Employer identification number. The Craftsman Farms Foundation, Inc Stickley Museum at Craftsman Farms

Size: px
Start display at page:

Download "Employer identification number. The Craftsman Farms Foundation, Inc Stickley Museum at Craftsman Farms"

Transcription

1 Form Deprtment of the Tresury Internl Revenue Servie A B I J K Ativities & Governne Revenue Expenses Net Assets or Fund Blnes For the lendr yer, or tx yer eginning Chek if pplile: Address hnge Nme hnge Initil return Terminted Amended return Applition pending Tx-exempt sttus: Wesite: u Form of orgniztion: Prt I C Nme of orgniztion F Doing Business As Return of Orgniztion Exempt From Inome Tx Under setion (), 7, or 7()() of the Internl Revenue Code (exept privte foundtions) u Do not enter Soil Seurity numers on this form s it my e mde puli. u Informtion out Form nd its instrutions is t Numer nd street (or P.O. ox if mil is not delivered to street ddress) City or town, stte or provine, ountry, nd ZIP or foreign postl ode Nme nd ddress of prinipl offier:, nd ending () ( ) t (insert no.) 7()() or 7 Grnts nd similr mounts pid (Prt I, olumn (A), lines ). Benefits pid to or for memers (Prt I, olumn (A), line ) Slries, other ompenstion, employee enefits (Prt I, olumn (A), lines ).... Professionl fundrising fees (Prt I, olumn (A), line e) Totl fundrising expenses (Prt I, olumn (D), line ) u , Other expenses (Prt I, olumn (A), lines d, f e).... Totl expenses. Add lines 7 (must equl Prt I, olumn (A), line ).. Room/suite D E Telephone numer G Gross reeipts $ OMB. -7 Open to Puli Inspetion Employer identifition numer H() Is this group return for suordintes? H() Are ll suordintes inluded? If "," tth list. (see instrutions) H() Group exemption numer u Corportion Trust Assoition Other u L Yer of formtion: M Stte of legl domiile: NJ Summry Briefly desrie the orgniztion's mission or most signifint tivities: Chek this ox u if the orgniztion disontinued its opertions or disposed of more thn % of its net ssets. Numer of voting memers of the governing ody (Prt VI, line ) Numer of independent voting memers of the governing ody (Prt VI, line ) Totl numer of individuls employed in lendr yer (Prt V, line ). Totl numer of volunteers (estimte if neessry).. 7 Totl unrelted usiness revenue from Prt VIII, olumn (C), line..... Net unrelted usiness txle inome from Form -T, line Prior Yer Route West The Crftsmn Frms Foundtion, In Stikley Museum t Crftsmn Frms Morris Plins NJ 7- Vond Givens Route West Morris Plins NJ 7- ()() See Shedule O Contriutions nd grnts (Prt VIII, line h) Progrm servie revenue (Prt VIII, line g) Investment inome (Prt VIII, olumn (A), lines,, nd 7d) Other revenue (Prt VIII, olumn (A), lines, d,,,, nd e) Totl revenue dd lines through (must equl Prt VIII, olumn (A), line ).... Revenue less expenses. Sutrt line from line... Totl ssets (Prt, line ).... Totl liilities (Prt, line ).. Net ssets or fund lnes. Sutrt line from line Prt II Signture Blok 7 7 Beginning of Current Yer Current Yer End of Yer Under penlties of perjury, I delre tht I hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is true, orret, nd omplete. Delrtion of preprer (other thn offier) is sed on ll informtion of whih preprer hs ny knowledge.,,7 7,,,,,7, 7,,,7,,, 7,, 7,7 7, 7,7,,, 7,, 7,77,, Sign Here Signture of offier Vond Givens Type or print nme nd title Print/Type preprer's nme Preprer's signture Dte Chek if PTIN Pid Vitor Misno, CPA self-employed P Preprer Firm's nme } Germn, Vreelnd & Assoites, LLP Firm's EIN } -7 Use Only Ridgedle Ave Suite Firm's ddress } Cedr Knolls, NJ 77- Phone no My the IRS disuss this return with the preprer shown ove? (see instrutions) For Pperwork Redution At tie, see the seprte instrutions. Dte Ating Exeutive Diretor Form ()

2 Form () Pge Prt III Sttement of Progrm Servie Aomplishments Briefly desrie the orgniztion's mission: Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form or -EZ?. If "," desrie these new servies on Shedule O. Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? If "," desrie these hnges on Shedule O. Desrie the orgniztion's progrm servie omplishments for eh of its three lrgest progrm servies, s mesured y expenses. Setion ()() nd ()() orgniztions re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. (Code: ) (Expenses $ inluding grnts of $ ) (Revenue $ ) ) $ (Revenue ) $ inluding grnts of $ ) (Expenses (Code: (Code: $ inluding grnts of $ ) ) (Expenses $ ) (Revenue. d Other progrm servies. (Desrie in Shedule O.) (Revenue ) $ (Expenses ) $ inluding grnts of $ e Totl progrm servie expenses u Form () Chek if Shedule O ontins response or note to ny line in this Prt III.. See Shedule O 77,,7 The Foundtion hs omplished its mission to preserve, interpret, nd mke relevnt the legy nd idels of Gustv Stikley nd the Amerin Arts nd Crfts movement through ongoing restortion of Crftsmn Frms' uildings nd lndspe, nd y serving over, nnul visitors with tours, letures, progrms, pulitions, ulturl tivities nd sholrly reserh. 77,

3 Form () 7 7 Prt IV d e f Cheklist of Required Shedules Is the orgniztion desried in setion ()() or 7()() (other thn privte foundtion)? If, omplete Shedule A Is the orgniztion required to omplete Shedule B, Shedule of Contriutors (see instrutions)? Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? If, omplete Shedule C, Prt I Setion ()() orgniztions. Did the orgniztion engge in loying tivities, or hve setion (h) eletion in effet during the tx yer? If "," omplete Shedule C, Prt II Is the orgniztion setion ()(), ()(), or ()() orgniztion tht reeives memership dues, ssessments, or similr mounts s defined in Revenue Proedure -? If "," omplete Shedule C, Prt III.. Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts for whih donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? If, omplete Shedule D, Prt I... Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? If, omplete Shedule D, Prt II Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If, omplete Shedule D, Prt III Did the orgniztion report n mount in Prt, line, for esrow or ustodil ount liility; serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? If, omplete Shedule D, Prt IV Did the orgniztion, diretly or through relted orgniztion, hold ssets in temporrily restrited endowments, permnent endowments, or qusi-endowments? If, omplete Shedule D, Prt V..... If the orgniztion's nswer to ny of the following questions is, then omplete Shedule D, Prts VI, VII, VIII, I, or s pplile. Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line? If "," omplete Shedule D, Prt VI Did the orgniztion report n mount for investments other seurities in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "," omplete Shedule D, Prt VII Did the orgniztion report n mount for investments progrm relted in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "," omplete Shedule D, Prt VIII Did the orgniztion report n mount for other ssets in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "," omplete Shedule D, Prt I Did the orgniztion report n mount for other liilities in Prt, line? If "," omplete Shedule D, Prt... Did the orgniztion's seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion's liility for unertin tx positions under FIN (ASC 7)? If "," omplete Shedule D, Prt Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? If, omplete Shedule D, Prts I nd II Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? If "," nd if the orgniztion nswered "" to line, then ompleting Shedule D, Prts I nd II is optionl Is the orgniztion shool desried in setion 7()()(A)(ii)? If, omplete Shedule E. Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes? Did the orgniztion hve ggregte revenues or expenses of more thn $, from grntmking, fundrising, usiness, investment, nd progrm servie tivities outside the United Sttes, or ggregte foreign investments vlued t $, or more? If, omplete Shedule F, Prts I nd IV. Did the orgniztion report on Prt I, olumn (A), line, more thn $, of grnts or other ssistne to or for ny foreign orgniztion? If, omplete Shedule F, Prts II nd IV Did the orgniztion report on Prt I, olumn (A), line, more thn $, of ggregte grnts or other ssistne to or for foreign individuls? If, omplete Shedule F, Prts III nd IV Did the orgniztion report totl of more thn $, of expenses for professionl fundrising servies on Prt I, olumn (A), lines nd e? If, omplete Shedule G, Prt I (see instrutions).... Did the orgniztion report more thn $, totl of fundrising event gross inome nd ontriutions on Prt VIII, lines nd? If "," omplete Shedule G, Prt II Did the orgniztion report more thn $, of gross inome from gming tivities on Prt VIII, line? If "," omplete Shedule G, Prt III Did the orgniztion operte one or more hospitl filities? If, omplete Shedule H. If to line, did the orgniztion tth opy of its udited finnil sttements to this return? d e f 7 Pge Form ()

