INSTRUCTIONS FOR FILING MAKE IT RIGHT FOUNDATION FORM 8879-EO - IRS E-FILE SIGNATURE AUTHORIZATION FOR THE PERIOD ENDED DECEMBER 31, 2011

Size: px
Start display at page:

Download "INSTRUCTIONS FOR FILING MAKE IT RIGHT FOUNDATION FORM 8879-EO - IRS E-FILE SIGNATURE AUTHORIZATION FOR THE PERIOD ENDED DECEMBER 31, 2011"

Transcription

1 INSTRUCTIONS FOR FILING MAKE IT RIGHT FOUNDATION FORM 8879-EO - IRS E-FILE SIGNATURE AUTHORIZATION FOR THE PERIOD ENDED DECEMBER 31, 211 ************************* SIGNATURE... THE ORIGINAL IRS E-FILE SIGNATURE AUTHORIZATION FORM SHOULD BE SIGNED (USE FULL NAME) AND DATED BY THE TAPAYER. FILING... RETURN YOUR SIGNED FORM 8879-EO TO: PAYMENT OF TA... NO PAYMENT OF TA IS REQUIRED. GRANT THORNTON LLP 21 S. COLLEGE ST., STE. 25 CHARLOTTE NC FORM 8879-EO SERVES AS A REPLACEMENT FOR YOUR SIGNATURE THAT WOULD BE AFFIED TO FORM 99 IF YOU PAPER FILED YOUR RETURN. PLEASE DO NOT SEPARATELY FILE FORM 99 WITH THE INTERNAL REVENUE SERVICE. DOING SO WILL DELAY THE PROCESSING OF YOUR RETURN. WE MUST RECEIVE YOUR SIGNED FORM BEFORE WE CAN ELECTRONICALLY TRANSMIT YOUR RETURN WHICH IS DUE ON NOVEMBER 15, 212. WE WOULD APPRECIATE YOUR RETURNING THIS FORM AS SOON AS POSSIBLE AS THIS WILL EPEDITE THE PROCESSING OF YOUR RETURN. THE INTERNAL REVENUE SERVICE WILL NOTIFY US WHEN YOUR RETURN IS ACCEPTED. YOUR RETURN IS NOT CONSIDERED FILED UNTIL THE INTERNAL REVENUE SERVICE CONFIRMS THEIR ACCEPTANCE, WHICH MAY OCCUR AFTER THE DUE DATE OF YOUR RETURN. *************************

2 Form8879-EO IRS e-file Signature Authorization for an Exempt Organization 1/1 12/31 11 OMB No For calendar year 211, or fiscal year eginning, 211, and ending, 2 Do not send to the IRS. Keep for your records. See instructions on ack. Employer identification numer Department of the Treasury Internal Revenue Service Name of exempt organization MAKE IT RIGHT FOUNDATION Name and title of officer THOMAS F. DARDEN, III, EECUTIVE DIRECTOR Part I Type of Return and Return Information (Whole Dollars Only) Check the ox for the return for which you are using this Form 8879-E and enter the applicale amount, if any, from the return. If you check the ox on line 1a, 2a, 3a, 4a, or 5a, elow, and the amount on that line for the return eing filed with this form was lank, then leave line 1, 2, 3, 4, or 5, whichever is applicale, lank (do not enter --). But, if you entered -- on the return, then enter -- on the applicale line elow. Do not complete more than 1 line in Part I. 1a 2a 3a 4a 5a Total revenue, if any (Form 99-EZ, line 9) Form 99 check here Total revenue, if any (Form 99, Part VIII, column (A), line 12) 1 Form 99-EZ check here 2 Form 112-POL check here Total tax (Form 112-POL, line 22) 3 Form 99-PF check here Tax ased on investment income (Form 99-PF, Part VI, line 5) 4 Form 8868 check here 5 Part II Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the aove organization and that I have examined a copy of the organization's 211 electronic return and accompanying schedules and statements and to the est of my knowledge and elief, they are true, correct, and complete. I further declare that the amount in Part I aove is the amount shown on the copy of the organization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, () the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicale, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct deit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to deit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at no later than 2 usiness days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification numer (PIN) as my signature for the organization's electronic return and, if applicale, the organization's consent to electronic funds withdrawal. Officer's PIN: check one ox only Officer's signature Part III I authorize to enter my PIN as my signature ERO firm name Enter five numers, ut do not enter all zeros on the organization's tax year 211 electronically filed return. If I have indicated within this return that a copy of the return is eing filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. As an officer of the organization, I will enter my PIN as my signature on the organization's tax year 211 electronically filed return. If I have indicated within this return that a copy of the return is eing filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification numer (EFIN) followed y your five-digit self-selected PIN. Date do not enter all zeros I certify that the aove numeric entry is my PIN, which is my signature on the 211 electronically filed return for the organization indicated aove. I confirm that I am sumitting this return in accordance with the requirements of Pu. 4163, Modernized e-file (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature GRANT THORNTON LLP Digitally signed y Melchior, Michele ERO Must Retain This Form - See Instructions Do Not Sumit This Form To the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see ack of form. Form 8879-EO (211) Date /14/212 1E PAGE 1

