Short Form Return of Organization Exempt From Income Tax

Transcription

1 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 lack lung enefit trust or 990-EZ private foundation) 2008 Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512()(13) must file Form 990. All Department of the Treasury other organizations with gross receipts less than $1,000,000 and total assets less than $2,500,000 at the end of the year may use this form. Open to Pulic Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection A For the 2008 calendar year, or tax year eginning and ending B Check if applicale: Please C Name of organization D Employer identification numer Address use IRS change Foundation Foundation lael or Name change print or da MyBillofRights.org Initial type. return See Numer and street (or P.O. ox, if mail is not delivered to street address) Room/suite E Telephone numer Termination Specific 2117 E Pasadena Ave Instructions City or town, state or country, and ZIP + 4 Amended return F Group Exemption Application pending Phoenix, AZ Numer Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitale trusts must attach a completed G Accounting method: Cash Accrual Schedule A (Form 990 or 990-EZ). Other (specify) I Wesite: H Check if the organization is not J Organization type (check only one) 501(c) ( 3 ) ß (insert no.) 4947(a)(1) or 527 required to attach Schedule B (Form 990, 990-EZ, or 990-PF). K Check if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000. A return is not required, ut if the organization chooses to file a return, e sure to file a complete return. L Add lines 5, 6, and 7, to line 9 to determine gross receipts; if $1,000,000 or more, file Form 990 instead of Form 990-EZ $ Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) 1 Contriutions, gifts, grants, and similar amounts received ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Revenue Expenses Net Assets c Program service revenue including government fees and contracts ~~~~~~~~~~~~~~~~~~~~~~~ Memership dues and assessments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment income 5a Gross amount from sale of assets other than inventory~~~~~~~~~~~~~ 5a a c Less: cost or other asis and sales expenses ~~~~~~~~~~~~~~~~~ Gain or (loss) from sale of assets other than inventory (Sutract line 5 from line 5a) (attach schedule)~~~~~~~~ Special events and activities (complete applicale parts of Schedule G). If any amount is from gaming, check here Gross revenue (not including $ of contriutions reported on line 1) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Less: direct expenses other than fundraising expenses ~~~~~~~~~~~~~ Net income or (loss) from special events and activities (Sutract line 6 from line 6a) 7a Gross sales of inventory, less returns and allowances ~~~~~~~~~~~~~ Less: cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 6 7a c ~~~~~~~~~~~~~~~ 6c c Gross profit or (loss) from sales of inventory (Sutract line 7 from line 7a) ~~~~~~~~~~~~~~~~~~~ 7c 8 Other revenue (descrie Savings ) Total revenue. Add lines 1, 2, 3, 4, 5c, 6c, 7c, and , Grants and similar amounts paid (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Benefits paid to or for memers~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Salaries, other compensation, and employee enefits ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Professional fees and other payments to independent contractors ~~~~~~~~~~~~~~~~~~~~~~~~ Occupancy, rent, utilities, and maintenance ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Printing, pulications, postage, and shipping ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other expenses (descrie See Statement 1 ) 16 51, Total expenses. Add lines 10 through , Excess or (deficit) for the year (Sutract line 17 from line 9) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 18-2, Net assets or fund alances at eginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year's return) ~~~~~~~~~~~~~~~~~~~~~~~ 20 Other changes in net assets or fund alances (attach explanation) ~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alances at end of year. Comine lines 18 through ,741. Part II Balance Sheets. If Total assets on line 25, column (B) are $2,500,000 or more, file Form 990 instead of Form 990-EZ. (See the instructions for Part II.) (A) Beginning of year (B) End of year 22 Cash, savings, and investments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3, , Land and uildings ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 24 Other assets (descrie ) Total assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3, , Total liailities (descrie Loan payale C Dickey ) 10, , Net assets or fund alances (line 27 of column (B) must agree with line 21) -6, , LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Form 990-EZ (2008) , , ,276.

