Embed Size (px)
Citation preview
Form 9.9 0Return of Organization Exempt From Income Tax
Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
OMB No 1545-nC
x©15^ Do not enter social security numbers on this form as it may be made public. e
^ Information about Form 890 and its instructions Is at www.irs.govform990.' Deplirtmenl of the Treasury
Internal Revenue Service
A For the 2015 calendar year , or tax year beginning , 2015 , and ending , 20
C Name of organization D Employer Identification numberB cn.^ . e.pprcaew
APA PRACTICE ORGANIZATION 52-2262136"oar., Domg business ascnanpe
+eme cnenye Number and street ( or P O box if mail is not delivered to street address ) Room/suite E Telephone number
nl,atr.+vn 750 FIRST STREET, NE (202) 336-5913
Fin. Im-9 City or town, state or province , country, and ZIP or foreign postal codeI.rmlMW
I^3
HA d
WASHINGTON, DC 20002-4242 GGrossreceipts$ 4, 680, 614.W.in"ppkc.tlon F Name and address of principal officer KATHERINE C. NORDAL, PH. D H(e) Is th i s a group return for yes X Nopending subordinates?
750 FIRST STREET NE WASHINGTON, DC 20002 H(b) A,..u.^merdt,. re.trom.do Yes No
I Tax-exempt status 501(c )( 3) X 501 ( c) ( 6 ) 4 (insert no ) I 4947 ( a)(1) or 527 u'No.' attach a list (see i nstructions)
J Website . ^ WWW. APAPRACTICECENTRAL. ORG H(C) Group exetrpbon number ^K Form of ernanvahen X Cornaretion Trust Association Other ^ L Year of formation 2 001 M State of least domicile DC
Summary
I Briefly describe the organization ' s mission or most significant activities TO -PROMOTE THE- MUTUAL- PROFESSIONAL---------------------------------------INTERESTS OF PSYCHOLOGISTS
cm-------------------------------------------------------- ----------------
_--___----
----
2 Check this box ^ if the organization discontinued its operations or disposed of more tha------------------------------------------- n 25% of its net assets--------- ------- --------------0 3 Number of voting members of the governing body ( Part VI , line 1a) . . . . . . . . . . . . . . . . . . . . . . 3 12 .
4 Number of independent voting members of the governing body ( Part VI, line 1b) , , , , , , , , , , , 4 11 .
5 Total number of Individuals employed in calendar year 2015 (Part V. line 2a ) . . . . . . . . . . . . . . . . . . . 5 0 .
6 Total number of volunteers ( estimate if necessary) 67a Total unrelated business revenue from Part VIII , column ( C), line 12 . . . . . . . . . . . . . . . . . . . . . . 7a 166,636.
b Net unrelated business taxable income from Form 990-T, line 34 ............. 7b.......... 103,115.
Prior Year Current Year
8 , , , , , , , , , , , , , , ,Contributions and grants (Part VIII, line 1h ), , 169, 109. 136,549., , , ,739 Program service revenue (Part VIII, line 2g ), 3,457,877. .3,238,3
10 Investment Income (Part VIII, column (A), lines 3 , 4, and 7d ) , , 29,678. 55, 128.X
1 1
, , , , , , , , , , , , ,
Other revenue (Part VIII, column (A), lines 5 , 6d, 8c , 9c, 10c , and 1le). , , , , , , , , , , 1, 075, 893. 1, 009,828.
12 Total revenue - add lines 8 throu g h 11 ( must equal Part VIII, column (A), line 12) 4,732,557. 4, 439, 878 .
13 . . . . . . . . . . .Grants and similar amounts paid (Part IX, column (A), lines 1 -3) 500, 754. 471,268.
14
. .
Benefits paid to or for members ( Part IX , column (A), line 4 ) . . . . . . . . . . . . 0. 0.
m 15
. . .
Salaries , other compensation , employee benefits ( Part IX , column (A), lines 5 -10), , , , , 0. 0.
16 . .a Professional fundraising fees ( Part IX , column ( A), line 1le ) 55,370. 49,231.
W
,
b Total fundraising expenses ( Part IX , column ( D), line 25 ) ^ 0_
17_-_--------- ------
Other expenses (Part IX , column (A). lines 11a- 11 - e . . . . . .. 4 , 223, 194. 3,687,269.
18 Total expenses Add lines 13 - 17 (must equal Part IX , colur )(fh1^4)iC , 9, 779, 318. 4, 207, 768.^
C -46 761 11023219 Revenue less expenses Subtract line 18 from hn 12 r---- , . .,,in00 N () Beginning of Current Year End of Year
N" 20 Total assets ( Part X , line 16 ) . .. .. , NOVpL 2^ 2^ 'C. , ^^j 4,605,338. 3,859,576.
g 21, , . , ..^ ,1 H 'fTotal liabilities ( Part X , line 26) CO 2 , 937 , 822. 2 , 010 , 459., , , , , , ,
-7zLL 22 Net assets or fund balances Subtract line 21 fr line 2 1,667,516. 1 1,849,11 .
Signature BlockUnder penalties of perjury, I declare that I have examined this return, including accompanying sc1 es-bnd statements , and to the best of my knovneage ana Deuel, it istrue, correct , and complete Declaration of preparer ( other than officer ) is based on all Information of which preparer has any knowledge
VV' - vl_^ L\M.vy`)'\Sign Sig
Tv^:(N\
re of officerHere
1-0, 10 V`nType o print name and title
PrInt/Type preparers name Preparer' s signaturePaid
JEFFREY J SCHRAGGPreparer
F )3DO USA, LLPUse Only irm's name ^
Firm's address GREENSBORO DRIVE BTF+ FLOOR MCLEAN, VA
May the IRS discuss this return with the preparer shown above? (see Instrucl
For Paperwork Reduction Act Notice , see the separate instructions.
11115
JSA5E 1010 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Form 990 ( 2015) Page 2
Statement of Program Service Accomplishments
'Check if Schedule 0 contains a response or note to any line in this Part III q
1 Briefly describe the organization ' s missionTO PROMOTE THE MUTUAL PROFESSIONAL INTERESTS OF PSYCHOLOGISTS
2 Did the organization undertake any significant program services during the year which were not listed on theprior Form 990 or 990 - EZ? , , , , .. , , , , . . , . , , , , , q 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? . . . . . .. . . . . . . . . . . .. ... . ..
... .. q Yes Q 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 $ including grants of $ ) (Revenue $THE GOVERNMENT RELATIONS FAC PROGRAM IS RESPONSIBLE FOR THEPROTECTION AND ADVANCEMENT OF PSYCHOLOGISTS' INTERESTS IN THEFEDERAL LEGISLATIVE AND REGULATORY ARENA. THIS TASK IS METTHROUGH A SET OF ADVOCACY ACTIVITIES FOCUSING ON MEMBERS OFCONGRESS AND ADMINISTRATION ON ISSUES INCLUDING MEDICARE, CHAMPUS,VA, SSA, AND HEALTH CARE REFORM.
4b (Code ) ( Expenses $ including grants of $ ) ( Revenue $THE STATE ADVOCACY LOBBYING PROGRAM PROVIDES CONSULTING SERVICES,RESOURCES, TRAINING AND INFORMATION TO STATE, PROVINCIAL ANDTERRITORIAL PSYCHOLOGICAL ASSOCIATIONS (SPTA'S) THROUGH THE STATELEADERSHIP CONFERENCE (SLC), THE CAPP GRANT PROGRAM (FORORGANIZATIONAL DEVELOPMENT, LEGISLATIVE ADVOCACY AND OTHER RELATEDNEEDS OF SPTA'S), WHICH AWARDED 32 GRANTS IN 2015.
4c (Code ) ( Expenses $ including grants of $ ) (Revenue $THE GOVERNMENT RELATIONS LOBBYING OFFICE ADVOCATES AT FEDERAL ORSTATE LEGISLATURES THE PASSAGE OR DEFEAT OF LEGISLATION RELATED TOISSUES IMPACTING THE PRACTICE OF PSYCHOLOGY. THIS INCLUDESCOMMUNICATIONS WITH APA MEMBERS URGING ADVOCACY ON BEHALF OFPROPOSED LEGISLATION.
4d Other program services ( Describe in Schedule O )(Expenses $ including grants of $ ) (Revenue $
4e Total program service expenses ^JSA5E10201 000 Form 99 0 (2015)
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Form- 990 (2015) Page 3
Checklist of Required SchedulesYes No
1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If Wes,"complete Schedule A . . . . .. . .... . . . . . . . . . . . . . . . . . . . . . .. ... .. . . .. . .. .. ... 1 X
2 Is the organization required to complete Schedule B, Schedule of Contnbutors (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 I . . . . . . . . . ... . . . .. .. . . . .. .. . 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 Il . .. . .. . .. . .. .. . .. .. .. . 45 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 98-197 If 'Yes," complete Schedule C,Part lll ......................................................... 5 X
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, ordebt negotiation 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,"complete Schedule D, Part VI . . .. .. . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . ... .. .. . 11 a 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 16? If "Yes,"complete Schedule D, Part VII ... . . . . .. . .. .. . . . 11 b 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 16' If "Yes, " complete Schedule D, Part V111 . . . . ... .. .. . .. ... 11 c 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 . . . . . . .. . .. . .. . .. . . ... . . .. . 11d X
e Did the organization report an amount for other liabilities in Part X, line 25? 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, PartX . . . . . . 11 f X12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"complete
Schedule D, Parts Xl and XII . .. . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . .. . . . ... . .. . 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 XII is optional . 12b X13 Is the organization a school described in section 170(b)(1)(A)(u)? 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 / and IV . .. . .. . . . .. 14b X
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to orfor any foreign organization's If "Yes, "complete Schedule F, Parts// and IV . .. . . . . .. .. . .. ... . . .. . 15 X
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or otherassistance to or for foreign individuals? If "Yes,"complete Schedule F, Parts 111 and IV . . . . .. . . ... . . .. . 16 X
17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services onPart IX, column (A), lines 6 and 11e? 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 Vlll, lines 1 c and 8a' If "Yes,"complete Schedule G, Part 11 . . . . . . . . . . . . . . . .. . .. . . . . . . . 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 III . . . . . . . .. .. . . . . . . . . . . .. . . . . .. .. . .. ... .... 19 X
Form 990 (2015)
JSA5E1021 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136
Form 990 (2015) Page 4
Checklist of Required Schedules (continued)Yes No
20a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . .. ... . .. .. . . 20a X,b If "Yes " to line 20a , did the organization attach a copy of its audited financial statements to this return? 20b
21 Did the organization report more than $5 , 000 of grants or other assistance to any domestic organization or
domestic government on Part IX , column (A), line 1' If "Yes," complete Schedule I, Parts 1 and ll. . . .... .. . 21 X22 Did the organization report more than $5 , 000 of grants or other assistance to or for domestic individuals on
Part IX , column (A), line 2? If 'Yes,"complete Schedule I, Parts I and Ill . . . . .. . . .... .. ... . . . . .. . 22 X
23 Did the organization answer "Yes" to Part VII, Section A , line 3, 4 , or 5 about compensation of the
organization ' 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 lines 24b
through 24d and complete Schedule K If'No,"go to line 25a . . . . . . . .. . . . .. .... .. . .. . . . . . 24a X
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. .. . .. . 24b
c Did the organization maintain an escrow account other than a refunding escrow at any time during the yearto defease any tax-exempt bonds? . .. . . . . .. . . . .. . . . . . . . . . . . . . .. .. . . . . .. . .. .. . 24c
d 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), 501 ( c)(4), and 501 ( c)(29) organizations . Did the organization engage in an excess benefit
transaction with a disqualified person during the year? If "Yes,"complete Schedule L, Part I . . .. .. ... .. . 25a
b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
year , and that the transaction has not been reported on any of the organization ' s prior Forms 990 or 990-EZ?
