ANCHORAGE MUSEUM ASSOCIATION FORM 990 TAX YEAR 2014

Size: px
Start display at page:

Download "ANCHORAGE MUSEUM ASSOCIATION FORM 990 TAX YEAR 2014"

Transcription

1 ANCHORAGE MUSEUM ASSOCATON FORM 99 TA YEAR 14

2 Two Yer Coprison Schedule 14 to 1 Description 14 1 Difference Revenue Contriutions nd grnts Progr service revenue nvestent incoe Other revenue Totl revenue Expenses Grnts nd siilr ounts pid Benefits pid to or for eers Slries, other copenstion, eployee enefits Professionl fundrising fees Other expenses Totl expenses Net Assets or Fund Blnces Totl ssets Totl liilities Net ssets 19,9,479. 1,18,65. 6,9,89. 1,757,44. 1,5,8. 55,161. 1,6. 5,95. 4, , , ,786. 1,14,541. 1,766,97. 7,58,444. 4,64,85.,89,14. 44,951. 5,75,491. 5,45,77.,114. 9,999,576. 9,74, ,65.,71, ,411,1. 11,959,867. 1,96, ,85. 84,56. 1,974,88. 1,848, ,15,811. 4E95 1. PAGE 1

3 For 8879-EO RS e-file Signture Authoriztion for n Exept Orgniztion 1/1 1/1 14 For clendr yer 14, or fiscl yer eginning, 14, nd ending, Do not send to the RS. Keep for your records. nfortion out For 8879-EO nd its instructions is t OMB No Deprtent of the Tresury nternl Revenue Service À¾µ Ne of exept orgniztion Ne nd title of officer Prt Type of Return nd Return nfortion (Whole Dollrs Only) Eployer identifiction nuer ANCHORAGE MUSEUM ASSOCATON KRSTEN NEWBY, CFO Check the ox for the return for which you re using this For 8879-EO nd enter the pplicle ount, if ny, fro the return. f you check the ox on line 1,,, 4, or 5, elow, nd the ount on tht line for the return eing filed with this for ws lnk, then leve line 1,,, 4, or 5, whichever is pplicle, lnk (do not enter --). But, if you entered -- on the return, then enter -- on the pplicle line elow. Do not coplete ore thn 1 line in Prt For 99 check here Totl revenue, if ny (For 99, Prt V, colun (A), line 1) For 99-EZ check here Totl revenue, if ny (For 99-EZ, line 9) For 11-POL check here Totl tx (For 11-POL, line ) For 99-PF check here Tx sed on investent incoe (For 99-PF, Prt V, line 5) For 8868 check here Prt Blnce Due (For 8868, Prt, line c or Prt, line 8c) Declrtion nd Signture Authoriztion of Officer Under penlties of perjury, declre tht n officer of the ove orgniztion nd tht hve exined copy of the orgniztion's 14 electronic return nd ccopnying schedules nd stteents nd to the est of y knowledge nd elief, they re true, correct, nd coplete. further declre tht the ount in Prt ove is the ount shown on the copy of the orgniztion's electronic return. consent to llow y interedite service provider, trnsitter, or electronic return origintor (ERO) to send the orgniztion's return to the RS nd to receive fro the RS () n cknowledgeent of receipt or reson for rejection of the trnsission, () the reson for ny dely in processing the return or refund, nd (c) the dte of ny refund. f pplicle, uthorize the U.S. Tresury nd its designted Finncil Agent to initite n electronic funds withdrwl (direct deit) entry to the finncil institution ccount indicted in the tx preprtion softwre for pyent of the orgniztion's federl txes owed on this return, nd the finncil institution to deit the entry to this ccount. To revoke pyent, ust contct the U.S. Tresury Finncil Agent t no lter thn usiness dys prior to the pyent (settleent) dte. lso uthorize the finncil institutions involved in the processing of the electronic pyent of txes to receive confidentil infortion necessry to nswer inquiries nd resolve issues relted to the pyent. hve selected personl identifiction nuer (PN) s y signture for the orgniztion's electronic return nd, if pplicle, the orgniztion's consent to electronic funds withdrwl. Officer's PN: check one ox only uthorize Officer's signture Prt ERO fir ne to enter y PN Enter five nuers, ut do not enter ll zeros s y signture on the orgniztion's tx yer 14 electroniclly filed return. f hve indicted within this return tht copy of the return is eing filed with stte gency(ies) regulting chrities s prt of the RS Fed/Stte progr, lso uthorize the foreentioned ERO to enter y PN on the return's disclosure consent screen. As n officer of the orgniztion, will enter y PN s y signture on the orgniztion's tx yer 14 electroniclly filed return. f hve indicted within this return tht copy of the return is eing filed with stte gency(ies) regulting chrities s prt of the RS Fed/Stte progr, will enter y PN on the return's disclosure consent screen. Certifiction nd Authentiction ERO's EFN/PN. Enter your six-digit electronic filing identifiction nuer (EFN) followed y your five-digit self-selected PN. Dte do not enter ll zeros certify tht the ove nueric entry is y PN, which is y signture on the 14 electroniclly filed return for the orgniztion indicted ove. confir tht suitting this return in ccordnce with the requireents of Pu. 416, Modernized e-file (MeF) nfortion for Authorized RS e-file Providers for Business Returns. ERO's signture BDO USA, LLP ERO Must Retin This For - See nstructions Do Not Suit This For To the RS Unless Requested To Do So For Pperwork Reduction Act Notice, see ck of for. For 8879-EO (14) Dte 9 4 5/11/ /18/15 4E PAGE

4 Return of Orgniztion Exept Fro ncoe Tx OMB No For Under section 51(c), 57, or 4947()(1) of the nternl Revenue Code (except privte foundtions) 99 À¾µ Do not enter Socil Security nuers on this for s it y e de pulic. Open to Pulic Deprtent of the Tresury nternl Revenue Service nfortion out For 99 nd its instructions is t nspection A For the 14 clendr yer, or tx yer eginning, 14, nd ending, B J Check if pplicle: Address chnge Ne chnge nitil return C Ne of orgniztion Doing Business As Nuer nd street (or P.O. ox if il is not delivered to street ddress) Roo/suite D E Eployer identifiction nuer Telephone nuer Terinted City or town, stte or province, country, nd ZP or foreign postl code Aended return ANCHORAGE, AK G Gross receipts $,,41. Appliction F Ne nd ddress of principl officer: H() s this group return for Yes No pending JULE DECKER suordintes? 65 C STREET ANCHORAGE, AK H() Are ll suordintes included? Yes No Tx-exept sttus: 51(c)() 51(c) ( ) (insert no.) 4947()(1) or 57 f "No," ttch list. (see instructions) J Wesite: H(c) Group exeption nuer AK Prt 1 Briefly descrie the orgniztion's ission or ost significnt ctivities: THE ANCHORAGE MUSEUM ASSOCATON OPERATES THE ANCHORAGE MUSEUM AT RASMUSON CENTER. K For of orgniztion: Corportion Trust Assocition Other L Yer of fortion: M Stte of legl doicile: Sury Activities & Governnce Revenue Expenses Net Assets or Fund Blnces Check this ox if the orgniztion discontinued its opertions or disposed of ore thn 5% of its net ssets. Nuer of voting eers of the governing ody (Prt V, line 1) 4 Nuer of independent voting eers of the governing ody (Prt V, line 1) 4 5 Totl nuer of individuls eployed in clendr yer 14 (Prt V, line ) 5 6 Totl nuer of volunteers (estite if necessry) 6 7 Totl unrelted usiness revenue fro Prt V, colun (C), line 1 7 Net unrelted usiness txle incoe fro For 99-T, line 4 7 Prior Yer Prt ANCHORAGE MUSEUM ASSOCATON Contriutions nd grnts (Prt V, line 1h) COPY FOR Progr service revenue (Prt V, line g) PUBLC NSPECTON nvestent incoe (Prt V, colun (A), lines, 4, nd 7d) Other revenue (Prt V, colun (A), lines 5, 6d, 8c, 9c, 1c, nd 11e) Totl revenue - dd lines 8 through 11 (ust equl Prt V, colun (A), line 1) Grnts nd siilr ounts pid (Prt, colun (A), lines 1-) Benefits pid to or for eers (Prt, colun (A), line 4) Slries, other copenstion, eployee enefits (Prt, colun (A), lines 5-1) Professionl fundrising fees (Prt, colun (A), line 11e) Totl fundrising expenses (Prt, colun (D), line 5) 475,6. Other expenses (Prt, colun (A), lines 11-11d, 11f-4e) Totl expenses. Add lines 1-17 (ust equl Prt, colun (A), line 5) Revenue less expenses. Sutrct line 18 fro line 1 Totl ssets (Prt, line 16) Totl liilities (Prt, line 6) Net ssets or fund lnces. Sutrct line 1 fro line Signture Block COPY OF PUBLC NSPECTON C STREET (97) 99-9 Beginning of Current Yer Current Yer End of Yer Under penlties of perjury, declre tht hve exined this return, including ccopnying schedules nd stteents, nd to the est of y knowledge nd elief, it is true, correct, nd coplete. Declrtion of preprer (other thn officer) is sed on ll infortion of which preprer hs ny knowledge ,18,65. 19,9,479. 1,5,8. 1,757,44. 5,95. 1,6. 149,49. 47,15. 1,766,97. 1,14,541.,89,14. 4,64,85. 5,45,77. 5,75,491. 9,74,511. 9,999,576. 4,491, ,14, ,411,1.,71, ,85. 1,96,891. 1,848,477. 1,974,88. Sign Here Pid M Signture of officer Dte M KRSTEN NEWBY Type or print ne nd title Print/Type preprer's ne Preprer's signture Dte Check if PTN self-eployed KEY E GETTY, CPA 9/18/15 P11 Fir's EN Phone no. Preprer Fir's ne BDO USA, LLP Use Only Fir's ddress 61 C STREET, STE 6 ANCHORAGE, AK My the RS discuss this return with the preprer shown ove? (see instructions) Yes No For Pperwork Reduction Act Notice, see the seprte instructions. For 99 (14) CFO 4E PAGE

