0486CI 649R PAGE 3

Size: px
Start display at page:

Download "0486CI 649R PAGE 3"

Transcription

1

2 Form 99 (22) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m m m m m m m m m m m m m m Briefly descrie the organization's mission: THE MSSON OF THE ROTARY FOUNDATON OF ROTARY NTERNATONAL S TO ENABLE ROTARANS TO ADVANCE WORLD UNDERSTANDNG, GOODWLL, AND PEACE THROUGH THE MPROVEMENT OF HEALTH, THE SUPPORT OF EDUCATON, AND THE ALLEVATON OF POVERTY. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," descrie these new services on Schedule O. 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 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," descrie these changes on Schedule O. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? Yes No 4 Descrie the organization's program service accomplishments for each of its three largest program services, as measured y expenses. Section 5(c)(3) and 5(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 76,59,68. including grants of $ 73,627,292. ) (Revenue $ ) POLOPLUS - THE POLOPLUS PROGRAM S ROTARY'S EFFORT TO ERADCATE THE POLOVRUS WORLDWDE. ROTARANS HAVE PROVDED FNANCAL SUPPORT AND COUNTLESS VOLUNTEER HOURS TO ENSURE THAT CHLDREN ARE MMUNZED AGANST THS CRPPLNG DSEASE AND THAT SURVELLANCE OF THE VRUS S STRONG, DESPTE THE POOR NFRASTRUCTURE, ETREME POVERTY, AND CVL STRFE OF MANY COUNTRES. FUNDS SUPPORT NATONAL MMUNZATON DAYS, POLOVRUS TRANSMSSON MONTORNG, AND OTHER EFFORTS N POLO-ENDEMC, RECENTLY ENDEMC, AND HGH RSK COUNTRES. ROTARY S A SPEARHEADNG PARTNER N THE GLOBAL POLO ERADCATON NTATVE, ALONG WTH THE WORLD HEALTH ORGANZATON, UNCEF, AND THE CDC. 4 (Code: ) (Expenses $ 5,9,375. including grants of $ 45,526,527. ) (Revenue $ ) HUMANTARAN GRANTS PROGRAM - MATCHNG GRANTS FUND NTERNATONAL SERVCE PROJECTS OF ROTARY CLUBS AND DSTRCTS. DSTRCT SMPLFED GRANTS SUPPORT THE SHORT-TERM SERVCE ACTVTES OR HUMANTARAN ENDEAVORS OF DSTRCTS N COMMUNTES LOCALLY OR NTERNATONALLY. 4c (Code: ) (Expenses $ 26,438,884. including grants of $ 7,99,754. ) (Revenue $ ) ROTARY GRANTS (FORMERLY FUTURE VSON) - GLOBAL GRANTS SUPPORT HUMANTARAN PROJECTS, SCHOLARSHPS, AND VOCATONAL TRANNG TEAMS N ROTARY'S AREAS OF FOCUS. DSTRCT GRANTS SUPPORT SMALLER-SCALE PROJECTS RELATED TO THE FOUNDATON'S MSSON. PACKAGED GRANTS ALSO SUPPORT THE AREAS OF FOCUS AND ARE CARRED OUT WTH THE FOUNDATON'S STRATEGC PARTNERS. 4d Other program services (Descrie in Schedule O.) (Expenses $ 23,,74. including grants of $ 8,435,57. ) (Revenue $ 4. ) 4e Total program service expenses 76,59,67. 2E2 2. Form 99 (22) 486C 649R 825 PAGE 3