4 Form () Pge 7 Prt IV 7 d Cheklist of Required Shedules (ontinued) Did the orgniztion report more thn $, of grnts or other ssistne to ny domesti orgniztion or government on Prt I, olumn (A), line? If, omplete Shedule I, Prts I nd II..... Did the orgniztion report more thn $, of grnts or other ssistne to individuls in the United Sttes on Prt I, olumn (A), line? If "," omplete Shedule I, Prts I nd III Did the orgniztion nswer to Prt VII, Setion A, line,, or out ompenstion of the orgniztion's urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? If "," omplete Shedule J..... Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $, s of the lst dy of the yer, tht ws issued fter Deemer,? If, nswer lines through d nd omplete Shedule K. If, go to line. Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption?..... Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds?... Did the orgniztion t s n on ehlf of issuer for onds outstnding t ny time during the yer?.... Setion ()() nd ()() orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? If, omplete Shedule L, Prt I.. Is the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion's prior Forms or -EZ? If "," omplete Shedule L, Prt I. Did the orgniztion report ny mount on Prt, line,, or for reeivles from or pyles to ny urrent or former offiers, diretors, trustees, key employees, highest ompensted employees, or disqulified persons? If so, omplete Shedule L, Prt II Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to % ontrolled entity or fmily memer of ny of these persons? If, omplete Shedule L, Prt III.... Ws the orgniztion prty to usiness trnstion with one of the following prties (see Shedule L, Prt IV instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV..... A fmily memer of urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Prt IV An entity of whih urrent or former offier, diretor, trustee, or key employee (or fmily memer thereof) ws n offier, diretor, trustee, or diret or indiret owner? If, omplete Shedule L, Prt IV Did the orgniztion reeive more thn $, in non-sh ontriutions? If, omplete Shedule M Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? If, omplete Shedule M... Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? If, omplete Shedule N, Prt I... Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn % of its net ssets? If "," omplete Shedule N, Prt II Did the orgniztion own % of n entity disregrded s seprte from the orgniztion under Regultions setions.77- nd.77-? If, omplete Shedule R, Prt I Ws the orgniztion relted to ny tx-exempt or txle entity? If, omplete Shedule R, Prts II, III, or IV, nd Prt V, line.... Did the orgniztion hve ontrolled entity within the mening of setion ()()?..... If "" to line, did the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolled entity within the mening of setion ()()? If, omplete Shedule R, Prt V, line... Setion ()() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? If, omplete Shedule R, Prt V, line Did the orgniztion ondut more thn % of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? If, omplete Shedule R, Prt VI. Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt VI, lines nd? te. All Form filers re required to omplete Shedule O..... d 7 7 Form ()

5 Form () Prt V 7 d e f g h Sttements Regrding Other IRS Filings nd Tx Compline Chek if Shedule O ontins response or note to ny line in this Prt V.. Enter the numer reported in Box of Form. Enter -- if not pplile Enter the numer of Forms W-G inluded in line. Enter -- if not pplile... Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming (gmling) winnings to prize winners?..... Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return.. If t lest one is reported on line, did the orgniztion file ll required federl employment tx returns?. te. If the sum of lines nd is greter thn, you my e required to e-file (see instrutions) Did the orgniztion hve unrelted usiness gross inome of $, or more during the yer?. If, hs it filed Form -T for this yer? If to line, provide n explntion in Shedule O... At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)? If, enter the nme of the foreign ountry: u... See instrutions for filing requirements for Form TD F -., Report of Foreign Bnk nd Finnil Aounts. Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? If to line or, did the orgniztion file Form -T? Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $,, nd did the orgniztion soliit ny ontriutions tht were not tx dedutile s hritle ontriutions?... If, did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile? Orgniztions tht my reeive dedutile ontriutions under setion 7(). Did the orgniztion reeive pyment in exess of $7 mde prtly s ontriution nd prtly for goods nd servies provided to the pyor?. If, did the orgniztion notify the donor of the vlue of the goods or servies provided?.... Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form? If, indite the numer of Forms filed during the yer d Did the orgniztion reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt?. If the orgniztion reeived ontriution of qulified intelletul property, did the orgniztion file Form s required?... If the orgniztion reeived ontriution of rs, ots, irplnes, or other vehiles, did the orgniztion file Form -C? Sponsoring orgniztions mintining donor dvised funds nd setion ()() supporting orgniztions. Did the supporting orgniztion, or donor dvised fund mintined y sponsoring orgniztion, hve exess usiness holdings t ny time during the yer? Sponsoring orgniztions mintining donor dvised funds. Did the orgniztion mke ny txle distriutions under setion? Did the orgniztion mke distriution to donor, donor dvisor, or relted person? Setion ()(7) orgniztions. Enter: Initition fees nd pitl ontriutions inluded on Prt VIII, line..... Gross reeipts, inluded on Form, Prt VIII, line, for puli use of lu filities Setion ()() orgniztions. Enter: Gross inome from memers or shreholders.. Gross inome from other soures (Do not net mounts due or pid to other soures ginst mounts due or reeived from them.)... Setion 7()() non-exempt hritle trusts. Is the orgniztion filing Form in lieu of Form? If, enter the mount of tx-exempt interest reeived or rued during the yer Setion ()() qulified nonprofit helth insurne issuers. Is the orgniztion liensed to issue qulified helth plns in more thn one stte? te. See the instrutions for dditionl informtion the orgniztion must report on Shedule O. Enter the mount of reserves the orgniztion is required to mintin y the sttes in whih the orgniztion is liensed to issue qulified helth plns Enter the mount of reserves on hnd Did the orgniztion reeive ny pyments for indoor tnning servies during the tx yer?. If "," hs it filed Form 7 to report these pyments? If "," provide n explntion in Shedule O.. Form () e 7f 7g 7h Pge

