For the 2014 calendar year, or tax year beginning

Transcription

1 Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization Exempt From Income Tax Under section,, or 9(a)() of the Internal Revenue Code (except private foundations) G Do not enter social security numbers on this form as it may be made public. G Information about Form 99 and its instructions is at Open to Public Inspection,, and ending, P O BO 9 VENICE, FL D Employer identification number E Telephone number -9 (9) -9 Final return/terminated G Amended return Application pending F SAME AS C ABOVE ( () Website: G N/A Form of organization: Trust K Corporation Part I Summary I J Tax-exempt status Gross receipts H(a) Is this a group return for subordinates? Name and address of principal officer: )H (insert no.) 9(a)() or H Are all subordinates included? If ',' attach a list. (see instructions) H Group exemption number Association OtherG 9,. L Year of formation: 99 M G State of legal domicile: FL TO PRESERVE AND PROTECT THE JOHN NOLEN PLAN OF THE CITY OF VENICE TO RESTORE AND MAINTAIN THE LORD-HIGEL HOUSE TO MAINTAIN AND ENHANCE THE HISTORIC TRIANGLE INN Briefly describe the organization's mission or most significant activities: a b Check this box G if the organization discontinued its operations or disposed of more than % of its net assets. Number of voting members of the governing body (Part VI, line a) Number of independent voting members of the governing body (Part VI, line b) Total number of individuals employed in calendar year (Part V, line a) Total number of volunteers (estimate if necessary) Total unrelated business revenue from Part VIII, column (C), line a Net unrelated business taxable income from Form 99-T, line b Prior Year Current Year Contributions and grants (Part VIII, line h) ,.,. Program service revenue (Part VIII, line g) Investment income (Part VIII, column (A), lines,, and d) Other revenue (Part VIII, column (A), lines, d, c, 9c, c, and e) ,.,9. Total revenue ' add lines through (must equal Part VIII, column (A), line ).....,,9. Grants and similar amounts paid (Part I, column (A), lines -) , Benefits paid to or for members (Part I, column (A), line ) Salaries, other compensation, employee benefits (Part I, column (A), lines -)..... a Professional fundraising fees (Part I, column (A), line e) b Total fundraising expenses (Part I, column (D), line ) G 9 Other expenses (Part I, column (A), lines a-d, f-e) Total expenses. Add lines - (must equal Part I, column (A), line ) Revenue less expenses. Subtract line from line Total assets (Part, line ) Total liabilities (Part, line ) Net assets or fund balances. Subtract line from line ,.,.,.,,,9. Beginning of Current Year Part II End of Year,.,.,.,.,. 99,. Signature Block Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here A A Signature of officer Date SUSAN HANKS TREASURER Type or print name and title. Print/Type preparer's name Preparer's signature Date Check SUSAN C HANKS SUSAN C HANKS Paid Preparer Firm's name G ROBINSON, HANKS, YOUNG, AND ROBERTS, P.A. Use Only Firm's address G S. HARBOR DRIVE VENICE, FL if self-employed PTIN P99 - (9) -9 May the IRS discuss this return with the preparer shown above? (see instructions) For Paperwork Reduction Act tice, see the separate instructions. Firm's EIN G Phone no. TEEAL // Form 99 ()

2 Statement of Program Service Accomplishments -9 Form 99 () Part III Page Check if Schedule O contains a response or note to any line in this Part III Briefly describe the organization's mission: SEE SCHEDULE O Did the organization undertake any significant program services during the year which were not listed on the prior Form 99 or 99-EZ? If ',' describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services?.... If ',' describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section () and () organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. ) (Revenue,. including grants of CONTINUED RESTORATION OF THE LORD-HIGEL HOUSE IN VENICE, FLORIDA. a (Code: ) (Expenses ) ) (Expenses ) (Revenue ),. including grants of PROMOTE AND SUPPORT THE VENICE ARCHIVES. INCLUDES FUNDING ACCESS TO THE ARCHIVES AND VOLUNTEERS FOR THE ARCHIVES. ALL ARE WELCOME TO VISIT THE TRIANGLE INN BUILDING WHICH HOUSES THE CITY OF VENICE ARCHIVES AND AREA HISTORICAL COLLECTION. b (Code: ) (Revenue,. including grants of EDUCATE THE COMMUNITY ABOUT THE HISTORY OF VENICE THROUGH VARIOUS SOCIAL AND EDUCATIONAL ACTIVITIES IN THE AREA. c (Code: ) (Expenses SEE SCHEDULE O 9,9. d Other program services. (Describe in Schedule O.) (Expenses,9. including grants of e Total program service expenses G TEEAL // ) (Revenue ) ) Form 99 ()

