990^EZ. Short Form Return of Organization Exempt From Income Tax 'ADAMS POOL CORPORATION 3DG R (781)

Size: px
Start display at page:

Download "990^EZ. Short Form Return of Organization Exempt From Income Tax 'ADAMS POOL CORPORATION 3DG R (781) 863-5319 101415.97 25 119284."

Transcription

1 990^EZ Short Form Return of Organization Exempt From Income Tax OMB No Form Under section 501 (c), 527, or 4947 (a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) For organizations with gross receipts less than $100,000 and total assets less Department of the Treasury than $250,000 at the end of the year Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements A For the 2005 calendar year, or tax year beginning, 2005, and ending, 20 B Check if applicable r D Employer identification number q Address change 11101u1I1l1If IIIs it IIIf oil III IIIf it IIII it IIIf fi ll list I11 II F-1 Name change 2 9 I A I fte E Telephone number F-1 initial return 'ADAMS POOL CORPORATION 3DG R (781) q Final return PO BOX 27 1 q Amended return LEXINGTON MA F Group Exemption E] Application pending bons. S Number, Section 501 (c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach G Accounting method q Cash naccrual a completed Schedule A (Form 990 or 990-EZ). Other (specify) H Check if the organization I Website: is not required to attach J Organization type (check only one)-9501 (c) 7 ) Insertno. q 4947 a 1 or q 527 Schedule B (Form 990, 990-EZ, or 990-PF). K Check if the organization's gross receipts are normally not more than $25,000 The organization need not file a return with the IRS, but if the organization chooses to file a return, be sure to file a complete return Some states require a complete return. L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts, if $100,000 or more, file Form 990 instead of Form 990-EZ. $ EM Revenue. Expenses. and Chances in Net Assets or Fund Balances (See r)aae 38 of the instructions.) I Contributions, gifts, grants, and similar amounts received ff^ 2 Program service revenue including government fees and contracts Membership dues and assessments > 4 Investment income a Gross amount from sale of assets other than inventory 5a b Less cost or other basis and sales expenses b A c Gain or (loss) from sale of assets other than inventory (line 5a less line 5b) (attach schedule). 5c 6 Special events and activities (attach schedule) If any amount is from gaming, check here q a Gross revenue (not including $ of contributions reported on line 1 ) a ^-' b Less: direct expenses other than fundraising expenses.... 6b c Net income or (loss) from special events and activities (line 6a less line 6b).... 6c 7a Gross sales of inventory, less returns and allowances 7a b Less: cost of goods sold b c Gross profit or (loss) from sales of inventory (line 7a less line 7b) c 8 Other revenue (describe 8 9 Total revenue (add lines 1, 2, 3, 4, 5c, 6c, 7c, and Grants and similar amounts paid (attach schedule) -) Benefits paid to or for members... O. 11 y 12 Salaries, other compensation, and employee benefits b J^^j 12 ' r_ 13 Professional fees and other payments to independent co tractors W 14 Occupancy, rent, utilities, and maintenance.. N.UT, G _, O 15 Printing, publications, postage, and hippln Other expenses (describe N ee attached ' utle Total expenses (add lines 10 through 16) U) 18 Excess or (deficit) for the year (line 9 less line 17) y 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with i a end-of-year figure reported on prior year's return). Z 20 Other changes in net assets or fund balances (attach explanation) New. Member Bond Net assets or fund balances at end of year (combine lines 18 through 20) FMTM Balance Sheets-If Total assets on line 25, column (B) are $250,000 or more, file Form 990 instead of Form 990-EZ. (See page 41 of the instructions.) (A) Beginning of year (B) End of year 22 Cash, savings, and investments Land and buildings 71214, Other assets (describe Accounts * Receivable ) Total assets Total liabilities (describe 'trade Pa,rables ' Net assets or fund balances (line 27 of column ( B ) must ag ree with line 21) I For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat No Form 990-EZ (2005)/^^ ^atr1n Y