3 Form 99 (22) Page 3 Part V Checklist of Required Schedules a m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m s the organization required to complete Schedule B, Schedule of Contriutors (see instructions)? m m m m m m m m m Did the organization engage in direct or indirect political campaign activities on ehalf of or in opposition to candidates for pulic office? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m Section 5(c)(3) organizations. Did the organization engage in loying activities, or have a section 5(h) election in effect during the tax year? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m s the organization descried in section 5(c)(3) or 4947(a)() (other than a private foundation)? f "Yes," complete Schedule A 2 s the organization a section 5(c)(4), 5(c)(5), or 5(c)(6) organization that receives memership dues, assessments, or similar amounts as defined in Revenue Procedure 98-9? f "Yes," complete Schedule C, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 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? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? f "Yes," complete Schedule D, Part m m m m m m m m m m Did the organization maintain collections of works of art, historical treasures, or other similar assets? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount in Part, line 2, for escrow or custodial account liaility; serve as a custodian for amounts not listed in Part ; or provide credit counseling, det management, credit repair, or det negotiation services? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? f "Yes," complete Schedule D, Part V m m m m m m m f the organization s answer to any of the following questions is "Yes," then complete Schedule D, Parts V, V, V,, or as applicale. a Did the organization report an amount for land, uildings, and equipment in Part, line? f "Yes," c d e f a a 2E2. complete Schedule D, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount for investments-other securities in Part, line 2 that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m Did the organization report an amount for investments-program related in Part, line 3 that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V m m m m m m m m m m m m m m m m m Did the organization report an amount for other assets in Part, line 5 that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report an amount for other liailities in Part, line 25? f "Yes," complete Schedule D, Part 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 FN 48 (ASC 74)? f "Yes," complete Schedule D, Part m m m m m m Did the organization otain separate, independent audited financial statements for the tax year? f "Yes," complete Schedule D, Parts and m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Was the organization included in consolidated, independent audited financial statements for the tax year? f "Yes," and if the organization answered "No" to line 2a, then completing Schedule D, Parts and is optional m m m m s the organization a school descried in section 7()()(A)(ii)? f "Yes," complete Schedule E Did the organization maintain an office, employees, or agents outside of the United States?m m m m m m m m m m m m m Did the organization have aggregate revenues or expenses of more than $, from grantmaking, fundraising, usiness, investment, and program service activities outside the United States, or aggregate foreign investments valued at $, or more? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m Did the organization report on Part, column (A), line 3, more than $5, of grants or assistance to any organization or entity located outside the United States? f "Yes," complete Schedule F, Parts and V m m m m m m m Did the organization report on Part, column (A), line 3, more than $5, of aggregate grants or assistance to individuals located outside the United States? f "Yes," complete Schedule F, Parts and V m m m m m m m m m m m Did the organization report a total of more than $5, of expenses for professional fundraising services on Part, column (A), lines 6 and e? f "Yes," complete Schedule G, Part (see instructions) m m m m m m m m m m m Did the organization report more than $5, total of fundraising event gross income and contriutions on Part V, lines c and 8a? f "Yes," complete Schedule G, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization report more than $5, of gross income from gaming activities on Part V, line 9a? f "Yes," complete Schedule G, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization operate one or more hospital facilities? f "Yes," complete Schedule H m m m m m m m f "Yes" to line 2a, did the organization attach a copy of its audited financial statements to this return? m m m m m m a c d e f 2a 2 3 4a a 2 Yes No Form 99 (22) 486C 649R 825 PAGE 4

4 Form 99 (22) Page 4 Part V Checklist of Required Schedules (continued) a c d a a c a m m m m m m m m m m m m on Part, column (A), line 2? f "Yes," complete Schedule, Parts and m m m m m m m m m m m m m m m m m m m m m m Did the organization report more than $5, of grants and other assistance to any government or organization in the United States on Part, column (A), line? f "Yes," complete Schedule, Parts and 2 Did the organization report more than $5, of grants and other assistance to individuals in the United States 22 Did the organization answer "Yes" to Part V, 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? f "Yes," complete Schedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization have a tax-exempt ond issue with an outstanding principal amount of more than $, as of the last day of the year, that was issued after Decemer 3, 22? f "Yes," answer lines 24 through 24d and complete Schedule K. f No, go to line 25 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization invest any proceeds of tax-exempt onds eyond a temporary period exception? m m m m m m m Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt onds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization act as an "on ehalf of" issuer for onds outstanding at any time during the year? m m m m m m m Section 5(c)(3) and 5(c)(4) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m m m m m s the organization aware that it engaged in an excess enefit transaction with a disqualified person in a prior year, and that the transaction has not een reported on any of the organization's prior Forms 99 or 99-EZ? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 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? f "Yes," complete Schedule L, Part m 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? f "Yes," complete Schedule L, Part m m m m m m m m m m m m m m m Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part V instructions for applicale filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V m m m m m m m m A family memer of a current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 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? f "Yes," complete Schedule L, Part V m m m m m m m m m Did the organization receive more than $25, in non-cash contriutions? f "Yes," complete Schedule M Did the organization receive contriutions of art, historical treasures, or other similar assets, or qualified conservation contriutions? f "Yes," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization liquidate, terminate, or dissolve and cease operations? f "Yes," complete Schedule N, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? f "Yes," complete Schedule N, Part m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization own % of an entity disregarded as separate from the organization under Regulations sections and ? f "Yes," complete Schedule R, Part m m m m m m m m m m m m m m m m m m m m m Was the organization related to any tax-exempt or taxale entity? f "Yes," complete Schedule R, Part,, or V, and Part V, line m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization have a controlled entity within the meaning of section 52()(3)? m m m m m m m m m m m m m m f "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 52()(3)? f "Yes," complete Schedule R, Part V, line 2 m m m m m m Section 5(c)(3) organizations. Did the organization make any transfers to an exempt non-charitale related organization? f "Yes," complete Schedule R, Part V, line 2 m m m m m m m m m m m m m m m m m m m m m m m m m m m 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? f "Yes," complete Schedule R, Part V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization complete Schedule O and provide explanations in Schedule O for Part V, lines and 9? Note. All Form 99 filers are required to complete Schedule O m m m m m m m m m m m m m m m m m m m m m m m m m 23 24a 24 24c 24d 25a a 28 28c a Yes No Form 99 (22) 2E3. 486C 649R 825 PAGE 5

