Accrual a completed Schedule A ( Form 990 or 990 -EZ).

Transcription

1 6i51 soi'1 -B Z 990-EZ Short Form Return of Organization Exemt From Income Tax OMB No Foim Under section 501 ( c), 527, or 4947 (a)(1) of the Internal Revenue Code (except lack lung enefit trust or private foundation) Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512 ( )(13) must file Form 990 All other organizations with gross receipts less than $500,000 and total Department of the Treasury assets less than $1,250,000 at the end of the year may use this form -p ^- - Internal Revenue Service The organization may have to use a copy of this return to satisfy state reporting requirements Inspection A For 2009 calendar year, or tax year eginning, 2009, and ending, 20 B Ch ec k C Name of organization D Employer Identification numer Please Address change uselrs air St Louis (Council On American-Islamic Re Name change lael or Numer & street (or P.O. ox, if mail is not delivered to street addr) Rs e/ print or E Telephone numer Initial return type. Terminated Specific O Box 739 (636) Amended Instructions Exemption return City or town, state or country, and ZIP + 4 F Group pendination M anchester MO Numer Section 501(c )( 3) organizations and 4947 ( a)(1) nonexempt charitale trusts must attach G Accounting Method. Cash H Accrual a completed Schedule A ( Form 990 or 990 -EZ). Other (specify) Wesite :. cair-stlouis. org H if organization is not required J Tax- exempt status (check only one)-- 501(c)(3 ) -4 (insert no) I I 4947(a)(1) or 527 to attach Sch B (Form 990, 990-EZ, or 990-PF) K Check H If the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than $25,000 A Form 990-EZ or Form 990 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 $500,000 or more, file Form 990 instead of Form 990-EZ $ 31 Part 1 Revenue, Expenses, and Chancres in Net Assets or Fund Balances (See the Instructions for Part I ) 1 Contriutions, gifts, grants, and similar amounts received Program service revenue including government fees and contracts 2 3 Memership dues and assessments 3 4 Investment income a Gross amount from sale of assets other than inventory 5a Less cost or other asis and sales expenses R c Gain or (loss) from sale of assets other than inventory (Sutract line 5 from line 5a) Sc E 6 Special events and activities ( complete applicale parts of Schedule G) If any amount is from gaming, check here. E a Gross revenue (not including $ of contriutions U reported on line 1) a E Less direct expenses other than fundraising expenses... 6 c Net income or (loss) from special events and activities (Sutract line 6 from line 6a) 6c 7a Gross sales of inventory, less returns and allowances 7a Less cost of goods sold 7 c Gross profit or (loss) from sales of inventory (Sutract line 7 from line 7a) 7c 8 Other revenue (descrie S ee at t achment # 1 ) Total revenue. All lines 1, 2, 3, 4, 5c, 6c, 7c, and Grants and similar amounts paid (attach schedule) 10 E 11 Benefits paid to or for memers X 12 Salaries, other compensation, and employee enefits 12 E 13 Professional fees and other payments to independe r N S E S 14 Occupancy, rent, utilities, and mainten.ip G O Printing, pulications, postage, and shi pin Other expenses (descrie See a t C h Total expenses. Add lines 10 through 1 k V) 17 1, 025 A 18 Excess or (deficit) for the year (Sutract II ^1 from II N S 19 Net assets or fund alances at eginning o year (k^ mn (A)) (must agree with E E end-of-year figure reported on prior year's to 19 31, 929 T S 20 Other changes in net assets or fund alances (attach explanation) Net assets or fund alances at end of year Comine lines 18 through , I Part II l alance Sheets. If Total assets on line 25, column (B) are $1,250,000 or more, file Form 990 instead of Form 990-EZ (See the Instructions for Part II ) 22 Cash, savings, and investments.. 23 Land and uildings Other assets (descrie 25 Total assets 26 Total liailities (descrie 27 Net assets or fund alances (line 27 of column ( B) must agree with line 21) For Privacy Act and Paperwork Reduction Act Notice, see the separate Instructions. JVA EZ1 TWF Copyright Forms (Software Only) TW (A) Beginning of year (B) End of year 31, , , , , ,935 Form 990-EZ (2009) 1<12