Part I . .. . .. ... . . . . . . . . . . . . . . . . . . . .... .. . . . .. . . .If "Yes " complete Schedule L 25b,,26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any
current or former officers , directors , trustees , key employees, highest compensated employees, or
Part 11" complete Schedule Ldisqualified persons? If "Yes 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% controlled
entity or family member of any of these persons? If "Yes," complete Schedule L, Part /// . .. .. . . .. .. . .. . 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)
" complete Schedule L, Part IV ... . .. .or key employee? If "Yesdirector trusteea A current or former officer 28a X, ,, ,
b A family member of a current or former officer, director, trustee , or key employee? If "Yes," complete
.. .. . .. . . . . . . . . . . . . . . . .. . ... .. . . . .. .. .Schedule L Part IV 28b X, . . . . .. . . . .. ..c An entity of which a current or former officer , director, trustee, or key employee ( or a family member thereof)
"complete Schedule L, Part IV. .. ... . . .or direct or indirect owner? If "Yeswas an officer director trustee 28c X,, , ,000 in non -cash contributions? If "Yes," complete Schedule M. . . .29 Did the organization receive more than $25 29 X,
30 Did the organization receive contributions of art, historical treasures , or other similar assets, or qualified
" complete Schedule M . . . . . . . . . . . . . . . . . . .. ... . ... .. .conservation contributions? If "Yes 30 X,31 Did the organization liquidate , terminate , or dissolve and cease operations? If 'Yes,' complete Schedule N,
31 X
32 Did the organization sell, exchange , dispose of , or transfer more than 25% of its net assets? If Wes,"
Part 11 . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . .. .... .. . .. . . .complete Schedule N 32 X,
33 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, Part I . . . . .. .... . . .. ... . . . 33 X
34 Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part 11, III,
line I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .or IV and Part V 34 X, ,.. . .. . . . .. . .35a Did the organization have a controlled entity within the meaning of section 512 ( b)(13)? 35a X.
b 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
36 Section 501(c)(3) organizations . Did the organization make any transfers to an exempt non-charitable
Part V, line 2 . . . . . . . . . .. . .. . ... .. . .. . . .related organization? If 'Yes " complete Schedule R 36,,
37 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,.........................................Part VI . 7..... ...........
38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI , lines 11 b and
19? Note . All Form 990 filers are re q uired to com p lete Schedule 0 38 XForm 990 (2015)
JSA
5E1030 1 0006619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Form 990 ( 2015) Page 5
Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule 0 contains a response or note to any line in this Part V .....................El
I a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable . ... . .. . . . 1a 17b Enter the number of Forms W-2G included in line 1a Enter-0- If not applicable. .. . ... . . 1b 0.c Did the organization comply with backup withholding rules for reportable payments to vendors and
reportable gaming (gambling) winnings to prize winners' . . . . . . . . . .. . .. . .. ... . .. . .. . .. . .2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
Statements, filed for the calendar year ending with or within the year covered by this return 2a 0.b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note . If the sum of lines 1 a and 2a is greater than 250, you may be required to e-file (see instructions) . . . . .. .3a Did the organization have unrelated business gross income of $1,000 or more during the yeah . . .. .. . .. .b If "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule O. . . . . . . .
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authorityover, a financial account in a foreign country (such as a bank account, securities account, or other financialaccount)? .........................................................
b If "Yes," enter the name of the foreign country ^See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts(FBAR)
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?. .. . .. . . .b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?c If "Yes" to line 5a or 5b, did the organization file Form 8886-T?. . . . . . . . . . . . .. . . . . . . . . . . . . . . .
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? . . . . . . . . . . .
b If "Yes," did the organization include with every solicitation an express statement that such contributions orgifts were not tax deductible?. .. . .. . . . . . . .. . . . . . . . . . . . . . . . . . . .. ... ... . . . . .. .
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 goods
and services provided to the payor? ... . . . . . . . .. .. . . . . . . . . . . .. . . . . .. ... .. . . . . . .b If "Yes," did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . .. .c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
required to file Form 8282? . .. . .. . . . .. . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . .. .d If "Yes," indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . .. . . 7de Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . .g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?In If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
8 Sponsoring organizations maintaining donor advised funds . Did a donor advised fund maintained by thesponsoring organization have excess business holdings at any time during the yeah .. . . .. .. . .. . .. . . .
9 Sponsoring organizations maintaining donor advised funds.a Did the sponsoring organization make any taxable distributions under section 4966?. ... . . . ... . . . . . . .b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?. .. . . . . .. .
10 Section 501(c )( 7) organizations. Entera 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. . . . . I Ob
11 Section 501(c )( 12) organizations. Entera Gross income from members or shareholders . . . . .. . . . . . . . . . . . . .. . . . . . . . 11ab 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 year? . . . . .. . .. . . . .
h If "V.. " hoc d f i ,.1 ., C.,.... 70A +.......... 4 4L.,...,. it "AI_
5111040 1 0006619CJ L43V
Yes No
2b
3a X3b X
4a l I X
5a X5b X5c
6a X
6b X
7b
7c
7f77h
8
gay- --J9b
12a
13a
14a X14bForm 9 90 (2015)
Form 990 ( 2015 ) APA PRACTICE ORGANIZATION 52-2262136 Page 6
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 instructionsCheck if Schedule 0 contains a response or note to any line in this Part VI . .. . .. ... .. . . .. . .. . . . . .. n
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 . .. . . Ia 1 rtr y' •, ,
If there are material differences in voting rights among members of the governing body, or if the governing
body delegated broad authority to an executive committee or similar committee, explain in Schedule 0 .aa = -- x '
b Enter the number of voting members included in line 1 a, above, who are independent . .. *^,t .
2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship withany other officer, director, trustee, or key employee's . . . . . . . .. . . . .. . .. .. .. .. . .. . ... .. 2 X
3 Did the organization delegate control over management duties customarily performed by or under the directsupervision of officers, directors, or trustees, or key employees to a management company or other person? 3 X
4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed'). . . . . . 4 X
5 Did the organization become aware during the year of a significant diversion of the organization's assets?... . 5 X
6 Did the organization have members or stockholders? . . . . . . . . . . . . .. . . ..... .. . ... . .. . 6 X
7a Did the organization have members, stockholders, or other persons who had the power to elect or appointone or more members of the governing body? . ... .. . . . .. . . . . .. . . . ... .. . . . . ... .. . . 7a X
b Are any governance decisions of the organization reserved to (or subject to approval by) members,stockholders, or persons other than the governing body? . .. . . . . . . . .. .. . .. . .. . ... .. .. .. 7b X
8 Did the organization contemporaneously document the meetings held or written actions undertaken duringthe year by the following = -^ -_ - i
a 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 reached atthe org anization's mailin g 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 by the Internal Revenue Code.)Yes No
or affiliates? . .. . . . .. . . ..... .. ... . . .. ..10a Did the organization have local chapters branches 10a X, ,b 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? . .. 10b,
11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form's . 111a X
b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990 I 'L-11-1i 2;" go to line 13 . .. .. . . .. ... .. . .12a Did the organization have a written conflict of interest policy 's If "No 12a X,
b Were officers , directors , or trustees , and key employees required to disclose annually interests that could giverise to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12b X
c Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
describe 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 X
15 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 decisions
or top management official . . . . .. . .. .. .. .... . .. . .a The organization 's CEO Executive Director 15a X,,b 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 arrangement
with a taxable entity during the year? ... . .. ... . . . . . . . . . . . .. . . .. . .. .. . .. ... .. . . 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 safeguard the '' -organization ' s exempt status with respect to such arrangements 16b
Section C . Disclosure
17 List the states with which a copy of this Form 990 is required to be filed ^ NONE
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 ins ection Indicate how you made these available Check all that apply,
M ' s website Q Upon request E Other (explain in Schedule O)0 Own website Another
19 Describe in Schedule 0 whether ( and if so , how) the organization made its governing documents , conflict of interest policy, and
financial statements available to the public during the tax year
20 State t^hee^nnam eA ad750 FI STREET NEddres^s, and telepho ne rnIumbber of the person who possesses the orgaaznizatiio5's books and records No.
JSA Form 990 (2015)5E1042 1 000
6619CJ L43V
Form 990 (2015) APA PRACTICE ORGANIZATION 52-2262136 Page7
Compensation of Officers , Directors, Trustees , Key Employees , Highest Compensated Employees, and
Independent Contractors
Check if Schedule 0 contains a response or note to any line in this Part VII ...................... q
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 amount ofcompensation 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
q Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(C)
(A) (g) Position (D) (E) (F)
Name and Title Average (do not check more than one Reportable Reportable Estimatedhours per box , unless person is both an compensation compensation from amount of
week ( list an officer and a director/trustee ) from related other
hours for > > o „ _ -n the organizations compensationrelated z a ' - 0,
'0 organization (W-2/1099- MISC) from the
organizations E 3 . (W-2/1099 - MISC) organizationbelow dotted o ID o and related
line) H 2 M 'D organizationsa CD
CD CfD d
fD
11JBARRYS_ANTON PH. D. , ABPP 001.00-PRESIDENT
-18.00 X 0. 40,600. 0.
j2jSUSAN H_ MCDANIEL PH. D . 1_ 00- --PRESIDENT ELECT
-11.00 X 0. 21,653. 0.
-nNADINENADINE J. KASLOW PH. D., ABPP------------------------------
- 1.0000-
PAST PRESIDENT 11.00 X 0. 29,650. 0.
-i4JBONNIE--MARKHAM PH. D. , PSYD 00- 1.00TREASURER 16.00 X 0. 23,100. 0.
i5JJENNIFER F_ KELLY PH. D. , ABPP 1.00----------------------
SECRETARY-
-11.00 X 0. 18,600. 0
ig)LOUISE A_ DOUCE PH. D. 1_ 00- -----------------------
MEMBER AT LARGE--9.00 X 0. 14,996. 0
-17JDIANA-L_-PRESCOTT PH. D .----- -----
- 1_ 00---
MEMBER AT LARGE 9.00 X 0. 14,600. 0
18JSANDRAL_SHULLMAN PH.D. 1_00-MEMBER AT LARGE
-9.00 X 0. 14,600. 0
-i9JWILLIAM-J_ STRICKLAND PH. D.---------------------
- 100------MEMBER AT LARGE 9.00 X 0. 14,600. 0
SIOJRICHARD M_ MCGRAW PH. D. 1_ 00--------------------
MEMBER AT LARGE-
-9-.-0-0-.00 X 0. 14,600. 0
F. CAMPBELL PH. D.A11iLINDA 1_ 00-MEMBER AT LARGE
-9.00 x 0. 15,600. 0
12 EMILY--VOELKEL PH. D.
------------ 1-.00
APAGS MEMBER 9.00 X 0. 14,600. 0
1g NORMAN B. ANDERSON PHD 1.00EVP/CEO 37.00 X 0. 862,651. 117,637.
14 KATHERINE C. NORDAL PHD 8.00---------- --------
ED, PROFESSIONAL PRACTICE 30.00 X 0. 321,482. 63,680
JSA Form 990 (2015)
5E1041 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136
Form 990 (2015) Page 8
MUSM Spctinn A Officers- Directnrs- Trustees- Kev EmnIovees_ and Hiahest Compensated Emolovees (continued)
(A) (B) (C) (D) (E) (F)
Name and title Average Position Reportable Reportable Estimated
hours per (do not check more than one compensation compensation from amount of
week ( list any box, unless person is both an from related other
hours for officer and a directr/trusteethe organizations compensation
related °, a , 3 (0-
o organization (W-2/1099-MISC) from theor anizations9 Za c $ 's 7o
-'( W-2/1099-MISC) organization
below dottedc
°
p a -
C
and related
line -^N N °C organizations
CD
2
yNfD
Nd
CD4
15) ALAN C NESSMAN 30.00
SR SPECIAL COUNSEL/LRA 8.00 X 0. 173,971. 37,364.
16) DANIEL J. ABRAHAMSON 29.00----------------------------------
ASSISTANT ED, STATE ADVOCACY------
9.00 X 0. 185,784. 25,484.
17) RANDY E. PHELPS 20.00----------------------------------
SENIOR ADVISOR------18.00 X 0. 230,299. 42,266.
18) SHIRLEY A. HIGUCHI 33.00-----------------------------------
ASSOC. ED, LEGAL & REG AFFAIRS-- -----
5.00 X 0. 182,697. 21,209.
DOUG WALTER19) 20.00----------------------------------
ASSOCIATE ED, GOVT RELATIONS------18.00 X 0. 201,808. 31,435.
---------------------------------- ------
---------------------------------- ------
---------------------------------- ------
---------------------------------- ------
---------------------------------- ------
---------------------------------- ------
1b Sub -total ^ 0. 1, 421, 332. 181,317.
, , , , , 11111,c Total from continuation sheets to Part VII , SectionA 0. 974,5S9. 157, 758., , , , , , , ,d Total ( add lines 1b and 1c ) . . . . . . . . . . ^ 0. 2, 395, 891. 339,075.