6 Form () Pge Prt VI Governne, Mngement, nd Dislosure For eh "" response to lines through 7 elow, nd for "" response to line,, or elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Chek if Shedule O ontins response or note to ny line in this Prt VI. Setion A. Governing Body nd Mngement 7 Setion C. Dislosure Enter the numer of voting memers of the governing ody t the end of the tx yer If there re mteril differenes in voting rights mong memers of the governing ody, or Enter the numer of voting memers inluded in line, ove, who re independent Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, diretor, trustee, or key employee? Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to mngement ompny or other person? Did the orgniztion mke ny signifint hnges to its governing douments sine the prior Form ws filed?. Did the orgniztion eome wre during the yer of signifint diversion of the orgniztion s ssets? Did the orgniztion hve memers or stokholders? Did the orgniztion hve memers, stokholders, or other persons who hd the power to elet or ppoint one or more memers of the governing ody?. Are ny governne deisions of the orgniztion reserved to (or sujet to pprovl y) memers, stokholders, or persons other thn the governing ody?..... Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: The governing ody? Eh ommittee with uthority to t on ehlf of the governing ody?.. Is there ny offier, diretor, trustee, or key employee listed in Prt VII, Setion A, who nnot e rehed t the orgniztion s miling ddress? If, provide the nmes nd ddresses in Shedule O.. Setion B. Poliies (This Setion B requests informtion out poliies not required y the Internl Revenue Code.) Did the orgniztion hve lol hpters, rnhes, or ffilites? If, did the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with the orgniztion's exempt purposes? Hs the orgniztion provided omplete opy of this Form to ll memers of its governing ody efore filing the form?.. Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form. 7 if the governing ody delegted rod uthority to n exeutive ommittee or similr ommittee, explin in Shedule O. Did the orgniztion hve written onflit of interest poliy? If, go to line Were offiers, diretors, or trustees, nd key employees required to dislose nnully interests tht ould give rise to onflits? Did the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? If, desrie in Shedule O how this ws done.... Did the orgniztion hve written whistlelower poliy?..... Did the orgniztion hve written doument retention nd destrution poliy?... Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion s CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion. If to line or, desrie the proess in Shedule O (see instrutions). Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer?. If, did the orgniztion follow written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tke steps to sfegurd the orgniztion s exempt sttus with respet to suh rrngements? List the sttes with whih opy of this Form is required to e filed u Setion requires n orgniztion to mke its Forms (or if pplile),, nd -T (Setion ()()s only) ville for puli inspetion. Indite how you mde these ville. Chek ll tht pply. Own wesite Another's wesite Upon request Desrie in Shedule O whether (nd if so, how) the orgniztion mde its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli during the tx yer. NJ,NY Other (explin in Shedule O) Stte the nme, physil ddress, nd telephone numer of the person who possesses the ooks nd reords of the orgniztion: u The Crftsmn Frms Foundtion, In Route West Morris Plins NJ Form ()

7 Form () Prt VII Setion A. Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd Independent Contrtors Chek if Shedule O ontins response or note to ny line in this Prt VII Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. List ll of the orgniztion's urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -- in olumns (D), (E), nd (F) if no ompenstion ws pid. List ll of the orgniztion's urrent key employees, if ny. See instrutions for definition of "key employee." List the orgniztion's five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box of Form W- nd/or Box 7 of Form -MISC) of more thn $, from the orgniztion nd ny relted orgniztions. List ll of the orgniztion's former offiers, key employees, nd highest ompensted employees who reeived more thn $, of reportle ompenstion from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $, of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons. Chek this ox if neither the orgniztion nor ny relted orgniztions ompensted ny urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Nme nd Title Averge hours per week (list ny hours for relted orgniztions elow dotted line) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Individul trustee or diretor Institutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/-MISC) Reportle ompenstion from relted orgniztions (W-/-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions () ROBERT C. BURCHELL. TREASURER & TRUSTEE. () JOSEPH JANNARONE, JR.. TRUSTEE. () EDWIN C. HEINLE. VICE PRES. & TRUSTEE. () JOSEPH PENNACCHIO. TRUSTEE. () DAVEY L. WILLANS. TRUSTEE. () JAMES R. BARBERIO. TRUSTEE. (7) BARBARA N. FULDNER. TRUSTEE. () LYNN M. LEEB. TRUSTEE. () DAVID RUDD. TRUSTEE. () DON HAFNER. TRUSTEE. () RAY STUBBLEBINE. TRUSTEE. Form () Pge 7

8 Form () Pge Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) Prt VII Su-totl..... u Totl from ontinution sheets to Prt VII, Setion A.. u d Totl (dd lines nd ). u Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $, in reportle ompenstion from the orgniztion u (A) Nme nd title Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line? If, omplete Shedule J for suh individul. For ny individul listed on line, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $,? If, omplete Shedule J for suh individul Did ny person listed on line reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? If, omplete Shedule J for suh person... Setion B. Independent Contrtors (B) Averge hours per week (list ny hours for relted orgniztions elow dotted line) Individul trustee or diretor Institutionl trustee Offier (C) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $, of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. (A) (B) Nme nd usiness ddress Desription of servies Key employee Highest ompensted employee Former (D) Reportle ompenstion from the orgniztion (W-/-MISC) (E) Reportle ompenstion from relted orgniztions (W-/-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions () MARK WEAVER. TRUSTEE. () JAY KIELY. TRUSTEE. () DOROTHY BEATTIE. TRUSTEE. () BARBARA A. WEISKITTEL. PRESIDENT & TRUSTEE. () MICHAEL J. depierro. TRUSTEE. (7) PETER MARS. VICE PRES. & TRUSTEE. () MITCH CODDING. VICE PRES. & TRUSTEE. () BILL YOUNG. TRUSTEE.,,,, (F) (C) Compenstion Merrell & Grguso, In. Loke Avenue Swedesoro NJ Restortion 7, Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $, of ompenstion from the orgniztion u Form ()

9 Form () Pge Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) Prt VII () (A) Nme nd title (B) Averge hours per week (list ny hours for relted orgniztions elow dotted line) Individul trustee or diretor Institutionl trustee Offier (C) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Key employee Highest ompensted employee Former (D) Reportle ompenstion from the orgniztion (W-/-MISC) (E) Reportle ompenstion from relted orgniztions (W-/-MISC) (F) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions () JAY KIELY. TRUSTEE. () HEATHER E. STIVISON FORMER EEC DIRECTOR., () VONDA GIVENS ACTING EEC DIRECTOR.,7, () MARTI WEINSTEIN. SECRETARY. (7) () () Su-totl..... u Totl from ontinution sheets to Prt VII, Setion A.. u d Totl (dd lines nd ). u Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $, in reportle ompenstion from the orgniztion u Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line? If, omplete Shedule J for suh individul. For ny individul listed on line, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $,? If, omplete Shedule J for suh individul Did ny person listed on line reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? If, omplete Shedule J for suh person... Setion B. Independent Contrtors,, Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $, of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. (A) (B) Nme nd usiness ddress Desription of servies (C) Compenstion Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $, of ompenstion from the orgniztion u Form ()

10 Form () Pge Prt VIII Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Servie Revenue Other Revenue d e f g h d e f g Sttement of Revenue Chek if Shedule O ontins response or note to ny line in this Prt VIII.... Federted mpigns Memership dues Fundrising events Relted orgniztions Government grnts (ontriutions).... All other ontriutions, gifts, grnts, nd similr mounts not inluded ove f, nsh ontriutions inluded in lines -f: $ ,.. Totl. Add lines f.. u d e..... All other progrm servie revenue. Totl. Add lines f.. Investment inome (inluding dividends, interest, nd other similr mounts) Inome from investment of tx-exempt ond proeeds Roylties Gross rents Less: rentl exps. Rentl in. or (loss) (i) Rel (ii) Personl Busn. Code d Net rentl inome or (loss) Gross mount from (i) Seurities (ii) Other sles of ssets other thn inventory Less: ost or other sis & sles exps. u u u u Gin or (loss) d Net gin or (loss) u Gross inome from fundrising events (not inluding $.. of ontriutions reported on line ). See Prt IV, line ,7 Less: diret expenses, Net inome or (loss) from fundrising events u Gross inome from gming tivities. See Prt IV, line..... Less: diret expenses Net inome or (loss) from gming tivities. u d e Gross sles of inventory, less returns nd llownes Less: ost of goods sold , 7, Net inome or (loss) from sles of inventory u Misellneous Revenue... All other revenue Totl. Add lines d Totl revenue. See instrutions..,,77 u Busn. Code u u (A) (B) (C) (D) Totl revenue Relted or Unrelted Revenue exempt funtion revenue usiness revenue exluded from tx under setions -, Progrm revenue 7,, Admissions 7,,,,,,7,7,, Misellneous Inome,,,7, Form ()

