I Information about Form 990 and its instructions is at Inspection

Transcription

1 OMB No Return of Organization Exept Fro ncoe Tax For 990 Under section 501(c), 57, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ¹ Do not enter social security nuers on this for as it ay e ade pulic. Open to Pulic Departent of the Treasury nternal Revenue Service nforation aout For 990 and its instructions is at nspection A For the 015 calendar year, or tax year eginning 07/01, 015, and ending 06/0, 0 16 B J Check if applicale: Address change Nae change nitial return C Nae of organization Nuer and street (or P.O. ox if ail is not delivered to street address) Roo/suite D Eployer identification nuer E Telephone nuer Final return/ City or town, state or province, country, and ZP or foreign postal code terinated Aended NEW YORK, NY G Gross receipts $ 14,45,988. return Application F Nae and address of principal officer: BRAN MULLANEY H(a) s this a group return for Yes No pending suordinates? 411 FFTH AVENUE, SUTE 70, NEW YORK, NY H() Are all suordinates included? Yes No Tax-exept status: 501(c)() 501(c) ( ) (insert no.) 4947(a)(1) or 57 f "No," attach a list. (see instructions) J Wesite: H(c) Group exeption nuer K For of organization: Corporation Trust Association Other L Year of foration: M State of legal doicile: Suary Activities & Governance Revenue Expenses Net Assets or Fund Balances 0 1 Part WONDERWORK, NC Doing usiness as 0/0/0, BURNRESCUE, & FRSTSTEP 411 FFTH AVENUE, SUTE 70 (1) DE Part 1 Briefly descrie the organization's ission or ost significant activities: TO PROVDE FREE SURGERY TO NDGENT CHLDREN AND ADULTS, FNANCAL SUPPORT FOR LOCAL HOSPTALS AND RASE AWARENESS ABOUT THE LACK OF ACCESS TO SURGERY N DEVELOPNG COUNTRES. Check this ox if the organization discontinued its operations or disposed of ore than 5% of its net assets. Nuer of voting eers of the governing ody (Part V, line 1a) 4 Nuer of independent voting eers of the governing ody (Part V, line 1) 4 5 Total nuer of individuals eployed in calendar year 015 (Part V, line a) 5 6 Total nuer of volunteers (estiate if necessary) 6 7a Total unrelated usiness revenue fro Part V, colun (C), line 1 7a Net unrelated usiness taxale incoe fro For 990-T, line 4 7 Prior Year 8 Contriutions and grants (Part V, line 1h) 9 Progra service revenue (Part V, line g) 10 nvestent incoe (Part V, colun (A), lines, 4, and 7d) 11 Other revenue (Part V, colun (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1 Total revenue - add lines 8 through 11 (ust equal Part V, colun (A), line 1) 1 Grants and siilar aounts paid (Part, colun (A), lines 1-) 14 Benefits paid to or for eers (Part, colun (A), line 4) 15 Salaries, other copensation, eployee enefits (Part, colun (A), lines 5-10) 16 a Professional fundraising fees (Part, colun (A), line 11e) Total fundraising expenses (Part, colun (D), line 5) 1,516,7. 17 Other expenses (Part, colun (A), lines 11a-11d, 11f-4e) 18 Total expenses. Add lines 1-17 (ust equal Part, colun (A), line 5) 19 Revenue less expenses. Sutract line 18 fro line 1 Total assets (Part, line 16) Total liailities (Part, line 6) Net assets or fund alances. Sutract line 1 fro line 0 Signature Block Beginning of Current Year Current Year End of Year Under penalties of perjury, declare that have exained this return, including accopanying schedules and stateents, and to the est of y knowledge and elief, it is true, correct, and coplete. Declaration of preparer (other than officer) is ased on all inforation of which preparer has any knowledge ,96,69. 10,460,884.,54,6. 179,1.,059. 4, ,65,59 10,674,551. 1,99,50,094,60 1,617,55. 1,40,8. 9,50 8,684,99. 19,519,997. 1,94,51.,7,45.,58,9. -1,66, ,545,08. 18,516,56. 9,86,11 6,01,406. 4,708,97. -7,784,87 Sign Here M Signature of officer Date M Type or print nae and title Print/Type preparer's nae Preparer's signature Date Check if PTN Paid PAUL HAMMERSCHMDT 5/15/017 self-eployed P Preparer Fir's nae Use Only BDO USA, LLP Fir's address 100 PARK AVENUE NEW YORK, NY May the RS discuss this return with the preparer shown aove? (see instructions) Yes No Fir's EN Phone no. For Paperwork Reduction Act Notice, see the separate instructions. For 990 (015) 5E ME 70V 5/15/017 :50:8 PM V PAGE 1

2 For 990 (015) Page Part Stateent of Progra Service Accoplishents Check if Schedule O contains a response or note to any line in this Part 1 Briefly descrie the organization's ission: ATTACHMENT 1 WONDERWORK, NC f "Yes," descrie these new services on Schedule O. Did the organization undertake any significant progra services during the year which were not listed on the prior For 990 or 990-EZ? Yes No Did the organization cease conducting, or ake significant changes in how it conducts, any progra services? Yes No f "Yes," descrie these changes on Schedule O. 4 Descrie the organization's progra service accoplishents for each of its three largest progra services, as easured y expenses. Section 501(c)() and 501(c)(4) organizations are required to report the aount of grants and allocations to others, the total expenses, and revenue, if any, for each progra service reported. 4a (Code: ) (Expenses $ 1,445,199. including grants of $,094,60 ) (Revenue $ ) WONDERWORK, NC. EMPOWERS AND PARTNERS WTH LOCAL SURGEONS, HOSPTALS AND CHARTABLE ORGANZATONS ENGAGED N THE DELVERY OF LFE-CHANGNG SURGERY AND RELATED CARE BY PROVDNG TRANNG AND EDUCATON, FNANCAL SUPPORT AND EQUPMENT. WONDERWORK ALSO EDUCATES DOCTORS AND RASES PUBLC AWARENESS ON NEEDED SURGCAL CARE AND RELATED TREATMENT FOR UNDERSERVED POPULATONS WTH DSABLTES. 4 (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4d Other progra services (Descrie in Schedule O.) (Expenses $ including grants of $ ) (Revenue $ ) 4e Total progra service expenses 1,445,199. 5E For 990 (015) 056ME 70V 5/15/017 :50:8 PM V PAGE