3 Checklist of Required Schedules -9 Form 99 () Part IV Page Is the organization described in section () or 9(a)() (other than a private foundation)? If ',' complete Schedule A Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If ',' complete Schedule C, Part I Section () organizations. Did the organization engage in lobbying activities, or have a section (h) election in effect during the tax year? If ',' complete Schedule C, Part II Is the organization a section (), (), or () organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 9-9? If ',' complete Schedule C, Part III Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If ',' complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If ',' complete Schedule D, Part II Did the organization maintain collections of works of art, historical treasures, or other similar assets? If ',' complete Schedule D, Part III Did the organization report an amount in Part, line, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part ; or provide credit counseling, debt management, credit repair, or debt negotiation services? If ',' complete Schedule D, Part IV Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If ',' complete Schedule D, Part V a Did the organization report an amount for land, buildings and equipment in Part, line? If ',' complete Schedule D, Part VI a b Did the organization report an amount for investments ' other securities in Part, line that is % or more of its total assets reported in Part, line? If ',' complete Schedule D, Part VII b c Did the organization report an amount for investments ' program related in Part, line that is % or more of its total assets reported in Part, line? If ',' complete Schedule D, Part VIII c d Did the organization report an amount for other assets in Part, line that is % or more of its total assets reported in Part, line? If ',' complete Schedule D, Part I d e Did the organization report an amount for other liabilities in Part, line? If ',' complete Schedule D, Part e f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN (ASC )? If ',' complete Schedule D, Part.... f a Did the organization obtain separate, independent audited financial statements for the tax year? If ',' complete Schedule D, Parts I, and II a b Was the organization included in consolidated, independent audited financial statements for the tax year? If ',' and if the organization answered '' to line a, then completing Schedule D, Parts I and II is optional b If the organization's answer to any of the following questions is '', then complete Schedule D, Parts VI, VII, VIII, I, or as applicable. a Did the organization maintain an office, employees, or agents outside of the United States? a b Did the organization have aggregate revenues or expenses of more than, from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at, or more? If ',' complete Schedule F, Parts I and IV b Did the organization report on Part I, column (A), line, more than, of grants or other assistance to or for any foreign organization? If ',' complete Schedule F, Parts II and IV Did the organization report on Part I, column (A), line, more than, of aggregate grants or other assistance to or for foreign individuals? If ',' complete Schedule F, Parts III and IV Did the organization report a total of more than, of expenses for professional fundraising services on Part I, column (A), lines and e? If ',' complete Schedule G, Part I (see instructions) Did the organization report more than, total of fundraising event gross income and contributions on Part VIII, lines c and a? If ',' complete Schedule G, Part II Did the organization report more than, of gross income from gaming activities on Part VIII, line 9a? If ',' complete Schedule G, Part III a Did the organization operate one or more hospital facilities? If ',' complete Schedule H Is the organization a school described in section ()(A)(ii)? If ',' complete Schedule E b If '' to line a, did the organization attach a copy of its audited financial statements to this return? TEEAL // b Form 99 ()

4 Checklist of Required Schedules (continued) -9 Form 99 () Part IV Page Did the organization report more than, of grants or other assistance to any domestic organization or domestic government on Part I, column (A), line? If ',' complete Schedule I, Parts I and II Did the organization report more than, of grants or other assistance to or for domestic individuals on Part I, column (A), line? If ',' complete Schedule I, Parts I and III Did the organization answer '' to Part VII, Section A, line,, or about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If ',' complete Schedule J a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than, as of the last day of the year, that was issued after December,? If ',' answer lines b through d and complete Schedule K. If ', 'go to line a b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? a b c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? c d a Section (), (), and (9) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If ',' complete Schedule L, Part I a b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 99 or 99-EZ? If ',' complete Schedule L, Part I b Did the organization report any amount on Part, line,, or for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If '', complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a % controlled entity or family member of any of these persons? If ',' complete Schedule L, Part III a A current or former officer, director, trustee, or key employee? If ',' complete Schedule L, Part IV a b A family member of a current or former officer, director, trustee, or key employee? If ',' complete Schedule L, Part IV b c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If ',' complete Schedule L, Part IV Did the organization receive more than, in non-cash contributions? If ',' complete Schedule M c 9 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If ',' complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If ',' complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than % of its net assets? If ',' complete Schedule N, Part II Did the organization own % of an entity disregarded as separate from the organization under Regulations sections.- and.-? If ',' complete Schedule R, Part I Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): Was the organization related to any tax-exempt or taxable entity? If ',' complete Schedule R, Part II, III, or IV, and Part V, line a Did the organization have a controlled entity within the meaning of section ()? b If '' to line a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section ()? If ',' complete Schedule R, Part V, line a b Section () organizations. Did the organization make any transfers to an exempt non-charitable related organization? If ',' complete Schedule R, Part V, line Did the organization conduct more than % of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If ',' complete Schedule R, Part VI Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines b and 9? te. All Form 99 filers are required to complete Schedule O TEEAL // Form 99 ()

