OJAI VALLEY FINANCIAL SERVICES, LLC 1211 MARICOPA HWY STE 227 OJAI, CA Green Burial Council, Inc PO Box 851 Ojai, CA 93024

Transcription

1 OJAI VALLEY FINANCIAL SERVICES, LLC MARICOPA HWY STE 7 OJAI, CA 9-6

2 Exempt Org. Return prepared for: OJAI VALLEY FINANCIAL SERVICES, LLC MARICOPA HWY STE 7 OJAI, CA 9-6

3 OJAI VALLEY FINANCIAL SERVICES, LLC MARICOPA HWY STE 7 OJAI, CA April 6, 6 Dear Client: Enclosed is your Federal Return of Organization Exempt from Income Tax. The original should be signed at the bottom of page four. tax is payable with the filing of this return. Mail your Federal return on or before vember 6, 5 to: DEPARTMENT OF TREASURY INTERNAL REVENUE SERVICE OGDEN, UT 8-7 Enclosed is your California Exempt Organization Annual Information Return. The original should be signed at the bottom of page one. There is a balance due of payable by December 5, 5. Mail the California return on or before December 5, 5 and make the check payable to: FRANCHISE TA BOARD P.O. BO 9857 SACRAMENTO, CA Please be sure to call us if you have any questions. Sincerely, Elizabeth J. Karnes E.A.

4 OJAI VALLEY FINANCIAL SERVICES, LLC MARICOPA HWY STE 7 OJAI, CA Client GRE7 April 6, 6 (888) 966- FEDERAL FORMS Form 99-EZ Schedule O Form 8868 Return of Organization Exempt from Income Tax Supplemental Information Application for Extension CALIFORNIA FORMS Form 99 Form 59 (99) California Exempt Organization Return Automatic Extension Voucher - Corp. FEE SUMMARY Preparation Fee 5 Amount Due 5

5 Form 99-EZ Short Form Return of Organization Exempt From Income Tax OMB Under section 5(c), 57, or 97(a)() of the Internal Revenue Code (except private foundations) G Do not enter social security numbers on this form as it may be made public. Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning Check if applicable: C Address change Name change Initial return Final return/terminated Open to Public Inspection G Information about Form 99-EZ and its instructions is at and ending, D Employer identification number E Telephone number (888) 966- Amended return F Group Exemption Number G Application pending Accrual Other (specify) G G Accounting Method: Cash I Website: G 5(c)() J Tax-exempt status (check only one) ' 5(c) ( 6 ) H(insert no.) Corporation Trust Association 97(a)() or H Check G if the organization is not required to attach Schedule B (Form 99, 99-EZ, or 99-PF). 57 Other K Form of organization: L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are, or more, or if total assets (Part II, column (B) below) are 5, or more, file Form 99 instead of Form 99-EZ G Part I 6,898. Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I) Check if the organization used Schedule O to respond to any question in this Part I Contributions, gifts, grants, and similar amounts received Program service revenue including government fees and contracts Membership dues and assessments Investment income a Gross amount from sale of assets other than inventory b Less: cost or other basis and sales expenses R E V E N U E 5a 5b c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) Gaming and fundraising events a Gross income from gaming (attach Schedule G if greater than 5,).... 6a of contributions b Gross income from fundraising events (not including from fundraising events reported on line ) (attach Schedule G if the sum of such gross income and contributions exceeds 5,) b c Less: direct expenses from gaming and fundraising events c d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) a Gross sales of inventory, less returns and allowances a b Less: cost of goods sold b c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) Other revenue (describe in Schedule O) Total revenue. Add lines,,,, 5c, 6d, 7c, and G E P E N S E S A S NS EE TT S c 6d 7c 8 9 Grants and similar amounts paid (list in Schedule O) Benefits paid to or for members Salaries, other compensation, and employee benefits Professional fees and other payments to independent contractors Occupancy, rent, utilities, and maintenance Printing, publications, postage, and shipping Other expenses (describe in Schedule O) See......Schedule...O... 6 Total expenses. Add lines through G 7 Excess or (deficit) for the year (Subtract line 7 from line 9) Net assets or fund balances at beginning of year (from line 7, column (A)) (must agree with end-of-year figure reported on prior year's return) Schedule...O... Other changes in net assets or fund balances (explain in Schedule O)......See Net assets or fund balances at end of year. Combine lines 8 through G BAA For Paperwork Reduction Act tice, see the separate instructions. 9 TEEA8L 5/8/ 6,898. 6,898. 9,5 56 7,7. 75,67. -,775. 5, ,876. Form 99-EZ ()