2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofrepo rtable compensation from the organization ^ 16
Yes No
3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line la? If "Yes,"complete Schedule J for such individual . .. . .. . .. . . .. . . .. . . . . . . . .. 3 X
4 For any individual listed on line la, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,0002 If 'Yes," complete Schedule J for suchindividual ........................................................... 4 X
5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individualfor services rendered to the org anization? If "Yes,"complete Schedule J for such person 5 X
Section B. Independent Contractors
1 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 tax
year
(A)Name and business address
(B)Description of services
(C)
Compensation
ATTACHMENT 1
2 Total number of independent contractors ( including but not limited to those listed above ) who receivedmore than $100 , 000 in compensation from the organization ^ 2
;, =,}, :',•- ° =•'.-r r^
JSA Foml'VV U ( ZU10)5E1055 1 000
6619CJ L43V
Form 990 (201 APA PRACTICE ORGANIZATION 52-2262136 Page9
Statement of Revenue nt.lnecK IT,)cneauie v contains a respuii e U I iiUIC LV Oil y IIII III l„IJ FOIL Y
(A) (B) (C) (D)Total revenue Related or Unrelated Revenue
exempt business excluded from tax
function revenue under sectionsrevenue 512-514
1a Federated campaigns . . . . . . . 1a
o b Membership dues . . . . . . . . . 1 b
a c Fundraising events . . . . . . . . . 1C
d Related organizations . . . . . . . l d
oy
a Government grants (contributions) . le
5 d IF All other contributions, gifts, grants,
" and similar amounts not included above . If 136, 549
o C g Noncash contributions included in lines la-1f $ --- - -
................h Total . Add lines la -1f . ^ 136, 549.
Business Code - I
j PRACTICE ASSESSMENT S 611710 3,049,356 3,049,356a) 2a
CERTIFICATION REVENUE 900099 92,584 92,584.b
JOURNAL ADVERTIS ING 541800 96,433. 96,433C
d
E eo f All other program service revenue . . . . .
...........Total . Add lines 2a-2f . ^...... 3, 238, 373
3 Investment income (including dividends , interest,
^tl 64, 951. 64,951.s ) . . . . . . . . . . . . . . . .ar amounand other simi
t bond proceeds . ^t of tax-exemtf 0.prom inves men4 Income..............5 Royalties . . . . . . . . ^ 233 233
(i) Real (u) Personal
.6a Gross rents . . . . . ..b Less rental expenses . .
Jc Rental income or (loss ) - - - - - - - -
d Net rental income or (loss ) . . . . . . . . ^ 0
7a Gross amount from sales of ( i) Securities (ii) Other
assets other than inventory 230, 913
b Less cost or other basis
and sales expenses 240,736 -
c Gain or (loss ) . . . . . . . -9, 823. -- - - - -- - --- -
d Net gain or ( loss) . . . . . . . . . . . . . ^ -9, 823. -9,823,
8a Gross income from fundraising
events ( not including $
of contributions reported on line 1c)
line 18 aSee Part IV , _
. . . . . . . . bb Less direct expenses ----
^
---- -
---v
-. .
c Net income or (loss ) from fundraising events. . ^ 0
9a Gross income from gaming activitiesSee Part IV, line 19 . . . . . . . . . . . a
b Less direct expenses . . . . . . . . . b ----- - -- --- - --^ -- -- _J
c Net income or ( loss) from gaming activities. • ^ 0
10a Gross sales of inventory, less
returns and allowances . . . . . . . . . a
-----b Less cost of goods sold . . . . . . . . b - - - - -
c Net income or (loss ) from sales of inventory , . ^ 0.
Miscellaneous Revenue Business Code _-^--
COMMISSIONS/ REBATES 900099 189,392 189,392.11a
MAILING LIS T REN TAL 541800 70,203 70,203.b
OTHER REVENUE 900099 750,000 750,000c
h er revenue . . . . . . . . . . . . .d All ot^1
1, 009, 595.d . . . . . . . . . . . . . . . .e Total . Add lines 11a-1
12 Total revenue . See instructions . ^ 4, 439, 878. 3, 331, 332 . 166, 636. 805r361
JSA5E1051 1 000
Form 7yvt "ID)
6619CJ L43V
Form 990 (2015) APA PRACTICE ORGANIZATION 52-2262136 Page 10F31MR. 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 or note to any line in this Part IX
Do not include amounts reported on lines 6b, 7b,8b 9b and 10b of Part Vl/l.
aTotal expenses
eProgram service
expensesManagement andgeneral expenses
F undraisingexpenses
I Grants and other assistance to domestic organizations
and domestic governments See Part IV, line 21 . . . . 456,268.
2 Grants and other assistance to domestic
individuals See Part IV, line 22 . . . . . . . . . 0
3 Grants and other assistance to foreignorganizations , foreign governments , and foreign
individuals See Part IV , lines 15 and 16 15, 000 .
4 Benefits paid to or for members , , , , 0 .
5 Compensation of current officers, directors,trustees , and key employees , , , , , , , , , , 0
6 Compensation not included above , to disqualified
persons (as defined under section 4958 ( f)(1)) and
persons described in section 4958 (c)(3)(B) , , . . , , 0
7 Other salaries and wages , , , . . , , , . . . , 0
8 Pension plan accruals and contributions ( includesection 401(k ) and 403 ( b) employer contributions) 0
9 Other employee benefits . . . . . . . . . . . 0
10 Payroll taxes . . . . . . . . . . . . . . . . . . 0
11 Fees for services ( non-employees)
a Management . . . . . . . . . . . . . . . . . 0
b Legal . . . . . . . .. . . . ... . . . .. 22, 769.
c Accounting , , , , , , , , , , , , , , , , , , 20,520.
d Lobbyi ng . . . . . . . . . . . . . . . . 78, 524 .
e Professional fundraising services See Part IV, line 17 49, 231
Investment management fees 7, 127
g Other ( If line 1g amount exceeds 10% of line 25 , column
(A) amount , list line 11g expenses on Schedule O) ATCH 2 9 5 , 6 2 4 .
12 Advertising and promotion . , , . , . . . , . 8, 959.
13 Office expenses . . . . . . . . . . . . . . . . 21, 4 4 6 .
14 Information technology . . . . . . . . . . .
.
0
15 Royalties . . . . . . . . . . . . . . . . . . . 0 .
16 Occupancy , , , , , , , , , , , , 0 .
17 Travel . . . . .. .. .. . . . . . . . . . 23, 969.
18 Payments of travel or entertainment expensesfor any federal , state, or local public officials 0
19 Conferences , conventions , and meetings . . 2 3 , 5 9 5 .
20 Interest . . . . . . . . . . . . . . . . . . . 0
21 Payments to affiliates . . . . . . . . . . . . . . 42, 977.
22 Depreciation , depletion , and amortization , . . 0
23 Insurance , , , , , , , , , , , , , , , , , , , 57, 167.
24 Other expenses Itemize expenses not covered
above ( List miscellaneous expenses in line 24e If
line 24e amount exceeds 10% of line 25 , column
(A) amount, list line 24e expenses on Schedule 0)
INCOME TAX-EXPENSE ----_----__ 46,462.bMAILING_ ST -RENTAL EXPENSE __---- --------------
30, 282 .cDUES &_MEMBERSHIP-FEES -----------------
7,680.dOTHER EXPENSES--------------- 168.
e All other expenses -----------------
25 Total functional expenses Add lines 1 through 24e 4 , 2 07 , 7 68 .
26 Joint costs Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation Check here No. iffollowing SOP 98-2 (ASC 958-720), . 1
JJA
5E10521 000 Form 990 ( 20 1 5)
6619CJ L43V
Form 990APA PRACTICE ORGANIZATION 52-2262136
11
Check if Schedule 0 contains a response or note to any line in this Part X . . .(A) (B)
Beginning of year End of year
1 Cash - non-interest-bearing , , , , , , , , , , , , , , , , , , , , , , , 2,163,632. 1 1,321,291.2 Savings and temporary cash investments, , , , , , , , , , , , , , , , , , , , 0. 2 0.3 Pledges and grants receivable, net,,,,,,,,,,,,,,,,,,,,,,, 0. 3 0.4 Accounts receivable, net ............................ 67, 406. 4 73,761.5 Loans and other receivables from current and former officers, directors,
trustees, key employees, and highest compensated employeesComplete Part II of Schedule L . . . ..... . . .. 0. 5 0.
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 employersand sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary
N organizations (see instructions) Complete Part ll of Schedule L 0. 6 0 .d 7 Notes and loans receivable, net 0. 7 0.Cn 8 Inventories for sale or use 0. 8 0.
9 Prepaid expenses and deferred charges . . . . . . . . .. . . . .. . 45, 626. 9 33, 009.10a Land, buildings, and equipment cost or
other basis Complete Part VI of Schedule D 10ab Less accumulated depreciation. . . . . . . . . . 10b 0. 10c 0.
11 Investments - publicly traded securities 2, 297, 028. 11 2, 290, 333.12 Investments - other securities See Part IV, line 11 0. 12 0.13 Investments - program-related See Part IV, line 11 . . . . . . . . . . . . . 0. 13 0.14 Intangible assets 0. 14 0.15 Other assets See Part IV, line 11 31, 646. 15 141,182.16 Total assets . Add lines 1 throu g h 15 must a ual line 34 4, 605, 338. 16 3, 859, 576.17 Accounts payable and accrued expenses, , , , , , , , , , , , , , , , , , , 118, 885. 17 117,841.18 Grants payable , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 0. 18 0 .19 Deferred revenue ................................ 2, 818, 937. 19 1,892, 618.20 Tax-exempt bond liabilities 0. 20 0.21 Escrow or custodial account liability Complete Part IV of Schedule D 0. 21 0.
u) 22 Loans and other payables to current and former officers, directors,trustees, key employees, highest compensated employees, anddisqualified persons Complete Part II of Schedule L . . . . . . . . . . . .. 0. 22 0.
J 23 Secured mortgages and notes payable to unrelated third parties , , , , , , , 0. 23 0.24 Unsecured notes and loans payable to unrelated third parties, , , , , , , , , 0. 24 0 .25 Other liabilities (including federal income tax, payables to related third
parties, and other liabilities not included on lines 17-24) Complete Part Xof Schedule D . .. . .. .. . . .. . . . . . . . . . . . 0. 25 0.
26 Total liabilities . Add lines 17 through 25, . . . . . . . . . . . . . . . . . . 2, 937, 822. 26 2, 010, 459.Organizations that follow SFAS 117 (ASC 958), check here ^ X andcomplete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 1, 628, 809. 27 1, 810, 200.m 28 Temporarily restricted net assets 38,707. 28 38 , 917.
29 Permanently restricted net assets , , , , , , , , , , , , , , , , , . , 0. 29 0.LL Organizations that do not follow SFAS 117 (ASC 958 ), check here ^ q ando complete lines 30 through 34.
u) 30 Capital stock or trust principal, or current funds 30y 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 1, 667,516. 33 1,849, 117.
34 Total liabilities and net assets/fund balances. 4, 605, 338. 34 3,859,576.Form V VU (2015)
JSA
5E1053 1 0006619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Form 990 ( 2015) Page 12
Reconciliation of Net AssetsCheck if Schedule O contains a res once or note to an line in this Part XI
1r- Z ......
Total revenue ( must equal Part VIII, column (A), line 12 ) , , , , , , , , , , , , , , , , , , , , , , ,. ..
1.. ........
4, 439, 878.2 Total expenses ( must equal Part IX, column (A), line 25 ) . . . . . . . .. ... .. . .. . . . . . 2 4, 207, 768.3 Revenue less expenses Subtract line 2 from line 1 3 232, 110.4 Net assets or fund balances at beginning of year ( must equal Part X, line 33, column (A)) , , , , , 4 1,667,516.5 Net unrealized gains ( losses) on investments , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 5 -50, 509.6 Donated services and use of facilities 6 0 .7 Investment expenses , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 7 0.8 Prior period adjustments ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 8 0 .9 Other changes in net assets or fund balances (explain in Schedule 0) , , , , , , , , , , , , , , , , 9 0.
10 Net assets or fund balances at end of year Combine lines 3 through 9 ( must equal Part X, line33, column ( B )) 10 1,849, 117.