5 Part V Statements Regarding Other IRS Filings and Tax Compliance -9 Form 99 () Page Check if Schedule O contains a response or note to any line in this Part V a Enter the number reported in Box of Form 9. Enter -- if not applicable b Enter the number of Forms W-G included in line a. Enter -- if not applicable a b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? c a Enter the number of employees reported on Form W-, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return..... a b If at least one is reported on line a, did the organization file all required federal employment tax returns? b te. If the sum of lines a and a is greater than, you may be required to e-file (see instructions) a Did the organization have unrelated business gross income of, or more during the year? b If '' has it filed a Form 99-T for this year? If '' to line b, provide an explanation in Schedule O a b a a b c a Does the organization have annual gross receipts that are normally greater than,, and did the organization solicit any contributions that were not tax deductible as charitable contributions? a b If ',' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? b a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If ',' enter the name of the foreign country: G See instructions for filing requirements for FinCEN Form, Report of Foreign Bank and Financial Accounts. (FBAR) a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If ',' to line a or b, did the organization file Form -T? Organizations that may receive deductible contributions under section. a Did the organization receive a payment in excess of made partly as a contribution and partly for goods and services provided to the payor? b If ',' did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form? d If ',' indicate the number of Forms filed during the year d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g If the organization received a contribution of qualified intellectual property, did the organization file Form 99 as required? h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 9-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 9? b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? Section () organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line b Gross receipts, included on Form 99, Part VIII, line, for public use of club facilities..... Section () organizations. Enter: a Gross income from members or shareholders a b c e f g h 9a 9b a b a b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) b a Section 9(a)() non-exempt charitable trusts. Is the organization filing Form 99 in lieu of Form? b If ',' enter the amount of tax-exempt interest received or accrued during the year b Section (9) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? te. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans b c Enter the amount of reserves on hand c a Did the organization receive any payments for indoor tanning services during the tax year? b If ',' has it filed a Form to report these payments? If ',' provide an explanation in Schedule O TEEAL // a a a b Form 99 ()

6 Page -9 Governance, Management, and Disclosure For each '' response to lines through b below, and for a '' response to line a, b, or b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI Section A. Governing Body and Management Form 99 () Part VI a Enter the number of voting members of the governing body at the end of the tax year a If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O. b Enter the number of voting members included in line a, above, who are independent b Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? Did the organization make any significant changes to its governing documents since the prior Form 99 was filed? Did the organization become aware during the year of a significant diversion of the organization's assets? Did the organization have members or stockholders? a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? a b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? b Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? b Each committee with authority to act on behalf of the governing body? a b Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If ',' provide the names and addresses in Schedule O Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) a Did the organization have local chapters, branches, or affiliates? b If ',' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? a Has the organization provided a complete copy of this Form 99 to all members of its governing body before filing the form? b Describe in Schedule O the process, if any, used by the organization to review this Form 99 SEE SCHEDULE O a Did the organization have a written conflict of interest policy? If ',' go to line b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? If ',' describe in Schedule O how this was done.....see......schedule o Did the organization have a written whistleblower policy? Did the organization have a written document retention and destruction policy? Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official b Other officers or key employees of the organization If '' to line a or b, describe the process in Schedule O (see instructions). a b a a b c a b a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? a b If ',' did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? b Section C. Disclosure NONE List the states with which a copy of this Form 99 is required to be filed G Section requires an organization to make its Forms (or if applicable), 99, and 99-T (Section ()s only) available for public inspection. Indicate how you made these available. Check all that apply. Other (explain in Schedule O) Own website Another's website Upon request 9 Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. SEE SCHEDULE O State the name, address, and telephone number of the person who possesses the organization's books and records: G SUSAN HANKS S HARBOR DRIVE VENICE FL (9) -9 TEEAL // Form 99 ()

