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1 ~ ~~~~ ~~ Form 990 L;&.I en^^ S ~N~CO. Return of Organization Exempt From Income Tax Under section 501(c) of the Internal Revenue Code (except lack lung enefit trust or private foundation) or section 4947(a)(I) nonexempt charitale trust Note: me OfganiZatiOn may have to use a COPY Of this return to satisfy state reporting requjrements. OM6 NO This Form ia Open to Pulic ti^^ B Checkif OChanpeofaddress 0 Initial return 0 Find return 0 Amended return (required also for State reporting) PI-. PY I A D Employer identification numer u n IRS t a ~ o r BUSINESS. ROUNDTABLE 1, 23; 7236Go 7 '. print or E State registration numer typ L ST NH STE 1100 *. HASHIhGTON DC s. Uons, R F Check 0 if exemption application is pending HI4 Is this a group return filed for ahiliates? Yea NO I If either ox in H is checked 'Yes: enter fourdigt group. () if "Yes.. enter the numer of affiliates for which this return is filed:.. IC) 1s this a separate return filed y an organization covered y a group ruling? 0 Ye4 a No exemption numer (GEN)..... J Accounting Cash 0 Accrual 0 Other (specify)
2 .. Form Grants and allocations (attach schedule).. 23 Specific assistance to individuals (attach schedule) 24 Benefits paid to or for memers (attach schedule). 25 Compensation of officers, directors, etc Other salaries and wages Pension plan contriutions Other employee enefits Payroll taxes Professional fundraising fees Accounting fees Legal fees Supplies Telephone Postage and shipping Occupancy Equipment rental and maintenance Printing and pulications Travel Conferences, conventions, and meetings.. 41 Interest Depreciation, depletion, etc. (attach schedule) 43 Other expenses (itemize): a.. h.*fi.gjl$... c!= PT.ZDrl Reporting of Joint Costs.-Did you report in column (6)(Program services) any joint costs from a comined educational campaign and fundraising solicitation? 0 Yes If "Yes," enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $ NO
3 Note: Where required, attached schedules and amounts within the descnption column shoum e for end-of-year amounts only. 45 Cash-non-interest-earing Savings and temporary cash investments a Accounts receivale Less: allowance for doutful accounts.. 48a Pledges receivale Less: allowance for doutful accounts, 49 Grants receivale Receivales from officers, directors, trustees, and key employees (attach schedule) a Other notes and loans receivale (attach schedule) Less: allowance for doutful accounts.. 52 Inventories for sale or use Prepaid expenses and deferred charges Investments-securities (attach schedule).s&&: a Investments-land, uildings, and equipment: asis Less: accumulated depreciation (attach schedule) Investments-other (attach schedule) a Land, uildings, and equipment: asis.. Less: accumulated depreciation (attach schedule) Other assets (descrie (AI Wnning of year (8) End of year 61 Grants payale Deferred revenue Loans from offcers, directors, trustees, and key employees (attach schedule) a Tax-exempt ond liailities (attach schedule) Mortgages and other notes payale (attach schedule) Other liailities (descrie 67 Unrestricted, Temporarily restricted Permanently restricted Organizations that do not follow SFAS 117, check hen, 0 and complete lines 70 through 74. Capital stock, trust principal, or current funds Paid-in or capital surplus, or land, uilding, and equipment fund., Retained earnings, endowment, accumulated income, or other funds ts or fund alances (add lines 67 through 69 OR lines ' ; column (A) must equal line 19 and column (e) must
4 nses per Audited line 12, Form 890 Amounta Included on line a ut not on llne 17, (1) Net unrealized gains (f) Donated oarvlcea on investments. -, 9 anduseoffadlies (2) Donated sawices [2l Rfw year adju6tmenk and use of facilities S reported on llnr 20, (3) Recoveries ctf prfor Fwm990.,.. YeafgrMtS... 0 (31 Lo~reportedon (4) Other (specify): Add emaunts on lines (I) thrnugh 14)... 9 c Une a rnlnus ilne.... F c Unaarninusllne... Add amounts on lincls (1) through (4JW ' d Amounts included on line 12, d Amounts hcludod on line 17, Form 990 ut not on line a: Form 990 ut not on line a: (1) Investment expen$@ (1) Investment expew not Included on line not Included on line 6, Form , FormNO... 5 (21 Other (speciw: 12) Orher (specity): amounts on liner (1) kind (2) r line 17, Form 990. nstructians on page 18.) (n) N v m md sddnu Did any O ffw d;mtor, h tw, or key employee receive aggregltr cornpanration of mora than SiO0,OOO from your organlzeton and dl related organizattons, of which more man $10,000 w pmvided y me related organhtlans? If "Yes," amch 8chedul-w Speclno lnerruciians on page Yes,!XI NO
