990 return oforganization exemptfrom...
TRANSCRIPT
OMB No 1545-0047
Form, 990 Return of Organization Exempt From Income Taxj201
^Under section 501(c ), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)Department of the TreasuryInternal Revenue Service ► The organization may have to use a copy of this return to satisfy state reporting requirements • -
A For the 2012 calendar year or tax year beginnin g and endin
B Check if applicable C Name of organization Biomedical Research Foundation of Northwest Loulsia D Employer identification number
q Address change Doing Business As 58-1711612
q Name change Number and street (or P O box if mail is not delivered to street address ) Room/suite E Telephone number
q Initial return Post Office Box 38050 3186754111
q Terminated City, town or post office , state , and ZIP code
q Amended return Shreveport LA 71133-8050 G Gross receipts $ 17 926 743
q Application pending F Name and address of principal officer H(a) Is this a group return for affiliates? q Yes 17711^ 1 No
John F Sharp , Pres - Same as "C" above POB 38050, Shreveport, LA H(b) Are all affiliates included? q Yes q No
I Tax-exempt status El 501(c) ( ) 4 (insert no ) q 4947(a)(1) or q 527 If " No," attach a list (see instructions)
J Website- ► www blamed oro Mel Qmun evemnfinn number ►
K Form of organization Corporation q Trust q Association q Other ► L Year of formation 1986 M State of legal domicileF LA
Summary1 Briefly describe the organization's mission or most significant activities PROMOTE AND DEVELOP PRIVATE AND PUBLIC---------------------------------------------------------
SUPPORTANDCOLLABORATION FOR A KNOWEDGE-BASED REGIONAL EC------------------------------------------------------------------------------------
ONOMIC DEVELOPMENT STRATEGY,---------------------------------------- ---
COLLABORATIONWITH AND SUPPORT FOR LSU HEALTH SHREVEPORT, PEOLE, RESEARCH, EDUCATION,-- ----
E---------------------------------------------------------------------------------------------------------------------FACILITIES, FUNDING AND OTHER RESOURES NEEDED FOR TECHNOLOGY AND BUSINESS INNOVATION----------------------------------------------------------------------------------------------------------------------
----------------------------
2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets3 Number of voting members of the governing body (Part VI, line 1 a) 3 254 Number of independent voting members of the governing body (Part VI, line 1 b) 4 245 Total number of individuals employed in calendar year 2012 (Part V, line 2a) 5 446 Total number of volunteers (estimate if necessary) 6 397a Total unrelated business revenue from Part VIII, column (C), line 12 7a 0b Net unrelated business taxable income from Form 990-T line 34 7b 0
RECE VE^ Prior Year Current Year
m 8 Contributions and grants (Part VIII, line 1h) 3,873,705 , 3,602,504m 9 Program service revenue (Part VIII, line 2g) 8,672,304 9,251,983
10 Investment income (Part VIII, column (A), lines , and'@)V 2, 0 2013 Q -8,327 732,50511 Other revenue (Part VIII, column (A), lines 5, 6d 8c 9c, 10c, and 11e W 111,533 24,57712 Total revenue-add lines 8 throw h 11 must a ual i art VII - la , aline 12,649,215 13,611,56913 Grants and similar amounts paid (Part IX, colum )rltu ' 1,756,892 1,061,52614 Benefits paid to or for members (Part IX, column (A), line 4) 0 0
0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 3,594,352 3,920,8081 16a Professional fundraising fees (Part IX, column (A), line 11e) 0 0S. b Total fundraising expenses (Part IX, column (D), line 25) ► 234,806
------- ----- -------- --17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e) 7,453,399 7,583,07618 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 12,804,643 12,565,41019 Revenue less expenses Subtract li ne 18 from line 12 -155,428 1,046,159
Beginning of Current Year End of Year
20 Total assets (Part X, line 16) 64,880,831 64,437,85921 Total liabilities (Part X, line 26) 14,552,047 13,116,073
8`i 22 Net assets or fund balances Subtract line 21 from line 20 50,328,784 51,321,786
Signature Blockceder penalties of peryury, ecia at I have exa d this r rn , including accompanying schedules and statements , and to the best of my knowledgeapd belief , it is true, correct, mplete ecia at n f prep re (they than officer) is be,
$ign IYtlere
r
Jame D DeanC7 Type or not name and title
P==1 Pnnt/Typ preparer' s name Preparers sign,
PaidDmeparer
e Only Firm's name go
Firm's address ►
May the IRS discuss this return with the prepare r sh own above' (see
For Paperwork Reduction Act Notice , see the separate instructions.HTA
Form 990 (2012 ) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa ge 2
Statement of Program Service AccomplishmentsCheck if Schedule 0 contains a response to any question in this Part III
1 Briefly describe the organization ' s mission
-A KNOWLEDGE-BASEDPROMOTE-AND DEVELOP- -PRIVATE-AND -PUBLIC-SUPPORT AND--COLLABORATION- FOR------------------------------------------------------------------------------------------------------------------------REGIONAL ECONOMIC DEVELOPMENT STRATEGY, COLLABORATION WITH AND-SUPPORT FOR LSU HEALTH------------------------------------------------------------------------------------------------------------------------------------------SHREVEPORT, PEOPLE, RESEARCH, EDUCATION, FACILITIES, FUNDING AND OTHER RESOURCES NEEDED FOR-P --------------TECHNOLOGY AND BUSINESS INNOVATION
2 Did the organization undertake any significant program services during the year which were not listed onthe prior Form 990 or 990-EZ" Yes NoIf "Yes," describe these new services on Schedule 0
3 Did the organization cease conducting , or make significant changes in how it conducts, any programservices? Yes No
If "Yes ," describe these changes on Schedule 04 Describe the organization ' s program service accomplishments for each of its three largest program services, as measured by
expenses Section 501 (c)(3) and 501 (c)(4) organizations are required to report the amount of grants and allocations to others,the total expenses , and revenue , if any, for each program service reported
4a (Code _______________ ) (Expenses $ _____ 3,144,327_ including grants of $ ____-_- 396,015 ) (Revenue $ --------1,329,099 )CONDUCTED ACTIVITIES RELATED TO THE ESTABLISHMENT OF A SCIENCE &-TECHNOLOGY BUSINESS PARK---------------------------------------------------------------------------------------------------------------------------------------------INCLUDINGSUPPORT FOR SCIENTIFIC ECONOMIC DEVELOPMENT PROJECTS, WORKFORCE DEVELOPMENT AND-----------------------------------------------------------------------------------------------------------------------------------------EDUCATION- PROVIDE FINANCIAL AND PROGRAMMATIC ASSISTANCE TO PROSPECTIVE PARK TENANTS _PROVIDED_________
- - - - - - - - - - - - - - - - - - - - - -LAND FOR DEVELOPMENT INCLUDING ENVIRONMENTAL REMEDIATION--OPERATE D 69,000 SQ FT OF WET LAB- ---------------INCUBATOR MAINTAINED MULTIPLE LEASED PROPERTIES INCLUDINGA 33,000 SQ FT CGMP MANUFACTURING------------------------------------------------------------------------------------------------------------------------------------------FACILITY INTERTECH SCIENCE PARK CURRENTLY HOSTS 25 COMPANIES AND INSTITUTIONS IN 8 FACILITIES----------------------------------------------------------------------------------------------------------------------------------------OWNEDAND OPERATED BY THE BRF THESE COMPANIES EMPLOY 372 PEOPLE PROVIDING A TOTAL ANNUAL PAYROLL--------------------------------------------------------------------------------------------------------------------------------------------OF OVER $18 2M FOR THE COMMUNITY AVERAGE ANNUAL SALARY IS OVER $48,900 COMPARED TO THE AVERAGE---------------------------------------------------------------------------------------------------------------------------------------------PER CAPITA SHREVEPORT INCOME OF $23,135 INTERTECH ACTIVITIES ALSO INCLUDE SUPPORT FOR TEN K-12--------------------------------------------------------------------------------------------------------------------------------------------AND HIGHER EDUCATION PROGRAMS AND THE MANAGEMENT OF OVER $250,000 IN GRANTS PROVIDED BY HUD, THE--------------------------------------------------------------------------------------------------------------------------------------------ENVIRONMENTAL PROTECTION AGENCY AND THE LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY
-----------------------------------------------------------------------------------------------------------------------------------------
-including grants of $ _________665,511_ ) (Revenue $ _______4,022,840 )4b (Code ............... ) (Expenses $
-------3,283,183
--------OPERATEDA TEN STORY, 160,000 SQ FT RESEARCH FACILITY HOUSING 56 STATE-OF-THE-ART WET LABS, AN ----------------ANIMAL CARECARE FACILITY, A POSITRON EMISSION TOMOGRAPHY(PET) IMAGING CENTER AND RELATED
- - ------------------------------------------------------------- - ---- ---------------------------------------------------------------ADMINISTRATIVE OFFICES THE 56 WET LABS AND ANIMAL FACILITY ARE LEASED TO LSUHSC-S TO SUPPORT ITS -----------BASIC-SCIENCE RESEARCH PROGRAM THE PET CENTER PROVIDES IMAGING TO SUPPORT PATIENTS OF LSUHSC-S--------------------------------------------------------------------------------------------------------------------------------------------AND THE REGIONAL MEDICAL COMMUNITY AS WELL AS SUPPORT FOR THE ANIMAL IMAGING PROGRAM AT LSUHSC-S---------------------------------------------------------------------------------------------------------------------------------------------THERESEARCH FACILITY PROVIDED ESSENTIAL RESEARCH SPACE NEEDED TO SUPPORT THE GROWTH OF LSUHSC-S--------------------------------------------------------------------------------------------------------------------------------------------EXTRAMURALFUNDING DURING 2012, THE BRF PROVIDED $654,495 IN GRANTS TO SUPPORT BASIC RESEARCH AT--------------------------------------------------------------------------------------------------------------------------------------------LSUHSC-S---------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
4c (Code _______________ ) (Expenses $ -____ 4,305,326 including grants of $ __________-___ 0_ ) (Revenue $ 3,817,433 )OPERATED A POSITRON EMISSION TOMOGRAPHY IMAGING CENTER AND A RELATED RADIOPHARMACEUTICAL--------------------------------------------------------------------------------------------------------------------------------------------PRODUCTIONFACILITY WHICH SERVED ALMOST 3,000 PATIENTS DURING THE YEAR OF WHICH 824 WERE FREE OR--------------------------------------------------------------------------------------------------------------------------------------------SUBSTANTIALLY DISCOUNTED FOR INDIGENT PERSONS THE CENTER ALSO WORKED WITH VARIOUS NATIONAL--------------------------------------------------------------------------------------------------------------------------------------------
-CLINICAL AND PRE-CLINICAL TRIALS THE CGMP RADIOPHARMACEUTICAL MANUFACTURINGCOMPAN-IES-TO-SUPPORT-FACILITY IS CAPABLE OF PRODUCING 16 DIFFERENT RADIOPHARMACEUTICALS AND PROVIDES---------------------------------------------------------------------------------------------------------------------------------------------RADIOPHARMACEUTICALS TO OTHER SCANNERS IN THE REGION- - - - - - - - - - - - - - - - - - - - - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
4d Other program services (Describe in Schedule O )(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0
4e Total program service expenses ► 10,732,836