Financial Statements and ReportingCheck if Schedule 0 contains a response or note to any line in this Part XII ...... ..... ........ q
I Accounting method used to prepare the Form 990 q Cash Q Accrual q 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?If "Yes," check a box below to indicate whether the financial statements for the year were compiled orreviewed on a separate basis , consolidated basis , or bothq Separate basis q Consolidated basis q Both consolidated and separate basis
b Were the organization ' s financial statements audited by an independent accountant? . .. . . . . .. ... . .If "Yes," check a box below to indicate whether the financial statements for the year were audited on as epa rate basis , consolidated basis , or both
Separate basis q Consolidated basis 7X Both consolidated and separate basisc If "Yes " to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight
of the audit , review , or compilation of its financial statements and selection of an independent accountant?If 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 . . . . . . . . . . . . . . . .. . .. . . .. . . . .. . . .. . .
b If "Yes ," did the organization undergo the required audit or audits? If the organization did not undergo therequired audit or audits. explain why in Schedule 0 and describe any steps taken to undergo such audits
No
2a I X
2b X
2c 1 X
3a I X
3bForm 990 (2015)
JSA
5E1054 1 0006619CJ L43V
SCHEDULE C(Form 990 or 990-EZ)
Political Campaign and Lobbying ActivitiesFor Organizations Exempt From Income Tax Under section 501(c) and section 527
OMB No 1545-0047
1 2015Department oithe Treasury ^ Complete if the organization is described below . ^ Attach to Form 990 or Form 990-EZ. • • • •
Departl RevenueTreasury 10- Information about Schedule C (Form 990 or 990 -EZ) and its instructions is at www.irs.gov/form990. ,
If the organization answered "Yes," on Form 990, Part IV , line 3, or Form 990-EZ , Part V, line 46 (Political Campaign Activities), then• Section 501 (c)(3) organizations Complete Parts I-A and B Do not complete Part I-C
• Section 501(c) (other than section 501 (c)(3)) organizations Complete Parts I-A and C below Do not complete Part I-B
• Section 527 organizations Complete Part I-A only
If the organization answered " Yes," on Form 990 , Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
• Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A Do not complete Part II-B
• Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)) Complete Part II-B Do not complete Part II-A
If the organization answered "Yes," on Form 990, Part IV, line 5 (Proxy Tax) (see separate instructions ) or Form 990-EZ, Part V, line 35c (ProxyTax) (see separate instructions), then
• Section 501(c)(4), (5), or (6) organizations Complete Part III
Name of organization Employer identification number
APA PRACTICE ORGANIZATION 52-2262136
Complete if the organization is exempt under section 501(c ) or is a section 527 organization.
1 Provide a description of the organization's direct and indirect political campaign activities in Part IV.
2 Political expenditures . .. . .. . ..... . . . .. . . . . . . . . . . . . ... ..... . .. ^ $3 Volunteer hours . . . . .. ... .. ... . . . . .. . . . . . . . . . . . . ... ..... . .. . .
Complete if the organization is exempt under section 501(c)(3).I Enter the amount of any excise tax incurred by the organization under section 4955. . . . . . ^ $2 Enter the amount of any excise tax incurred by organization managers under section 4955 . . ^ $3 If the organization incurred a section 4955 tax, did it file Form 4720 for this years , , , , , , , , , , , , , , , , Yes No
4a Was a correction made? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
b If "Yes," describe in Part IVComplete if the organization is exempt under section 501(c ), except section 501(c)(3).
I Enter the amount directly expended by the filing organization for section 527 exempt functionactivities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^ $
2 Enter the amount of the filing organization's funds contributed to other organizations for section
527 exempt function activities . . . ... . . . . . . . . . . . . . . . . . . . . . .... . .. . ^ $
3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL,line 17b..........................
4 Did the filing organization file Form 1120-POL for this year? . . . . . . . . . Yes L_j No
5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments For each organization listed, enter the amount paid from the filing organization's funds Also enter
the amount of political contributions received that were promptly and directly delivered to a separate political organization, suchas a canarate sanrPnatPd fund or a nnhtical action committee (PAC) If additional snace is needed. provide information in Part IV
(a) Name (b) Address (c) EIN (d) Amount paid fromfiling organization's
funds If none, enter -0-
(e) Amount of politicalcontributions received and
promptly and directlydelivered to a separatepolitical organization If
none, enter -0-
( 2)
(3)
(4)
(5)
(6)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule C (Form 990 or 990 -EZ) 2015
JSA5E1264 1 000
6619CJ L43V
Schedule C (Form 990 or990-EZ) 2015 APA PRACTICE ORGANIZATION 52-2262136 Page 2Complete if the organization is exempt under section 501(c )(3) and filed Form 5768 (election undersection 501(h)).
A Check ^ if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member'sname, address, EIN, expenses, and share of excess lobbying expenditures)
B Check ^ if the filin g org anizationanization checked box A and "limited control" provisions a pp l y .Limits on Lobbying Expenditures (a) Filing (b) Affiliated
(The term " expenditures " means amounts paid or incurred .) organization's totals group totalsIa Total lobbying expenditures to influence public opinion (grass roots lobbying) ... . .b Total lobbying expenditures to influence a legislative body (direct lobbying) . .. . . .c Total lobbying expenditures (add lines 1a and 1b) . .. . . . . . . . . . . . . .. . . .d Other exempt purpose expenditures . . . . ... . . . . . . . . . . . . . . . .. . . .e Total exempt purpose expenditures (add lines 1c and 1d) . . . . . . . . . .. ... . .f Lobbying nontaxable amount Enter the amount from the following table in both
columnsIf the amount on line le, column (a ) orb is : The lobby in g nontaxable amount is:Not over $500,000 20% of the amount on line leOver $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000Over $1,000,000 but not over $1,500,000 $175,000 p lus 10% of the excess over $1,000,000Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000Over $17,000,000 $1,000,000
g Grassroots nontaxable amount (enter 25% of line 1f) , , , , , , ,h Subtract line 1g from line I a. If zero or less, enter -0- . .. .. ,i Subtract line If from line Ic If zero or less, enter -0- . . . . . . . . . . . . . . . . . .j If there is an amount other than zero on either line 1 h or line 1 i, did the organization file Form 4720
reporting section 4911 tax for this year? . q Yes q No4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal yearbeginning in) (a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) Total
2a Lobbying nontaxable amount
b Lobbying ceiling amount(150% of line 2a, column (e))
c Total lobbying expenditures
d Grassroots nontaxable amount
e Grassroots ceiling amount(150% of line 2d, column (e))
If Grassroots lobbying expenditures
Schedule C (Form 990 or 990-EZ) 2015
JSA
5E1265 1 0006619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136
Schedule C (Form 990 or 990-EZ) 2015 Page 3
OEM-Complete if the organization is exempt under section 501(c )(3) and has NOT filed Form 5768(election under section 501(h)).
For each 'Yes," response on lines la through lr below, provide in Part IV a detailed(a) (b)
description of the lobbying activity Yes No Amount
I During the year, did the filing organization attempt to influence foreign, national, state or locallegislation, including any attempt to influence public opinion on a legislative matter orreferendum, through the use of
a Volunteers? .........................................b Paid staff or management (include compensation in expenses reported on lines 1 c through 1i)'?
c Media advertisements? ........................................d Mailings to members, legislators, or the public' ,e Publications, or published or broadcast statements' . ,f Grants to other organizations for lobbying purposes? . . . . . . . . . . . . . ... . .. . . .. .g Direct contact with legislators, their staffs, government officials, or a legislative body? , , , , , ,h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means'.i Other activities? ...........................................
Total Add lines 1 c through 11 , , , , , , , , , , , , , , , , , , , , , , ,2a Did the activities in fine 1 cause the organization to be not described in section 501(c)(3)' . ,b If "Yes," enter the amount of any tax incurred under section 4912 . . . . . . . .. . . . . . . .c If "Yes," enter the amount of any tax incurred by organization managers under section 4912d If the filin g org anization incurred a section 4912 tax, did it file Form 4720 for this ear? . .
Complete if the organization is exempt under section 501(c )(4), section 501(c)(5), or section501(c)(6).
Yes No1 Were substantially all (90% or more) dues received nondeductible by members? 1 X..................2 Did the organization make only in-house lobbying expenditures of $2,000 or less' 2 X3 Did the organization agree to carry over lobbying and political expenditures from the prior year? 3 X
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section501 (c )( 6) and if either (a) BOTH Part III-A, lines 1 and 2 , are answered " No," OR (b) Part III -A, line 3, isanswered "Yes."
I Dues, assessments and similar amounts from members . . . ......................... 1 3,049,356.
2 Section 162(e) nondeductible lobbying and political expenditures ( do not include amounts ofpolitical expenses for which the section 527 ( f) tax was paid).
a Current year 2a 586, 884.. . . . . . .. .. .. .. .. .. ...b Carryover from last year ............. . . .. . . . ............... 2b -152, 977.. . .... . . . .c Total ...................... . . .. . . . ........ . ..... 2c 433, 907.. . . .... . . . . . .
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 3 823, 326.
4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of theexcess does the organization agree to carryover to the reasonable estimate of nondeductible lobbyingand political expenditure next year? , , ,,,,,,,,,, 4„ , ,,,, ,, ,
5 Taxable amount of lobbying and political expenditures (see instructions) 5 -389,419.
Supplemental InformationProvide the descriptions required for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list), Part II-A, lines 1 and2 (see instructions), and Part II-B, line 1 Also, complete this part for any additional information
JSA5E1266 1 000
Schedule C (Form 990 or 980•EZ) 2015
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136
Schedule C (Form 990 or 990-EZ) 2015 Page 4
Supplemental Information (continued)
SSA Schedule C (Form 990 or 990-EZ) 2015
5E 1500 1 0006619CJ L43V
SCHEDULE D Supplemental Financial Statements(Form 990) ^ Complete if the organization answered "Yes" on Form 990,
Part IV , line 6, 7 , 8, 9, 10 , 11a, 11b, 11c, 11d , 11e, 11f , 12a, or 12b.
Department of the Treasury ^ Attach to Form 990.Internal Revenue Service ^ Information about Schedule D (Form 990 ) and its instructions is at www.irs.gov/form990.
APA PRACTI CE ORGANI ZATION
OMB No 1545-0047
2015
52-2262136
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.Complete if the organization answered "Yes" on Form 990, Part IV, line 6
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .. . . .. . . . . .2 Aggregate value of contributions to (during year)3 Aggregate value of grants from (during year) . .4 Aggregate value at end of year. . . .. . . . . .5 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? . . . . . . . . . . . q Yes q 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 other purposeconferrin g im permissible p rivate benefit? q Yes q No
Conservation Easements.Complete if the organization answered "Yes" on Form 990, Part IV, line 7
1 Purpose(s) of conservation easements held by the organization (check all that apply)
Preservation of land for public use (e g., recreation or education) HPreservation of a historically important land areaProtection of natural habitat Preservation of a certified historic structurePreservation of open space
2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservationeasement on the last day of the tax year Held at the End of the Tax Year
a Total number of conservation easements . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b Total acreage restricted by conservation easements . .. . . . . . . . . . . . . .. . .. . 2b
c Number of conservation easements on a certified historic structure included in (a) . . . . . 2c
d Number of conservation easements included in (c) acquired after 8/17/06, and not on ahistoric structure listed in the National Register . . . . . . . . . . . . . . . . . . .. . .. . 2d
3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during thetax year ^
4 Number of states where property subject to conservation easement is located ^S Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
violations, and enforcement of the conservation easements it holds? . . . . .. . .. . . . . . . . .. .. . . q Yes q No
6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
^7 Amount of expenses incurred in monitoring, inspecting, handling of violations, 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)(ii)? ... . ..... ..... . .. .. . . . . . .. .. ....... .. . ..... . . q Yes q No
9 In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, andbalance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes theorg anization's accounting for conservation easements
Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets.Complete if the organization answered "Yes" on 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 furtherance ofpublic 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 furtherance ofpublic service, provide the following amounts relating to these items(i) Revenue 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 Revenue included in Form 990, Part VIII, line 1 .. . . .. . . . . . . . . . . . . . . . .. . .. . . . .. . ^ $b Assets included in Form 990, Part X . ^ $
For Paperwork Reduction Act Notice , see the Instructions for Form 990. Schedule D (Form 990) 2015JSA5E1265 1 000
6619CJ L43V
0
APA PRACTICE ORGANIZATION 52-2262136Schedul e D (Form 990) 20 1 5 Page 2
KUMM 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 Public exhibition d q Loan or exchange programsb Scholarly research e Otherc Preservation for future generations
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in PartXIII
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? , , q Yes F7] No
Escrow and Custodial Arrangements.Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form990, Part X, line 21
1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets notincluded on Form 990, Part X? . . . ... . ... . . . . . . . . . . . .. . . . . .. .. . ..... . .. . .. . q Yes q No
b If "Yes," explain the arrangement in Part XIII and complete the following tableAmount
c Beginning balance . . . . ... .. .. . .. .. . . .. . . . . . . . . . . . . . . 1cd Additions during the year ... .... .. . . . .. . . . . . . . .. . . . . .. Ide Distributions during the year .. . . .. . . . .. . . . . . . . . . . . . . .. . . lef Ending balance . . . . . . . .. . . ... . . . . .. . . . . . . . . . . . . . . . . if
2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? Lj Yeb If "Yes," explain the arrangement in Part XIII Check here if the explanation has been provided on Part XIII ,
Endowment Funds.Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
Iabc
de
f
92abc
3a
b
Beginning of year balance . . . .Contributions . . . . . . . .. . .Net investment earnings, gains,and losses . . . . . . . . . .. . .Grants or scholarships . . . .. .Other expenditures for facilitiesand programs . . . . . . . ... .Administrative expenses . . . . .End of year balance . . . . . . . .