3 For 990 (015) Page Part V a Checklist of Required Schedules s the organization required to coplete Schedule B, Schedule of Contriutors (see instructions)? Did the organization engage in direct or indirect political capaign activities on ehalf of or in opposition to candidates for pulic office? f "Yes," coplete Schedule C, Part Section 501(c)() organizations. Did the organization engage in loying activities, or have a section 501(h) election in effect during the tax year? f "Yes," coplete Schedule C, Part s the organization descried in section 501(c)() or 4947(a)(1) (other than a private foundation)? f "Yes," coplete Schedule A 1 s the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives eership dues, assessents, or siilar aounts as defined in Revenue Procedure 98-19? f "Yes," coplete Schedule C, Part Did the organization aintain any donor advised funds or any siilar funds or accounts for which donors have the right to provide advice on the distriution or investent of aounts in such funds or accounts? f "Yes," coplete Schedule D, Part Did the organization receive or hold a conservation easeent, including easeents to preserve open space, the environent, historic land areas, or historic structures? f "Yes," coplete Schedule D, Part Did the organization aintain collections of works of art, historical treasures, or other siilar assets? f "Yes," coplete Schedule D, Part Did the organization report an aount in Part, line 1, for escrow or custodial account liaility, serve as a custodian for aounts not listed in Part ; or provide credit counseling, det anageent, credit repair, or det negotiation services? f "Yes," coplete Schedule D, Part V Did the organization, directly or through a related organization, hold assets in teporarily restricted endowents, peranent endowents, or quasi-endowents? f "Yes," coplete Schedule D, Part V 11 f the organization s answer to any of the following questions is "Yes," then coplete Schedule D, Parts V, V, V,, or as applicale. a Did the organization report an aount for land, uildings, and equipent in Part, line 10? f "Yes," c d e f a WONDERWORK, NC coplete Schedule D, Part V Did the organization report an aount for investents-other securities in Part, line 1 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," coplete Schedule D, Part V Did the organization report an aount for investents-progra related in Part, line 1 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," coplete Schedule D, Part V Did the organization report an aount for other assets in Part, line 15 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," coplete Schedule D, Part Did the organization report an aount for other liailities in Part, line 5? f "Yes," coplete Schedule D, Part Did the organization s separate or consolidated financial stateents for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FN 48 (ASC 740)? f "Yes," coplete Schedule D, Part Did the organization otain separate, independent audited financial stateents for the tax year? f "Yes," coplete Schedule D, Parts and See Schedule O Was the organization included in consolidated, independent audited financial stateents for the tax year? f "Yes," and if the organization answered "No" to line 1a, then copleting Schedule D, Parts and is optional s the organization a school descried in section 170()(1)(A)(ii)? f "Yes," coplete Schedule E Did the organization aintain an office, eployees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of ore than $10,000 fro grantaking, fundraising, usiness, investent, and progra service activities outside the United States, or aggregate foreign investents valued at $100,000 or ore? f "Yes," coplete Schedule F, Parts and V Did the organization report on Part, colun (A), line, ore than $5,000 of grants or other assistance to or for any foreign organization? f "Yes," coplete Schedule F, Parts and V Did the organization report on Part, colun (A), line, ore than $5,000 of aggregate grants or other assistance to or for foreign individuals? f "Yes," coplete Schedule F, Parts and V Did the organization report a total of ore than $15,000 of expenses for professional fundraising services on Part, colun (A), lines 6 and 11e? f "Yes," coplete Schedule G, Part (see instructions) Did the organization report ore than $15,000 total of fundraising event gross incoe and contriutions on Part V, lines 1c and 8a? f "Yes," coplete Schedule G, Part Did the organization report ore than $15,000 of gross incoe fro gaing activities on Part V, line 9a? f "Yes," coplete Schedule G, Part a 11 11c 11d 11e 11f 1a a Yes No For 990 (015) 5E ME 70V 5/15/017 :50:8 PM V PAGE

