MARCH OF DIMES FOUNDATION FORM 990 TAX YEAR 2014

Size: px
Start display at page:

Download "MARCH OF DIMES FOUNDATION FORM 990 TAX YEAR 2014"

Transcription

1 MARCH OF DMES FOUNDATON FORM 99 TA YEAR 4

2

3 OMB Return of Organization Exept Fro ncoe Tax For 99 Under section 5(c), 57, or 4947(a)() of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security nuers on this for as it ay e ade pulic. Open to Pulic Departent of the Treasury nternal Revenue Service nforation aout For 99 and its instructions is at nspection A For the 4 calendar year, or tax year eginning, 4, and ending, B J Check if applicale: Address change Nae change nitial return C Nae of organization Doing usiness as Nuer and street (or P.O. ox if ail is not delivered to street address) Roo/suite D Eployer identification nuer E Telephone nuer Final return/ City or town, state or province, country, and ZP or foreign postal code terinated Aended return WHTE PLANS, NY 65 G Gross receipts $ 9,45,6. Application F Nae and address of principal officer: H(a) s this a group return for Yes pending DR. JENNFER HOWSE suordinates? 75 MAMARONECK AVENUE WHTE PLANS, NY 65 H() Are all suordinates included? Yes Tax-exept status: 5(c)() 5(c) ( ) (insert no.) 4947(a)() or 57 f "," attach a list. (see instructions) J Wesite: H(c) Group exeption nuer K For of organization: Corporation Trust Association Other L Year of foration: M State of legal doicile: Suary Activities & Governance Revenue Expenses Net Assets or Fund Balances Part MARCH OF DMES FOUNDATON MAMARONECK AVENUE (94) NY Part Briefly descrie the organization's ission or ost significant activities: THE MSSON OF THE MARCH OF DMES S TO MPROVE THE HEALTH OF BABES BY PREVENTNG BRTH DEFECTS, PREMATURE BRTH AND NFANT MORTALTY. SEE PART, LNE FOR MORE NFORMATON. Check this ox if the organization discontinued its operations or disposed of ore than 5% of its net assets. Nuer of voting eers of the governing ody (Part V, line a) 4 Nuer of independent voting eers of the governing ody (Part V, line ) 4 5 Total nuer of individuals eployed in calendar year 4 (Part V, line a) 5 6 Total nuer of volunteers (estiate if necessary) 6 7a Total unrelated usiness revenue fro Part V, colun (C), line 7a Net unrelated usiness taxale incoe fro For 99-T, line 4 7 Prior Year 8 Contriutions and grants (Part V, line h) 9 Progra service revenue (Part V, line g) nvestent incoe (Part V, colun (A), lines, 4, and 7d) Other revenue (Part V, colun (A), lines 5, 6d, 8c, 9c, c, and e) Total revenue - add lines 8 through (ust equal Part V, colun (A), line ) Grants and siilar aounts paid (Part, colun (A), lines -) 4 Benefits paid to or for eers (Part, colun (A), line 4) 5 Salaries, other copensation, eployee enefits (Part, colun (A), lines 5-) 6a Professional fundraising fees (Part, colun (A), line e) Total fundraising expenses (Part, colun (D), line 5) 6,55,69. 7 Other expenses (Part, colun (A), lines a-d, f-4e) 8 Total expenses. Add lines -7 (ust equal Part, colun (A), line 5) 9 Revenue less expenses. Sutract line 8 fro line Total assets (Part, line 6) Total liailities (Part, line 6) Net assets or fund alances. Sutract line fro line Signature Block Beginning of Current Year 9. 9.,68.,,. Current Year 95,7,9. 87,56,.,786,4.,84,58. 4,75,48. 5,,59.,7,9.,56,57.,8,9. 95,886,97. 8,89,6. 9,6,94. 4,,46. 95,974,78.,, ,78. 79,5,45. 77,58,587.,58,45.,794,7. -9,76,55. -7,97,7. End of Year 5,954,9. 9,978,5. 78,877,4. 5,6,77. 75,77,696. 4,67,445. Under penalties of perjury, declare that have exained this return, including accopanying schedules and stateents, and to the est of y knowledge and elief, it is true, correct, and coplete. Declaration of preparer (other than officer) is ased on all inforation of which preparer has any knowledge. Sign Here Paid M Signature of officer Date M Type or print nae and title Print/Type preparer's nae Preparer's signature Date Check if PTN self-eployed JOCELYNE C MLLER Fir's EN Phone no. P6478 Preparer Fir's nae KPMG, LLP Use Only Fir's address 45 PARK AVENUE NEW YORK, NY May the RS discuss this return with the preparer shown aove? (see instructions) Yes For Paperwork Reduction Act tice, see the separate instructions. For 99 (4) 4E. 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

4 For 99 (4) Page Part MARCH OF DMES FOUNDATON Stateent of Progra Service Accoplishents Check if Schedule O contains a response or note to any line in this Part Briefly descrie the organization's ission: THE MSSON OF THE MARCH OF DMES S TO MPROVE THE HEALTH OF BABES BY PREVENTNG BRTH DEFECTS, PREMATURE BRTH AND NFANT MORTALTY. THE MARCH OF DMES CARRES OUT TS MSSON THROUGH PROGRAMS OF RESEARCH, COMMUNTY SERVCE, EDUCATON AND ADVOCACY TO SAVE BABES. f "Yes," descrie these new services on Schedule O. Did the organization undertake any significant progra services during the year which were not listed on the prior For 99 or 99-EZ? Yes Did the organization cease conducting, or ake significant changes in how it conducts, any progra services? Yes f "Yes," descrie these changes on Schedule O. 4 Descrie the organization's progra service accoplishents for each of its three largest progra services, as easured y expenses. Section 5(c)() and 5(c)(4) organizations are required to report the aount of grants and allocations to others, the total expenses, and revenue, if any, for each progra service reported. 4a (Code: ) (Expenses $,,7. including grants of $ 4,49,. ) (Revenue $ ) ATTACHMENT 4 (Code: ) (Expenses $ 74,5,67. including grants of $,4,86. ) (Revenue $,84,58. ) ATTACHMENT 4c (Code: ) (Expenses $ 5,5,94. including grants of $,76,85. ) (Revenue $ ) ATTACHMENT 4d Other progra services (Descrie in Schedule O.) (Expenses $ including grants of $ ) (Revenue $ ) 4e Total progra service expenses 55,67,5. 4E. For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

5 MARCH OF DMES FOUNDATON For 99 (4) Page Part V Checklist of Required Schedules a s the organization required to coplete Schedule B, Schedule of Contriutors (see instructions)? Did the organization engage in direct or indirect political capaign activities on ehalf of or in opposition to candidates for pulic office? f "Yes," coplete Schedule C, Part Section 5(c)() organizations. Did the organization engage in loying activities, or have a section 5(h) election in effect during the tax year? f "Yes," coplete Schedule C, Part s the organization descried in section 5(c)() or 4947(a)() (other than a private foundation)? f "Yes," coplete Schedule A s the organization a section 5(c)(4), 5(c)(5), or 5(c)(6) organization that receives eership dues, assessents, or siilar aounts as defined in Revenue Procedure 98-9? f "Yes," coplete Schedule C, Part Did the organization aintain any donor advised funds or any siilar funds or accounts for which donors have the right to provide advice on the distriution or investent of aounts in such funds or accounts? f "Yes," coplete Schedule D, Part Did the organization receive or hold a conservation easeent, including easeents to preserve open space, the environent, historic land areas, or historic structures? f "Yes," coplete Schedule D, Part Did the organization aintain collections of works of art, historical treasures, or other siilar assets? f "Yes," coplete Schedule D, Part Did the organization report an aount in Part, line, for escrow or custodial account liaility; serve as a custodian for aounts not listed in Part ; or provide credit counseling, det anageent, credit repair, or det negotiation services? f "Yes," coplete Schedule D, Part V Did the organization, directly or through a related organization, hold assets in teporarily restricted endowents, peranent endowents, or quasi-endowents? f "Yes," coplete Schedule D, Part V f the organization s answer to any of the following questions is "Yes," then coplete Schedule D, Parts V, V, V,, or as applicale. a Did the organization report an aount for land, uildings, and equipent in Part, line? f "Yes," c d e f a a 4E. coplete Schedule D, Part V Did the organization report an aount for investents-other securities in Part, line that is 5% or ore of its total assets reported in Part, line 6? f "Yes," coplete Schedule D, Part V Did the organization report an aount for investents-progra related in Part, line that is 5% or ore of its total assets reported in Part, line 6? f "Yes," coplete Schedule D, Part V Did the organization report an aount for other assets in Part, line 5 that is 5% or ore of its total assets reported in Part, line 6? f "Yes," coplete Schedule D, Part Did the organization report an aount for other liailities in Part, line 5? f "Yes," coplete Schedule D, Part Did the organization s separate or consolidated financial stateents for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FN 48 (ASC 74)? f "Yes," coplete Schedule D, Part Did the organization otain separate, independent audited financial stateents for the tax year? f "Yes," coplete Schedule D, Parts and Was the organization included in consolidated, independent audited financial stateents for the tax year? f "Yes," and if the organization answered "" to line a, then copleting Schedule D, Parts and is optional s the organization a school descried in section 7()()(A)(ii)? f "Yes," coplete Schedule E Did the organization aintain an office, eployees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of ore than $, fro grantaking, fundraising, usiness, investent, and progra service activities outside the United States, or aggregate foreign investents valued at $, or ore? f "Yes," coplete Schedule F, Parts and V Did the organization report on Part, colun (A), line, ore than $5, of grants or other assistance to or for any foreign organization? f "Yes," coplete Schedule F, Parts and V Did the organization report on Part, colun (A), line, ore than $5, of aggregate grants or other assistance to or for foreign individuals? f "Yes," coplete Schedule F, Parts and V Did the organization report a total of ore than $5, of expenses for professional fundraising services on Part, colun (A), lines 6 and e? f "Yes," coplete Schedule G, Part (see instructions) Did the organization report ore than $5, total of fundraising event gross incoe and contriutions on Part V, lines c and 8a? f "Yes," coplete Schedule G, Part Did the organization report ore than $5, of gross incoe fro gaing activities on Part V, line 9a? f "Yes," coplete Schedule G, Part Did the organization operate one or ore hospital facilities? f "Yes," coplete Schedule H f "Yes" to line a, did the organization attach a copy of its audited financial stateents to this return? a c d e f a 4a a Yes For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

