facts-and-circumstances* test.onThe as acheck publicly supported TEEA0402L l0KJ8l09 Schedule A Form 990 or 990-EZ) 2009 FIGHTING CHANCE) INC . 02-0536388 Page 3 art Ill Support Schedule for Organizations Descn bed in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I.) Section A. Public Support Calendar year (or fiscal yr lieglnnlng In) * (g) 2005 (E) 2006 (5) 2007 (Q 2008 (g) 2009 (9 Total 1 Gifts, grants, contributions and membership not include "unusual fees received. grants."S00 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in a activity that is related to the organization*s tax-exempt purpose . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied for the organization"s benefit and either paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines l through 5 7a Amounts included on lines l, 2, 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of 1% of the amount on line I3 for the year . . 7c from line 6.) E 8 Publlc support (Subtract line . c Add lines 7a and 7b . Section B. Total Sup-port Calendar year(or fiscal yr beginning in) * 9 Amounts from line 6 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income form similar sources b Unrelated business taxable income (less section 51 l taxes) from businesses acquired after June 30, 1975 c Add lines l0a and l0b Q) 2005 (I3) 2006 (Q 2007 (Q 2008 (2) 2009 (9 Total 11 Net income from unrelated business activities not included inline l0b, whether or not the business is regularly carried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 13F Total support. (iii im, ior, ii,miiiz) my g 1 f H , , 1 rst t1ve yea . e 9 0 organization, check this box and stop here . I-L 14 I rs If th Form 9 is for the organization"s first, second, third, fourth, or fifth tax year as a section 50l(c)(3) , Section C. Computation of Public Support Percentage 15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)) 16 Public support percentage from 2008 Schedule A, Part Ill, line I5 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2009 (line l0c, column (f) divided by line I3, column (f)) 18 Investment income percentage from 2008 Schedule A, Part Ill, line I7 . . 15 % 16 *A 17 % III % 19a 33-113 support tests - 2009. lf the organization did not check the box on line I4, and line I5 is more than 33-I/3%, and line I7 is not more than 33-I/3%, check this box and stop here. The organization qualifies as a publicly supported organization . * b 33-1/3 support tests - 2008. If the organization did not check a box on line I4 or l9a, and line I6 is more than 33-I/3%, and line I8 is not more than 33-I/3%, check this box and stop here. The organization qualifies as a publicly supported organization . * 20 Private foundation. If the organization did not check a box on line 14, l9a, or l9b, check this box and see instructions * III. BAA has/io4oaL oz/is/io Schedule A (Form 990 or 990-EZ) 2009 Schedule A orm 990 or 990 EZ) 2009 FIGHTING CHANCE, INC 02-053 6388 Page4 IParttV CISupplamentaI Infomation. Complete this part to provide the explanations required by Part ll, line 101 Part II, line 17a or l7b: and Part Ill, line 12. Provide any other additional information. See instructions. -*@11--@[email protected]@---,---.,@-------1--1-@*--.--@- @[email protected]@1113-@[email protected]*--.--*--@@@[email protected]@[email protected]..@[email protected] [email protected]@[email protected]@------i--.--.--.-..--.....----------....--- -1--..--Q*-1---.1--Q-1--Q-.1--..-1-...-11-@-----1--.@1---1---@[email protected]@-.--@--@ [email protected]*@[email protected] ----.1---11----1--@11--tg-*-1----*Q1--*[email protected]@1--- [email protected].@---@--------1-------1-*@[email protected]*.-- --.11*1-...-1--@----11*-.1------.-@-----*@[email protected]@1i-1--@--@@---*@.-- [email protected]@---.1--..-----1-*..-1-@11-*@[email protected]@1.-- ---..1-...-.--.1--11---1--...-------*[email protected]@.-----.1---...1--.-1-----1--. [email protected]@1--@1-Q1----1-P-.@---*...----- --@-1---,1------Q--1---11---1---.---1--.....-*..---...---@[email protected]@.-- *[email protected]@[email protected]@-1*-.---@[email protected]@-1 --*[email protected]@1-.-1-.----*1-@[email protected]@[email protected].,-1-@- [email protected]@----.