3

4 Form 99 (211) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III 1 Briefly descrie the organization's mission: ATTACHMENT 1 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 99 or 99-EZ? Yes No If "Yes," descrie these new services on Schedule O. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? Yes No If "Yes," descrie these changes on Schedule O. 4 Descrie the organization's program service accomplishments for each of its three largest program services, as measured y expenses. Section 51(c)(3) and 51(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 1,128,272. including grants of $ 427,115. ) (Revenue $ 3,686,42. ) ATTACHMENT 2 4 (Code: ) (Expenses $ 2,514,133. including grants of $ 17,375. ) (Revenue $ ) MAKE IT RIGHT PARTNERED WITH HELP USA IN NEWARK, NJ TO BUILD A 56-UNIT MULTI-FAMILY BUILDING FOR DISABLED VETERANS. WORKING WITHIN PUBLICALLY FUNDED BUDGET CONSTRAINTS, OUR GOAL IN NEWARK WAS TO CONSTRUCT AN ULTRA-GREEN BUILDING FOR THE SAME COST AS A CONVENTIONAL STRUCTURE. BECOMING THE FIRST LEED PLATINUM BUILDING IN THE AREA, THE APARTMENT COMPLE INCLUDES SUSTAINABLE FEATURES LIKE SOLAR POWER AND A ROOFTOP GARDEN WHERE TENANTS GROW FRESH VEGETABLES, IN ADDITION TO COMPUTER ROOMS, A FITNESS CENTER, MEETING ROOMS AND COMMUNITY SPACES FOR PROGRAMS TO SERVE VETERANS AND THE COMMUNITY AT LARGE. IT IS SCHEDULED TO BE COMPLETED IN MARCH c (Code: ) (Expenses $ 16,936. including grants of $ ) (Revenue $ ) ATTACHMENT 3 4d Other program services (Descrie in Schedule O.) (Expenses $ including grants of $ ) (Revenue $ ) 4e Total program service expenses 12,659,341. 1E12 1. Form 99 (211) PAGE 2

5 Form 99 (211) Page 3 Part IV Checklist of Required Schedules Is the organization descried in section 51(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A 1 Is the organization required to complete Schedule B, Schedule of Contriutors (see instructions)? 2 Did the organization engage in direct or indirect political campaign activities on ehalf of or in opposition to candidates for pulic office? If "Yes," complete Schedule C, Part I 3 Section 51(c)(3) organizations. Did the organization engage in loying activities, or have a section 51(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II 4 Is the organization a section 51(c)(4), 51(c)(5), or 51(c)(6) organization that receives memership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III 5 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 distriution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I 6 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 7 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III 8 Did the organization report an amount in Part, line 21; serve as a custodian for amounts not listed in Part ; or provide credit counseling, det management, credit repair, or det negotiation services? If "Yes," complete Schedule D, Part IV 9 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V 1 11 If the organization s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, I, or as applicale. a Did the organization report an amount for land, uildings, and equipment in Part, line 1? If "Yes," complete Schedule D, Part VI Did the organization report an amount for investments other securities in Part, line 12 that is 5% or more of its total assets reported in Part, line 16? If "Yes," complete Schedule D, Part VII c Did the organization report an amount for investments-program related in Part, line 13 that is 5% or more of its total assets reported in Part, line 16? If "Yes," complete Schedule D, Part VIII d Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Part, line 16? If "Yes," complete Schedule D, Part I e Did the organization report an amount for other liailities in Part, line 25? If "Yes," complete Schedule D, Part f Did the organization s separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FIN 48 (ASC 74)? If "Yes," complete Schedule D, Part 12a Did the organization otain separate, independent audited financial statements for the tax year? If "Yes," a a complete Schedule D, Parts I, II, and III Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts I, II, and III is optional Is the organization a school descried in section 17()(1)(A)(ii)? If "Yes," complete Schedule E Did the organization maintain an office, employees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of more than $1, from grantmaking, fundraising, usiness, investment, and program service activities outside the United States, or aggregate foreign investments valued at $1, or more? If "Yes," complete Schedule F, Parts I and IV Did the organization report on Part I, column (A), line 3, more than $5, of grants or assistance to any organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV Did the organization report on Part I, column (A), line 3, more than $5, of aggregate grants or assistance to individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV Did the organization report a total of more than $15, of expenses for professional fundraising services on Part I, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) Did the organization report more than $15, total of fundraising event gross income and contriutions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II Did the organization report more than $15, of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H If "Yes" to line 2a, did the organization attach a copy of its audited financial statements to this return? 11a 11 11c 11d 11e 11f 12a a a 2 Yes No Form 99 (211) 1E PAGE 3