2 Foundation Foundation Form 990-EZ (2008) da MyBillofRights.org Part III Statement of Program Service Accomplishments (See the instructions for Part III.) What is the organization's primary exempt purpose? See Statement 3 Descrie what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, descrie the services provided, the numer of persons enefited, or other relevant information for each program title. 28 Monument design development fees Page 2 Expenses (Required for 501(c)(3) and (4) organizations and 4947(a)(1) trusts; optional for others.) 29 (Grants $ ) If this amount includes foreign grants, check here 28a Wesite design and maintance 42, (Grants $ ) If this amount includes foreign grants, check here 29a (Grants $ ) If this amount includes foreign grants, check here 30a 31 Other program services (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (Grants $ ) If this amount includes foreign grants, check here 31a 32 Total program service expenses (add lines 28a through 31a) 32 42,818. Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instructions for Part IV.) (d) Contriutions (a) Name and address () Title and average hours (c) Compensation to employee (e) Expense per week devoted to (If not paid, enter enefit plans & account and position -0-.) deferred other allowances compensation Chris Dickey, 2117 E Pasadena Ave, President Phoenix, AZ David Dickey Vice President 2021 N Alvarado, Phoenix, AZ Form 990-EZ (2008)

3 Foundation Foundation Form 990-EZ (2008) da MyBillofRights.org Page 3 Part V Other Information (Note the statement requirements in the instructions for Part VI.) Yes No 33 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity ~~~~~ Were any changes made to the organizing or governing documents ut not reported to the IRS? If "Yes," attach a conformed copy of the changes ~ a 37a 39 If the organization had income from usiness activities, such as those reported on lines 2, 6a, and 7a (among others), ut not reported on Form 990-T, attach a statement explaining your reason for not reporting the income on Form 990-T. Did the organization have unrelated usiness gross income of $1,000 or more or section 6033(e) notice, reporting, and proxy tax requirements? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," has it filed a tax return on Form 990-T for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was there a liquidation, dissolution, termination, or sustantial contraction during the year? If "Yes," complete applicale parts of Sch. N ~~ Enter amount of political expenditures, direct or indirect, as descried in the instructions. ~~~~~ 37a 0. Did the organization file Form 1120-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 38a Did the organization orrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made a c d e in a prior year and still unpaid at the start of the period covered y this return? If "Yes," complete Schedule L, Part II and enter the total amount involved ~~~~~~~~~~~~~~ 38 12,275. Section 501(c)(7) organizations. Enter: Initiation fees and capital contriutions included on line 9 ~~~~~~~~~~~~~~~~~~~~~ Gross receipts, included on line 9, for pulic use of clu facilities ~~~~~~~~~~~~~~~~~~ 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section ; section ; section Section 501(c)(3) and (4) organizations. Did the organization engage in any section 4958 excess enefit transaction during the year or 41 42a c did it ecome aware of an excess enefit transaction from a prior year? If "Yes," complete Schedule L, Part I ~~~~~~~~~~~~~~~ Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 Enter amount of tax on line 40c reimursed y the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 39a 39 ~~~~~~~~~~~~~~~~~~~~~ All organizations. At any time during the tax year, was the organization a party to a prohiited tax shelter transaction? If "Yes," complete Form 8886-T ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 40e List the states with which a copy of this return is filed. AZ The ooks are in care of Chris Dickey Telephone no Located at 2117 E Pasadena Ave, Phoenix, AZ ZIP At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a ank account, securities account, or other financial account)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 42 If "Yes," enter the name of the foreign country: See the instructions for exceptions and filing requirements for Form TD F , Report of Foreign Bank and Financial Accounts. At any time during the calendar year, did the organization maintain an office outside of the U.S.? ~~~~~~~~~~~~~~~~~~~~ 35a a 40 42c N/A Yes No If "Yes," enter the name of the foreign country: 43 Section 4947(a)(1) nonexempt charitale trusts filing Form 990-EZ in lieu of Form Check here and enter the amount of tax-exempt interest received or accrued during the tax year ~~~~~~~~~~~~~~~~~ 43 N/A N/A N/A Yes No Did the organization maintain any donor advised funds? If "Yes," Form 990 must e completed instead of Form 990-EZ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 Is any related organization a controlled entity of the organization within the meaning of section 512()(13)? If "Yes," Form 990 must e completed instead of Form 990-EZ 45 Form 990-EZ (2008)