Form 990 (2012)
Form 990 (2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 3
Ur,IiM Checklist of Required SchedulesYes No
I Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"complete Schedule A 1 X
2 Is the organization required to complete Schedule 8, Schedule of Contributors (see instructions)? 2 X3 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 / 3 X4 Section 501 (c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h)
election in effect during the tax year? If "Yes, " complete Schedule C, Part 11 4 X
5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, _assessments, or similar amounts as defined in Revenue Procedure 98-192 If "Yes, " complete Schedule C,Part /1/ 5
6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donorshave the right to provide advice on the distribution or investment of amounts in such funds or accounts'? If"Yes, " complete Schedule D, Part 1 6 X
7 Did the organization receive or hold a conservation easement, including easements to preserve open space,the environment, historic land areas, or historic structures? If "Yes, " complete Schedule D, Part 11 7 X
8 Did the organization maintain collections of works of art, historical treasures, or other similar assets'? If "Yes,"complete Schedule D, Part 111 8 X
9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as acustodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debtnegotiation services? If "Yes, " complete Schedule D, Part IV 9 X
10 Did the organization, directly or through a related organization, hold assets in temporarily restrictedendowments, permanent endowments, or quasi-endowments? If "Yes, " complete Schedule D, Part V 10 X
11 If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,VII, VIII, IX, or X as applicable
a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes, " completeSchedule D, Part VI 11a X
b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or moreof its total assets reported in Part X, line 167 If "Yes, " complete Schedule D, Part Vll 11b X
c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or moreof its total assets reported in Part X, line 169 If "Yes, " complete Schedule D, Part Vlll 11c X
d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assetsreported in Part X, line 16? If "Yes, " complete Schedule D, Part IX lid X
e Did the organization report an amount for other liabilities in Part X, line 259 If "Yes, "complete Schedule D, Part X 11e Xf Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X 11f X12a Did the organization obtain separate, independent audited financial statements for the tax year'? If "Yes, " complete
Schedule D, Parts Xl and Xll 12a Xb Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes,"
and If the organization answered "No" to line 12a, then completing Schedule D, Parts XI and Xll is optional 12b X13 Is the organization a school described in section 170(b)(1)(A)(ii)9 If "Yes, " complete Schedule E 13 X14a Did the organization maintain an office, employees, or agents outside of the United States' 14a X
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,fundraising, business, investment, and program service activities outside the United States, or aggregateforeign investments valued at $100,000 or more'? If "Yes, " complete Schedule F Parts I and IV 14b X
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to anyorganization or entity located outside the United States? If "Yes, " complete Schedule F, Parts II and IV 15 X
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistanceto individuals located outside the United States? If "Yes, " complete Schedule F Parts /// and IV 16 X
17 Did the organization report a total of more than $15,000 of expenses for professional fundraising serviceson Part IX, column (A), lines 6 and 11 e? If "Yes, " complete Schedule G, Part I (see Instructions) 17 X
18 Did the organization report more than $15,000 total of fundraising event gross income and contributions onPart VIII, lines 1 c and 8a' If "Yes, " complete Schedule G, Part lI 18 X
19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a'If "Yes, " complete Schedule G, Part 111 19 X
20a Did the organization operate one or more hospital facilities? If "Yes, " complete Schedule H 20a Xb If "Yes" to line 20a, did the organization attach a cor)v of its audited financial statements to this return? 20b
Form 990 (2012)
Form 990 (2012 ) Biomedical Research Foundation of Northwest Louisiana 58-1711612
Checklist of Required Schedules (continued)Yes No
21 Did the organization report more than $5,000 of grants and other assistance to any government or organizationin the United States on Part IX, column (A), line 1' If "Yes, " complete Schedule 1, Parts I and II 21 X
22 Did the organization report more than $5,000 of grants and other assistance to individuals in theUnited States on Part IX, column (A), line 2' If "Yes, "complete Schedule 1, Parts I and I/I 22 X
23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of theorganization's current and former officers, directors, trustees, key employees, and highest compensatedemployees'? If "Yes, " complete Schedule J 23 X
24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than$100,000-as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines24b through 24d and complete Schedule K If "No, "go to line 25 24a X
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24bc Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds'? 24cd Did the organization act as an "on behalf of issuer for bonds outstanding at any time during the year'? 24d
25a Section 501(c )( 3) and 501(c )(4) organizations . Did the organization engage in an excess benefit transactionwith a disqualified person during the year? If "Yes, " complete Schedule L, Part I 25a X
b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in aprior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or990-EZ'? If "Yes, " complete Schedule L, Part I 25b X
26 Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, ordisqualified person outstanding as of the end of the organization's tax year? If "Yes, " complete Schedule L, Part 11 26 X
27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlledentity or family member of any of these persons' If "Yes, "complete Schedule L, Part I/I 27 X
28 Was the organization a party to a business transaction with one of the following parties (see Schedule L,Part IV instructions for applicable filing thresholds, conditions, and exceptions)
a A current or former officer, director, trustee, or key employee? If "Yes, " complete Schedule L, Part IV 28a Xb A family member of a current or former officer, director, trustee, or key employee? If "Yes, " complete
Schedule L, Part IV 28b Xc An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)
was an officer, director, trustee, or direct or indirect owner? If "Yes, " complete Schedule L, Part IV 28c X29 Did the organization receive more than $25,000 in non-cash contributions'? If "Yes," complete Schedule M 29 X30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes, " complete Schedule M 30 X31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes, "complete Schedule N,
Part l 31 X32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets'
If "Yes, " complete Schedule N, Part 11 32 X33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 301 7701-2 and 301 7701-3' If "Yes, " complete Schedule R, Partl 33 X34 Was the organization related to any tax-exempt or taxable entity? If "Yes, "complete Schedule R, Part II,
Ill, or IV, and Part V, line 1 34 X
35a Did the organization have a controlled entity within the meaning of section 512(b)(13)' 35a Xb If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled
entity within the meaning of section 512(b)(13)? If "Yes, " complete Schedule R, Part V, line 2 35b X36 Section 501(c )( 3) organizations . Did the organization make any transfers to an exempt non-charitable related
organization? If "Yes, " complete Schedule R, Part V line 2 36 X37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes, " complete Schedule R, PartVI 37 X
38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 b and19? Note. All Form 990 filers are req uired to complete Schedule 0 38 X
Form 990 (2012)
Form 990 (2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 5
jj= Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule 0 contains a response to any question in this Part V El
Yes No
1a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable 1a 61
b Enter the number of Forms W-2G included in line 1a Enter -0- if not applicable lb 0
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportablegaming (gambling) winnings to prize winners'? Ic X
2a Enter the number of employees reported on Form W-3, Transmittal of Wage and TaxStatements, filed for the calendar year ending with or within the year covered by this return 2a 44
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2b X
Note . If the sum of lines 1a and 2a is greater than 250, you may be required to a-file (see instructions)3a Did the organization have unrelated business gross income of $1,000 or more during the year'? 3a X
b If "Yes," has it filed a Form 990-T for this year? If 'No, "provide an explanation in Schedule 0 3b4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
over, a financial account in a foreign country (such as a bank account, securities account, or other financialaccount)' 4a X
b If "Yes," enter the name of the foreign country ►-------------------------------------------------------------------
See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a Xb Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b Xc If "Yes" to line 5a or 5b, did the organization file Form 8886-T' 5c
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did theorganization solicit any contributions that were not tax deductible as charitable contributions'? 6a X
b If "Yes," did the organization include with every solicitation an express statement that such contributions orgifts were not tax deductible? 6b
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goodsand services provided to the payor? 7a X
b If "Yes," did the organization notify the donor of the value of the goods or services provided' 7b
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it wasrequired to file Form 8282 7c X
d If "Yes," indicate the number of Forms 8282 filed during the year 7d
e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e X
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f X
g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 7h
8 Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supportingorganizations . Did the supporting organization, or a donor advised fund maintained by a sponsoringorganization, have excess business holdings at any time during the year? 8
9 Sponsoring organizations maintaining donor advised funds.
a Did the organization make any taxable distributions under section 4966 9ab Did the organization make a distribution to a donor, donor advisor, or related person? 9b
10 Section 501(c )(7) organizations. Enter
a Initiation fees and capital contributions included on Part VIII, line 12 10ab Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 10b
11 Section 501(c )( 12) organizations. Enter
a Gross income from members or shareholders 111ab Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them) 11 b12a Section 4947(a)(1) non-exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041
b If "Yes," enter the amount of tax-exempt interest received or accrued during the year 12b13 Section 501(c )( 29) qualified nonprofit health insurance issuers.