(a) Current year (b) Prior year (c) Two years back (d) Three years back ( e) Four years back
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held asBoard designated or quasi-endowment ^ %Permanent endowment ^ %Temporarily restricted endowment ^ %The percentages on lines 2a, 2b, and 2c should equal 100%.Are there endowment funds not in the possession of the organization that are held and administered for theorganization by Yes No
(1) unrelated organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(i)
(ii) related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(ii)
If "Yes" on line 3a(ii), are the related organizations listed as required on Schedule R' . .. . ... .. .. . . . . . 3b
IMM Land , Buildings , and EquipmentCmmnlete if the organization answered "Yes" on Fnrm 990 Part IV line I Ia See Fnrm 990 Part X. line 10
Description of property ( a) Cost or other basis(investment )
(b) Cost or other basis( other )
( c) Accumulateddepreciation
(d) Book value
la Land . . .. .. . . . . . . . .. . . . .. .b Buildings ,,,,,,,,,,,,,,,,,,c Leasehold improvements . . . .. . . .. .d Equipment . . . . . . . . . ... . . .. .e Other
Total. Add lines 1 a throu g h 1 e (Column (d) must equal Form 990, Part X, column (B), line 10c). . ^Schedule D (Form 990) 2015
JSA5E1289 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Schedule D (Form 990 ) 2015 Page 3
Lamm . Investments - Other Securities.Complete if the organization answered "Yes" on Form 990, Part IV, line 11 b. See Form 990, Part X, line 12.
(a) Description of security or category ( b) Book value I ( c) Method of valuation(including name of security) Cost or end-of-year market value
(1) Financial derivatives . . . . . . . . . . . . . . . . .(2) Closely- held equity interests . .. . .. . . . .. . .(3) Other ----------------------
(A)-------------------------------------
(B)-------------------------------------(C)
-------------------------------------(D)
-------------------------------------(E)
-------------------------------------(F)
-------------------------------------(G)
-------------------------------------(H)----------------------------------
Total . (Column (b) must equal Form 990, Part X, col (B) line 12) ^
Investments - Program Related.Complete if the organization answered "Yes" on Form 990 , Part IV, line 11c See Form 990 , Part X, line 13
(a) Description of investment (b) Book value (c) Method of valuationCost or end-of-year market value
1( 2 )( 3 )(4 )5
( 6 )( 7 )
( 8 )( 9 )
Total . (Column (b) must equal Form 990, Part X, col (B) hne 13) ^
Li^ Other Assets.Complete if the organization answered "Yes" on Form 990, Part IV, line 11d See Form 990 , Part X, line 15
(a) Description ( b) Book value
( 1)( 2 )(3)(4)(5)(6 )( 7)
(8 )( 9)
Total . (Column (b) must equal Form 990, Part X, col (B) line 15) . ^.........................FOM Other Liabilities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11 a or 11f . See Form 990, Part X,line 25.
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the
organization's lia bility for u n ce rtain tax posi tion s u n der F IN 48 (ASC 74 0) Check h ere if the text of the footnote has been provided in Part XIIIJSA5E 1270 1 000 Schedule D (Form 990) 2015
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Schedule D (Form 990 ) 2015 Page 4
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.Complete if the organization answered "Yes" on Form 990, Part IV, line 12a
I • Total revenue, gains, and other support per audited financial statements . .. . .. .. . . .. . . . .. 12 Amounts included on line 1 but not on Form 990, Part Vlll, line 12a Net unrealized gains (losses) on investments . ...... .. .. . .. . ... 2ab 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
3 Subtract line 2e from line I . . . . .. . .. . . . .. . . . . . . . .. . .. . . .. . . . . ... 34 Amounts included on Form 990, Part VIII, line 12, 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
5 Total revenue Add lines 3 and 4c. This must a ual Form 990, Part 1 line 12 ) 5Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.Complete if the organization answered "Yes" on Form 990, Part IV, line 12a
I Total expenses and losses per audited financial statements . .. . . . . .. . . . . .. .. ... ... . 12 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
3 Subtract line 2e from line I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Amounts included on Form 990, Part IX, line 25, but not on line 1a Investment expenses not included on Form 990, Part VIII, line 7b . . . . .. . 4ab Other (Describe in Part XIII) . . . . . . . . . . . . . . . . . . . . . . . . . . . 4bc Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4c
5 Total expenses Add lines 3 and 4c. This must equal Form 990, Part 1 line 18 ) 5FUMMM Supplemental Information.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, line2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additional informationSEE PAGE 5
Schedule D (Form 990) 2015J SA5E1271 1 000
6619CJ L43V
Schedule D ( Form 990 ) 2015 APA PRACTICE ORGANIZATION 52-2262136 Pages
Supplemental information (continued)
FORM 990, SCHEDULE D, PART X, LINE 2
IN ACCORDANCE WITH AUTHORITATIVE GUIDANCE ISSUED BY THE FINANCIAL
ACCOUNTING STANDARDS BOARD (THE FASB), APAPO RECOGNIZES TAX LIABILITIES
WHEN, DESPITE MANAGEMENT'S BELIEF THAT TAX RETURN POSITIONS ARE
SUPPORTABLE, APAPO BELIEVES THAT CERTAIN POSITIONS MAY NOT BE FULLY
SUSTAINED UPON REVIEW BY TAX AUTHORITIES. BENEFITS FROM TAX POSITIONS
ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50%
LIKELY OF BEING REALIZED UPON SETTLEMENT. TO THE EXTENT THAT THE FINAL
TAX OUTCOME OF THESE MATTERS IS DIFFERENT THAN THE AMOUNTS RECORDED, SUCH
DIFFERENCES IMPACT INCOME TAX EXPENSE IN THE PERIOD IN WHICH SUCH
DETERMINATION IS MADE. INTEREST AND PENALTIES, IF ANY, RELATED TO
ACCRUED LIABILITIES FOR POTENTIAL TAX ASSESSMENTS ARE INCLUDED IN INCOME
TAX EXPENSE. APAPO IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY
THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS ENDED DECEMBER
31, 2011 AND PRIOR. MANAGEMENT HAS EVALUATED APAPO'S TAX POSITIONS AND
HAS CONCLUDED THAT APAPO HAS TAKEN NO MATERIAL UNCERTAIN TAX POSITIONS
THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS TO
COMPLY WITH THE PROVISIONS OF THIS GUIDANCE.
Schedule D (Form 990) 2015JSA5E1226 1 000 _
6619CJ L43V
SCHEDULE F(Form 990)
Department of the TreasuryInternal Revenue Service
Statement of Activities Outside the United States OMB No 1545-0047
^ Complete if the organization answered "Yes" on Form 990, Part IV, line 14b, 15, or 16. NO 15^ Attach to Form 990.
about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
General information on Activities Outside the United States. Complete if the organization answered "Yes" onForm 990, Part IV, line 14b
I For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award thegrants or asslstance7 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Yes q No
2 For grantmakers. Describe in Part V the organization's procedures for monitoring the use of its grants and otherassistance outside the United States
3 Activities oer Reason (The followlna Part I. line 3 table can be dunllcated if additional space is needed )(a) Region (b) Number of
offices in theregion
(c) Number ofemployees,agents , andindependentcontractorsin region
( d) Activities conducted inregion (by type) ( e g ,
fundraising, program services,investments,
grants to recipientslocated in the region)
(e) If activity listed in (d) isa program service ,
describe specific type ofservice ( s) in region
(f) Totalexpenditures forand investments
in region
1 NORTH AMERICA GRANTMAKING 15,000
( 2 )
( 3 )
( 4 )
( 5 )
( 6 )
( 7 )
( 8 )
( 9 )
( 10 )
11
12
13
( 14 )
( 15 )
16
17
3a Sub-total. . . . . . . .. . 15,000
b Total from continuationsheets to Part I . . . . , , ,
c Totals ( add lines 3a and 3b 15,000
For Paperwork Reduction Act Notice , see the Instructions for Form 990 . Schedule F (Form 990) 2015
JSA5E1274 1 000
6619CJ L43V
APA
PRACTICE
ORGANIZATION
52-2262136
Schedule
F(Form990)
2015
Page
2
affEr
Grants
andOtherAssistance
toOrganizationsor
Entities
OutsidetheUnited
States
.Complete
ifthe
organization
answered
"Yes"on
Form
990,
Part
IV,
line
15,
forany
recipientwho
received
more
than
$5,000.
Part
IIcanbe
duplicated
ifadditional
space
isneeded.
1(a)Name
of
organization
(b)IRScode
sectionandEIN
(ifapplicable)
(c)Region
(d)Purpose
ofgrant
(e)Amount
ofcash
grant
(qManner
ofcash
disbursement
(g)Amount
ofnon-cash
assistance
(h)Description
ofnon-cash
assistance
(I)Method
ofvaluation
(book,
FMV,
appraisal,
other)
1NORTH
AMERICA
GENERAL
SUPPORT
15,000
CASH
(2)
(3)
(4)
5 (6)
(7)
(8)
(9) 10 11 (12
)
13 (14)
(15
)
(16
)
2Enter
totalnumber
ofrecipientorganizations
listed
above
that
arerecognized
ascharitiesby
the
foreign
country,
recognized
astax-exempt
bythe
IRS,
orforwhich
thegrantee
orcounselhasprovided
asection501(c)(3)equivalency
letter,
,•
,,
.,
,,
,•
,.
,,
,,
,,
,.^
3Enter
totalnumber
ofotherorganizationsor
entitles.
^1
Schedule
F(Form
990)
2015
JSA
5E1275
1000
6619CJ
L43V
APA
PRACTICE
ORGANIZATION
52-2262136
Schedule
F(Form990)
2015
Page
3Grants
andOtherAssistance
toIndividualsOutsidetheUnited
States
.Complete
iftheorganization
answered
"Yes"on
Form
990,
Part
IV,lin
e16.
Part
IIIcanbe
duplicated
ifadditional
space
isneeded.
(a)Type
ofgrantor
assistance
(b)Region
(c)Number
ofrecipients
(d)Amount
ofcash
grant
(e)Manner
ofcash
disbursement
(f)Amount
ofnon-cash
assistance
(g)Description
ofnon-cash
assistance
(h)Method
ofvaluation
•(book,
FMV,
appraisal,
other)
1 (2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10) 11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
JSA
5E1276
1000
Schedule
F(Form990)
2015
6619CJ
L43V
APA PRACTICE ORGANIZATION 52-2262136Schedule F (Form 990) 2015 Page 4
Foreign Forms
1 • Was the organization a U S transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U S Transferor of Property to a ForeignCorporation (see Instructions for Form 926) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , q Yes No
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organizationmay be required to separately file Form 3520 , Annual Return To Report Transactions With ForeignTrusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of ForeignTrust With a U S Owner (see Instructions for Forms 3520 and 3520-A, do not file with Form 990) . . . . q Yes Q No
3 Did the organization have an ownership interest in a foreign corporation during the tax year" If "Yes,"the organization may be required to file Form 5471, Information Return of US Persons With Respect toCertain Foreign Corporations (see Instructions for Form 5471) , , , , , , , , , , , , , , , , , , , , , q Yes q No
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or aqualified electing fund during the tax year? If "Yes," the organization maybe required to file Form 8621,Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified ElectingFund (see Instructions for Form 8621) . . . . . . . . . . . . . . . . . . q Yes q No
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If 'Yes,"the organization may be required to file Form 8865, Return of U S Persons With Respect to CertainForeign Partnerships (see Instructions for Form 8865) , , , , , , , , , , , , , , , , , , , , , , , , , q Yes q No
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If"Yes," the organization may be required to separately file Form 5713 , International Boycott Report (seeInstructions for Form 5713 , do not file with Form 990) , , , , , , , , , , , , , , , , , , , , , , , , q Yes Q No
Schedule F (Form 990) 2015
JSA
5E1277 1 0006619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Schedule F (Form 990) 2015 Page 5
Supplemental InformationComplete this part to provide the information required by Part I, line 2 (monitoring of funds), Part I, line 3, column (f)(accounting method, amounts of investments vs expenditures per region), Part II, line 1 (accounting method), Part III(accounting method); and Part III, column (c) (estimated number of recipients), as applicable Also complete this part toprovide any additional information (see instructions)
MONITORING PROCEDURES
FORM 990, SCHEDULE F, PART I, LINE 2
APAPO REQUIRES COMPLETION OF AN EXTENSIVE APPLICATION AND THE SIGNING OF
AN AGREEMENT PRIOR TO AWARDING FUNDS. THE FUNDS ARE TO SUPPORT PROJECTS
OF AFFILIATED STATE, PROVINCIAL, AND TERRITORIAL PSYCHOLOGICAL
ASSOCIATIONS (SPTA), AIMED AT PROTECTING, ADVANCING AND PROMOTING THE
INTERESTS OF PROFESSIONAL PRACTITIONER PSYCHOLOGISTS ON THE STATE,
PROVINCIAL AND NATIONAL LEVELS.
