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1 Shot Fom F~ 990-EZ Retun of Oganization Exempt Fom Income Tax Unde section 501(c), 527, w 1917(a)(1) of the Intenal Revenue Code (except black lung oeawem d uie Tasvy ime ei aevmc sauna benefit tust o pivate foundation) il, Fo oganizations with goss eceipts less than $ and total assets less than $ at the end of the yea " The oganization ma have to use a cop of this etun to cabs slate epoting equmement: OMB No A Fo the 2002 calevm,.on " n l>..oe. F,a.un..~....?m7 am am B Check d applicable " ".... " * " SCHD1C31T D Employe Identification numbe a Addess change zs is xw s2-17a3is i 52 : Q Name change IRAN CULTURAL & EDUCATIONAL CENTER E Telephone numbe, GATEWAY DR g ~ 301 ) sas-o1as ~ Amended ~ett.~ POTOMAC MD P-17 P108 Application pending I ui ii I I ui I ui ui ii ui ui... III ~ Section 501(c)(3) oganizations end 1917(e)(1) noneiempt chetewe tusts must attach G Accounting method L Cash 66 Accual a completed Schedule A (Fom 990 a 990-EZ) Othe (speedy) H Check if the oganization I Web site " is no[ equied to attach Oganization type (check only one) c " inset no (a)( 1 ) o Schedule B (Fom EZ, a 990 PF) K Check "E] if the oganization's goss eceipts ae nomally not moe than $ The oganization need not file a etun with the IRS but d the oganization eceived a Fom 990 Package In the mail it should ile a etun without financial data Some states equie a complete etun L Add lines 5b 6b, and 7b to line 9 to detemine goss eceipts d o moe file Fom 990 instead of Fom 990 EZ Revenue Expenses, and Changes in Net Assets o Fund Balances See page 36 of the instuctions 1 Contibutions gifts, gants, and simila amounts eceived _ 1 1, Pogam sevice evenue including govenment fees and contacts _ 2 57, Membeship dues and assessments 4 Investment income _ 3 1,31848 Sa Goss amount fom sale of assets othe than inventoy b Less cost o othe basis and sales expenses d c Gain o (loss) fom sale of assets othe than inventoy (line Sa less line Sb) (attach schedule), Sc 6 Special events and activities (attach schedule) a Goss evenue (not including f 7, of contibutions K epoted on line 1) ~ b Less diect expenses othe than fundaising expenses _ 6b c Net income o (loss) fom special events and activities (line 6a less line 6b) 6c a Goss sales of inventoy, less etuns and allowances b Less cost of goods sold c Goss pofit o (loss) fom sales of inventoy (line 7a less line 7b) 8 Othe evenue (descibe " ~ 8 9 Total evenue (add lines 1 2, 3 4, Sc. 6c. 7c, and 8). " g 10 Gants and simila amounts paid (attach schedule) _ p 71 Benefits paid to o fo membes _» m 12 Salaies othe compensation, and employee benefits _ d 13 Pofessional fees and othe payments to independent contactos _ p,a, 14 Occupancy ent, utilities, and maintenance 14 8,32142 W 15 Pinting, publications, postage and shipping ,28 Q 16 Othe expenses (descibe " WEBSITE, OFFICE SUPPLIES. POSTAGE , Total expenses add lines 10 though 16) _ " 17 38, Excess o (defeat) fo the yea (line 9 less line 17) 18 16,18832 ~ 79 Net assets o fund balances at beginning of yea (fom line 27, column (A)) (must agee with end-of-yea figue epoted on pio yea's etun) _ 19 41, Z 20 Othe changes in net assets o fund balances (attach explanation) _ 20 0 U 21 Net assets o fund balances at end of ea (combine lines 18 though 20). " 21 57, Balance Sheets-If Total assets, 00 o moe, file Fom 990 instead of Fom 990-EZ (See page 39 of [he ins[ucibn CI b CU U (A) Beginning of yea (B) End o yea 22 Cash, saongs, and investments (n _ 47, , Land and buildings 23,., QEC i Othe assets (descibe " '" Ion Total assets No _ 47, , Total tiabdnies (Descibe " ~ Net assets o fund balances (line 27 of 21) 47, , Fo Papewok Reduction Act Notice, see the sepaate instuctions Cal No Fom 990-EZ (2002) ~~ 5a 5b " f.10 2 F Ente 4-dign(GEN) 1V 1