6 Form 99 (211) Page 4 Part IV Checklist of Required Schedules (continued) a d 25 a a c a c Did the organization report more than $5, of grants and other assistance to any government or organization in the United States on Part I, column (A), line 1? If "Yes," complete Schedule I, Parts I and II 21 Did the organization report more than $5, of grants and other assistance to individuals in the United States on Part I, column (A), line 2? If "Yes," complete Schedule I, Parts I and III 22 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 aout compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J 23 Did the organization have a tax-exempt ond issue with an outstanding principal amount of more than $1, as of the last day of the year, that was issued after Decemer 31, 22? If "Yes," answer lines 24 through 24d and complete Schedule K. If No, go to line a Did the organization invest any proceeds of tax-exempt onds eyond a temporary period exception? 24 Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt onds? 24c Did the organization act as an "on ehalf of" issuer for onds outstanding at any time during the year? 24d Section 51(c)(3) and 51(c)(4) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I Is 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 Forms 99 or 99-EZ? If "Yes," complete Schedule L, Part I Was a loan to or y a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, sustantial contriutor or employee thereof, a grant selection committee memer, or to a 35% controlled entity or family memer of any of these persons? If "Yes," complete Schedule L, Part III Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part IV instructions for applicale filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV A family memer of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV An entity of which a current or former officer, director, trustee, or key employee (or a family memer thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV Did the organization receive more than $25, in non-cash contriutions? If "Yes," complete Schedule M Did the organization receive contriutions of art, historical treasures, or other similar assets, or qualified conservation contriutions? If "Yes," complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II Did the organization own 1% of an entity disregarded as separate from the organization under Regulations sections and ? If "Yes," complete Schedule R, Part I Was the organization related to any tax-exempt or taxale entity? If "Yes," complete Schedule R, Parts II, III, IV, and V, line 1 Did the organization have a controlled entity within the meaning of section 512()(13)? Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512()(13)? If "Yes," complete Schedule R, Part V, line 2 Section 51(c)(3) organizations. Did the organization make any transfers to an exempt non-charitale related organization? If "Yes," complete Schedule R, Part V, line 2 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 99 filers are required to complete Schedule O. 25a a 28 28c a Yes No 38 Form 99 (211) 1E13 1. PAGE 4

7 Form 99 (211) Page 5 Part V d e f g h a a Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response to any question in this Part V Enter the numer reported in Box 3 of Form 196. Enter -- if not applicale Yes 1a 1a 68 Enter the numer of Forms W-2G included in line 1a. Enter -- if not applicale 1 c Did the organization comply with ackup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? 1c 2a Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered y this return 2a 34 If at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2 Note. If the sum of lines 1a and 2a is greater than 25, you may e required to e-file (see instructions) 3a Did the organization have unrelated usiness gross income of $1, or more during the year? 3a If "Yes," has it filed a Form 99-T for this year? If "No," provide an explanation in Schedule O 3 4a 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 ank account, securities account, or other financial account)? If Yes, enter the name of the foreign country: See instructions for filing requirements for Form TD F , Report of Foreign Bank and Financial Accounts. 5a Was the organization a party to a prohiited tax shelter transaction at any time 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 If "Yes" to line 5a or 5, did the organization file Form 8886-T? 6a Does the organization have annual gross receipts that are normally greater than $1,, and did the organization solicit any contriutions that were not tax deductile? If "Yes," did the organization include with every solicitation an express statement that such contriutions or gifts were not tax deductile? 7 Organizations that may receive deductile contriutions under section 17(c). a Did the organization receive a payment in excess of $75 made partly as a contriution and partly for goods and services provided to the payor? If "Yes," did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file Form 8282? If "Yes," indicate the numer of Forms 8282 filed during the year 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal enefit contract? If the organization received a contriution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a Form 198-C? Sponsoring organizations maintaining donor advised funds and section 59(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained y a sponsoring organization, have excess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. Did the organization make any taxale distriutions under section 4966? Did the organization make a distriution to a donor, donor advisor, or related person? Section 51(c)(7) organizations. Enter: Initiation fees and capital contriutions included on Part VIII, line 12 1a 1 Gross receipts, included on Form 99, Part VIII, line 12, for pulic use of clu facilities 11 Section 51(c)(12) organizations. Enter: a Gross income from memers or shareholders 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) 11 12a Section 4947(a)(1) non-exempt charitale trusts. Is the organization filing Form 99 in lieu of Form 141? If "Yes," enter the amount of tax-exempt interest received or accrued during the year Section 51(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain y the states in which the organization is licensed to issue qualified health plans 13 c Enter the amount of reserves on hand 13c 14a Did the organization receive any payments for indoor tanning services during the tax year? If "Yes," has it filed a Form 72 to report these payments? If "No," provide an explanation in Schedule O 1E a 5a 5 5c 6a 6 7a 7 7c 7e 7f 7g 7h 8 9a 9 12a 13a 14a 14 No Form 99 (211) PAGE 5