-.---*.------*[email protected]@1-------.--- --*.--.--1-1---Q1-Q11--1--@-----@[email protected]@11--,----.--.-.-.- [email protected]*@[email protected]@--@@---.-.----.---.-.- --.1-1---1@[email protected]*---1--...----.----- .---1-----.1--.---.-@1----*@-Q*-1---Q*[email protected]@-.-@11-1---@ BAA 1EEAo4o4L 02/os/io Schedule A (Form 990 or 990-EZ) 2009 OMB No I545-0047 HE 29.... 990".5595*.Ez, "Su lemental Infonnation Re arding Fqieidraising or Gaming Acta/ities Complete If the organization answered"Yes" to Form 990, Part N, lines 17, 18, Department of the Treasury Intemal Revenue Service or 19,*or If the organization more 990-EZ than $15,000 on separate Form 990-EZ, line Ga. Oggtn Pubilc Attach to Fonn990entered or F orm * See Instructions. petition Name of the organization Employer ldeiitfilcaflon nilniber FIGHTING CHANCE, INC. N02-0536388 i P8111 Fundraising Activities. if the organization answered Form 990EZ filersComplete are not required to complete this part. Yes" to Form 990, Part IV, line I7. 1 Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations Solicitation of non-government grants Internet and email solicitations Solicitation of government grants Phone solicitations Special fundraising events ln-person solicitations 2a Did the organization have written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity In connection with professional fundraising services? . I:-IYes UN b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (v Amount paid to (I) Name df individual (il) Activity (III) Did fundraiser (lv) Gross receipts (or retained by) (vi) Amount paid to or entity (fundraiser) have custody or control from activity fundraiser listed in (or retained by) of contributions? col.(i) organization Yes No I P Total 3 List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registratlon or licensing. BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule G (Form 990 or 990-EZ) 2009 TEEA370IL 02/05/10 Schedule G (Form 990 or 990-EZ) 2009 FIGHTING CHANCE, INC . 02-0536388 Page 2 IPMUI I Fundraising Events. Complete :fthe orgamzatlon answered Yes to Form 990, Part IV, lnne 18, or reported more than $15,000 on Form 990-EZ, lane 6a. Lust events with gross receipts greater than $5,000. (a) Event #1 (b) Event #2 (c) Other Events (d) Total Events SUMMER 1 (Add number) egg-,(Qg)*g"f0UQ" (eventGALA type)001.1* (event0U"r1NG type) (total l 1 Gross receipts . 99, 760. 61, 935. 2 Less: Charltable contributlons 88 , 510 . 25,935 12,775. 174,470. 12,775. 127,220. 3 Gross income (Ilne 1 mlnus line 2) ll, 250 . 36,000 47,250. 10,621 34,729. 4 Cash prizes 5 Noncash prizes 6 Rent/facility costs 24 , 108 . 7 Food and beverages B Entertainment . 1, 500. 1,500. 9 Other direct expenses 12, 110 . 12,110. ** 48,339. 1 089 -(L 10 Direct expense summary. Add lines 4 through 9 In column (d). 11 Net Income summary. Combine lines 3, column (Q and line 10 . IParlIIIl Gaming. Complete If the organizatlon answered "Yes" to Form 990, Part lV, lane 19, or reported more than $15,000 on Form 990-EZ, llne 6a. (a) Bingo (b) Pull tabs/Instant (c) Other gaming (d) Total aming Eingo col. (c)) bingo/ rogresslve (Add col. (ag through 1 Gross revenue 2 Cash prizes 3 Non-cash prlzes 4 Rent/facillty costs 5 Other dlrect expenses 6 Volunteer labor Yes Yes No % Yes % No96No P 7 Direct expense summary. Add lines 2 through 5 in column (d) P 8 Net gaming income summary. Combine llnes 1, column (Q) and llne 7 .a YES NO 9 Enter the state(s) in which the organization operates gaming activities: a ls the organization licensed to operate gaming activities In each of these states? ,.21-...-. b lf "No,* explain: --Q-QQ----.11--1---1 10a Were any of the organization*s gamlng licenses revoked, suspended or terminated during the tax year? . 10a b lf "Yes," explaln: 11 Does the organization operate gamlng activities with nonmembers? ---.-.-----*Q --..--1--1*----1---1 1 12 lsadminister the organization grantor, beneficlary or trustee of a trust or a member of a partnership or other entlty formed to 2 I 1 charitable agaming? BAA TEE/t3702L 02/05/to Schedule G (Form 990 or 990-EZ) 2009 * " * YES N0 Schedule G (Form 990 or 990-EZ) 2009 FIGHTING CHANCE, INC . 