6 Part II Balance Sheets (see the instructions for Part II) Form 99-EZ () Page Check if the organization used Schedule O to respond to any question in this Part II (A) Beginning of year (B) End of year Cash, savings, and investments ,859.,876. Land and buildings schedule o... Other assets (describe in Schedule O) See, 5 Total assets ,859. 5, Total liabilities (describe in Schedule O) Net assets or fund balances (line 7 of column (B) must agree with line ) ,859. 7,876. Expenses Part III Statement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III (Required for section 5 What is the organization's primary exempt purpose? See Schedule O (c)() and 5(c)() organizations; optional Describe the organization's program service accomplishments for each of its three largest program services, as for others.) measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title. 8 Green Burial Options (Grants ) If this amount includes foreign grants, check here G 8 a (Grants ) If this amount includes foreign grants, check here G 9 a 9 (Grants ) If this amount includes foreign grants, check here G a Other program services (describe in Schedule O) (Grants ) If this amount includes foreign grants, check here G a Total program service expenses (add lines 8a through a) G Part IV List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated ' see the instructions for Part IV) Check if the organization used Schedule O to respond to any question in this Part IV (a) Name and title (b) Average hours per week devoted to position John Eric Rolfstad President Dyanne Matzkevitch Treasurer Candace Currie Secretary Kate Kalancik Program Officer BAA TEEA8L (c) Reportable compensation (Forms W-/99-MISC) (If not paid, enter --) (d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation 5/8/ Form 99-EZ ()

7 Part V Other Information (te the Schedule A and personal benefit contract statement requirements in Form 99-EZ () Page the instructions for Part V) Check if the organization used Schedule O to respond to any question in this Part V Did the organization engage in any significant activity not previously reported to the IRS? If ',' provide a detailed description of each activity in Schedule O Were any significant changes made to the organizing or governing documents? If ',' attach a conformed copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the change on Schedule O (see instructions) a Did the organization have unrelated business gross income of, or more during the year from business activities (such as those reported on lines, 6a, and 7a, among others)? a b If ',' to line 5a, has the organization filed a Form 99-T for the year? If ',' provide an explanation in Schedule O 5 b c Was the organization a section 5(c)(), 5(c)(5), or 5(c)(6) organization subject to section 6(e) notice, reporting, and proxy tax requirements during the year? If ',' complete Schedule C, Part III c 6 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If ',' complete applicable parts of Schedule N a Enter amount of political expenditures, direct or indirect, as described in the instructions. G 7 a b Did the organization file Form -POL for this year? b 8 a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? a b If ',' complete Schedule L, Part II and enter the total amount involved b N/A 9 Section 5(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line a N/A b Gross receipts, included on line 9, for public use of club facilities b N/A a Section 5(c)() organizations. Enter amount of tax imposed on the organization during the year under: N/A section 9 G N/A ; section 9 G N/A ; section 955 G N/A b Section 5(c)(), 5(c)(), and 5(c)(9) organizations. Did the organization engage in any section 958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been b reported on any of its prior Forms 99 or 99-EZ? If ',' complete Schedule L, Part I c Section 5(c)(), 5(c)(), and 5(c)(9) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 9, 955, and G d Section 5(c)(), 5(c)(), and 5(c)(9) organizations. Enter amount of tax on line c reimbursed by the organization G e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If ',' complete Form 8886-T List the states with which a copy of this return is filed G ne a The organization's books are in care of G Kate Located at G Kalanick Ojai CA Telephone no. G ZIP + G e () 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 account)? If ',' enter the name of the foreign country:g b See the instructions for exceptions and filing requirements for FinCEN Form, Report of Foreign Bank and Financial Accounts (FBAR). c At any time during the calendar year, did the organization maintain an office outside the U.S.? If ',' enter the name of the foreign country:g c Section 97(a)() nonexempt charitable trusts filing Form 99-EZ in lieu of Form ' Check here G and enter the amount of tax-exempt interest received or accrued during the tax year G a Did the organization maintain any donor advised funds during the year? If ',' Form 99 must be completed instead of Form 99-EZ a N/A N/A b Did the organization operate one or more hospital facilities during the year? If ',' Form 99 must be completed instead of Form 99-EZ c Did the organization receive any payments for indoor tanning services during the year? b c d If '' to line c, has the organization filed a Form 7 to report these payments? If ',' provide an explanation in Schedule O a Did the organization have a controlled entity within the meaning of section 5(b)()? d 5 a b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 5(b)()? If ',' Form 99 and Schedule R may need to be completed instead of Form 99-EZ (see instructions) b TEEA8L 5/8/ Form 99-EZ ()