a Is the organization licensed to issue qualified health plans in more than one state?Note . See the instructions for additional information the organization must report on Schedule 0
b Enter the amount of reserves the organization is required to maintain by the states in whichthe organization is licensed to issue qualified health plans 13b
c Enter the amount of reserves on hand 13c14a Did the organization receive any payments for indoor tanning services during the tax years 14a X
b If "Yes" has it filed a Form 720 to report these payments? If "No, "provide an explanation in Schedule 0 14b
Form 990 (2012)
Form 990 (2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 6
RiGal= Governance , Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No"response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions.Check if Schedule 0 contains a response to any question in this Part VI . XQ
Section A. Governing Body and ManagementYes No
1a Enter the number of voting members of the governing body at the end of the tax year 1a 25If there are material differences in voting rights among members of the governing body, orif the governing body delegated broad authority to an executive committee or similarcommittee, explain in Schedule 0
b Enter the number of voting members included in line 1a, above, who are independent 1b 242 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee's 2 X3 Did the organization delegate control over management duties customarily performed by or under the direct
supervision of officers, directors, or trustees, or key employees to a management company or other person? 3 X4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 4 X5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 X6 Did the organization have members or stockholders' 6 X7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint
one or more members of the governing body? 7a Xb Are any governance decisions of the organization reserved to (or subject to approval by) members,
stockholders, or persons other than the governing body? 7b X8 Did the organization contemporaneously document the meetings held or written actions undertaken during
the year by the followinga The governing body? 8a Xb Each committee with authority to act on behalf of the governing body? 8b X
9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reachedat the organization's mailing address? If "Yes, "provide the names and addresses in Schedule 0 9 X
Section B. Policies (This Section B requests information about policies not required b y the Internal Revenue CodeYes No
10a Did the organization have local chapters, branches, or affiliates? 10a Xb If "Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes' 10bIla Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?. 11a Xb Describe in Schedule 0 the process, if any, used by the organization to review this Form 990
12a Did the organization have a written conflict of interest policy? If "No, "go to line 13 12a Xb Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts' 12b Xc Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
descnbe In Schedule 0 how this was done 12c X
13 Did the organization have a written whistleblower policy? 13 X14 Did the organization have a written document retention and destruction policy? 14 X15 Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?a The organization's CEO, Executive Director, or top management official 15a Xb Other officers or key employees of the organization 15b X
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions)
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangementwith a taxable entity during the year's 16a X
b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate itsparticipation in joint venture arrangements under applicable federal tax law, and take steps to safeguardthe organization's exempt status with respect to such arrangements' 16b
Section C . Disclosure17 List the states with which a copy of this Form 990 is required to be filed ►
---------------------------------------------------------18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable ), 990, and 990-T (Section 501(c)(3)s only)
available for public inspection Indicate how you made these available Check all that a plyF-I Own website Another's website XQ Upon request Other (explain in Schedule 0)
19 Describe in Schedule 0 whether (and if so, how), the organization made its governing documents , conflict of interestpolicy, and financial statements available to the public during the tax year
20 State the name , physical address , and telephone number of the person who possesses the books and records of theorganization ► James D Dean 318 675 4111------------------------------------------------------------------------------------------------------------------------
1505 Kings Highway, Shreveport , LA 71103
Form 990 (2012)
Form 990 (2b12) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 7Compensation of Officers , Directors , Trustees , Key Employees, Highest Compensated
Employees , and Independent ContractorsCheck if Schedule 0 contains a response to any question in this Part VII .
Section A. Officers, Directors , Trustees , Key Employees , and Highest Compensated Employees
1a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within theorganization's tax year
• List all of the organization' s current officers, directors, trustees (whether individuals or organizations), regardless of amountof compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid
• List all of the organization' s current key employees, if any See instructions for definition of "key employee "• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations
• List all of the organization 's former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations
• List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations
List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highestcompensated employees, and former such persons
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(C)Position
(A) (B) (do not check more than one (0) (E) (F)Name and Title Average box, unless person is both an Reportable Reportable Estimated
hours per officer and a directorttrustee compensation compensation amount ofweek ( list any o > > 0 m = o from from related other
hours for . (D 15 the organizations compensationrelated C 3 -<o M m organization (W-2/1099 -MISC) from the
organizations o 0 m (W-2/1099- MISC) organizationbelow dotted -' d and related
line) mQ
2N
mJ
organizations_ ^
(1 ) Arlena Acree- - - ---------------------------------- 1 00
----------------Dlrector X__(2)__ Robert Barsh,-M -D---------------------------- -----------100Director X
-(31-- Kathy- Haynes--------------------------------- -----------1 00Director X__(4)_ Keith Bergeron --------------------------------- ----------- 2 00Chalrman X
--(5)-- ---Renae Chandler---------------------------------------------
1 00----------------
Dlrector X
(6)Terry Moore
----------------------------------- 00Director X
lcolrnMurchison
Director
-
Xms Elrod
Dlrector X(9) Rand Falbaum 0--
Past Chairman X_(10)_-John_Geor^e, Jr_ M_D __ _______ 1Dlrector X(11IRoyGrlgs 100Director X(12IWilliam Lunn,MD 100
00Director X
(13) Johnette McCrery 2 00Director-Secreta X(14) Bly Montgomery 00Director X
Form 990 (2012)
Form 990 (2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa ge 8
Section A. Officers, Directors , Trustees , Key Em to ees, and Highest Compensated Em to ees (continued)
(C)Position
(A) (B) (do not check more than one ( D) (E) (F)
Name and title Average box, unless person is both an Reportable Reportable Estimatedhours per officer and a director/trustee compensation compensation amount of
week ( l ist any 3 0 A -n from from related other
hours for 8- a Eli ID3
01 the organizations compensationrelated F !R 3 y0 m organization (W-2/1099-MISC) from the
organizations d g o M (W-211099- MISC) organizationbelow dotted 3 and related
line)e
2N
m m7
organizations
CD CO
a_(15) -Bonnie Moore
-------------------------------- -----------1 00Director X(16Z Thomas_Pressly 11-1-M D________________________ ___________1 00Director X_(17) Virginia K Shehee 0 00Chair Emeritus X(18)__Stephen F Skrivanos 200___________2 00Vice Chairman X(19^ Craig Spohn----------------------------------- 190Director X
(20Ann StokesDlrector X
(21Thompn
Director-Treasurer
-
X(22W Juan WatkinsM D 00Dlrector X(23Wle Whte 00Director X_(24! Sandra-Roerlg Ph D__________________________ 00Director X(25^ Patti Trudell
tiTru -0000Director Xlb Sub-total ► 0 0 0c Total from continuation sheets to Part VII, Section A ► 1,263,320 0 192,562d Total add lines lb and 1c ► 1,263,320 0 192,562
2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofreportable compensation from the organization ► 8
Yes No
3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line 1 a2 If "Yes, " complete Schedule J for such individual 3 X
4 For any individual listed on line 1a , is the sum of reportable compensation and other compensation fromthe organization and related organizations greater than $150,0007 If "Yes,"complete Schedule J for suchIndividual
5 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual I_ _X^
for services rendered to the organization" If "Yes, " complete Schedule J for such person 5Section B. Independent Contractors
I Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization Report compensation for the calendar year ending with or within the organization's taxyear
(A)Name and business address
(B)Description of services
(C)Compensation
Red River Sanitors, Inc P 0 Box 78329, Shreve port, LA 71137-8329 Housekeepin g Services 213,283Charlie McBride Associates, Inc 1140 Connecticut Ave N W Suite 1050, Washington Consultant 145,475
Cyclomedical Applications Grou p , 200 Prosperity Drive, Ste 119, Knoxville, TN 37923 Consultant 101,020
0
02 Total number of independent contractors (including but not limited to those listed above) who received
more than $100 , 000 of com pensation from the organization ► 3
Form 990 (2012)
Form 990 (2o 12) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa e 9Statement of RevenueCheck if Schedule 0 contains a response to any question in this Part VIII q
(A) (B) (C) (D)Total revenue Related or Unrelated Revenue
exempt business excluded fromfunction revenue tax under sectionsrevenue 512, 513, or 514
is Federated campaigns 1a 0b Membership dues 1b 0
EE c Fundraising events Ic 0
3 5 d Related organizations id 0.E e Government grants (contributions) - - 1e 3,327,764U)L
f All other contributions, gifts, grants, andM S similar amounts not included above 1f 274,740o C g Noncash contributions included in lines la-1f• $ 0
---------10 -------h Total . Add lines la-1f ► 3,602,504
Business Code
2a Rental Revenues----------------------------------------- 531120 5,351,939 5,351,939W b Positron Emission -Tomography _________-__------------------------ 621990 1,936,349 1,936,349
c Radiopharmaceutlcal Mf & Sales _-------- ----339110 1,881,084 1,881,084
d Other
-
900099 82,611 82,611E e ...............................................
0f All other program service revenue 0
a. Total . Add lines 2a-2f ► 9,251,9833 Investment income (including dividends, interest, and
other similar amounts) ► 229,944 229,9444 Income from investment of tax-exempt bond proceeds ► 05 Royalties ► 24,577 24,577
(i) Real (u) Personal
6a Gross rents
b Less rental expensesc Rental income or (loss) 0 0d Net rental income or (loss) ► 0
7a Gross amount from sales of (i) Securities (u) Other
assets other than inventory 4,817,735 0b Less cost or other basis
and sales expenses 4,315,174 0c Gain or (loss) 502,561 0d Net gain or (loss) ► 502,561 502,561
8a Gross income from fundraisingevents (not including $ 0of contributions reported on line 1c)See Part IV, line 18 a 0
b Less direct expenses b 00 c Net income or (loss) from fundraising events ► 0
9a Gross income from gaming activitiesSee Part IV, line 19 a 0
b Less direct expenses b 0c Net income or (loss) from gaming activities ► 0
10a Gross sales of inventory, lessreturns and allowances a 0
b Less cost of goods sold b 0c Net income or (loss ) from sales of invento ry 11111. 0
Miscellaneous Revenue Business Code
11a---------------------------------------------- 0
b----------------------------------------------- 0
c----------------------------------------------- 0
d All other revenue 0e Total . Add lines 11a-11d ► 0
12 Total revenue . See instructions ► 13 611 569 9 , 251 , 983 1 0 757 , 082
For, 990 (2012)
Form 990 ('2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pag e 10107C.7M. Statement of Functional ExpensesSection 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)
Check if Schedule 0 contains a response to any question in this Part IX q
Do not include amounts reported on lines 6b,7b, 8b, 9b, and 10b of Part VI/l.