5 For 99 (14) Pge Prt Stteent of Progr Service Accoplishents Check if Schedule O contins response or note to ny line in this Prt 1 Briefly descrie the orgniztion's ission: SEE SCHEDULE O f "Yes," descrie these new services on Schedule O. Did the orgniztion undertke ny significnt progr services during the yer which were not listed on the prior For 99 or 99-EZ? Yes No Did the orgniztion cese conducting, or ke significnt chnges in how it conducts, ny progr services? Yes No f "Yes," descrie these chnges on Schedule O. 4 Descrie the orgniztion's progr service ccoplishents for ech of its three lrgest progr services, s esured y expenses. Section 51(c)() nd 51(c)(4) orgniztions re required to report the ount of grnts nd lloctions to others, the totl expenses, nd revenue, if ny, for ech progr service reported. 4 (Code: ) (Expenses $ 6,18,177. including grnts of $ ) (Revenue $ 1,48,. ) EHBT PRODUCTON: DESGN, NSTALLATON AND PRESENTATON OF MUSEUM EHBTS NCLUDNG EDUCATONAL ATTRBUTES. THRTEEN NEW CHANGNG EHBTS OPENED N 14 AS WELL AS PERMANENT EHBTONS OF THE ALASKA HSTORY GALLERY, ARCTC STUDES CENTER, AND DSCOVERY CENTER EHBTONS. DURNG 14, THE MUSEUM WELCOMED,184 GUESTS. 4 (Code: ) (Expenses $ 867,1. including grnts of $ ) (Revenue $ 1,4. ) COLLECTONS MANTENANCE: ACQUSTON, CURATON AND CONSERVATON OF MUSEUM COLLECTON OF ARCHVAL MATERALS, ARTWORK AND ARTFACTS 4c (Code: ) (Expenses $ 88,111. including grnts of $ ) (Revenue $ 6,786. ) EDUCATON AND PUBLC PROGRAMS: PREPARATON AND DELVERY OF EDUCATON AND PUBLC PROGRAMS TO MUSEUM VSTORS NCLUDNG SCHOOL AGE PROGRAMS. THE MUSEUM HOSTED 18, STUDENTS DURNG THE SCHOOL YEAR ON FELD TRP VSTS. 4d Other progr services (Descrie in Schedule O.) (Expenses $ 65,816. including grnts of $ ) (Revenue $ ) 4e Totl progr service expenses 8,51,414. 4E1 1. For 99 (14) PAGE 4

6 For 99 (14) Pge Prt V Checklist of Required Schedules s the orgniztion required to coplete Schedule B, Schedule of Contriutors (see instructions)? Did the orgniztion engge in direct or indirect politicl cpign ctivities on ehlf of or in opposition to cndidtes for pulic office? f "Yes," coplete Schedule C, Prt Section 51(c)() orgniztions. Did the orgniztion engge in loying ctivities, or hve section 51(h) election in effect during the tx yer? f "Yes," coplete Schedule C, Prt s the orgniztion descried in section 51(c)() or 4947()(1) (other thn privte foundtion)? f "Yes," coplete Schedule A 1 s the orgniztion section 51(c)(4), 51(c)(5), or 51(c)(6) orgniztion tht receives eership dues, ssessents, or siilr ounts s defined in Revenue Procedure 98-19? f "Yes," coplete Schedule C, Prt Did the orgniztion intin ny donor dvised funds or ny siilr funds or ccounts for which donors hve the right to provide dvice on the distriution or investent of ounts in such funds or ccounts? f "Yes," coplete Schedule D, Prt Did the orgniztion receive or hold conservtion eseent, including eseents to preserve open spce, the environent, historic lnd res, or historic structures? f "Yes," coplete Schedule D, Prt Did the orgniztion intin collections of works of rt, historicl tresures, or other siilr ssets? f "Yes," coplete Schedule D, Prt Did the orgniztion report n ount in Prt, line 1, for escrow or custodil ccount liility; serve s custodin for ounts not listed in Prt ; or provide credit counseling, det ngeent, credit repir, or det negotition services? f "Yes," coplete Schedule D, Prt V Did the orgniztion, directly or through relted orgniztion, hold ssets in teporrily restricted endowents, pernent endowents, or qusi-endowents? f "Yes," coplete Schedule D, Prt V 11 f the orgniztion s nswer to ny of the following questions is "Yes," then coplete Schedule D, Prts V, V, V,, or s pplicle. Did the orgniztion report n ount for lnd, uildings, nd equipent in Prt, line 1? f "Yes," c d e f coplete Schedule D, Prt V Did the orgniztion report n ount for investents-other securities in Prt, line 1 tht is 5% or ore of its totl ssets reported in Prt, line 16? f "Yes," coplete Schedule D, Prt V Did the orgniztion report n ount for investents-progr relted in Prt, line 1 tht is 5% or ore of its totl ssets reported in Prt, line 16? f "Yes," coplete Schedule D, Prt V Did the orgniztion report n ount for other ssets in Prt, line 15 tht is 5% or ore of its totl ssets reported in Prt, line 16? f "Yes," coplete Schedule D, Prt Did the orgniztion report n ount for other liilities in Prt, line 5? f "Yes," coplete Schedule D, Prt Did the orgniztion s seprte or consolidted finncil stteents for the tx yer include footnote tht ddresses the orgniztion's liility for uncertin tx positions under FN 48 (ASC 74)? f "Yes," coplete Schedule D, Prt Did the orgniztion otin seprte, independent udited finncil stteents for the tx yer? f "Yes," coplete Schedule D, Prts nd Ws the orgniztion included in consolidted, independent udited finncil stteents for the tx yer? f "Yes," nd if the orgniztion nswered "No" to line 1, then copleting Schedule D, Prts nd is optionl s the orgniztion school descried in section 17()(1)(A)(ii)? f "Yes," coplete Schedule E Did the orgniztion intin n office, eployees, or gents outside of the United Sttes? Did the orgniztion hve ggregte revenues or expenses of ore thn $1, fro grntking, fundrising, usiness, investent, nd progr service ctivities outside the United Sttes, or ggregte foreign investents vlued t $1, or ore? f "Yes," coplete Schedule F, Prts nd V Did the orgniztion report on Prt, colun (A), line, ore thn $5, of grnts or other ssistnce to or for ny foreign orgniztion? f "Yes," coplete Schedule F, Prts nd V Did the orgniztion report on Prt, colun (A), line, ore thn $5, of ggregte grnts or other ssistnce to or for foreign individuls? f "Yes," coplete Schedule F, Prts nd V Did the orgniztion report totl of ore thn $15, of expenses for professionl fundrising services on Prt, colun (A), lines 6 nd 11e? f "Yes," coplete Schedule G, Prt (see instructions) Did the orgniztion report ore thn $15, totl of fundrising event gross incoe nd contriutions on Prt V, lines 1c nd 8? f "Yes," coplete Schedule G, Prt Did the orgniztion report ore thn $15, of gross incoe fro ging ctivities on Prt V, line 9? f "Yes," coplete Schedule G, Prt Did the orgniztion operte one or ore hospitl fcilities? f "Yes," coplete Schedule H f "Yes" to line, did the orgniztion ttch copy of its udited finncil stteents to this return? c 11d 11e 11f Yes No For 99 (14) 4E11 1. PAGE 5

7 For 99 (14) Pge 4 Prt V Checklist of Required Schedules (continued) 1 4 d c c Prt, colun (A), line? f Yes, coplete Schedule, Prts nd Did the orgniztion report ore thn $5, of grnts or other ssistnce to ny doestic orgniztion or doestic governent on Prt, colun (A), line 1? f "Yes," coplete Schedule, Prts nd 1 Did the orgniztion report ore thn $5, of grnts or other ssistnce to or for doestic individuls on Did the orgniztion nswer Yes to Prt V, Section A, line, 4, or 5 out copenstion of the orgniztion s current nd forer officers, directors, trustees, key eployees, nd highest copensted eployees? f Yes, coplete Schedule J Did the orgniztion hve tx-exept ond issue with n outstnding principl ount of ore thn $1, s of the lst dy of the yer, tht ws issued fter Deceer 1,? f "Yes," nswer lines 4 through 4d nd coplete Schedule K. f No, go to line 5 Did the orgniztion invest ny proceeds of tx-exept onds eyond teporry period exception? Did the orgniztion intin n escrow ccount other thn refunding escrow t ny tie during the yer to defese ny tx-exept onds? Did the orgniztion ct s n "on ehlf of" issuer for onds outstnding t ny tie during the yer? Section 51(c)(), 51(c)(4), nd 51(c)(9) orgniztions. Did the orgniztion engge in n excess enefit trnsction with disqulified person during the yer? f Yes, coplete Schedule L, Prt s the orgniztion wre tht it engged in n excess enefit trnsction with disqulified person in prior yer, nd tht the trnsction hs not een reported on ny of the orgniztion's prior Fors 99 or 99-EZ? f "Yes," coplete Schedule L, Prt Did the orgniztion report ny ount on Prt, line 5, 6, or for receivles fro or pyles to ny current or forer officers, directors, trustees, key eployees, highest copensted eployees, or disqulified persons? f "Yes," coplete Schedule L, Prt Did the orgniztion provide grnt or other ssistnce to n officer, director, trustee, key eployee, sustntil contriutor or eployee thereof, grnt selection coittee eer, or to 5% controlled entity or fily eer of ny of these persons? f "Yes," coplete Schedule L, Prt Ws the orgniztion prty to usiness trnsction with one of the following prties (see Schedule L, Prt V instructions for pplicle filing thresholds, conditions, nd exceptions): A current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Prt V A fily eer of current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Prt V An entity of which current or forer officer, director, trustee, or key eployee (or fily eer thereof) ws n officer, director, trustee, or direct or indirect owner? f "Yes," coplete Schedule L, Prt V Did the orgniztion receive ore thn $5, in non-csh contriutions? f "Yes," coplete Schedule M Did the orgniztion receive contriutions of rt, historicl tresures, or other siilr ssets, or qulified conservtion contriutions? f "Yes," coplete Schedule M Did the orgniztion liquidte, terinte, or dissolve nd cese opertions? f "Yes," coplete Schedule N, Prt Did the orgniztion sell, exchnge, dispose of, or trnsfer ore thn 5% of its net ssets? f "Yes," coplete Schedule N, Prt Did the orgniztion own 1% of n entity disregrded s seprte fro the orgniztion under Regultions sections nd ? f "Yes," coplete Schedule R, Prt Ws the orgniztion relted to ny tx-exept or txle entity? f "Yes," coplete Schedule R, Prt,, or V, nd Prt V, line 1 Did the orgniztion hve controlled entity within the ening of section 51()(1)? f "Yes" to line 5, did the orgniztion receive ny pyent fro or engge in ny trnsction with controlled entity within the ening of section 51()(1)? f "Yes," coplete Schedule R, Prt V, line Section 51(c)() orgniztions. Did the orgniztion ke ny trnsfers to n exept non-chritle relted orgniztion? f "Yes," coplete Schedule R, Prt V, line Did the orgniztion conduct ore thn 5% of its ctivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl incoe tx purposes? f "Yes," coplete Schedule R, Prt V 19? Note. All For 99 filers re required to coplete Schedule O Did the orgniztion coplete Schedule O nd provide explntions in Schedule O for Prt V, lines 11 nd 4 4 4c 4d c Yes No For 99 (14) 4E1 1. PAGE 6