4 WONDERWORK, NC For 990 (015) Page 4 Part V Checklist of Required Schedules (continued) 0 a 1 4 a d 5 a a c a c 5E Did the organization operate one or ore hospital facilities? f "Yes," coplete Schedule H f "Yes" to line 0a, did the organization attach a copy of its audited financial stateents to this return? Did the organization report ore than $5,000 of grants or other assistance to any doestic organization or doestic governent on Part, colun (A), line 1? f "Yes," coplete Schedule, Parts and Did the organization report ore than $5,000 of grants or other assistance to or for doestic individuals on Part, colun (A), line? f "Yes," coplete Schedule, Parts and Did the organization answer "Yes" to Part V, Section A, line, 4, or 5 aout copensation of the organization's current and forer officers, directors, trustees, key eployees, and highest copensated eployees? f "Yes," coplete Schedule J Did the organization have a tax-exept ond issue with an outstanding principal aount of ore than $100,000 as of the last day of the year, that was issued after Deceer 1, 00? f "Yes," answer lines 4 through 4d and coplete Schedule K. f "No," go to line 5a Did the organization invest any proceeds of tax-exept onds eyond a teporary period exception? Did the organization aintain an escrow account other than a refunding escrow at any tie during the year to defease any tax-exept onds? Did the organization act as an "on ehalf of" issuer for onds outstanding at any tie during the year? Section 501(c)(), 501(c)(4), and 501(c)(9) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? f "Yes," coplete Schedule L, Part s the organization aware that it engaged in an excess enefit transaction with a disqualified person in a prior year, and that the transaction has not een reported on any of the organization's prior Fors 990 or 990-EZ? f "Yes," coplete Schedule L, Part Did the organization report any aount on Part, line 5, 6, or for receivales fro or payales to any current or forer officers, directors, trustees, key eployees, highest copensated eployees, or disqualified persons? f "Yes," coplete Schedule L, Part Did the organization provide a grant or other assistance to an officer, director, trustee, key eployee, sustantial contriutor or eployee thereof, a grant selection coittee eer, or to a 5% controlled entity or faily eer of any of these persons? f "Yes," coplete Schedule L, Part Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part V instructions for applicale filing thresholds, conditions, and exceptions): A current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Part V A faily eer of a current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Part V An entity of which a current or forer officer, director, trustee, or key eployee (or a faily eer thereof) was an officer, director, trustee, or direct or indirect owner? f "Yes," coplete Schedule L, Part V Did the organization receive ore than $5,000 in non-cash contriutions? f "Yes," coplete Schedule M Did the organization receive contriutions of art, historical treasures, or other siilar assets, or qualified conservation contriutions? f "Yes," coplete Schedule M Did the organization liquidate, terinate, or dissolve and cease operations? f "Yes," coplete Schedule N, Part Did the organization sell, exchange, dispose of, or transfer ore than 5% of its net assets? f "Yes," coplete Schedule N, Part Did the organization own 100% of an entity disregarded as separate fro the organization under Regulations sections and ? f "Yes," coplete Schedule R, Part Was the organization related to any tax-exept or taxale entity? f "Yes," coplete Schedule R, Part,, or V, and Part V, line 1 Did the organization have a controlled entity within the eaning of section 51()(1)? f "Yes" to line 5a, did the organization receive any payent fro or engage in any transaction with a controlled entity within the eaning of section 51()(1)? f "Yes," coplete Schedule R, Part V, line Section 501(c)() organizations. Did the organization ake any transfers to an exept non-charitale related organization? f "Yes," coplete Schedule R, Part V, line Did the organization conduct ore than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal incoe tax purposes? f "Yes," coplete Schedule R, Part V Did the organization coplete Schedule O and provide explanations in Schedule O for Part V, lines 11 and 19? Note. All For 990 filers are required to coplete Schedule O. 0a 0 1 4a 4 4c 4d 5a a 8 8c a Yes No For 990 (015) 056ME 70V 5/15/017 :50:8 PM V PAGE 4

5 For 990 (015) Page 5 Part V 4a Stateents Regarding Other RS Filings and Tax Copliance Check if Schedule O contains a response or note to any line in this Part V Yes 1a 1a 11 1 c Did the organization coply with ackup withholding rules for reportale payents to vendors and reportale gaing (galing) winnings to prize winners? 1c a Enter the nuer of eployees reported on For W-, Transittal of Wage and Tax Stateents, filed for the calendar year ending with or within the year covered y this return a 1 f at least one is reported on line a, did the organization file all required federal eployent tax returns? See instructions for filing requireents for FinCEN For 114, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transaction at any tie during the tax year? Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? c f "Yes" to line 5a or 5, did the organization file For 8886-T? 6a Does the organization have annual gross receipts that are norally greater than $100,000, and did the 7 a 8 1 a c d e f g h a Gross receipts, included on For 990, Part V, line 1, for pulic use of clu facilities 11 Section 501(c)(1) organizations. Enter: a Gross incoe fro eers or shareholders Gross incoe fro other sources (Do not net aounts due or paid to other sources a Enter the nuer reported in Box of For Enter -0- if not applicale Enter the nuer of Fors W-G included in line 1a. Enter -0- if not applicale Note. f the su of lines 1a and a is greater than 50, you ay e required to e-file (see instructions) Did the organization have unrelated usiness gross incoe of $1,000 or ore during the year? f "Yes," has it filed a For 990-T for this year? f "No" to line, provide an explanation in Schedule O At any tie 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 ank account, securities account, or other financial account)? f Yes, enter the nae of the foreign country: organization solicit any contriutions that were not tax deductile as charitale contriutions? f "Yes," did the organization include with every solicitation an express stateent that such contriutions or gifts were not tax deductile? Organizations that ay receive deductile contriutions under section 170(c). Did the organization receive a payent in excess of $75 ade partly as a contriution and partly for goods and services provided to the payor? f "Yes," did the organization notify the donor of the value of the goods or services provided? Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file For 88? f "Yes," indicate the nuer of Fors 88 filed during the year 7d Did the organization receive any funds, directly or indirectly, to pay preius on a personal enefit contract? Did the organization, during the year, pay preius, directly or indirectly, on a personal enefit contract? f the organization received a contriution of qualified intellectual property, did the organization file For 8899 as required? f the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a For 1098-C? Sponsoring organizations aintaining donor advised funds. Did a donor advised fund aintained y the sponsoring organization have excess usiness holdings at any tie during the year? 10a 10 9 Sponsoring organizations aintaining donor advised funds. a Did the sponsoring organization ake any taxale distriutions under section 4966? Did the sponsoring organization ake a distriution to a donor, donor advisor, or related person? 10 Section 501(c)(7) organizations. Enter: nitiation fees and capital contriutions included on Part V, line 1 against aounts due or received fro the.) 11 Section 4947(a)(1) non-exept charitale trusts. s the organization filing For 990 in lieu of For 1041? f "Yes," enter the aount of tax-exept interest received or accrued during the year 1 Section 501(c)(9) qualified nonprofit health insurance issuers. s the organization licensed to issue qualified health plans in ore than one state? 1 a Note. See the instructions for additional inforation the organization ust report on Schedule O. Enter the aount of reserves the organization is required to aintain y the states in which the organization is licensed to issue qualified health plans 1 c Enter the aount of reserves on hand 1c 14 a Did the organization receive any payents for indoor tanning services during the tax year? f "Yes," has it filed a For 70 to report these payents? f "No," provide an explanation in Schedule O 5E WONDERWORK, NC a a 4a 5a 5 5c 6a 6 7a 7 7c 7e 7f 7g 7h 8 9a 9 1a 1a 14a 14 No For 990 (015) 056ME 70V 5/15/017 :50:8 PM V PAGE 5