7 Page -9 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Form 99 () Check if Schedule O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a Complete this table for all persons required to be listed. Report compensation 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 amount of compensation. Enter -- in columns (D), (E), and (F) if no compensation was paid.? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.'? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box of Form W- and/or Box of Form 99-MISC) of more than, from the organization and any related organizations.? List all of the organization's former officers, key employees, and highest compensated employees who received more than, of reportable compensation from the organization and any related organizations.? List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than, of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) () () () () () () () () (9) () () (A) (B) Name and Title Average hours per week (list any hours for related organizations below dotted line) JUDITH KEELER DIRECTOR BILL JERVEY VICE PRESIDENT SUSAN HANKS TREASURER JEAN TRAMMELL PRESIDENT SUE VEDDER SECRETARY DALLAS COUNCIL DIRECTOR JERRY TOWERY DIRECTOR JOHN MOORE DIRECTOR JOYCE NORTON DIRECTOR LOIS STEKETEE DIRECTOR MICKEY HIGEL DIRECTOR Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) Reportable compensation from the organization (W-/99-MISC) (E) (F) Reportable compensation from related organizations (W-/99-MISC) Estimated amount of other compensation from the organization and related organizations () () () TEEAL // Form 99 ()

8 Page -9 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Form 99 () (B) (A) Name and title Average hours per week (list any hours for related organiza - tions below dotted line) (C) Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) (E) (F) Reportable compensation from the organization (W-/99-MISC) Reportable compensation from related organizations (W-/99-MISC) Estimated amount of other compensation from the organization and related organizations () () () () (9) () () () () () () b Sub-total G c Total from continuation sheets to Part VII, Section A G d Total (add lines b and c) G Total number of individuals (including but not limited to those listed above) who received more than, of reportable compensation from the organization G Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? If ',' complete Schedule J for such individual For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than,? If '' complete Schedule J for such individual Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If ',' complete Schedule J for such person Section B. Independent Contractors Complete this table for your five highest compensated independent contractors that received more than, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) Name and business address (B) Description of services (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than, of compensation from the organization G TEEAL /9/ Form 99 ()

9 Part VIII Statement of Revenue -9 Form 99 () Page 9 Check if Schedule O contains a response or note to any line in this Part VIII (A) Total revenue a b c d e Federated campaigns Membership dues Fundraising events Related organizations Government grants (contributions)..... (B) Related or exempt function revenue (C) Unrelated business revenue (D) Revenue excluded from tax under sections - a b c d e f All other contributions, gifts, grants, and similar amounts not included above.... f,. g ncash contributions included in lines a-f: h Total. Add lines a-f G,. Business Code a b c d e f All other program service revenue.... g Total. Add lines a-f G Investment income (including dividends, interest and other similar amounts) G Income from investment of tax-exempt bond proceeds... G. Royalties G a b c d Gross rents Less: rental expenses Rental income or (loss).... Net rental income or (loss) G (i) Real a Gross amount from sales of assets other than inventory (i) Securities.. (ii) Personal (ii) Other b Less: cost or other basis and sales expenses c Gain or (loss) d Net gain or (loss) G a Gross income from fundraising events (not including.. of contributions reported on line c). See Part IV, line a,. b Less: direct expenses b,. c Net income or (loss) from fundraising events G,9. 9 a Gross income from gaming activities. See Part IV, line a b Less: direct expenses b c Net income or (loss) from gaming activities G a Gross sales of inventory, less returns and allowances a, b Less: cost of goods sold b c Net income or (loss) from sales of inventory G Miscellaneous Revenue a b c d All other revenue e Total. Add lines a-d G Total revenue. See instructions G,,,9.,. Business Code TEEA9L // Form 99 ()