2 Form 990-EZ (2005) Page 2 Statement of Pro g ram Service Accom plishments (See pag e 42 of the instructions. ) Expenses d for c(3) What is the organization's primary exempt purpose? andq (4} organzza Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, and 4947'(a)(1) trusts; describe the services provided, the number of persons benefited, or other relevant information for each program title. optional for others ) Operate a neighborhood_swimming pool Grants $ If this amount includes foreig n g rants, check here. q 28a 29 Grants If this amount includes foreig n g rants, check here. q 29a Grants $ If this amount includes forei g n g rants, check here. q 30a 31 Other program services (attach schedule) (Grants $ If this amount includes foreig n g rants, check here q 31a 32 Total program service expenses (add lines 28a through 31 a) List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated. See page 42 of the instructions.) (B) Title and average (C) Compensation (D) Contributions to (E) Expense (A) Name and address hours per week ( If not paid, employee benefit plans & account and devoted to position enter -0 -.) deferred compensation other allowances See attached_ JjM Information (Note the attachment req uirement in General Instruction V, pag e 14. ) Yes No 33 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed X description of each activity Were any changes made to the organizing or governing documents but not reported to the IRS? If "Yes," X attach a conformed copy of the changes If the organization had income from business activities, such as those reported on lines 2, 6, and 7 (among others), but not reported on Form 990-T, attach a statement explaining your reason for not reporting the income on Form 990-T. a Did the organization have unrelated business gross income of $1,000 or more or 6033(e) notice, reporting, and X proxy tax requirements? a b If "Yes, " has it filed a tax return on Form 990-T for this year? b N 36 Was there a liquidation, dissolution, termination, or substantial contraction during the year? (If "Yes," attach a X statement. ) a Enter amount of political expenditures, direct or indirect, as described in the instructions. 37a none k ^^ ` b Did the organization file Form 1120-POL for this year? b /A 38a D i d the organiza tion borrow from, or ma k e any l oans t o, an y off i cer, director, trustee, or key em p lo yee or were any such loans made in a prior year and still unpaid at the start of the period covered by this return?... 38a X b If "Yes," attach the schedule specified in the line 38 instructions and enter the amount involved b co(7) organizations. Enter: a Initiation fees and capital contributions included on line a None b Gross receipts, included on line 9, for public use of club facilities b None 40a 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 None ; section 4912 None ; section 4955 None b 501(c)(3) and (4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the X year or did it become aware of an excess benefit transaction from a Drior year? If "Yes." attach an exolanatlon. 40b c Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and None d Enter amount of tax on line 40c reimbursed by the organization N/A Form 990-EZ (2005)

3 Form EZ (2005) Page 3 Other information (Note the attachment requirement in General Instruction V, page 14.) (Continued) 41 List the states with which a copy of this return is filed Massachusetts 42a The books are in care of... Dallas J Gale Telephone no. pp. (781 ) Loca ted at Bowser Road Lexington MA ZIP + 4 p b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial Yes No account)? b X If "Yes," enter the name of the foreign country: See the instructions for exceptions and filing requirements for Form TD F c At any time during the calendar year, did the organization maintain an office outside of the U.S.? c X If "Yes," enter the name of the foreign country: E 43 Section 4947(a)(1) nonexempt chantable trusts filing Form 990-EZ in lieu of Form 1041-Check here..... q and enter the amount of tax-exempt interest received or accru

4 Help Us To Picture Them Home Jamal Ashy Zinab Ashy Male, Age Now: 9 Brown eyes, Brown hair Female, Age Now: 11 Brown eyes, Brown hair Missing From: Michigan City, IN on 09/12/2003 National Center for Missing and Exploited Children Call THE-LOST ( ) Proud Partners With Internal Revenue Service NATIONAL CENTER FOR 1OMMD C H I L D R E N