8 Form 99-EZ () 6 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If ',' complete Schedule C, Part I Part VI Page 6 Section 5(c)() organizations only All section 5(c)() organizations must answer questions 7-9b and 5, and complete the tables for lines 5 and 5. Check if the organization used Schedule O to respond to any question in this Part VI Did the organization engage in lobbying activities or have a section 5(h) election in effect during the tax year? If ',' complete Schedule C, Part II Is the organization a school as described in section 7(b)()(A)(ii)? If ',' complete Schedule E a Did the organization make any transfers to an exempt non-charitable related organization? b If ',' was the related organization a section 57 organization? Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than, of compensation from the organization. If there is none, enter 'ne.' 7 (a) Name and title of each employee 5 (b) Average hours per week devoted to position (c) Reportable compensation (Forms W-/99-MISC) a 9 b (e) Estimated amount of other compensation f Total number of other employees paid over, G Complete this table for the organization's five highest compensated independent contractors who each received more than, of compensation from the organization. If there is none, enter 'ne.' (b) Type of service (a) Name and business address of each independent contractor 5 (d) Health benefits, contributions to employee benefit plans, and deferred compensation (c) Compensation d Total number of other independent contractors each receiving over, G Did the organization complete Schedule A? te. All section 5(c)() organizations must attach a completed Schedule A G Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. Sign Here A A Signature of officer Kate Kalanick Executive Director Type or print name and title Print/Type preparer's name Paid Preparer Use Only Date Preparer's signature Date Elizabeth J. Karnes E.A. Firm's name G OJAI VALLEY FINANCIAL SERVICES, LLC Firm's address G MARICOPA HWY STE 7 OJAI, CA 9-6 Check if self-employed PTIN P579 G May the IRS discuss this return with the preparer shown above? See instructions G Firm's EIN Phone no. Form 99-EZ () TEEA8L 5/8/

9 SCHEDULE O (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Service Supplemental Information to Form 99 or 99-EZ OMB Complete to provide information for responses to specific questions on Form 99 or 99-EZ or to provide any additional information. G Attach to Form 99 or 99-EZ. G Information about Schedule O (Form 99 or 99-EZ) and its instructions is at Open to Public Inspection Name of the organization Employer identification number Form 99-EZ, Part I, Line 6 Other Expenses Admin & Overhead Bank Fees Computer & Internet Services Contract Labor Convention Database Management FTB Fee Grants & Donations Hotel & Accomodations Insurance Meals Merchant Service Fees Misc Travel Office Expenses Promotional Materials QB Management Telephone Travel & Meetings Website Development Total ,97. 5., , ,7. Form 99-EZ, Part I, Line Other Changes In Net Assets Or Fund Balances Prior Year Adj Total Form 99-EZ, Part II, Line Other Assets Beginning Total...,, Ending Form 99-EZ, Part III - Organization's Primary Exempt Purpose Green Burial Options BAA For Paperwork Reduction Act tice, see the Instructions for Form 99 or 99-EZ. TEEA9L 8/8/ Schedule O (Form 99 or 99-EZ)