6 MARCH OF DMES FOUNDATON For 99 (4) Page 4 Part V Checklist of Required Schedules (continued) 4 a d 5 a a c a c Part, colun (A), line? f Yes, coplete Schedule, Parts and Did the organization report ore than $5, of grants or other assistance to any doestic organization or doestic governent on Part, colun (A), line? f "Yes," coplete Schedule, Parts and Did the organization report ore than $5, of grants or other assistance to or for doestic individuals on Did the organization answer Yes to Part V, Section A, line, 4, or 5 aout copensation of the organization s current and forer officers, directors, trustees, key eployees, and highest copensated eployees? f Yes, coplete Schedule J Did the organization have a tax-exept ond issue with an outstanding principal aount of ore than $, as of the last day of the year, that was issued after Deceer,? f "Yes," answer lines 4 through 4d and coplete Schedule K. f, go to line 5a Did the organization invest any proceeds of tax-exept onds eyond a teporary period exception? Did the organization aintain an escrow account other than a refunding escrow at any tie during the year to defease any tax-exept onds? Did the organization act as an "on ehalf of" issuer for onds outstanding at any tie during the year? Section 5(c)(), 5(c)(4), and 5(c)(9) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? f Yes, coplete Schedule L, Part s the organization aware that it engaged in an excess enefit transaction with a disqualified person in a prior year, and that the transaction has not een reported on any of the organization's prior Fors 99 or 99-EZ? f "Yes," coplete Schedule L, Part Did the organization report any aount on Part, line 5, 6, or for receivales fro or payales to any current or forer officers, directors, trustees, key eployees, highest copensated eployees, or disqualified persons? f "Yes," coplete Schedule L, Part Did the organization provide a grant or other assistance to an officer, director, trustee, key eployee, sustantial contriutor or eployee thereof, a grant selection coittee eer, or to a 5% controlled entity or faily eer of any of these persons? f "Yes," coplete Schedule L, Part Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part V instructions for applicale filing thresholds, conditions, and exceptions): A current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Part V A faily eer of a current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Part V An entity of which a current or forer officer, director, trustee, or key eployee (or a faily eer thereof) was an officer, director, trustee, or direct or indirect owner? f "Yes," coplete Schedule L, Part V Did the organization receive ore than $5, in non-cash contriutions? f "Yes," coplete Schedule M Did the organization receive contriutions of art, historical treasures, or other siilar assets, or qualified conservation contriutions? f "Yes," coplete Schedule M Did the organization liquidate, terinate, or dissolve and cease operations? f "Yes," coplete Schedule N, Part Did the organization sell, exchange, dispose of, or transfer ore than 5% of its net assets? f "Yes," coplete Schedule N, Part Did the organization own % of an entity disregarded as separate fro the organization under Regulations sections.77- and.77-? f "Yes," coplete Schedule R, Part Was the organization related to any tax-exept or taxale entity? f "Yes," coplete Schedule R, Part,, or V, and Part V, line Did the organization have a controlled entity within the eaning of section 5()()? f "Yes" to line 5a, did the organization receive any payent fro or engage in any transaction with a controlled entity within the eaning of section 5()()? f "Yes," coplete Schedule R, Part V, line Section 5(c)() organizations. Did the organization ake any transfers to an exept non-charitale related organization? f "Yes," coplete Schedule R, Part V, line Did the organization conduct ore than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal incoe tax purposes? f "Yes," coplete Schedule R, Part V 9? te. All For 99 filers are required to coplete Schedule O Did the organization coplete Schedule O and provide explanations in Schedule O for Part V, lines and 4a 4 4c 4d 5a a 8 8c 9 4 5a Yes For 99 (4) 4E. 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 4

7 For 99 (4) Page 5 Part V Stateents Regarding Other RS Filings and Tax Copliance Check if Schedule O contains a response or note to any line in this Part V Yes a a c Did the organization coply with ackup withholding rules for reportale payents to vendors and reportale gaing (galing) winnings to prize winners? c a Enter the nuer of eployees reported on For W-, Transittal of Wage and Tax Stateents, filed for the calendar year ending with or within the year covered y this return a,68 f at least one is reported on line a, did the organization file all required federal eployent tax returns? 4a See instructions for filing requireents for FinCEN For 4, Report of Foreign Bank and Financial Accounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transaction at any tie during the tax year? Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? c f "Yes" to line 5a or 5, did the organization file For 8886-T? 6a Does the organization have annual gross receipts that are norally greater than $,, and did the 7 a 8 9 a c d e f g h a a a a c 4 a Enter the nuer reported in Box of For 96. Enter -- if not applicale Enter the nuer of Fors W-G included in line a. Enter -- if not applicale te. f the su of lines a and a is greater than 5, you ay e required to e-file (see instructions) Did the organization have unrelated usiness gross incoe of $, or ore during the year? f "Yes," has it filed a For 99-T for this year? f "" to line, provide an explanation in Schedule O At any tie during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a ank account, securities account, or other financial account)? f Yes, enter the nae of the foreign country: ATTACHMENT 4 organization solicit any contriutions that were not tax deductile as charitale contriutions? f "Yes," did the organization include with every solicitation an express stateent that such contriutions or gifts were not tax deductile? Organizations that ay receive deductile contriutions under section 7(c). Did the organization receive a payent in excess of $75 ade partly as a contriution and partly for goods and services provided to the payor? f "Yes," did the organization notify the donor of the value of the goods or services provided? Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file For 88? f "Yes," indicate the nuer of Fors 88 filed during the year 7d Did the organization receive any funds, directly or indirectly, to pay preius on a personal enefit contract? Did the organization, during the year, pay preius, directly or indirectly, on a personal enefit contract? f the organization received a contriution of qualified intellectual property, did the organization file For 8899 as required? f the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a For 98-C? Sponsoring organizations aintaining donor advised funds. Did a donor advised fund aintained y the sponsoring organization have excess usiness holdings at any tie during the year? Sponsoring organizations aintaining donor advised funds. Did the sponsoring organization ake any taxale distriutions under section 4966? Did the sponsoring organization ake a distriution to a donor, donor advisor, or related person? Section 5(c)(7) organizations. Enter: nitiation fees and capital contriutions included on Part V, line a Gross receipts, included on For 99, Part V, line, for pulic use of clu facilities Section 5(c)() organizations. Enter: Gross incoe fro eers or shareholders a Gross incoe fro other sources (Do not net aounts due or paid to other sources against aounts due or received fro the.) Section 4947(a)() non-exept charitale trusts. s the organization filing For 99 in lieu of For 4? f "Yes," enter the aount of tax-exept interest received or accrued during the year Section 5(c)(9) qualified nonprofit health insurance issuers. s the organization licensed to issue qualified health plans in ore than one state? a te. See the instructions for additional inforation the organization ust report on Schedule O. Enter the aount of reserves the organization is required to aintain y the states in which 4E4. MARCH OF DMES FOUNDATON the organization is licensed to issue qualified health plans Enter the aount of reserves on hand c Did the organization receive any payents for indoor tanning services during the tax year? f "Yes," has it filed a For 7 to report these payents? f "," provide an explanation in Schedule O a 4a 5a 5 5c 6a 6 7a 7 7c 7e 7f 7g 7h 8 9a 9 a a 4a 4 For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 5