8 Form 99 (211) Page 6 Part VI Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7 elow, and for a "No" response to line 8a, 8, or 1 elow, descrie the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response to any question in this Part VI Section A. Governing Body and Management 1a Enter the numer of voting memers of the governing ody at the end of the tax year. If there are material differences in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an executive committee or similar committee, explain in Schedule O. Enter the numer of voting memers included in line 1a, aove, who are independent Did any officer, director, trustee, or key employee have a family relationship or a usiness relationship with any other officer, director, trustee, or key employee? 2 3 Did the organization delegate control over management duties customarily performed y or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? 3 4 Did the organization make any significant changes to its governing documents since the prior Form 99 was filed? 4 5 Did the organization ecome aware during the year of a significant diversion of the organization's assets? 5 6 Did the organization have memers or stockholders? 6 7a Did the organization have memers, stockholders, or other persons who had the power to elect or appoint one or more memers of the governing ody? 7a Are any governance decisions of the organization reserved to (or suject to approval y) memers, stockholders, or persons other than the governing ody? 7 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year y the following: a The governing ody? 8a Each committee with authority to act on ehalf of the governing ody? 8 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot e reached at the organization's mailing address? If "Yes," provide the names and addresses in Schedule O 9 Section B. Policies (This Section B requests information aout policies not required y the Internal Revenue Code.) 1a c a 16a Did the organization have local chapters, ranches, or affiliates? If "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 exempt purposes? 11a 12a Were officers, directors, or trustees, and key employees required to disclose annually interests that could give Has the organization provided a complete copy of this Form 99 to all memers of its governing ody efore filing the form? Descrie in Schedule O the process, if any, used y the organization to review this Form 99. Did the organization have a written conflict of interest policy? If"No,"gotoline13 rise to conflicts? Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," descrie in Schedule O how this was done Did the organization have a written whistlelower 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 y independent persons, comparaility data, and contemporaneous sustantiation of the delieration and decision? The organization's CEO, Executive Director, or top management official Other officers or key employees of the organization If "Yes" to line 15a or 15, descrie the process in Schedule O (see instructions.) Did the organization invest in, contriute assets to, or participate in a joint venture or similar arrangement with a taxale entity during the year? If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicale federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? List the states with which a copy of this Form 99 is required to e filed ATTACHMENT 4 Section C. Disclosure Section 614 requires an organization to make its Forms 123 (or 124 if applicale), 99, and 99-T (Section 51(c)(3)s only) availale for pulic inspection. Indicate how you made these availale. Check all that apply. Own wesite Another's wesite Upon request 19 Descrie in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements availale to the pulic during the tax year. 2 State the name, physical address, and telephone numer of the person who possesses the ooks and records of the organization: S. H. "JIM" FOGLEMAN 111 EAST HARGETT STREET RALEIGH, NC Form 99 (211) 1E a 4 1a 1 11a 12a 12 12c a 15 16a 16 Yes Yes No No PAGE 6

9 Form 99 (211) Page 7 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response to any question in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e 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 reportale compensation (Box 5 of Form W-2 and/or Box 7 of Form 199-MISC) of more than $1, 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 $1, of reportale 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 $1, of reportale 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 ox if neither the organization nor any related organization compensated any current officer, director, or trustee. (A) (B) (C) (D) (E) (F) Name and Title Average hours per Position (do not check more than one Reportale compensation Reportale compensation from week ox, unless person is oth an from related (descrie the organizations officer and a director/trustee) hours for organization (W-2/199-MISC) related organizations (W-2/199-MISC) in Schedule O) ATTACHMENT 5 Individual trustee or director Institutional trustee Officer Key employee Highest compensated employee Former Estimated amount of other compensation from the organization and related organizations (1) SAMUEL W. WHITT BOARD CHAIRMAN 2. 52,. (2) MAURICE COLEMAN BOARD MEMBER 1. (3) THOMAS F. DARDEN, III EECUTIVE DIRECTOR 6. 11,582. 6,92. (4) BRAD PITT BOARD MEMBER 1. (5) S.H. "JIM" FOGLEMAN TREASURER / SECRETARY 6. (6) LATOYA KING VICE PRESIDENT 5. 91, ,338. (7) CRAIG TURNER CONSTRUCTION DIRECTOR 6. 16,4. 15,667. (8) (9) (1) (11) (12) (13) (14) 1E Form 99 (211) PAGE 7

10 Form 99 (211) Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII (A) (B) (C) (D) (E) (F) Name and title Average Position Reportale Reportale hours per (do not check more than one compensation compensation from week ox, unless person is oth an from related (descrie officer and a director/trustee) the organizations hours for organization (W-2/199-MISC) related (W-2/199-MISC) organizations in Schedule O) Individual trustee or director Institutional trustee Officer Key employee Highest compensated employee Former Estimated amount of other compensation from the organization and related organizations 1 Su-total c Total from continuation sheets to Part VII, Section A d Total (add lines 1 and 1c) 2 Total numer of individuals (including ut not limited to those listed aove) who received more than $1, of reportale compensation from the organization 4 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual 3 4 For any individual listed on line 1a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $15,? If Yes, complete Schedule J for such individual 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If Yes, complete Schedule J for such person 5 Section B. Independent Contractors 38,63. 52,. 34,97. 38,63. 52,. 34,97. 1 Complete this tale for your five highest compensated independent contractors that received more than $1, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Yes No ATTACHMENT 6 (A) Name and usiness address (B) Description of services (C) Compensation 2 Total numer of independent contractors (including ut not limited to those listed aove) who received more than $1, in compensation from the organization 5 1E Form 99 (211) PAGE 8