(A)Total expenses
( s)Program service
expenses
(c)Management and
general expenses
(D)Fundraising
expenses
I Grants and other assistance to governments andorganizations in the United States See Part IV, line 21 1,061,526 1,061,526
2 Grants and other assistance to individuals in theUnited States See Part IV, line 22 0
3 Grants and other assistance to governments,organizations, and individuals outside theUnited States See Part IV, lines 15 and 16 0
4 Benefits paid to or for members 05 Compensation of current officers, directors,
trustees, and key employees 874,998 321,020 553,9786 Compensation not included above, to disqualified
persons (as defined under section 4958(f)(1)) andpersons described in section 4958(c)(3)(B) 0
7 Other salaries and wages 2,194,827 1,923,637 173,205 97,9858 Pension plan accruals and contributions (include
section 401(k) and 403(b) employer contributions) 326,864 196,369 122,129 8,3669 Other employee benefits 327,819 209,423 108,344 10,052
10 Payroll taxes 196,300 141,503 47,390 7,40711 Fees for services (non-employees)
a Management 18,381 17,775 606b Legal 14,587 -16 14,603c Accounting 26,000 26,000d Lobbying 145,475 145,475e Professional fundraising services. See Part IV, line 17 0f Investment management fees 28,887 28,887g Other (If line 11g amount exceeds 10% of line 25, column
(A) amount, list line 11g expenses on Schedule 0) 172,797 172,79712 Advertising and promotion 90,092 17,496 31,386 41,21013 Office expenses 188,649 149 , 914 36,691 2,04414 Information technology 110,398 63 , 776 43,972 2,65015 Royalties 016 Occupancy 2,195,016 1,981,950 213,06617 Travel 108,538 75,305 29,150 4,08318 Payments of travel or entertainment expenses
for any federal, state, or local public officials 019 Conferences, conventions, and meetings 020 Interest 607,045 607,04521 Payments to affiliates 022 Depreciation, depletion, and amortization 2,283,051 2,283,051 0 023 Insurance 242,226 221,876 20,133 21724 Other expenses Itemize expenses not covered
above (List miscellaneous expenses in line 24e Ifline 24e amount exceeds 10% of line 25, column(A) amount, list line 24e expenses on Schedule O )
a Delivery-------------------------------------------------- ---- -- 99,418 99,418
b Medical Supplies 8_E_qupment______________ _____ 79,273 79,273c --Radlopharmaceutlcal-Prod- Supplies_____________________---- -------------- 604,382 625,083 -20,701d Equipment Re air &_ Maintenance 354,983 354,983e All other expenses 213,878 129,632 52,341 31,905
25 Total functional expenses . Add lines 1 throw h- 24e 12,565,410 10,732,836 1,597,768 234,80626 Joint costs . Complete this line only if the
organization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation Check here ►q iffollowin g SOP 98-2 ASC 958-720
Form 990 (2012)
Form 990 (2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa ge 11
Balance Sheet
Check if Schedule 0 contains a response to any question in this Part X
(A)Beginning of year
(B)End of year
I Cash-non-interest-bearing 12 Savings and temporary cash investments 3,597,497 2 4,028,6093 Pledges and grants receivable, net 86,093 3 38,6004 Accounts receivable, net 1,348,985 4 1,421,950
5 Loans and other receivables from current and former officers, directors,trustees, key employees, and highest compensated employeesComplete Part II of Schedule L 5
6 Loans and other receivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers andsponsoring organizations of section 501 (c)(9) voluntary employees' beneficiaryorganizations (see instructions) Complete Part II of Schedule L 6
U) 7 Notes and loans receivable, net 0 7 0Q 8 Inventories for sale or use 8
9 Prepaid expenses and deferred charges 256,862 9 236,69210a Land, buildings, and equipment cost or
other basis Complete Part VI of Schedule D 10a 88,842,549b Less accumulated depreciation 10b 37,828,834 52,825,257 10c 51,013,715
11 Investments-publicly traded securities 6,416,926 11 7,389,08212 Investments-other securities See Part IV, line 11 0 12 013 Investments-program-related See Part IV, line 11 349,211 13 309,21114 Intangible assets 0 14 015 Other assets See Part IV, line 11 0 15 016 Total assets . Add lines 1 throu gh 15 ( must eq ual line 34 ) 64,880,831 16 64,437,85917 Accounts payable and accrued expenses 1,920,928 17 951,66918 Grants payable 1819 Deferred revenue 54,760 19 29,64920 Tax-exempt bond liabilities 2021 Escrow or custodial account liability Complete Part IV of Schedule D 21
D22 Loans and other payables to current and former officers, directors,
trustees, key employees, highest compensated employees, anddisqualified persons Complete Part II of Schedule L 22
23 Secured mortgages and notes payable to unrelated third parties 11,469,119 23 10,908,43224 Unsecured notes and loans payable to unrelated third parties 0 24 025 Other liabilities (including federal income tax, payables to related third
parties, and other liabilities not included on lines 17-24) CompletePart X of Schedule D 1,107,240 25 1,226,323
26 Total liabilities . Add lines 17 throug h 25 14,552,047 26 13,116,073
Organizations that follow SFAS 117 (ASC 958), check here ► andcomplete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 48,253,156 27 49,093,322co 28 Temporarily restricted net assets 303,848 28 496,841
29 Permanently restricted net assets 1,771,780 29 1,731,623
LL
oOrganizations that do not follow SFAS 117 (ASC958), check here ► andcomplete lines 30 through 34.
is 30 Capital stock or trust principal, or current funds 30u) 31 Paid-in or capital surplus, or land, building, or equipment fund 31
32 Retained earnings, endowment, accumulated income, or other funds 32Z 33 Total net assets or fund balances 50,328,784 33 51,321,786
34 Total liabilities and net assets/fund balances 64 , 880 , 831 34 64 , 437 , 859
Form 990 (2012)
Form 990 (2012) Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 12
Reconciliation of Net Assets
Check if Schedule 0 contains a response to any question in this Part XI XQ
I Total revenue (must equal Part VIII, column (A), line 12) 1 13,611,5692 Total expenses (must equal Part IX, column (A), line 25) 2 12,565,4103 Revenue less expenses Subtract line 2 from line 1 3 1,046,1594 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) 4 50,328,784
5 Net unrealized gains (losses) on investments 5 97,510
6 Donated services and use of facilities 67 Investment expenses 78 Prior period adjustments - 8 -- -9 Other changes in net assets or fund balances (explain in Schedule 0) 9 -150,66710 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,
column (B)) 10 51,321,786Financial Statements and ReportingCheck if Schedule 0 contains a response to any question in this Part XII E
Yes No
I Accounting method used to prepare the Form 990 E] Cash q Accrual OtherIf the organization changed its method of accounting from a prior year or checked "Other," explain inSchedule 0
2a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a XIf "Yes," check a box below to indicate whether the financial statements for the year were compiled orreviewed on a separate basis, consolidated basis, or both
E]Separate basis D Consolidated basis Both consolidated and separate basis
b Were the organization's financial statements audited by an independent accountant'? 2b XIf "Yes," check a box below to indicate whether the financial statements for the year were audited on aseparate basis, consolidated basis, or both
XQ Separate basis ElConsolidated basis E1 Both consolidated and separate basis
c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight ofthe audit, review, or compilation of its financial statements and selection of an independent accountant'? 2c XIf the organization changed either its oversight process or selection process during the tax year, explain inSchedule 0
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth inthe Single Audit Act and OMB Circular A-133? 3a X
b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo thereq uired audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such audits 3b
Form 990 (2012)
SCHEDULE A(Form 990 or 990-EZ)
Department of the Treasury
Public Charity Status and Public SupportComplete if the organization is a section 501(c )( 3) organization or a section
4947(a)(1) nonexempt charitable trust.
► Attach to Form 990 or Form 990-EZ. ► See separate instructions.
OMB No 1545-0047
2012
Name of the organization Employer identification number
Biomedical Research Foundation of Northwest Louisiana 58-1711612
Reason for Public Charity Status (All organizations must comDlete this Dart ) See instructionsThe or anization is not a private foundation because it is (For lines 1 through 11, check only one box )I
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 q A school described in section 170(b)(1)(A)(ii). (Attach Schedule E) -_ __ -
3 q A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 E A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter thehospital's name, city, and state
--------------------------------------------------------------------------------------------------5 q An organization operated for the benefit of a college or university owned or operated by a governmental unit described
in section 170(b)(1)(A)(iv). (Complete Part II )
6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 MX An organization that normally receives a substantial part of its support from a governmental unit or from the general publicdescribed in section 170(b)(1)(A)(vi). (Complete Part II )
8 q A community trust described in section 170(b)(1)(A)(vi). (Complete Part II )
9 M An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees, and grossreceipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 33 1/3% of itssupport from gross investment income and unrelated business taxable income (less section 511 tax) from businessesacquired by the organization after June 30, 1975 See section 509(a )(2). (Complete Part III )
10 M An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11 q An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out thepurposes of one or more publicly supported organizations described in section 509 (a)(1) or section 509(a )(2) See section509(a )( 3). Check the box that describes the type of supporting organization and complete lines 11e through 11h
a q Type I b Type II c Type Ill-Functionally integrated d q Type III-Non -functionally integrated
e q By checking this box , I certify that the organization is not controlled directly or indirectly by one or more disqualifiedpersons other than foundation managers and other than one or more publicly supported organizations described in section509(a)(1) or section 509(a)(2)
f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supportingorganization, check this box
g Since August 17, 2006, has the organization accepted any gift or contribution from any of thefollowing persons?(i) A person who directly or indirectly controls, either alone or together with persons described in (it)
and (III) below, the governing body of the supported organization?(ii) A family member of a person described in (I) above?(iii) A 35% controlled entity of a person described in (I) or (it) above?
h Provide the following information about the supported organization(s)
Yes No
11 i
11 u
(i) Name of supportedorganization
(ii) EIN (iii) Type of organization(described on lines 1-9above or IRC section(see instructions ))
( iv) Is the organizationin col ( i) listed in yourgoverning document?
(v) Did you notifythe organization in
col (i) of yoursupport?