8 For 99 (14) Pge 5 Prt V Stteents Regrding Other RS Filings nd Tx Coplince Check if Schedule O contins response or note to ny line in this Prt V Yes c Did the orgniztion coply with ckup withholding rules for reportle pyents to vendors nd reportle ging (gling) winnings to prize winners? 1c Enter the nuer of eployees reported on For W-, Trnsittl of Wge nd Tx Stteents, filed for the clendr yer ending with or within the yer covered y this return 111 f t lest one is reported on line, did the orgniztion file ll required federl eployent tx returns? 4 See instructions for filing requireents for FinCEN For 114, Report of Foreign Bnk nd Finncil Accounts (FBAR). 5 Ws the orgniztion prty to prohiited tx shelter trnsction t ny tie during the tx yer? Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnsction? c f "Yes" to line 5 or 5, did the orgniztion file For 8886-T? 6 Does the orgniztion hve nnul gross receipts tht re norlly greter thn $1,, nd did the c d e f g h c 14 Enter the nuer reported in Box of For 196. Enter -- if not pplicle Enter the nuer of Fors W-G included in line 1. Enter -- if not pplicle Note. f the su of lines 1 nd is greter thn 5, you y e required to e-file (see instructions) Did the orgniztion hve unrelted usiness gross incoe of $1, or ore during the yer? f "Yes," hs it filed For 99-T for this yer? f "No" to line, provide n explntion in Schedule O At ny tie during the clendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finncil ccount in foreign country (such s nk ccount, securities ccount, or other finncil ccount)? f Yes, enter the ne of the foreign country: orgniztion solicit ny contriutions tht were not tx deductile s chritle contriutions? f "Yes," did the orgniztion include with every solicittion n express stteent tht such contriutions or gifts were not tx deductile? Orgniztions tht y receive deductile contriutions under section 17(c). Did the orgniztion receive pyent in excess of $75 de prtly s contriution nd prtly for goods nd services provided to the pyor? f "Yes," did the orgniztion notify the donor of the vlue of the goods or services provided? Did the orgniztion sell, exchnge, or otherwise dispose of tngile personl property for which it ws required to file For 88? f "Yes," indicte the nuer of Fors 88 filed during the yer 7d Did the orgniztion receive ny funds, directly or indirectly, to py preius on personl enefit contrct? Did the orgniztion, during the yer, py preius, directly or indirectly, on personl enefit contrct? f the orgniztion received contriution of qulified intellectul property, did the orgniztion file For 8899 s required? f the orgniztion received contriution of crs, ots, irplnes, or other vehicles, did the orgniztion file For 198-C? Sponsoring orgniztions intining donor dvised funds. Did donor dvised fund intined y the sponsoring orgniztion hve excess usiness holdings t ny tie during the yer? Sponsoring orgniztions intining donor dvised funds. Did the sponsoring orgniztion ke ny txle distriutions under section 4966? Did the sponsoring orgniztion ke distriution to donor, donor dvisor, or relted person? Section 51(c)(7) orgniztions. Enter: nitition fees nd cpitl contriutions included on Prt V, line 1 1 Gross receipts, included on For 99, Prt V, line 1, for pulic use of clu fcilities 1 Section 51(c)(1) orgniztions. Enter: Gross incoe fro eers or shreholders 11 Gross incoe fro other sources (Do not net ounts due or pid to other sources ginst ounts due or received fro the.) 11 Section 4947()(1) non-exept chritle trusts. s the orgniztion filing For 99 in lieu of For 141? f "Yes," enter the ount of tx-exept interest received or ccrued during the yer 1 Section 51(c)(9) qulified nonprofit helth insurnce issuers. s the orgniztion licensed to issue qulified helth plns in ore thn one stte? 1 Note. See the instructions for dditionl infortion the orgniztion ust report on Schedule O. Enter the ount of reserves the orgniztion is required to intin y the sttes in which 4E14 1. the orgniztion is licensed to issue qulified helth plns 1 Enter the ount of reserves on hnd 1c Did the orgniztion receive ny pyents for indoor tnning services during the tx yer? f "Yes," hs it filed For 7 to report these pyents? f "No," provide n explntion in Schedule O c c 7e 7f 7g 7h No For 99 (14) PAGE 7

9 For 99 (14) Pge 6 Prt V Governnce, Mngeent, nd Disclosure For ech "Yes" response to lines through 7 elow, nd for "No" response to line 8, 8, or 1 elow, descrie the circustnces, processes, or chnges in Schedule O. See instructions. Check if Schedule O contins response or note to ny line in this Prt V Section A. Governing Body nd Mngeent Enter the nuer of voting eers of the governing ody t the end of the tx yer f there re teril differences in voting rights ong eers of the governing ody, or if the governing ody delegted rod uthority to n executive coittee or siilr coittee, explin in Schedule O. Enter the nuer of voting eers included in line 1, ove, who re independent 1 ny other officer, director, trustee, or key eployee? supervision of officers, directors, or trustees, or key eployees to ngeent copny or other person? Did the orgniztion ke ny significnt chnges to its governing docuents since the prior For 99 ws filed? Did the orgniztion ecoe wre during the yer of significnt diversion of the orgniztion's ssets? Did the orgniztion hve eers or stockholders? one or ore eers of the governing ody? stockholders, or persons other thn the governing ody? Did ny officer, director, trustee, or key eployee hve fily reltionship or usiness reltionship with Did the orgniztion delegte control over ngeent duties custorily perfored y or under the direct Did the orgniztion hve eers, stockholders, or other persons who hd the power to elect or ppoint Are ny governnce decisions of the orgniztion reserved to (or suject to pprovl y) eers, 8 Did the orgniztion conteporneously docuent the eetings held or written ctions undertken during the yer y the following: The governing ody? 8 Ech coittee with uthority to ct on ehlf of the governing ody? 8 9 s there ny officer, director, trustee, or key eployee listed in Prt V, Section A, who cnnot e reched t the orgniztion's iling ddress? f "Yes," provide the nes nd ddresses in Schedule O 9 Section B. Policies (This Section B requests infortion out policies not required y the nternl Revenue Code.) c 16 Did the orgniztion hve locl chpters, rnches, or ffilites? f "Yes," did the orgniztion hve written policies nd procedures governing the ctivities of such chpters, ffilites, nd rnches to ensure their opertions re consistent with the orgniztion's exept purposes? Hs the orgniztion provided coplete copy of this For 99 to ll eers of its governing ody efore filing the for? Descrie in Schedule O the process, if ny, used y the orgniztion to review this For 99. Did the orgniztion hve written conflict of interest policy? f "No," go to line 1 rise to conflicts? descrie in Schedule O how this ws done Did the orgniztion hve written whistlelower policy? Did the orgniztion hve written docuent retention nd destruction policy? Were officers, directors, or trustees, nd key eployees required to disclose nnully interests tht could give Did the orgniztion regulrly nd consistently onitor nd enforce coplince with the policy? f "Yes," Did the process for deterining copenstion of the following persons include review nd pprovl y independent persons, coprility dt, nd conteporneous sustntition of the deliertion nd decision? The orgniztion's CEO, Executive Director, or top ngeent officil Other officers or key eployees of the orgniztion f "Yes" to line 15 or 15, descrie the process in Schedule O (see instructions). Did the orgniztion invest in, contriute ssets to, or prticipte in joint venture or siilr rrngeent with txle entity during the yer? f "Yes," did the orgniztion follow written policy or procedure requiring the orgniztion to evlute its prticiption in joint venture rrngeents under pplicle federl tx lw, nd tke steps to sfegurd the orgniztion's exept sttus with respect to such rrngeents? Section C. Disclosure List the sttes with which copy of this For 99 is required to e filed Section 614 requires n orgniztion to ke its Fors 1 (or 14 if pplicle), 99, nd 99-T (Section 51(c)()s only) ville for pulic inspection. ndicte how you de these ville. Check ll tht pply. Own wesite Another's wesite Upon request Other (explin in Schedule O) Descrie in Schedule O whether (nd if so, how) the orgniztion de its governing docuents, conflict of interest policy, nd finncil stteents ville to the pulic during the tx yer. Stte the ne, ddress, nd telephone nuer of the person who possesses the orgniztion's ooks nd records: KRSTEN NEWBY, CFO 65 C STREET ANCHORAGE, AK For 99 (14) 4E c Yes Yes No No PAGE 8

10 For 99 (14) Pge 7 Prt V Section A. Copenstion of Officers, Directors, Trustees, Key Eployees, Highest Copensted Eployees, nd ndependent Contrctors Check if Schedule O contins response or note to ny line in this Prt V Officers, Directors, Trustees, Key Eployees, nd Highest Copensted Eployees 1 Coplete this tle for ll persons required to e listed. Report copenstion for the clendr yer ending with or within the orgniztion's % tx yer. List ll of the orgniztion's current officers, directors, trustees (whether individuls or orgniztions), regrdless of ount of copenstion. Enter -- in coluns (D), (E), nd (F) if no copenstion ws pid. % List ll of the orgniztion's current key eployees, if ny. See instructions for definition of "key eployee." List the orgniztion's five current highest copensted eployees (other thn n officer, director, trustee, or key eployee) who received reportle copenstion (Box 5 of For W- nd/or Box 7 of For 199-MSC) of ore thn $1, fro the orgniztion nd ny relted orgniztions. % List ll of the orgniztion's forer officers, key eployees, nd highest copensted eployees who received ore thn $1, of reportle copenstion fro the orgniztion nd ny relted orgniztions. % List ll of the orgniztion's forer directors or trustees tht received, in the cpcity s forer director or trustee of the orgniztion, ore thn $1, of reportle copenstion fro the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or directors; institutionl trustees; officers; key eployees; highest copensted eployees; nd forer such persons. Check this ox if neither the orgniztion nor ny relted orgniztion copensted ny current officer, director, or trustee. (C) (A) (B) Position (D) (E) (F) Ne nd Title Averge hours per week (list ny (do not check ore thn one ox, unless person is oth n officer nd director/trustee) hours for relted orgniztions elow dotted line) ndividul trustee or director nstitutionl trustee Officer Key eployee Highest copensted eployee Forer Reportle copenstion fro the orgniztion (W-/199-MSC) Reportle copenstion fro relted orgniztions (W-/199-MSC) Estited ount of other copenstion fro the orgniztion nd relted orgniztions (1) HEATHER FLYNN BOARD MEMBER 1. () JM KOSTRA SECRETARY. () TM THOMPSON BOARD MEMBER 1. (4) LOUS ULMER BOARD MEMBER 1. (5) HEATHER ARNETT BOARD MEMBER 1. (6) EVAN ROSE CHAR 4. (7) LAURA EMERSON BOARD MEMBER 1. (8) MARTN HANOFEE BOARD MEMBER 1. (9) TODD BELL VCE-CHAR. (1) PETER MCHALSK BOARD MEMBER 1. (11) JOHN LEVY TREASURER. (1) JAMES E. KALLMAN BOARD MEMBER 1. (1) NGRD KLNKHART BOARD MEMBER 1. (14) SUSAN URG 1. BOARD MEMBER For 99 (14) 4E PAGE 9