4 Foundation Foundation Form 990-EZ (2008) da MyBillofRights.org Page 4 Part VI Section 501(c)(3) organizations only. All section 501(c)(3) organizations must answer questions and complete the tales for lines 50 and Did the organization engage in direct or indirect political campaign activities on ehalf of or in opposition to candidates for pulic Yes No office? If "Yes," complete Schedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization engage in loying activities? If "Yes," complete Schedule C, Part II ~~~~~~~~~~~~~~~~~~~~~ Is the organization operating a school as descried in section 170()(1)(A)(ii)? If "Yes," complete Schedule E ~~~~~~~~~~~~ a Did the organization make any transfers to an exempt non-charitale related organization? ~~~~~~~~~~~~~~~~~~~~~~ 49a 50 If "Yes," was the related organization(s) a section 527 organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Complete this tale for the five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None." 49 (a) Name and address of each employee paid more than $100,000 NONE () Title and average hours per week devoted to position (c) Compensation (D) Contriutions to employee enefit plans & deferred compensation (E) Expense account and other allowances Total numer of other employees paid over $100, Complete this tale for the five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None." NONE (a) Name and address of each independent contractor paid more than $100,000 () Type of service (c) Compensation Total numer of other independent contractors each receiving over $100,000 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than officer) is ased on all information of which preparer has any knowledge. Sign Here = Signature of officer Date = Type or print name and title. Paid Preparer's signature Date Check if selfemployed Preparer's Identifying Numer (See instr.) Preparer's Jeffrey M. Rose, C.P. 05/13/09 Use Only Firm's name (or yours J.M.ROSE EIN if self-employed), Box 519 Phone = address, and ZIP + 4 Woodland Hills, CA no May the IRS discuss this return with the preparer shown aove? See instructions Yes No Form 990-EZ (2008)

5 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Pulic Charity Status and Pulic Support To e completed y all section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitale trusts. Attach to Form 990 or Form 990-EZ. See separate instructions. OMB No Open to Pulic Inspection Name of the organization Foundation Foundation Employer identification numer da MyBillofRights.org Part I Reason for Pulic Charity Status (All organizations must complete this part.) (see instructions) The organization is not a private foundation ecause it is: (Please check only one organization.) 1 A church, convention of churches, or association of churches descried in section 170()(1)(A)(i). 2 A school descried in section 170()(1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization descried in section 170()(1)(A)(iii). (Attach Schedule H.) 4 A medical research organization operated in conjunction with a hospital descried in section 170()(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 170()(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit descried in section 170()(1)(A)(v). 7 An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 170()(1)(A)(vi). (Complete Part II.) 8 A community trust descried in section 170()(1)(A)(vi). (Complete Part II.) 9 An organization that normally receives: (1) more than 33 1/3% of its support from contriutions, memership fees, and gross receipts from activities related to its exempt functions - suject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated usiness taxale income (less section 511 tax) from usinesses acquired y the organization after June 30, See section 509(a)(2). (Complete the Part III.) 10 An organization organized and operated exclusively to test for pulic safety. See section 509(a)(4). (see instructions) 11 An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the ox that descries the type of supporting organization and complete lines 11e through 11h. a Type I Type II c Type III - Functionally integrated d Type III - Other e By checking this ox, I certify that the organization is not controlled directly or indirectly y one or more disqualified persons other than foundation managers and other than one or more pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). f g h If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this ox ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Since August 17, 2006, has the organization accepted any gift or contriution from any of the following persons? (i) (ii) (iii) A person who directly or indirectly controls, either alone or together with persons descried in (ii) and (iii) elow, the governing ody of the supported organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11g(i) A family memer of a person descried in (i) aove? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A 35% controlled entity of a person descried in (i) or (ii) aove? ~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information aout the organizations the organization supports. 11g(ii) 11g(iii) Yes No (i) Name of supported organization (ii) EIN (iii) Type of organization (descried on lines 1-9 aove or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? Yes No Yes No Yes No (vii) Amount of support Total LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule A (Form 990 or 990-EZ)