5 Form 99 (22) Page 5 Part V Statements Regarding Other RS Filings and Tax Compliance Check if Schedule O contains a response to any question in this Part V m m m m m m m m m m m m m m m m m m m m m m m Yes a a 37 c Did the organization comply with ackup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m c 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 m 2a f at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2 3 4a f Yes, enter the name of the foreign country: See instructions for filing requirements for Form TD F 9-22., 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? m m m m m m m m Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? c f "Yes" to line 5a or 5, did the organization file Form 8886-T? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6a Does the organization have annual gross receipts that are normally greater than $,, and did the 7 a a c d e f g h a a a a c 4 a Enter the numer reported in Box 3 of Form 96. Enter -- if not applicale m Enter the numer of Forms W-2G included in line a. Enter -- if not applicale m m m m m m m m m Note. f the sum of lines a and 2a is greater than 25, you may e required to e-file (see instructions) Did the organization have unrelated usiness gross income of $, or more during the year? f "Yes," has it filed a Form 99-T for this year? f "No," provide an explanation in Schedule O m m m m m m m m m m m m m 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)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m organization solicit any contriutions that were not tax deductile as charitale contriutions? m m m m m m m m m m m f "Yes," did the organization include with every solicitation an express statement that such contriutions or gifts were not tax deductile? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Organizations that may receive deductile contriutions under section 7(c). 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? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization notify the donor of the value of the goods or services provided? m m m m m m m m m m m m Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file Form 8282? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," indicate the numer of Forms 8282 filed during the year m m m m m m m m m m m m m m m m 7d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? m m m Did the organization, during the year, pay premiums, directly or indirectly, on a personal enefit contract? f the organization received a contriution of qualified intellectual property, did the organization file Form 8899 as required? m m m f the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a Form 98-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? m m m m m m m m m m m m m m m m m m m m m m m Sponsoring organizations maintaining donor advised funds. Did the organization make any taxale distriutions under section 4966? m m m m m m m Did the organization make a distriution to a donor, donor advisor, or related person? m m m m m m m m m m m m m m m m Section 5(c)(7) organizations. Enter: nitiation fees and capital contriutions included on Part V, line 2 m m m m m m m m m m a Gross receipts, included on Form 99, Part V, line 2, for pulic use of clu facilities m m m m Section 5(c)(2) organizations. Enter: Gross income from memers or shareholders m m m m m m m m m m m m m m m m m m m m m m m m m m a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m m Section 4947(a)() non-exempt charitale trusts. s the organization filing Form 99 in lieu of Form 4? f "Yes," enter the amount of tax-exempt interest received or accrued during the year m m m m m 2 Section 5(c)(29) qualified nonprofit health insurance issuers. s the organization licensed to issue qualified health plans in more than one state? m m m m m m m m m m m m m m m m m m 3 a 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 2E4. the organization is licensed to issue qualified health plans 3 Enter the amount of reserves on hand m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 3c Did the organization receive any payments for indoor tanning services during the tax year? m m m m m m m f "Yes," has it filed a Form 72 to report these payments? f "No," provide an explanation in Schedule O m m m m m m 3a 3 4a 5a 5 5c 6a 6 7a 7 7c 7e 7f 7g 7h 8 9a 9 2a 3a 4a 4 No Form 99 (22) 486C 649R 825 PAGE 6