2 Foth 99OEZ (2002) 0019 Statement of What is the oganization's pimay exempt pupose? Educaation and teaching Fatal Language (Requied Descibe what was achieved in caying out the oganization's exempt puposes In a clea and concise manne, descibe the sevices povided, the numbe of pesons benefited, o othe elevant infomation fo each pogam title 28 Taught Fasi Lanpuaqe to ove 740 students aqes of 6 to 75 (Gants E 1, Z no so1(c)(3) and (4) oganizauons and 4947(a)(t) tusts optional fo othes I_ 34 (Gants $ _ (Gants E 31 Othe pogam sevices (attach schedule) (Gants E 1, Total o am sevice expenses (add lines 28a though 31 a) LisIll t of Offices, Diectos, Tustees, and Key Employees (List each one even if not com pensated See page W Name and addess (B) Title and evaage (C) Compensation (U) Cmtibul hous pe week (If ot paid, os tend devoted to pos~non ente -0- ) defined comp uwn nnewai GATEWAY DRIVE, POTOMAC, MD ( PRESIDENT- 10 HOURS I 000 I MEHRI ALIZADEH TAMARA DRIVE COLUMBIA. MD I VP 81NSTRUCTOR- 5 $ ' I VP 8 INSTRUCTOR- 5 $ Did the oganization engage in any activity not peviously epoted to the IRS If 'Yes; attach a detailed desciption of each activity 34 Wee any changes made to the oganizing a govening documents but no epoted to the IRS If 'Yes ; attach a confomed copy of the changes 35 1! [he oganization had income fom business activities, such as those epoted on lines 1, 6, and 7 /among othes/, but tot epoted on Fom 990-T attach a statement explaining you eason fo not epoting the income on Fom 990-T a Did the oganization have unelated business goss income of $1,000 o moe o 6033(e) notice, epoting, and poxy tax equiements b If "Yes." has it filed a tax etun on Fom 990-T fo this yeas _ 36 Was thee a liquidation, dissolution, temination, o substantial contaction duing the yeas (If 'Yes," attach a statement ) 37a Ente amount of political expenditues, duet[ o indiect, as descibed in the instuctions " 1 37a I b Did the oganization file Fom 1120-POL (o this yeas 38a Did the oganization boow (nom, o make any loans to, any office, diecto, tustee, o key employee o wee any such loans made in a pio yea and still unpaid at the stat of the peiod coveed by this etuns b If "Yes," attach the schedule specified in the line 38 instuctions and ente the amount involved 38b (c)(7) oganizations Ente a Initiation fees and capital contibutions included on line 9 39a b Goss eceipts, included on line 9,!o public use of club facilities 1 391a I 40a oganizations Ente Amount of [ax imposed on the oganization duing the yea unde section 4911 ", section 4912 " section 4955 b 507/c1131 and (4) oganizations Did the oganization engage in any section 4958 excess benefit tansaction duing the yea o did it become awae of an excess benefit Vansacuon fom a pio yeah If 'Yes,' attach an explanation c Amount of tax imposed on oganization manages o disqualified pesons duing the yea unde 4912, 4955, and 4958 d Ente Amount of tax on line 40c, above, eimbused by the oganization 41 List the states with which a copy of this etun is filed 42 The books ae in cae of " FRED BEHBAHANI Telephone no " (_ 3~i 1?9' located at " PINTO LANE ROCKVILLE MD Zip, q ~ Section 4947(a)(1) -- nonexempt chaitable. tusts filing Fom and ente the amount of tax-exempt inteest eceived o accu Unde penalties of penuy I declae that I have examined this etun i and ballet it s ~WA tect, eq.oplete Declaation of pepae (o[ Please Sign Hee, Sigouae o1 _ V o pint name and title Paid Pf0p2fE5 Use Miy I Pevaa s signatue Ftmsan 6 sell amp