6 For 990 (015) Page 6 Part V Governance, Manageent, and Disclosure For each "Yes" response to lines through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, descrie the circustances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part V Section A. Governing Body and Manageent 1a a Enter the nuer of voting eers of the governing ody at the end of the tax year f there are aterial differences in voting rights aong eers of the governing ody, or if the governing any other officer, director, trustee, or key eployee? supervision of officers, directors, or trustees, or key eployees to a anageent copany or other person? Did the organization ake any significant changes to its governing docuents since the prior For 990 was filed? Did the organization ecoe aware during the year of a significant diversion of the organization's assets? Did the organization have eers or stockholders? one or ore eers of the governing ody? stockholders, or persons other than the governing ody? ody delegated road authority to an executive coittee or siilar coittee, explain in Schedule O. Enter the nuer of voting eers included in line 1a, aove, who are independent 1 Did any officer, director, trustee, or key eployee have a faily relationship or a usiness relationship with Did the organization delegate control over anageent duties custoarily perfored y or under the direct Did the organization have eers, stockholders, or other persons who had the power to elect or appoint Are any governance decisions of the organization reserved to (or suject to approval y) eers, 8 Did the organization conteporaneously docuent the eetings held or written actions undertaken during the year y the following: a The governing ody? Each coittee with authority to act on ehalf of the governing ody? 9 s there any officer, director, trustee, or key eployee listed in Part V, Section A, who cannot e reached at the organization's ailing address? f "Yes," provide the naes and addresses in Schedule O 9 Section B. Policies (This Section B requests inforation aout policies not required y the nternal Revenue Code.) Yes 10a 11a 1a c a 16a Did the organization have local chapters, ranches, or affiliates? f "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with the organization's exept purposes? Has the organization provided a coplete copy of this For 990 to all eers of its governing ody efore filing the for? Descrie in Schedule O the process, if any, used y the organization to review this For 99 Did the organization have a written conflict of interest policy? f "No," go to line 1 rise to conflicts? descrie in Schedule O how this was done Did the organization have a written whistlelower policy? Did the organization have a written docuent retention and destruction policy? Were officers, directors, or trustees, and key eployees required to disclose annually interests that could give Did the organization regularly and consistently onitor and enforce copliance with the policy? f "Yes," Did the process for deterining copensation of the following persons include a review and approval y independent persons, coparaility data, and conteporaneous sustantiation of the delieration and decision? The organization's CEO, Executive Director, or top anageent official Other officers or key eployees of the organization f "Yes" to line 15a or 15, descrie the process in Schedule O (see instructions). Did the organization invest in, contriute assets to, or participate in a joint venture or siilar arrangeent with a taxale entity during the year? f "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangeents under applicale federal tax law, and take steps to safeguard the organization's exept status with respect to such arrangeents? List the states with which a copy of this For 990 is required to e filed ATTACHMENT Section C. Disclosure WONDERWORK, NC Section 6104 requires an organization to ake its Fors 10 (or 104 if applicale), 990, and 990-T (Section 501(c)()s only) availale for pulic inspection. ndicate how you ade these availale. Check all that apply. Own wesite Another's wesite Upon request Other (explain in Schedule O) Descrie in Schedule O whether (and if so, how) the organization ade its governing docuents, conflict of interest policy, and financial stateents availale to the pulic during the tax year. State the nae, address, and telephone nuer of the person who possesses the organization's ooks and records: HANA FUCHS, 411 FFTH AVENUE, SUTE 70, NEW YORK, NY For 990 (015) 5E ME 70V 5/15/017 :50:8 PM V PAGE 6 1a a 7 8a 8 10a 10 11a 1a 1 1c a 15 16a 16 Yes No No