6 Form 99 (22) Page 6 Part V Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7 elow, and for a "No" response to line 8a, 8, or 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 V Section A. Governing Body and Management a a Enter the numer of voting memers of the governing ody at the end of the tax year. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f 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 a, aove, who are independent m m m m m m 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? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 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? Did the organization make any significant changes to its governing documents since the prior Form 99 was filed? m m Did the organization ecome aware during the year of a significant diversion of the organization's assets? Did the organization have memers or stockholders? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 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? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Are any governance decisions of the organization reserved to (or suject to approval y) memers, stockholders, or persons other than the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year y the following: a The governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8a Each committee with authority to act on ehalf of the governing ody? m m m m m m m m m m m m m m m m m m m m m m m 8 9 s there any officer, director, trustee, or key employee listed in Part V, Section A, who cannot e reached at the organization's mailing address? f "Yes," provide the names and addresses in Schedule O m m m m m m m m m m m m 9 Section B. Policies (This Section B requests information aout policies not required y the nternal Revenue Code.) a c a 6a Did the organization have local chapters, ranches, or affiliates? m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with the organization's exempt purposes? m m Has the organization provided a complete copy of this Form 99 to all memers of its governing ody efore filing the form? m m a Descrie in Schedule O the process, if any, used y the organization to review this Form 99. 2a Were officers, directors, or trustees, and key employees required to disclose annually interests that could give Did the organization have a written conflict of interest policy? f "No," go to line 3 m m m m m m m m m m m m m m m m m rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the organization regularly and consistently monitor and enforce compliance with the policy? f "Yes," descrie in Schedule O how this was done m m m m m m m m Did the organization have a written whistlelower policy? m m m m m m m m m m m m Did the organization have a written document retention and destruction policy? m m m m m m m m m m m m m m m m m m m 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 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other officers or key employees of the organization f "Yes" to line 5a or 5, descrie the process in Schedule O (see instructions). Did the organization invest in, contriute assets to, or participate in a joint venture or similar arrangement with a taxale entity during the year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "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? m m m m m m m m m m m m m m m m m m m m m m m m m m List the states with which a copy of this Form 99 is required to e filed ATTACHMENT Section C. Disclosure Section 64 requires an organization to make its Forms 23 (or 24 if applicale), 99, and 99-T (Section 5(c)(3)s only) availale for pulic inspection. ndicate how you made these availale. Check all that apply. Own wesite Another's wesite Upon request Other (explain in Schedule O) Descrie in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements availale to the pulic during the tax year. State the name, physical address, and telephone numer of the person who possesses the ooks and records of the organization: DAVD W. STUMPF 56 SHERMAN AVENUE EVANSTON, L Form 99 (22) 2E C 649R 825 PAGE 7 a a 7 a a 2a 2 2c 3 4 5a 5 6a 6 Yes Yes No No

7 Form 99 (22) Page 7 Part V Section A. Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and ndependent Contractors Check if Schedule O contains a response to any question in this Part V m m m m m m m m m m m m m m m m m m m m Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a 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 99-MSC) of more than $, from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $, of 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 $, 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. (C) (A) (B) Position (D) (E) (F) Name and Title Average hours per week (list any (do not check more than one ox, unless person is oth an officer and a director/trustee) hours for related organizations elow dotted line) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Former Reportale compensation from the organization (W-2/99-MSC) Reportale compensation from related organizations (W-2/99-MSC) Estimated amount of other compensation from the organization and related organizations () WLFRED J. WLKNSON 4. CHAR (2) DONG KURN (D.K.) LEE 2. CHAR-ELECT (3) STEPHEN R. BROWN 2. VCE CHAR (4) ANTONO HALLAGE 2. TRUSTEE (5) LYNN A. HAMMOND 2. TRUSTEE (6) JACKSON SAN-LEN HSEH 2. TRUSTEE (7) JOHN KENNY 2. TRUSTEE (8) RAY KLNGNSMTH 2. TRUSTEE (9) ASHOK M. MAHAJAN 2. TRUSTEE () MCHAEL K. MCGOVERN 2. TRUSTEE () SAMUEL F. OWOR 2. TRUSTEE (2) KAZUHKO OZAWA 2. TRUSTEE (3) AN H.S. RSLEY 2. TRUSTEE (4) JULO SORJUS 2. TRUSTEE 2E4. Form 99 (22) 486C 649R 825 PAGE 8