(vi) Is theorganization in col(i) organized in the
U S
(vii) Amount of monetarysupport
Yes No Yes No Yes No
(A)
(B)
(C)
(D)
(E)
Total 0For Paperwork Reduction Act Notice , see the Instructions for Schedule A (Form 990 or 990-EZ) 2012Form 990 or 990-EZ.HTA
Schedule A (Form 990 or 990-EZ) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa g e 2
KjGM Support 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 I or if the organization failed to qualify underPart III If the organization fails to qualify under the tests listed below, please complete Part III )
Section A. Public SupportCalendar year (or fiscal year beginning in) ► (a ) 2008 ( b) 2009 (c 2010 (d ) 2011 (e) 2012 Total
I Gifts, grants, contributions, andmembership fees received (Do notinclude any "unusual grants ") 4,175,159 4,031,555 7,422,034 3,873,705 3,602,504 23,104,957
2 Tax revenues levied for the organization'sbenefit and either paid to or expended onIts behalf - - 0 0 0 0 0 0
3 The value of services or facilitiesfurnished by a governmental unit to theorganization without charge 0 0 0 0 0 0
4 Total. Add lines 1 through 3 4,175,159 4,031,555 7,422,034 3,873,705 3,602,504 23,104,9575 The portion of total contributions by each
person (other than a governmental unitor publicly supported organization)Included on line 1 that exceeds 2%of the amount shown on line 11,column (f)
6 Public support . Subtract line 5 from line 4 23,104,957
Calendar year (or fiscal year beginning in) ► (a ) 2008 (b) 2009 (c) 2010 (d ) 2011 (e) 2012 Total
7 Amounts from line 4 4,175,159 4,031,555 7,422,034 3,873,705 3,602,504 23,104,9578 Gross income from interest, dividends,
payments received on securities loans,rents, royalties and income from similarsources -1,765,811 1,454,029 1,535,790 73,153 937,203 2,234,364
9 Net income from unrelated businessactivities, whether or not the business isregularly carried on 0 0 0 0 0 0
10 Other Income Do not include gain orloss from the sale of capital assets(Explain in Part IV) 0 0 0 0 0 0
11 Total support . Add lines 7 through 10 25,339,32112 Gross receipts from related activities, etc (see instructions) 12 49,591,05913 First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3)
organization, check this box a nd stop here ►ESection C . Computation of Public Support Percentage14 Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) 14 91 18%15 Public support percentage from 2011 Schedule A, Part II, line 14 15 9300%16a 33 1 13% support test-2012 . If the organization did not check the box on line 13, and line 14 is 33 113% or more, check thi s box
and stop here . The organization qualifies as a publicly supported organization ► Elb 33 1/3% support test-2011 . 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-circumstances test-2012 . 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 inPart IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supportedorganization ►
b 10%-facts-and-circumstances test-2011 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain inPart IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publiclysupported organization ►
18 Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and seeinstructions ► El
Schedule A (Form 990 or 990 -EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pag e 3JIM Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part IIIf the organization fails to qualify under the tests listed below, please complete Part II)
Section A. Public SupportCalendar year (or fiscal year beginning in ) ► ( a ) 2008 ( b) 2009 (c ) 2010 (d ) 2011 (e ) 2012 Total
I Gifts , grants , contributions , and membership feesreceived (Do not include any "unusual grants ") 0
2 Gross receipts from admissions , merchandise
sold or services performed , or facilities furnished
in any activity that is related to the _
organization's tax-exempt purpose 0
3 Gross receipts from activities that are not an
unrelated trade or business under section 513 0
4 Tax revenues levied for the organization's
benefit and either paid to or expended on
its behalf 0
5 The value of services or facilities
furnished by a governmental unit to the
organization without charge 0
6 Total . Add lines 1 through 5 0 0 0 0 0 0
7a Amounts included on lines 1, 2, and 3
received from disqualified persons 0
b Amounts included on lines 2 and 3 received
from other than disqualified persons that
exceed the greater of $5,000 or 1 % of the
amount on line 13 for the year 0
c Add lines 7a and 7b 0 0 0 0 0 0
8 Public support ( Subtract line 7c from
line 6) 0
Section B. Total SupportCalendar year (or fiscal year beginning in) ►
9 Amounts from line 6
10a Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar sources
b Unrelated business taxable income (less
section 511 taxes) from businesses
acquired after June 30, 1975
c Add lines 1 Oa and 1Ob
11 Net income from unrelated business
activities not included in line 1 Ob, 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)
13 Total support. (Add lines 9, 1Oc, 11,
and 12 )
( a ) 2008 (b) 2009 (c ) 2010 (d ) 2011 (e ) 2012 Total
0 0 0 0 0 0
0
00 0 0 0 0 0
0
0
0 0 0 0 0 014 First five years . If the Form 990 is for the organization 's first , second , third, fourth , or fifth tax year as a section 501(c)(3)
organization , check this box and stop here ► D
C. Computation of Public15 Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
16 Public support percentage from 2011 Schedule A, Part III, line 15
17
18
19a
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) 17
Investment income percentage from 2011 Schedule A, Part III, line 17 18
33 1/3% support tests-2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 isnot more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
33 1/3% support tests-2011 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, andline 18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
20 Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
000%
0 00%
0 00%
► q
► q
Schedule A (Form 990 or 990-EZ) 2012
Schedule A ( Form 990 or 990-EZ ) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Paae 4
KjQMM Supplemental Information . Complete this part to provide the explanations required by Part II, line 10,Part II, line 17a or 17b, and Part III, line 12 Also complete this part for any additional information (Seeinstructions)
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
Schedule A (Form 990 or 990-EZ) 2012
SCHEDULE D OMB No 1545-0047
(Form 990 ) Supplemental Financial Statements90
^jO,^ ZComplete if the organization answered "Yes," to Form 990, [^
Part IV, line 6, 7 , 8, 9, 10 , 11a, 11b , 11c, lid, 11e, 11f, 12a, or 12b. • • •DettheTreasury
01 Attach to Form 990. 111" See separate instructions. 11161 G IZ11Intemalternal Revenue Service
•
'
Name of the organization ployer identification number
Biomedical Research Foundation of Northwest Louisiana
Em
58-1711612Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete ifthe organization answered "Yes" to Form 990, Part IV, line 6
(a) Donor advised funds ( b) Funds and other accounts
1 Total number at end of year2 Aggregate contributions to (during year)3 Aggregate grants from (during year)4 Aggregate value at end of year5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control'? Yes No6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any otherpurpose conferring impermissible private benefit? Yes No
Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
I Purpose ( s) of conservation easements held by the organization (check all that apply)Preservation of land for public use (e g , recreation or education ) D Preservation of an historically important land area
Protection of natural habitat EJ Preservation of a certified historic structure
Preservation of open space2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
easement on the last day of the tax year
a Total number of conservation easementsb Total acreage restricted by conservation easementsc Number of conservation easements on a certified historic structure included in (a)d Number of conservation easements included in (c) acquired after 8/17/06, and not on a
historic structure listed in the National Register3 Number of conservation easements modified transferred released extinguished or terminated
_ Held at the End of the Tax Year
2a2b2c
2dby the organization
during the tax year ►-----------------
4 Number of states where property subject to conservation easement is located ►5 Does the organization have a written policy regarding the periodic monitoring , inspection , handling of
violations , and enforcement of the conservation easements it holds? F-I Yes No6 Staff and volunteer hours devoted to monitoring , inspecting , and enforcing conservation easements during the year
11110-------------------
7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year► $
-----------------8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and section 170(h)(4)(B)(ll)? 0 Yes No9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describesthe organization's accountin g for conservation easements
V.7=1 Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8
1a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtheranceof public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items
b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtheranceof public service, provide the following amounts relating to these items(i) Revenues included in Form 990, Part VIII, line 1 ► $
-----------------------(ii) Assets included in Form 990, Part X ► $
-----------------------2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these itemsa Revenues included in Form 990, Part VIII, line 1 ► $
-----------------------b Assets i nc l uded in Form 990, Pa rt X ► $
-----------------------
For Paperwork Reduction Act Notice , see the Instructions for Form 990 . Schedule D (Form 990) 2012HTA
Schedule 6 ( Form 990 ) 2012 Biomedical Rt 1711612
Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant
use of its collection items (check all that apply)
a M Public exhibition d Loan or exchange programs
b fl Scholarly research e Other ------------------------------------------------------c Preservation for future generations
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose inPart XIII
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similarassets to be sold to raise funds rather than to be maintained as part of the organization's collection? E]Yes No
CEM Escrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990, Part
IV, line 9, or reported an amount on Form 990, Part X, line 211a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X7 Yes El Nob If "Yes," explain the arrangement in Part XIII and complete the following table
c Beginning balanced Additions during the yeare Distributions during the yearf Ending balance
Amount
1c 0
Id
le
if 0
2a Did the organization include an amount on Form 990, Part X, line 212 E] Yes No
b If "Yes," explain the arrangement in Part XIII Check here if the explanation has been provided in Part XIII
Endowment Funds . Complete if the organization answered "Yes" to Form 990, Part IV, line 10(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance 1,771,780 1,788,780 1,808,781 1,840,953 1,812,998b Contributions 0 337,205
c Net investment earnings, gains,
and losses 196,762 14,414 266,343 347,900 0d Grants or scholarships 0e Other expenditures for facilities
and programs 236,918 31,414 286,344 380,072 309,250f Administrative expenses 0 0g End of year balance 1,731,624 1,771,780 1,788,780 1,808,781 1,840,953
2 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held asa Board designated or quasi-endowment ► %
-----------------b Permanent endowment ► 99%
--------------------c ------------- _Temporarily restricted endowment ► 1 %
The percentages in lines 2a, 2b, and 2c should equal 100%3a Are there endowment funds not in the possession of the organization that are held and administered for the
organization by Yes No(i) unrelated organizations 3a i X(ii) related organizations 3a ii X
b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R7 3b4 Describe in Part XIII the intended uses of the org anization's endowment funds
Land . Buildinas. and EauiDment . See Form 990. Part X. line 10Description of property ( a) Cost or other basis
(investment )
(b) Cost or other
basis (other)
( c) Accumulated
depreciation
(d) Book value
1a Land 89,207 6,681,584 6,770,791b Buildings 0 61,595,995 21,679,887 39,916,108c Leasehold improvements 0 0 0 0d Equipment 0 20,475,763 16,148,947 4,326,816e Other 0 0 0 0