11 Form () Prt I Sttement of Funtionl Expenses Setion ()() nd ()() orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Chek if Shedule O ontins response or note to ny line in this Prt I.. (A) (B) (C) (D) Do not inlude mounts reported on lines, Totl expenses Progrm servie Mngement nd Fundrising 7,,, nd of Prt VIII. expenses generl expenses expenses Grnts nd other ssistne to governments nd orgniztions in the U.S. See Prt IV, line Grnts nd other ssistne to individuls in Pge the U.S. See Prt IV, line Grnts nd other ssistne to governments, orgniztions, nd individuls outside the 7 d e f g U.S. See Prt IV, lines nd.. Benefits pid to or for memers.... Compenstion of urrent offiers, diretors, trustees, nd key employees Compenstion not inluded ove, to disqulified persons (s defined under setion (f)()) nd persons desried in setion ()()(B) Other slries nd wges Pension pln ruls nd ontriutions (inlude setion (k) nd () employer ontriutions) Other employee enefits. Pyroll txes... Fees for servies (non-employees): Mngement... Legl. Aounting..... Loying Professionl fundrising servies. See Prt IV, line 7 Investment mngement fees Other. (If line g mount exeeds % of line, olumn,,, 7,,7,,,7,, 7,,7,,,,, 7 d e (A) mount, list line g expenses on Shedule O.) Advertising nd promotion Offie expenses Informtion tehnology... Roylties Oupny..... Trvel Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings.... Interest Pyments to ffilites.... Depreition, depletion, nd mortiztion.... Insurne Other expenses. Itemize expenses not overed ove (List misellneous expenses in line e. If line e mount exeeds % of line, olumn (A) mount, list line e expenses on Shedule O.) All other expenses Totl funtionl expenses. Add lines through e..... Joint osts. Complete this line only if the orgniztion reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion. Chek here u if following SOP - (ASC -7)....., 7,,,7,7,7 77,,,, Restortion expenses,, Contrted servies,7,7,7, Supplies,,7,7 Professionl servies, 7,,,,,,77 7,7 77,, 7, Form ()

12 Form () Pge Assets Liilities Net Assets or Fund Blnes Prt Blne Sheet Chek if Shedule O ontins response or note to ny line in this Prt.. (A) (B) Beginning of yer End of yer Csh non-interest ering ,7 77, Svings nd temporry sh investments...,7, Pledges nd grnts reeivle, net,,7 Aounts reeivle, net. Lons nd other reeivles from urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees. Complete Prt II of Shedule L.... Lons nd other reeivles from other disqulified persons (s defined under setion (f)()), persons desried in setion ()()(B), nd ontriuting employers nd sponsoring orgniztions of setion ()() voluntry employees' enefiiry orgniztions (see instrutions). Complete Prt II of Shedule L tes nd lons reeivle, net... Inventories for sle or use Prepid expenses nd deferred hrges..... Lnd, uildings, nd equipment: ost or other sis. Complete Prt VI of Shedule D. Less: umulted depreition.... Investments pulily trded seurities Investments other seurities. See Prt IV, line Investments progrm-relted. See Prt IV, line Intngile ssets Other ssets. See Prt IV, line. Totl ssets. Add lines through (must equl line ).. Aounts pyle nd rued expenses.... Grnts pyle Deferred revenue Tx-exempt ond liilities Esrow or ustodil ount liility. Complete Prt IV of Shedule D Lons nd other pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt II of Shedule L Seured mortgges nd notes pyle to unrelted third prties..... Unseured notes nd lons pyle to unrelted third prties Other liilities (inluding federl inome tx, pyles to relted third Totl liilities. Add lines 7 through.... Orgniztions tht follow SFAS 7 (ASC ), hek here u nd omplete lines 7 through, nd lines nd. Unrestrited net ssets.. Temporrily restrited net ssets.. Permnently restrited net ssets. Orgniztions tht do not follow SFAS 7 (ASC ), hek here u nd omplete lines through. Cpitl stok or trust prinipl, or urrent funds... Pid-in or pitl surplus, or lnd, uilding, or equipment fund Retined ernings, endowment, umulted inome, or other funds. Totl net ssets or fund lnes.. Totl liilities nd net ssets/fund lnes. prties, nd other liilities not inluded on lines 7-). Complete Prt of Shedule D. 7 7, 7,7,,,,,7,, 7,77, 7,,,, 7,77,,7 7,,,,, 7, Form ()

13 Form () Prt I Prt II Finnil Sttements nd Reporting Chek if Shedule O ontins response or note to ny line in this Prt II Aounting method used to prepre the Form : Csh Arul Were the orgniztion's finnil sttements ompiled or reviewed y n independent ountnt? If "," hek ox elow to indite whether the finnil sttements for the yer were ompiled or Were the orgniztion's finnil sttements udited y n independent ountnt? If "," hek ox elow to indite whether the finnil sttements for the yer were udited on of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt? If the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in the Single Audit At nd OMB Cirulr A-?. If, did the orgniztion undergo the required udit or udits? If the orgniztion did not undergo the Other If the orgniztion hnged its method of ounting from prior yer or heked Other, explin in Shedule O. If to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight Shedule O. Reonilition of Net Assets Chek if Shedule O ontins response or note to ny line in this Prt I. Totl revenue (must equl Prt VIII, olumn (A), line ). Totl expenses (must equl Prt I, olumn (A), line ). Revenue less expenses. Sutrt line from line Net ssets or fund lnes t eginning of yer (must equl Prt, line, olumn (A)).. Net unrelized gins (losses) on investments.. Donted servies nd use of filities 7 Investment expenses. 7 Prior period djustments Other hnges in net ssets or fund lnes (explin in Shedule O) Net ssets or fund lnes t end of yer. Comine lines through (must equl Prt, line, olumn (B)) reviewed on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits. Both onsolidted nd seprte sis Pge,, 7,7,,,7, Form ()