8 Form 99 (22) Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part V (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check more than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Su-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines and c) Former Reportale compensation from the organization (W-2/99-MSC) Reportale compensation from related organizations (W-2/99-MSC) 2 Total numer of individuals (including ut not limited to those listed aove) who received more than $, of reportale compensation from the organization 24 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For any individual listed on line a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this tale for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Estimated amount of other compensation from the organization and related organizations ( 5) STEPHANE A. URCHCK 2. TRUSTEE ( 6) JOHN HEWKO. GENERAL SECRETARY 29. 2,64. 28,44. 35,43. ( 7) PETER DEBERGE. DEPUTY GENERAL SECRETARY , , ,664. ( 8) LOR CARLSON. CHEF FNANCAL OFFCER , ,773. 5,584. ( 9) PETER MARKOS. CHEF NFORMATON OFFCER ,49. 6, ,982. ( 2) JOHN OSTERLUND 4. CHEF DEVELOPMENT OFFCER 87, ,727. ( 2) MCHELE BERG 4. CHEF PROG. & MEMBERSHP SER ,2. 34,53. 32,267. ( 22) JOE BROWNLEE 3. CHEF STRATEGY OFFCER. 26,567. 4,72. 9,578. ( 23) STEVEN ROUTBURG. OFFCE OF THE GENERAL COUNSEL 3. 45,2. 35,6. 24,397. ( 24) JEANETTE HAMLTON 27. MGR NVESTMENTS & TREAS DV 3. 6, ,39. 24,679. ( 25) CHANG KYU KM 23. OFFCE MANAGER, KOREA 7. 94,76. 7,. 9,89.,225,75.,639, ,96.,225,75.,639, ,96. Yes No ATTACHMENT 2 (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 $, in compensation from the organization 9 2E55 3. Form 99 (22) 486C 649R 825 PAGE 9

9 Form 99 (22) Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part V (A) (B) (C) (D) (E) (F) Name and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not check more than one ox, unless person is oth an officer and a director/trustee) ndividual trustee or director nstitutional trustee Officer Key employee Highest compensated employee Former Reportale compensation from the organization (W-2/99-MSC) Reportale compensation from related organizations (W-2/99-MSC) Estimated amount of other compensation from the organization and related organizations ( 26) FRANK PEZZMENT 23. OFFCE MANAGER, AUSTRALA 7. 92,4. 66,65. 4,282. ( 27) CELSO FONTANELL 22. OFFCE MANAGER, BRAZL 8. 85, , ,854. ( 28) VJAYALAKSHM VENNELAKANT 2. DRECTOR OF T 2. 7,975. 7,975. 2,78. ( 29) ANDREW MCDONALD 3. DEPUTY GENERAL COUNSEL , ,746. 9,935. ( 3) KATHY KESSENCH. FORMER COMM SERV GENERAL MGR 3. 39,47.,49. 9,37. Su-total m m m m m m m m m m m m m m m m m m m m m m m m m c Total from continuation sheets to Part V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Total (add lines and c) 2 Total numer of individuals (including ut not limited to those listed aove) who received more than $, of reportale compensation from the organization 24 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For any individual listed on line a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $5,? f Yes, complete Schedule J for such individual m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contractors Complete this tale for your five highest compensated independent contractors that received more than $, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. Yes No (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 $, in compensation from the organization 2E55 3. Form 99 (22) 486C 649R 825 PAGE

10 Form 99 (22) Page 9 Part V Contriutions, Gifts, Grants and Other Similar Amounts Program Service Revenue Other Revenue a c d e 2a c d 6a 8a 9a a a c Statement of Revenue Check if Schedule O contains a response to any question in this Part V Federated campaigns Memership dues Fundraising events Related organizations m m m m m m m m m m Government grants (contriutions) f All other contriutions, gifts, grants, and similar amounts not included aove f 234,96,6. g Noncash contriutions included in lines a-f: $ 3,699,223. h Total. Add lines a-f m m m m m m m m m m m m m m m m m m m Business Code e f All other program service revenue g Total. Add lines 2a-2f m m m m m m m m m m m m m m m m m m m nvestment income (including dividends, interest, and other similar amounts) m m m m m m m m m m m m m m m m ncome from investment of tax-exempt ond proceeds Royalties m m m m m m m m m m m m m m m m m m m m m m m m m (i) Real (ii) Personal Gross rents m m m m m Less: rental expenses m c Rental income or (loss) m d Net rental income or (loss) m m m m m m m m m m m m m m m m m a Gross amount from sales of assets other than inventory Less: cost or other asis and sales expenses 387,739,64. 54,372,97. c Gain or (loss) m m 2,5,864. 2,35,974. d Net gain or (loss) m m m m m m m m m m m m m m m m m m m m m Gross income from fundraising events (not including $ of contriutions reported on line c). See Part V, line 8 m a Less: direct expenses m m m m m m m m m m c Net income or (loss) from fundraising events m m m m m m m m Gross income from gaming activities. See Part V, line 9 m a Less: direct expenses m m m m m m m m m m c Net income or (loss) from gaming activities m m m m m m m m m Gross sales of inventory, less returns and allowances a Less: cost of goods sold m m m m m m m m m c Net income or (loss) from sales of inventorym m m m m m m m m Miscellaneous Revenue a c d e (i) Securities 5,38,29. 46,94. (ii) Other Business Code m m m m m m m m m m m m m m m m m m m m m (A) Total revenue 239,623,66. m m m m m m m m m m m m m m m m m m m m m m m m m (B) Related or exempt function revenue OPERATONAL NCOME - NFOTECH ,845, ,688,944. (C) Unrelated usiness revenue (D) Revenue excluded from tax under sections 52, 53, or 54 d All other revenue 999 8,458. 8,458. e Total. Add lines a-d -3,558,25. 2 Total revenue. See instructions m m m m m m m m m m m m m m 284,5, ,5. 44,566,34. Form 99 (22) 2E ,664, ,5. 4,72, ,42, ,42,838. CURRENCY ECHANGE 999-3,665,7. -3,665,7. MEETNG REVENUE 999 7,335. 7,335. PN SALES ,74. 28, C 649R 825 PAGE