10 Statement of Functional Expenses -9 Form 99 () Part I Page Section () and () organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part I (A) (B) (C) (D) Do not include amounts reported on lines Total expenses Management and Fundraising Program service b, b, b, 9b, and b of Part VIII. expenses general expenses expenses Grants and other assistance to domestic organizations and domestic governments. See Part IV, line ,, Grants and other assistance to domestic individuals. See Part IV, line Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines and Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 9(f)()) and persons described in section 9()(B) Other salaries and wages Pension plan accruals and contributions (include section (k) and employer contributions) Other employee benefits Payroll taxes Fees for services (non-employees): a Management b Legal c Accounting d Lobbying e Professional fundraising services. See Part IV, line... f Investment management fees g Other. (If line g amt exceeds % of line, column (A) amount, list line g expenses on Schedule O) Advertising and promotion Office expenses Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local public officials Conferences, conventions, and meetings.... Interest Payments to affiliates Depreciation, depletion, and amortization.... Insurance Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line e. If line e amount exceeds % of line, column (A) amount, list line e expenses on Schedule O.) a b c d RESTORATION - LHH CONSULTING - EPANSION EDUCATION COORDINATOR ARCHITECT-LHH e All other expenses Total functional expenses. Add lines through e.... 9,.,,.,.,., 9,.,,.,.,. 9,9.,9.,9. Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. if following Check here G SOP 9- (ASC 9-) TEEAL // Form 99 ()

11 Balance Sheet -9 Form 99 () Part Page Check if Schedule O contains a response or note to any line in this Part (A) Beginning of year Cash ' non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net ,. (B) End of year Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L Loans and other receivables from other disqualified persons (as defined under section 9(f)()), persons described in section 9()(B), and contributing employers and sponsoring organizations of section (9) voluntary employees' beneficiary organizations (see instructions). Complete Part II of Schedule L tes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D a b Less: accumulated depreciation b Investments ' publicly traded securities Investments ' other securities. See Part IV, line Investments ' program-related. See Part IV, line Intangible assets Other assets. See Part IV, line Total assets. Add lines through (must equal line ) Accounts payable and accrued expenses Grants payable Deferred revenue Tax-exempt bond liabilities Escrow or custodial account liability. Complete Part IV of Schedule D Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines -). Complete Part of Schedule D. Total liabilities. Add lines through Organizations that follow SFAS (ASC 9), check here G and complete lines through 9, and lines and. Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets ,.,. c 9,.,.,.,.,.,. 99,. 9 Organizations that do not follow SFAS (ASC 9), check here G and complete lines through. Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds Total net assets or fund balances Total liabilities and net assets/fund balances ,.,. 99,.,. Form 99 () TEEAL //

12 Reconciliation of Net Assets -9 Form 99 () Part I Page Check if Schedule O contains a response or note to any line in this Part I Total revenue (must equal Part VIII, column (A), line ) ,9.,,9.,. Total expenses (must equal Part I, column (A), line ) Revenue less expenses. Subtract line from line Net assets or fund balances at beginning of year (must equal Part, line, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments Other changes in net assets or fund balances (explain in Schedule O) Net assets or fund balances at end of year. Combine lines through 9 (must equal Part, line, column (B)) ,. Part II Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part II Accounting method used to prepare the Form 99: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O. a Were the organization's financial statements compiled or reviewed by an independent accountant? a b If ',' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? If ',' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis c If '' to line a or b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? c If 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-? a b If ',' did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits TEEAL // b Form 99 ()

13 Public Charity Status and Public Support SCHEDULE A (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Service OMB. - Complete if the organization is a section () organization or a section 9(a)() nonexempt charitable trust. G Attach to Form 99 or Form 99-EZ. G Information about Schedule A (Form 99 or 99-EZ) and its instructions is at Name of the organization Open to Public Inspection Employer identification number -9 Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines through, check only one box.) A church, convention of churches, or association of churches described in section ()(A)(i). A school described in section ()(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization described in section ()(A)(iii). A medical research organization operated in conjunction with a hospital described in section ()(A)(iii). Enter the hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section ()(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section ()(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section ()(A)(vi). (Complete Part II.) A community trust described in section ()(A)(vi). (Complete Part II.) An organization that normally receives: () more than -/% of its support from contributions, membership fees, and gross receipts 9 a b c d e f g from activities related to its exempt functions ' subject to certain exceptions, and () no more than -/% of its support from gross investment income and unrelated business taxable income (less section tax) from businesses acquired by the organization after June, 9. See section 9(a)(). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 9(a)(). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 9(a)() or section 9(a)(). See section 9(a)(). Check the box in lines a through d that describes the type of supporting organization and complete lines e, f, and g. Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B. Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C. Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations Provide the following information about the supported organization(s). (i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines -9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) (A) (B) (C) (D) (E) Total For Paperwork Reduction Act tice, see the Instructions for Form 99 or 99-EZ. TEEAL // Schedule A (Form 99 or 99-EZ)