14 SCHEDULE A (Form or -EZ) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion Prt I (i) Nme of supported Puli Chrity Sttus nd Puli Support Complete if the orgniztion is setion ()() orgniztion or setion 7()() nonexempt hritle trust. u Atth to Form or Form -EZ. u Informtion out Shedule A (Form or -EZ) nd its instrutions is t Employer identifition numer Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte foundtion euse it is: (For lines through, hek only one ox.) 7 A hurh, onvention of hurhes, or ssoition of hurhes desried in setion 7()()(A)(i). A shool desried in setion 7()()(A)(ii). (Atth Shedule E.) A hospitl or oopertive hospitl servie orgniztion desried in setion 7()()(A)(iii). A medil reserh orgniztion operted in onjuntion with hospitl desried in setion 7()()(A)(iii). Enter the hospitl's nme, OMB. -7 Open to Puli Inspetion ity, nd stte: An orgniztion operted for the enefit of ollege or university owned or operted y governmentl unit desried in setion 7()()(A)(iv). (Complete Prt II.) A federl, stte, or lol government or governmentl unit desried in setion 7()()(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli desried in setion 7()()(A)(vi). (Complete Prt II.) A ommunity trust desried in setion 7()()(A)(vi). (Complete Prt II.) An orgniztion tht normlly reeives: () more thn /% of its support from ontriutions, memership fees, nd gross e f g h (A) reeipts from tivities relted to its exempt funtions sujet to ertin exeptions, nd () no more thn /% of its support from gross investment inome nd unrelted usiness txle inome (less setion tx) from usinesses quired y the orgniztion fter June, 7. See setion ()(). (Complete Prt III.) An orgniztion orgnized nd operted exlusively to test for puli sfety. See setion ()(). An orgniztion orgnized nd operted exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supported orgniztions desried in setion ()() or setion ()(). See setion ()(). Chek the ox tht desries the type of supporting orgniztion nd omplete lines e through h. Type I Type II Type III Funtionlly integrted d Type III n-funtionlly integrted By heking this ox, I ertify tht the orgniztion is not ontrolled diretly or indiretly y one or more disqulified persons other thn foundtion mngers nd other thn one or more pulily supported orgniztions desried in setion ()() or setion ()(). If the orgniztion reeived written determintion from the IRS tht it is Type I, Type II, or Type III supporting orgniztion, hek this ox Sine August 7,, hs the orgniztion epted ny gift or ontriution from ny of the following persons? (i) A person who diretly or indiretly ontrols, either lone or together with persons desried in (ii) nd (iii) elow, the governing ody of the supported orgniztion?. (ii) A fmily memer of person desried in (i) ove? (iii) A % ontrolled entity of person desried in (i) or (ii) ove? Provide the following informtion out the supported orgniztion(s). orgniztion (ii) EIN (iii) Type of orgniztion (desried on lines ove or IRC setion (see instrutions)) (iv) Is the orgniztion in ol. (i) listed in your governing doument? (v) Did you notify the orgniztion in ol. (i) of your support? (vi) Is the orgniztion in ol. (i) orgnized in the U.S.? g(i) g(ii) g(iii) (vii) Amount of monetry support (B) (C) (D) (E) Totl For Pperwork Redution At tie, see the Instrutions for Form or -EZ. Shedule A (Form or -EZ)

15 Shedule A (Form or -EZ) Prt II Support Shedule for Orgniztions Desried in Setions 7()()(A)(iv) nd 7()()(A)(vi) (Complete only if you heked the ox on line, 7, or of Prt I or if the orgniztion filed to qulify under Prt III. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt III.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) u () () () (d) (e) (f) Totl Pge Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts."). Tx revenues levied for the orgniztion's enefit nd either pid to or expended on its ehlf...,7,, 7,,,, The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge... Totl. Add lines through... The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supported orgniztion) inluded on line tht exeeds % of the mount shown on line, olumn (f)... Puli support. Sutrt line from line. Setion B. Totl Support Clendr yer (or fisl yer eginning in) u 7 Amounts from line. Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures....,7,, 7,,,,,7,,7 () () () (d) (e) (f) Totl,7,, 7,,,,,,,,7,, Net inome from unrelted usiness tivities, whether or not the usiness is regulrly rried on Other inome. Do not inlude gin or loss from the sle of pitl ssets (Explin in Prt IV.).. Totl support. Add lines 7 through Gross reeipts from relted tivities, et. (see instrutions) First five yers. If the Form is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion ()() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge Puli support perentge for (line, olumn (f) divided y line, olumn (f)). Puli support perentge from Shedule A, Prt II, line. /% support test. If the orgniztion did not hek the ox on line, nd line is /% or more, hek this,7,7, ox nd stop here. The orgniztion qulifies s pulily supported orgniztion.. /% support test. If the orgniztion did not hek ox on line or, nd line is /% or more,,,, 7. %. % 7 hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion. %-fts-nd-irumstnes test. If the orgniztion did not hek ox on line,, or, nd line is % or more, nd if the orgniztion meets the fts-nd-irumstnes test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the fts-nd-irumstnes test. The orgniztion qulifies s pulily supported orgniztion.... %-fts-nd-irumstnes test. If the orgniztion did not hek ox on line,,, or 7, nd line is % or more, nd if the orgniztion meets the fts-nd-irumstnes test, hek this ox nd stop here. Explin in Prt IV how the orgniztion meets the fts-nd-irumstnes test. The orgniztion qulifies s pulily supported orgniztion Privte foundtion. If the orgniztion did not hek ox on line,,, 7, or 7, hek this ox nd see instrutions..... Shedule A (Form or -EZ)

16 Shedule A (Form or -EZ) Pge Prt III Support Shedule for Orgniztions Desried in Setion ()() (Complete only if you heked the ox on line of Prt I or if the orgniztion filed to qulify under Prt II. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt II.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) u Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul Gross reeipts from dmissions, merhndise sold or servies performed, or filities furnished in ny tivity tht is relted to the orgniztion s tx-exempt purpose. Gross reeipts from tivities tht re not n unrelted trde or usiness under setion Tx revenues levied for the orgniztion's enefit nd either pid to or expended on its ehlf... The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge... 7 grnts.").... Totl. Add lines through... Amounts inluded on lines,, nd reeived from disqulified persons Amounts inluded on lines nd reeived from other thn disqulified persons tht exeed the greter of $, or % of the mount on line for the yer... () () () (d) (e) (f) Totl Add lines 7 nd 7. Puli support (Sutrt line 7 from line.)..... Setion B. Totl Support Clendr yer (or fisl yer eginning in) u Amounts from line. () () () (d) (e) (f) Totl Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties nd inome from similr soures..... Unrelted usiness txle inome (less setion txes) from usinesses quired fter June, 7.. Add lines nd Net inome from unrelted usiness tivities not inluded in line, whether or not the usiness is regulrly rried on..... Other inome. Do not inlude gin or loss from the sle of pitl ssets (Explin in Prt IV.).. Totl support. (Add lines,,, First five yers. If the Form is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion ()() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge Puli support perentge for (line, olumn (f) divided y line, olumn (f)). Puli support perentge from Shedule A, Prt III, line Setion D. Computtion of Investment Inome Perentge 7 nd.)... Investment inome perentge for (line, olumn (f) divided y line, olumn (f)) Investment inome perentge from Shedule A, Prt III, line /% support tests. If the orgniztion did not hek the ox on line, nd line is more thn /%, nd line 7 % % % % 7 is not more thn /%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion..... /% support tests. If the orgniztion did not hek ox on line or line, nd line is more thn /%, nd line is not more thn /%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion. Privte foundtion. If the orgniztion did not hek ox on line,, or, hek this ox nd see instrutions Shedule A (Form or -EZ)

17 Shedule A (Form or -EZ) Prt IV Supplementl Informtion. Provide the explntions required y Prt II, line ; Prt II, line 7 or 7; nd Prt III, line. Also omplete this prt for ny dditionl informtion. (See instrutions). Pge..... Shedule A (Form or -EZ)