11 For 99 (14) Pge 8 Section A. Officers, Directors, Trustees, Key Eployees, nd Highest Copensted Eployees (continued) Prt V (A) (B) (C) (D) (E) (F) Ne nd title Averge hours per week (list ny hours for relted orgniztions elow dotted line) Position (do not check ore thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key eployee Highest copensted eployee Forer Reportle copenstion fro the orgniztion (W-/199-MSC) Reportle copenstion fro relted orgniztions (W-/199-MSC) Estited ount of other copenstion fro the orgniztion nd relted orgniztions ( 15) BRAN WORTHNGTON 1. BOARD MEMBER ( 16) JANCE JONES 4. DEPUTY DRECTOR 11,17. 7,991. ( 17) GREG SMTH 4. CFO 16,16.,797. ( 18) JULE DECKER 4. CEO/MUSEUM DRECTOR 19,. 47,75. 1 Su-totl c Totl fro continution sheets to Prt V, Section A d Totl (dd lines 1 nd 1c) Totl nuer of individuls (including ut not liited to those listed ove) who received ore thn $1, of reportle copenstion fro the orgniztion Did the orgniztion list ny forer officer, director, or trustee, key eployee, or highest copensted eployee on line 1? f "Yes," coplete Schedule J for such individul 4 For ny individul listed on line 1, is the su of reportle copenstion nd other copenstion fro the orgniztion nd relted orgniztions greter thn $15,? f Yes, coplete Schedule J for such individul 4 5 Did ny person listed on line 1 receive or ccrue copenstion fro ny unrelted orgniztion or individul for services rendered to the orgniztion? f Yes, coplete Schedule J for such person 5 Section B. ndependent Contrctors 49,6. 98, ,6. 98, Coplete this tle for your five highest copensted independent contrctors tht received ore thn $1, of copenstion fro the orgniztion. Report copenstion for the clendr yer ending with or within the orgniztion's tx yer. Yes No ATTACHMENT 1 (A) Ne nd usiness ddress (B) Description of services (C) Copenstion Totl nuer of independent contrctors (including ut not liited to those listed ove) who received ore thn $1, in copenstion fro the orgniztion 6 4E For 99 (14) PAGE 1

12 For 99 (14) Pge 9 Prt V Contriutions, Gifts, Grnts nd Other Siilr Aounts Progr Service Revenue Other Revenue 1 Stteent of Revenue Check if Schedule O contins response or note to ny line in this Prt V Federted cpigns Meership dues c Fundrising events d Relted orgniztions e Governent grnts (contriutions) f All other contriutions, gifts, grnts, nd siilr ounts not included ove 1f g Noncsh contriutions included in lines 1-1f: $ h Totl. Add lines 1-1f c d c 1d 1e Business Code e f All other progr service revenue g Totl. Add lines -f nd other siilr ounts) ncoe fro investent of tx-exept ond proceeds Roylties (i) Rel (ii) Personl Gross rents Less: rentl expenses c Rentl incoe or (loss) d Net rentl incoe or (loss) nvestent incoe (including dividends, interest, Gross ount fro sles of ssets other thn inventory Less: cost or other sis (i) Securities (ii) Other nd sles expenses c Gin or (loss) d Net gin or (loss) 8 of contriutions reported on line 1c). See Prt V, line 18 Less: direct expenses c Net incoe or (loss) fro fundrising events Gross incoe fro ging ctivities. See Prt V, line 19 Less: direct expenses c Net incoe or (loss) fro ging ctivities Gross sles of inventory, less returns nd llownces Less: cost of goods sold ATCH c Net incoe or (loss) fro sles of inventory c Gross incoe fro fundrising events (not including $ Miscellneous Revenue d All other revenue e Totl. Add lines 11-11d 1 Totl revenue. See instructions 4E , ,7. 1,165, ,898,859.,15, ,679. Business Code (A) Totl revenue 19,9,479. (B) Relted or exept function revenue ADMSSONS 999 1,84,998. 1,84,998. PROGRAM PROJECTS ,46. 7,46. 8,7. 17,77. 1,757,44. (C) Unrelted usiness revenue (D) Revenue excluded fro tx under sections ,6. 1,6. ATCH 9,96. 9,96. 1,45. 1,8, ,9. 1,45. 1,45. 7,188. 7,188. NDRECT COST REMBURSEMENT , ,147. NET FACLTES REVENUE ,4. 17,4. OTHER REVENUE 999,51.,51. 17,8. 1,14,541. 1,87,4. 87,6. For 99 (14) PAGE 11

13 For 99 (14) Pge 1 Prt Stteent of Functionl Expenses Section 51(c)() nd 51(c)(4) orgniztions ust coplete ll coluns. All other orgniztions ust coplete colun (A). Check if Schedule O contins response or note to ny line in this Prt Do not include ounts reported on lines 6, 7, 8, 9, nd 1 of Prt V. 1 Grnts nd other ssistnce to doestic orgniztions nd doestic governents. See Prt V, line 1 Grnts nd other ssistnce to doestic individuls. See Prt V, line Grnts nd other ssistnce to foreign orgniztions, foreign governents, nd foreign individuls. See Prt V, lines 15 nd 16 4 Benefits pid to or for eers 5 Copenstion of current officers, directors, trustees, nd key eployees 6 Copenstion not included ove, to disqulified persons (s defined under section 4958(f)(1)) nd persons descried in section 4958(c)()(B) 7 Other slries nd wges 8 Pension pln ccruls nd contriutions (include 9 section 41(k) nd 4() eployer contriutions) Other eployee enefits Pyroll txes 1 11 Fees for services (non-eployees): Mngeent Legl c Accounting d Loying e Professionl fundrising services. See Prt V, line 17 f g c d nvestent ngeent fees Other. (f line 11g ount exceeds 1% of line 5, colun (A) ount, list line 11g expenses on Schedule O.) Advertising nd prootion Office expenses nfortion technology Roylties Occupncy Trvel Pyents of trvel or entertinent expenses for ny federl, stte, or locl pulic officils Conferences, conventions, nd eetings nterest Pyents to ffilites Deprecition, depletion, nd ortiztion nsurnce Other expenses. teize expenses not covered ove (List iscellneous expenses in line 4e. f line 4e ount exceeds 1% of line 5, colun (A) ount, list line 4e expenses on Schedule O.) e All other expenses 5 Totl functionl expenses. Add lines 1 through 4e 6 Joint costs. Coplete this line only if the orgniztion reported in colun (B) joint costs fro coined eductionl cpign nd fundrising solicittion. Check here if following SOP 98- (ASC 958-7) (A) (B) (C) (D) Totl expenses Progr service Mngeent nd Fundrising expenses generl expenses expenses For 99 (14) 4E , ,57.,61.,75,4.,44, ,49. 7,78. 89,. 6,6. 1,97. 49, ,. 7,566. 6, ,57. 44, ,58.,.,11. 44,97. 9, ,95. 4,991. 4,991. 4,. 4,. 11, , ,41. 5,5. 5, , ,7. 9,67., ,888. 5, ,566.,411. 9,588. 9,588. 1,991,41. 1,97,484. 7,96. 1,5. 15,49. 1,7.,66. 1,58. 16,4. 15,95. 1, ,11. CONTRACT SERVCES 1,71,49. 1,4,95. 64,519.,48. PROGRAM SUPPLES 5,8. 5,8. SHPPNG & FREGHT 181, ,98. EQUPMENT PURCHASES 14, , ,69. 16,141. 9,549. 9,999,576. 8,51,414. 1,7, ,6. PAGE 1

14 For 99 (14) Pge 11 Prt Blnce Sheet Check if Schedule O contins response or note to ny line in this Prt (A) (B) Beginning of yer End of yer Assets Liilities Net Assets or Fund Blnces Csh - non-interest-ering Svings nd teporry csh investents Pledges nd grnts receivle, net Accounts receivle, net Lons nd other receivles fro current nd forer officers, directors, trustees, key eployees, nd highest copensted eployees. Coplete Prt of Schedule L Lons nd other receivles fro other disqulified persons (s defined under section 4958(f)(1)), persons descried in section 4958(c)()(B), nd contriuting eployers nd sponsoring orgniztions of section 51(c)(9) voluntry eployees' eneficiry orgniztions (see instructions). Coplete Prt of Schedule L Notes nd lons receivle, net nventories for sle or use Prepid expenses nd deferred chrges Lnd, uildings, nd equipent: cost or other sis. Coplete Prt V of Schedule D 1 Less: ccuulted deprecition 1 nvestents - pulicly trded securities nvestents - other securities. See Prt V, line 11 nvestents - progr-relted. See Prt V, line 11 ntngile ssets Other ssets. See Prt V, line 11 Totl ssets. Add lines 1 through 15 (ust equl line 4) Accounts pyle nd ccrued expenses Grnts pyle Deferred revenue Tx-exept ond liilities Escrow or custodil ccount liility. Coplete Prt V of Schedule D Lons nd other pyles to current nd forer officers, directors, trustees, key eployees, highest copensted eployees, nd disqulified persons. Coplete Prt of Schedule L Secured ortgges nd notes pyle to unrelted third prties Unsecured notes nd lons pyle to unrelted third prties Other liilities (including federl incoe tx, pyles to relted third prties, nd other liilities not included on lines 17-4). Coplete Prt of Schedule D Totl liilities. Add lines 17 through 5 Orgniztions tht follow SFAS 117 (ASC 958), check here nd coplete lines 7 through 9, nd lines nd 4. Unrestricted net ssets Teporrily restricted net ssets Pernently restricted net ssets Orgniztions tht do not follow SFAS 117 (ASC 958), check here nd coplete lines through 4. Cpitl stock or trust principl, or current funds Pid-in or cpitl surplus, or lnd, uilding, or equipent fund Retined ernings, endowent, ccuulted incoe, or other funds Totl net ssets or fund lnces Totl liilities nd net ssets/fund lnces 44,94. 4,555,49. 5,967,47., ,67. 6,47,4. 15,864,78. 45, , , ,7. 6,15. 1c 11,411,1. 54,49., ,99.,71,179. 1,68,57. 8, , ,96,891. 4,4, ,7,91. 6,87, ,41, ,848, ,411, ,974,88.,71,179. For 99 (14) 4E15 1. PAGE 1