3 SCHEDULE A Oganization Exempt Unde Section 501(c)(3) OMB No 15450D47 (Fom 990 Of 990-E2) Depxuneni of Ine i~cesuy imoi aeanue senosc Name of the oganization (Except Pivate Foundation) and Section 501(e), 501(Q, 501(k), 501(n), o Section 49471a/(1) Nonexempt Chaitable Tust Supplementay Infomation-(See sepaate instuctions ) ~ O LS go MUST be completed b the above oganizations and attached to thei Fom 990 o 990-EZ Employe idenbficaban numbe Compensation of the Five Highest Paid Employees Othe Than Offices, Diectos, and Tustees (See page 1 of the instuctions List each one If thee ae none, ente 'None ") (a) Name and addess of each employee paid moe (b) Title and aveage hous (d) Convi6uuons to (e) Expense man f pe week devoted to position (~~ Compensation mploye henefn plais account and othe P noio.~w.~~,.,e.,~,,_'u..,.,....o. Total numbe of othe employees paid ove $50,000 Compensation of the Five Highest Paid 000 en[ Contactos fo Pofessional Sevices individuals o fims) I( thee ae none, ente "None " (a) Name and addess of each independent Contacto paid moe than (b) Type of sevice (c/ Compensation s eceiving ove f~ p~ofessionaesev~ces 0 00 / Fo Papewok Reduction Act Notice, see the Instuctions la Fom 990 and Fom 99()-E2 Cap No 11285F Schedule A (Fom 990 o

4 ScheWYe A (Fom 990 a 990-EZI 2002 Statements About Activities (See page 2 0( the instuctions / page Yes No 1 Duing the yea has the oganization attempted to influence national state o local legislation including any attempt to influence public opinion on a legislative matte o efeendums If "Yes,' ente the total expenses paid ~/ o incued in connection with the lobbying activities " E (Must equal amounts on line 38, Pat VI A o line i of Pat VI-B I 1 Oganizations that made an election unde section 501(h) by fling Fom 5768 must complete Pat VI-A Othe oganizations checking "Yes must complete Pat VI-B AND attach a statement giving a detailed desciption of the lobbying activities 2 Duing the yea has the oganization eithe diectly o indiectly engaged in any of the following acts with any substantial contibutos tustees diectos offices ceatos key employees, o membes of thei families o with any taxable oganization with which any such peson is affiliated as an office, diecto tustee majoity owne o pincipal beneficiay (I! (he answe [o any question is ' Yes,"attach a detailed statement explaining [he tansactions ) a Sale, exchange o leasing of popety? 2a b lending of money o othe extension of cedit c Funishing o! goods sevices o facilities d Payment of compensation (o payment o eimbusement of expenses d moe than $l 000)? e Tansfe of any pat of its income o assets Ze 3 Does the oganization make gants fo scholaships fellowships, student loans etc? (See Note below ) 4 Do you have a section 403(b) annuity plan fo you employees 4 Note Attach a statement [o explain how (he oganization detemines that individuals o oganizations eceiving gants o loans fom it in futheance of its chaitable p ogams q ualify to eceive pa yments IMUM Reason fo Non-Pnvste Foundation Status (See pages 3 though 5 of the instuctions ) The oganization is not a pivate foundation because it is (Please check only ONE applicable box 5 El A chuch, convention of chuches o association of chuches Section 170(b)(1)(A)(i) 6 W1 A school Section 170(b)(1)[A)(n) Also complete Pat V ) 7 0 A hospital o a coopeative hospital sevice oganization Section 170(b)(1)(A)(m) 8 E:1 A Fedeal, state, o local govenment o govenmental unit Section 170(b)(1)(A)(v) 9 El A medical eseach oganization opeated in conjunction with a hospital Section 170(b)(1)(A)(iii) Ente the hospital's name, city, and state An oganization opeated fo the benefit of a college o univesity owned o opeated by a govenmental unit Section 170(b)(1 )(A)(iv) (Also complete the Suppot Schedule in Pat IV-A) 11a 0 An oganization