Total . Add lines 1 a throu gh 1 e (Column (d) must equal Form 990, Part X, column (B), line 10(c) ► 51 , 013 , 715
Schedule D (Form 990) 2012
Schedulb D ( Form 990) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 3
Investments-Other Securities. See Form 990 , Part X , line 12
( a) Descnption of security or category (b) Book value (c) Method of valuation
(including name of security) Cost or end-of-year market value
(1) Financial derivatives 0(2) Closely- held equity interests 0(3) Other
-----------------------------------------SN-----------------------------------------------
(B)---------------------------------------------
SC)------------------------- -------------------
----------------------------------------------
(E)-
__________________-------------------------------------F
---SG)----------------------------------------------
---(H) ---------------------------------------------
Total (Column (b) must equal Form 990, Part X, col (B) line 12) ► 0
• , . Investments-Proaram Related . See Form 990 Part X line 13
(a) Description of investment type (b) Book value ( c) Method of valuationCost or end-of-year market value
1
(2 )
( 3 )
(4 )
( 5 )
(6 )
( 7 )
( 8 )
( 9 )
( 10 )Total (Column (b) must equal Form 990, Part X, col (B) hne 13) ► 0
Other Assets . See Form 990. Part X. line 15.(a) Description (b) Book value
( 1 )
( 2 )( 3 )
(4 )
( 5 )( 6 )
( 7 )
( 8 )
( 9 )
( 10 )
Total . (Column (b) must equal Form 990, Part X, col 8 line 15 ) ► 0
Other Liabilities . See Form 990, Part X, line 25.(a) Description of liability ( b) Book value
( 1 ) Federal income taxes 0(2 ) Gift Annuities Payable( 3 ) Asset Retirement Liability 156,692
(4 ) Derivative Liabili ty 1,069,631
(5 )
(6 )
( 7 )
( 8 )
( 9 )
( 10 )
(11)Total (Column (b) must equal Form 990, Part X, col (B) li ne 25) ► I 1,226,3231
2. FIN 48 (ASC 740) Footnote In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liabilityfor uncertain tax positions under FIN 48 (ASC 740) Check he re if the text of the footnote has been provided in Part XIII E
Schedule 0 (Form 990) 2012
Schedule D (Form 990) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa ge 4
Reconciliation of Revenue per Audited Financial Statements With Revenue per ReturnI Total revenue, gains, and other support per audited financial statements 1 13,709,0792 Amounts included on line 1 but not on Form 990, Part VIII, line 12a Net unrealized gains on investments 2a 97,510b Donated services and use of facilities 2bc Recoveries of prior year grants 2cd Other (Describe in Part XIII) 2de Add lines 2a through 2d 2e 97,510
3 Subtract line 2e from line 1 3 13,611,5694 Amounts included on Form 990, Part VIII, line 12, but not on line I _
- a Investment expenses not included on Form 990, Part VIII, line 7b 4ab Other (Describe in Part XIII) 4bc Add lines 4a and 4b 4c 0
5 Total revenue Add lines 3 and 4c. (This must equal Form 990, Part hne 12) 5 13,611,569
Reconciliation of Expenses per Audited Financial Statements With Expenses per ReturnI Total expenses and losses per audited financial statements 1 12,565,4102 Amounts included on line 1 but not on Form 990, Part IX, line 25a Donated services and use of facilities 2ab Prior year adjustments 2bc Other losses 2cd Other (Describe in Part XIII) 2de Add lines 2a through 2d 2e 0
3 Subtract line 2e from line 1 3 12,565,4104 Amounts included on Form 990, Part IX, line 25, but not on line 1:a Investment expenses not included on Form 990, Part VIII, line 7b 4ab Other (Describe in Part XIII) 4bc Add lines 4a and 4b 4c 0
5 Total expenses Add lines 3 and 4c. (ThIs must equal Form 990, Part line 18) 5 12,565,410
SuPDlemental InformationComplete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,Part V, line 4, Part X, line 2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide anyadditional information
PartV Llne 4 Term endowment is-held-to support_repalr and maintenance- of specific _____________________________------------------------------------------ ------------- --------------------------
eujment
PartV Line 4 Permanent endowment is held- to support any other activity of the----------------------------------------------
-organization ------------------------------------------------------------------------------
PartX-Llne_2 The Foundatlon_has been recognized by the Internal Revenue Service as a- - - - - - - - - - - - - -----------------------------------------------------------------
not-for-profit orcanlzatlon as described in Section 501_(c)(3) of the Internal Revenue-------- - --------------------------------------------------------
Codeand is exempt from federal income taxespursuant to Section 501 (aJ of the Internal
Revenue Code Accordingly, no provision for income taxes has been made The Foundation
Schedule D (Form 990) 2012
Schedule D ( Form 990 ) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Page 5
Supplemental information (continued)
-adopted -the-accounting-guidance-related -to accounting for uncertainty in Income taxes,-----------------------------------------------------------
whlch sets out a consistent framework to determine the appropnate- level of tax-reserves --------------------------- ------------------------------------------------------- ----------------------
to maintain for uncertain tax positions A tax position that meets the------------------------------ ----- -------------------------------------------------------------------------------------
more_Ilkely_than_not recognition threshold is initially and subsequently measured as the --------------------------------------------------
largest amount of tax benefit that has-a_greater than 50 percent likelihood of being __________________________________- ----------------------- --------------------
reallzed upon settlement with a taxing authority that has full knowledge of all relevant----------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- i n fo rmat i o n determination of wether or not a tax position has met the----------------------------------------------------- - - - ----------------------------------------------------------------
more_than_Ilkely_than_not recognition threshold considers the facts, circumstances, and-----------------------------------
informatlon available at the reportlnRdate and is subject to management'sjudgment----------------------------- - -------
Changes in the recognition or_measurement are_reflected in_the_perlod_in which the change______________________________________________
in judgment occurs The Foundation has evaluated its position regarding the accounting for----------------------------------------- ------------------------------------
uncertain income tax- position and determined that it had -no-uncertain tax positions at----------------------- determined -that
31, 2012 With few exceptions , the statute of limitations for the examination of_----------------------------
the Foundation ' s Income tax returns is-generally-3-years from -the due date of-the-tax- - - - - - - - - - - - -----------------------------------------------------
return Includlnq extensions The tax years open for assessment are the-years ending on or--------------- ----------------------------------------------------
after December 31, 2009---------------------------------------------------------------------------------------------------------------------------------------------
PartXILine 8 Change in-value of derivative---------------- - - - -----------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------
Schedule D (Form 990) 2012
SCHEDULEI(Form 990)
Department of the Treasury
Name of the organization
Grants and Other Assistance to Organizations , OMB No 154510o47
Governments , and Individuals in the United States 2©12Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22 . Open to Public
► Attach to Form 990. i . - • ,
Employer identification number
General Information on Grants and Assistance
I Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, andthe selection criteria used to award the grants or assistance'? Yes No
2 Describe in Part IV the organization's procedures for monitoring the use of g rant funds in the United States
Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" to Form 990Part IV, line 21, for any recipient that received more than $5,000 Part II can be duplicated if additional space is needed
1 (a) Name and address of organization
or government
(b) EIN (c ) IRC section
if applicable
(d) Amount of cash
grant
(e) Amount of non-
cash assistance
(f) Method of valuation
( book , FMV, appraisal,other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
Shreveport----_--(1) LSU Health------------------------1501 Kings Hwy 2-0702002 01 (c)( 1 ) 41,572 esearch
(2) Caddo Parish Schools----------------------------------1961 Midway Avenue 72-6000224 501 (c)( 1 ) 85,637 Education(3) Mlnonty-Supplier Institute----------------P0 Box 1910 20-8105116 501 ( c)( 3 ) 250 Economic Growth(4) CoHabitat Foundation-----------------------------------610 Commerce Street 27-1566437 501 (c)( 3) 2,500 S ponsorshi p(5)_ ----------------------------------
(6)-------------------------------------
(7)------------------------------------
(6)------------------------------------
( 9)_ ----------------------------------
(10)------------------------------------
(11)------------------------------------
(12)------------------------------------
2 Enter total number of section 501(c)(3) and government organizations listed in the line 1 table 10. 2------------------------
3 Enter total number of other organizations listed in the line 1 table ► 2
For Paperwork Reduction Act Notice , see the Instructions for Form 990. Schedule I (Form 990 ) (2012)
(HTA)
Biomedical Research Foundation of Northwest Louisiana 58-1711612Schedule I (Form 990) (2012) Page 2
Grants and Other Assistance to Individuals in the United States . Complete if the organization answered "Yes" to Form 990, Part IV, line 22
Part III can be duplicated if additional snare is needed
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
non-cash assistance
(a) Method of valuation (book,
FMV, appraisal, other)
(f) Description of non-cash assistance
2
3
4
5
6
7
LEM Supplemental Information . Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additionalinformation
PartI_Llne 2 All grants are restricted for speclficpurposes consistent with the Foundation's mission Grants require written_________________________________________________________________
applications/proposals accompanied by a supporting budget_The applications/proposals are approved by senior management The approval ------------------------------
letter requires that the recipient maintain the funds in a restricted account, account for and document all expenditures, make--------- - ------------------------ ------------------------------------
expendltures within a specific time period and return unexpended funds, all subject to audit by the Foundation------------- - ------------------------------------------------------------------------------------
ScheduleI(Form 990) (2012)
OMB No 1545-0047SCHEDULE J Compensation Information
r(Form 990) ^OFor certain Officers , Directors , Trustees , Key Employees, and Highest
Compensated EmployeesComplete if the organization answered "Yes" to Form 990,
Department of the Treasury Part IV, line 23.Internal Revenue Service ► Attach to Form 990. ► See separate instructions. ' ' •Name of the organization Employer identification number
Biomedical Research Foundation of Northwest Louisiana 58-1711612
Questions Regarding CompensationYes No
113 Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form990, Part VII, Section A, line la Complete Part ill to provide any relevant information regarding these items
First-class or charter travel fl Housing allowance or residence for personal use
Travel for companions 0 Payments for business use of personal residence
Tax indemnification and gross-up payments Health or social club dues or initiation fees
0 Discretionary spending account Personal services (e g , maid , chauffeur, chef)
b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding paymentor reimbursement or provision of all of the expenses described above? If "No," complete Part III toexplain lb
2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by allofficers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line la?