15 For 99 (14) Pge 1 Prt Prt Reconcilition of Net Assets Check if Schedule O contins response or note to ny line in this Prt Totl revenue (ust equl Prt V, colun (A), line 1) 1 Totl expenses (ust equl Prt, colun (A), line 5) Revenue less expenses. Sutrct line fro line 1 Net ssets or fund lnces t eginning of yer (ust equl Prt, line, colun (A)) 4 Net unrelized gins (losses) on investents 5 Donted services nd use of fcilities 6 nvestent expenses 7 Prior period djustents 8 Other chnges in net ssets or fund lnces (explin in Schedule O) 9 Net ssets or fund lnces t end of yer. Coine lines through 9 (ust equl Prt, line, colun (B)) 1 Finncil Stteents nd Reporting Check if Schedule O contins response or note to ny line in this Prt 1 Accounting ethod used to prepre the For 99: Csh Accrul Other f the orgniztion chnged its ethod of ccounting fro prior yer or checked "Other," explin in Schedule O. Were the orgniztion's finncil stteents copiled or reviewed y n independent ccountnt? f "Yes," check ox elow to indicte whether the finncil stteents for the yer were copiled or reviewed on seprte sis, consolidted sis, or oth: Seprte sis Consolidted sis Both consolidted nd seprte sis Were the orgniztion's finncil stteents udited y n independent ccountnt? f "Yes," check ox elow to indicte whether the finncil stteents for the yer were udited on seprte sis, consolidted sis, or oth: Seprte sis Consolidted sis Both consolidted nd seprte sis c f "Yes" to line or, does the orgniztion hve coittee tht ssues responsiility for oversight of the udit, review, or copiltion of its finncil stteents nd selection of n independent ccountnt? f the orgniztion chnged either its oversight process or selection process during the tx yer, explin in Schedule O. As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in the Single Audit Act nd OMB Circulr A-1? f "Yes," did the orgniztion undergo the required udit or udits? f the orgniztion did not undergo the required udit or udits, explin why in Schedule O nd descrie ny steps tken to undergo such udits. 1,14,541. 9,999, ,14,965. 1,848, ,974,88. c Yes No For 99 (14) 4E PAGE 14

16 SCHEDULE A Pulic Chrity Sttus nd Pulic Support OMB No (For 99 or 99-EZ) Coplete if the orgniztion is section 51(c)() orgniztion or section 4947()(1) nonexept chritle trust. À¾µ Deprtent of the Tresury Attch to For 99 or For 99-EZ. Open to Pulic nternl Revenue Service nfortion out Schedule A (For 99 or 99-EZ) nd its instructions is t nspection Ne of the orgniztion Eployer identifiction nuer ANCHORAGE MUSEUM ASSOCATON Prt Reson for Pulic Chrity Sttus (All orgniztions ust coplete this prt.) See instructions. The orgniztion is not privte foundtion ecuse it is: (For lines 1 through 11, check only one ox.) 1 4 A church, convention of churches, or ssocition of churches descried in section 17()(1)(A)(i). A school descried in section 17()(1)(A)(ii). (Attch Schedule E.) A hospitl or coopertive hospitl service orgniztion descried in section 17()(1)(A)(iii). A edicl reserch orgniztion operted in conjunction with hospitl descried in section 17()(1)(A)(iii). Enter the hospitl's ne, city, nd stte: 5 An orgniztion operted for the enefit of college or university owned or operted y governentl unit descried in section 17()(1)(A)(iv). (Coplete Prt.) A federl, stte, or locl governent or governentl unit descried in section 17()(1)(A)(v). An orgniztion tht norlly receives sustntil prt of its support fro governentl unit or fro the generl pulic descried in section 17()(1)(A)(vi). (Coplete Prt.) A counity trust descried in section 17()(1)(A)(vi). (Coplete Prt.) An orgniztion tht norlly receives: (1) ore thn 1/ % of its support fro contriutions, eership fees, nd gross receipts fro ctivities relted to its exept functions - suject to certin exceptions, nd () no ore thn 1/ % of its support fro gross investent incoe nd unrelted usiness txle incoe (less section 511 tx) fro usinesses cquired y the orgniztion fter June, See section 59()(). (Coplete Prt.) An orgniztion orgnized nd operted exclusively to test for pulic sfety. See section 59()(4). An orgniztion orgnized nd operted exclusively for the enefit of, to perfor the functions of, or to crry out the purposes of one or ore pulicly supported orgniztions descried in section 59()(1) or section 59()(). See section 59()(). Check the ox in lines 11 through 11d tht descries the type of supporting orgniztion nd coplete lines 11e, 11f, nd 11g. (A) c d e f g Type. A supporting orgniztion operted, supervised, or controlled y its supported orgniztion(s), typiclly y giving the supported orgniztion(s) the power to regulrly ppoint or elect jority of the directors or trustees of the supporting orgniztion. You ust coplete Prt V, Sections A nd B. Type. A supporting orgniztion supervised or controlled in connection with its supported orgniztion(s), y hving control or ngeent of the supporting orgniztion vested in the se persons tht control or nge the supported orgniztion(s). You ust coplete Prt V, Sections A nd C. Type functionlly integrted. A supporting orgniztion operted in connection with, nd functionlly integrted with, its supported orgniztion(s) (see instructions). You ust coplete Prt V, Sections A, D, nd E. Type non-functionlly integrted. A supporting orgniztion operted in connection with its supported orgniztion(s) tht is not functionlly integrted. The orgniztion generlly ust stisfy distriution requireent nd n ttentiveness requireent (see instructions). You ust coplete Prt V, Sections A nd D, nd Prt V. Check this ox if the orgniztion received written deterintion fro the RS tht it is Type, Type, Type functionlly integrted, or Type non-functionlly integrted supporting orgniztion. Enter the nuer of supported orgniztions Provide the following infortion out the supported orgniztion(s). (i) Ne of supported orgniztion (ii) EN (iii) Type of orgniztion (descried on lines 1-9 ove or RC section (see instructions)) (iv) s the orgniztion listed in your governing docuent? Yes No (v) Aount of onetry support (see instructions) (vi) Aount of other support (see instructions) (B) (C) (D) (E) Totl For Pperwork Reduction Act Notice, see the nstructions for For 99 or 99-EZ. 4E11. Schedule A (For 99 or 99-EZ) 14 PAGE 15

17 Schedule A (For 99 or 99-EZ) 14 Pge Prt Support Schedule for Orgniztions Descried in Sections 17()(1)(A)(iv) nd 17()(1)(A)(vi) (Coplete only if you checked the ox on line 5, 7, or 8 of Prt or if the orgniztion filed to qulify under Prt. f the orgniztion fils to qulify under the tests listed elow, plese coplete Prt.) Section A. Pulic Support Clendr yer (or fiscl yer eginning in) 1 Gifts, grnts, contriutions, nd eership fees received. (Do not include ny "unusul grnts.") Tx revenues levied for the orgniztion's enefit nd either pid to or expended on its ehlf The vlue of services or fcilities furnished y governentl unit to the orgniztion without chrge 4 Totl. Add lines 1 through 5 The portion of totl contriutions y ech person (other thn governentl unit or pulicly supported orgniztion) included on line 1 tht exceeds % of the ount shown on line 11, colun (f) 6 Pulic support. Sutrct line 5 fro line 4. 7 Aounts fro line 4 8 Gross incoe fro interest, dividends, pyents received on securities lons, rents, roylties nd incoe fro siilr sources Section B. Totl Support Clendr yer (or fiscl yer eginning in) 9 Net incoe fro unrelted usiness ctivities, whether or not the usiness is regulrly crried on 1 Other incoe. Do not include gin or loss fro the sle of cpitl ssets () 1 () 11 (c) 1 (d) 1 (e) 14 (f) Totl () 1 () 11 (c) 1 (d) 1 (e) 14 (f) Totl (Explin in Prt V.) 11 Totl support. Add lines 7 through 1 1 Gross receipts fro relted ctivities, etc. (see instructions) 1 1 First five yers. f the For 99 is for the orgniztion's first, second, third, fourth, or fifth tx yer s section 51(c)() orgniztion, check this ox nd stop here Section C. Coputtion of Pulic Support Percentge 14 Pulic support percentge for 14 (line 6, colun (f) divided y line 11, colun (f)) Pulic support percentge fro 1 Schedule A, Prt, line / % support test f the orgniztion did not check the ox on line 1, nd line 14 is 1/ % or ore, check this ox nd stop here. The orgniztion qulifies s pulicly supported orgniztion 1/ % support test - 1. f the orgniztion did not check ox on line 1 or 16, nd line 15 is 1/ % or ore, check this ox nd stop here. The orgniztion qulifies s pulicly supported orgniztion 17 9,1,46. 7,888,77. 6,54,67. 1,18,65. 19,9, ,76,. 9,1,46. 7,888,77. 6,54,67. 1,18,65. 19,9, ,76,. 1%-fcts-nd-circustnces test f the orgniztion did not check ox on line 1, 16, or 16, nd line 14 is 1% or ore, nd if the orgniztion eets the "fcts-nd-circustnces" test, check this ox nd stop here. Explin in Prt V how the orgniztion eets the "fcts-nd-circustnces test. The orgniztion qulifies s pulicly supported orgniztion 1%-fcts-nd-circustnces test - 1. f the orgniztion did not check ox on line 1, 16, 16, or 17, nd line 15 is 1% or ore, nd if the orgniztion eets the "fcts-nd-circustnces" test, check this ox nd stop here. Explin in Prt V how the orgniztion eets the "fcts-nd-circustnces" test. The orgniztion qulifies s pulicly supported orgniztion 18 Privte foundtion. f the orgniztion did not check ox on line 1, 16, 16, 17, or 17, check this ox nd see instructions 98.7 % 98. % Schedule A (For 99 or 99-EZ) 14 8,61. 54,74,4. 9,1,46. 7,888,77. 6,54,67. 1,18,65. 19,9, ,76,. 16,547. 4,5. 9,66. 5,95. 1,6. 46,84. 19,5.,947. 1,86. 56,4. 17,98. 49, ,755. 7, , , ,457,69. 1,44,64. 4E1. PAGE 16