8 For 99 (4) Page 6 Part V Governance, Manageent, and Disclosure For each "Yes" response to lines through 7 elow, and for a "" response to line 8a, 8, or elow, descrie the circustances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part V Section A. Governing Body and Manageent a a Enter the nuer of voting eers of the governing ody at the end of the tax year f there are aterial differences in voting rights aong eers of the governing ody, or if the governing ody delegated road authority to an executive coittee or siilar coittee, explain in Schedule O. Enter the nuer of voting eers included in line a, aove, who are independent any other officer, director, trustee, or key eployee? supervision of officers, directors, or trustees, or key eployees to a anageent copany or other person? Did the organization ake any significant changes to its governing docuents since the prior For 99 was filed? Did the organization ecoe aware during the year of a significant diversion of the organization's assets? Did the organization have eers or stockholders? one or ore eers of the governing ody? stockholders, or persons other than the governing ody? Did any officer, director, trustee, or key eployee have a faily relationship or a usiness relationship with Did the organization delegate control over anageent duties custoarily perfored y or under the direct Did the organization have eers, stockholders, or other persons who had the power to elect or appoint Are any governance decisions of the organization reserved to (or suject to approval y) eers, 8 Did the organization conteporaneously docuent the eetings held or written actions undertaken during the year y the following: a The governing ody? 8a Each coittee with authority to act on ehalf of the governing ody? 8 9 s there any officer, director, trustee, or key eployee listed in Part V, Section A, who cannot e reached at the organization's ailing address? f "Yes," provide the naes and addresses in Schedule O 9 Section B. Policies (This Section B requests inforation aout policies not required y the nternal Revenue Code.) a a a 4 5 c a 6a Did the organization have local chapters, ranches, or affiliates? f "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with the organization's exept purposes? Has the organization provided a coplete copy of this For 99 to all eers of its governing ody efore filing the for? Descrie in Schedule O the process, if any, used y the organization to review this For 99. Did the organization have a written conflict of interest policy? f "," go to line rise to conflicts? descrie in Schedule O how this was done Did the organization have a written whistlelower policy? Did the organization have a written docuent retention and destruction policy? Were officers, directors, or trustees, and key eployees required to disclose annually interests that could give Did the organization regularly and consistently onitor and enforce copliance with the policy? f "Yes," Did the process for deterining copensation of the following persons include a review and approval y independent persons, coparaility data, and conteporaneous sustantiation of the delieration and decision? The organization's CEO, Executive Director, or top anageent official Other officers or key eployees of the organization f "Yes" to line 5a or 5, descrie the process in Schedule O (see instructions). Did the organization invest in, contriute assets to, or participate in a joint venture or siilar arrangeent with a taxale entity during the year? f "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangeents under applicale federal tax law, and take steps to safeguard the organization's exept status with respect to such arrangeents? List the states with which a copy of this For 99 is required to e filed ATTACHMENT 5 Section C. Disclosure Section 64 requires an organization to ake its Fors (or 4 if applicale), 99, and 99-T (Section 5(c)()s only) availale for pulic inspection. ndicate how you ade these availale. Check all that apply. Own wesite Another's wesite Upon request Other (explain in Schedule O) Descrie in Schedule O whether (and if so, how) the organization ade its governing docuents, conflict of interest policy, and financial stateents availale to the pulic during the tax year. State the nae, address, and telephone nuer of the person who possesses the organization's ooks and records: DAVD HORNE 75 MAMARONECK AVENUE WHTE PLANS, NY For 99 (4) 4E4. MARCH OF DMES FOUNDATON DO 774H 5//5 9::57 AM V 4-4.6F PAGE 6 a a 7 a a a c 4 5a 5 6a 6 Yes Yes

9 MARCH OF DMES FOUNDATON Copensation of Officers, Directors, Trustees, Key Eployees, Highest Copensated Eployees, and ndependent Contractors For 99 (4) Page 7 Part V Section A. Check if Schedule O contains a response or note to any line in this Part V Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees a Coplete this tale for all persons required to e listed. Report copensation for the calendar year ending with or within the organization's % tax year. List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of aount of copensation. Enter -- in coluns (D), (E), and (F) if no copensation was paid. % List all of the organization's current key eployees, if any. See instructions for definition of "key eployee." List the organization's five current highest copensated eployees (other than an officer, director, trustee, or key eployee) who received reportale copensation (Box 5 of For W- and/or Box 7 of For 99-MSC) of ore than $, fro the organization and any related organizations. % List all of the organization's forer officers, key eployees, and highest copensated eployees who received ore than $, of reportale copensation fro the organization and any related organizations. % List all of the organization's forer directors or trustees that received, in the capacity as a forer director or trustee of the organization, ore than $, of reportale copensation fro the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key eployees; highest copensated eployees; and forer such persons. Check this ox if neither the organization nor any related organization copensated any current officer, director, or trustee. (C) (A) (B) Position (D) (E) (F) Nae and Title Average hours per week (list any (do not check ore than one ox, unless person is oth an officer and a director/trustee) hours for related organizations elow dotted line) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Forer Reportale copensation fro the organization (W-/99-MSC) Reportale copensation fro related organizations (W-/99-MSC) Estiated aount of other copensation fro the organization and related organizations () LAVERNE H. COUNCL CHARMAN. () GARY DON VCE CHAR. () JONATHAN SPECTOR VCE CHAR. (4) DON GERMANO TRUSTEE. (5) H.EDWARD HANWAY VCE CHAR. (6) HARRS BROOKS TRUSTEE. (7) JOHN BURBANK TRUSTEE. (8) HARVEY COHEN, MD, PHD TRUSTEE. (9) JOSE CORDERO, MD, MPH TRUSTEE. () VRGNA DAVS FLOYD, MD, MPH TRUSTEE. () STEVEN FREBERG TRUSTEE. () ALEEM GLLAN TRUSTEE. () DAVD H. LSSY TRUSTEE. (4) KRK PERRY TRUSTEE. For 99 (4) 4E4. 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 7

10 MARCH OF DMES FOUNDATON For 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees (continued) (A) (B) (C) (D) (E) (F) Nae and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check ore than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Su-total c Total fro continuation sheets to Part V, Section A d Total (add lines and c) Forer Reportale copensation fro the organization (W-/99-MSC) Reportale copensation fro related organizations (W-/99-MSC) Total nuer of individuals (including ut not liited to those listed aove) who received ore than $, of reportale copensation fro the organization 9 Did the organization list any forer officer, director, or trustee, key eployee, or highest copensated eployee on line a? f "Yes," coplete Schedule J for such individual 4 For any individual listed on line a, is the su of reportale copensation and other copensation fro the organization and related organizations greater than $5,? f Yes, coplete Schedule J for such individual 4 5 Did any person listed on line a receive or accrue copensation fro any unrelated organization or individual for services rendered to the organization? f Yes, coplete Schedule J for such person 5 Section B. ndependent Contractors Coplete this tale for your five highest copensated independent contractors that received ore than $, of copensation fro the organization. Report copensation for the calendar year ending with or within the organization's tax year. Estiated aount of other copensation fro the organization and related organizations ( 5) TROY RUHANEN. TRUSTEE ( 6) ROGER CHARLES YOUNG, MD, PHD.. TRUSTEE ( 7) HARRY JOHNSON, ESQ.. TRUSTEE ( 8) DEDRA C. MERRWETHER. TREASURER ( 9) DANA W. PONTS. TRUSTEE ( ) WLL A. SMTH. TRUSTEE ( ) F. SESSONS COLE,, MD. TRUSTEE ( ) JAMES M. CORBETT. TRUSTEE ( ) MONCA LUECHTEFELD. SECRETARY ( 4) JOHN D. RANEY. TRUSTEE ( 5) KATHLEEN ROOSEVELT. TRUSTEE,79,. 7,657.,79,. 7,657. Yes ATTACHMENT 6 (A) Nae and usiness address (B) Description of services (C) Copensation Total nuer of independent contractors (including ut not liited to those listed aove) who received ore than $, in copensation fro the organization 6 4E55. For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 8

11 MARCH OF DMES FOUNDATON For 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees (continued) (A) (B) (C) (D) (E) (F) Nae and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check ore than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Su-total c Total fro continuation sheets to Part V, Section A d Total (add lines and c) Forer Reportale copensation fro the organization (W-/99-MSC) Reportale copensation fro related organizations (W-/99-MSC) Total nuer of individuals (including ut not liited to those listed aove) who received ore than $, of reportale copensation fro the organization 9 Did the organization list any forer officer, director, or trustee, key eployee, or highest copensated eployee on line a? f "Yes," coplete Schedule J for such individual 4 For any individual listed on line a, is the su of reportale copensation and other copensation fro the organization and related organizations greater than $5,? f Yes, coplete Schedule J for such individual 4 5 Did any person listed on line a receive or accrue copensation fro any unrelated organization or individual for services rendered to the organization? f Yes, coplete Schedule J for such person 5 Section B. ndependent Contractors Coplete this tale for your five highest copensated independent contractors that received ore than $, of copensation fro the organization. Report copensation for the calendar year ending with or within the organization's tax year. Estiated aount of other copensation fro the organization and related organizations ( 6) LSA BELKN. TRUSTEE *EFF 6//4 ( 7) DR. REGNA BENJAMN. TRUSTEE *EFF 6//4 ( 8) GRETCHEN CARLSON. TRUSTEE *EFF 6//4 ( 9) ALFREDO GANGOTENA. TRUSTEE *EFF 6//4 ( ) G. BRENT MNOR. TERM ENDED 6//4 ( ) F. ROBERT WOUDSTRA. TERM ENDED 6//4 ( ) SHANNON BROWN. TERM ENDED 6//4 ( ) AL CHLDS. TERM ENDED 6//4 ( 4) CAROL EVANS. TERM ENDED 6//4 ( 5) KENNETH A. MAY. TERM ENDED 6//4 ( 6) JENNFER HOWSE, PHD 5. PRESDENT 5,69. 6,684. Yes (A) Nae and usiness address (B) Description of services (C) Copensation Total nuer of independent contractors (including ut not liited to those listed aove) who received ore than $, in copensation fro the organization 4E55. For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 9