5 . Form 990 I a Did.the organization have unrelated usiness gross income of $1,000 or more during the year covered y this return?. If "Yes," has it filed a tax return on Form 990-T for this yean Was there a liquidation, dissolution, termination, or sustantial contraction during the year? If "Yes," attach a statement 80a Is the organization related (other than y association with a statewide or nationwide organization) through common memership, governing odies, trustees, officers, etc., to any other exempt or nonexempt organization?... If "Yes," enter the name of the organization...._..:... and check whether it is 0 exempt OR 0 nonexempt. 8la Enter the amount of political expenditures, direct or indirect, as descried in the instructions for line Did the organization file Form 1120-POL for this year? a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at sustantially less than fair rental value?... If "Yes," you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an expense in Part II. (See instructions for reporting in Part 111.) a Did the organization comply with the pulic inspection requirements for returns and a Did the organization solicit any contriutions or gifts that were not tax deductile? If "Yes." did the organization include with every solicitation an express statement that such contriutions or gifts were not tax deductile? (c)(4), (5), or (6) orgmizations.-a Were sustantially all dues nondeductile y memers? Did the organization make only in-house loying expenditures of $2,000 or less? If "Yes" was answered to either 85a or 85. do not complete 85c through 85h elow unless the organization received a waiver for proxy tax owed for the prior year. c Dues, assessments, and similar amounts from memers... d Section 162(e) loying and political expenditures.. e Aggregate nondeductile amount of section 6033(e)(l)(A) dues notices... f Taxale amount of loying and political expenditures (line 85d less 854 g Does the organization elect to pay the section 6033(e) tax on the amount in 85f? h If section 6033(e)(l)(A) dues notices were sent, does the organization agree to add the amount in 851 to its reasonale estimate of dues allocale to nondeductile loying and political expenditures for the following tax year? (c)m organizations.-entec a Initiation fees and capital contriutions included on line Gross receipts, included on line 12, for pulic use of clu facilities (cJ(12) organizations-entec a Gross income from memers or shareholders Gross income from other sources. (Do not net amounts due or paid to other 88 sources against amounts due or received from them.)... At any time during the year, did the organization own a 50% or greater interest in 89a 507(c)(3) organizations.-enter: Amount of tax paid during the year under section 4911 ; section 4912 ; section fC)f3) and 507(c)(4) or'ganizations.-did the organization engage in any section 4958 transaction during the year? If 'Yes," attach a statement explaining each transaction... c Enter: Amount of tax paid y the organization managers or disqualified persons during the year under section d Enter: Amount of tax in 89c, aove, reimursed y the organization List the states with which a cop of this return is filed The ooks are in care of... ~ R c.t.!.~...c!,.,.~.e.~t.~...~. "... Telephone no. (d.~~..8.~.?.zj.?.~.... Located at.lcp~s..c..sr.re.ti.~.:.,m.~... w.%m.d...tk ZIP %S!%i and enter the amount of tax-exempt interest received or accrued durinq the tax year., I 92 I Ad 'i ' 92 Section 4947(a)(I) nonexempt charitale trusts filing Form 990 in lieu of Form 10414heck here... 0
6 Enter gross amounts unless otherwise indicated. 93 Program service revenue: a C d e f a C d e Fees and contracts from government agencies Memership dues and assessments... Interest on savings and temporary cash investments Dividends and interest from securities.,. Net rental income or (loss) from real estate: det-financed property...,.... not det-financed property Net rental income or (loss) from personal property Other investment income Gain or (loss) from sales of assets other than inventory Net income or (loss) from special events.. Gross orofit or (loss) from sales of inventorv. (A) Busicess code (8) (C) ' 0) exempt function Amount Excluslon code Amount income 104 Sutotal (add columns (B), (D), and (E)) Total (add line 104, columns (E), (D), and (0) *
7 - Qsz THE BUSINESS ROUNDTABLE SCHEDULE OF INVESTMENTS AS OF 12/31/96 MARKET Unit Investment Trust $ 1,339,482 $ 1,322,083 Corporate Bonds 2,000,000 2,000,000 Mutual Funds 3,696,136 3,912,292 Government Securities 1,837,840 1,926,335 TOTAL 5 8,873,458 $ 9,160,710 Page 1
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