CLIENT COPY IMPERIAL VALLEY COLLEGE FOUNDATION P.O. BOX 158 IMPERIAL, CA (760)

Transcription

1 TA RETURN CLIENT COPY Client: 99 Prepared for: P.O. BO IMPERIAL, CA 9 () - Prepared by: GEORGE J. WOO GEORGE J. WOO, CPA STATE STREET EL CENTRO, CA 9 () - Date: JANUARY, Comments: Route to: FDILL 9//

2 Exempt Org. Return prepared for: Imperial Valley College Foundation P.O. Box Imperial, CA 9 George J. Woo, CPA State Street El Centro, CA 9

3 Form 9-EO Department of the Treasury Internal Revenue Service IRS e-file Signature Authorization for an Exempt Organization For calendar year, or fiscal year beginning /,, and ending / OMB. -, G Do not send to the IRS. Keep for your records. G Information about Form 9-EO and its instructions is at Name of exempt organization Employer identification number 9- Name and title of officer DR. VICTOR JAIME DIRECTOR Type of Return and Return Information (Whole Dollars Only) Check the box for the return for which you are using this Form 9-EO and enter the applicable amount, if any, from the return. If you check the box on line a, a, a, a, or a, below, and the amount on that line for the return being filed with this form was blank, then leave line b, b, b, b, or b, whichever is applicable, blank (do not enter --). But, if you entered -- on the return, then enter -- on the applicable line below. Do not complete more than line in. a a a a a Form 99 check here..... G b revenue, if any (Form 99, Part VIII, column (A), line ) Form 99-EZ check here..... G b revenue, if any (Form 99-EZ, line 9) Form -POL check here G b tax (Form -POL, line ) Form 99-PF check here..... G b Tax based on investment income (Form 99-PF, Part VI, line ).... Form check here.... G b Balance Due (Form, line c ,. b b b b b I Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in above is the amount shown on the copy of the organization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to receive from the IRS an acknowledgement of receipt or reason for rejection of the transmission, the reason for any delay in processing the return or refund, and the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at --- no later than business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic funds withdrawal. Officer's PIN: check one box only I authorize GEORGE J. WOO, CPA to enter my PIN ERO firm name 99 as my signature Enter five numbers, but do not enter all zeros on the organization's tax year electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. As an officer of the organization, I will enter my PIN as my signature on the organization's tax year electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Officer's signature Date G G II Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature on the electronically filed return for the organization indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub., Modernized e-file (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature G GEORGE J. WOO Date G ERO Must Retain This Form ' See Instructions Do t Submit This Form To the IRS Unless Requested To Do So For Paperwork Reduction Act tice, see instructions. Form 9-EO () TEEAL //

4 Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization Exempt From Income Tax Under section,, or 9() of the Internal Revenue Code (except private foundations) G Do not enter social security numbers on this form as it may be made public. G Information about Form 99 and its instructions is at / Open to Public Inspection /,, and ending P.O. BO IMPERIAL, CA 9, D Employer identification number E Telephone number 9- () - Final return/terminated G Amended return Application pending F () Website: G N/A Form of organization: K Corporation Summary I J Tax-exempt status ( Gross receipts )H (insert no.) 9() or Association OtherG,. H Are all subordinates included? If ',' attach a list. (see instructions) H Group exemption number Trust H Is this a group return for subordinates? Name and address of principal officer: L Year of formation: 9 M G State of legal domicile: CA Briefly describe the organization's mission or most significant activities: THE FOUNDATION IS AN INDEPENDENT ORGANIZATION OPERATING SOLELY FOR THE BENEFIT OF IMPERIAL VALLEY COMMUNITY COLLEGE. THE FOUNDATION RECEIVES PUBLIC SUPPORT FOR THE BENEFIT OF THE STUDENTS AT THE COLLEGE. a b Check this box G if the organization discontinued its operations or disposed of more than % of its net assets. of voting members of the governing body (Part VI, line a) of independent voting members of the governing body (Part VI, line b) number of individuals employed in calendar year (Part V, line a) number of volunteers (estimate if necessary) unrelated business revenue from Part VIII, column (C), line a Net unrelated business taxable income from Form 99-T, line b Prior Year Current Year Contributions and grants (Part VIII, line h) , 9,9. Program service revenue (Part VIII, line g) Investment income (Part VIII, column (A), lines,, and d) ,9.,9. Other revenue (Part VIII, column (A), lines, d, c, 9c, c, and e) ,.,. revenue ' add lines through (must equal Part VIII, column (A), line ).....,9.,. Grants and similar amounts paid (, column (A), lines -) ,9.,. Benefits paid to or for members (, column (A), line ) Salaries, other compensation, employee benefits (, column (A), lines -)..... a Professional fundraising fees (, column (A), line e) b fundraising expenses (, column (D), line ) G 9 Other expenses (, column (A), lines a-d, f-e) expenses. Add lines - (must equal, column (A), line ) Revenue less expenses. Subtract line from line assets (Part, line ) liabilities (Part, line ) Net assets or fund balances. Subtract line from line ,. 9,.,9.,.,. 9,. Beginning of Current Year I End of Year,99,.,99,.,,.,,. Signature Block 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 Date DR. VICTOR JAIME DIRECTOR Type or print name and title Print/Type preparer's name Preparer's signature GEORGE J. WOO GEORGE J. WOO Paid Preparer Firm's name G GEORGE J. WOO, CPA Use Only Firm's address G STATE STREET EL CENTRO, CA 9 Date Check self-employed if PTIN P9 - () - May the IRS discuss this return with the preparer shown above? (see instructions) For Paperwork Reduction Act tice, see the separate instructions. Firm's EIN G Phone no. TEEAL // Form 99 ()

