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562307147<br />

Compensation of Officers, Direc<strong>to</strong>rs, Trustees, Key Employees, Highest Compensated Employees,<br />

and Independent Contrac<strong>to</strong>rs<br />

<strong>Form</strong> <strong>990</strong> (2010) Page 7<br />

Part VII<br />

Section A.<br />

Check if Schedule O contains a response <strong>to</strong> any question in this Part VII m m m m m m m m m m m m m m m m m m m m m<br />

Officers, Direc<strong>to</strong>rs, Trustees, Key Employees, and Highest Compensated Employees<br />

1a Complete this table for all persons required <strong>to</strong> be listed. Report compensation for the calendar year ending with or within the<br />

organization's tax year.<br />

%<br />

%<br />

List all of the organization's current officers, direc<strong>to</strong>rs, trustees (whether individuals or organizations), regardless of amount<br />

of compensation. Enter 0 in columns (D), (E), and (F) if no compensation was paid.<br />

%<br />

%<br />

List all of the organization's current key employees, if any. See instructions for definition of "key employee."<br />

List the organization's five current highest compensated employees (other than an officer, direc<strong>to</strong>r, trustee, or key employee)<br />

who received reportable compensation (Box 5 of <strong>Form</strong> W2 and/or Box 7 of <strong>Form</strong> 1099MISC) of more than $100,000 from the<br />

organization and any related organizations.<br />

List all of the organization's former officers, key employees, and highest compensated employees who received more than<br />

$100,000 of reportable compensation from the organization and any related organizations.<br />

List all of the organization's former direc<strong>to</strong>rs or trustees that received, in the capacity as a former direc<strong>to</strong>r or trustee of<br />

the organization, more than $10,000 of reportable compensation from the organization and any related organizations.<br />

List persons in the following order: individual trustees or direc<strong>to</strong>rs; institutional trustees; officers; key employees; highest<br />

compensated employees; and former such persons.<br />

Check this box if neither the organization nor any related organization compensated any current officer, direc<strong>to</strong>r, or trustee.<br />

(A) (B) (C) (D) (E) (F)<br />

Name and Title<br />

Average<br />

hours per<br />

week<br />

(describe<br />

hours for<br />

related<br />

organizations<br />

in Schedule<br />

O)<br />

Position (check all that apply)<br />

Individual trustee<br />

or direc<strong>to</strong>r<br />

Institutional trustee<br />

Officer<br />

Key employee<br />

Highest compensated<br />

employee<br />

<strong>Form</strong>er<br />

Reportable<br />

compensation<br />

from<br />

the<br />

organization<br />

(W2/1099MISC)<br />

Reportable<br />

compensation<br />

from related<br />

organizations<br />

(W2/1099MISC)<br />

Estimated<br />

amount of<br />

other<br />

compensation<br />

from the<br />

organization<br />

and related<br />

organizations<br />

(1)<br />

ROBERT H. CAMPBELL<br />

DIRECTOR AND BOARD CHAIR 6.00 X X 21,000. 0. 0.<br />

(2)<br />

J. HOWARD PEW II<br />

DIRECTOR 3.00 X 21,000. 65,000. 0.<br />

(3)<br />

SUSAN W. CATHERWOOD<br />

DIRECTOR 3.00 X 21,000. 63,500. 0.<br />

(4)<br />

GLORIA TWINE CHISUM<br />

DIRECTOR 3.00 X 21,000. 0. 0.<br />

(5)<br />

ARTHUR E. PEW III<br />

LEGACY DIRECTOR 3.00 X 1,000. 0. 0.<br />

(6)<br />

J.N. PEW IV, M.D.<br />

DIRECTOR 3.00 X 21,000. 76,500. 0.<br />

(7)<br />

MARY CATHARINE PEW, M.D.<br />

DIRECTOR 3.00 X 22,000. 0. 0.<br />

(8)<br />

R. ANDERSON PEW<br />

DIRECTOR 3.00 X 21,000. 75,000. 0.<br />

(9)<br />

SANDY FORD PEW<br />

DIRECTOR 3.00 X 22,000. 63,500. 0.<br />

(10)<br />

ROBERT G. WILLIAMS<br />

DIRECTOR 3.00 X 22,000. 68,500. 0.<br />

(11)<br />

ETHEL BENSON WISTER<br />

DIRECTOR 3.00 X 21,000. 38,000. 0.<br />

(12)<br />

ARISTIDES W. GEORGANTAS<br />

DIRECTOR 3.00 X 23,000. 58,000. 0.<br />

(13)<br />

J.N. PEW, 3RD<br />

LEGACY DIRECTOR 3.00 X 0. 30,000. 0.<br />

(14)<br />

REBECCA W. RIMEL<br />

PRESIDENT AND CEO 50.00 X X 708,722. 0. 443,156.<br />

(15)<br />

HENRY B. BERNSTEIN<br />

MD FINANCE & TREASURER 50.00 X 322,633. 0. 47,829.<br />

(16)<br />

MICHAEL J. DAHL<br />

MD PLN, RESEARCH, LEGAL & SEC 50.00 X 325,570. 0. 50,592.<br />

JSA<br />

0E1041 1.000<br />

ATTACHMENT 3<br />

X<br />

<strong>Form</strong> <strong>990</strong> (2010)<br />

8284CI 700P 4/12/2012 3:18:55 PM V 108.3 0166181 PAGE 7

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