11 Form 99 (22) Page Part Statement of Functional Expenses Section 5(c)(3) and 5(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m m m m m m m m m m m m m m m m Do not include amounts reported on lines 6, 7, 8, 9, and of Part V. 2 m m m m m m m Grants and other assistance to governments and organizations in the United States. See Part V, line 2 Grants and other assistance to individuals in the United States. See Part V, line 22 3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part V, lines 5 and 6m 4 Benefits paid to or for memers m m m m m m m m m 5 Compensation of current officers, directors, trustees, and key employees m m m m m m m m m m 6 Compensation not included aove, to disqualified persons (as defined under section 4958(f)()) and persons descried in section 4958(c)(3)(B) 7 Other salaries and wages m m m m m m m m m m m m 8 Pension plan accruals and contriutions (include section 4(k) and 43() employer contriutions) 9 Other employee enefits Payroll taxes m m m m m m m m m m m m m m m m m m Fees for services (non-employees): a Management Legal m m m m m m m m m m m m m m m m m m m m m c Accounting d Loying m m m m m m m m m m m m m m m m m m m e Professional fundraising services. See Part V, line 7 f nvestment management fees m m m m m m m m m g Other. (f line g amount exceeds % of line 25, column (A) amount, list line g expenses on Schedule O.) Advertising and promotion Office expenses m m m nformation technology Royalties m m m m m m m m m m m m m m m m m m m m Occupancy Travel m m m m m m m m m m m m m m m m m m m m m a c d e Payments of travel or entertainment expenses for any federal, state, or local pulic officials Conferences, conventions, and meetings nterest Payments to affiliates Depreciation, depletion, and amortization nsurance m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other expenses. temize expenses not covered aove (List miscellaneous expenses in line 24e. f line 24e amount exceeds % of line 25, column (A) amount, list line 24e expenses on Schedule O.) 25 Total functional expenses. Add lines 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 ) m m m m m m m (A) (B) (C) (D) Total expenses Program service Management and Fundraising expenses general expenses expenses 7,275,379. 7,275,379. 5,869,22. 5,869,22. 42,436, ,436,553.,7,583.,7,583. 8,926,92.,8,76. 4,632. 8,333,528. 2,575,267.,376,49. 7,285.,9,833. 2,389,75.,267,78. 88,865.,32,592.,63,7. 85,. 88, ,92. 88, ,98. 27, , ,28. 7,459. 5,29. 62, , ,26. 2, , , ,293. 2,484,676. 2,484, , ,896. 3, ,745. 5,744. 5, ,36.,662,479. 7,55. 46, ,957. 2,36,52.,27,89. 2,4. 943,3.,863,22. 97,86. 78, ,78. 4,534,42. 2,95,47.,755, ,83. 56, ,72. 3, ,55. 8,469. 9,848. 3, ,33. POSTAGE AND SHPPNG,36,25. 25,27. 6, ,74. RECOGNTON 777,78., ,976. PRNTNG AND PUBLCATONS 644,7. 63, , ,483. UB TA 8,26. 8,26. All other expenses 728,23.,32. 84, ,56. 2,636,8. 76,59,67. 7,442,756. 7,684,295. Form 99 (22) 2E C 649R 825 PAGE 2

