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Return of Organization Exempt from Income

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Return of Organization Exempt from Income l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493042019134 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 (c), 527, or 4947 (a)(1) of the Internal Revenue Code ( except black lung benefit trust or private foundation) 2012 Department of the Treasury Internal Revenue Service 1-The organization may have to use a copy of this return to satisfy state reporting requirements A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013 C Name of organization B Check if applicable D Employer identification number PEER HEALTH EXCHANGE INC F Address change 56-2374305 Doing Business As F Name change fl Initial return Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number 70 GOLD STREET p Terminated (415)684-1230 (- Amended return City or town, state or country, and ZIP + 4 SAN FRANCISCO, CA 94133 I Application pending G Gross receipts $ 8,773,516 F Name and address of principal officer H(a) Is this a group return for LOUISE D LANGHEIER affiliates? (-Yes No 70 GOLD STREET SAN FRANCISCO,CA 94133 H(b) Are all affiliates included? F Yes F_ No If "No," attach a list (see instructions) I Tax-exempt status F 501(c)(3) 1 501(c) ( ) I (insert no ) (- 4947(a)(1) or F_ 527 H(c) Group exemption number - J Website :1- WWW PEERHEALTHEXCHANGE ORG K Form of organization F Corporation 1 Trust F_ Association (- Other 0- L Year of formation 2003 M State of legal domicile NY Summary 1 Briefly describe the organization's mission or most significant activities TO GIVE TEENAGERS THE KNOWLEDGE AND SKILLS THEY NEED TO MAKE HEALTHY DECISIONS w 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 3 Number of voting members of the governing body (Part VI, line 1a) . 3 15 4 Number of independent voting members of the governing body (Part VI, line 1 b) . 4 14 5 Total number of individuals employed in calendar year 2012 (Part V, line 2a) . 5 42 6 Total number of volunteers (estimate if necessary) 6 1,946 7aTotal unrelated business revenue from Part VIII, column (C), line 12 . 7a 0 b Net unrelated business taxable income from Form 990-T, line 34 . 7b 0 Prior Year Current Year 8 Contributions and grants (Part VIII, line 1h) . 9,677,960 8,772,778 9 Program service revenue (Part VIII, line 2g) 0 0 N 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d . 590 738 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0 12 Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line 12) . 9,678,550 8,773,516 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 0 0 14 Benefits paid to or for members (Part IX, column (A), line 4) . 0 0 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 2,615,956 4,035,820 16a Professional fundraising fees (Part IX, column (A), line 11e) 0 0 b Total fundraising expenses (Part IX, column (D), line 25) 0-9 33,777 LLJ 17 Other expenses (Part IX, column (A), lines h1a-11d, 11f-24e) . 1,942,973 2,297,630 18 Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25) 4,558,929 6,333,450 19 Revenue less expenses Subtract line 18 from line 12 5,119,621 2,440,066 Beginning of Current End of Year Year -A 20 Total assets (Part X, line 16) 8,663,176 11,302,236 M %TS 21 Total liabilities (Part X, line 26) . 158,016 357,010 ZLL 22 Net assets or fund balances Subtract line 21 from line 20 8,505,160 10,945,226 lijaW Signature Block Under penalties of perjury, I declare that I have examined this return, includin my knowledge and belief, it is true, correct, and complete Declaration of preps preparer has any knowledge Signature of officer Sign Here LOUISE DAVIS LANGHEIER CEO Type or print name and title Print/Type preparer's name Preparers signature JEROME A BELLOTTI Paid Firm's name 1- JEROME A BELLOTTI & ASSOCIATES Pre pare r Use Only Firm's address 1-1686 DELL AVE SUITE 300 CAMPBELL, CA 95008 May the IRS discuss this return with the preparer shown above? (see instructs For Paperwork Reduction Act Notice, see the separate instructions. Form 990 ( 2012) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part III .(- 1 Briefly describe the organization 's mission OUR MISSION IS TO GIVE TEENAGERS THE KNOWLEDGE AND SKILLS THEY NEED TO MAKE HEALTHY DECISIONS WE DO THIS BY TRAINING COLLEGE STUDENTS TO TEACH A COMPREHENSIVE HEALTH CURRICULUM IN PUBLIC HIGH SCHOOLS THAT LACK HEALTH EDUCATION 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ7 . fl Yes F No If"Yes,"describe these new services on Schedule 0 3 Did the organization cease conducting , or make significant changes in how it conducts , any program services? . F Yes F7 No If"Yes,"describe these changes on Schedule 0 4 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 $ 4,585,340 including grants of $ ) ( Revenue $ IN 2012-2013, PEER HEALTH EXCHANGE("PHE") TRAINED MORE THAN 1,900 VOLUNTEERS TO REACH MORE THAN 19,000 TEENAGERS IN BOSTON, CHICAGO, LOS ANGELES, NEW YORK CITY, THE SAN FRANCISCO BAY AREA, AND WASHINGTON, DC PHE'S EVALUATION OF ITS PROGRAM SUGGESTS THAT IT IS EFFECTIVE IN DEMONSTRABLE WAYS IN 2012-2013, 92% OF PHE TEENAGERS SAID THEY WOULD USE SOMETHING THEY LEARNED TO MAKE A HEALTHY DECISION IN THE FUTURE, AND 68% SAID THEY ALREADY HAD USED SOMETHING THEY LEARNED TO MAKE A HEALTHY DECISION IN THE MONTHS DURING WHICH THE PROGRAM RAN PHE HIGH SCHOOL STUDENTS ALSO DEMONSTRATED STATISTICALLY SIGNIFICANT INCREASES IN THEIR HEALTH KNOWLEDGE, WITH A 19 5% POSITIVE CHANGE IN CORRECT KNOWLEDGE, REPRESENTING 37% GROWTH FROM THE START TO THE END OF THE PROGRAM 4b (Code ) ( Expenses $ including grants of $ ) (Revenue $ 4c (Code ) ( Expenses $ including grants of $ ) (Revenue $ 4d Other program services ( Describe in Schedule 0 (Expenses $ including grants of $ ) (Revenue $ 4e Total program service expenses 1- 4,585,340 Form 990 (2012) Form 990 (2012) Page 3 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes," Yes complete Schedule As . 1 2 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? 2 Yes 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to No candidates for public office? If "Yes,"complete Schedule C, Part I . 3 4 Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h) No election in effect during the tax year? If "Yes,"complete Schedule C, Part II . 4 5 Is the organization a section 501 (c)(4), 501 (c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, N o Part III . 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete N o Schedule D, Part Is . 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, No the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part II . 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," N o complete Schedule D, Part III . 8 9 Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt No negotiation services? If "Yes,"complete Schedule D, Part IV . 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, 10 No permanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V . 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? Yes If "Yes,"complete Schedule D, Part VI.19 . lla b Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of No its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VII . llb c Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of No its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, PartVIII95 .
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