6 Foundation Foundation Schedule A (Form 990 or 990-EZ) 2008 da MyBillofRights.org Page 2 Part II Support Schedule for Organizations Descried in Sections 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you checked the ox on line 5, 7, or 8 of Part I.) Section A. Pulic Support Calendar year (or fiscal year eginning in) (a) 2004 () 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total Gifts, grants, contriutions, and memership fees received. (Do not include any "unusual grants.") ~~ Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf ~~~~ The value of services or facilities furnished y a governmental unit to the organization without charge ~ Total. Add lines 1-3 ~~~~~~~ The portion of total contriutions y each person (other than a governmental unit or pulicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ~~~~~~~~~~~~ 6 Pulic Support. Sutract line 5 from line 4. Section B. Total Support Calendar year (or fiscal year eginning in) (a) 2004 () 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total 7 Amounts from line 4 ~~~~~~~ 16, , , , , Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources ~ Net income from unrelated usiness activities, whether or not the usiness is regularly carried on ~ Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ~~~~ Total support. Add lines 7 through 10 Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~ First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here Section C. Computation of Pulic Support Percentage Pulic support percentage for 2008 (line 6, column (f) divided y line 11, column (f)) ~~~~~~~~~~~~ 14 Pulic support percentage from 2007 Schedule A, Part IV-A, line 26f 16, , , , , , , , , ,185. ~~~~~~~~~~~~~~~~~~~ 16a 33 1/3% support test If the organization did not check the ox on line 13, and line 14 is 33 1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 33 1/3% support test If the organization did not check a ox on line 13 or 16a, and line 15 is 33 1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17a 10% -facts-and-circumstances test If the organization did not check a ox on line 13, 16a, or 16, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this ox and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a pulicly supported organization ~~~~~~~~~~~~~~~ 10% -facts-and-circumstances test If the organization did not check a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this ox and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a pulicly supported organization ~~~~~~~~ Private foundation. If the organization did not check a ox on line 13, 16a, 16, 17a, or 17, check this ox and see instructions Schedule A (Form 990 or 990-EZ) , ,185. % %

7 Schedule A (Form 990 or 990-EZ) 2008 Page 3 Part III Support Schedule for Organizations Descried in Section 509(a)(2) (Complete only if you checked the ox on line 9 of Part I.) Section A. Pulic Support Calendar year (or fiscal year eginning in) (a) 2004 () 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total Gifts, grants, contriutions, and memership fees received. (Do not include any "unusual grants.") ~~ Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose Gross receipts from activities that are not an unrelated trade or usiness under section 513 ~~~~~ Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf ~~~~ The value of services or facilities furnished y a governmental unit to the organization without charge ~ Total. Add lines 1-5 ~~~~~~~ 7a Amounts included on lines 1, 2, and 3 received from disqualified persons Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of 1% of the total of lines 9, 10c, 11, and 12 for the year or $5,000 ~~~ c Add lines 7a and 7 ~~~~~~~ 8 Pulic support (Sutract line 7c from line 6.) Section B. Total Support Calendar year (or fiscal year eginning in) (a) 2004 () 2005 (c) 2006 (d) 2007 (e) 2008 (f) Total 9 Amounts from line 6 ~~~~~~~ 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources ~ Unrelated usiness taxale income (less section 511 taxes) from usinesses acquired after June 30, 1975 ~~~~ c Add lines 10a and 10 ~~~~~~ 11 Net income from unrelated usiness activities not included in line 10, whether or not the usiness is regularly carried on ~~~~~~~ 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ~~~~ 13 Total support (Add lines 9, 10c, 11, and 12.) 14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here Section C. Computation of Pulic Support Percentage 15 Pulic support percentage for 2008 (line 8, column (f) divided y line 13, column (f)) ~~~~~~~~~~~~ 15 % 16 Pulic support percentage from 2007 Schedule A, Part IV-A, line 27g 16 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2008 (line 10c, column (f) divided y line 13, column (f)) ~~~~~~~~ Investment income percentage from 2007 Schedule A, Part IV-A, line 27h ~~~~~~~~~~~~~~~~~ 19a 33 1/3% support tests If the organization did not check the ox on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization ~~~~~~~~~~ 33 1/3% support tests If the organization did not check a ox on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization ~~~~ 20 Private foundation. If the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions Schedule A (Form 990 or 990-EZ) % % %