5 SCHEDULE 990- EZ ADAMS POOL CORPORATION ID: YEAR ENDING 10/31/2006 ATTACHMENT - PART I, LINE 16 OTHER EXPENSES Miscellaneous Administration Liability Insurance Workmans Comp Insurance Bank Service Charges 4.07 Miscellaneous Special Member Events Total

6 SCHEDULE 990-EZ ATTACHMENT - PART IV LIST OF OFFICERS AND DIRECTORS ADAMS POOL CORPORATION ID YEAR ENDING 10/31/2006 No compensation, contribution to employee pension plans, expense account or any allowances are paid to any officers or directors. Robin Gannon - President - 8 Millbrook Rd, Lexington, MA Ann Webster - Treasurer - 16 Brent Road, Lexington, MA Kristin Eckler - Clerk East Emerson Rd., Lexington, MA Dame Sperandio - Financial Secretary - 9 Hathaway Rd., Lexington, MA Patricia Slane - Director Adams St., Lexington, MA Bruce Leader - Director - 30 Saddle Club Rd, Lexington MA Jason Garbis - Director - 75 Adams St., Lexington MA Les Norford - Director - 56 Hancock St., Lexington MA Sara Foster - Director -7 Myrna Rd., Lexington MA Tami Rodrig - Director - 4 Myrna Rd, Lexington MA Stewart Levine - Director - 19 Hathaway Rd., Lexington MA 02420

13 Professional fees and other payments to independent contractors... 13 7,000... 14 20,358

13 Professional fees and other payments to independent contractors... 13 7,000... 14 20,358 CU c%j Fom, 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 black lung benefit trust or private foundation)

More information

... 1 2 Program service revenue including government fees and contracts 2 3 Membership dues and assessments..

... 1 2 Program service revenue including government fees and contracts 2 3 Membership dues and assessments.. 990 -^Z Short Form Return of Organization Exempt From Income Tax Form Under section 501(c ), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring

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

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

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

33182 25 37604 26 Total liabilities (describe ) - 26 - - 27 Net assets or fund balances ine 27 of column (B) must ag ree with line 21 ) 33182 27

33182 25 37604 26 Total liabilities (describe ) - 26 - - 27 Net assets or fund balances ine 27 of column (B) must ag ree with line 21 ) 33182 27 assets_ TU CIQ 6Sa Z 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 black lung benefit trust or private

More information

lefile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492221000650 1 Contributions, gifts, grants, and similar amounts received 1

lefile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492221000650 1 Contributions, gifts, grants, and similar amounts received 1 lefile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492221000650 Form 990-EZ IN Department of the Treasury Internal Revenue Service Short Form OMB No 1545-1150 Return of Organization Exempt From

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

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

c Net income or (loss) from special events and activities (Subtract line 6b from line 6a) 70,712 6c

c Net income or (loss) from special events and activities (Subtract line 6b from line 6a) 70,712 6c l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93492074007020 Form 990-EZ IN Department of the Treasury Internal Revenue Service Short Form OMB No 1545-1150 Return of Organization Exempt

More information

990^EZ. H Check 3q if the organization I Website : 10- wwf Lakesherwoodacres. com

990^EZ. H Check 3q if the organization I Website : 10- wwf Lakesherwoodacres. com 990^EZ Short Form Return of Organization Exempt From Income Tax Form Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring

More information

Short Form. Return of Organization Exempt From Income Tax

Short Form. Return of Organization Exempt From Income Tax I Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except

More information

F Group Exemption Appdlication ttons. OAKLAND, CA 94621-1 4 60

F Group Exemption Appdlication ttons. OAKLAND, CA 94621-1 4 60 , 990 -EZ Short Form OMB No 1545-1150 Return of Organization Exempt From Income Tax Form Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code ^oo Q (except black lung benefit trust or

More information

Short Form ... 23 24 Other assets (describe ) 24 25 Total assets

Short Form ... 23 24 Other assets (describe ) 24 25 Total assets W It C CC C. C 990 Short Form OMB No 15451150 Return of Organization Exempt From Income Tax Form EZ Under section 501(c ), 527, or 4947 (a)(1) of the Internal Revenue Code R008 (except black lung benefit