SSA Schedule F (Form 990) 2015
5E1502 1 0006619CJ L43V
SCHEDULE G(Form 990 or 990-EZ)
Department of the TreasuryInternal Revenue Service
Name of the organization
Supplemental Information Regarding Fundraising or Gaming Activities
Complete If the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if theorganization entered more than $15,000 on Form 990-EZ, line 6a.
^ Attach to Form 990 or Form 990-EZ
^ Information about Schedule G (Form 990 or 990-EZ) and Its Instructions Is at www irs gov1form990
APA PRACTICE ORGANIZATION
OMB No 1545-0047
2015
Employer Identification number
52-2262136
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.Form 990-EZ filers are not required to complete this part
1 Indicate whether the organization raised funds through an of the following activities. Check all that apply
a X Mail solicitations e Solicitation of non-government grantsb Internet and email solicitations f Solicitation of government grantsc Phone solicitations g Special fundraising eventsd In-person solicitations
2a Did the organization have a written or oral agreement with any individual ( including officers , directors, trusteesor key employees listed in Form 990, Part VII ) or entity in connection with professional fundraising services' M Yes q No
b If "Yes ," list the ten highest paid individuals or entities (fundraisers ) pursuant to agreements under which the fundraiser is to becompensated at least $5 , 000 by the organization
(I) Name and address of individualor entity (fundraiser)
(II) Activity(III) Did fundraiser havecustody or control of
contributions
( Iv) Gross receiptsfrom activity
(v) Amount paid to
( or retained by)
fundraiser fisted in
col (I)
(vi) Amount paid to(or retained by)organization
Yes No1
IMPACT COMMUNICATIONSDIRECT MAILPROGRAM X 109,789. 49,231. 60,558.
2
3
4
5
6
7
8
9
10
Total ^ 109,789. 49,231. 60,558.
3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt fromregistration or licensing
For Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990 - EZ Schedule G (Form 990 or 990-EZ) 2015JSA5E1281 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Schedule G (Form 990 or 990-EZ ) 2015 Page 2
Fundraising Events . Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported morethan $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b List events withgross receipts greater than $5,000
(a) Event #1 (b) Event #2 (c) Other events (d) Total events(add col (a) through
(event type) ( event type ) ( total number) col (c))
N
I Gross receipts , , , , , , ,
2 Less Contributions3 Gross income (line 1 minus
line 2) . . . . . . . . . .. . .. . . .
4 Cash prizes
5 Noncash prizes. . . . .. ... .. .
U)6 Rent/facility costs ,
a^CLU.1 7 Food and beverages , , , , , , , , ,
8 Entertainment
9 Other direct expenses . . . . . . . .
10 Direct expense summary Add lines 4 through 9 in column (d) , , , , , , , , , , , , , , , , , , , , , ^11 Net income summary Subtract line 10 from line 3, column (d) . . ^
Gaming . Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported morethan $15,000 on Form 990-EZ, line 6a.
(b) Pull tabs/ instant (d) Total gaming (add(a) Bingo bingo/progressive bingo (c) Other gaming col (a) through col (c))
a)w 1 Gross revenue . _ _ . _ _ _ _ _ _ _ _
EO 2 Cash prizes
a>X 3 Noncash prizes . . . . . . . . . . .W10
4 Rent/facility costs . , . . , . , . , .
5 Other direct expenses , ,
7
Yes % HYes %Ye
LFT s-6 Volunteer labor No No No
Direct expense summary Add lines 2 through 5 in column (d) , , , , , , , , , , , , , , , , , , , , , ^
8 Net gaming income summary Subtract line 7 from line 1, column (d) . . . . . . . .. .. . . . . .. ^
9 Enter the state(s) in which the organization conducts gaming activitiesa Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . . .. . . . . Yes Nob If "No," explain
10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?, , , Yes L_j Nob If "Yes," explain
Schedule G (Form 990 or990-EZ)2015
JSA
5E1282 1 0006619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136
Schedule G (Form 990 or 990-EZ) 2015 Page 3
11 Does the organization conduct gaming activities with nonmembers? . . . . .. . . ... . . . . .. . .. . . . . L -j Yes No
12 Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity.formed to administer charitable gaming? . .. . . . . . . . . . .. . . . . ... . . . ... .. . . . .. . . q Yes q No
13 Indicate the percentage of gaming activity conducted ina The organization's facility ... . .. . . . .. . . . . . . . . . . . . . . . . ... . ... . .. . .. . 13a %
b An outside facility . . . . .... ... . ... .. . .. . . . . . . . . . . . ... .... . . . . . . .. 13b %14 Enter the name and address of the person who prepares the organization's gaming/special events books and
records
Name ^ ----------------------------------------------------------------------------------
Address ^
15a Does the organization have a contract with a third party from whom the organization receives gamingrevenue? . . . . . . . . . .. .. ... . . .. . . . . . . . . . .. . . . . ... .. . .. . . . .. . . . . .. . . q Yes q No
b If "Yes," enter the amount of gaming revenue received by the organization ^ $--------------- and theamount of gaming revenue retained by the third party ^ $ ----------------
c If "Yes," enter name and address of the third party
Name ^----------------------------------------------------------------------------------
Address ^--------------------------------------------------------------------------------
16 Gaming manager information
Name ^----------------------------------------------------------------------------------
Gaming manager compensation ^ $ ---------------
Description of services provided ^ ---------------------------------------------------------------
q Director/officer q Employee q Independent contractor
17 Mandatory distributionsa Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q Nob Enter the amount of distributions required under state law to be distributed to other exempt organizations
or spent in the organization's own exempt activities during the tax year ^ $
JjM Supplemental Information. Provide the explanation required by Part I, line 2b, columns (iii) and (v), andPart III, lines 9, 9b, 1 Ob, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information(see instructions).
FORM 990, SCHEDULE G, PART I, LINE 2B, COLUMN I
IMPACT COMMUNICATIONS
ADDRESS: 906 PENNSYLVANIA AVE #200, WASHINGTON, DC 20003
Schedule G (Form 990 or 990-EZ)2015
JSA
5E 1503 1 000
6619CJ L43V
SCHEDULEI
(Form 990)
Department of the TreasuryInternal Revenue Service
Grants and Other Assistance to Organizations,Governments, and Individuals in the United States
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22.^ Attach to Form 990.
^ Inform ation about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No 1545-0047
2015
Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
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? .................... ............... . ......... ... 0 Yes No
2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States
Grants and Other Assistance to Domestic Organizations and Domestic Governments . Complete if the organization answered "Yes" on Form990, Part 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 organizat ionor government
(b) EIN ( c) IRC sectionif applicable
(d ) Amount of cashgrant
(e ) Amount of non-cash assistance
(f) Method of valuation(book , FMV, appraisal,
other
(9) Description ofnon-cash assistance
(h) Purpose of grantor assistance
1 ALASKA PSYCHOLOGICAL ASSN. ORGANIZATION
ANCHORAGE, AK 99524 92-0132352 501(C)(6) 15,000. DEVELOPMENT
( 2 ) ARKANSAS PSYCHOLOGICAL ASSN. ORGANIZATION
LITTLE ROCK, AR 72211 71-0494381 501(C)(6) 13,000. DEVELOPMENT
( 3 ) MAINE PSYCHOLOGICAL ASSN ORGANIZATION
AUGUSTA, ME 04332 01-0486021 501(C)(6) 10,000 DEVELOPMENT
( 4 ) MISSOURI PSYCHOLOGICAL ASSN. ORGANIZATION
SPRINGFIELD, MO 65808 23-7437312 501(C)(6) 13,000 DEVELOPMENT
MISSISSIPPI PSYCHOLOGICAL ASSN ORGANIZATION
JACKSON, MS 39236 57-0897059 501(C)(6) 13,000 EMERGENCY
( 6 ) MONTANA PSYCHOLOGICAL ASSN ORGANIZATION
HELENA, MT 59601 81-6016509 501(C)(6) 14,000 DEVELOPMENT
( 7 ) NEVADA STATE PSYCHOLOGICAL ASSN ORGANIZATION
RENO, NV 89509 88-0239924 501(C)(6) 14,000. DEVELOPMENT
NEW HAMPSHIRE PSYCHOLOGICAL ASSN ORGANIZATION
CONCORD, NH 03302 22-2533250 501(C)(6) 16,000. DEVELOPMENT
( 9 ) NORTH DAKOTA PSYCHOLOGICAL ASSN ORGANIZATION
BISMARCK, ND 58507 45-0350389 501(C)(6) 13,000. DEVELOPMENT
( 10 ) OHIO PSYCHOLOGICAL ASSN
COLUMBUS, OH 43215 31-0833663 501(C)(6) 13,000 LEGISLATIVE
11 OKLAHOMA PSYCHOLOGICAL ASSN.
OKLAHOMA CITY, OK 73116 73-0983274 501(C)(6) 12,000 ORGANIZATION
( 12 ) SOUTH DAKOTA PSYCHOLOGICAL ASSN. ORGANIZATION
SIOUX FALLS, SD 57101 46-0366504 501(C)(6) 11,000 DEVELOPMENT
2 Enter total number of section 501 (c)(3) and government organizations listed in the line 1 table .... ....................... . ^3 Enter total number of other organizations listed in the line 1 table .. . ^
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) (2015)
JSA5E1288 1 000
6619CJ L43V
SCHEDULEI(Form 990)
Department of the TreasuryInternal Revenue Service
Grants and Other Assistance to Organizations,Governments, and Individuals in the United States
Complete if the organization answered "Yes" on Form 990, Part IV, line 21 or 22.^ Attach to Form 990.
^ Informatio n about Schedule I (Form 990) and its i nstructions is at www.irs.gov/form990.
OMB No 1545-00 47
2015
Name of the organization Employer identification number
APA PRACTICE ORGANIZATION 52-2262136
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, and
the selection criteria used to award the grants or assistance? .......... . ......................... . .... ... D1 Yes No
2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States
Grants and Other Assistance to Domestic Organizations and Domestic Governments . Complete if the organization answered "Yes" on Form990, Part 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 organizationor government
(b) EIN (c ) IRC sectionif applicable
(d) Amount of cashgrant
(e) Amount of non-cash assi stance
(f) Method of valuation( book. FMV, appraisal,
other
(g) Description ofnon cash assistance
(h) Purpose of grantor assistance
( 1 ) SOUTH CAROLINA PSYCHOLOGICAL ASSN. ORGANIZATION
FORT MILL, SC 29716 57-0640341 501(C)(6) 16,000. DEVELOPMENT
( 2 ) VERMONT PSYCHOLOGICAL ASSN ORGANIZATION
MONTPELIER, VT 05601 23-7225391 501(C)(6) 15,000. DEVELOPMENT
( 3 ) WYOMING PSYCHOLOGICAL ASSN ORGANIZATION
CHEYENNE, WY 82009 80-0378726 501(C)(6) 15,000 DEVELOPMENT
( 4) IDAHO PSYCHOLOGICAL ASSN. ORGANIZATION
EAGLE, ID 83616 94-3032584 501(C)(6) 35,000 DEVELOPMENT
( 5 ) RHODE ISLAND PSYCHOLOGICAL ASSN ORGANIZATION
WARWICK, RI 02889 05-0371623 501(C)(6) 10,000 DEVELOPMENT
( 6 ) WEST VA PSYCHOLOGICAL ASSN ORGANIZATION
CHARLESTON, WV 25358 31-1000180 501(C))6) 25,500. DEVELOPMENT
( 7 ) ILLINOIS PSYCHOLOGICAL ASSN.
CHICAGO, IL 60601 36-6109267 501(C)(6) 35,000 LEGISLATIVE
DELAWARE PSYCHOLOGICAL ASSN ORGANIZATION
CLAYMONT, DE 19703 51-0255015 501(C)(6) 6,000 DEVELOPMENT
( 9 ) MINNESOTA PSYCHOLOGICAL ASSN
SAINT PAUL, MN 55114 23-7269832 501(C))6) 14,000 LEGISLATIVE
( 10 ) NORTH CAROLINA PSYCHOLOGICAL ASSN.