18 SCHEDULE D (Form ) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion Supplementl Finnil Sttements u Complete if the orgniztion nswered, to Form, Prt IV, line, 7,,,,,,, d, e, f,, or. u Atth to Form. u Informtion out Shedule D (Form ) nd its instrutions is t Employer identifition numer OMB. -7 Open to Puli Inspetion Prt I d Orgniztions Mintining Donor Advised Funds or Other Similr Funds or Aounts. Complete if the orgniztion nswered to Form, Prt IV, line. Totl numer t end of yer.... Aggregte ontriutions to (during yer). Aggregte grnts from (during yer)..... () Donor dvised funds Aggregte vlue t end of yer. Did the orgniztion inform ll donors nd donor dvisors in writing tht the ssets held in donor dvised funds re the orgniztion s property, sujet to the orgniztion s exlusive legl ontrol?. Did the orgniztion inform ll grntees, donors, nd donor dvisors in writing tht grnt funds n e used Prt II only for hritle purposes nd not for the enefit of the donor or donor dvisor, or for ny other purpose onferring impermissile privte enefit? Conservtion Esements. Complete if the orgniztion nswered to Form, Prt IV, line 7. Purpose(s) of onservtion esements held y the orgniztion (hek ll tht pply). Preservtion of lnd for puli use (e.g., reretion or edution) Protetion of nturl hitt Preservtion of open spe Preservtion of n historilly importnt lnd re Preservtion of ertified histori struture Complete lines through d if the orgniztion held qulified onservtion ontriution in the form of onservtion esement on the lst dy of the tx yer. Totl numer of onservtion esements.. Totl rege restrited y onservtion esements. Numer of onservtion esements on ertified histori struture inluded in () Numer of onservtion esements inluded in () quired fter /7/, nd not on histori struture listed in the Ntionl Register d Numer of onservtion esements modified, trnsferred, relesed, extinguished, or terminted y the orgniztion during the () Funds nd other ounts Held t the End of the Tx Yer tx yer u Numer of sttes where property sujet to onservtion esement is loted u. Does the orgniztion hve written poliy regrding the periodi monitoring, inspetion, hndling of violtions, nd enforement of the onservtion esements it holds?... Stff nd volunteer hours devoted to monitoring, inspeting, nd enforing onservtion esements during the yer u Amount of expenses inurred in monitoring, inspeting, nd enforing onservtion esements during the yer u $ Does eh onservtion esement reported on line (d) ove stisfy the requirements of setion 7(h)()(B) (i) nd setion 7(h)()(B)(ii)? In Prt III, desrie how the orgniztion reports onservtion esements in its revenue nd expense sttement, nd lne sheet, nd inlude, if pplile, the text of the footnote to the orgniztion s finnil sttements tht desries the orgniztion s ounting for onservtion esements. Prt III Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets. Complete if the orgniztion nswered to Form, Prt IV, line. If the orgniztion eleted, s permitted under SFAS (ASC ), not to report in its revenue sttement nd lne sheet works of rt, historil tresures, or other similr ssets held for puli exhiition, edution, or reserh in furtherne of puli servie, provide, in Prt III, the text of the footnote to its finnil sttements tht desries these items. If the orgniztion eleted, s permitted under SFAS (ASC ), to report in its revenue sttement nd lne sheet works of rt, historil tresures, or other similr ssets held for puli exhiition, edution, or reserh in furtherne of puli servie, provide the following mounts relting to these items: (i) Revenues inluded in Form, Prt VIII, line..... (ii) Assets inluded in Form, Prt If the orgniztion reeived or held works of rt, historil tresures, or other similr ssets for finnil gin, provide the following mounts required to e reported under SFAS (ASC ) relting to these items: Revenues inluded in Form, Prt VIII, line Assets inluded in Form, Prt. For Pperwork Redution At tie, see the Instrutions for Form. u u u u $ $ $ $ Shedule D (Form )

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

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

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

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

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

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 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

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

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

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

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

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

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

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

2014 Department of the Treasury

2014 Department of the Treasury 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 Do not enter soil seurity numers

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

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

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

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

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

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

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (013) LESEA GLOBAL FEED THE HUNGRY, INC 3-005349 Part III Statement of Program Servie Aomplishments 1 3 4 4a Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie

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 Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 501(), 527, or 4947(a)(1) of the

More information

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

PUBLIC DISCLOSURE COPY

PUBLIC DISCLOSURE COPY Only file the original (no opies needed). PUBLIC DISCLOSURE COPY Form (Rev. January 014) Department of the Treasury Internal Revenue Servie File y the due date for filing your return. See instrutions.

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 014 Department

More information

PROFESSIONAL SERVICES RENDERED IN THE PREPARATION OF YOUR 2012 EXEMPT ORGANIZATION TAX RETURNS, INCLUDING:

PROFESSIONAL SERVICES RENDERED IN THE PREPARATION OF YOUR 2012 EXEMPT ORGANIZATION TAX RETURNS, INCLUDING: Caution: Forms printed from within Adoe Aroat produts may not meet IRS or state taxing ageny speifiations. When using Aroat 5.x produts, unhek the "Shrink oversized pages to paper size" and unhek the "Expand

More information

8868 Application for Extension of Time To File an Exempt Organization Return

8868 Application for Extension of Time To File an Exempt Organization Return Form 8868 Appliation for Extension of Time To File an Exempt Organization Return (Rev. January 01) OMB. 155-1709 Department of the Treasury Internal Revenue Servie File a separate appliation for eah return.

More information

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 020654. Return of Organization Exempt From Income Tax

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 020654. Return of Organization Exempt From Income Tax Form Department of the Treasury Internal Revenue Servie Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) The organization may have

More information

WICHITA STATE UNIVERSITY FOUNDATION 1845 FAIRMOUNT, CAMPUS BOX #2 WICHITA, KS 67260-0002

WICHITA STATE UNIVERSITY FOUNDATION 1845 FAIRMOUNT, CAMPUS BOX #2 WICHITA, KS 67260-0002 Swindoll, Janzen, Hawk & Loyd, LLC S. Main St., PO Box 7 MPherson, KS 6760-7 WICHITA STATE UNIVERSITY FOUNDATION 8 FAIRMOUNT, CAMPUS BO # WICHITA, KS 6760-000 Forms 990 / 990-EZ Return Summary For alendar

More information

TOA RANGATIRA TRUST. Deed of Trust 3714386.2

TOA RANGATIRA TRUST. Deed of Trust 3714386.2 TOA RANGATIRA TRUST Deed of Trust 1 Deed dted 2011 Prties 1 Te Runng o To Rngtir Inorported n inorported soiety hving its registered offie t Poriru (the Runng ) Bkground A B C D The Runng is n inorported

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax UNIVERSITY OF OREGON FOUNDATION PUBLIC DISCLOSURE COPY RETURN OF EEMPT ORGANIZATION YEAR ENDED JUNE 0, 01 Form Under setion 501(), 57, or 447(a)(1) of the Internal Revenue Code (exept lak lung enefit trust

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 DISCLOSURE COPY ** OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 01 Department

More information

TAX RETURN FILING INSTRUCTIONS

TAX RETURN FILING INSTRUCTIONS TA RETURN FILING INSTRUCTIONS FORM 990 FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ DECEMBER 1, 01 Prepared for Prepared y Amount due or refund Make hek payale to Mail tax return and hek (if appliale) to Return

More information

2014 Department of the Treasury Internal Revenue Service

2014 Department of the Treasury Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 014 Department

More information

European Convention on Social and Medical Assistance

European Convention on Social and Medical Assistance Europen Convention on Soil nd Medil Assistne Pris, 11.XII.1953 Europen Trety Series - No. 14 The governments signtory hereto, eing memers of the Counil of Europe, Considering tht the im of the Counil of

More information

Exempt Organization Business Income Tax Return

Exempt Organization Business Income Tax Return Form For alendar year 2013 or other tax year beginning, and ending. 34 Unrelated business taxable. Subtrat line 33 from line 32. If line 33 is greater than line 32, enter the smaller of zero or line 32

More information

European Convention on Products Liability in regard to Personal Injury and Death

European Convention on Products Liability in regard to Personal Injury and Death Europen Trety Series - No. 91 Europen Convention on Produts Liility in regrd to Personl Injury nd Deth Strsourg, 27.I.1977 The memer Sttes of the Counil of Europe, signtory hereto, Considering tht the

More information

UB-04 Claim Form Instructions Required?

