Short Form. Return of Organization Exempt From Income Tax

Transcription

1 hort Form OMB No Return of Organization xempt From Income Tax Form 990-Z Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code 2014 (except private foundations) G Do not enter social security numbers on this form as it may be made public. Open to Public Department of the Treasury G Information about Form 990-Z and its instructions is at Internal Revenue ervice Inspection A For the 2014 calendar year, or tax year beginning, 2014, and ending, B Check if applicable: C D mployer identification number Address change Name change TH ROLLING JUBIL FUND FIRT AVNU #222 Telephone number Initial return NW YORK, NY Final return/terminated Amended return F Group xemption Application pending Number G G Accounting Method: Cash Accrual Other (specify) G H Check G if the organization is not I Website: G required to attach chedule B J Tax-exempt status (check only one) ' 501(c)(3) 501(c) ( 4 ) H(insert no.) 4947(a)(1) or 527 (Form 990, 990-Z, or 990-PF). K Form of organization: Corporation Trust Association Other L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-Z G $ 14,382. Part I Revenue, xpenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I) Check if the organization used chedule 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 a b Less: cost or other basis and sales expenses b c Gain or (loss) from sale of assets other than inventory (ubtract line 5b from line 5a) c 6 Gaming and fundraising events R a Gross income from gaming (attach chedule G if greater than $15,000) a b Gross income from fundraising events (not including $ of contributions N from fundraising events reported on line 1) (attach chedule G if the sum U of such gross income and contributions exceeds $15,000) 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) d 7 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 (ubtract line 7b from line 7a) c 8 Other revenue (describe in chedule O) Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and G 9 10 Grants and similar amounts paid (list in chedule O) Benefits paid to or for members alaries, other compensation, and employee benefits P 13 Professional fees and other payments to independent contractors N 14 Occupancy, rent, utilities, and maintenance Printing, publications, postage, and shipping Other expenses (describe in chedule O) CHDUL O Total expenses. Add lines 10 through G xcess or (deficit) for the year (ubtract line 17 from line 9) A N 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year's return) T T 20 Other changes in net assets or fund balances (explain in chedule O) Net assets or fund balances at end of year. Combine lines 18 through G 21 BAA For Paperwork Reduction Act Notice, see the separate instructions. 14, , ,81 256, , ,92 1,933. Form 990-Z (2014) TA0803L 05/28/14

2 Form 990-Z (2014) TH ROLLING JUBIL FUND Page 2 Part II Balance heets (see the instructions for Part II) Check if the organization used chedule O to respond to any question in this Part II (A) Beginning of year (B) nd of year 22 Cash, savings, and investments , , Land and buildings Other assets (describe in chedule O) CHDUL O , Total assets , , Total liabilities (describe in chedule O) CHDUL O , , Net assets or fund balances (line 27 of column (B) must agree with line 21) , ,933. Part III tatement of Program ervice Accomplishments (see the instructions for Part III) xpenses Check if the organization used chedule O to respond to any question in this Part III (Required for section 501 What is the organization's primary exempt purpose? CHDUL O (c)(3) and 501(c)(4) Describe the organization's program service accomplishments for each of its three largest program services, as organizations; optional measured by expenses. In a clear and concise manner, describe the services provided, the number of persons for others.) benefited, and other relevant information for each program title. 28 CHDUL O 29 ) If this amount includes foreign grants, check here G 28 a 242, ) If this amount includes foreign grants, check here G 29 a ) If this amount includes foreign grants, check here G 30 a 31 Other program services (describe in chedule O) ) If this amount includes foreign grants, check here G 31 a 32 Total program service expenses (add lines 28a through 31a) G ,633. Part IV List of Officers, Directors, Trustees, and Key mployees (list each one even if not compensated ' see the instructions for Part IV) Check if the organization used chedule O to respond to any question in this Part IV (b) Average hours per (c) Reportable compensation (a) Name and title week devoted to (Forms W-2/1099-MIC) position (If not paid, enter -0-) (d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) stimated amount of other compensation LAURA HANNA PRIDNT 5 THOMA GOKY VIC PRIDNT 5 ATRA TAYLOR AT CRTARY 5 ANDRW RO CRTARY 5 DAVID GRABR TRAURR 5 BAA TA0812L 05/28/14 Form 990-Z (2014)