RALEIGH, NC 27609 56-1242192 501(C)(6) 8,000. LEGISLATIVE
11 LOUISIANA PSYCHOLOGICAL ASSN ORGANIZATION
BATON ROUGE, LA 70808 72-0926943 501(C)(6) 21,000. DEVELOPMENT
( 12 ) NEBRASKA PSYCHOLOGICAL ASSN ORGANIZATION
LINCOLN, NE 68508 47-0590388 501(C)(6) 10,000. DEVELOPMENT
2 Enter total number of section 501 (c)(3) and government organizations listed in the line 1 table ............................ ^3 Enter total number of other organizations listed in the line 1 table .. . ^
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990 ) (2015)
JSA5E1288 1 000
6619CJ L43V
SCHEDULE I I Grants and Other Assistance to Organizations,(Form 990) Governments, and Individuals in the United States
Complete if the organization answered "Yes" on Form 990, Part IV , line 21 or 22.
Department of the Treasury ^ Attach to Form 990.
Internal Revenue Service ^ Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form
OMB No 1545-0047
2015
Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
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? .......... , . , . , . . ............... ........... q Yes No
2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Grants and Other Assistance to Domestic Organizations and Domestic Governments . Complete if the organization answered "Yes" on Form990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
I (a) Name and address of organ izationor government
(b) EIN (c ) ( RC sectionif applicable
(d )Amount of cash
grant( e ) Amount of non-cash assistance
(f) Method of valuation( book FoMthVerappraisal,
(g) Description ofnon-cash assistance
(h) Purpose of grantor assistance
( 1 ) GEORGIA PSYCHOLOGICAL ASSN
ATLANTA, GA 30345 58-6044666 501(C)(6) 10,500. LEGISLATIVE
( 2 ) KANSAS PSYCHOLOGICAL ASSN ORGANIZATION
CEDAR PARK, TX 78630 48-0694969 501(C)(6) 9,500 DEVELOPMENT
( 3 ) HAWAII PSYCHOLOGICAL ASSN
HONOLULU, HI 96808 99-0231067 501(C)(6) 29,000 LEGISLATIVE
(4 ) MICHIGAN PSYCHOLOGICAL ASSN
LANSING, MI 48933 38-1717566 501(C)(6) 10,000 LEGISLATIVE
NEW YORK STATE PSYCHOLOGICAL ASSN.
ALBANY, NY 12205 13-1956620 501(C)(6) 15,000 LEGISLATIVE
( 6 )
( 7 )
( 8 )
( 9 )
( 10 )
( 11 )
( 12 )
2 Enter total number of section 501 (c)(3) and government organizations listed in the line 1 table ............................ ^3 Enter total number of other organizations listed in the line 1 table . ^ 29 .
For Paperwork Reduction Act Notice , see the Instructions for Form 990. Schedule I (Form 990) (2015)
JSA5E12881 000
6619CJ L43V
APA
PRACTICE
ORGANIZATION
52-2262136
Schedule
I(Form
990)
(2015)
Page
2
Grants
andOtherAssistance
toIndividuals
intheUnited
States
.Complete
iftheorganization
answered
"Yes"on
Form
990,
Part
IV,line
22.
.Part
IIIcanbe
duplicated
ifadditional
space
isneeded.
(a)Type
ofgrantor
assistance
(b)Number
ofrecipients
(c)Amount
ofcash
grant
(d)Amount
ofnon-cash
assistance
(e)Method
ofvaluation(book,
FMV
appraisal
other)
(f)Description
ofnon-cash
assistance
2 3 4 5 6 7Supplemental
Information.Complete
this
part
toprovidetheinformationrequired
inPart
I,line
2,Part
III,column
(b),
andanyotheradditional
information.
PART
I,LINE
2
INDIVIDUALS
AND/OR
ORGANIZATIONS
RECEIVING
DISBURSEMENTS
FROM
THE
ORGANIZATION
INFURTHERANCE
OF
ITS
EXEMPT
PROGRAMS
ARE
ADEQUATELY
INVESTIGATED
TO
ENSURE
THAT
THEY
ARE
QUALIFYING
RECIPIENTS.
PROCEDURES
ARE
FOLLOWED
TO
CONFIRM
THAT
DISCRIMINATION
DOES
NOT
FACTOR
INASSIGNING
GRANTS.
Schedule
I(Form
990)
(2015)
JSA
5E1504
1000
6619CJ
L43V
APA
PRACTICE
ORGANIZATION
52-2262136
Schedule
I(Form
990)
(2015)
Page
2
Grants
andOtherAssistance
toIndividuals
intheUnited
States
.Complete
iftheorganization
answered
"Yes"on
Form
990,
Part
IV,
line
22.
,Part
IIIcanbe
duplicated
ifadditional
space
isneeded.
(a)Type
ofgrantor
assistance
(b)Number
ofrecipients
(c)Amount
ofcash
grant
(d)Amount
ofnon-cash
assistance
(e)Method
ofvaluation
(book,
FMV,
appraisal,
other)
(t)Description
ofnon-cash
assistance
1 2 3 4 5 6 7
JiMMT^
Supplemental
Information
.Complete
this
part
toprovidetheinformationrequired
inPart
I,line
2,Part
III,column
(b),
andanyotheradditional
information.
PART
II,
COLUMN
H
GRANTS
WERE
TO
SUPPORT
PROJECTS
DEVELOPED
BY
AFFILIATED
STATE,
PROVINCIAL,
AND
TERRITORIAL
PSYCHOLOGICAL
ASSOCIATIONS
(SPTA),
AIMED
AT
PROTECTING,
ADVANCING
AND
PROMOTING
THE
INTERESTS
OF
PROFESSIONAL
PRACTITIONER
PSYCHOLOGISTS
ON
THE
STATE
AND
NATIONAL
LEVEL.
Schedule
I(Form
990)
(2015)
JSA
5E1504
1000
6619CJ
L43V
SCHEDULE J Compensation Information OMB No 1545-0047
(Form 990 ) For certain Officers , Directors , Trustees , Key Employees , and HighestCompensated Employees
^0
^ Complete if the organization answered " Yes" on Form 990, Part IV, line 23.Department of the Treasury ^ Attach to Form 990. ' - 1Internal Revenue Service ^ Information about Schedule J (Form 990) and its instructions is at www. irs.gov/form990. • - •Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
FMM Questions Regarding CompensationYes No
1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line la Complete Part III to provide any relevant information regarding these items
First-class or charter travel Housing allowance or residence for personal use %Travel for companions Payments for business use of personal residenceTax indemnification and gross-up payments Health or social club dues or initiation feesDiscretionary spending account Personal services (e g , maid, chauffeur, chef)
b If any of the boxes on line la 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 ......................................................... 1b
2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by alldirectors, trustees, and officers, including the CEO/Executive Director , regarding the items checked in linela? ........................................................... 2
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 X Written employment contractX Independent compensation consultant X Compensation survey or studyX Form 990 of other organizations X Approval by the board or compensation committee
4 During the year, did any person listed on Form 990, Part VII, Section A, line 1 a, with respect to the filingorganization or a related organization
'a Receive a severance payment or change-of-control payment? . . . . . . . . .. .................. 4a X
b Participate in, or receive payment from, a supplemental nonqualified retirement plan?.. . . . . ... ... . . . 4b X
c Participate in, or receive payment from, an equity-based compensation arrangement? . . . . . . . . . . . . . . . 4c XIf "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III
Only section 501(c )( 3), 501(c)(4), and 501 ( c)(29) organizations must complete lines 5-9.5 For persons listed on Form 990, Part VII, Section A, line 1 a, did the organization pay or accrue any
compensation contingent on the revenues ofa The organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5ab Any related organization? . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b
If "Yes" to line 5a or 5b, describe in Part III .: '':'''- •° '^6 For persons listed on Form 990, Part VII, Section A, line 1 a, did the organization pay or accrue any
compensation contingent on the net earnings ofa The organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a
b Any related organization? . .. . . . . . . . . . .. . . . . . . . . . . . . . .. ... .. . .. . .. . .. . . . . 6b
If "Yes" on line 6a or 6b, describe in Part III
7 For persons listed on Form 990, Part VII, Section A, line la, did the organization provide any non-fixedpayments not described on lines 5 and 6? If "Yes," describe in Part III . . . . . . . . . . . .. .. .. . .. . .. . 7
8 Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subjectto the initial contract exception described in Regulations section 53 4958-4(a)(3)? If "Yes," describein Part III ........................................................ 8
9 If "Yes" to line 8 , did the organization also follow the rebuttable presumption procedure described inRegulations section 53 4958-6(c)' . .. . . . . .. . . . .. . . . . . . . . . . . . . .. .. .. . . . .. . . . . 9
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2015
JSA
5E1290 1 000
6619CJ L43V
APA
PRACTICE
ORGANIZATION
52-2262136
Schedule
J(Form990)
2015
Page
2
Officers
,Directors
,Trustees,
KeyEmployees
,and
HighestCompensatedEmployees
.Use
duplicatecopies
ifadditional
space
isneeded.
Foreach
individual
whose
compensation
must
bereported
onSchedule
J,report
compensation
from
the
organization
onrow
(I)and
from
related
organizations,
described
Inthe
instructions,on
row
(ll).Do
not
listany
individuals
that
arenot
listed
onForm
990,
Part
VII
Note
:The
sum
ofcolumns
(B)(i)-(iii)
foreach
listed
individual
must
equalthe
totalamount
ofForm
990,
Part
VII,
SectionA,
line
la,applicable
column
(D)and
(E)amounts
forthat
individual.
(B)Breakdown
ofW-2
and/or
1099
-MISC
compensation
(C)Retirement
and
(D)N
ontaxable
(E)Total
ofcolumns
(F)Compensation
(A)Nameand
Title
(i)Base
compensation
( 6)Bonus&
incentive
compensation
(Ill)
Other
reportable
compensation
otherdeferred
compensation
benefits
(B)(i){D)
incolumn
(B)reported
asdeferred
onpoor
Form990
NORMAN
B.ANDERSON
PHD
(I)0.
0.0.
0.0.
0.1EVP/CEO
(ii)
593,
229.
66,168.
203,
254.
94,307.
23,330.
980,
288.
KATHERINE
C.NORDAL
PHD
(i)0.
0.0.
0.0.
0.2ED,
PROFESSIONAL
PRACTICE
(ii)
315,
068.
0.6,
414.
51,977.
11,703.
385,162.
ALAN
CNESSMAN
(I)0.
0.0.
0.0.
0.35R
SPECIAL
COUNSEL/LRA
(ii)
163,
514.
8,564.
1,893.
9,638.
27,726.
211,335.
DANIEL
J.ABRAHAMSON
(i)0.
0.0.
0.0.
0.4ASSISTANT
ED,
STATE
ADVOCACY
(ii)
183,
812.
0.1,972.
10,416.
15,068.
211,268.
RANDY
E.PHELPS
(u)0.
0.0.
0.0.
0.5SENIOR
ADVISOR
(ii)
224,
965.
0.5,334.
14,082.
28,184.
272,565.
SHIRLEY
A.HIGUCHI
(i)0.
0.0.
0.0.
0.6ASSOC.
ED,
LEGAL
®
AFFAIRS
(ii)
180,885.
0.
1,812.
10,458.
10,751.
203,906.
DOUG
WALTER
())0.
0.0.
0.0.
0.
7.ASSOCIATE
ED,
GOVT
RELATIONS
(ii)
182,
402.
18,437.
969.
10,946.
20,489.
233,243.
(')
8(i)
(I)
9(ii
)
(i)
10(h) (i)
11(ii
) P)12
(ii) (1
13(ii
)
(i)
14(ii
)
(I)
15(i7 (i)
16(u)
Schedule
J(Form
990)
2015
JSA
5E1291
1000
6619CJ
L43V
APA
PRACTICE
ORGANIZATION
52-2262136
a
Schedule
J(Form990)
2015
Page
3_
MUM
Supplemental
Information
Complete
this
part
toprovidethe
information,
explanation,
ordescriptions
required
forPart
I,lines
1a,
1b,
3,4a,
4b,
4c,
5a,
5b,
6a,
6b,
7,and
8,and
forPart
II.Also
complete
this
part
forany
additional
information.
SCHEDULE
J,PART
I,LINE
4A
-SEVERANCE
$197,743
-NORMAN
B.ANDERSON
PHD
SCHEDULE
J,PART
I,LINE
4B-SUPPLEMENTAL
NONQUALIFIED
RETIREMENT
PLAN
APA
PROVIDES
AN
EXECUTIVE
SUPPLEMENTAL
COMPENSATION
AND
TERMINATION
BENEFIT
ALLOWANCE
TO
ELIGIBLE
EMPLOYEES.