10 Form 8868 Application for Extension of Time To File an Exempt Organization Return (Rev January ) OMB GFile a separate application for each return. Department of the Treasury Internal Revenue Service GInformation about Form 8868 and its instructions is at If you are filing for an Automatic -Month Extension, complete only Part I and check this box G? If you are filing for an Additional (t Automatic) -Month Extension, complete only Part II (on page of this form). Do not complete Part II unless you have already been granted an automatic -month extension on a previously filed Form Electronic filing (e-file). You can electronically file Form 8868 if you need a -month automatic extension of time to file (6 months for a corporation required to file Form 99-T), or an additional (not automatic) -month extension of time. You can electronically file Form 8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 887, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit and click on e-file for Charities & nprofits. Part I Automatic -Month Extension of Time. Only submit original (no copies needed). A corporation required to file Form 99-T and requesting an automatic 6-month extension ' check this box and complete Part I only..... G All other corporations (including -C filers), partnerships, REMICs, and trusts must use Form 7 to request an extension of time to file income tax returns. Enter filer's identifying number, see instructions Type or print Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or Number, street, and room or suite number. If a P.O. box, see instructions. File by the due date for filing your return. See instructions. Social security number (SSN) City, town or post office, state, and ZIP code. For a foreign address, see instructions. Enter the Return code for the return that this application is for (file a separate application for each return) Application Is For Return Code Return Code Application Is For Form 99 or Form 99-EZ Form 99-T (corporation) 7 Form 99-BL Form 7 (individual) Form 99-PF Form -A Form 7 (other than individual) Form Form 99-T (section (a) or 8(a) trust) Form 99-T (trust other than above) 5 6 Form 669 Form 887? The books are in the care of G Kate Kalanick Fax. G () If the organization does not have an office or place of business in the United States, check this box G If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN). If this is for the whole group, check this box G. If it is for part of the group, check this box.... G and attach a list with the names and EINs of all members Telephone. G?? the extension is for. I request an automatic -month (6 months for a corporation required to file Form 99-T) extension of time until, 5, to file the exempt organization return for the organization named above. 8/5 The extension is for the organization's return for: G G calendar year or tax year beginning,, and ending If the tax year entered in line is for less than months, check reason: Change in accounting period, Initial return. Final return a If this application is for Forms 99-BL, 99-PF, 99-T, 7, or 669, enter the tentative tax, less any nonrefundable credits. See instructions b If this application is for Forms 99-PF, 99-T, 7, or 669, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit b c Balance due. Subtract line b from line a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions c a Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 85-EO and Form 8879-EO for payment instructions. BAA For Privacy Act and Paperwork Reduction Act tice, see instructions. FIFZ5L // Form 8868 (Rev -)

11 Form 8868 (Rev -) Page? If you are filing for an Additional (t Automatic) -Month Extension, complete only Part II and check this box G te. Only complete Part II if you have already been granted an automatic -month extension on a previously filed Form 8868.? If you are filing for an Automatic -Month Extension, complete only Part I (on page ). Additional (t Automatic) -Month Extension of Time. Only file the original (no copies needed). Part II Enter filer's identifying number, see instructions Type or print Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or Social security number (SSN) Number, street, and room or suite number. If a P.O. box, see instructions. File by the due date for filing your return. See instructions. OJAI VALLEY FINANCIAL SERVICES, LLC MARICOPA HWY STE 7 City, town or post office, state, and ZIP code. For a foreign address, see instructions. OJAI, CA 9-6 Enter the Return code for the return that this application is for (file a separate application for each return) Application Is For Return Code Return Code Form 99 or Form 99-EZ Form 99-BL Form 7 (individual) Form 99-PF Form 99-T (section (a) or 8(a) trust) Form 99-T (trust other than above) 5 6 Application Is For Form -A Form 7 (other than individual) Form 57 Form 669 Form STOP! Do not complete Part II if you were not already granted an automatic -month extension on a previously filed Form 8868.? The books are in the care of G Kate Kalanick Telephone. G () Fax. G? If the organization does not have an office or place of business in the United States, check this box G? If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN).... If this is for the whole group, check this box.... G. If it is for part of the group, check this box G and attach a list with the names and EINs of all members the extension is for. /5 5 I request an additional -month extension of time until For calendar year, or other tax year beginning 6 If the tax year entered in line 5 is for less than months, check reason: Change in accounting period State in detail why you need the extension.. Requesting extra, 6.,, and ending Initial return,. Final return time to rebuild records due to a change in officers that resulted in lost records. 7 8 a If this application is for Forms 99-BL, 99-PF, 99-T, 7, or 669, enter the tentative tax, less any nonrefundable credits. See instructions a b If this application is for Forms 99-PF, 99-T, 7, or 669, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form b c Balance due. Subtract line 8b from line 8a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions c Signature and Verification must be completed for Part II only. Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form. Signature G Title G Executive Director BAA Date G Form 8868 (Rev -) FIFZ5L //