11 Form 99 (211) Page 9 Part VIII Contriutions, Gifts, Grants and Other Similar Amounts Program Service Revenue Other Revenue 1a c d e f g h 2a c d e f g a c d 7a 8a c 9a c 1a c Statement of Revenue 1a 1 1c 1d 1e 3,74,567. 2,13,145. 7,574. Total. Add lines 1a-1f Federated campaigns Memership dues Fundraising events Related organizations Government grants (contriutions) All other contriutions, gifts, grants, and similar amounts not included aove 1f Noncash contriutions included in lines 1a-1f: $ Business Code All other program service revenue Total. Add lines 2a-2f Investment income (including dividends, interest, and other similar amounts) Income from investment of tax-exempt ond proceeds Royalties (i) Real (ii) Personal Gross rents Less: rental expenses Rental income or (loss) Net rental income or (loss) Gross amount from sales of (i) Securities (ii) Other assets other than inventory Less: cost or other asis and sales expenses 762. c Gain or (loss) d Net gain or (loss) Gross income from fundraising events (not including $ of contriutions reported on line 1c). See Part IV, line 18 a Less: direct expenses Net income or (loss) from fundraising events Gross income from gaming activities. See Part IV, line 19 a Less: direct expenses Net income or (loss) from gaming activities Gross sales of inventory, less returns and allowances a 4,646. Less: cost of goods sold 22. Net income or (loss) from sales of inventory Miscellaneous Revenue Business Code (A) Total revenue 5,753,712. (B) Related or exempt function revenue SALES TO HOMEOWNERS ,63,. 3,63,. OTHER PROGRAM SERVICE REVENUE ,42. 83,42. NEW MARKET TA CREDIT REVENUE 999 1,187,9. 1,187,9. 4,873,942. (C) Unrelated usiness revenue (D) Revenue excluded from tax under sections 512, 513, or , , ,426. 4, a c d e All other revenue Total. Add lines 11a-11d 12 Total revenue. See instructions 1E ,796,6. 4,878, ,98. Form 99 (211) PAGE 9

12 Form 99 (211) Page 1 Part I Statement of Functional Expenses Section 51(c)(3) and 51(c)(4) organizations must complete all columns. All other organizations must complete column (A) ut are not required to complete columns (B), (C), and (D). Check if Schedule O contains a response to any question in this Part I Do not include amounts reported on lines 6, 7, 8, 9, and 1 of Part VIII. 1 Grants and other assistance to governments and organizations in the United States. See Part IV, line Grants and other assistance to individuals in the United States. See Part IV, line 22 3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and Benefits paid to or for memers 5 Compensation of current officers, directors, trustees, and key employees 6 Compensation not included aove, to disqualified persons (as defined under section 4958(f)(1)) and persons descried in section 4958(c)(3)(B) 7 Other salaries and wages 8 Pension plan accruals and (include section 41(k) and 43() employer contriutions) 9 Other employee enefits 1 Payroll taxes 11 Fees for services (non-employees): a Management Legal c Accounting d Loying e Professional fundraising services. See Part IV, line 17 f Investment management fees g Other 12 Advertising and promotion 13 Office expenses 14 Information technology 15 Royalties 16 Occupancy 17 Travel 18 Payments of travel or entertainment expenses for any federal, state, or local pulic officials Conferences, conventions, and meetings Interest Payments to affiliates Depreciation, depletion, and amortization Insurance Other expenses. Itemize expenses not covered aove (List miscellaneous expenses in line 24e. If line 24e amount exceeds 1% of line 25, column (A) amount, list line 24e expenses on Schedule O.) (A) (B) (C) (D) Total expenses Program service Management and expenses general expenses 31, , , ,294. Fundraising expenses a HOMEOWNER MAINTENANCE c SOLAR LEASING 95, ,41. 95, ,41. d UBI TA EPENSE 16, ,242. e All other expenses 25 Total functional expenses. Add lines 1 through 24e 26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a comined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC ) 1E Form 99 (211) 221, , ,5. 75,512. 1,126,173. 1,126, , , , ,923. CONSTRUCTION EPENDITURES 8,415,9. 8,415,9. 186, ,799. 1,586. 7,766. 2, , ,. 42,. 159, ,275. 1,317,532. 1,94, , , ,43. 2,422. 9,8. 125, ,322. 4,181. 3, , ,319. 1,5. 6, , , ,56. 52,138. 2, , , ,19. 3, , , , , ,66. 77,612. 3, , , , ,398, ,659, , ,349. PAGE 1