7 WONDERWORK, NC Copensation of Officers, Directors, Trustees, Key Eployees, Highest Copensated Eployees, and ndependent Contractors For 990 (015) Page 7 Part V Section A. Check if Schedule O contains a response or note to any line in this Part V Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees 1a Coplete this tale for all persons required to e listed. Report copensation for the calendar year ending with or within the organization's % tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of aount of copensation. Enter -0- in coluns (D), (E), and (F) if no copensation was paid. % List all of the organization's current key eployees, if any. See instructions for definition of "key eployee." List the organization's five current highest copensated eployees (other than an officer, director, trustee, or key eployee) who received reportale copensation (Box 5 of For W- and/or Box 7 of For 1099-MSC) of ore than $100,000 fro the organization and any related organizations. % List all of the organization's forer officers, key eployees, and highest copensated eployees who received ore than $100,000 of reportale copensation fro the organization and any related organizations. % List all of the organization's forer directors or trustees that received, in the capacity as a forer director or trustee of the organization, ore than $10,000 of reportale copensation fro the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key eployees; highest copensated eployees; and forer such persons. Check this ox if neither the organization nor any related organization copensated any current officer, director, or trustee. (C) (A) (B) Position (D) (E) (F) Nae and Title Average hours per week (list any hours for related organizations elow dotted line) (do not check ore than one ox, unless person is oth an officer and a director/trustee) Reportale copensation fro the organization (W-/1099-MSC) Reportale copensation fro related organizations (W-/1099-MSC) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Forer Estiated aount of other copensation fro the organization and related organizations (1) BRAN MULLANEY 600 PRESDENT & CEO/CO-FOUNDER 475,00 41,861. () THEODORE DYSART (THRU 11/15) 1.00 TREASURER/SECRETARY () MARK ATKNSON 1.00 DRECTOR (4) JJ CONEYS 1.00 AUDT COMMTTEE CHAR (5) RAV KANT 1.00 DRECTOR (6) CLARK KOKCH 1.00 DRECTOR (7) STEVE LEVTT 1.00 DRECTOR (8) RCHARD PRCE 1.00 DRECTOR (9) STEVE RAPPAPORT 1.00 DRECTOR (10) RCHARD STEELE 1.00 DRECTOR (11) HANA FUCHS 400 CHEF FNANCAL OFFCER 181,. 8,40 (1) DELOS GREENWOOD 400 CHEF PROGRAM OFFCER 158,667. 6,46. (1) KAREN LAZARUS 400 DRECTOR OF STRATEGC PROJECTS 16,00,498. (14) 5E For 990 (015) 056ME 70V 5/15/017 :50:8 PM V PAGE 7

8 WONDERWORK, NC For 990 (015) Page 8 Part V Section A. Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees (continued) (A) (B) (C) (D) (E) (F) Nae and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check ore than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Forer Reportale copensation fro the organization (W-/1099-MSC) Reportale copensation fro related organizations (W-/1099-MSC) Estiated aount of other copensation fro the organization and related organizations 1 Su-total c Total fro continuation sheets to Part V, Section A d Total (add lines 1 and 1c) Total nuer of individuals (including ut not liited to those listed aove) who received ore than $100,000 of reportale copensation fro the organization 4 Did the organization list any forer officer, director, or trustee, key eployee, or highest copensated eployee on line 1a? f "Yes," coplete Schedule J for such individual 4 For any individual listed on line 1a, is the su of reportale copensation and other copensation fro the organization and related organizations greater than $150,000? f Yes, coplete Schedule J for such individual 4 5 Did any person listed on line 1a receive or accrue copensation fro any unrelated organization or individual for services rendered to the organization? f Yes, coplete Schedule J for such person 5 Section B. ndependent Contractors 951,00 79, ,00 79, Coplete this tale for your five highest copensated independent contractors that received ore than $100,000 of copensation fro the organization. Report copensation for the calendar year ending with or within the organization's tax year. Yes No ATTACHMENT (A) Nae and usiness address (B) Description of services (C) Copensation Total nuer of independent contractors (including ut not liited to those listed aove) who received ore than $100,000 in copensation fro the organization 1 5E For 990 (015) 056ME 70V 5/15/017 :50:8 PM V PAGE 8

9 WONDERWORK, NC Stateent of Revenue For 990 (015) Page 9 Part V Contriutions, Gifts, Grants and Other Siilar Aounts Progra Service Revenue Other Revenue 1a Check if Schedule O contains a response or note to any line in this Part V Federated capaigns Meership dues c Fundraising events d Related organizations e Governent grants (contriutions) f All other contriutions, gifts, grants, and siilar aounts not included aove 1f g Noncash contriutions included in lines 1a-1f: $ h Total. Add lines 1a-1f a c d 6a 1a 1 1c 1d 1e Business Code e f All other progra service revenue g Total. Add lines a-f and other siilar aounts) ncoe fro investent of tax-exept ond proceeds Royalties (i) Real (ii) Personal Gross rents Less: rental expenses c Rental incoe or (loss) d Net rental incoe or (loss) nvestent incoe (including dividends, interest, 4 5 7a Gross aount fro sales of assets other than inventory (i) Securities (ii) Other Less: cost or other asis and sales expenses,571,47. c Gain or (loss) -6,98 d Net gain or (loss) 8a of contriutions reported on line 1c). See Part V, line 18 a Less: direct expenses c Net incoe or (loss) fro fundraising events Gross incoe fro gaing activities. See Part V, line 19 a Less: direct expenses c Net incoe or (loss) fro gaing activities Gross sales of inventory, less returns and allowances a Less: cost of goods sold c Net incoe or (loss) fro sales of inventory 9a 10a 11a c Gross incoe fro fundraising events (not including $ Miscellaneous Revenue,564, ,460, ,467. Business Code d All other revenue e Total. Add lines 11a-11d 1 Total revenue. See instructions. 5E (A) Total revenue 10,460,884. (B) Related or exept function revenue (C) Unrelated usiness revenue (D) Revenue excluded fro tax under sections , ,01. -6,98-6,98 MSCELLANEOUS REVENUE ,446. 4,446. 4, ,674,551. 1,667. For 990 (015) 056ME 70V 5/15/017 :50:8 PM V PAGE 9