12 Form 99 (22) Page Part Balance Sheet Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m m m m m m m m m m m (A) (B) Beginning of year End of year Assets Liailities Net Assets or Fund Balances m m m m m m m m m m m m m m m m m m m m m m m m m m m Cash - non-interest-earing Savings and temporary cash investments Pledges and grants receivale, net Accounts receivale, net m m m m m m m m m m m m m m m m m m m m m m m m m m m m Loans and other receivales from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part of Schedule L m m m m m m m m m m m m m m m m m m m m m m m m m Loans and other receivales from other disqualified persons (as defined under section 4958(f)()), persons descried in section 4958(c)(3)(B), and contriuting employers and sponsoring organizations of section 5(c)(9) voluntary employees' eneficiary organizations (see instructions). Complete Part of Schedule L Notes and loans receivale, net nventories for sale or use m m m m m m m m m m m m m m m m m m m m m m m m m m m m Prepaid expenses and deferred charges a Land, uildings, and equipment: cost or m m m m m m m m m m m m m m m m m m m m other asis. Complete Part V of Schedule D a Less: accumulated depreciation m m m m m nvestments - pulicly traded securities m m m m m nvestments - other securities. See Part V, line m nvestments - program-related. See Part V, line ntangile assets m m m m m m m m m Other assets. See Part V, line m m m m m m m m m m m m m m Total assets. Add lines through 5 (must equal line 34) Accounts payale and accrued expenses Grants payale m m Deferred revenue m m m m m Tax-exempt ond liailities m m m m m m m m m m m m m m m m m m m m m m m Escrow or custodial account liaility. Complete Part V of Schedule D m m m m Loans and other payales to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part of Schedule L m m m m m m m m m m m m m m m m 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 7-24). Complete Part of Schedule D m m m m m m m m m m m m m m Total liailities. Add lines 7 through 25 m m m m m m m m m m m m m m m m m m m m Organizations that follow SFAS 7 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34. Unrestricted net assets m m m m m Temporarily restricted net assets Permanently restricted net assets m m m m m m m m m m m m m m m m m m m m m m m m Organizations that do not follow SFAS 7 (ASC 958), check here and complete lines 3 through 34. Capital stock or trust principal, or current funds m m m m m m m m Paid-in or capital surplus, or land, uilding, or equipment fund m m m m Retained earnings, endowment, accumulated income, or other funds Total net assets or fund alances m m m m m m Total liailities and net assets/fund alances m m m m m m m m m m m m m m m m m m,99,49. 75,64,64. 5,365,8. 7, ,79,747. 5,448,432. 4,22, , , ,542. c 396,629, ,342,526. 3,45, ,76,56. 9,674, ,86, ,54, ,58, ,767, ,75,3. 22,49,. 65,83, ,972, ,69,57. 79,833, ,5, ,34, ,27,79. 34,44, ,75,45. 24,27, ,72, ,872,34. 83,76, ,554, ,75,3. Form 99 (22) 2E C 649R 825 PAGE 3

13 Form 99 (22) Page 2 Part Part Reconciliation of Net Assets Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m Total revenue (must equal Part V, column (A), line 2) Total expenses (must equal Part, column (A), line 25) 2 Revenue less expenses. Sutract line 2 from line m m m m m m m m m m m m m m m m m m m m m 3 Net assets or fund alances at eginning of year (must equal Part, line 33, column (A)) 4 Net unrealized gains (losses) on investments 5 Donated services and use of facilities 6 nvestment expenses m m 7 Prior period adjustments m m m m m m m m m m m m m m m m m m m m m m m m 8 Other changes in net assets or fund alances (explain in Schedule O) m m m m m m m m m m m m m m m m 9 Net assets or fund alances at end of year. Comine lines 3 through 9 (must equal Part, line 33, column (B)) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m m m m m m m Accounting method used to prepare the Form 99: Cash Accrual Other f 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? m m m m m m 2a f "Yes," check a ox elow to indicate whether the financial statements for the year were compiled or reviewed on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis Were the organization's financial statements audited y an independent accountant? m m m m m m m m m m m m m m 2 f "Yes," check a ox elow to indicate whether the financial statements for the year were audited on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis c 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in f "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? f the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. the Single Audit Act and OMB Circular A-33? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the organization undergo the required audit or audits? f the organization did not undergo the required audit or audits, explain why in Schedule O and descrie any steps taken to undergo such audits 284,5,. 2,636,8. 82,54, ,872,34. 7,74,55. -2,7,33. 83,554,75. 2c 3a 3 Yes No Form 99 (22) 2E C 649R 825 PAGE 4