2 Form 990-EZ (2009 ) Cair St Louis (Council On Page2 Part Jil l Statement of Program Service Accomplishments (See the instructions for Part lll) Expenses What is the organization's primary exempt purpose? See attachment (Required for section 501(c)(3) #3 and 501(c)(4) organizations and Gescne 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, & other relevant information for each program title 28 See attachment #4 section 4947(a)(1) trusts, optional for others ) 29 (Grants $ ) If this amount includes foreign grants, check here 28a (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 31 a)

3 Form 990-EZ (2009 ) Cair St Louis (Council On I Part V I Other Information (Note the statement requirements in the instructions for Part V) Yes No 33 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed a 37a 38a 39 40a 41 a c d e 42a 43 c description of each activity X Were any changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the changes X 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 why the organization did not report the income on Form 990-T Did the organization have unrelated usiness gross income of $1,000 or more or was it suject to section 6033(e) notice, reporting, and proxy tax requirements? 35a X If "Yes," has it filed a tax return on Form 990 -T for this year?. 35 X Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicale parts of Schedule N 36 X Enter amount of political expenditures, direct or indirect, as descried in the instructions 37a Did the organization file Form POL for this year?. 37 X Did the organization orrow 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 period covered y this return? 38a X It "Yes," complete Schedule L, Part II and enter the total amount involved 38 Section 501(c)(7) organizations Enter Initiation fees and capital contriutions included on line 9, a Gross receipts, included on line 9, for pulic use of clu facilities 39 Section 501(c)(3) organizations Enter amount of tax imposed on the organization during the year under section 4911, section 4912, section 4955 Section 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess enefit transaction during the year or is it aware that it engaged in an excess enefit transaction with a disqualified person in a pnol year, and that the transaction has not een reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I 40 X Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and Section 501(c)(3) and 501(c)(4) organizations reimursed y the organization Enter amount of tax on line 40c 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 X List the states with which a copy of this return is filed NONE The organization's ooks are in care of P. See attachment # 6 Telephone no Located at ZIP + 4 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 Yes No account)?,,,,,,.,,. 42 X 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? 42c X If "Yes," enter the name of the foreign country Section 4947(a)(1) nonexempt charitale trusts filing Form 990-EZ in lieu of Form Check here C and enter the amount of tax-exempt interest received or accrued during the tax year I Did the organization maintain any donor advised funds? If "Yes," Form 990 must e completed instead of Form 990-EZ 45 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 JVA EZ3 TWF Copyright Forms (Software Only) TW X X451 1X Form 990-EZ (2009)

4 Form EZ (2009 ) Cair St Louis (Council On Page 4 PartV1 Section 501(c )( 3) organizations and section 4947 (a)(1) nonexempt charitale trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitale trusts 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 Yes N( for pulic office? If "Yes," complete Schedule C, Part I 46 X 47 Did the organization engage in loying activities? If "Yes," complete Schedule C, Part II 47 X 48 Is the organization a school as descried in section 170()(1)(A)(II)? If "Yes," complete Schedule E 48 X 49a Did the organization make any transfers to an exempt non-charitale related organization? 49a X If "Yes," was the related organization a section 527 organization? 49 X 50 Complete this tale 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) NONE Name and address of each employee paid more than $100,000 ( ) 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 f Total numer of other employees paid over $100,000.. lo. 51 Complete this tale 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 " NONE (a) Name and address of each independent contractor paid more than $100,000 ( ) Type of service (c) Compensation d Total numer of other independent contractors each receiving Under penalties of perjury, I decla that I have examir the est of my knowledge and ell It is true, correct, Informatloryof which preparer has a knowledge Sign I 1AA N Here Sig nature o officer Kamal Yassln Type or print name an Itle Preparer's Paid signature FIF Preparer ' s Firm's name (or yours HR BLOCK Use Only i f self-employed ), ' WESTPORT PLA address, and ZIP +4 SAINT LOUIS, MO May the IRS discuss this return with the preparer shown aove? See In JVA EZ4 TWF Copyright Forms (Software Only) - 200