13 Form 99 (211) Page 11 Balance Sheet Part Assets Liailities Net Assets or Fund Balances Cash - non-interest-earing Savings and temporary cash investments Pledges and grants receivale, net Accounts receivale, net Receivales from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L Receivales from other disqualified persons (as defined under section 4958(f)(1)), persons descried in section 4958(c)(3)(B), and contriuting employers and sponsoring organizations of section 51(c)(9) voluntary employees' eneficiary organizations (see instructions) Notes and loans receivale, net Inventories for sale or use Prepaid expenses and deferred charges a Land, uildings, and equipment: cost or other asis. Complete Part VI of Schedule D Less: accumulated depreciation Investments - pulicly traded securities Investments - other securities. See Part IV, line 11 Investments - program-related. See Part IV, line 11 Intangile assets Other assets. See Part IV, line 11 Total assets. Add lines 1 through 15 (must equal line 34) Accounts payale and accrued expenses Grants payale Deferred revenue Tax-exempt ond liailities Escrow or custodial account liaility. Complete Part IV of Schedule D Payales to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L 1a 1 Secured mortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties Other liailities (including federal income tax, payales to related third parties, and other liailities not included on lines 17-24). Complete Part of Schedule D Total liailities. Add lines 17 through 25 Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34. Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets Organizations that do not follow SFAS 117, check here and complete lines 3 through 34. Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, uilding, or equipment fund Retained earnings, endowment, accumulated income, or other funds Total net assets or fund alances Total liailities and net assets/fund alances (A) Beginning of year (B) End of year 2,86, , , , ,54,81. 61, , , ,295,897. 5,243,784. 5, ,674,799. 2,159, ,91. 1,463, ,934. 1,118,67. 1c ,87,232. 1,928, ,3, ,14, ,241,884. 1,85, ,11,2. 44,362, , , ,342, , ,342, ,. 3,98, ,91,36. 39,861, ,68,64. 5,892, ,46, , , ,38, ,241, ,754,18. 44,362,172. Form 99 (211) 1E PAGE 11

14 Form 99 (211) Page 12 Part I Reconciliation of Net Assets Check if Schedule O contains a response to any question in this Part I 1 Total revenue (must equal Part VIII, column (A), line 12) 1 1,796,6. 2 Total expenses (must equal Part I, column (A), line 25) 2 13,398, Revenue less expenses. Sutract line 2 from line 1 3-2,62,82. 4 Net assets or fund alances at eginning of year (must equal Part, line 33, column (A)) 4 6,38, Other changes in net assets or fund alances (explain in Schedule O) 5-24, Net assets or fund alances at end of year. Comine lines 3, 4, and 5 (must equal Part, line 33, column (B)) 6 Part II 3a Financial Statements and Reporting Check if Schedule O contains a response to any question 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. 2a Were the organization's financial statements compiled or reviewed y an independent accountant? Were the organization's financial statements audited y an independent accountant? c If "Yes" to line 2a or 2, does the organization have a committee that assumes responsiility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. d If "Yes" to line 2a or 2, check a ox elow to indicate whether the financial statements for the year were issued on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis 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-133? If "Yes," 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 descrie any steps taken to undergo such audits 3,754,18. 2a 2 2c 3a 3 Yes No Form 99 (211) 1E PAGE 12

15 SCHEDULE A (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Service Name of the organization Pulic Charity Status and Pulic Support Complete if the organization is a section 51(c)(3) organization or a section 4947(a)(1) nonexempt charitale trust. Attach to Form 99 or Form 99-EZ. See separate instructions. OMB No Open to Pulic Inspection Employer identification numer MAKE IT RIGHT FOUNDATION Part I Reason for Pulic Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines 1 through 11, check only one ox.) A church, convention of churches, or association of churches descried in section 17()(1)(A)(i). A school descried in section 17()(1)(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization descried in section 17()(1)(A)(iii). A medical research organization operated in conjunction with a hospital descried in section 17()(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 17()(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit descried in section 17()(1)(A)(v). An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 17()(1)(A)(vi). (Complete Part II.) A community trust descried in section 17()(1)(A)(vi). (Complete Part II.) An organization that normally receives: (1) more than 331/3% of its support from contriutions, memership fees, and gross receipts from activities related to its exempt functions - suject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated usiness taxale income (less section 511 tax) from usinesses acquired y the organization after June 3, See section 59(a)(2). (Complete Part III.) 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 perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 59(a)(1) or section 59(a)(2). See section 59(a)(3). Check the ox that descries the type of supporting organization and complete lines 11e through 11h. a Type I Type II c Type III - Functionally integrated d Type III - Other e By checking this ox, I certify that the organization is not controlled directly or indirectly y one or more disqualified persons other than foundation managers and other than one or more pulicly supported organizations descried in section 59(a)(1) or section 59(a)(2). f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this ox g Since August 17, 26, has the organization accepted any gift or contriution from any of the following persons? (i) A person who directly or indirectly controls, either alone or together with persons descried in (ii) Yes No and (iii) elow, the governing ody of the supported organization? 11g(i) (ii) A family memer of a person descried in (i) aove? 11g(ii) (iii) A 35% controlled entity of a person descried in (i) or (ii) aove? 11g(iii) h Provide the following information aout the supported organization(s). (A) (i) Name of supported organization (ii) EIN (iii) Type of organization (descried on lines 1-9 aove or IRC section (see instructions)) (iv) Is the (v) Did you notify (vi) Is the organization in the organization organization in col. (i) listed in in col. (i) of col. (i) organized your governing document? your support? in the U.S.? Yes No Yes No Yes No (vii) Amount of support (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 99 or 99-EZ. Schedule A (Form 99 or 99-EZ) 211 1E PAGE 13