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

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax I I C (r. or, c_ - Ct Form 990_EZ Short Form Return of Organization Exempt From Income Tax OMB No. 1545-1150 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code 2009 (except black lung

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

01^ 1k 990-EZ. ated 12-11 43RD AVENUE 718-361-0145 1 13141020 759639 PMT77017.04 2009.04050 UNITED UNION OF ROOFERS - L PMT77011.

01^ 1k 990-EZ. ated 12-11 43RD AVENUE 718-361-0145 1 13141020 759639 PMT77017.04 2009.04050 UNITED UNION OF ROOFERS - L PMT77011. i m O Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code ( except

More information

24465 22 22553 23 Land and buildings... 23 24 Other assets (describe INSTRUMENTS MUSIC UNIFORMS TRAILER ) 8000 24 9605

24465 22 22553 23 Land and buildings... 23 24 Other assets (describe INSTRUMENTS MUSIC UNIFORMS TRAILER ) 8000 24 9605 all) 0 0N -44 Short Form Return of Organization Exempt From Income Tax 990^F1 Form Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

More information

Short Form. OMB No 1545-1150 Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(aXl) of the Internal Revenue Code

Short Form. OMB No 1545-1150 Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(aXl) of the Internal Revenue Code cc r clk 0 LU Z Z V Form 990 -EZ Short Form OMB No 1545-1150 Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(aXl) of the Internal Revenue Code 2005 (except black lung

More information

D Employer identificationpnumber q Address change

D Employer identificationpnumber q Address change l Form WOu-CL Department of the Treasury I n te rnal R evenu e Se rvi ce Short Form Return of Organization Exempt From Income Tax Under section 51(c ), 527, or 4947( a)(1) of the Internal Revenue Code

More information

Other (specify), H Check III-, if the organization is not I Website :

Other (specify), H Check III-, if the organization is not I Website : L c w 0 For, 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code

More information

Short Form OMB NO 1545-1150

Short Form OMB NO 1545-1150 Short Form OMB NO 1545-1150 Return of Organization Exempt From Income Tax Form 990-EZ Under section 501(c), 527, or 4947(a)(1) of the internal Revenue Code (except black lung benefit trust or 2003 Department

More information

990-EZ. Short Form Return of Organization Exempt From Income Tax Form 75-0832625 (972) 403-7018

990-EZ. Short Form Return of Organization Exempt From Income Tax Form 75-0832625 (972) 403-7018 990-EZ Short Form Return of Organization Exempt From Income Tax Form Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Sponsoring

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

f, OMB No 1545-1150 2009 Short Form Return of Organization Exempt From Income Tax change SOUTH CAROLINA DEFENSE TRIAL ATTORNEYS

f, OMB No 1545-1150 2009 Short Form Return of Organization Exempt From Income Tax change SOUTH CAROLINA DEFENSE TRIAL ATTORNEYS r7 1v LL( Short Form Return of Organization Exempt From Income Tax Form 990-EZ Under section 501(c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung benefit trust or private foundation)

More information

Short Form. F G rou Exem ption Ap plication pending lions. P

Short Form. F G rou Exem ption Ap plication pending lions. P N W cn a w if Form 99-EZ Short Form Return of Organization Exempt From Income Tax Under section 51 (c), 527, or 4947(aXl) of the Internal Revenue Code (except black lung benefit trust or private foundation)

More information

Short Form OMB No. 1545-1150. 2003 For organizations with gross receipts less than $100,000 and total assets less... ---

Short Form OMB No. 1545-1150. 2003 For organizations with gross receipts less than $100,000 and total assets less... --- Form 990-EZ Short Form OMB No 1545-1150 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(axl) of the Internal Revenue Code (except black lung benefit trust or private foundation)