UB-04 Claim Form Instructions Required? U-0 lim Form Instrutions Required? Field Lotion Instrutions Required 1 Enter the legl nme of the fility tht rendered the servies nd their omplete physil ddress. Required, if pplies 2 Enter the omplete

More information

2014 Under section 501(c ), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

2014 Under section 501(c ), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) OMB 1545-1150 Short Form Form 990-EZ Return of Organization Exempt From Inome Tax 2014 Under setion 501( ), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial

More information

KEY SKILLS INFORMATION TECHNOLOGY Level 3. Question Paper. 29 January 9 February 2001

KEY SKILLS INFORMATION TECHNOLOGY Level 3. Question Paper. 29 January 9 February 2001 KEY SKILLS INFORMATION TECHNOLOGY Level 3 Question Pper 29 Jnury 9 Ferury 2001 WHAT YOU NEED This Question Pper An Answer Booklet Aess to omputer, softwre nd printer You my use ilingul ditionry Do NOT

More information

Audit Regulations. (This includes all amendments to the 2008 printed version of the Regulations as previously notified to firms in Audit News 53)

Audit Regulations. (This includes all amendments to the 2008 printed version of the Regulations as previously notified to firms in Audit News 53) Audit Regultions Institute of Chrtered Aountnts in Englnd nd Wles Institute of Chrtered Aountnts of Sotlnd Chrtered Aountnts Irelnd 2013 (This inludes ll mendments to the 2008 printed version of the Regultions

More information

Qualmark Licence Agreement

Qualmark Licence Agreement Terms nd Conditions Qulmrk Liene Agreement Terms nd Conditions Terms nd Conditions 1. Liene Holder Applint 2. Confirmed Sttus 3. Term nd Renewl 4. Use of the Intelletul Property 5. Qulmrk Progrmme Rtings

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

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 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax OMB No 1545-004 Under setion 501(), 527, or 4947( a)(1) of the Internal Revenue Code ( exept lak

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

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

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

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

UNIVERSITY AND WORK-STUDY EMPLOYERS WEBSITE USER S GUIDE

UNIVERSITY AND WORK-STUDY EMPLOYERS WEBSITE USER S GUIDE UNIVERSITY AND WORK-STUDY EMPLOYERS WEBSITE USER S GUIDE Tble of Contents 1 Home Pge 1 2 Pge 2 3 Your Control Pnel 3 4 Add New Job (Three-Step Form) 4-6 5 Mnging Job Postings (Mnge Job Pge) 7-8 6 Additionl

More information

Revised products from the Medicare Learning Network (MLN) ICD-10-CM/PCS Myths and Facts, Fact Sheet, ICN 902143, downloadable.

Revised products from the Medicare Learning Network (MLN) ICD-10-CM/PCS Myths and Facts, Fact Sheet, ICN 902143, downloadable. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Meire & Meii Servies Revise prouts from the Meire Lerning Network (MLN) ICD-10-CM/PCS Myths n Fts, Ft Sheet, ICN 902143, ownlole. MLN Mtters Numer: SE1325

More information

2007 National Home and Hospice Care Survey

2007 National Home and Hospice Care Survey OMB #: 090-098 Exp.: 07/3/009 Ageny Nme: Ageny ID: 007 Ntionl Home nd Hospie Cre Survey Stffing Questionnire Prepred for the Centers for Disese Control nd Prevention Ntionl Center for Helth Sttistis y

More information

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM Vrious provisions in this Coverge Prt restrit this insurne Red the entire Coverge Prt refully to determine rights, duties nd wht is nd is not overed Throughout

More information

Active Directory Service

Active Directory Service In order to lern whih questions hve een nswered orretly: 1. Print these pges. 2. Answer the questions. 3. Send this ssessment with the nswers vi:. FAX to (212) 967-3498. Or. Mil the nswers to the following

More information

Professional Indemnity Insurance All you need to know

Professional Indemnity Insurance All you need to know diret line for usiness Professionl Indemnity Insurne All you need to know Professionl Indemnity Insurne Diret Line For Business - Professionl Insurne [AREN] Free Business Advie Servie These helplines re

More information

Professional Indemnity Insurance All you need to know

Professional Indemnity Insurance All you need to know diret line for usiness Professionl Indemnity Insurne All you need to know Professionl Indemnity Insurne Professionl Insurne [Teh] Free Business Advie Servie These helplines re provided for Your use whilst

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

European Treaty Series - No. 185 CONVENTION ON CYBERCRIME

European Treaty Series - No. 185 CONVENTION ON CYBERCRIME Europen Trety Series - No. 185 CONVENTION ON CYBERCRIME Budpest, 23.XI.2001 2 ETS 185 Convention on Cyerrime, 23.XI.2001 Premle The memer Sttes of the Counil of Europe nd the other Sttes signtory hereto,

More information

1. Definition, Basic concepts, Types 2. Addition and Subtraction of Matrices 3. Scalar Multiplication 4. Assignment and answer key 5.

1. Definition, Basic concepts, Types 2. Addition and Subtraction of Matrices 3. Scalar Multiplication 4. Assignment and answer key 5. . Definition, Bsi onepts, Types. Addition nd Sutrtion of Mtries. Slr Multiplition. Assignment nd nswer key. Mtrix Multiplition. Assignment nd nswer key. Determinnt x x (digonl, minors, properties) summry

More information

Included in CMS/JCAHO Core Measures for CAP*

Included in CMS/JCAHO Core Measures for CAP* Inluded in S/JHO ore esures for P* TELRO illing nd oding Guide orest Lortories, In. * TELRO (eftroline fosmil) is one of the reommended -ltm ntiiotis for ommunity-quired Pneumoni in Immunoompetent Ptients

More information

Lesson 1: Getting started

Lesson 1: Getting started Answer key 0 Lesson 1: Getting strte 1 List the three min wys you enter t in QuikBooks. Forms, lists, registers 2 List three wys to ess fetures in QuikBooks. Menu r, Ion Br, Centers, Home pge 3 Wht ookkeeping

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

CHAPTER 15 STOCKHOLDERS EQUITY. IFRS questions are available at the end of this chapter. TRUE-FALSE Conceptual

CHAPTER 15 STOCKHOLDERS EQUITY. IFRS questions are available at the end of this chapter. TRUE-FALSE Conceptual CHAPTER 15 STOCKHOLDERS EQUITY IFRS questions re ville t the en of this hpter. TRUE-FALSE Coneptul Answer T F T F T F T F F T F T T F F T T F F T No. Desription 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

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

Car insurance. Policy Booklet. www.tesco.ie. In association with

Car insurance. Policy Booklet. www.tesco.ie. In association with Cr insurne Poliy Booklet www.teso.ie In ssoition with Teso Cr Insurne poliy ontents Generl Cutting the ost, not the over! Speil notes, ident nd rekdown ssist phone numers 2 Introdution 3 Complints proedure

More information

*These academic programs have no specific Academic Program Rules and therefore are bound entirely by the General Academic Program Rules

*These academic programs have no specific Academic Program Rules and therefore are bound entirely by the General Academic Program Rules Msters Degrees by Reserh (exluding Mster of Philosophy) These progrms re only vilble to Interntionl Students in 2012. Interntionl students seeking to enrol in Msters Degree in Eonomis or Publi Helth must

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

Complete Property Owner

Complete Property Owner Allinz Insurne pl Complete Property Owner Poliy Wording Complete Property Owner Poliy Wording Contents Introdution 1 How to Mke Clim 2 Complints Proedure 4 Thnk you for hoosing Allinz Insurne pl. We re