10 WONDERWORK, NC Part Stateent of Functional Expenses Section 501(c)() and 501(c)(4) organizations ust coplete all coluns. All other organizations ust coplete colun (A). For 990 (015) Page 10 Check if Schedule O contains a response or note to any line in this Part Do not include aounts reported on lines 6, 7, 8, 9, and 10 of Part V. 1 Grants and other assistance to doestic organizations and doestic governents. See Part V, line 1 Grants and other assistance to doestic individuals. See Part V, line Grants and other assistance to foreign organizations, foreign governents, and foreign individuals. See Part V, lines 15 and 16 4 Benefits paid to or for eers 5 Copensation of current officers, directors, trustees, and key eployees 6 Copensation not included aove, to disqualified persons (as defined under section 4958(f)(1)) and persons descried in section 4958(c)()(B) 7 Other salaries and wages 8 Pension plan accruals and contriutions (include 9 section 401(k) and 40() eployer contriutions) Other eployee enefits Payroll taxes Fees for services (non-eployees): a Manageent Legal c Accounting d Loying e Professional fundraising services. See Part V, line 17 f g a c d nvestent anageent fees Other. (f line 11g aount exceeds 10% of line 5, colun (A) aount, list line 11g expenses on Schedule O.) Advertising and prootion Office expenses nforation technology Royalties Occupancy Travel Payents of travel or entertainent expenses for any federal, state, or local pulic officials Conferences, conventions, and eetings nterest Payents to affiliates Depreciation, depletion, and aortization nsurance Other expenses. teize expenses not covered aove (List iscellaneous expenses in line 4e. f line 4e aount exceeds 10% of line 5, colun (A) aount, list line 4e expenses on Schedule O.) e All other expenses 5 Total functional expenses. Add lines 1 through 4e 6 Joint costs. Coplete this line only if the organization reported in colun (B) joint costs fro a coined educational capaign and fundraising solicitation. Check here if following SOP 98- (ASC ) (A) (B) (C) (D) Total expenses Progra service Manageent and Fundraising expenses general expenses expenses 00,10 00,10 For 990 (015) 5E ,794,50 1,794,50 691,5 57,8. 60,96. 10,05 565,6. 96,87. 9,5 159,11. 17,08. 1, ,59 94,56. 68,17. 4,989. 0,95 6, ,88.,448. 1,17. 56,46. 16, ,68. 51,87 71,70 45,80. 11,8. 14,514. 9,50 9,50 47,99. 1,91. 55, ,4. 195, , ,81. 41,18 8,519. 5,44. 1,5. 1, , ,7 9,645. 6, , ,54. 1,4 8, ,75 111,568.,16. 9,966. 5,98. 5,998. 1,955. 7,445. 6,46. 19,408. 1,46 5,558. CONTNGENCY EPENSE 16,059,84. 16,059,84. PRNTED PROGRAM MATERALS 1,99,04. 1,65,87. 58, ,89. BAD DEBT EPENSE 4,50 4,50,7,45. 1,445, ,86. 1,516,7. 1,99,04. 1,65,87. 58, , ME 70V 5/15/017 :50:8 PM V PAGE 10

11 For 990 (015) Page 11 Part Assets Liailities Net Assets or Fund Balances a WONDERWORK, NC Balance Sheet Check if Schedule O contains a response or note to any line in this Part Cash - non-interest-earing Savings and teporary cash investents Pledges and grants receivale, net Accounts receivale, net Loans and other receivales fro current and forer officers, directors, trustees, key eployees, and highest copensated eployees. Coplete Part of Schedule L Loans and other receivales fro other disqualified persons (as defined under section 4958(f)(1)), persons descried in section 4958(c)()(B), and contriuting eployers and sponsoring organizations of section 501(c)(9) voluntary eployees' eneficiary organizations (see instructions). Coplete Part of Schedule L Notes and loans receivale, net nventories for sale or use Prepaid expenses and deferred charges Land, uildings, and equipent: cost or other asis. Coplete Part V of Schedule D 10a Less: accuulated depreciation 10 nvestents - pulicly traded securities nvestents - other securities. See Part V, line 11 nvestents - progra-related. See Part V, line 11 ntangile assets Other assets. See Part V, line 11 Total assets. Add lines 1 through 15 (ust equal line 4) Accounts payale and accrued expenses Grants payale Deferred revenue Tax-exept ond liailities Escrow or custodial account liaility. Coplete Part V of Schedule D Loans and other payales to current and forer officers, directors, trustees, key eployees, highest copensated eployees, and disqualified persons. Coplete Part of Schedule L Secured ortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties Other liailities (including federal incoe tax, payales to related third parties, and other liailities not included on lines 17-4). Coplete Part of Schedule D Total liailities. Add lines 17 through 5 Organizations that follow SFAS 117 (ASC 958), check here and coplete lines 7 through 9, and lines and 4. Unrestricted net assets Teporarily restricted net assets Peranently restricted net assets Organizations that do not follow SFAS 117 (ASC 958), check here and coplete lines 0 through 4. Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, uilding, or equipent fund Retained earnings, endowent, accuulated incoe, or other funds Total net assets or fund alances Total liailities and net assets/fund alances (A) Beginning of year (B) End of year 499,7. 590, ,16. 4, ,84. 68,61. 50, ,85. 18,67. 57,8. 10c 51,6. 1,150,15. 45,65. 14,545,08., ,4,1. 56,65. 18,516, , ,00 100,00 9,45, ,486, ,059,84. 9,86,11 6 6,01, , ,54,854. 4,497, ,758, ,708,97. 14,545, ,784,87 18,516,56. For 990 (015) 5E ME 70V 5/15/017 :50:8 PM V PAGE 11