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax c " C%% c^1 h Z Form 990-EZ Short Form Return of Organization Exempt From Income Tax Under section 501(c) 527, or 4947ta )( 1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

More information

Charitable Activities Section Oregon Department of Justice

Charitable Activities Section Oregon Department of Justice Form CT-12 For Oregon Charities Section I. General Information 1. THE KYRON HORMAN FOUNDATION 1338 SW VIOLET CT BEAVERTON, OR 978-514 RECEDED Charitable Activities Section Oregon Department of Justice

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

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

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

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

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

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

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

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

More information

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

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

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) 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

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

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

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

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

A For the 2011 calendar year, or tax year beginning, 2011, and ending, D Employer identification number. 27-4205517 Name change Form 990-EZ Department of the Treasury Internal Revenue Service A For the 2011 calendar year, or tax year beginning, 2011, and ending, B Check if applicable: C Name of organization D Employer identification

More information

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

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

More information

NUVASIVE SPINE FOUNDATION

NUVASIVE SPINE FOUNDATION NUVASIVE SPINE FOUNDATION KPMG LLP 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 Telephone 213-972-4000 Fax 213-630-2279 Private The Nuvasive Spine Foundation 7475 LUSK BOULEVARD Enclosed are the

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

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

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

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

STATE OF INDIANA. November 14, 2011. Board of Directors Foster Parent Services, Inc. 3798 W. Co. Road 500 S. Vallonia, IN 47281

STATE OF INDIANA. November 14, 2011. Board of Directors Foster Parent Services, Inc. 3798 W. Co. Road 500 S. Vallonia, IN 47281 ` STATE OF INDIANA AN EQUAL OPPORTUNITY EMPLOYER STATE BOARD OF ACCOUNTS 302 WEST WASHINGTON STREET ROOM E418 INDIANAPOLIS, INDIANA 46204-2769 Telephone: (317) 232-2513 Fax: (317) 232-4711 Web Site: www.in.gov/sboa

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

ADAM H. PUTNAM COMMISSIONER

ADAM H. PUTNAM COMMISSIONER FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES ADAM H. PUTNAM COMMISSIONER SOLICITATION OF CONTRIBUTIONS REGISTRATION APPLICATION Chapter 496, Florida Statutes 5J7.004 Florida Department of Agriculture

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

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

(c) Compensation. (b) Title and average hours per week devoted to position. Type or print name and title tp sel^ck if Pre arer s Identdy mg.

(c) Compensation. (b) Title and average hours per week devoted to position. Type or print name and title tp sel^ck if Pre arer s Identdy mg. Form 990-EZ (2008) Page 4 Part VI Section 501 (c)(3) organizations only. All section 501(c)(3) organizations must answer questions 46-49 and complete the tables for lines 50 and 51., 46 Did the organization

More information

5c w 6 Special events and activities (attach schedule). If any amount is from gaming, check here ~~ a Gross revenue (not including $

5c w 6 Special events and activities (attach schedule). If any amount is from gaming, check here ~~ a Gross revenue (not including $ L~.I Form b90' EZ Department of the Treasury Internal Revenue Service ~ The A For the 2003 calendar eai B Check if applicable C Short Form Return of Organization Exempt From Income Tax Under section 501(c),

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

TAX PREPARATION CHECKLIST

TAX PREPARATION CHECKLIST Peralta District PTA 313 W. Winton Ave. Hayward, CA 94544-1198 TAX PREPARATION CHECKLIST The purpose of this form is to assist your tax preparer in understanding your PTA Annual Financial Report. An independent

More information

Instructions for Form 990-EZ

Instructions for Form 990-EZ 2013 Instructions for Form 990-EZ Department of the Treasury Internal Revenue Service Short Form Return of Organization Exempt From Income Tax Under Section 501(c), 527, or 4947(a)(1) of the Internal Revenue

More information

Exempt Organization Business Income Tax Return (and OMB No. 1545-0687 proxy tax under section 6033(e))