02-0536388 Page 3 abAnThe organization*s facility 13a outside facility . 13 Indicate the percentage of gaming activity operated in: 14 Enter the name and address of the person who prepares the organization*s gaming/special events books and records: Name: * -------------------------------------------------- -. Address: : - - - - - - - - - - * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- 15a Does the organization have a contact with a third party from whom the organization receives gaming revenue? 15a b If "Yes," enter the amount of gaming revenue received by the organization $ and the amount X of gaming revenue retained by the third party $ . c If *Yes," enter name and address of the third party: Name: * - - - - - - - - - * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- Address: : ------------------------------------------------- - 16 Gaming manager information Name: * -------------------------------------------------- - Gaming manager compensation * $ Description of services provided: * ------------------------------------- - EI Director/officer EI Employee EI Independent contractor 17 Mandatory distributions state gaming license? . 17a a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization"s own exempt activities during the tax year: * $ BAA TEEA37o3L oz/os/io Schedule G (Form 990 or 990-EZ) 2009 2009 FEDERAL STATEMENTS PAGE 1 02-0536388 FIGHTING CHANCE, INC. 3/09/10 09:41AM $. STATEMENT 1 FORM 990-EZ, PART I, LINE 16 OTHER EXPENSES MARKETING 33,397 12,164 3,024 1,173. 5,427 5,750 PROGRAM SERVICE TELEPHONE TRAVEL 20,690 70,582 2,369 233. ADVERTISING AND PROMOTION, BOOKKEEPING DEPRECIATION DUES & SUBSCRIPTIONS INSURANCE . MEALS . OFFICE EXPENSES . 335 TOTAL S 155,144. STATEMENT 2 FORM 990-EZ, PART II, LINE 24 OTHER ASSETS BEGINNING FURNITURE AND FIXTURES INTANGIBLE ASSETS ENDING $ 3,886. $ 3,276 39,972 39,973 MACHINERY AND EQUIPMENT 6,376 PREPAID EXPENSES AND DEFERRED CHARGES 3,725 7,633 3,638 4 210 SECURITY DEPOSITS .. . . 4 210 3 SE 339 TQTAL 3 5*7"""55, o STATEMENT 3 FORM 990-EZ, PART II, LINE 26 TOTAL LIABILITIES BEGINNING ACCOUNTS PAYABLE AND ACCRUED EXPENSES $ 6,570 ENDING . 35,485. 5,485. TOTAL "$ 6, 570 . S STATEMENT 4 FORM 990-EZ, PART III ORGANIZATION"S PRIMARY EXEMPT PURPOSE FIGHTING CHANCE IS A HOT LINE-TYPE COUNSELING CENTER, FOR THE NON-MEDICAL LIFESTYLE ISSUES ASSOCIATED WITH CANCER, AS WELL AS AN INFORMATION CLEARINGHOUSE AND RESOURCE CENTER. THE CENTER IS LOCATED IN SAG HARBOR, NY, AND PROVIDES SERVICES TO CANCER PATIENTS, AND THOSE THAT CARE FOR THEM, IN SUFFOLK COUNTY, NEW YORK. 2009 FEDERAL STATEMENTS PAGE 2 3/09/10 09.41/uv: FIGHTING CHANCE, INC. 02-0536388 STATEMENT 5 FORM 990-EZ, PART IV LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TITLE AND CONTRI- EXPENSE AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/ @. ADDRESS# PER WEEK DEVOTED SAIIQN .EBP & DC OTHEB DUNCAN DARROW PRESIDENT & CEO $ 0. $ 0. $ 0. PO BOX 1358 10.00 SAG HARBOR, NY 11963 BETSY BATTLE 12 EAST 86TH ST DIRECTOR 1.00 NEW YORK, NY 10028 ANTHONY BRANDT 54 HIGH ST DIRECTOR 1.00 SAG HARBOR, NY 11963 LISA MATLIN DIRECTOR SUE DAVIES 97 MIDDLE LN EASTHAMPTON, NY 11937 DIRECTOR BARBARA MLAUGHLIN DIRECTOR PO BOX 1358 SAG HARBOR, NY 11963 PO BOX 1358 SAG HARBOR, NY 11963 BEN GILLIKIN 415 EAST 54TH ST 1.00 1.00 1.00 DIRECTOR 1.00 NEW YORK, NY 10022 CATHY PEACOCK PO BOX 1358 SAG HARBOR, NY 11963 RICHARD PERLMAN PO BOX 1358 SAG HARBOR, NY 11963 DR PETER BACH PO BOX 58 SAG HARBOR, NY 11963 EDWARD TIRRELL 39 WEST 67TH ST APT - 1204 DIRECTOR 1.00 DIRECTOR 1.00 DIRECTOR 1.00 DIRECTOR 1.00 NEW YORK, NY 10023 DR. MARTIN KARPEH PO BOX 1358 SAG HARBOR, NY 11963 DIRECTOR 1.00 0. O. 0. 0. 0. O. O. 0. 0. 0. 0. 0. 0. O. 0. 0. 0. 0. O. 0. 0. 0. 2009 FEDERAL STATEMENTS PAGE 3 3/09/10 09-41AM FIGHTING CHANCE, INC. 02-0536388 STATEMENT 5 (CONTINUED) FORM 990-EZ, PART IV LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES TITLE AND CONTRI- EXPENSE AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/ W .BE.B.WEE1K..I2EYOTED SAILIQN A .EBP 5: DC OTEIEB. DR. DIRECTOR $ 0. $ 0. $ 0. PORENU BOXHAUSEN 1358 1.00 SAG HARBOR, NY 11963 TOTALE o. 3 o. 3 o.
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