2001 Attachment Sequence No. 118

2001 Attachment Sequence No. 118 Form Deprtment of the Tresury Internl Revenue Service Importnt: Return of U.S. Persons With Respect to Certin Foreign Prtnerships Attch to your tx return. See seprte instructions. Informtion furnished

More information

17643L 3947 12/9/2015 1:28:02 PM V 14-7.8F 25879 PAGE 2

17643L 3947 12/9/2015 1:28:02 PM V 14-7.8F 25879 PAGE 2 For 99 (1) Pge Prt Stteent of Progr Servie Aoplishents Chek if Shedule O ontins response or note to ny line in this Prt 1 Briefly desrie the orgniztion's ission: ATTACHMENT 1 RAPE, ABUSE & NCEST NATONAL

More information

Your duty, however, does not require disclosure of matter:

Your duty, however, does not require disclosure of matter: Your Duty of Disclosure Before you enter into contrct of generl insurnce with n insurer, you hve duty, under the Insurnce Contrcts Act 1984 (Cth), to disclose to the insurer every mtter tht you know, or

More information

Teen Rescue Foundation

Teen Rescue Foundation Teen Rescue Foundtion Trust Deed Contents 1 Nme 2 2 Definitions nd interprettion 2 2.1 Definitions... 2 2.2 Interprettion... 4 2.3 Hedings... 5 3 Declrtion of trust 5 4 Trust Purpose 5 4.1 Pyment nd ppliction

More information

Pre-Approval Application

Pre-Approval Application Pre-Approvl Appliction In tody s rel estte mrket, Pre-Approved mortgge provides you the buyer with powerful tool in the home purchse process! Once you hve received your Pre-Approvl, you cn shop for your

More information

Template convertible loan agreement. User notes

Template convertible loan agreement. User notes Templte convertile lon greement User notes This is simple convertile lon greement intended to e used when shreholder lends money to compny, generlly s form of ridging finnce until n expected event tkes

More information

GATEWAY HOMES, INC 11901 REEDY BRANCH ROAD CHESTERFIELD, VA 23838 GATEWAY HOMES, INC: ENCLOSED IS THE ORGANIZATION S 2012 EXEMPT ORGANIZATION RETURN.

GATEWAY HOMES, INC 11901 REEDY BRANCH ROAD CHESTERFIELD, VA 23838 GATEWAY HOMES, INC: ENCLOSED IS THE ORGANIZATION S 2012 EXEMPT ORGANIZATION RETURN. GATEWAY HOMES, INC 11901 REEDY BRANCH ROAD CHESTERFIELD, VA 88 GATEWAY HOMES, INC: ENCLOSED IS THE ORGANIZATION S 01 EEMPT ORGANIZATION RETURN. SPECIFIC FILING INSTRUCTIONS ARE AS FOLLOWS. FORM 990 RETURN:

More information

MARCH OF DIMES FOUNDATION FORM 990 TAX YEAR 2014

MARCH OF DIMES FOUNDATION FORM 990 TAX YEAR 2014 MARCH OF DMES FOUNDATON FORM 99 TA YEAR 4 OMB. 545-47 Return of Organization Exept Fro ncoe Tax For 99 Under section 5(c), 57, or 4947(a)() of the nternal Revenue Code (except private foundations) À¾µ

More information

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

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

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service PUBLIC INSPECTION COPY OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Do

More information

BUSINESS OWNERS PACKAGE INSURANCE APPLICATION

BUSINESS OWNERS PACKAGE INSURANCE APPLICATION BUSINESS OWNERS PACKAGE INSURANCE APPLICATION Progrm ville through: CAMICO Insurnce Services Tel: 800.652.1772 Prt 1: Generl Informtion 1. Firm Nme: 2. Contct Person: (Person designted nd uthorized y the

More information

Combined Liability Insurance. Information and Communication Technology Proposal form

Combined Liability Insurance. Information and Communication Technology Proposal form Comined Liility Insurnce Informtion nd Communiction Technology Proposl form Comined Liility Insurnce Informtion nd Communiction Technology - Proposl form This proposl form must e completed nd signed y

More information

Return of Organization Exempt From Income Tax

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

More information

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY PUBLIC DISCLOSURE COPY TA RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ Deemer, 0 Prepred for Prepred y Amount due or refund Mke hek pyle to Mil

More information

European Convention on Certain International Aspects of Bankruptcy

European Convention on Certain International Aspects of Bankruptcy Europen Trety Series - No. 136 Europen Convention on Certin Interntionl Aspects of Bnkruptcy Istnul, 5.VI.1990 Premle The memer Sttes of the Council of Europe, signtories hereto, Considering tht the im

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

BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) THEFREE20140001

BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) THEFREE20140001 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bnk nd Finnil Aounts (FBAR) THEFREE0000 Version Numer:. FinCEN Form OMB Control Numer: 0-0009 Effetive Jnury, 0 Filing Nme THE FREEDOM

More information

MINNESOTA 4-H FOUNDATION

MINNESOTA 4-H FOUNDATION MINNESOTA -H FOUNDATION 990 Return Puli Inspetion Copy For the Yer Ended June 0, 0 00 INWOOD AVENUE NORTH SUITE 0 OAKDALE, MN 8 TEL: () -80 FA: () - www.kinshenke.om ** PUBLIC DISCLOSURE COPY ** OMB. -007

More information

PUBLIC DISCLOSURE COPY 05481017 793760 2127 2011.04030 JAMES A. MICHENER ART MUSEU 2127 1

PUBLIC DISCLOSURE COPY 05481017 793760 2127 2011.04030 JAMES A. MICHENER ART MUSEU 2127 1 Cution: Forms printed from within Adoe Arot produts my not meet IRS or stte txing geny speifitions. When using Arot.x produts, unhek the "Shrink oversized pges to pper size" nd unhek the "Expnd smll pges

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ETENDED TO NOVEMBER 6, 0 OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 0(), 7, or 97()() of the Internl Revenue Code (exept privte foundtions) 0 Deprtment of the Tresury Internl

More information

ENCLOSED ARE THE ORGANIZATION'S 2014 EXEMPT ORGANIZATION RETURNS. THE PAPER FILED RETURN(S) SHOULD BE SIGNED, DATED, AND MAILED, AS INDICATED.

ENCLOSED ARE THE ORGANIZATION'S 2014 EXEMPT ORGANIZATION RETURNS. THE PAPER FILED RETURN(S) SHOULD BE SIGNED, DATED, AND MAILED, AS INDICATED. CHILD, INC. 88 E. RD STREET AUSTIN, T 787 ATTENTION: ALBERT L. BLACK DEAR MR. BLACK: ENCLOSED ARE THE ORGANIZATION'S 0 EEMPT ORGANIZATION RETURNS. THE PAPER FILED RETURN(S) SHOULD BE SIGNED, DATED, AND

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

ROGERS, ANDERSON, MALODY & SCOTT, LLP CPAS 735 E. CARNEGIE DRIVE, SUITE 100 SAN BERNARDINO, CA 92408 (909) 889-0871

ROGERS, ANDERSON, MALODY & SCOTT, LLP CPAS 735 E. CARNEGIE DRIVE, SUITE 100 SAN BERNARDINO, CA 92408 (909) 889-0871 ROGERS, ANDERSON, MALODY & SCOTT, LLP CPAS 7 E. CARNEGIE DRIVE, SUITE 00 SAN BERNARDINO, CA 908 (909) 889-087 APRIL 8, 0 UNIVERSITY ENTERPRISES CORPORATION AT CSUSB 00 UNIVERSITY PARKWAY SAN BERNARDINO,

More information

AMERICAN ACADEMY OF FAMILY PHYSICIANS FOUNDATION FORM 990 TAX YEAR 2013

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

More information

S a l e s Ta x, U s e Ta x, I n c o m e Ta x W i t h h o l d i n g a n d M i c h i g a n B u s i n e s s Ta x E s t i m a t e s

S a l e s Ta x, U s e Ta x, I n c o m e Ta x W i t h h o l d i n g a n d M i c h i g a n B u s i n e s s Ta x E s t i m a t e s 78 (Rev. 8-08) S l e s T x, U s e T x, I n c o m e T x W i t h h o l d i n g n d M i c h i g n B u s i n e s s T x E s t i m t e s Forms nd Instructions Cll (517) 636-4730 or visit Tresury s Web site t

More information

Features. This document is part of the Terms and Conditions for Personal Bank Accounts. 16-20 Barolin St, PO Box 1063 Bundaberg Queensland 4670

Features. This document is part of the Terms and Conditions for Personal Bank Accounts. 16-20 Barolin St, PO Box 1063 Bundaberg Queensland 4670 S This document is prt of the Terms nd Conditions for Personl Bnk Accounts Issued y Auswide Bnk Ltd ABN 40 087 652 060/Austrlin Finncil Services & Austrlin Credit Licence 239686 Effective from Jnury 18

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax PUBLIC DISCLOSURE COPY Form 99 Return of Orgniztion Exempt From Inome Tx Uner setion 51, 527, or 4947(1) of the Internl Revenue Coe (exept privte fountions) OMB 1545-47 Do not enter Soil Seurity numers

More information

Guide for completing the CMS-1500 (Professional Claims) Form

Guide for completing the CMS-1500 (Professional Claims) Form Guide for completing the CMS-100 (Professionl Clims) Form CCStp nd its ffilites offer this guide to help you complete the CMS-100 form for your ptients with CCStp coverge. In the event illing procedures

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

In addition, the following elements form an integral part of the Agency strike prevention plan:

In addition, the following elements form an integral part of the Agency strike prevention plan: UNITED STTES DEPRTMENT OF GRICULTURE Wshington, DC 20250 Federl Grin Inspection Service FGIS Directive 4711.2 6/16/80 STRIKE PREVENTION ND STRIKE CONTINGENCY PLNS I PURPOSE This Instruction: Estlishes

More information

Young Women s Christian Association of Form 990 (2014) Northwest Georgia, Inc 58-0617782

Young Women s Christian Association of Form 990 (2014) Northwest Georgia, Inc 58-0617782 Young Women s Christin Assoition of Form 990 (0) rthwest Georgi, In 8-0778 Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service OMB. 1-007 Return of Orgniztion Exempt From Inome Tx Form 990 Under setion 01(), 7, or 97()(1) of the Internl Revenue Code (exept privte foundtions) 01 Deprtment of the Tresury Do not enter Soil Seurity

More information

GENERAL APPLICATION FOR FARM CLASSIFICATION

GENERAL APPLICATION FOR FARM CLASSIFICATION SCHEDULE 1 (section 1) Plese return to: DEADLINE: Plese return this form to your locl BC Assessment office y Octoer 31. Assessment Roll Numer(s) GENERAL APPLICATION FOR FARM CLASSIFICATION Section 23 (1)

More information

5.6 POSITIVE INTEGRAL EXPONENTS

5.6 POSITIVE INTEGRAL EXPONENTS 54 (5 ) Chpter 5 Polynoils nd Eponents 5.6 POSITIVE INTEGRAL EXPONENTS In this section The product rule for positive integrl eponents ws presented in Section 5., nd the quotient rule ws presented in Section

More information

Small Businesses Decisions to Offer Health Insurance to Employees

Small Businesses Decisions to Offer Health Insurance to Employees Smll Businesses Decisions to Offer Helth Insurnce to Employees Ctherine McLughlin nd Adm Swinurn, June 2014 Employer-sponsored helth insurnce (ESI) is the dominnt source of coverge for nonelderly dults

More information

COMPLEX FRACTIONS. section. Simplifying Complex Fractions

COMPLEX FRACTIONS. section. Simplifying Complex Fractions 58 (6-6) Chpter 6 Rtionl Epressions undles tht they cn ttch while working together for 0 hours. 00 600 6 FIGURE FOR EXERCISE 9 95. Selling. George sells one gzine suscription every 0 inutes, wheres Theres

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

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

Health insurance exchanges What to expect in 2014

Health insurance exchanges What to expect in 2014 Helth insurnce exchnges Wht to expect in 2014 33096CAEENABC 11/12 The bsics of exchnges As prt of the Affordble Cre Act (ACA or helth cre reform lw), strting in 2014 ALL Americns must hve minimum mount

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Deprtment of the Tresury Internl Revenue Servie Return of Orgniztion Exempt From Inome Tx Uner setion 501(), 527, or 4947()(1) of the Interni Revenue Coe (exept lk lung enefit trust or privte

More information

Quick Reference Guide: One-time Account Update

Quick Reference Guide: One-time Account Update Quick Reference Guide: One-time Account Updte How to complete The Quick Reference Guide shows wht existing SingPss users need to do when logging in to the enhnced SingPss service for the first time. 1)

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

Guide to Reading Your Morgan Stanley Smith Barney Statement

Guide to Reading Your Morgan Stanley Smith Barney Statement Guide to Reding Your Morgn Stnley Smith Brney Sttement Your Morgn Stnley Smith Brney ( MSSB ) ccount sttement is vluble nd, powerful resource tht provides you with the informtion you need to prtner with

More information

Health insurance marketplace What to expect in 2014

Health insurance marketplace What to expect in 2014 Helth insurnce mrketplce Wht to expect in 2014 33096VAEENBVA 06/13 The bsics of the mrketplce As prt of the Affordble Cre Act (ACA or helth cre reform lw), strting in 2014 ALL Americns must hve minimum

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

City of Dade City AGENDA MEMO. participants permitted. participants Currently as the plan was approved loans to are not

City of Dade City AGENDA MEMO. participants permitted. participants Currently as the plan was approved loans to are not City of Dde City AGENDA MEMO To From Honorble Myor nd Members ofthe City Commission Willim C Poe Jr City Mnger Subject Request to chnge Section74 ofthe Ntionwide 40 pln to llow lons to prticipnts Dte August

More information

Health insurance exchanges What to expect in 2014

Health insurance exchanges What to expect in 2014 Helth insurnce exchnges Wht to expect in 2014 33096CAEENABC 02/13 The bsics of exchnges As prt of the Affordble Cre Act (ACA or helth cre reform lw), strting in 2014 ALL Americns must hve minimum mount

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

How To Write A Jcc Letter

How To Write A Jcc Letter JOINT CONCILIATION COMMITTEE OF THE HEATING, VENTILATING AND DOMESTIC ENGINEERING INDUSTRY COMPRISING: 107 Building & Engineering Services Assocition (B&ES) (formerly Heting nd Ventilting Contrctors' Assocition

More information

Move, Inc. 2010 Citi EMT Conference January 5, 2010

Move, Inc. 2010 Citi EMT Conference January 5, 2010 Move, Inc. 2010 Citi EMT Conference Jnury 5, 2010 Sfe Hrbor Sttement 2 This presenttion my contin forwrd-looking sttements, including informtion bout mngement s view of Move s future expecttions, plns

More information

UNITED STATES DEPARTMENT OF AGRICULTURE Washington, D.C. 20250. ACTION BY: All Divisions and Offices. FGIS Directive 2510.

UNITED STATES DEPARTMENT OF AGRICULTURE Washington, D.C. 20250. ACTION BY: All Divisions and Offices. FGIS Directive 2510. UNITED STATES DEPARTMENT OF AGRICULTURE Wshington, D.C. 20250 ACTION BY: All Divisions nd Offices FGIS Directive 2510.1 12-11-73 FEDERAL TORT CLAIMS I PURPOSE This Instruction: A Sets forth the bsic provisions

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

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

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

QUESTIONNAIRE. 1. Your Name: 2. Age-group: Below 25 years 26-35 years. 3. Gender : Male Female. 4. Education : H.S.C or Below H.S.C.

QUESTIONNAIRE. 1. Your Name: 2. Age-group: Below 25 years 26-35 years. 3. Gender : Male Female. 4. Education : H.S.C or Below H.S.C. QUESTIONNAIRE A. PERSONAL DETAILS: 1. Your Nme: 2. Age-group: Below 25 yers 26-35 yers 36-45 yers Over 45 yers 3. Gender : Mle Femle 4. Eduction : H.S.C or Below H.S.C. Grdution Post-Grdution Any other

More information

Additional Protocol to the Convention on Human Rights and Biomedicine concerning Genetic Testing for Health Purposes

Additional Protocol to the Convention on Human Rights and Biomedicine concerning Genetic Testing for Health Purposes Council of Europe Trety Series - No. 203 Additionl Protocol to the Convention on Humn Rights nd Biomedicine concerning Genetic Testing for Helth Purposes Strsourg, 27.XI.2008 2 CETS 203 Humn Rights nd

More information

PETER M. ROSS 22 Four Oaks Crescent London, Ontario N6J 4B7 Telephone: 51 9-661-4005/Facsimile: 5 19-471-0085 Email: pmross@,uwo.

PETER M. ROSS 22 Four Oaks Crescent London, Ontario N6J 4B7 Telephone: 51 9-661-4005/Facsimile: 5 19-471-0085 Email: pmross@,uwo. PETER M. ROSS 22 Four Oks Crescent London, Ontrio N6J 4B7 Telephone: 51 9-661-4005/Fcsimile: 5 19-471-0085 Emil: pmross@,uwo.c April 2lS', 2005 Corportion of the City of London City Clerk's Office Room

More information

LEGISLATIVE BUDGET SYSTEM BUDGET COMPARISON WORKSHEET EXPLANATION A W

LEGISLATIVE BUDGET SYSTEM BUDGET COMPARISON WORKSHEET EXPLANATION A W LEGISLTIVE UDGET SYSTEM UDGET COMPRISON ORKSHEET Page 1 of 24 Program ID: JUD101 Structure #: 010101000000 COURTS OF PPEL JUDICIRY SEQ # EXPLNTION FIRST FY SECOND FY EXPLNTION 79.00 6,429,114 79.00 6,429,114

More information

The Morgan Stanley FTSE Protected Growth Plan. Investor Pack

The Morgan Stanley FTSE Protected Growth Plan. Investor Pack The Morgn Stnley FTSE Protected Growth Pln Investor Pck The Morgn Stnley FTSE Protected Growth Pln Introduction The current investment environment with its extreme levels of uncertinty nd voltility, mkes

More information

Pay over time with low monthly payments. Types of Promotional Options that may be available: *, ** See Page 10 for details

Pay over time with low monthly payments. Types of Promotional Options that may be available: *, ** See Page 10 for details With CreCredit... Strt cre immeditely Py over time with low monthly pyments For yourself nd your fmily Types of Promotionl Options tht my be vilble: Not ll enrolled helthcre prctices offer ll specil finncing

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

PROTOCOL No. 11 TO THE CONVENTION FOR THE PROTECTION OF HUMAN RIGHTS AND FUNDAMENTAL FREEDOMS, RESTRUCTURING THE CONTROL MACHINERY ESTABLISHED THEREBY

PROTOCOL No. 11 TO THE CONVENTION FOR THE PROTECTION OF HUMAN RIGHTS AND FUNDAMENTAL FREEDOMS, RESTRUCTURING THE CONTROL MACHINERY ESTABLISHED THEREBY Europen Trety Series - No. 155 PROTOCOL No. 11 TO THE CONVENTION FOR THE PROTECTION OF HUMAN RIGHTS AND FUNDAMENTAL FREEDOMS, RESTRUCTURING THE CONTROL MACHINERY ESTABLISHED THEREBY Strsourg, 11.V.1994

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

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

NQF Level: 2 US No: 7480

NQF Level: 2 US No: 7480 NQF Level: 2 US No: 7480 Assessment Guide Primry Agriculture Rtionl nd irrtionl numers nd numer systems Assessor:.......................................... Workplce / Compny:.................................

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

THE FOLLOWING QUESTIONS WERE ASKED DURING THE DISASTER APPLICATION WORKSHOP OR IMMEDIATELY THEREAFTER.