12 MARCH OF DMES FOUNDATON For 99 (4) Page 8 Part V Section A. Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees (continued) (A) (B) (C) (D) (E) (F) Nae and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check ore than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Forer Reportale copensation fro the organization (W-/99-MSC) Reportale copensation fro related organizations (W-/99-MSC) Estiated aount of other copensation fro the organization and related organizations ( 7) RCHARD E. MULLGAN 5. EECUTVE VCE PRESDENT 98,847. 8,84. ( 8) LSA BELLSEY, ESQ. 5. ASSSTANT SECRETARY 99,97. 7,98. ( 9) DAVD HORNE 5. ASSSTANT TREASURER 45,56. 8,84. ( 4) EDWARD MCCABE, M.D. 5. MEDCAL DRECTOR 76,64. ( 4) JOSEPH L SMPSON, MD 5. SENOR V.P. 66,6. 6,684. ( 4) SCOTT D BERNS, MD 5. SENOR V.P 79,.,46. ( 4) PAULA R RANSOM 5. SENOR V.P. 9,866. 8,84. ( 44) ALAN D KAUFFMAN 5. SENOR V.P. 49,98. 5,684. ( 45) DOUGLAS STAPLES 5. SENOR V.P. 9,676. 5,49. Su-total c Total fro continuation sheets to Part V, Section A d Total (add lines and c) Total nuer of individuals (including ut not liited to those listed aove) who received ore than $, of reportale copensation fro the organization 9 Did the organization list any forer officer, director, or trustee, key eployee, or highest copensated eployee on line a? f "Yes," coplete Schedule J for such individual 4 For any individual listed on line a, is the su of reportale copensation and other copensation fro the organization and related organizations greater than $5,? f Yes, coplete Schedule J for such individual 4 5 Did any person listed on line a receive or accrue copensation fro any unrelated organization or individual for services rendered to the organization? f Yes, coplete Schedule J for such person 5 Section B. ndependent Contractors Coplete this tale for your five highest copensated independent contractors that received ore than $, of copensation fro the organization. Report copensation for the calendar year ending with or within the organization's tax year. Yes (A) Nae and usiness address (B) Description of services (C) Copensation Total nuer of independent contractors (including ut not liited to those listed aove) who received ore than $, in copensation fro the organization 4E55. For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

13 MARCH OF DMES FOUNDATON Stateent of Revenue For 99 (4) Page 9 Part V Contriutions, Gifts, Grants and Other Siilar Aounts Progra Service Revenue Other Revenue a Check if Schedule O contains a response or note to any line in this Part V Federated capaigns Meership dues c Fundraising events d Related organizations e Governent grants (contriutions) f All other contriutions, gifts, grants, and siilar aounts not included aove f g ncash contriutions included in lines a-f: $ h Total. Add lines a-f a c d 6a a c d e Business Code e f All other progra service revenue g Total. Add lines a-f and other siilar aounts) ATTACHMENT 7 ncoe fro investent of tax-exept ond proceeds Royalties (i) Real (ii) Personal Gross rents Less: rental expenses c Rental incoe or (loss) d Net rental incoe or (loss) nvestent incoe (including dividends, interest, 4 5 7a Gross aount fro sales of assets other than inventory Less: cost or other asis (i) Securities (ii) Other and sales expenses 8,5,8. c Gain or (loss),74,59. d Net gain or (loss) 8a of contriutions reported on line c). See Part V, line 8 a Less: direct expenses c Net incoe or (loss) fro fundraising events Gross incoe fro gaing activities. See Part V, line 9 a Less: direct expenses c Net incoe or (loss) fro gaing activities Gross sales of inventory, less returns and allowances a Less: cost of goods sold c Net incoe or (loss) fro sales of inventory 9a a a c Gross incoe fro fundraising events (not including $ Miscellaneous Revenue d All other revenue e Total. Add lines a-d Total revenue. See instructions 4E5.,9,946. 7,66,598.,97,98. 55,87, ,85. Business Code (A) Total revenue 87,56,. (B) Related or exept function revenue SALE OF EDUCATON MATERAL 999,47,98.,47,98. SYMPOSUM CONFERENCE 999,48.,48. PROGRAM SPONSORSHP 999 6,696. 6,696. 7,66,598.,798,4. ATCH 8 4,65,4. 4,65,4.,84,58. ATCH 9,46. (C) Unrelated usiness revenue (D) Revenue excluded fro tax under sections 5-54,749,7.,749,7. 76,95. 76,95.,74,59.,74,59. ATCH,46.,46. GRANT REFUNDS 999 8,889. 8,889. ALL OTHER REVENUE 999,98.,98. 4, ,886,97.,84,58. 6,5,8. For 99 (4) 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

14 MARCH OF DMES FOUNDATON Part Stateent of Functional Expenses Section 5(c)() and 5(c)(4) organizations ust coplete all coluns. All other organizations ust coplete colun (A). For 99 (4) Page Check if Schedule O contains a response or note to any line in this Part Do not include aounts reported on lines 6, 7, 8, 9, and of Part V. Grants and other assistance to doestic organizations and doestic governents. See Part V, line Grants and other assistance to doestic individuals. See Part V, line Grants and other assistance to foreign organizations, foreign governents, and foreign individuals. See Part V, lines 5 and 6 4 Benefits paid to or for eers 5 Copensation of current officers, directors, trustees, and key eployees 6 Copensation not included aove, to disqualified persons (as defined under section 4958(f)()) and persons descried in section 4958(c)()(B) 7 Other salaries and wages 8 Pension plan accruals and contriutions (include 9 section 4(k) and 4() eployer contriutions) Other eployee enefits Payroll taxes Fees for services (non-eployees): a Manageent Legal c Accounting d Loying e Professional fundraising services. See Part V, line 7 f g a c d nvestent anageent fees Other. (f line g aount exceeds % of line 5, colun (A) aount, list line g expenses on Schedule O.) Advertising and prootion Office expenses nforation technology Royalties Occupancy Travel Payents of travel or entertainent expenses for any federal, state, or local pulic officials Conferences, conventions, and eetings nterest Payents to affiliates Depreciation, depletion, and aortization nsurance Other expenses. teize expenses not covered aove (List iscellaneous expenses in line 4e. f line 4e aount exceeds % of line 5, colun (A) aount, list line 4e expenses on Schedule O.) e All other expenses 5 Total functional expenses. Add lines through 4e 6 Joint costs. Coplete this line only if the organization reported in colun (B) joint costs fro a coined educational capaign and fundraising solicitation. Check here if following SOP 98- (ASC 958-7) (A) (B) (C) (D) Total expenses Progra service Manageent and Fundraising expenses general expenses expenses 8,86,87. 8,86,87. 45,. 45,.,69,655.,69,655.,874,8.,446, ,9.,88. 77,74,8. 6,,77. 8,8,97. 9,656,59. 4,98,7.,565, , ,4. 5,6,477. 4,84, , ,64. 6,8,8. 4,59,97. 65,9. 76,7. 5,99. 6,56. 45,79. 8, ,4. 9,677. 8,4. 5,. 76,87. 76,87.,85,4. 7,8,6.,5,599.,488,. 8,56,857. 6,764,8. 78, ,. 6,75,7. 5,5,68. 58,87. 7,85.,84,9.,47,. 6,869. 9,8. 89,66. 4,64.,9. 8,97.,,849.,97,8. 44,. 464,6. PRNTNG 9,867,79.,58,977.,658,54. 4,65,. POSTAGE & SHPPNG,75,7. 6,89,48.,667,79.,698,94. EQUPMENTAL RENTAL,55,857.,499,444. 4,78. 5,685. TELEMARKETNG/DATA FEES 6,8,. 4,78,4.,8, ,86.,59,45.,848, ,958. 4,6.,794,7. 55,67,5.,597,99. 6,55,69.,,. 8,4,. 4,769,. 7,9,. For 99 (4) 4E5. 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

15 For 99 (4) Page Part Balance Sheet Check if Schedule O contains a response or note to any line in this Part (A) (B) Beginning of year End of year Assets Liailities Net Assets or Fund Balances Cash - non-interest-earing Savings and teporary cash investents Pledges and grants receivale, net Accounts receivale, net Loans and other receivales fro current and forer officers, directors, trustees, key eployees, and highest copensated eployees. Coplete Part of Schedule L Loans and other receivales fro other disqualified persons (as defined under section 4958(f)()), persons descried in section 4958(c)()(B), and contriuting eployers and sponsoring organizations of section 5(c)(9) voluntary eployees' eneficiary organizations (see instructions). Coplete Part of Schedule L tes and loans receivale, net nventories for sale or use Prepaid expenses and deferred charges a Land, uildings, and equipent: cost or MARCH OF DMES FOUNDATON other asis. Coplete Part V of Schedule D a Less: accuulated depreciation nvestents - pulicly traded securities nvestents - other securities. See Part V, line nvestents - progra-related. See Part V, line ntangile assets Other assets. See Part V, line Total assets. Add lines through 5 (ust equal line 4) Accounts payale and accrued expenses Grants payale Deferred revenue Tax-exept ond liailities Escrow or custodial account liaility. Coplete Part V of Schedule D Loans and other payales to current and forer officers, directors, trustees, key eployees, highest copensated eployees, and disqualified persons. Coplete Part of Schedule L 6,6,54. 5,68,4.,8,88. 5,55,5. 4 9,56,64. 4,5,96.,7,675. 5,,. 5 4,88, ,6,7. 55,97,78. 45,44,57.,98,4. c,497,67. ATCH ATCH 77,7,7. 6,95,7.,9,47. 5,954,9.,96,79. 9,,7.,668, ,7,56.,78,6.,4,84. 9,978,5. 9,95,687. 9,886,464.,4,59. Secured ortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties Other liailities (including federal incoe tax, payales to related third parties, and other liailities not included on lines 7-4). Coplete Part of Schedule D Total liailities. Add lines 7 through 5 Organizations that follow SFAS 7 (ASC 958), check here and coplete lines 7 through 9, and lines and 4. Unrestricted net assets Teporarily restricted net assets Peranently restricted net assets Organizations that do not follow SFAS 7 (ASC 958), check here and coplete lines through 4. Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, uilding, or equipent fund Retained earnings, endowent, accuulated incoe, or other funds Total net assets or fund alances Total liailities and net assets/fund alances ATCH,,98.,84,9. 4 5,,. 46,9, ,55,9. 78,877,4. 6 5,6,77. 58,5,. 7 6,97,768.,7,. 8 4,8,.,,675. 9,99, ,77,696. 5,954,9. 4 4,67,445. 9,978,5. For 99 (4) 4E5. 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE

16 For 99 (4) Page Part Part MARCH OF DMES FOUNDATON Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part Total revenue (ust equal Part V, colun (A), line ) Total expenses (ust equal Part, colun (A), line 5) Revenue less expenses. Sutract line fro line Net assets or fund alances at eginning of year (ust equal Part, line, colun (A)) 4 Net unrealized gains (losses) on investents 5 Donated services and use of facilities 6 nvestent expenses 7 Prior period adjustents 8 Other changes in net assets or fund alances (explain in Schedule O) 9 Net assets or fund alances at end of year. Coine lines through 9 (ust equal Part, line, colun (B)) Financial Stateents and Reporting Check if Schedule O contains a response or note to any line in this Part Accounting ethod used to prepare the For 99: Cash Accrual Other f the organization changed its ethod of accounting fro a prior year or checked "Other," explain in Schedule O. a Were the organization's financial stateents copiled or reviewed y an independent accountant? a f "Yes," check a ox elow to indicate whether the financial stateents for the year were copiled or reviewed on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis Were the organization's financial stateents audited y an independent accountant? f "Yes," check a ox elow to indicate whether the financial stateents for the year were audited on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis c f "Yes" to line a or, does the organization have a coittee that assues responsiility for oversight of the audit, review, or copilation of its financial stateents and selection of an independent accountant? f the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-? f "Yes," did the organization undergo the required audit or audits? f the organization did not undergo the required audit or audits, explain why in Schedule O and descrie any steps taken to undergo such audits. 95,886,97.,794,7. -7,97,7. 75,77,696. -,585, ,966,865. 4,67,445. c a Yes For 99 (4) 4E DO 774H 5//5 9::57 AM V 4-4.6F PAGE 4

17 SCHEDULE A Pulic Charity Status and Pulic Support OMB (For 99 or 99-EZ) Coplete if the organization is a section 5(c)() organization or a section 4947(a)() nonexept charitale trust. À¾µ Departent of the Treasury Attach to For 99 or For 99-EZ. Open to Pulic nternal Revenue Service nforation aout Schedule A (For 99 or 99-EZ) and its instructions is at nspection Nae of the organization MARCH OF DMES FOUNDATON Eployer identification nuer Part Reason for Pulic Charity Status (All organizations ust coplete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines through, check only one ox.) 4 A church, convention of churches, or association of churches descried in section 7()()(A)(i). A school descried in section 7()()(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization descried in section 7()()(A)(iii). A edical research organization operated in conjunction with a hospital descried in section 7()()(A)(iii). Enter the hospital's nae, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governental unit descried in section 7()()(A)(iv). (Coplete Part.) A federal, state, or local governent or governental unit descried in section 7()()(A)(v). An organization that norally receives a sustantial part of its support fro a governental unit or fro the general pulic descried in section 7()()(A)(vi). (Coplete Part.) A counity trust descried in section 7()()(A)(vi). (Coplete Part.) An organization that norally receives: () ore than / % of its support fro contriutions, eership fees, and gross receipts fro activities related to its exept functions - suject to certain exceptions, and () no ore than / % of its support fro gross investent incoe and unrelated usiness taxale incoe (less section 5 tax) fro usinesses acquired y the organization after June, 975. See section 59(a)(). (Coplete Part.) An organization organized and operated exclusively to test for pulic safety. See section 59(a)(4). An organization organized and operated exclusively for the enefit of, to perfor the functions of, or to carry out the purposes of one or ore pulicly supported organizations descried in section 59(a)() or section 59(a)(). See section 59(a)(). Check the ox in lines a through d that descries the type of supporting organization and coplete lines e, f, and g. (A) a c d e f g Type. A supporting organization operated, supervised, or controlled y its supported organization(s), typically y giving the supported organization(s) the power to regularly appoint or elect a ajority of the directors or trustees of the supporting organization. You ust coplete Part V, Sections A and B. Type. A supporting organization supervised or controlled in connection with its supported organization(s), y having control or anageent of the supporting organization vested in the sae persons that control or anage the supported organization(s). You ust coplete Part V, Sections A and C. Type functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You ust coplete Part V, Sections A, D, and E. Type non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally ust satisfy a distriution requireent and an attentiveness requireent (see instructions). You ust coplete Part V, Sections A and D, and Part V. Check this ox if the organization received a written deterination fro the RS that it is a Type, Type, Type functionally integrated, or Type non-functionally integrated supporting organization. Enter the nuer of supported organizations Provide the following inforation aout the supported organization(s). (i) Nae of supported organization (ii) EN (iii) Type of organization (descried on lines -9 aove or RC section (see instructions)) (iv) s the organization listed in your governing docuent? Yes (v) Aount of onetary support (see instructions) (vi) Aount of other support (see instructions) (B) (C) (D) (E) Total For Paperwork Reduction Act tice, see the nstructions for For 99 or 99-EZ. 4E. Schedule A (For 99 or 99-EZ) 4 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 5

18 Schedule A (For 99 or 99-EZ) 4 Page Part Support Schedule for Organizations Descried in Sections 7()()(A)(iv) and 7()()(A)(vi) (Coplete only if you checked the ox on line 5, 7, or 8 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please coplete Part.) Section A. Pulic Support Calendar year (or fiscal year eginning in) Gifts, grants, contriutions, and eership fees received. (Do not include any "unusual grants.") Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of services or facilities furnished y a governental unit to the organization without charge 4 Total. Add lines through 5 The portion of total contriutions y each person (other than a governental unit or pulicly supported organization) included on line that exceeds % of the aount shown on line, colun (f) 6 Pulic support. Sutract line 5 fro line 4. 7 Aounts fro line 4 8 Gross incoe fro interest, dividends, payents received on securities loans, rents, royalties and incoe fro siilar sources Section B. Total Support Calendar year (or fiscal year eginning in) 9 Net incoe fro unrelated usiness activities, whether or not the usiness is regularly carried on Other incoe. Do not include gain or loss fro the sale of capital assets (a) () (c) (d) (e) 4 (f) Total (a) () (c) (d) (e) 4 (f) Total (Explain in Part V.) ATCH Total support. Add lines 7 through Gross receipts fro related activities, etc. (see instructions) First five years. f the For 99 is for the organization's first, second, third, fourth, or fifth tax year as a section 5(c)() organization, check this ox and stop here Section C. Coputation of Pulic Support Percentage 4 Pulic support percentage for 4 (line 6, colun (f) divided y line, colun (f)) 4 5 Pulic support percentage fro Schedule A, Part, line 4 5 6a / % support test - 4. f the organization did not check the ox on line, and line 4 is / % or ore, check this ox and stop here. The organization qualifies as a pulicly supported organization / % support test -. f the organization did not check a ox on line or 6a, and line 5 is / % or ore, check this ox and stop here. The organization qualifies as a pulicly supported organization 7a MARCH OF DMES FOUNDATON ,74,4.,78,9. 98,6,6. 95,7,9. 87,56,. 98,87,49.,74,4.,78,9. 98,6,6. 95,7,9. 87,56,. 98,87,49. %-facts-and-circustances test - 4. f the organization did not check a ox on line, 6a, or 6, and line 4 is % or ore, and if the organization eets the "facts-and-circustances" test, check this ox and stop here. Explain in Part V how the organization eets the "facts-and-circustances test. The organization qualifies as a pulicly supported organization %-facts-and-circustances test -. f the organization did not check a ox on line, 6a, 6, or 7a, and line 5 is % or ore, and if the organization eets the "facts-and-circustances" test, check this ox and stop here. Explain in Part V how the organization eets the "facts-and-circustances" test. The organization qualifies as a pulicly supported organization 8 Private foundation. f the organization did not check a ox on line, 6a, 6, 7a, or 7, check this ox and see instructions 98. % 98. % Schedule A (For 99 or 99-EZ) 4 98,87,49.,74,4.,78,9. 98,6,6. 95,7,9. 87,56,. 98,87,49.,5,6. 4,9,87.,45,5.,7,58.,59,67. 6,8,7. 7,7. 494,6. 756,5. 68,657. 4,869.,69,796.,,8,8. 8,95,459. 4E. 464DO 774H 5//5 9::57 AM V 4-4.6F PAGE 6

Form 990 (2012) Page 2

Form 990 (2012) Page 2 For 99 (212) Page 2 Part AMERCAN NATONAL RED CROSS & TS CONSTTUENT 53-19665 Stateent of Progra Service Accoplishents Check if Schedule O contains a response to any question in this Part 1 Briefly descrie

More information

AMERICAN CANCER SOCIETY INC, NEW ENGLAND DIVISION INC. FORM 990 TAX YEAR 2009

AMERICAN CANCER SOCIETY INC, NEW ENGLAND DIVISION INC. FORM 990 TAX YEAR 2009 AMERCAN CANCER SOCETY NC, NEW ENGLAND DVSON NC. FORM 990 TA YEAR 2009 For ½½ Return of Organization Exept Fro ncoe Tax Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except lack

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I Activities & Governance Revenue Expenses Part II Sign Here 990 1 Paid Preparer Use Only Return of Organization Exempt From Income Tax 2013 10 NORTH ST (609)977-0228 City or town, state or province,

More information

3706JK K925 11/16/2015 12:59:31 PM V 11-6.5 71302 PAGE 4

3706JK K925 11/16/2015 12:59:31 PM V 11-6.5 71302 PAGE 4 For 99 (211) Page 2 Part III Stateent of Progra Service Accoplishents Check if Schedule O contains a response to any question in this Part III 1 Briefly describe the organization's ission: ATTACHMENT 1

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2010 benefit trust or private foundation)

More information

AMERICAN ACADEMY OF FAMILY PHYSICIANS FOUNDATION FORM 990 TAX YEAR 2013

AMERICAN ACADEMY OF FAMILY PHYSICIANS FOUNDATION FORM 990 TAX YEAR 2013 AMERCAN ACADEMY OF FAMLY PHYSCANS FOUNDATON FORM 99 TA YEAR 213 F RS e-file Signature Authorization for an Exept Organization 8879-EO For calendar year 213, or fiscal year eginning OMB 1545-1878, 213,

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2011 benefit trust or private foundation)

More information

WEISERMAZARS LLP 135 WEST 50TH STREET NEW YORK, NY 10020 PRO BONO NET, INC. 151 WEST 30TH STREET NEW YORK, NY 10001 !100018!