12 For 990 (015) Page 1 Part Part WONDERWORK, NC Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part Total revenue (ust equal Part V, colun (A), line 1) 1 Total expenses (ust equal Part, colun (A), line 5) Revenue less expenses. Sutract line fro line 1 Net assets or fund alances at eginning of year (ust equal Part, line, colun (A)) 4 Net unrealized gains (losses) on investents 5 Donated services and use of facilities 6 nvestent expenses 7 Prior period adjustents 8 Other changes in net assets or fund alances (explain in Schedule O) 9 Net assets or fund alances at end of year. Coine lines through 9 (ust equal Part, line, colun (B)) 10 Financial Stateents and Reporting Check if Schedule O contains a response or note to any line in this Part 1 Accounting ethod used to prepare the For 990: Cash Accrual Other f the organization changed its ethod of accounting fro a prior year or checked "Other," explain in Schedule O. a Were the organization's financial stateents copiled or reviewed y an independent accountant? a f "Yes," check a ox elow to indicate whether the financial stateents for the year were copiled or reviewed on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis Were the organization's financial stateents audited y an independent accountant? See Schedule O f "Yes," check a ox elow to indicate whether the financial stateents for the year were audited on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis c f "Yes" to line a or, does the organization have a coittee that assues responsiility for oversight of the audit, review, or copilation of its financial stateents and selection of an independent accountant? f the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-1? f "Yes," did the organization undergo the required audit or audits? f the organization did not undergo the required audit or audits, explain why in Schedule O and descrie any steps taken to undergo such audits. 10,674,551.,7,45. -1,66,884. 4,708, ,04. -7,784,87 c a Yes No For 990 (015) 5E ME 70V 5/15/017 :50:8 PM V PAGE 1

13 SCHEDULE A Pulic Charity Status and Pulic Support OMB No (For 990 or 990-EZ) Coplete if the organization is a section 501(c)() organization or a section 4947(a)(1) nonexept charitale trust. À¾µ¹ Departent of the Treasury Attach to For 990 or For 990-EZ. Open to Pulic nternal Revenue Service nforation aout Schedule A (For 990 or 990-EZ) and its instructions is at nspection Nae of the organization Eployer identification nuer WONDERWORK, NC Part Reason for Pulic Charity Status (All organizations ust coplete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines 1 through 11, check only one ox.) 1 4 A church, convention of churches, or association of churches descried in section 170()(1)(A)(i). A school descried in section 170()(1)(A)(ii). (Attach Schedule E (For 990 or 990-EZ).) A hospital or a cooperative hospital service organization descried in section 170()(1)(A)(iii). A edical research organization operated in conjunction with a hospital descried in section 170()(1)(A)(iii). Enter the hospital's nae, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governental unit descried in section 170()(1)(A)(iv). (Coplete Part.) A federal, state, or local governent or governental unit descried in section 170()(1)(A)(v). An organization that norally receives a sustantial part of its support fro a governental unit or fro the general pulic descried in section 170()(1)(A)(vi). (Coplete Part.) A counity trust descried in section 170()(1)(A)(vi). (Coplete Part.) An organization that norally receives: (1) ore than 1/ % of its support fro contriutions, eership fees, and gross receipts fro activities related to its exept functions - suject to certain exceptions, and () no ore than 1/ % of its support fro gross investent incoe and unrelated usiness taxale incoe (less section 511 tax) fro usinesses acquired y the organization after June 0, See section 509(a)(). (Coplete Part.) An organization organized and operated exclusively to test for pulic safety. See section 509(a)(4). An organization organized and operated exclusively for the enefit of, to perfor the functions of, or to carry out the purposes of one or ore pulicly supported organizations descried in section 509(a)(1) or section 509(a)(). See section 509(a)(). Check the ox in lines 11a through 11d that descries the type of supporting organization and coplete lines 11e, 11f, and 11g. a c d e f g Type. A supporting organization operated, supervised, or controlled y its supported organization(s), typically y giving the supported organization(s) the power to regularly appoint or elect a ajority of the directors or trustees of the supporting organization. You ust coplete Part V, Sections A and B. Type. A supporting organization supervised or controlled in connection with its supported organization(s), y having control or anageent of the supporting organization vested in the sae persons that control or anage the supported organization(s). You ust coplete Part V, Sections A and C. Type functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You ust coplete Part V, Sections A, D, and E. Type non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally ust satisfy a distriution requireent and an attentiveness requireent (see instructions). You ust coplete Part V, Sections A and D, and Part V. Check this ox if the organization received a written deterination fro the RS that it is a Type, Type, Type functionally integrated, or Type non-functionally integrated supporting organization. Enter the nuer of supported organizations Provide the following inforation aout the supported organization(s). (i) Nae of supported organization (ii) EN (iii) Type of organization (descried on lines 1-9 aove (see instructions)) (iv) s the organization listed in your governing docuent? (v) Aount of onetary support (see instructions) (vi) Aount of other support (see instructions) Yes No (A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the nstructions for For 990 or 990-EZ. 5E Schedule A (For 990 or 990-EZ) ME 70V 5/15/017 :50:8 PM V PAGE 1