that nomally eceives a substantial pat of its suppot fom a govenmental unit o fom the geneal public Section 170(b)(1)(A)(vi) (Also complete the Suppot Schedule in Pat IV-A) 11b El A community tust Section 170(b)(1)(A)(vQ (Also complete the Suppot Schedule in Pat IV-A ) 12 F-1 An oganization that nomally eceives (1) moe than 33'/,% of its suppot fom contibutions membeship fees and goss eceipts fom activities elated to it chaitable etc functions-subject to cetain exceptions, and (2) no moe than % of its suppot fom goss investment income and unelated business taxable income (less section 511 tax) fom businesses acquied by the oganization alte une 30, 1975 See section 509(a)(2) (Also complete the Suppot Schedule in Pat IV-A ) 13 0 An oganization that is iot contolled by any disqualified pesons (othe than foundation manages) and suppots oganizations descibed in (1) lines 5 though 12 above o (2) section 501(c)(4), (5) o (6) d they meet the test of section 509(a)(2) (See section 509(a)(3) ) the suoooted ooanizations (See oaae 5 of the instuctions (a) Name(s) of suppoted oganization(s) I (b) Line numbe fom above 14 C] An oganization oganized and opeated to pest fo public safety Section 509(a)(4) (See page 5 of the instuctions ) Schedule A (Fom 990 o 990-EZ) 3002

5 Schedule A (Fom 990 o 990 EP 2002 Page 3 Suppot Schedule (Complete only it you checked a box on line 10, 11 o 12) Use cash method o1 accounting Note You ma use (he woksheet in the instuctions fo conveto fom the accual to the cash method o! accounnn Calenda ea (o fiscal ea be ginning in) " (a) 2001 (b) 2000 (c) 1999 (d) 1998 (e) Total 15 Gifts gants and contibutions eceived (Do not include unusual gants See line 28) 16 Membeship fees eceived 17 Goss eceipts fom admissions mechandise sold o sevices pefomed, o funishing of facilities m any acuvt V that is elated to the oganization s chaitable etc pupose 18 Goss income fom inteest dividends, amounts eceived fom payments on secuities loans (section 512(a)(5)) ents oyalties and unelated business taxable income (less section 511 taxes) fom businesses acquied by the oganization afte une Net income fom unelated business activities not included in line Tan evenues levied fo the oganizations benefit and eithe paid to it o expended on it behalf 21 The value of sevices o facilities funished to the oganization by a govenmental unit without chage Do not include the value of sevices o facilities geneally funished to the public without chage 22 Othe income Attach a Schedule Do not include gain o (loss) fom sale of capital assets 23 Total of lines 15 though Line 23 minus line Ente 7% of line Oganizations descibed on lines 10 o 11 a Ente 2% of amount in column (e) line 24 b Pepae a list fo you ecods to show the name of and amount contibuted by each peson (othe than a govenmental unit o publicly suppoted oganization) whose total gifts fo 7998 though 2001 exceeded the amount shown in line 26a Do not file this list with you etun Ente the total of all these excess amounts Ill c Total suppot fo section 509(a)(1) test Ente line 24 column (e) d Add Amounts fom column (e) fo lines b e Public suppot time 26t minus line 26d total) 1 Public suooot oecentaae (line 26e (numeato) divided by line 26c denominato)) 27 Oganizations descibed on line 12 a Fo amounts included in lines and 17 that wee eceived fom a 'disqualified peson pepae a list fo you ecods to show the name of, and total amounts eceived in each yea fom each disqualified peson' Do not file this list with you etun Ente the sum of such amounts fo each yea (2001) (2000) (1999) (1998) b Fo any amount included in line 17 that was eceived fom each peson (othe than disqualified pesons") pepae a list fo you ecods to show the