12 TAABLE YEAR FORM California Exempt Organization Annual Information Return Calendar Year or fiscal year beginning (mm/dd/yyyy) 99, and ending (mm/dd/yyyy). Corporation/Organization name California corporation number GREEN BURIAL COUNCIL, INC Additional information. See instructions. FEIN Street address (suite or room) PMB no. PO BO 85 City State OJAI CA Foreign country name B Amended Return C IRC Section 97(a)() trust D Final Information Return? Dissolved Surrendered (Withdrawn) Merged/Reorganized Enter date (mm/dd/yyyy) E Check accounting method: Accrual Cash F Federal return filed? 99T 99-PF Other Sch H (99) G Is this a group filing? See instructions H Is this organization in a group exemption? If ',' what is the parent's name? I Did the organization have any changes to its guidelines not reported to the FTB? See instructions Part I 9 Foreign province/state/county A First Return ZIP code Foreign postal code J If exempt under R&TC Section 7d, has the organization engaged in political activities? See instructions K Is the organization exempt under R&TC Section 7g?... If ',' enter the gross receipts from nonmember sources N/A M Is the organization a Limited Liability Company? N Did the organization file Form or Form 9 to report O Is the organization under audit by the IRS or has the IRS taxable income? audited in a prior year? L If organization is exempt under R&TC Section 7d and meets the filing fee exception, check box. filing fee is required P Is an IRS Form / pending? Date filed with IRS CACAL 7//5 Complete Part I unless not required to file this form. See General Instructions B and C. Receipts and Revenues Expenses Filing Fee Sign Here Paid Preparer's Use Only Gross sales or receipts from other sources. From Side, Part II, line Gross dues and assessments from members and affiliates Gross contributions, gifts, grants, and similar amounts received ,898. Total gross receipts for filing requirement test. Add line through line. This line must be completed. If the result is less than 5,, see General Instruction B... 6, Cost of goods sold Cost or other basis, and sales expenses of assets sold Total costs. Add line 5 and line Total gross income. Subtract line 7 from line Total expenses and disbursements. From Side, Part II, line Excess of receipts over expenses and disbursements. Subtract line 9 from line Filing fee or 5. See General Instruction F Total payments Penalties and Interest. See General Instruction J Use tax. See General Instruction K Balance due. Add line, line, and line. Then subtract line from the result > 8 9 6, ,67. -, Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Title Date Telephone Signature of officer G Preparer's signature G Firm's name (or yours, if self-employed) and address EECUTIVE DIRECTOR Date G Check if selfemployed G OJAI VALLEY FINANCIAL SERVICES, LLC MARICOPA HWY STE 7 OJAI, CA Telephone May the FTB discuss this return with the preparer shown above? See instructions For Privacy tice, get FTB ENG/SP (888) 966- PTIN P579 FEIN Form 99 C Side