Exempt Organization Business Income Tax Return (and OMB No. 1545-0687 proxy tax under section 6033(e)) Form 990-T Exempt Organization Business ncome Tax Return (and OMB No. 1545-0687 proxy tax under section 6033(e)) For calendar year 2012 or other tax year beginning 7/01 ' 2012, 2012 and ending 6/30 ' 2013

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

Sample 1023, Application for Recognition of Exemption FILING INSTRUCTIONS

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

More information

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

Form 1023-EZ Streamlined Application for Reinstatement of Tax-Exempt Status For Organizations within 15 months of Revocation

Form 1023-EZ Streamlined Application for Reinstatement of Tax-Exempt Status For Organizations within 15 months of Revocation Form 1023-EZ Streamlined Application for Reinstatement of Tax-Exempt Status For Organizations within 15 months of Revocation Dear PTA Leader: The IRS has released their new Form 1023-EZ to facilitate the

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

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

Application for Extension of Time To File an Exempt Organization Return

Application for Extension of Time To File an Exempt Organization Return Form 8868 (Rev. January 2014) Department of the Treasury Internal Revenue Service for Extension of Time To File an Exempt Organization File a separate application for each return. Information about Form

More information

Instructions for Form 990-PF

Instructions for Form 990-PF 2003 Instructions for Form 990-PF Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Section references are to the Internal Revenue Code unless

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

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

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 990-EZ Department of the Treasury Internal Revenue Service A B 1 I I 1 1 Short Form Return of Organization Exempt From Income Tax Under section 501(c), 627, or 4947(1) of the Internal Revenue Code

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

2AI. 2014 ANNUAL SURVEY OF LOCAL GOVERNMENT FINANCES Special Agencies DUE DATE:

2AI. 2014 ANNUAL SURVEY OF LOCAL GOVERNMENT FINANCES Special Agencies DUE DATE: (8-4-2010) U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU 2014 ANNUAL SURVEY OF LOCAL GOVERNMENT FINANCES Special Agencies FORM F-32 (04/07/2014) OMB No. 0607-0585:

More information

Instructions for Form 5227

Instructions for Form 5227 2005 Instructions for Form 5227 Split-Interest Trust Information Return Section references are to the Internal Revenue Code unless otherwise noted. Department of the Treasury Internal Revenue Service Has

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

Instructions for IRS Form 990-EZ

Instructions for IRS Form 990-EZ Overview These instructions are intended to help clarify and supplement the Instructions for Form 990-EZ as published by the IRS. They are not intended to replace those instructions. Both the form and

More information

Form 990 and Tax Update Olivia A. Hutton, CPA

Form 990 and Tax Update Olivia A. Hutton, CPA Form 990 and Tax Update Olivia A. Hutton, CPA Certified Public Accountants and Consultants Connecting depth and insight with community values. Your 990 should prove that you are: Organized and operated

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

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

The Revised Form 990: Do s, Don ts, and Best Practices. Background Why the Change?

The Revised Form 990: Do s, Don ts, and Best Practices. Background Why the Change? The Revised Form 990: Do s, Don ts, and Best Practices Brought to you by CBIZ MHM, LLC Presented by Brenda A. Blunt Background Why the Change? The form 990 has not been significantly revised since 1979

More information

Instructions for Schedule K (Form 990)

Instructions for Schedule K (Form 990) 2011 Instructions for Schedule K (Form 990) Supplemental Information on Tax-Exempt Bonds Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise

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

Note: Page 1 of 6 Instructions for Form CHAR500 (rev. 2010)

Note: Page 1 of 6 Instructions for Form CHAR500 (rev. 2010) New York State Department of Law (Office of the Attorney General) Charities Bureau - Registration Section Instructions for Form CHAR500 Annual Filing for Charitable Organizations www.charitiesnys.com Contents:

More information

Individual Retirement Arrangements (IRAs)