16 Schedule A (Form 99 or 99-EZ) 211 Page 2 Part II Support Schedule for Organizations Descried in Sections 17()(1)(A)(iv) and 17()(1)(A)(vi) (Complete only if you checked the ox on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed elow, please complete Part III.) Section A. Pulic Support Calendar year (or fiscal year eginning in) 1 Gifts, grants, contriutions, and memership fees received. (Do not include any "unusual grants.") 2 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 3 The value of services or facilities furnished y a governmental unit to the organization without charge 4 Total. Add lines 1 through 3 5 The portion of total contriutions y each person (other than a governmental unit or pulicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) 6 Pulic support. Sutract line 5 from line 4. Section B. Total Support 7 Amounts from line 4 Calendar year (or fiscal year eginning in) 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources 9 Net income from unrelated usiness activities, whether or not the usiness is regularly carried on (a) 27 () 28 (c) 29 (d) 21 (e) 211 (f) Total 15,138, ,294,979. 8,829,964. 3,766,73. 5,755, ,785,16. 15,138, ,294,979. 8,829,964. 3,766,73. 5,755, ,785,16. (a) 27 () 28 (c) 29 (d) 21 (e) 211 (f) Total 1 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ATCH 1 7,8. 27, , Total support. Add lines 7 through 1 46,46,3. 12 Gross receipts from related activities, etc. (see instructions) 12 11,193, First five years. If the Form 99 is for the organization's first, second, third, fourth, or fifth tax year as a section 51(c)(3) organization, check this ox and stop here Section C. Computation of Pulic Support Percentage 14 Pulic support percentage for 211 (line 6, column (f) divided y line 11, column (f)) 14 % 15 Pulic support percentage from 21 Schedule A, Part II, line % 16a 331/3% support test If the organization did not check the ox on line 13, and line 14 is 331/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization 331/3% support test If the organization did not check a ox on line 13 16a, and line 15 is 331/3%or more, check this ox and stop here. The organization qualifies as a pulicly supported organization 17a 1%-facts-and-circumstances test If the organization did not check a ox on line 13, 16a, or 16, and line 14 is 1% or more, and if the organization meets the "facts-and-circumstances" test, check this ox and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances test. The organization qualifies as a pulicly supported organization 1%-facts-and-circumstances test If the organization did not check a ox on line 13, 16a, 16, or 17a, and line 15 is 1% or more, and if the organization meets the "facts-and-circumstances" test, check this ox and stop here. Explain in Part IV how the organzation meets the "facts-and-circumstances" test. The organization qualifies as a pulicly supported organization 18 Private foundation. If the organization did not check a ox on line 13, 16a, 16, 17a, or 17, check this ox and see instructions 9,616,28. 36,168,88. 15,138, ,294,979. 8,829,964. 3,766,73. 5,755, ,785,16. 2, , , , , ,68. Schedule A (Form 99 or 99-EZ) 211 1E PAGE 14

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

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

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

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 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

**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 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

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

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

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

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

Small Business Services 112 Krog Street, Ste# 17 Atlanta, GA 30307 (404) 873-0470 info@smallbizservices.com

Small Business Services 112 Krog Street, Ste# 17 Atlanta, GA 30307 (404) 873-0470 info@smallbizservices.com Small Business Services 112 Krog Street, Ste# 17 Atlanta, GA 30307 (404) 873-0470 info@smallbizservices.com May 16, 2011 Global Soap Project Inc. P.O. Box 94021 Atlanta, GA 30318 Dear John E. Parkerson,

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns June 3 2016 North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns Governor McCrory signed into law Session Law 2016-6

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

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

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

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns June 3 2016 North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns Governor McCrory signed into law Session Law 2016-6

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

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

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

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

990-EZ, 990, 990-T and 990-PF Information Worksheet 2010

990-EZ, 990, 990-T and 990-PF Information Worksheet 2010 990-EZ, 990, 990-T and 990-PF Information Worksheet 2010 Part I ' Identifying Information Employer Identification Number..... 20-1931001 Name............................. SPIRIT OF SHARING Doing Business

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

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), 57, or 4947(a)(1) of the Internal Revenue Code (except black lung 1 benefit trust or private foundation) Open

More information

Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support

Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support 2009 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 For the 2011 calendar year, or tax year beginning, 2011, and ending, D Employer identification number. 27-4205517 Name change

A For the 2011 calendar year, or tax year beginning, 2011, and ending, D Employer identification number. 27-4205517 Name change Form 990-EZ 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 Name of organization D Employer identification