3 Indicate which , if any, of the following the filing organization used to establish the compensation of theorganization 's CEO/Executive Director Check all that apply Do not check any boxes for methods used by arelated organization to establish compensation of the CEO/Executive Director, but explain in Part III
Compensation committee Written employment contract
0 Independent compensation consultant XQ Compensation survey or study
XQ Form 990 of other organizations XQ Approval by the board or compensation committee
4 During the year, did any person listed in Form 990, Part VII, Section A, line la, with respect to the filingorganization or a related organization
a Receive a severance payment or change-of-control payment? 4a Xb Participate in, or receive payment from, a supplemental nonqualified retirement plan? 4b Xc Participate in, or receive payment from, an equity-based compensation arrangement? 4c X
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part Ill
Only section 501(c )( 3) and 501(c )(4) organizations must complete lines 5-9.5 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues ofa The organization? 5a Xb Any related organization? 5b X
If "Yes" to line 5a or 5b, describe in Part Ill6 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings ofa The organization'? 6a Xb Any related organization? 6b X
If "Yes" to line 6a or 6b, describe in Part III7 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III 7 X8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53 4958-4(a)(3)? If "Yes," describein Part Ill 8 X
9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described inReg ulations section 53 4958-6 (c ) ? 9
For Paperwork Reduction Act Notice , see the Instructions for Form 990. Schedule J (Form 990) 2012HTA
Schedule J (Form 990) 2012 of
Employees. and HFor each individual whose compensation must be reported in Schedule J, report compensationinstructions, on row (ii) Do not list any individuals that are not listed on Form 990, Part VII
)ensated Employees . Use duplicate copies if additional spythe organization on row (i) and from related organizations , described in the
2is needed
Note. The sum of columns ( BIM-4m ) for each listed i ndividual must eq ual(B) Breakdown o
the total amount of Form 990 , Part VII . Secf W-2 and/or 1099-MISC compensation
tion A line 1 a a Ilcable column ( D ) and E amounts for that Individual
(A) Name and Title(i) Base
compensation(ii) Bonus & incentive
compensation
(iii) Otherreportable
compensation
(C) Retirement andother deferredcom ensationp
(D) Nontaxablebenefits
(E) Total of columns(B)(i)-(D)
(F) Compensationreported as deferred in
prior Form 990
John Sharp
1 President-CEO
(i)
(ii)
250,942 -- ------------22,500 9,750------------------- 283,192
-------------------0 --------------------
James Dean
2 VP Finance and Administration(I)(ii)
244,118 --21,792 -------------4.875 -----------270,7850
AmolTakalkar
3 Medical Director0)pi)
284,451------------------- ----- 22,500 ____________14,069 _________ 321,020
0
4(I)(ii)
------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
5(i)(ii)
------------------- ------------------- ------------------- -------------------------------------- - ------------------- - --------------------
6
(i)
(ii)------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
7
(i)
ii)------------------ ------------------- ------------------- ------------------- ------------------- ------------------- -------------
8
(i)------------------ ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
9
(i)------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
10(i) ------------------ ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
11
(i)
(ii)------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
12
(i)
(ii)------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
13
(i)
(ii)------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
14
(i)
ii)------------------ ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
15(i)(ii)
------------------- ------------------- ------------------- ------------------- ------------------- ------------------- --------------------
616
(i) ------ ------------ ------------------- ------------------- - ------------ ---------------- -- ------------------ -------------------
Schedule J (Form 990) 2012
Schedule J (Form 990) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 'Page 3
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1 b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part IIAlso complete this part for any additional information.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
i-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Schedule J (Form 990) 2012
SCHEDULE L Transactions With Interested Persons OMB No 1545-0047(Form 990 or 990-EZ) O12
11, Complete if the organization answered"Yes" on Form 990, Part IV, line 25a, 25b, 26 , 27, 28a , 28b, or 28c,
Department of the Treasury or Form 990 -EZ, Part V, line 38a or 40b. • . -Internal Revenue Service ► Attach to Form 990 or Form 990-EZ . ► See separate instructions. . -Name of the organization Employer identification number
Biomedical Research Foundation of Northwest Louisiana 1 58-1711612
-
-
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only)Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b
N1(b) Relationship between disqualified person (d) Corrected?
(a) ame of disqualified personand organization
c) Description of transaction(Yes No
1
(2 )
( 3)
(4)
5
( 6 )
Enter the amount of tax incurred by the organization managers or disqualified persons during the yearunder section 4958 ►Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ►
Loans to and/or From Interested Persons.Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a or Form 990, Part IV, line 26, or if theorganization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship
with organization(c) Purpose
of loan(d) Loan to or fromthe organizations
(e) Originalprincipal amount
( f) Balance due (g) In defaults (h) Approvedby board orcommittee
( I) Writtenagreement?
To From Yes No Yes No Yes No
1
(2)3
4
5
67
(8 )9
10Total ► $ 01 i
Grants or Assistance Benefiting Interested Persons.Complete it the organization answered "Yes" on Form 990, Part IV, line 27
(a) Name of interested person (b) Relationship between interested
person and the organization
(c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
( 1 )
( 2)( 3 )
(4)
( 5 )(6 )
( 7 )
( 8 )
( 9)( 10 )
For Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990 -EZ. Schedule L (Form 990 or 990-EZ) 2012HTA
Schedule'L (Form 990 or 990- EZ) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pag e 2
REM Business Transactions Involving Interested Persons.ComDlete if the oraanlzatlon answered "Yes" on Form 990. Part IV. line 28a. 28b or 28c
( a) Name of interested person ( b) Relationship betweeninterested person and the
organization
( c) Amount oftransaction
(d) Description of transaction (a) Sharing oforganization'srevenues?
Yes No
( 1 ) See Schedule O
( 2)
( 3)4
5
6
( 7)
(8)
(9)( 10)
^j. Supplemental InformationComplete this part to provide additional information for responses to questions on Schedule L (see instructions)
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
Schedule L (Form 990 or 990-EZ) 2012
SCHEDULE 0(Form 990 or 990-EZ)
Department of the Treasury
Supplemental Information to Form 990 or 990-EZComplete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.► Attach to Form 990 or 990-EZ.
OMB No 1545-0047
2012
Name of the organization Employer identification number
Biomedical Research Foundation of Northwest Louisiana 58-1 711612
Form 990 Part VI Section B Line 11b THE ORGANIZATION'S CFO IS RESPONSIBLE FOR THE PREPARATION,---------------------------------------------------------------------------------------------------------------------------------------
REVIEW AND FILING OF FORM 990 AND, IF REQUIRED, FORM 990T AND ALL RELATED FORMS AND SCHEDULES------------------------------------------------------------------------------------------------------------------------------------------
THECFO DISTRIBUTES THE COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING-------------------------------------------------------------------------------------------------------------------------------------------
Form990 Part VI Section B Line 12c THE BRF HAS A WRITTEN CONFLICT OF INTERESTS POLICY-----------------------------------------------------------------------------------------------------------------------------------------
COVERINGALL PERSONS WHO MEET THE IRS DEFINITION OF "DISQUALIFIED PERSON" Its EXECUTIVE------------------------------------------------------------------------------------------------------------------------------------------
COMMITTEE CONSISTS OF THE BOARD OFFICERS AND THE CHAIRMAN OF EACH OF ITS OTHER STANDING--------------------------------------------------------------------------------------------------------------------------------------------
COMMITTEESAND IS RESPONSIBLE FOR MANAGING THIS POLICY THE POLICY IS REVIEWED ANNUALLY BY THE------------------------------------------------------------------------------------------------------------------------------------------
FULLBOARD ALL BOARD MEMBERS AND STAFF OFFICERS ARE REQUIRED TO COMPLETE A DISCLOSURE FORM AT-------------------------------------------------------------------------------------------------------------------------------------------
LEAST ANNUALLY AND ARE REQUIRED TO NOTIFY THE COMMITTEE IN WRITING OF ANY PROPOSED CONTRACTS-----------------------------------------------------------------------------------------------------------------------------------------
OR TRANSACTIONS INVOLVING A CONFLICT OF INTERESTS THE DISCLOSURE FORMS AND ACTUAL CONTRACTS- - ----------
AND TRANSACTIONS ARE REVIEWED BY THIS COMMITTEE--PERSON S WHO HAVE A CONFLICT ARE NOT ALLOWED----------------------------------------------------------------------------------------------------------------------------------------
TO PARTICIPATE IN NOR ARE THEY PERMITTED TO HEAR THE DISCUSSION OF THE MATTER EXCEPT TO--------------------------------------------------------------------------------------------------------------------------------------
DISCLOSE MATERIAL FACTS AND RESPOND TO QUESTIONS THEY CANNOT BE PRESENT WHEN A VOTE IS TAKEN-----------------------------------------------------------------------------------------------------------------------------------------
-ON-THE MATTER SPECIFIC GUIDELINES EXIST TO ASSIST THE COMMITTEE IN DETERMINING THE FAIR MARKET-------------------------------------------------------------------------------------------------------------------------------------
VALUE OF A TRANSACTION OR CONTRACT INVOLVING A CONFLICTED PERSON-- --------- -----------------------------------------------------------------------------------------------------------------------------
Form990 Part VI Section B Line 15 THE EXECUTIVE COMMITTEE HAS THE SOLE AUTHORITY TO ESTABLISH-------------------------------------------------------------------------------------------------------------------------------------------
THECOMPENSATION OF THE PRESIDENT AND STAFF VICE-PRESIDENTS AND KEY EMPLOYEES COMPENSATION IS--------------------------------------------------------------------------------------------------------------------------------------
REVIEWEDANNUALLY IN CONNECTION WITH THE BUDGETING PROCESS THE COMMITTEE HAS WRITTEN------------------------------------------------------------------------------------------------------------------------------------------
GUIDELINES FOR EVALUATING THE REASONBLENESS OF COMPENSATION INCLUDING PUBLISHED SURVEYS AND-------------------------------------------------------------------------------------------------------------------------------------------
-COMPARISONS-TO -SIMILAR -ORGANIZATIONS- ,- BOTH- TAXABLE-AND -TAX -EXEMPT, FOR-FUNCTIONALLY-COMPARABLE-------------------------------------------------------------------------------------------------------------------------------
POSITIONS--M INUTES ARE KEPT OF ALL EXECUTIVE COMMITTEE MEETINGS AND REVIEWED AND APPROVED AT------------------------------------------------------------------------------------------------------------------------------------------
THE NEXT MEETING--------------------------------------------------------------------------------------------------------------------------------------------
Form990 Part VI Section C Line 19 THE ORGANIZATION WILL FULLY COMPLY WITH ALL FEDERALAND-------------------------------------------------------------------------------------------------------------------------------------------
STATE PUBLIC DISCLOSURES REQUIRED WITH RESPECT TO ITS STATUS AS A TAX EXEMPT, NOT-FOR-PROFIT------------------------------------------------------------------------------------------------------------------------------------------
-ORGANIZATION--SPEC IFICALLY, DOCUMENTS WILL BE MADE AVAILABLE FOR PUBLIC INSPECTIONS AND COPIES------------
WILL BEBE PROVIDED UPON REQUEST IN ACCORDANCE WITH THE PROCEDURES AND REQUIREMENTS SET FORTH INFor Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990 -EZ. Schedule 0 (Form 990 or 990-EZ) (2012)HTA
SCHEDULE R(Form 990)
Department of the Treasury
Related Organizations and Unrelated Partnerships
► Complete if the organization answered "Yes" to Form 990, Part IV, line 33 , 34, 36, 36, or 37
► Attach to Form 990. ► See separate instructions.