Individual Retirement Arrangements (IRAs) Department of the Treasury Internal Revenue Service Publication 590 Cat. No. 15160x Individual Retirement Arrangements (IRAs) (Including Roth IRAs and Education IRAs) For use in preparing 1999 Returns

More information

PRIVATE FOUNDATION CAUTION: The purposes of this memorandum are to assist you, the directors of your private foundation, and your accountant in:

PRIVATE FOUNDATION CAUTION: The purposes of this memorandum are to assist you, the directors of your private foundation, and your accountant in: CHERRY CREEK CORPORATE CENTER 4500 CHERRY CREEK DRIVE SOUTH #600 DENVER, CO 80246-1500 303.322.8943 WWW.WADEASH.COM DISCLAIMER Material presented on the Wade Ash Woods Hill & Farley, P.C., website is intended

More information

The Planner s Guide to the 1040 Form!

The Planner s Guide to the 1040 Form! The Planner s Guide to the 1040 Form! Unlocking the annuity and life insurance planning opportunities that other financial advisors are out of position to pursue. PLAN Noun - \plan\ Definition - A program

More information

JAMES A. MICHENER ART MUSEUM

JAMES A. MICHENER ART MUSEUM FINANCIAL STATEMENTS YEAR ENDED DECEMBER 31, 2010 CONTENTS INDEPENDENT AUDITOR'S REPORT 1 FINANCIAL STATEMENTS Statement of Financial Position 2 Statement of Activities 3 Statement of Functional Expenses

More information

OMB No 1545-0047 (502)368-1683 61-06551 87

OMB No 1545-0047 (502)368-1683 61-06551 87 . 1 " Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung 2005 benefit trust or private foundation

More information

1040 U.S. Individual Income Tax Return 2013

1040 U.S. Individual Income Tax Return 2013 F or Department of the Treasury Internal Revenue Service (99) U.S. Individual Income Tax Return 23 m OMB No. 55-7 IRS Use Only Do not write or staple in this space. For the year Jan. Dec. 3, 23, or other

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

Vehicle for Vets Program

Vehicle for Vets Program Vehicle for Vets Program Serving Veterans and Their Families Across America 69 Grove Street, Worcester, MA 01605 Tel: (508) 791-1213 Fax: (508) 791-5296 (800) 482-2565 www.veteransinc.org Vehicles for

More information

Charitable Registration Tool Tips

Charitable Registration Tool Tips Charitable Registration Tool Tips Table of Contents Chapter 1 Online Charitable Registration... 3. Creating an ccount... 3 I. Employer Identification Number (EIN)... 3 II. Parent Organization... 3 III.

More information

Taxable profits from unrelated business

Taxable profits from unrelated business Unrelated Business Income of Nonprofit Organizations, 1997 by Margaret Riley 102 102 Taxable profits from unrelated business income reported by 39,302 nonprofit organizations on Forms 990-T, Exempt Organization

More information

A Review of Bill Sansum Diabetes Center, 2014

A Review of Bill Sansum Diabetes Center, 2014 WILLIAM SANSUM DIABETES CENTER FINANCIAL STATEMENTS DECEMBER 31, 2014 WILLIAM SANSUM DIABETES CENTER TABLE OF CONTENTS December 31, 2014 Independent Auditor's Report.. 1-2 Statement of Financial Position......3

More information

How To Account For A 501(C) Organization

How To Account For A 501(C) Organization Accounting Accounting Finance and Finance Alliances for Alliances PRESENTED BY: JANET MALASIG IEEE-ISTO CONTROLLER IEEE-ISTO and member Programs Program Financial Statements Membership Dues Accounting

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

U.S. Life Insurance Company Income Tax Return For calendar year 2014 or tax year beginning, 2014, ending, 20

U.S. Life Insurance Company Income Tax Return For calendar year 2014 or tax year beginning, 2014, ending, 20 Form 1120-L 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-L) attached... U.S. Life

More information