More information

Sample 1023, Application for Recognition of Exemption FILING INSTRUCTIONS

Sample 1023, Application for Recognition of Exemption FILING INSTRUCTIONS Sample 1023, Application for Recognition of Exemption FILING INSTRUCTIONS Remember, on all attachments to have a heading with your PTA s corporation name and EIN (Employer ID Number). Form 1023 (Rev. 12-2011)

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

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

Number and street (or P.O. box if mail is not delivered to street address ) Room /sune E Telephone number ( 601 ) 984-3504 Amended Q nm

Number and street (or P.O. box if mail is not delivered to street address ) Room /sune E Telephone number ( 601 ) 984-3504 Amended Q nm i _. 990 1 Return of Organization Exempt From Income Tax Form 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

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

Instructions for Schedule L (Form 990 or 990-EZ) 2010 Instructions for Schedule L (Form 990 or 990-EZ) Transactions With Interested Persons Department of the Treasury Internal Revenue Service State whether the transaction has been Section references

More information

Pensacola Habitat For Humanity, Inc. Pensacola, Florida. Audited Financial Statements. With Supplementary Information

Pensacola Habitat For Humanity, Inc. Pensacola, Florida. Audited Financial Statements. With Supplementary Information Pensacola, Florida Audited Financial Statements With Supplementary Information June 30, 2014 Pensacola, Florida Audited Financial Statements With Supplementary Information June 30, 2014 CONTENTS PAGE Independent

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 2006 calendar year, or tax year beginning, 2006, and ending, B Check if applicable: C D Employer Identification Number Please use

More information

Serving the Non-Profit Industry August 2008. TheNewForm990 Life Under the Microscope for Non-Profits. By Reed W. Risteen, CPA. Partners, Blum Shapiro

Serving the Non-Profit Industry August 2008. TheNewForm990 Life Under the Microscope for Non-Profits. By Reed W. Risteen, CPA. Partners, Blum Shapiro Certified Public Accountants Business Consultants Non-Profit Notes Serving the Non-Profit Industry August 2008 Important Details Regarding Changes to Form 990 UPMIFA Implementation Issues Learn more inside.

More information

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

X X X X X X X. 14a. 14b. Form 990 (2009) BAA TEEA0103L 02/12/10

X X X X X X X. 14a. 14b. Form 990 (2009) BAA TEEA0103L 02/12/10 Form 990 (2009) RAPHAEL HOUSE OF SAN FRANCISCO, INC. 94-3141608 Page 3 Part IV Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private

More information

Independent Auditor s Report

Independent Auditor s Report Combined Financial Statements Christian Care Retirement Apartments, Inc. Christian Care Assisted Living (Phoenix), Inc. Christian Care Mesa, Inc. www.eidebailly.com Table of Contents Independent Auditor

More information

FANNIE MAE CORPORATE GOVERNANCE GUIDELINES

FANNIE MAE CORPORATE GOVERNANCE GUIDELINES FANNIE MAE CORPORATE GOVERNANCE GUIDELINES 1. The Roles and Responsibilities of the Board and Management On September 6, 2008, the Director of the Federal Housing Finance Authority, or FHFA, our safety

More information

Source data is a custom data export provided by the IRS Exempt Organizations Projects Department.

Source data is a custom data export provided by the IRS Exempt Organizations Projects Department. About the Data The reports in this presentation contain aggregate financial information from the Form 990 (or the long form 990) that organizations reported to the Internal Revenue Service (IRS) for their

More information

QIQN. Sign Here DON RHOADS CFO Type or print name and title.

QIQN. Sign Here DON RHOADS CFO Type or print name and title. add - 0MB No. 15450047 2013 A For the 2013 calendar year, or tax year beginning 7 / 01, 2013, and ending 6 / 30, 2014 B Check if applicable: C 0 Employer Identification Number DAddresschange CITY OF BEVERLY

More information

en to Public 90-0055128 LEE GRANIS, TREASURER 61 ROLLING GREEN ROAD BETHANY CT 06524-3321 SEE STMT 1 G Gross recbots$ 1,193,928

en to Public 90-0055128 LEE GRANIS, TREASURER 61 ROLLING GREEN ROAD BETHANY CT 06524-3321 SEE STMT 1 G Gross recbots$ 1,193,928 1 11 TEPGROIJP 08/172015 Return of Organization Exempt From Income Tax Form 990 Under section 501 (c), 527, or 4947 (ax1) of the Internal Revenue Code (except private foundations) Department of the Treasury

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

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

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

Instructions for Schedule L (Form 990 or 990-EZ) 2011 Instructions for Schedule L (Form 990 or 990-EZ) Transactions With Interested Persons Department of the Treasury Internal Revenue Service Section references are to the Internal do so, it must file

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

GIFT ACCEPTANCE POLICY

GIFT ACCEPTANCE POLICY GIFT ACCEPTANCE POLICY Nutrition Science Initiative, a California public benefit corporation ("NuSI") located in San Diego, California, encourages the solicitation and acceptance of gifts to NuSI for purposes

More information