name of, and amount eceived fo each yea, that was moe than the lage of (1) the amount on line 25 fo the yea o (2) ES 000 (Include m the list oganizations descibed m hoes 5 though 11 as well as individuals ) Do not file this list with you ealm Afte computing the diffeence between the amount eceived and the lage amount descibed in (1) o (2), ente the sum of these diffeences (the excess amounts) fo each yea (2001 (2000) (19991 (1998 c Add Amounts fom column (e) fo lines d Add Line 270 total and line 27b total e Public suppot (line 27c total minus line 27d total) Ill f Total suppot fo section 509(a)(2) test Ente amount fom line 23 column (e) " I z71 I g Public suppot pecentage (line 27e (numeato) divided by line 271 (denominato)) h Investment income oecentaae (line 18. column fell (numeato) divided by hoe 27f denominato)) Unusual Gants Fo an oganization descibed in line 10 11, o 12 that eceived any unusual gants duing 1998 though 2001 pepae a list fo you ecods to show fo each yea, the name of the contibuto the date and amount of the gant and a beef desciption of the natu e of the g ant Do not file this list with you etun Do not in cl ude these g ants in bi e 15 Schedule A (Fom 990 o 990-EZ) 2002

6 Schedule A (Fom 990 o 990 EZ) 2002 Page 4 Pivate School Questionnaie (See page 7 of the Instuctions) (To be completed ONLY b schools that checked the box on line 6 m Pat 11/) 29 Does the oganization have a acially nondisciminatoy policy towad students by statement in its chate bylaws, Yes No othe govening instument o in a esolution of its govening body 29 d 30 Does the oganization include a statement of it acially nondisciminatoy policy towad students in all it bochues catalogues and othe witten communications with the public dealing with student admissions ~~~~ pogams and scholaships Has the oganization publicized its acially nondisciminatoy policy though newspape o boadcast media duing the peiod of solicitation fo students o duing the egistation peiod d it has no solicitation pogam m a way that makes the policy known to all pats of the geneal community it seves 31 If Yes, please descibe if "NO please explain (If you need moe space attach a sepaate statement ) 32 Does the oganization maintain the following a Recods indicating the acial composition of the student body faculty and administative staff b Recods documenting that scholaships and othe financial assistance ae awaded on a acially nondisciminatoy basis c Copies of all catalogues bochues announcements, and othe witten communications to the public dealing with student admissions pogams and scholaships? d Copies of all mateial used by the oganization o on its behalf to solicit contibutions? If you answeed "NO to any of the above please explain (IF you need moe space attach a sepaate statement) 33 Does the oganization disciminate by ace in any way with espect to a Students tights o pivileges' b Admissions policies c Employment of faculty o administative staff d Scholaships o othe financial assistance e Educational polities 1 Use of faaliuw g Athletic pogams h Othe extacuicula activities? If you answeed Yes" to any of the above please explain (If you need moe space attach a sepaate statement 3<a Does the oganization eceive any financial aid o assistance fom a govenmental agency b Has the oganization's ight to such aid eve been evoked o suspended If you answeed ' Yes to eithe 34a o b, please explain using an attached statement 35 Does the oganization cetify that it has complied with the applicable equiements of sections 4 01 though 4 OS of Rev Poc C B 587 coveing acial nondisciminahon7 If No " attach an explanation Schedule A (Fom 990 o 990 EZ) 2002