14 Schedule A (For 990 or 990-EZ) 015 Page Part Support Schedule for Organizations Descried in Sections 170()(1)(A)(iv) and 170()(1)(A)(vi) (Coplete only if you checked the ox on line 5, 7, or 8 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please coplete Part.) Section A. Pulic Support Calendar year (or fiscal year eginning in) 1 Gifts, grants, contriutions, and eership fees received. (Do not include any "unusual grants.") Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of services or facilities furnished y a governental unit to the organization without charge 4 Total. Add lines 1 through 5 The portion of total contriutions y each person (other than a governental unit or pulicly supported organization) included on line 1 that exceeds % of the aount shown on line 11, colun (f) 6 Pulic support. Sutract line 5 fro line 4. 7 Aounts fro line 4 8 Gross incoe fro interest, dividends, payents received on securities loans, rents, royalties and incoe fro siilar sources Section B. Total Support Calendar year (or fiscal year eginning in) 9 Net incoe fro unrelated usiness activities, whether or not the usiness is regularly carried on 10 Other incoe. Do not include gain or loss fro the sale of capital assets (a) 011 () 01 (c) 01 (d) 014 (e) 015 (f) Total (a) 011 () 01 (c) 01 (d) 014 (e) 015 (f) Total (Explain in Part V.) ATCH 1 organization, check this ox and stop here 11 Total support. Add lines 7 through 10 1 Gross receipts fro related activities, etc. (see instructions) 1 1 First five years. f the For 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)() Section C. Coputation of Pulic Support Percentage 14 Pulic support percentage for 015 (line 6, colun (f) divided y line 11, colun (f)) Pulic support percentage fro 014 Schedule A, Part, line a 1/ % support test f the organization did not check the ox on line 1, and line 14 is 1/ % or ore, check this ox and stop here. The organization qualifies as a pulicly supported organization 1/ % support test f the organization did not check a ox on line 1 or 16a, and line 15 is 1/ % or ore, 17a WONDERWORK, NC ,878,99 7,446,17. 1,91,667. 1,96,69. 10,460, ,094,98. 7,878,99 7,446,17. 1,91,667. 1,96,69. 10,460, ,094,98. check this ox and stop here. The organization qualifies as a pulicly supported organization 10%-facts-and-circustances test f the organization did not check a ox on line 1, 16a, or 16, and line 14 is 10% or ore, and if the organization eets the "facts-and-circustances" test, check this ox and stop here. Explain in Part V how the organization eets the "facts-and-circustances test. The organization qualifies as a pulicly supported organization 10%-facts-and-circustances test f the organization did not check a ox on line 1, 16a, 16, or 17a, and line 15 is 10% or ore, and if the organization eets the "facts-and-circustances" test, check this ox and stop here. Explain in Part V how the organization eets the "facts-and-circustances" test. The organization qualifies as a pulicly supported organization 18 Private foundation. f the organization did not check a ox on line 1, 16a, 16, 17a, or 17, check this ox and see instructions 7,166,85. 4,98,1 7,878,99 7,446,17. 1,91,667. 1,96,69. 10,460, ,094,98. 1,14. 41,4. 70,6. 4, ,01. 91,067. 6,1,059. 4,446. 6,65. 5,078,684. 1,,667. % % Schedule A (For 990 or 990-EZ) 015 5E ME 70V 5/15/017 :50:8 PM V PAGE 14

15 Schedule A (For 990 or 990-EZ) 015 Page Part Support Schedule for Organizations Descried in Section 509(a)() (Coplete only if you checked the ox on line 9 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please coplete Part.) Section A. Pulic Support Calendar year (or fiscal year eginning in) 1 Gifts, grants, contriutions, and eership fees received. (Do not include any "unusual grants.") Gross receipts fro adissions, erchandise sold or services perfored, or facilities furnished in any activity that is related to the organization's tax-exept purpose Gross receipts fro activities that are not an unrelated trade or usiness under section 51 4 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 5 The value of services or facilities WONDERWORK, NC (a) 011 () 01 (c) 01 (d) 014 (e) 015 (f) Total furnished y a governental unit to the organization without charge 6 Total. Add lines 1 through 5 7a Aounts included on lines 1,, and received fro disqualified persons Aounts included on lines and received fro other than disqualified persons that exceed the greater of $5,000 or 1% of the aount on line 1 for the year c Add lines 7a and 7 8 Pulic support. (Sutract line 7c fro line 6.) Section B. Total Support Calendar year (or fiscal year eginning in) 9 Aounts fro line 6 10 a Gross incoe fro interest, dividends, payents received on securities loans, rents, royalties and incoe fro siilar sources Unrelated usiness taxale incoe (less section 511 taxes) fro usinesses acquired after June 0, 1975 c Add lines 10a and Net incoe fro unrelated usiness activities not included in line 10, whether or not the usiness is regularly carried on 1 Other incoe. Do not include gain or loss fro the sale of capital assets (Explain in Part V.) 1 Total support. (Add lines 9, 10c, 11, and 1.) 14 First five years. f the For 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)() organization, check this ox and stop here Section C. Coputation of Pulic Support Percentage 15 Pulic support percentage for 015 (line 8, colun (f) divided y line 1, colun (f)) Pulic support percentage fro 014 Schedule A, Part, line Section D. Coputation of nvestent ncoe Percentage 17 nvestent incoe percentage for 015 (line 10c, colun (f) divided y line 1, colun (f)) nvestent incoe percentage fro 014 Schedule A, Part, line a 1/ % support tests f the organization did not check the ox on line 14, and line 15 is ore than 1/ %, and line 17 is not ore than 1/ %, check this ox and stop here. The organization qualifies as a pulicly supported organization 1/ % support tests f the organization did not check a ox on line 14 or line 19a, and line 16 is ore than 1/ %, and line 18 is not ore than 1/ %, check this ox and stop here. The organization qualifies as a pulicly supported organization 0 Private foundation. f the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions (a) 011 () 01 (c) 01 (d) 014 (e) 015 (f) Total Schedule A (For 990 or 990-EZ) 015 5E ME 70V 5/15/017 :50:8 PM V PAGE 15 % % % %