8 SCHEDULE L (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Transactions with Interested Persons Attach to Form 990 or Form 990-EZ. To e completed y organizations that answered "Yes" on Form 990, Part IV, lines 25a, 25, 26, 27, 28a, 28, or 28c, or Form 990-EZ, Part V, lines 38a or 40. OMB No Open To Pulic Inspection Name of the organization Foundation Foundation Employer identification numer da MyBillofRights.org Part I Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only). To e completed y organizations that answered "Yes" on Form 990, Part IV, line 25a or 25, or Form 990-EZ, Part V, line (c) Corrected? (a) Name of disqualified person () Description of transaction Yes No 2 3 Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of tax, if any, on line 2, aove, reimursed y the organization ~~~~~~~~~~~~~~~~ $ $ Part II Loans to and/or From Interested Persons. To e completed y organizations that answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a. (a) Name of interested () Loan to or from (c) Original principal (d) Balance due (e) In (f) Approved person and purpose the organization? amount default? y oard or committee? (g) Written agreement? To From Yes No Yes No Yes No Chris Dickey - or 12, ,275. Total $ Part III Grants or Assistance Benefiting Interested Persons. To e completed y organizations that answered "Yes" on Form 990, Part IV, line 27. (a) Name of interested person 12,275. () Relationship etween interested person and the organization (c) Amount of grant or type of assistance Part IV Business Transactions Involving Interested Persons. To e completed y organizations that answered "Yes" on Form 990, Part IV, lines 28a, 28, or 28c. (a) Name of interested person () Relationship etween interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues? Yes No LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule L (Form 990 or 990-EZ) 2008 See General Explanation for Schedule L Continuations

9 Foundation Foundation da MyBillofRights }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990-EZ Other Expenses Statement 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} Description Amount }}}}}}}}}}} }}}}}}}}}}}}}} Program purpose expenses 44,818. Fundraising expenses 2,690. Bank charges 912. Travel 2,622. }}}}}}}}}}}}}} Total to Form 990-EZ, line 16 51,042. ~~~~~~~~~~~~~~ Statement(s) 1

10 Foundation Foundation da MyBillofRights }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 990-EZ Information Regarding Transfers Associated with Personal Benefit Contracts Statement 2 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} A) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? [ ] Yes [ ] No B) Did the organization, during the year, pay premiums, directly or indirectly, on a personal enefit contract?.. [ ] Yes [ ] No ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Statement(s) 2

11 Foundation Foundation da MyBillofRights }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 990-EZ Pg 2 Statement 3 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} Promote the awareness of the ill of rights Statement(s) 3

12 General Explanation Overflow General Explanation Attachment Name of the organization Foundation Foundation Employer identification numer da MyBillofRights.org Schedule L, Part II, Loans To and From Interested Persons: (a) Name of Person: Chris Dickey (a) Purpose of Loan: organization was short of funds to pay current ills () Loan to or from organization? = To (c) Original Principal Amount $ (d) Balance Due $ (e) Loan in Default? = No (f) Approved y Board or Committee? = Yes (g) Written Agreement? = Yes