7 Schedule A (Fom 990 o 990 EZ) 2002 lobbying Expenditues by Electing Public Chaities (See page ~ (To be completed ONLY by an eligible oganization that filed Fam Check " a L d the oganization belongs to an affiliated goup Check " b [] if you chec4 Limits on Lobbying Expenditues (The tem "expenditues means amounts paid o incued 1 36 Total lobbying expenditues to influence public opinion (gassoots lobbying) 37 Total lobbying expenditues to influence a legislative body (diect lobbying) 38 Total lobbying expenditues (add lines 36 and 37) 39 Othe exempt pupose expenditues 40 Total exempt pupose expenditues add lines 38 and 39) 41 Lobbying nontaxable amount Ente the amount fom the following table- It the amount on line 40 is- The lobbying nontaxable amount is- Not ove $500,000 20% of the amount on line 40 Ove E but not ove E1 000,000 $ plus 15% of the excess ove Ove $ Gut not ove fl $ plus 109'0 of the excess ove El 000,000 Ove $l 500,000 but not ove E $ plus 5% of the excess ove $1, Ove $ $ Gassoots nontaxable amount (ente 25% of line 41) 43 Subtact line 42 fom line 36 Ente -0- i1 line 42 is moe than line Subtact line 47 fom line 38 Ente -0- if line 41 is moe than line 38 instuctions (a) Affiliated goup totals Ibl To be completed fo ALL effecting Caution 11 thee is an amount on eithe line 43 o line 44, you must file Fom 4720 /~~~/~ 4-Yea Aveaging Peiod Unde Section 501(h) (Some oganizations that made a section 501(h) election do not have to complete all of the five columns below See the instuctions fo lines 45 [houoh 50 on oaue 11 of the instuctions I Lobbying Expenditues Duing 4-Yea Aveaging Peiod Calenda yea (o fiscal yea beginning in) lal (b) I lcl I (d) I (e) Total 45 Lobbying nontaxable amount 46 Lobbying ceiling amount (150% of line 47 Total lobbying expenditues 48 Gassoots nontaxable amount 49 Gassoots ceiling amount (150 h of line 50 Gassoots lobbvinq expenditues (Fo epoting only by oganizations that did not complete Pat VI-A) (See pz Duing the yea did the oganization attempt to influence national, stale o local legislation including any attempt to influence public opinion on a legislative matte o efeendum though the use of a Voluntees b Paid staff o management (Include compensation in expenses epoted on lines c though h ) c Media advetisements d Mailings to membes legislatos o the public e Publications o published o boadcast statements f Gants to othe oganizations fo lobbying puposes g Diect contact with legislatos thei staffs govenment officials, o a legislative body h Rallies, demonstations seminas conventions, speeches lectues, o any othe means i Total lobbying expenditues (Add lines c though h ) It 'Yes to anv of the above also attach a statement avina a detailed descionon of the lobbvino ac 11 of the instuctions Amount Schedule A (Fom 990 o 990 EZ) 2002

8 Schedule A (Fom 990 o 990 EZ) 2002 Pa g e 6 Infomation Regading Tansfes To and Tansactions and Relationships With Nonchantable Exempt Oganizations (See page 12 of the instuctions ) 51 Did the epoting oganization diectly o indiectly engage in any of the following with any othe oganization descibed in section SOt(c) of the Code (othe than section 501(c)13) oganizations) o in section 527 elating to political oganization? a Tansfes fom the epoting oganization to a nonchaitable exempt oganization of Ves No 1i) Cash 51a ( l ) (i) Othe assets a n b Othe tansactions (i) Sales o exchanges of assets with a nonchaitable exempt oganization (ii) Puchases of assets fom a nonchailable exempt oganization (w) Rental of facilities, equipment, o othe assets (v) Reimbusement aangements (v) Loans o loan guaantees (vi) Pefomance of sevices o membeship o fundaising solicitations c Shaing of facilities equipment mailing lists othe assets, o paid employees d If the