3 Form 990-Z (2014) TH ROLLING JUBIL FUND Page 3 Part V Other Information (Note the chedule A and personal benefit contract statement requirements in the instructions for Part V) Check if the organization used chedule O to respond to any question in this Part V Did the organization engage in any significant activity not previously reported to the IR? If 'Yes,' provide a detailed description of each activity in chedule O Were any significant changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the change on chedule O (see instructions) a Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? a b If 'Yes,' to line 35a, has the organization filed a Form 990-T for the year? If 'No,' provide an explanation in chedule O 35 b c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If 'Yes,' complete chedule C, Part III c 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If 'Yes,' complete applicable parts of chedule N a nter amount of political expenditures, direct or indirect, as described in the instructions. G 37 a b Did the organization file Form 1120-POL for this year? b 38 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 'Yes,' complete chedule L, Part II and enter the total amount involved b 39 ection 501(c)(7) organizations. nter: a Initiation fees and capital contributions included on line a b Gross receipts, included on line 9, for public use of club facilities b 40 a ection 501(c)(3) organizations. nter amount of tax imposed on the organization during the year under: section 4911 G ; section 4912 G ; section 4955 G b ection 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-Z? If 'Yes,' complete chedule L, Part I b c ection 501(c)(3), 501(c)(4), and 501(c)(29) organizations. nter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and G d ection 501(c)(3), 501(c)(4), and 501(c)(29) organizations. nter amount of tax on line 40c 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 'Yes,' complete Form 8886-T e 41 List the states with which a copy of this return is filed G NON Yes No 42 a The organization's books are in care of G ANDRW RO Telephone no. G (212) Located at G N Y UNIVRITY, 20 COOPR Q, 4TH FLOOR NW YORK NY ZIP + 4 G At any time during the calendar year, did the organization have an interest in or a signature or other authority over a Yes No b financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If 'Yes,' enter the name of the foreign country:g ee the instructions for exceptions and filing requirements for FinCN Form 114, 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..? If 'Yes,' enter the name of the foreign country:g 42 c 43 ection 4947(a)(1) nonexempt charitable trusts filing Form 990-Z in lieu of Form 1041 ' Check here G and enter the amount of tax-exempt interest received or accrued during the tax year G 43 Yes 44 a Did the organization maintain any donor advised funds during the year? If 'Yes,' Form 990 must be completed instead of Form 990-Z a b Did the organization operate one or more hospital facilities during the year? If 'Yes,' Form 990 must be completed instead of Form 990-Z b c Did the organization receive any payments for indoor tanning services during the year? c d If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If 'No,' provide an explanation in chedule O d 45 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? a b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If 'Yes,' Form 990 and chedule R may need to be completed instead of Form 990-Z (see instructions) b TA0812L 05/28/14 Form 990-Z (2014) No

4 Form 990-Z (2014) TH ROLLING JUBIL FUND Page 4 Yes No 46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete chedule C, Part I Part VI ection 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51. Check if the organization used chedule O to respond to any question in this Part VI Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If 'Yes,' Yes No complete chedule C, Part II Is the organization a school as described in section 170(b)(1)(A)(ii)? If 'Yes,' complete chedule a Did the organization make any transfers to an exempt non-charitable related organization? a b If 'Yes,' was the related organization a section 527 organization? b 50 Complete this table for the organization's 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.' (a) Name and title of each employee (b) Average hours per week devoted to position (d) Health benefits, (c) Reportable compensation contributions to employee (e) stimated amount of (Forms W-2/1099-MIC) benefit plans, and deferred other compensation compensation f Total number of other employees paid over $100, G 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' (a) Name and business address of each independent contractor (b) Type of service (c) Compensation d Total number of other independent contractors each receiving over $100, G 52 Did the organization complete chedule A? Note. All section 501(c)(3) organizations must attach a completed chedule A G Yes No 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. ign Here A ignature of officer A THOMA GOKY Type or print name and title Date VIC PRIDNT Print/Type preparer's name Preparer's signature Date PTIN Check if self-employed Paid BARRY. KROTICH, CPA BARRY. KROTICH, CPA P Preparer Firm's name G FUOCO GROUP LLP Use Only Firm's address G 200 PARKWAY DRIV OUTH UIT 302 Firm's IN G HAUPPAUG, NY Phone no May the IR discuss this return with the preparer shown above? ee instructions G Yes No Form 990-Z (2014) TA0812L 05/28/14

5 upplemental Information to Form 990 or 990-Z OMB No CHDUL O (Form 990 or 990-Z) Complete to provide information for responses to specific questions on Form 990 or 990-Z or to provide any additional information G Attach to Form 990 or 990-Z. G Information about chedule O (Form 990 or 990-Z) and its instructions is Open to Public Department of the Treasury Internal Revenue ervice at Inspection Name of the organization TH ROLLING JUBIL FUND FORM 990-Z, PART I, LIN 16 OTHR PN mployer identification number BANK F $ 18 DBT PURCHA ,507. RGITRATION F TOTAL $ 205,81 FORM 990-Z, PART II, LIN 24 OTHR AT BGINNING NDING PRPAID PN AND DFRRD CHARG $ 45,212. $ TOTAL $ 45,212. $ FORM 990-Z, PART II, LIN 26 TOTAL LIABILITI BGINNING NDING ACCOUNT PAYABL AND ACCRUD PN $ 10,20 $ 33,848. TOTAL $ 10,20 $ 33,848. FORM 990-Z, PART III - ORGANIZATION' PRIMARY MPT PURPO TH PURPO OF TH FUND I TO RDUC, THROUGH MUTUAL AID, TH LVL OF INDBTDN OF MMBR OF TH COMMUNITY BY ACQUIRING OUTTANDING DBT AND ABOLIHING IT. THI WILL B ACCOMPLIHD BY COOPRATING WITH OTHR ORGANIZATION, WHTHR LOCAL, NATIONAL OR INTRNATIONAL, FOR TH FORGOING PURPO. FORM 990-Z, PART III, LIN 28 - TATMNT OF PROGRAM RVIC ACCOMPLIHMNT TH PURPO OF TH FUND I TO RDUC, THROUGH MUTUAL AID, TH LVL OF INDBTDN OF MMBR OF TH COMMUNITY BY ACQUIRING OUTTANDING DBT AND ABOLIHING IT. THI WILL B ACCOMPLIHD BY COOPRATING WITH OTHR ORGANIZATION, WHTHR LOCAL, NATIONAL OR INTRNATIONAL, FOR TH FORGOING PURPO. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-Z. TA4901L 08/18/14 chedule O (Form 990 or 990-Z) 2014