5 SCHEDULE (Form or A (Form 990 or 990-EZ) Complete If Pulic Charity Status and Pulic Su pp ort the organization Is a section 501(c )( 3) organization or a section 4947 (a)(1) nonexempt charitale trust. epartment of the Treasury Internal Revenue Service o. Attach to Form 990 or Form EZ. See separate Instructions. Name of the organization OMB No Open to Pulic Inspection Employer Identification numer Cair St Louis (Council On American-Islamic Relations, n The organization is not a private foundation ecause it is (For lines 1 through 11, check only one ox ) 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). 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, 1975 Seesection 509(a )(2). (Complete Part III ) 10 An organization organized and operated exclusively to test for pulic safety See section 509(a)(4). 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 a Type Ill-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 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 g h Since August 17, 2006, has the organization accepted any gift or contriution from any of the following persons? (I) A person who directly or indirectly controls, either alone or together with persons descried in (it) and (III) elow, the governing ody of the supported organization? (II) A family memer of a person descried in (I) aove?.. (111) A 35% controlled entity of a person descried in (I) or (ii) aove? Provide the following information aout the supported organization(s) (VI) Is the () Name of supported (II) EIN (III) Type of organization ( IV ) Is the or ganization ( V ) Did you notif y the (VII ) Amount of organization in col (I) organization ( descried on lines 1-9 in col ( I) listed in your organization in col (I) support organized in the aove or IRC section governing documents of your support (see Instructions)) U S Yes No Yes No Yes No 11g(I) 11g(II) 11g(III) Yes No X X X n Total For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JVA A12 TWF Copyright Forms ( Software Only) TW Schedule A (Form 990 or 990-EZ) 2009

6 Schedule A (Form 990 or 990-EZ) 2009 Cair St Louis (Council On 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) 2005 () 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total I Gifts, grants, contriutions, and memership fees received (Do not include any "unusual grants ")... 3, , 080 6, Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an any unrelated trade or usiness under section Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 5 The value of services or facilities furnished y a governmental unit to the organization without charge,.. 6 Total. Add lines 1 through 5 3, , 080 6, 279 7a Amounts included on lines 1, 2, and 3 received from disqualified persons 3, , 473 Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year,,,,,,,,,,,, c Add lines 7a and 7. 3, ,080 5,473 8 Pulic support (Sutract line 7c from line 6) 806 aecuon rs. i oral supporn Calendar year (or fiscal year eginning In) 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, c Add lines 10a and lo 11 Net income from unrelated usiness activities not included in line lo, 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.) Total support. (Add lines 9, 10c, 11, and 12.) jo. (a) 2005 () 2006 (c) 2007 (d) 2008 ( e) 2009 (f) Total 3, ,080 6,279 3, ,080 6, 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 n Section C. Computation of Pulic Support Percentage 15 Pulic support percentage for 2009 (line 8, column (f) divided y line 13, column (f)) % 16 Pulic support percentage from 2008 Schedule A, Part III, line % Section D. Com putation of Investment Income Percentage 17 Investment income percentage for 2009 (line 10c, column (f) divided y line 13, column (f)) 17 0 % 18 Investment income percentage from 2008 Schedule A, Part III, line % 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. U 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 Private foundation. If the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions IkXll JVA A34 TWF Copyright Forms (Software Only) TW Schedule A ( Form 990 or 990-EZ) 2009

7 SCHEDULE OF OTHER REVENUE Attachment 1: page EZ Page 1, Part I, Line 8 Open to Pulic Ijlspection For calendar year 2009 or tax period eginning and ending Name of Organization Cair St Louis (Council On American-Islamic Relations, S Description of Other Revenue Employer Identification Numer Amount Credit Over Payment 31 Total 31 JVA Copyright Forms (Software Only) TW L0819F 09 EOEZGR39

8 SCHEDULE OF OTHER EXPENSES JVA Copyright Forms ( Software Only) TW L0819F 09 EOEZGR77

9 PRIMARY EXEMPT PURPOSE Attachment 3: page EZ Page 2, Part III Qpen to Pulic Inspection For calendar year 2009 or tax period eginning and ending Name of Organization Employer Identification Numer Cair St Louis (Council On American-Islamic Relations, S Primary Purpose Eliminating Prejudice and Discrimination/Defending Human and Civil Rights secured y law Organization that conducts pulic discussion groups forums panels lectures and similar programs JVA Copyright Forms ( Software Only) TW L0819F 09_EOEZGRi05