answe to any of the above is Yes ' complete the following schedule Column (b) should always show the fai maket value of the goods othe assets o sevices given by the epoting oganization If the oganization eceived less than lai maket value in any tansaction o shaing aangement, show in column (d) the value of the goods, othe assets o sevices eceived 52a Is the oganization diectly o indiectly affiliated with o elated to one o moe tax-exempt oganizations descibed in section 501(c) of the Code (othe than section 501(c)(3)) o in section 527? " El Yes [0 No l

9 Fom $$s$ Application fo Extension of Time To File an (Decembe z~, Exempt Oganization Retun I OMB No 15< Depanmem a1 Ne Teasuy Intenal Revenue Sevice " If you ae filing fo an Automatic 3-Month Extension, complete only Pat 1 and check this box Il El " If you ae filing fo an Additional (not automatic) 3-Month Extension, complete only Pan II (on page 2 of this fom) Note Do not complete Pat II unless you have aleady been ganted an automatic 3-month extension on a peviously (led Fom 8868 Automatic 3-Month Extension of Time-Only submit oiginal (no copies needed) Note Fom 990-T copoations equesting an automatic 6-month extension-check (his box and complete Pat I only " 0 All othe copoations (including Fom 990-C files) must use Fom 7004 to equest an extension of time to file income lax etuns Patneships REMICs and [usts must use Fom 8736 to equest an extension o! time to file Fom 7065, 1066, o 7047 Name of Exempt Oganization employe iden4fiwnon numbe IRAN CULTURAL S EDUCATIONAL CENTER Type o pant File W the due dale fo fihg you etun See instuctions " File a sepaate app lication fo each etun Numbe steet and oom o suite no If a P 0 box see instuctions GATEWAY DRIVE City, town o post office state, and ZIP code Fo a foeign addess see instuctions POTOMAC, MD Check type of etun to be filed (file a sepaate application fo each etun) Fom Fom 990-T (copoation) El Fom 4720 Fom 990-BL 0 Fom 990-T (sec 401(a) o 408(a) tust) 0 Fam 5227 Fom 990-EZ 0 Fom 990-T (tust othe than above) ~ Fom 6069 Fom 990-PF El Fom 1041-A ~ Fom 8870 " If the oganization does not have an office o place of business in the United States check this box to F-1 " If this is fo a Goup Retun, ente the oganization's fou digit Goup Exemption Numbe (GEN) If this is fo [he whole goup check this box " E-] If it is fo pat of the goup, check this box " [1 and attach a list with the 1 I equest an automatic 3-month (6-month, fo 990-T copoation) extension of time until DECEMBER 15TH 20 to file the exempt oganization etun fo the oganization named above The extension is fo the oganizations etun fo ~ calenda yea 20 o ~ tax yea beginning DULY 7, 2002, 20., and ending DUNE 30TH _, I! this tax yea is fo less than 12 months check eason 0 Initial etun El Final etun 0 Change in accounting peiod 3a If this application is fo Fom 990-BL 990-PF, 990-T, 4720, o 6069, ente the tentative tax, less any nonefundable cedits See instuctions $ b If this application is fo Fom 990-PF o 990-T, ente any efundable cedits and estimated tax payments made Include any pio yea ovepayment allowed as a cedit $ c Balance Due Subtact line 3b fom line 3a Include you payment with this fom, o, it equied, deposit with FTD coupon o, if equied, by using EFTPS (Electonic Fedeal Tax Payment System) See instuctions $ Signatue and Veification Unde penalties of pejuy I declae that I have examined this fom including accompanying schedules end statements end to the best of my knowledge and belief it is tue coect and compete end that I am authoized to pepae this fom Fo Papewok RepuEuon Act RRice. see Instuction Tine ~ ACCOUNTANT Cat No 27916D / Fom 8868 ( )

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