6 Form 8868 (Rev January 2014) Application for xtension of Time To File an xempt Organization Return OMB No GFile a separate application for each return. Department of the Treasury Internal Revenue ervice GInformation about Form 8868 and its instructions is at If you are filing for an Automatic 3-Month xtension, complete only Part I and check this box G? If you are filing for an Additional (Not Automatic) 3-Month xtension, complete only Part II (on page 2 of this form). Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form lectronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation required to file Form 990-T), or an additional (not automatic) 3-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 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IR in paper format (see instructions). For more details on the electronic filing of this form, visit and click on e-file for Charities & Nonprofits. Part I Automatic 3-Month xtension of Time. Only submit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month extension ' check this box and complete Part I only..... All other corporations (including 1120-C filers), partnerships, RMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. nter filer's identifying number, see instructions Type or print File by the due date for filing your return. ee instructions. Name of exempt organization or other filer, see instructions. Number, street, and room or suite number. If a P.O. box, see instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions. G mployer identification number (IN) or TH ROLLING JUBIL FUND FIRT AVNU #222 NW YORK, NY ocial security number (N) nter the Return code for the return that this application is for (file a separate application for each return) Application Return Application Return Is For Code Is For Code Form 990 or Form 990-Z 01 Form 990-T (corporation) 07 Form 990-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form Form 990-T (section 401(a) or 408(a) trust) 05 Form Form 990-T (trust other than above) 06 Form ? The books are in the care of G ANDRW RO Telephone No. G (212) Fax No. G? If the organization does not have an office or place of business in the United tates, check this box G? If this is for a Group Return, enter the organization's four digit Group xemption Number (GN). 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 INs of all members the extension is for. 1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until 8/15, 20 15, to file the exempt organization return for the organization named above. The extension is for the organization's return for: G calendar year or G tax year beginning, 20, and ending, If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return Change in accounting period 3 a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. ee instructions a $ b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit b $ c Balance due. ubtract line 3b from line 3a. Include your payment with this form, if required, by using FTP (lectronic Federal Tax Payment ystem). ee instructions c $ Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-O and Form 8879-O for payment instructions. BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev ) FIFZ0501L 12/31/13

7 Form 8868 (Rev ) Page 2? If you are filing for an Additional (Not Automatic) 3-Month xtension, complete only Part II and check this box Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.? If you are filing for an Automatic 3-Month xtension, complete only Part I (on page 1). G Part II Additional (Not Automatic) 3-Month xtension of Time. Only file the original (no copies needed). nter filer's identifying number, see instructions Name of exempt organization or other filer, see instructions. mployer identification number (IN) or Type or print File by the due date for filing your return. ee instructions. TH ROLLING JUBIL FUND Number, street, and room or suite number. If a P.O. box, see instructions. FUOCO GROUP LLP 200 PARKWAY DRIV OUTH UIT 302 City, town or post office, state, and ZIP code. For a foreign address, see instructions. HAUPPAUG, NY ocial security number (N) nter the Return code for the return that this application is for (file a separate application for each return) Application Return Application Return Is For Code Is For Code Form 990 or Form 990-Z 01 Form 990-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form Form 990-T (section 401(a) or 408(a) trust) 05 Form Form 990-T (trust other than above) 06 Form TOP! Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.? The books are in the care of G ANDRW RO Telephone No. G (212) Fax No. G? If the organization does not have an office or place of business in the United tates, check this box G? If this is for a Group Return, enter the organization's four digit Group xemption Number (GN).... 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 INs of all members the extension is for I request an additional 3-month extension of time until 11/15, For calendar year 2014, or other tax year beginning, 20, and ending, 20. If the tax year entered in line 5 is for less than 12 months, check reason: Initial return Final return Change in accounting period tate in detail why you need the extension.. TAPAYR RPCTFULLY RQUT ADDITIONAL TIM TO GATHR INFORMATION NCARY TO FIL A COMPLT AND ACCURAT TA RTURN. 8 a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. ee instructions a $ b If this application is for Forms 990-PF, 990-T, 4720, or 6069, 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. ubtract line 8b from line 8a. Include your payment with this form, if required, by using FTP (lectronic Federal Tax Payment ystem). ee instructions c $ ignature 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. ignature G Title G Date G BAA VIC PRIDNT Form 8868 (Rev ) FIFZ0502L 12/31/13