10 PROGRAM SERVICE ACCOMPLISHMENT Attachme nt 4: EZ Page 3, Part III Open to Pulic Inspection For calendar year 2009 or tax period eginning, and ending Name of Organization Employer Identification Numer Cair St L ouis (Council On American-Islamic Relations, S Part III - Statement of Program Service Accomplishments Grants and allocations Amount includes foreign grants Program service expenses 994 Exempt Purpose Achievements Defending human and civil rights secured y law JVA Copyright Forms ( Software Only) TW L0819F 09_EOEZPIII

11 CURRENT OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES Attac hment 5: page EZ Page 2, Part IV Open to Pulic Inspection For calendar year 2009 or tax period eginning, and ending Name of Organization Employer Identification Numer Cair St Louis (Council On American-Islamic Relations, S (A) Name and Address ( B) Title and Average ( C) Compensation (if (D) Cont to Employee ( E) Expense Account Hrs. per Week not paid, enter 0 ) Ben Plans & Def Comp & Other Allowances Kamal Yassin resident 736 The Hamptons Lane Town And Country, MO Adul Rahim Mathon ice 8756 Bridgeport Ave resident Saint Louis, MO Khaled Adel Hamid Secretary 606 Crofton Circle Ct Ballwin, MO JVA Copyright Forms (Software Only) -2009TW L0819F 09 EOEZPVA

12 BOOKS ARE IN CARE OF Attachment EZ Page 3, Part V, Line 42a Open to Pulic Inspection For calendar year 2009 or tax period eginning, and ending Name of Organization Employer Identification Numer Cair St Louis (Council On American-Islamic Relations, S Part V - Line 42a Individual Name or Business Name Kamal Yassin Street Address 736 Hamptons Lane U S Address Zip code or Foreign Address City Town And Count State MO City Province or State Country Postal code Phone Numer (314) Fax Numer JVA Copyright Forms ( Software Only) TW L0819F 09 EO3EZCO2

13 2009 DETAIL STATEMENTS Cair St Louis (Council On Amer Page 1 STATEMENT #1 - Professional Fees (990-EZ PG 1 Line 13) state Registration accountant Bank Fees TOTAL CARRIED TO 990-EZ PG 1 Line STATEMENT #2 - Occupancy, Rent, Utilities (990-EZ PG 1 Line 14) Tmoile New Phone Wesite Maintenance TOTAL CARRIED TO 990-EZ PG 1 Line JVA Copyright Forms ( Software Only) TW C LSSTMT

14 Transmission Date: 5/14/2010 Acknowledgement Report Transmission Numer: Printed: 5/20/2010 Name SSN DCN MeF Status Re fund (Bal Due) Ack Date Type Code PIN CAIR ST LOUIS (COUNCIL ON AMERICAN-, XX-XXX6382 Yes R 0 5/14/2010 US 0 Form: 0000 Filer's EIN and Name Control in the Return Header must match data in the a-fite Rej Code: R dataase, unless "Name Change" or "Name or Address Change" checkox is Field: checked, if applicale. Multiple: Form: 3 If Schedule A (Form 990 or 990-EZ), Part 1, Line 9 checkox is checked, then Part Rej Code: SA-F III, Line 17 must have a value. Field: Multiple: Federal Accepted: 0 0 Rejected: 1 0 Duplicated: 0 0 Excepted: 0 0 Conditional: 0 0 Notification: 0 0 Pending: 0 0 States Ack Status Key Det Code Fed PIN Indicator State Type A = Accepted N or lank = None 9 = No PIN Piggy ack R = Rejected I = IRS Det 1 = Practitioner PIN *State Only D = Duplicated F = Financial Management 2 = Self-select PIN y Practitioner ''Direct State E = Exception Services (FMS) Det 3 = Self-select Online C = Conditional B = Both IRS and FMS Det 4 = State-Only PIN N = Notification Blank = Rejected PIN P = Pending X = Fed Rejected - State not sent Y = Fed Duplicated - State not O = Overwritten( Retransmitted) S = Removed From Filing Center Page 1