WEISERMAZARS LLP 135 WEST 50TH STREET NEW YORK, NY 10020 PRO BONO NET, INC. 151 WEST 30TH STREET NEW YORK, NY 10001 !100018! WEISERMAZARS LLP 135 WEST 50TH STREET NEW YORK, NY 10020 PRO BONO NET, INC. 151 WEST 30TH STREET NEW YORK, NY 10001!100018! 926340 04-24-09 Caution: Forms printed from within Adoe Acroat products may not

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2014 Do not enter social security

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except lack lung enefit trust or private foundation) Open to

More information

Form 990 (2011) Page 2

Form 990 (2011) Page 2 2/13/14 2/13/14 For 99 (211) Page 2 Part Stateent of Progra Service Accoplishents Check if Schedule O contains a response to any question in this Part 1 Briefly describe the organization's ission: ATTACHMENT

More information

1 Briefly describe the organization's mission: SEE STATEMENT 1

1 Briefly describe the organization's mission: SEE STATEMENT 1 Form 990 (2008) 26-0850638 Page 2 Part III Statement of Program Service Accomplishments (see instructions) 1 Briefly descrie the organization's mission: SEE STATEMENT 1 2 Did the organization undertake

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 22 Part II Sign Here 990 Department of the Treasury Internal Revenue Service Paid Preparer Use Only Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1)

More information

FREEDOM PARTNERS CHAMBER OF COMMERCE, INC. 45-3732750

FREEDOM PARTNERS CHAMBER OF COMMERCE, INC. 45-3732750 FREEDOM PARTNERS CHAMBER OF COMMERCE, INC. 45-373275 Form 99 (214) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part

More information

359,843 4,352 32,364 49,373 51,701

359,843 4,352 32,364 49,373 51,701 Forms 99 / 99-EZ Return Summary For calendar year 21, or tax year eginning Denton Assistance Center Inc, and ending 7-29612 Net Asset / Fund Balance at Beginning of Year 11,89 Revenue Contriutions Program

More information

1. The organization mission or most significant activities that you wish to highlight this year:

1. The organization mission or most significant activities that you wish to highlight this year: Form 990 Questionnaire For All Organizations Core Form Heading & Pt I Summary 1. The organization mission or most significant activities that you wish to highlight this year: 2. Total number of volunteers

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service For the 2011 calendar year, or tax year beginning, 2011, and ending, B Check if applicable: C D Employer Identification Number ddress change

More information

Open to Public Inspection A For the 2011 calendar year, or tax year beginning B Check if applicable: C Name of organization

Open to Public Inspection A For the 2011 calendar year, or tax year beginning B Check if applicable: C Name of organization Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit

More information

OMB No. 1545-0047 Form 990. Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code

OMB No. 1545-0047 Form 990. Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code OMB. 1545-0047 Form 990 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code Department of the Treasury Internal Revenue Service (except

More information

TAX RETURN FILING INSTRUCTIONS

TAX RETURN FILING INSTRUCTIONS TA RETURN FILING INSTRUCTIONS FORM 990 FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ JUNE 30, 2014 Prepared for Prepared y Amount due or refund Make check payale to Mail tax return and check (if applicale) to

More information

P.O. BOX 3870 360.337.2978 SILVERDALE, WA 98383-3870

P.O. BOX 3870 360.337.2978 SILVERDALE, WA 98383-3870 Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2014 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

IRS Form 990 Information Return Highlights

IRS Form 990 Information Return Highlights IRS Form 99 Information Return Highlights Arizona State University (ASU or University) is the largest pulic university in the United States under a single administration. It has the critical mass and quality

More information

Briefly describe the organization's mission or most significant activities: SEE MISSION STATEMENT ON SCHEDULE 0

Briefly describe the organization's mission or most significant activities: SEE MISSION STATEMENT ON SCHEDULE 0 Form 990 Department of the Treasury internal Revenue Service ETENSION GRANTED TO 08/15/13 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue

More information

SEE SCHEDULE O SEE SCHEDULE O 1,321,367.

SEE SCHEDULE O SEE SCHEDULE O 1,321,367. Form 990 (2011) ERCES SOCIETY, INC. 51-0175253 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III....................................................

More information

NATIONAL PUBLIC RADIO, INC. 2013 FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX PUBLIC INSPECTION COPY FISCAL YEAR ENDED 09/30/2014

NATIONAL PUBLIC RADIO, INC. 2013 FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX PUBLIC INSPECTION COPY FISCAL YEAR ENDED 09/30/2014 NATONAL PUBLC RADO, NC. 213 FORM 99 RETURN OF ORGANZATON EEMPT FROM NCOME TA PUBLC NSPECTON COPY FSCAL YEAR ENDED 9/3/214 Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section

More information

4 a (Code: ) (Expenses $ 184,481 including grants of $ ) (Revenue $ 5,645 ) 4 c (Code: ) (Expenses $ 24,587 including grants of $ ) (Revenue $ 0 )

4 a (Code: ) (Expenses $ 184,481 including grants of $ ) (Revenue $ 5,645 ) 4 c (Code: ) (Expenses $ 24,587 including grants of $ ) (Revenue $ 0 ) Form 990 (2013) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III............. 1 Briefly describe the organization

More information

ALASKA LEGAL SERVICES CORPORATION FORM 990 TAX YEAR 2013

ALASKA LEGAL SERVICES CORPORATION FORM 990 TAX YEAR 2013 ALASKA LEGAL SERVCES CORPORATON FORM 99 TA YEAR 213 Tel: 97-278-8878 Fax: 97-278-5779 www.do.com 361 C Street, Suite 6 Anchorage, AK 9953 Novemer 14, 214 Alaska Legal Services Corporation 116 W. 6th Avenue

More information

A For the 2011 calendar year, or tax year beginning 10/01 B Check if applicable:

A For the 2011 calendar year, or tax year beginning 10/01 B Check if applicable: Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black

More information

Government Copy. Community Culinary School of Charlotte, Inc. 2401-A Distribution Street Charlotte, NC 28203 704.375.4500

Government Copy. Community Culinary School of Charlotte, Inc. 2401-A Distribution Street Charlotte, NC 28203 704.375.4500 2013 TA RETURN Government Copy Client: Prepared for: 6250 Community Culinary School of Charlotte, Inc. 2401-A Distribution Street Charlotte, NC 28203 704.375.4500 Prepared by: Terry W. Lancaster C. DeWitt

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service G The organization may have to use a copy of this return to satisfy state reporting requirements. A For the 2011 calendar year, or tax year

More information

THE MUSICAL CORPORATION 40-0006011

THE MUSICAL CORPORATION 40-0006011 A Sign Here 112 Form Department of the Treasury Internal Revenue Service Check if: Paid Preparer Use Only U.S. Corporation Income Tax Return 215 1a Consolidated return TYPE Numer, street, and room or suite

More information

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C 45-1611066 ROSS, CA 94957 415-386-1200

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C 45-1611066 ROSS, CA 94957 415-386-1200 Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 990-EZ PUBLIC DISCLOSURE COPY ** PUBLIC DISCLOSURE COPY ** Short Form Return of Organization Exempt From Income Tax Under section 501, 527, or 4947(1) of the Internal Revenue Code (except private

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 990-EZ Short Form Return 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. 1545-1150 2013 r*p LL Department

More information

Inspection A For the 2014 calendar year, or tax year beginning Jul 1, 2014, and ending Jun 30, 2015

Inspection A For the 2014 calendar year, or tax year beginning Jul 1, 2014, and ending Jun 30, 2015 Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2014 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter social security

More information

2013 Exempt Organization Business Tax Return prepared for: THE ARC OF COLORADO 1580 LOGAN STREET, #730 DENVER, CO 80203-1942

2013 Exempt Organization Business Tax Return prepared for: THE ARC OF COLORADO 1580 LOGAN STREET, #730 DENVER, CO 80203-1942 201 Exempt Organization Business Tax Return prepared for: THE ARC OF COLORADO 1580 LOAN STREET, #70 DENVER, CO 8020-1942 BENZ SEYFERT & COMPANY, INC. 1620 WASHINTON AVE OLDEN, CO 80401 Form 990 Department

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service A For the 2011 calendar year, or tax year beginning, 2011, and ending, B Check if applicable: C D Employer Identification Number Address change

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 99 Return of Organization Exempt From Income Tax OMB No. 1545-47 Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 21 benefit trust or private foundation) Open

More information

Form 990-EZ and supplemental forms and schedules. Sign and date: An officer must sign and date Form 990-EZ on page 4.

Form 990-EZ and supplemental forms and schedules. Sign and date: An officer must sign and date Form 990-EZ on page 4. Federal Filing Instructions 2014 Name(s) as shown on return Your Social Security Number Date to file by: 08-17-2015 Form to be filed: Form 990-EZ and supplemental forms and schedules Sign and date: An

More information

D/w, Form 990-EZ (2009)

D/w, Form 990-EZ (2009) ,20865 09/29/2010 5 04 PM Form 990-EZ. of A For the 2009 ca' B Check if applicale Address change Name change Initial return Termination Amended return Short Form Return of Organization Exempt From Income

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 99-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private

More information

November 16, 2015. The support of our contributors and grantors made it possible for our initiatives to make great progress in 2014.