14 SCHEDULE A (Form 99 or 99-EZ) Department of the Treasury nternal Revenue Service Pulic Charity Status and Pulic Support Complete if the organization is a section 5(c)(3) organization or a section 4947(a)() nonexempt charitale trust. Attach to Form 99 or Form 99-EZ. See separate instructions. OMB No À¾µ Open to Pulic nspection Name of the organization Employer identification numer THE ROTARY FOUNDATON OF ROTARY NTERNATONAL Part 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 through, check only one ox.) A church, convention of churches, or association of churches descried in section 7()()(A)(i). A school descried in section 7()()(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization descried in section 7()()(A)(iii). A medical research organization operated in conjunction with a hospital descried in section 7()()(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 7()()(A)(iv). (Complete Part.) A federal, state, or local government or governmental unit descried in section 7()()(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 7()()(A)(vi). (Complete Part.) A community trust descried in section 7()()(A)(vi). (Complete Part.) An organization that normally receives: () more than 33/3 % 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 33/3% of its support from gross investment income and unrelated usiness taxale income (less section 5 tax) from usinesses acquired y the organization after June 3, 975. See section 59(a)(2). (Complete Part.) An organization organized and operated exclusively to test for pulic safety. See section 59(a)(4). An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 59(a)() or section 59(a)(2). See section 59(a)(3). Check the ox that descries the type of supporting organization and complete lines e through h. a Type Type c Type -Functionally integrated d Type -Non-functionally integrated (A) e f g h By checking this ox, 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)() or section 59(a)(2). f the organization received a written determination from the RS that it is a Type, Type, or Type supporting organization, check this ox m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Since August 7, 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) and (iii) elow, the governing ody of the supported organization? (ii) A family memer of a person descried in (i) aove? m m m m m m m (iii) A 35% controlled entity of a person descried in (i) or (ii) aove? m m m m m m m m m m m m m m m m m m m m m m Provide the following information aout the supported organization(s). (i) Name of supported organization (ii) EN (iii) Type of organization (descried on lines -9 aove or RC section (see instructions)) (iv) s the (v) Did you notify (vi) s 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 g(i) g(ii) g(iii) Yes No (vii) Amount of monetary support (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the nstructions for Form 99 or 99-EZ. Schedule A (Form 99 or 99-EZ) 22 2E2. 486C 649R 825 PAGE 5

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

Form 990 Return of Organization Exempt From Income Tax

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

More information

Return of Organization Exempt From Income Tax

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

More information

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

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

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

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

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

More information

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

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

More information

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

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

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

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

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

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

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

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

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

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

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

More information

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

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

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

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

**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

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

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

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

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 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

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 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

GREATER KANSAS CITY COMMUNITY FOUNDATION FORM 990 TAX YEAR 2013

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

More information

Instructions for Schedule 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

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

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 SOUTH FLORIDA CHURCH OF CHRIST, INC.

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

More information

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

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

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

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

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

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

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

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

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

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

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

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

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

Return of Organization Exempt From Income Tax

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

More information

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

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

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

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

Exempt Organizations Summary & Comments regarding the New Form 990

Exempt Organizations Summary & Comments regarding the New Form 990 Exempt Organizations Summary & Comments regarding the New Form 990 The Internal Revenue Service has released a draft of the revised Form 990, annual tax return for non profit organizations. The purpose

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

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

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

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

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

More information

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

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

AVIVA CHILDREN'S SERVICES, INC. AUDITED FINANCIAL STATEMENTS YEARS ENDED JUNE 30, 2015 AND 2014

AVIVA CHILDREN'S SERVICES, INC. AUDITED FINANCIAL STATEMENTS YEARS ENDED JUNE 30, 2015 AND 2014 AUDITED FINANCIAL STATEMENTS YEARS ENDED JUNE 30, 2015 AND 2014 AUDITED FINANCIAL STATEMENTS YEARS ENDED JUNE 30, 2015 AND 2014 TABLE OF CONTENTS Independent auditors report... 1 Statements of financial

More information

FIRST UNITED METHODIST CHURCH OF FORT WORTH

FIRST UNITED METHODIST CHURCH OF FORT WORTH FIRST UNITED METHODIST CHURCH OF FORT WORTH Fort Worth, Texas Consolidated Financial Statements Years Ended December 31, 2012 and 2011 Consolidated Financial Statements Years Ended December 31, 2012 and

More information

990-PF Return of Private Foundation

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

More information

ISRAEL EMERGENCY ALLIANCE (dba StandWithUs) FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2014

ISRAEL EMERGENCY ALLIANCE (dba StandWithUs) FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2014 FINANCIAL STATEMENTS TABLE OF CONTENTS Page INDEPENDENT AUDITORS' REPORT 1 FINANCIAL STATEMENTS Statement of Financial Position 2 Statement of Activities 3 Statement of Functional Expenses 4 Statement

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