$78,407
-NORMAN
B.ANDERSON
$36,077
-KATHERINE
C.NORDAL
Schedule
J(Form
990)
2015
JSA
5E1505
1000
6619CJ
L43V
SCHEDULE O Supplemental Information to Form 990 or 990-EZ(Form 990 or. 990-EZ)
Complete to provide information for responses to specific questions onForm 990 or 990-EZ or to provide any additional information.
pee theServiceTreasury
to Form 990 or 990-EZ.Internalal Revenue
OMB No 1545-0047
2015
Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
FORM 990, PART VI, LINE 6
APAPO HAS TWO CATEGORIES OF MEMBERS. ONE CATEGORY OF MEMBERS, WHO ARE
PAYERS OF THE PRACTICE ASSESSMENT, ARE KNOWN AS "PRACTICE CONSTITUENTS".
THE SECOND CATEGORY OF MEMBERS, WHO ARE PAYERS TO THE EDUCATION ADVOCACY
TRUST, ARE KNOWN AS "EDUCATION CONSTITUENTS".
FORM 990, PART VI, LINE 7A
APAPO MEMBERS ARE PRACTICING PSYCHOLOGISTS WHO ARE ALSO MEMBERS OF APA.
AS MEMBERS OF APA THEY PARTICIPATE IN ELECTING THE PRESIDENT OF APA WHO
ALSO SERVES AS THE PRESIDENT OF APAPO.
FORM 990, PART VI, LINE 7B
APAPO BYLAW CHANGES MUST BE APPROVED BY THE APA COUNCIL OF
REPRESENTATIVES.
FORM 990, PART VI, LINE 11B
THE TREASURER PERFORMS A THOROUGH REVIEW OF A DRAFT OF THE IRS FORM 990,
ALONG WITH MANAGEMENT. SUBSEQUENT TO THEIR REVIEW THE RETURN IS
FINALIZED AND FORWARDED, VIA EMAIL, TO THE BOARD OF DIRECTORS BEFORE IT
IS FILED WITH THE IRS.
FORM 990, PART VI, LINE 12C
APAPO HAS A CONFLICT OF INTEREST POLICY GOVERNING ITS BOARD OF DIRECTORS.
EACH YEAR NEW BOARD MEMBERS RECEIVE TRAINING FROM LEGAL COUNSEL REGARDING
For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990-EZ . Schedule 0 (Form 990 or 990-EZ) (2015)
JSA5E1227 1 000
6619CJ L43V
Schedule 0 (Form 990 or 990-EZ) 2015 Page 2
Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
THE POLICY, HOW TO IDENTIFY A CONFLICT OF INTEREST AND HOW TO HANDLE
POSSIBLE CONFLICTS OF INTEREST WHEN THEY ARISE. IN ADDITION EACH YEAR
ALL GOVERNANCE MEMBERS RECEIVE AN EDUCATIVE SET OF MATERIALS REGARDING
CONFLICTS OF INTEREST AND SELF EVALUATION WORKSHEETS TO TEST AWARENESS.
ANNUALLY EACH GOVERNANCE MEMBER IS REQUIRED TO COMPLETE A WRITTEN
CONFIRMATION THAT SHE OR HE WILL ABIDE BY THE CONFLICT OF INTEREST POLICY
AND TO DISCLOSE INTEREST OR RELATIONSHIPS THAT MAY POSE CONFLICTS.
FORM 990, PART VI, LINE 15
APAPO PAYS ITS AFFILIATE, APA, FOR STAFF TIME FOR AFFILIATE EMPLOYEES.
THE AFFILIATE SUPPLIES THE CEO, THE CFO AND OTHER STAFF. FOR OFFICERS OF
APAPO, APA ROUTINELY UTILIZES BENCHMARK STUDIES AND INDEPENDENT REVIEW OF
MARKET COMPENSATION DATA FROM BOTH TAX-EXEMPT AND NONEXEMPT ORGANIZATIONS
PROVIDED BY INDEPENDENT COMPENSATION SOURCES AT THE TIME OF HIRING OR
WHEN ADJUSTMENTS ARE MADE. NO PERSONS WITH A CONFLICT OF INTEREST WITH
RESPECT TO THE COMPENSATION ARRANGEMENT WERE INVOLVED IN THE APPROVAL
PROCESS. APAPO MAINTAINS DOCUMENTATION REGARDING THE PROCESS, WHICH WAS
LAST UNDERTAKEN IN 2012.
FORM 990, PART VI, LINE 19
THE BYLAWS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE
AVAILABLE TO THE PUBLIC, UPON REQUEST, AND ON APAPO'S WEBSITE.
FORM 990, PART VII, SECTION A
THE PERSONS LISTED AS PRESIDENT, TREASURER, PAST PRESIDENT, PRESIDENT
ELECT, AND RECORDING SECRETARY ARE MEMBERS OF THE BOARD OF DIRECTORS WHO
SSA Schedule 0 (Form 990 or 990 -EZ) 2015
5E1228 1 000
6619CJ L43V
4' •
Schedule 0 (Form 990 or 990-EZ) 2015 Page 2
Name of the organization Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
HAVE LEADERSHIP ROLES WITH THE BOARD. ALTHOUGH TECHNICALLY REFERRED TO
AS OFFICERS, THEIR SERVICES TO APAPO ARE PROVIDED SOLELY AS PART OF THEIR
BOARD LEADERSHIP RESPONSIBILITIES.
FORM 990, PART VII, SECTION A, LINE 2
ALL EMPLOYEES ARE PAID BY APA, A RELATED ORGANIZATION. NONE ARE PAID
DIRECTLY BY APAPO.ATTACHMENT 1
990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS
NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION
WEST FRONT STRATEGIES LOBBYING 105,000.
600 NEW HAMPSHIRE AVE NWWASHINGTON, DC 20037
POTOMAC GROUP LOBBYING 136,000.
818 CONNECTICUT AVENUE, NWWASHINGTON, DC 20006
ATTACHMENT 2
FORM 990, PART IX - OTHER FEES
DESCRIPTION
CONSULTING/CONTRACT SERVICES
BANKING AND ECOMMERCE FEES
TOTALS
(A) (B)TOTAL PROGRAMFEES SERVICE EXP
484,432.
11,192.
495,624.
(C) (D)
MANAGEMENT FUNDRAISING
AND GENERAL EXPENSES
SSA Schedule 0 (Form 990 or 990 -EZ) 2015
5E1228 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136
SCHEDULE R Related Organizations and Unrelated Partnerships(Form 990)^ Complete if the organization answered " Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
^ Attach to Form 990.Department of the TreasuryInternal Revenue Service 0- Information about Schedule R (Form 990) and its instructions is at www.irs.gov1form990.
B No 1545-0047
2015Name of the organ iz ation Employer Identification number
APA PRACTICE ORGANIZATION 52-2262136
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)Name , address , and EIN (if applicable) of disregarded entity
(b)Primary activity
(c)Legal domicile ( stateor foreign country)
(d)Total income
(e)End-of-year assets
(r)Direct controlling
entity
1
( 2 )
( 3 )
( 4 )
( 5 )
( 6 )
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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 ( state
or foreign country )
(d )Exempt Code section
(e)Public chanty status
( if section 501(c)(3))
(t)Direct controlling
entity
(g)Section 512(b)(13)
controlledentity?
Yes No1 AMERICAN PSYCHOLOGICAL ASSOCIATION 53-0205890
750 FIRST STREET, NE WASHINGTON, DC 20002 MEMBERSHIP DC 501 (C) (3) 9 N/A X
( 2 )APAPO-PAC 000522 094PO BOX 65353 WASHINGTON, DC 20035 MEMBERSHIP DC 527 N/A N/A X
( 3 )
( 4 )
( 5 )
( 6 )
( 7 )
For Paperwork Reduction Act Notice , see the Instructions for Form 990 . Schedule R (Form 990) 2015
JSA
5E1307 1 000
6619CJ L43V
APA PRACTICE ORGANIZATION
Schedule R (Form 990) 2015
52-2262136
Page 2
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34because it had one or more related organizations treated as a partnership during the tax year.
(a)Name , address , and EIN of
related organ ization
(b)Primary activity
(c)Legal
domicile(state orforeigncountr )
(d )Direct controlling
entity
( e)Predominant
income ( related,unrelated,
excluded fromtax under
sections 512-514)
(f)Share of total
income
(g)Share of end -of-
year assets
(h ) (I)Code V-U BI
amount in box 20of Schedule K-1
( Form 1065)
U)General ormanag i ngpartner
(k)Percentageownership
yYes No Yes No
1
( 2 )
( 3 )
( 4 )
(5)
( 6 )
( 7 )
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV,line 34 because it had one or more related organizations treated as a corporation or trust during 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
(e)Type of entity
(C corp, S Corp, ortrust)
(f)Share of total
income
(9)Share of
end-of-year assets
(h)Percentageownership
(I)Section
12(b))(13)controlledent ity ?
Yes No
1
( 2 )
( 3 )
( 4 )
( 5 )
( 6 )
( 7 )
JSA5E 1308 1 000
Schedule R (Form 990) 2015
6619CJ L43V
APA PRACTICE ORGANIZATION 52-2262136Schedule R (Form 990) 2015 Page 3
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. Yes NoI 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 Xc Gift, grant, or capital contribution from related organization( s) . . . . . . . . . . . . . .................. ...................... . . 1c Xd Loans or loan guarantees to or for related organization( s) ....... .......................... ................. ....... 1d Xe Loans or loan guarantees by related organization (s) .............................. ....................... ....... 1e X
f Dividends from related organization(s).................................................................... 1f Xg Sale of assets to related organization(s) ........................................... ................. ....... 1 Xh Purchase of assets from related organization(s) . . ......... . ........................... . . .......... .. ......... . 1 h Xi Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . ................... ........ . . .. . ........ . . . 1 i Xj Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . ................... .............. ......... . 1' X
k Lease of facilities, equipment, or other assets from related organization(s) ..................... ... ........................ Ilk XI Performance of services or membership or fundraising solicitations for related organization(s) .. . I I X............................. . . .m Performance of services or membership or fundraising solicitations by related organization(s)... ........... ........ ............... . 1 m Xn Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ..... ........... .............. ...... .... 1 n Xo Sharing of paid employees with related organization(s) ....................... ........... ........................ 10 X
p Reimbursement paid to related organization(s) for expenses ..................... ................................... 1 1 p ] X1q Reimbursement paid by related organization ( s) for expenses ....................................... ............ .... 1X
r Other transfer of cash or property to related organization(s) , 1 r Xs Other transfer of cash or property from related organization(s). 1s X
2 If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds(a)
Name of related organization(b)
Transactiontype (a-a)
(c)Amount Involved
(d)Method of determining
amount involved
1
( 2 )
( 3 )
( 4 )
(5 )
(6)
2
JSA Schedule R (Form 990) 20155E1309 1 000
6619CJ L43V
APA
PRACTICE
ORGANIZATION
52-2262136
Schedule
R(Form990)
2015
P age4
UnrelatedOrganizationsTaxableas
aPartnershipComplete
ifthe
organization
answered
"Yes"on
Form
990,
Part
IV,lin
e37.
Providethe
following
information
foreach
entity
taxed
asapartnershipthroughwhich
theorganization
conductedmore
than
five
percent
ofits
activities
(measured
bytotalassets
orgrossrevenue)
that
was
not
arelatedorganization.See
instructions
regardingexclusion
forc
ertain
investment
partnerships
(a)
Name
,address
,and
EIN
ofentity
(b)
Primary
activity
(c)
Legal
domicile
state
orforeign
(country)
(d)
Predominant
income
related,
(unrelated,
excluded
from
taxunder
(e)Are
allpartners
section
501(c)
(3)
organizations?
(f)Share
oftotalincome
(g)
Share
ofend-of-year
assets
(h)Disproportionate
ellocatnrc7
(I)
CodeV.U8l
amount
inbox20
ofSchedule
K-1
(Form
1065)
(1)
General
ormanaging
partneR
(k)
Percentage
ownershl
P
sections
512-514)
Yes
NoYes
NoYes
No1 (2
)
(3)
(4) 5 (6)
(7)
(8)
(9)
(10 11)
(12)
(13) 14 (15)
(16)
JSA
5E1310
1000
Schedule
R(Form
990)
2015
6619CJ
L43V
APA PRACTICE ORGANIZATION 52-2262136
Schedule R (Form 990) 2015 Page 5Supplemental InformationComplete this part to provide additional information for responses to questions on Schedule R (seeinstructions)
Schedule R (Form 990) 2015
5E1510 1 0006619CJ L43V