November 16, 2015. The support of our contributors and grantors made it possible for our initiatives to make great progress in 2014. Noveer 16, 215 Dear Reader: At the Clinton Foundation, we work around the world helping farers lift theselves out of poverty, assisting island nations with renewale energy projects, epowering girls and

More information

AmeriCares Foundation, Inc. IRS Form 990. Fiscal Year 2015

AmeriCares Foundation, Inc. IRS Form 990. Fiscal Year 2015 AmeriCares Foundation, nc. RS Form 99 Fiscal Year 5 Electronic Filing Page of Cumulative e-file History 4 Federal Locator: 774N Taxpayer Name: AmeriCares Foundation, nc. Return Type: 99, 99 Submitted Date:

More information

2013 Exempt Org. Return prepared for: ATLANTA VOLUNTEER LAWYERS FOUNDATION, INC 235 PEACHTREE ST NE, 1750 N TOWER ATLANTA, GA 30303

2013 Exempt Org. Return prepared for: ATLANTA VOLUNTEER LAWYERS FOUNDATION, INC 235 PEACHTREE ST NE, 1750 N TOWER ATLANTA, GA 30303 2013 Exempt Org. Return prepared for: ATLANTA VOLUNTEER LAWYERS FOUNDATION, INC 235 PEACHTREE ST NE, 1750 N TOWER ATLANTA, GA 30303 FULTON & KOZAK, CPA 7187 JONESBORO RD STE 100A MORROW, GA 30260-2944

More information

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492179004143

l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492179004143 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492179004143 Form 990-EZ IN Department of the Treasury Internal Revenue Service Short Form OMB 1545-1150 Return of Organization Exempt From

More information

**PUBLIC DISCLOSURE COPY** Return of Organization Exempt From Income Tax

**PUBLIC DISCLOSURE COPY** Return of Organization Exempt From Income Tax Form Department of the Treasury Internal Revenue Service Under section 501, 527, or 4947(1) of the Internal Revenue Code (except lack lung enefit trust or private foundation) The organization may have

More information

NATIONAL COUNCIL OF YMCAS OF THE USA. 2012 Form 990 for the Year Ended December 31, 2012. Public Disclosure Copy

NATIONAL COUNCIL OF YMCAS OF THE USA. 2012 Form 990 for the Year Ended December 31, 2012. Public Disclosure Copy NATIONAL COUNCIL OF YMCAS OF THE USA 2012 Form 990 for the Year Ended December 31, 2012 Public Disclosure Copy Form 990 (2012) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Termination Please use IRS label or print or type. See specific Instructions. Return of Organization Exempt From Income Tax Amended return G Gross receipts $ 591,316. Application pending F Name

More information

Number, street, and room or suite no. If a P.O. box, see the instructions. City or town, state or province, country, and ZIP or foreign postal code

Number, street, and room or suite no. If a P.O. box, see the instructions. City or town, state or province, country, and ZIP or foreign postal code Form 1065 Department of the Treasury Internal Revenue Service A Principal business activity U.S. Return of Partnership Income For calendar year 2015, or tax year beginning, 2015, ending, 20. Information

More information

145SchP" N IFt. Form 99Q 1 Return of Organization Exempt From Income Tax V-4 LLJ Z U V) No 1545

145SchP N IFt. Form 99Q 1 Return of Organization Exempt From Income Tax V-4 LLJ Z U V) No 1545 V-4 C, O LLJ Z U V) No 1545 Form 99Q 1 Return of Organization Exempt From Income Tax r Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except lack 2006 lung enefit trust or private

More information

How To Check If A Charity Is Doing Well

How To Check If A Charity Is Doing Well PUBLIC DISCLOSURE COPY OMB No. 545-47 Form 99 Return of Organization Exempt From Income Tax Under section 5(c), 527, or 4947(a)() of the Internal Revenue Code (except private foundations) 23 Do not enter

More information

U.S. Corporation Income Tax Return For calendar year 2015 or tax year beginning, 2015, ending, 20

U.S. Corporation Income Tax Return For calendar year 2015 or tax year beginning, 2015, ending, 20 Form 1120 Department of the Treasury Internal Revenue Service A Check if: 1a Consolidated return (attach Form 851). b Life/nonlife consolidated return... 2 Personal holding co. (attach Sch. PH).. 3 Personal

More information

CONTINUATION OPTION FORM EXECUTIVE INCOME PROTECTION & LIFE COVER FOR EXISTING FRIENDS FIRST POLICYHOLDERS

CONTINUATION OPTION FORM EXECUTIVE INCOME PROTECTION & LIFE COVER FOR EXISTING FRIENDS FIRST POLICYHOLDERS CONTINUATION OPTION FORM EXECUTIVE INCOME PROTECTION & LIFE COVER FOR EXISTING FRIENDS FIRST POLICYHOLDERS Agency Nuber: Agency Nae: OFFICE USE: Contract Type: Policy/Contract No.: Client No. (Eployer):

More information

U.S. Income Tax Return for an S Corporation

U.S. Income Tax Return for an S Corporation Form 1120S U.S. Income Tax Return for an S Corporation Do not file this form unless the corporation has filed or is attaching Form 2553 to elect to be an S corporation. Information about Form 1120S and

More information

Your social security number FRED ADAMS 678-09-0752. If a joint return, spouse's first name and initial SANDY ADAMS 679-09-0752 ... 7 8a ...

Your social security number FRED ADAMS 678-09-0752. If a joint return, spouse's first name and initial SANDY ADAMS 679-09-0752 ... 7 8a ... Department of the Treasury - Internal Revenue Service (99) 00 U.S. Individual Income Tax Return 0 OMB. -00 For the year Jan. -Dec., 0, or other tax year eginning,0, ending,0 Form Your first name and initial

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 PUBLIC DISCLOSURE COPY Return of Organization Exempt From Income Tax OMB 1545-0047 Under section 501, 527, or 4947(1) of the Internal Revenue Code (except private foundations) 2014 Do not enter

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1545-47 Return of Organization Exempt From Income Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers

More information

What is the organization's primary exempt purpose? REHABILITATION AND REFERRAL

What is the organization's primary exempt purpose? REHABILITATION AND REFERRAL Form 990 (2006) REFERRAL SERVICES, INC. 52-1732096 Page3 Part III Statement of Program Service Accomplishments (See the instructions.) Form 990 is availale for pulic inspection and, for some people, serves

More information

Instructions for Schedule A (Form 990 or 990-EZ)

Instructions for Schedule A (Form 990 or 990-EZ) 2012 Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless

More information

Club & LSC Financial Management. Jill J. Goodwin, CPA Waugh & Goodwin, LLP jgoodwin@waughgoodwinllp.com

Club & LSC Financial Management. Jill J. Goodwin, CPA Waugh & Goodwin, LLP jgoodwin@waughgoodwinllp.com Club & LSC Financial Management Jill J. Goodwin, CPA Waugh & Goodwin, LLP jgoodwin@waughgoodwinllp.com Form 990 Forms 1099 and W 2 State taxes Other current issues TAX ISSUES Form 990 File Form 990, 990

More information

Internal Revenue And Form 990

Internal Revenue And Form 990 8/22/205 8:5:58 PM 204 Return YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN ATLANTA (36)- 58-0566253 OMB No. 545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 50(c), 527,

More information

Instructions for Schedule D (Form 990)

Instructions for Schedule D (Form 990) 2015 Instructions for Schedule D (Form 990) Supplemental Financial Statements Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise noted.

More information

2008 Schedule D (Form 990) Instructions - Draft April 7, 2008. Schedule D contains a compilation of various financial statement attachments.

2008 Schedule D (Form 990) Instructions - Draft April 7, 2008. Schedule D contains a compilation of various financial statement attachments. Highlights Schedule D contains a compilation of various financial statement attachments. Part I requires information regarding donor advised funds and other similar funds or accounts. This information

More information

The Pennsylvania State University Right-to-Know Law Report May 25, 2012

The Pennsylvania State University Right-to-Know Law Report May 25, 2012 The Pennsylvania State University Right-to-Know Law Report May 25, 2012 This Report is filed in accordance with the provisions of Chapter 15 of the Right-to-Know Law for the Fiscal Year commencing July

More information

GREATER KANSAS CITY COMMUNITY FOUNDATION FORM 990 TAX YEAR 2013

GREATER KANSAS CITY COMMUNITY FOUNDATION FORM 990 TAX YEAR 2013 GREATER KANSAS CTY COMMUNTY FOUNDATON FORM 990 TA YEAR 203 Form 8879-EO RS e-file Signature Authorization for an Exempt Organization OMB. 545-878 For calendar year 203, or fiscal year beginning, 203, and

More information

Instructions for Schedule D (Form 990) Supplemental Financial Statements

Instructions for Schedule D (Form 990) Supplemental Financial Statements 2009 Instructions for Schedule D (Form 990) Supplemental Financial Statements Department of the Treasury Internal Revenue Service Section references are to the Internal 1. That is separately identified

More information

Short Form OMB No 1545-1150 Return of Organization Exempt From Income Tax 2011. and endina 06-30-2012

Short Form OMB No 1545-1150 Return of Organization Exempt From Income Tax 2011. and endina 06-30-2012 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492286001092 990.EZ Short Form OMB 1545-1150 Return of Organization Exempt From Income Tax 2011 Form Under section 501 (c), 527, or 4947 (

More information

INCOME PROTECTION InsURANCE INITIAL CLAIM form

INCOME PROTECTION InsURANCE INITIAL CLAIM form INCOME PROTECTION InsURANCE INITIAL CLAIM for Sales Person: Agent/Agency No.: We need the inforation in this for, together with any other edical or financial evidence which ay be requested, so that we

More information

Instructions for Schedule A (Form 990 or 990-EZ)

Instructions for Schedule A (Form 990 or 990-EZ) 2011 Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless

More information

Paid Preparer's Firm's name (or yours EISNERAMPER LLP Use Only. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493130023463.