13 GREEN BURIAL COUNCIL, INC Organizations with gross receipts of more than 5, and private foundations Part II regardless of amount of gross receipts ' complete Part II or furnish substitute information. Receipts from Other Sources Expenses and Disbursements Schedule L Gross sales or receipts from all business activities. See instructions Interest Dividends Gross rents Gross royalties Gross amount received from sale of assets (See instructions) Other income. Attach schedule Total gross sales or receipts from other sources. Add line through line 7. Enter here and on Side, Part I, line Contributions, gifts, grants, and similar amounts paid. Attach schedule Disbursements to or for members Compensation of officers, directors, and trustees. Attach schedule...see......statement..... Other salaries and wages Interest Taxes Rents Depreciation and depletion (See instructions) Other Expenses and Disbursements. Attach schedule see......statement..... Total expenses and disbursements. Add line 9 through line 7. Enter here and on Side, Part I, line Balance Sheets Beginning of taxable year (a) (b) Assets Cash Net accounts receivable Net notes receivable Inventories Federal and state government obligations Investments in other bonds Investments in stock Mortgage loans Other investments. Attach schedule a Depreciable assets b Less accumulated depreciation Land Other assets. Attach schedule Net income per books Federal income tax Excess of capital losses over capital gains Income not recorded on books this year. Attach schedule Expenses recorded on books this year not deducted in this return. Attach schedule Total. Add line through line (d) Side Form 99 C ,876., 5, ,. 75,67. End of taxable year,859.,5 (c),876. Total assets Liabilities and net worth Accounts payable Contributions, gifts, or grants payable Bonds and notes payable Mortgages payable Other liabilities. Attach schedule , Capital stock or principal fund Paid-in or capital surplus. Attach reconciliation Retained earnings or income fund ,859. Total liabilities and net worth Schedule M- Reconciliation of income per books with income per return Do not complete this schedule if the amount on Schedule L, line, column (d), is less than 5,,876. Income recorded on books this year not included in this return. Attach schedule Deductions in this return not charged against book income this year. Attach schedule Total. Add line 7 and line Net income per return. Subtract line 9 from line CACAL,876. /8/

14 Form at bottom of page. IF PAID ELECTRONICALLY: DO NOT FILE THIS FORM WHERE TO FILE: Using black or blue ink, make check or money order payable to the 'Franchise Tax Board.' Write the corporation number or FEIN and ' FTB 59' on the check or money order. Detach form below. Enclose, but do not staple, payment with form and mail to: FRANCHISE TA BOARD PO BO 9857 SACRAMENTO CA Make all checks or money orders payable in U.S. dollars and drawn against a U.S. financial institution. WHEN TO FILE: Calendar year corporations ' File and Pay by March 6, 5 Fiscal year filers ' See instructions Employees' trust and IRA ' File and Pay by April 5, 5 Calendar year exempt orgs ' File and Pay by May 5, 5 When the due date falls on a weekend or holiday, the deadline to file and pay without penalty is extended to the next business day. ONLINE SERVICES: Corporations can make payments online with Web Pay for Businesses. After a one-time online registration, corporations can make an immediate payment or schedule payments up to a year in advance. Go to ftb.ca.gov for more information. IF NO PAYMENT IS DUE OR PAID ELECTRONICALLY, DO NOT MAIL THIS FORM DETACH HERE CAUTION: You may be required to pay electronically, see instructions. TAABLE YEAR Payment for Automatic Extension for Corps and Exempt Orgs GREE TYB -- TYE -- GREEN BURIAL COUNCIL INC KATE KALANICK PO BO 85 OJAI CA 9 (888) 966- DETACH HERE CALIFORNIA FORM 59 (CORP) FORM TOTAL PAYMENT AMT CACZL /5/5 FTB 59

15 California Statements Page Statement Form 99, Part II, Line Compensation of Officers, Directors, Trustees and Key Employees Current Officers: Name and Address Title and Average Hours Per Week Devoted John Eric Rolfstad President Dyanne Matzkevitch Compensation Contribution to EBP & DC Expense Account/ Other Treasurer Candace Currie Secretary Kate Kalancik Program Officer Total Statement Form 99, Part II, Line 7 Other Expenses Admin & Overhead Bank Fees Computer & Internet Services Contract Labor Convention Database Management FTB Fee Grants & Donations Hotel & Accomodations Insurance Legal Fees Meals Merchant Service Fees Misc Travel Office Expenses Postage and Shipping Printing and Publications Promotional Materials QB Management Telephone Travel & Meetings Website Development Total ,97. 5., , ,.