THE FOLLOWING QUESTIONS WERE ASKED DURING THE DISASTER APPLICATION WORKSHOP OR IMMEDIATELY THEREAFTER. WORKSHOP UESTIONS THE FOLLOWING UESTIONS WERE SKED DURING THE DISSTER PPLICTION WORKSHOP OR IMMEDITELY THEREFTER. GENERL INFORMTION HOW WILL DC DETERMINE THT PROJECT IS RELTED TO HURRICNE DMGE? BY SUBMITTING

More information

Form 990 (2011) Page 2

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

More information

TAX RETURN FILING INSTRUCTIONS

TAX RETURN FILING INSTRUCTIONS TA RETURN FILING INSTRUCTIONS FORM 990 FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ JUNE 0, 01 Prepre for Prepre y Amount ue or refun Mke hek pyle to Mil tx return n hek (if pplile) to UNITED WAY OF GRAYSON COUNTY,

More information

Note: Principal version Modification Amendment Equivalence list Consolidated version from October 1 2014

Note: Principal version Modification Amendment Equivalence list Consolidated version from October 1 2014 Note: The following curriculum is consolidted version. It is leglly non-inding nd for informtionl purposes only. The leglly inding versions re found in the University of Innsruck Bulletins (in Germn).

More information

FDIC Study of Bank Overdraft Programs

FDIC Study of Bank Overdraft Programs FDIC Study of Bnk Overdrft Progrms Federl Deposit Insurnce Corportion November 2008 Executive Summry In 2006, the Federl Deposit Insurnce Corportion (FDIC) initited two-prt study to gther empiricl dt on

More information

DlNBVRGH + Sickness Absence Monitoring Report. Executive of the Council. Purpose of report

DlNBVRGH + Sickness Absence Monitoring Report. Executive of the Council. Purpose of report DlNBVRGH + + THE CITY OF EDINBURGH COUNCIL Sickness Absence Monitoring Report Executive of the Council 8fh My 4 I.I...3 Purpose of report This report quntifies the mount of working time lost s result of

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Uner setion 01(), 7, or 97()(1) of the Internl Revenue Coe (exept lk lung enefit trust or privte fountion) Deprtment of the Tresury Internl Revenue Servie The orgniztion my hve to use opy of this

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

ClearPeaks Customer Care Guide. Business as Usual (BaU) Services Peace of mind for your BI Investment

ClearPeaks Customer Care Guide. Business as Usual (BaU) Services Peace of mind for your BI Investment ClerPeks Customer Cre Guide Business s Usul (BU) Services Pece of mind for your BI Investment ClerPeks Customer Cre Business s Usul Services Tble of Contents 1. Overview...3 Benefits of Choosing ClerPeks

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 9 OMB -00 Return of Orgniztion Exempt From Inome Tx Form 990 Uner setion 0(),, or 9() of the Internl Revenue Coe (exept privte fountions) 0 Deprtment of

More information

Financing PFI projects in the credit crisis and the Treasury s response

Financing PFI projects in the credit crisis and the Treasury s response HM Tresury Finncing PFI projects in the credit crisis nd the Tresury s response Appendices Four nd Five JULY 2010 Contents Appendix Four Cse studies 3 Appendix Five Modelling the costs nd enefits of strting

More information

Ees. KIRLOSKAR INDUSTRIES LIMITED A Kirloskar GrouP ComPanY

Ees. KIRLOSKAR INDUSTRIES LIMITED A Kirloskar GrouP ComPanY KIRLOSKAR INDUSTRIES LIMITED A Kirloskr GrouP ComPnY Ees 29 Jnury 206 Ntionl Stock Exchnge of Indi Ltd. Exchnge PIz, C -, Block G, Bndr-Kurl ComPlex, Bndr (E), Mumi - 400 05 Ref.: Stock Code KIRLOSIND

More information

Do not enter Social Security numbers on this form as it may be made public.

Do not enter Social Security numbers on this form as it may be made public. ** PUBLIC DISCLOSURE COPY ** OMB. -007 Return of Orgniztion Exempt From Inome Tx Form 990 Uner setion 0(), 7, or 97()() of the Internl Revenue Coe (exept privte fountions) 0 Deprtment of the Tresury Internl

More information

Humana Critical Illness/Cancer

Humana Critical Illness/Cancer Humn Criticl Illness/Cncer Criticl illness/cncer voluntry coverges py benefits however you wnt With our criticl illness nd cncer plns, you'll receive benefit fter serious illness or condition such s hert

More information

2. Transaction Cost Economics

2. Transaction Cost Economics 3 2. Trnsction Cost Economics Trnsctions Trnsctions Cn Cn Be Be Internl Internl or or Externl Externl n n Orgniztion Orgniztion Trnsctions Trnsctions occur occur whenever whenever good good or or service

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

Office of Student Financial Aid Haven-Warren Room 210

Office of Student Financial Aid Haven-Warren Room 210 Office of Student Finncil Aid Hven-Wrren Room 210 Division of Enrollment Services & Student Affirs Phone: (404) 880-8992 FEDERAL WORK-STUDY PROGRAM HANDBOOK Revision Approved: Complince Committee Dte Februry

More information

a a a a a a With CareCredit... Start care immediately Pay over time with low monthly payments For yourself and your family

a a a a a a With CareCredit... Start care immediately Pay over time with low monthly payments For yourself and your family With CreCredit... Strt cre immeditely Py over time with low monthly pyments For yourself nd your fmily Two Types of Promotionl Plns Avilble: No Interest if Pid in Full within 6, 12 or 18 Months On purchses

More information

Unusable for. real estate agency real estate broker acting his own account real estate agency real estate broker acting on his own account.

Unusable for. real estate agency real estate broker acting his own account real estate agency real estate broker acting on his own account. NOTE As of Jnury 1, 2015, this m is to be used when brokerge contrct is signed with nturl person. 1. IDENTIFICATION OF THE PARTIES IDENTIFICATION OF THE AGENCY OR THE BROKER NAME OF AGENCY OR BROKER NAME

More information

Professional Indemnity Insurance All you need to know

Professional Indemnity Insurance All you need to know direct line for usiness Professionl Indemnity Insurnce All you need to know Professionl Indemnity Insurnce Direct Line For Business - Professionl Free Business Advice Service These helplines re provided

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

European Treaty Series - No. 163 EUROPEAN SOCIAL CHARTER (REVISED)

European Treaty Series - No. 163 EUROPEAN SOCIAL CHARTER (REVISED) Europen Trety Series - No. 163 EUROPEAN SOCIAL CHARTER (REVISED) Strsourg, 3.V.1996 2 ETS 163 Europen Socil Chrter (revised), 3.V.1996 Premle The governments signtory hereto, eing memers of the Council

More information

Questionnaire for National Security Positions

Questionnaire for National Security Positions Stndrd Form 86 Revised Septemer 1995 U.S. Office of Personnel Mngement 5 CFR Prts 731, 732, nd 736 Questionnire for Ntionl Security Positions Form pproved: OMB. 3206-0007 NSN 7540-00-634-4036 86-111 Follow

More information

Professional Indemnity Insurance All you need to know

Professional Indemnity Insurance All you need to know direct line for usiness Professionl Indemnity Insurnce All you need to know Professionl Indemnity Insurnce Professionl Insurnce [Civil] Free Business Advice Service These helplines re provided for Your

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

Anthem Blue Cross Life and Health Insurance Company University of Southern California Custom Premier PPO 800/20%/20%

Anthem Blue Cross Life and Health Insurance Company University of Southern California Custom Premier PPO 800/20%/20% Anthem Blue Cross Life nd Helth Insurnce Compny University of Southern Cliforni Custom Premier 800/20%/20% Summry of Benefits nd Coverge: Wht this Pln Covers & Wht it Costs Coverge Period: 01/01/2015-12/31/2015

More information

Structuring. Your Business a Brazilian or in Brazil

Structuring. Your Business a Brazilian or in Brazil Setting Up Your Compny nd Office in Brzil MOBILITY Mgzine, April 2007 As the B in BRIC, Brzil hs been gining gret del of ttention on the globl business front, with mny compnies investigting how to get

More information

9 PATIENT ADDRESS SAMPLE FROM. b c d 45 SERV. DATE 46 SERV. UNITS 47 TOTAL CHARGES 48 NON-COVERED CHARGES 49 TOTALS 52 REL. CREATION DATE 53 ASG.

9 PATIENT ADDRESS SAMPLE FROM. b c d 45 SERV. DATE 46 SERV. UNITS 47 TOTAL CHARGES 48 NON-COVERED CHARGES 49 TOTALS 52 REL. CREATION DATE 53 ASG. Uniform ill Form (U-04), pge 1 SMPLE Do not use. 1 2 3 PT. NTL # 4 TYPE OF ILL. MED. RE. # 6 STTEMENT OVERS PERIOD 7 5 FED. TX NO. FROM THROUGH 8 PTIENT NME 9 PTIENT DDRESS c d e 10 IRTHDTE 11 SEX DMISSION

More information

Convention on Cybercrime

Convention on Cybercrime The Convention ws previously pulished s Miscellneous No.2 (2010) Cm 7862 Trety Series No. 18 (2012) Convention on Cyercrime Budpest, 23 Novemer 2001 [The Convention entered into force for the United Kingdom

More information

Utilization of Smoking Cessation Benefits in Medicaid Managed Care, 2009-2013

Utilization of Smoking Cessation Benefits in Medicaid Managed Care, 2009-2013 Utiliztion of Smoking Cesstion Benefits in Medicid Mnged Cre, 2009-2013 Office of Qulity nd Ptient Sfety New York Stte Deprtment of Helth Jnury 2015 Introduction According to the New York Stte Tocco Control

More information

Active & Retiree Plan: Trustees of the Milwaukee Roofers Health Fund Coverage Period: 06/01/2015-05/31/2016 Summary of Benefits and Coverage:

Active & Retiree Plan: Trustees of the Milwaukee Roofers Health Fund Coverage Period: 06/01/2015-05/31/2016 Summary of Benefits and Coverage: Summry of Benefits nd Coverge: Wht this Pln Covers & Wht it Costs Coverge for: Single & Fmily Pln Type: NPOS This is only summry. If you wnt more detil bout your coverge nd costs, you cn get the complete

More information

PUBLIC INSPECTION COPY. Return of Organization Exempt From Income Tax

PUBLIC INSPECTION COPY. Return of Organization Exempt From Income Tax Form Deprtment of the Tresury Internl Revenue Servie Uner setion 0(), 7, or 7()() of the Internl Revenue Coe (exept lk lung enefit trust or privte fountion) The orgniztion my hve to use opy of this return

More information