Paid Preparer's Firm's name (or yours EISNERAMPER LLP Use Only. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493130023463. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 934931323463 OMB 1545-47 Return of Organization Exempt From Income Tax Form 99 Under section 51 (c), 527, or 4947 ( a)(1) of the Internal Revenue

More information

Professional Indemnity Select

Professional Indemnity Select Allianz Insurance plc Professional Indemnity Select Miscellaneous Proposal Form Contents Miscellaneous Professional Indemnity Insurance 1 General Information 2 Thank you for choosing Allianz Insurance

More information

ENGAGEMENT LETTER. From: The Board of

ENGAGEMENT LETTER. From: The Board of ENGAGEMENT LETTER From: The Board of To: Clifford & Associates, LLC We have engaged you to prepare and file the applicable tax forms for our organization for the year(s) ended,. We state that to the best

More information

Paid Preparer ' s Firm 's name (or yours if self-employed), Use Only. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493135041513

Paid Preparer ' s Firm 's name (or yours if self-employed), Use Only. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493135041513 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493135041513 OMB No 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue

More information

Part t ROVOn.IA Fvnan a and Chnnnoc in Nat Accafc nr Frrnrt Rninnr /Coa nnno37 of tha inctn,rtinnc 1

Part t ROVOn.IA Fvnan a and Chnnnoc in Nat Accafc nr Frrnrt Rninnr /Coa nnno37 of tha inctn,rtinnc 1 ASSOCIATION 07/24/2006 3:29 PM Form A 9190-EZ of 0 For the 2004 cal B Check if applicale Address change Name change Initial return Final return Short Form OMB No 1545-11; Return of Organization Exempt

More information

L Year of formation 2001 M State of leoal domicile MS Summary

L Year of formation 2001 M State of leoal domicile MS Summary ii' Form 990 1 Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department of

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c ), 527, or 4947 (a)(1) of the Internal Revenue Code (except black lung benefit

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-47 Form 99 Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 213 Do not enter Social Security

More information

Professional Indemnity Select

Professional Indemnity Select Allianz Insurance plc Professional Indemnity Select Management Consultants Proposal Form Professional Management Indemnity Consultants Insurance Professional Indemnity Select Management Consultants Professional

More information

4e Total program service expensesl-$ 4,532,833 Form 990 (2011 )

4e Total program service expensesl-$ 4,532,833 Form 990 (2011 ) l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493133036723 OMB 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501 (c), 527, or 4947 ( a)(1) of the Internal

More information

U.S. Property and Casualty Insurance Company Income Tax Return. For calendar year 2014, or tax year beginning, 2014, and ending, 20.

U.S. Property and Casualty Insurance Company Income Tax Return. For calendar year 2014, or tax year beginning, 2014, and ending, 20. Form 1120-PC Department of the Treasury Internal Revenue Service A Check if: 1 Consolidated return (attach Form 851). 2 Life-nonlife consolidated return.. 3 Schedule M-3 (Form 1120-PC) attached... U.S.

More information

H(a) Is this a group return for affiliates? Yes No CHRIS SHIVERS

H(a) Is this a group return for affiliates? Yes No CHRIS SHIVERS IN ABBA Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c ), 527, or 4947 (a)(1) of the Internal Revenue Code (except black

More information

Option B: Credit Card Processing

Option B: Credit Card Processing Attachent B Option B: Credit Card Processing Request for Proposal Nuber 4404 Z1 Bidders are required coplete all fors provided in this attachent if bidding on Option B: Credit Card Processing. Note: If

More information

0 BOX 1920 212-840-51 35 OAmended Lions return. or ASSOCIATION print or MONITORING EAU,& /O DGA SECURITY SYSTEMS, INC. 20-8098207

0 BOX 1920 212-840-51 35 OAmended Lions return. or ASSOCIATION print or MONITORING EAU,& /O DGA SECURITY SYSTEMS, INC. 20-8098207 i Form r 990-EZ ^D Return ojb^jw^n a1onxempt From Income Tax Under section 501(c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung benefit trust or private foundation) Sponsoring organizations

More information

Important Compliance Information. How to obtain and use the new documents (if fillable PDF s are mentioned above)

Important Compliance Information. How to obtain and use the new documents (if fillable PDF s are mentioned above) Copliance This Copliance is being sent to infor you that one or ore of the docuents currently contained in your Wolters Kluwer Financial Services Bankers Systes software syste or electronic docuents odule

More information

Charities Accounting Standard Accounting Template Explanatory Notes

Charities Accounting Standard Accounting Template Explanatory Notes Charities Accounting Standard Accounting Template Explanatory Notes Introduction Purpose of Accounting Template The Accounting Template is designed to help smaller charities prepare and present financial

More information

THE SOUTH FLORIDA CHURCH OF CHRIST, INC.

THE SOUTH FLORIDA CHURCH OF CHRIST, INC. THE SOUTH FLORIDA CHURCH OF CHRIST, INC. FINANCIAL STATEMENTS THE SOUTH FLORIDA CHURCH OF CHRIST, INC. FINANCIAL STATEMENTS TABLE OF CONTENTS PAGES Independent Auditor s Report 1 Statement of Financial

More information

HUEY & ASSOCIATES, P.C. NON-PROFIT TAX ORGANIZER - 990

HUEY & ASSOCIATES, P.C. NON-PROFIT TAX ORGANIZER - 990 HUEY & ASSOCIATES, P.C. NON-PROFIT TAX ORGANIZER - 990 ORG1 Please fill out the information below unless it is not applicable to your organization. Organization Information: Organization Name: Address:

More information

Management Consultants Professional Indemnity Insurance Proposal Form

Management Consultants Professional Indemnity Insurance Proposal Form Management Consultants Professional Indemnity Insurance Proposal Form Important Notes Please read efore completing this form: a) If you are unsure whether this proposal is suitale for your usiness or require

More information

generally cannot redact the information on the form Inspection - Information about Form 990 and its instructions is at www.irs.

generally cannot redact the information on the form Inspection - Information about Form 990 and its instructions is at www.irs. For Paperwork Reduction Act tice, see the separate instructions. efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493043025105 OMB 1545-0047 Return of Organization Exempt From Income Tax Form

More information

Instructions for Schedule A (Form 990 or 990-EZ)

Instructions for Schedule A (Form 990 or 990-EZ) 2014 Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless

More information

STARLIGHT CHILDREN S FOUNDATION GLOBAL OFFICE. Financial Statements. December 31, 2014. (With Independent Auditors Report Thereon)

STARLIGHT CHILDREN S FOUNDATION GLOBAL OFFICE. Financial Statements. December 31, 2014. (With Independent Auditors Report Thereon) Financial Statements (With Independent Auditors Report Thereon) Table of Contents Page Independent Auditors Report 1 Statement of Financial Position 3 Statement of Activities 4 Statement of Functional

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Foon 990 Return of Organization Exempt From Income Tax Under section SOl (c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundatlona) ~ Do not enter Social Security numbers on this

More information

A WISER Guide. Financial Steps for Caregivers: What You Need to Know About Money and Retirement

A WISER Guide. Financial Steps for Caregivers: What You Need to Know About Money and Retirement WISER WOMEN S INSTITUTE FOR A SECURE RETIREMENT A WISER Guide Financial Steps for Caregivers: What You Need to Know About Money and Retireent This booklet was prepared under a grant fro the Adinistration

More information

Instructions for Schedule A (Form 990 or 990-EZ)

Instructions for Schedule A (Form 990 or 990-EZ) 2010 Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless

More information

A SPOUSE'S RIGHT TO HEALTH INSURANCE AFTER DIVORCE: A REVIEW*

A SPOUSE'S RIGHT TO HEALTH INSURANCE AFTER DIVORCE: A REVIEW* A SPOUSE'S RIGHT TO HEALTH INSURANCE AFTER DIVORCE: A REVIEW* Without proper planning and advice, losing health insurance is a real risk for a divorcing spouse who relies on the other spouse for coverage.

More information

Standards and Protocols for the Collection and Dissemination of Graduating Student Initial Career Outcomes Information For Undergraduates

Standards and Protocols for the Collection and Dissemination of Graduating Student Initial Career Outcomes Information For Undergraduates National Association of Colleges and Eployers Standards and Protocols for the Collection and Disseination of Graduating Student Initial Career Outcoes Inforation For Undergraduates Developed by the NACE

More information

990-PF Return of Private Foundation

990-PF Return of Private Foundation I.. Z Form 990-PF Return of Private Foundation OMB NO 1545-0052 Department of the Treasury Internal Revenje Service (77) or Section 4947(a)(1) Nonexempt Charitale Trust 2007 Treated as a Private Foundation

More information

c Net income or (loss) from special events and activities (Subtract line 6b from line 6a) 70,712 6c

c Net income or (loss) from special events and activities (Subtract line 6b from line 6a) 70,712 6c l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492074007020 Form 990-EZ IN Department of the Treasury Internal Revenue Service Short Form OMB No 1545-1150 Return of Organization Exempt

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax s ci SWEESLE Form 990 Department of the 'rreasury A For the 2006 cal B Check if applicale n Address change El rx] Name change Initial return Final return Amended return Return of Organization Exempt From

More information

Short Form. Return of Organization Exempt From Income Tax

Short Form. Return of Organization Exempt From Income Tax I Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except

More information