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

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

Student Access to Virtual Desktops from personally owned Windows computers

Student Access to Virtual Desktops from personally owned Windows computers Student Aess to Virtul Desktops from personlly owned Windows omputers Mdison College is plesed to nnoune the ility for students to ess nd use virtul desktops, vi Mdison College wireless, from personlly

More information

Public Liability Insurance for Start Ups. Policy Wording

Public Liability Insurance for Start Ups. Policy Wording Publi Libility Insurne for Strt Ups Poliy Wording Contents Insuring Cluse 2 Poliy Definitions 2 Poliy Conditions 3 Poliy Exlusions 6 The Cover Provided Setion 1 Publi Libility 9 Additionl Benefits 15 How

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

Allianz Insurance plc. Motor Trade Select. Policy Wording

Allianz Insurance plc. Motor Trade Select. Policy Wording Allinz Insurne pl Motor Trde Selet Poliy Wording Contents Poliy Definitions 2 The Cover Provided Setion 1 Mteril Dmge 4 Setion 2 Motor Vehile Rod Risks 17 Setion 3 Self Drive Vehile Hire 26 Setion 4 MOT

More information

7 mm Diameter Miniature Cermet Trimmer

7 mm Diameter Miniature Cermet Trimmer 7 mm Dimeter Miniture Cermet Trimmer A dust seled plsti se proteting qulity ermet trk gurntees high performne nd proven reliility. Adjustments re mde esier y the ler sle redings. is idelly suited to ll

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

European Treaty Series - No. 141 CONVENTION ON LAUNDERING, SEARCH, SEIZURE AND CONFISCATION OF THE PROCEEDS FROM CRIME

European Treaty Series - No. 141 CONVENTION ON LAUNDERING, SEARCH, SEIZURE AND CONFISCATION OF THE PROCEEDS FROM CRIME Europen Trety Series - No. 141 CONVENTION ON LAUNDERING, SEARCH, SEIZURE AND CONFISCATION OF THE PROCEEDS FROM CRIME Strsourg, 8.XI.1990 2 ETS 141 Lundering of the Proeeds from Crime, 8.XI.1990 Premle

More information

Allianz Insurance plc. Motor Trade Select. Policy Wording

Allianz Insurance plc. Motor Trade Select. Policy Wording Allinz Insurne pl Motor Trde Selet Poliy Wording Contents Poliy Definitions 2 The Cover Provided Setion 1 Mteril Dmge 4 Setion 2 Motor Vehile Rod Risks 17 Setion 3 Self Drive Vehile Hire 26 Setion 4 MOT

More information

Data Quality Certification Program Administrator In-Person Session Homework Workbook 2015-2016

Data Quality Certification Program Administrator In-Person Session Homework Workbook 2015-2016 Dt Qulity Certifition Progrm Aministrtor In-Person Session Homework Workook 2015-2016 Plese Note: Version 1.00: Pulishe 9-1-2015 Any exerises tht my e upte fter this printing n e foun online in the DQC

More information

Would your business survive a crisis? A guide to business continuity planning. www.staffordbc.gov.uk

Would your business survive a crisis? A guide to business continuity planning. www.staffordbc.gov.uk Would your usiness survive risis? A guide to usiness ontinuity plnning www.stfford.gov.uk 2 A guide to Business Continuity Plnning A guide to usiness ontinuity plnning Contents The Lw Wht type of inidents

More information

Troop Open House. tool to reach youth who have never tried Scouting.

Troop Open House. tool to reach youth who have never tried Scouting. Troop Open House The Boy Sout troop open house llows troop to swing open its doors nd roll out the red rpet to welome guests. It provides forum to show off Souting tivities nd the troop s omplishments.

More information

BEC TESTS Gli ascolti sono disponibili all indirizzo www.loescher.it/business

BEC TESTS Gli ascolti sono disponibili all indirizzo www.loescher.it/business Gli solti sono disponiili ll indirizzo www.loesher.it/usiness SURNAME AND NAME CLASS DATE BEC TEST Prt one Questions 1-8 For questions 1-8 you will her eight short reordings. For eh question, hoose one

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

Euler Hermes Services Ireland Ltd. Terms & Conditions of Business for your Debt Collection Services

Euler Hermes Services Ireland Ltd. Terms & Conditions of Business for your Debt Collection Services Euler Hermes Servies Ireln Lt Terms & Conitions of Business for your Det Colletion Servies Contents Terms n Conitions of Business 1 The Servies 1 EHCI s Oligtions 1 Client s Oligtions 1 Soliitors 2 Fees

More information

Architecture and Data Flows Reference Guide

Architecture and Data Flows Reference Guide Arhiteture nd Dt Flows Referene Guide BES12 Version 12.3 Pulished: 2015-10-14 SWD-20151014125318579 Contents Aout this guide... 5 Arhiteture: BES12 EMM solution... 6 Components used to mnge BlkBerry 10,

More information

Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting

Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting Form W-8MY (Rev. April 2014) Department of the Treasury nternal Revenue Servie Do not use this form for: A A A Certifiate of Foreign ntermediary, Foreign Flow-Through Entity, or Certain U.S. Branhes for

More information

PRIVATE HEALTH INSURANCE. Geographic Variation in Spending for Certain High-Cost Procedures Driven by Inpatient Prices

PRIVATE HEALTH INSURANCE. Geographic Variation in Spending for Certain High-Cost Procedures Driven by Inpatient Prices United Sttes Government Aountility Offie Report to the Rnking Memer, Committee on Energy nd Commere, House of Representtives Deemer 2014 PRIVATE HEALTH INSURANCE Geogrphi Vrition in Spending for Certin

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

Assessor s guidelines for the: SVQ 2 in Pharmacy Services at SCQF level 5 SVQ 3 in Pharmacy Services at SCQF level 6

Assessor s guidelines for the: SVQ 2 in Pharmacy Services at SCQF level 5 SVQ 3 in Pharmacy Services at SCQF level 6 Assessor s guidelines for the: SVQ 2 in Phrmy Servies t SCQF level 5 SVQ 3 in Phrmy Servies t SCQF level 6 Pulition dte: My 2011 Pulition ode: DB5818 The informtion in this pulition my e reprodued in support

More information

Unit 5 Section 1. Mortgage Payment Methods & Products (20%)

Unit 5 Section 1. Mortgage Payment Methods & Products (20%) Unit 5 Setion 1 Mortgge Pyment Methos & Prouts (20%) There re tully only 2 mortgge repyment methos ville CAPITAL REPAYMENT n INTEREST ONLY. Cpitl Repyment Mortgge Also lle Cpitl & Interest mortgge or repyment

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

GAO POSTSECONDARY EDUCATION. Student Outcomes Vary at For-Profit, Nonprofit, and Public Schools. Report to Congressional Requesters

GAO POSTSECONDARY EDUCATION. Student Outcomes Vary at For-Profit, Nonprofit, and Public Schools. Report to Congressional Requesters GAO United Sttes Government Aountbility Offie Report to Congressionl Requesters Deember 2011 POSTSECONDARY EDUCATION Outomes Vry t For-Profit, Nonprofit, nd Publi Shools GAO-12-143 Contents Letter 1 Limited

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

Data Security 1. 1 What is the function of the Jump instruction? 2 What are the main parts of the virus code? 3 What is the last act of the virus?

Data Security 1. 1 What is the function of the Jump instruction? 2 What are the main parts of the virus code? 3 What is the last act of the virus? UNIT 18 Dt Seurity 1 STARTER Wht stories do you think followed these hedlines? Compre nswers within your group. 1 Love ug retes worldwide hos. 2 Hkers rk Mirosoft softwre odes. 3 We phone sm. Wht other

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

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

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

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