MB No 1545-0047
2012 .
Name of the organization Employer identification numberBiomedical Research Foundation of Northwest Louisiana 58-1711612
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33 )
(a) (b) (c) (d ) ( e) (f)Name , address , and EIN ( if applicable ) of disregarded entity Primary activity Legal domicile ( state Total income End-of-year assets Direct controlling
or foreign country) entity
_ (1)_SIVM) InterTech Venture Mgmt, LLC 72.1455822
P 0 Box 38050 Shreveport, LA 71133 Economic Development LA 79 7,732 N/A_ (2)_SBRFC) BRF Capital, LLC 72.1455336_____________________________________P 0 Box 38050 Shreveport, LA 71133 Economic Development LA 7,860 765,497 N/A
_ (3)_jSI) Southern Isotopes, LLC 72-1511418
P0 Box 38050 Shreve ort, LA 71133 Medical Isoto pes LA N/A4
--------------------------------------------------------------------------------
-------------------
-
----------------------------------------------------------
M:MBI. Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it hadone or more related tax-exempt organizations during the tax year)
(a)Name , address , and EIN of related organization
(b)Primary activity
(c)Legal domicile ( stateor foreign country)
(d )Exempt Code section
(e)Public charity status(if section 501 ( c)(3))
(f)Direct controlling
entity
(g)Section 512(b)(13)
controlledentity'?
Yes No
-------------------------------------------------------------------
-------------------------------------------------------------------
--------------------------------------------------------------------
4
--- -------------------------------------------------------------------
--------------------------------------------------------------------
7
For Paperwork Reduction Act Notice, see the Instructions for Form 990 . Schedule R ( Form 990) 2012HTA
Schedule R (Form 990) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 • Pa e 2Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34because it Ildu Uric Ur rtlute relates or anlzauons treatea as a artnersnl aunn the tax year.
(a)Name , address , and EIN of
related organization
(b)Primary activity
(c)
Legal
domicile
(state orforeign
country)
(d )Direct controlling
entity
( a)
Predominant
income (related ,unrelated ,
excluded from
tax under
sections 512-514)
(f)Share of total
income
(g)Share of end-of-
year assets
(h)Disproportionatea lions?
(l)
Code V-UBI
amount in box 20of Schedule K-1(Form 1065)
U)
General or
managing
partner?
(k)Percentageownership
Yes No Yes N01(1^ IVF 7214558211NTERTEC
1505 Kings 71103Shreve ort, Venture Ca p ital LA BRFC-Part I Related 7,939 773,229 X X
-
10000%2
3
4
------------------------------
-------------------------------
-------------------------------
A Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the nroanlzation answareri "Y " to P rm QQ( PortIV, line 34 because it had one o r more related organizations treated as a corporation or trust dunna the tax year)
( a)Name , address , and EIN of related organization
(b)Primary activity
(c)Legal domicile
(state or foreign country)
(d)Direct controlling
entity
(a)Type of entity
(C corp, S corp , or trust)
(f)Share of total
income
(g)Share of
end -of-year assets
(h)Percentageownership
(i)Section 512 ( b)(13)
controlledenti ty ?
Yes No
-------------------------------------------------
2
3-- --------------------------------------------------
4
---5--------------------------------------------------
---------------------------------------------------
---------------------------------------------------
Schedule R (Form 990) 2012
Schedule R ( Form 990 ) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 ' Pane 3
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36 )
Note . Complete line I if any entity is listed in Parts II, III, or IV of this schedule Yes No
1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV'?
a Receipt of (i) Interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity 1a X
b Gift, grant, or capital contribution to related organization(s) 1b X
c Gift, grant, or capital contribution from related organization(s) 1c X
d Loans or loan guarantees to or for related organization(s) Id X
e Loans or loan guarantees by related organization(s) le X
f Dividends from related organization(s) if X
g Sale of assets to related organization(s) 1 X
h Purchase of assets from related organization(s) 1h X
i Exchange of assets with related organization(s) 1i X
j Lease of facilities, equipment, or other assets to related organization(s) 1j X
k Lease of facilities, equipment, or other assets from related organization(s) 1k X
I Performance of services or membership or fundraising solicitations for related organization(s) 11 X
m Performance of services or membership or fundraising solicitations by related organization(s) Im X
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) 1 n X
o Sharing of paid employees with related organization(s) 10 X
p Reimbursement paid to related organization(s) for expenses
q Reimbursement paid by related organization(s) for expenses
X
r Other transfer of cash or property to related organization(s) 1 r X
s Other transfer of cash or property from related organization(s) Is X
2 If the answer to any of the above is "Yes." see the instructions for information on who must complete this line. includina covered relationshios and transaction thresholds
(a)
Name of other organization
(b)
Transactiontype ( a-s)
(c)
Amount involved
(d)
Method of determiningamount involved
1 See Schedule 0
( 2 )
( 3 )
(4 )
( 5 )
( 6 )Sched ule R (Form 99012012
Schedule R (Form 990) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 • Page 4
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37 )
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assetsor g ross revenue) that was not a related organization See instructions regarding exclusion for certain investment partnerships
(a)Name , address , and EIN of entity
(b)Primary activity
(c)Legal domicile(state or foreign
country )
(d )Predominant
income (related ,unrelated, excluded
from tax undersection 512-514)
le)Are all partners
section501 (c)(3)
organizations?
(f)Share of
total income
(9)Share of
end-of-yearassets
(h)D i sproport i onate
allocat i ons?
(I)Code V-U6l
amount in box 20of Schedule K-1(Form 1065)
U)General ormanagingpartner'?
(k)Percentageownership
Yes No Yes No Yes No
-------------------------------------
2 -------------------------------------
3
4
-------------------------------------
6 -------------------------------------
7 --------------------------------------
--------------------------------------
-M--------------------------------------
110) -----------------------------------
.(^I) ------------------------------------
(1-4 ------------------------------------
(13)-----------------------------------------
(1-4-)---------------------------------------
( 1-5-)---------------------------------------
(i-si-----------------------------------
Schedule R (Form 9901 2012
Schedule'R (Form 990) 2012 Biomedical Research Foundation of Northwest Louisiana 58-1711612 Pa e 5
Supplemental InformationComplete this part to provide additional information for responses to questions on Schedule R (seeinstructions)
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------
Schedule R (Form 990) 2012
Continuation Sheet for Form 990 Pag e 1 of 1Name of the Organization Employer identification number
Biomedical Research Foundation of Northwest Louisiana 58-1711612
• Continuation of Officers, Directors , Trustees , Key Employees , and HighestCompensated Emolovees
(A) (B) (C) (D) (E) (F)
Name and title Average Position (check all that apply) Reportable Reportable Estimated
hours per o g gm
2 -n compensation compensation amount of
week n L aPlo m a m 3 from from related other(list any 5 3 °C c m the organizations compensationhours for o m 9 organization (W-2/1099-MISC) from therelated 2
0,
m(P
3 (W-2/1099-MISC) organization
organizations and relatedbelow dotted $ organizations
line) ^.
_(26) Murray Vlser---------------------------------- -----------1 00Director X_(27k John Sharp
----------------------------------- ----------50 00President-CEO X X X 250,942 32,250_(,28j James Dean
----------------------------------- 50 00----------------
VP Finance and Administration X X X 244,118 26,667_(29)_ Amol Takalkar 5000Medical Director X X 284,451 36,569(30Frank Watson 40Pharmacist X 107,916 19,148(31j Jay yers
-
40Sr Develo ment Director X 100 597 23,486_(32yn--------------------------------- 4000
Cyclotron Engineer X 101,053 18,994k33) Patnck Murphy_________________________________ ________ 400Facilities Manager X 93,816 13,286
(34) Stephen Lokltz---------------------------------
40 00-------
Medical Physicist x 80,427 22,162
_R51 ------------------------------------------------- ----------------
_(36)------------------------------------------------- ---------- -----
_M)------------------------------------------------- ----------------
_(39)-------------------------------------------------- ----------------
_00-)--------------------------------------------------- ----------------
--------------------------------------------------- ----------------
-------------------------------------------------- ----------------
(43Z-------------------------------------------------- ----------------
------------------------------------------------- ----------------
_(451------------------------------------------------- ----------------
_061------------------------------------------------- ----------------