5 Statement of Program Service Accomplishments 9- Form 99 () II Page Check if Schedule O contains a response or note to any line in this II Briefly describe the organization's mission: THE FOUNDATION IS AN INDEPENDENT ORGANIZATION OPERATING SOLELY FOR THE BENEFIT OF IMPERIAL VALLEY COMMUNITY COLLEGE. THE FOUNDATION RECEIVES PUBLIC SUPPORT FOR THE BENEFIT OF THE STUDENTS AT THE COLLEGE. Did the organization undertake any significant program services during the year which were not listed on the prior Form 99 or 99-EZ? If ',' describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services?.... If ',' describe these changes on Schedule O. Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section () and () organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.,. including grants of,. ) (Revenue 9,9. ) GRANTS, SCHOLARSHIPS, AND ALLOCATIONS FOR THE BENEFIT OF THE STUDENTS AT IMPERIAL VALLEY COMMUNITY COLLEGE. a (Code: ) (Expenses b (Code: ) (Expenses including grants of ) (Revenue ) c (Code: ) (Expenses including grants of ) (Revenue ) d Other program services (Describe in Schedule O.) (Expenses including grants of e program service expenses G,. TEEAL ) (Revenue // ) Form 99 ()

6 Checklist of Required Schedules Form 99 () V 9- Page Is the organization described in section () or 9() (other than a private foundation)? If ',' complete Schedule A Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If ',' complete Schedule C, Section () organizations. Did the organization engage in lobbying activities, or have a section (h) election in effect during the tax year? If ',' complete Schedule C, I Is the organization a section (), (), or () organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 9-9? If ',' complete Schedule C, II Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If ',' complete Schedule D, Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If ',' complete Schedule D, I Did the organization maintain collections of works of art, historical treasures, or other similar assets? If ',' complete Schedule D, II Did the organization report an amount in Part, line, for escrow or custodial account liability, serve as a custodian for amounts not listed in Part ; or provide credit counseling, debt management, credit repair, or debt negotiation services? If ',' complete Schedule D, V Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If ',' complete Schedule D, Part V a Did the organization report an amount for land, buildings, and equipment in Part, line? If ',' complete Schedule D, Part VI a b Did the organization report an amount for investments ' other securities in Part, line that is % or more of its total assets reported in Part, line? If ',' complete Schedule D, Part VII b c Did the organization report an amount for investments ' program related in Part, line that is % or more of its total assets reported in Part, line? If ',' complete Schedule D, Part VIII c d Did the organization report an amount for other assets in Part, line that is % or more of its total assets reported in Part, line? If ',' complete Schedule D, d e Did the organization report an amount for other liabilities in Part, line? If ',' complete Schedule D, Part e f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN (ASC )? If ',' complete Schedule D, Part.... f a Did the organization obtain separate, independent audited financial statements for the tax year? If ',' complete Schedule D, Parts I and II a b Was the organization included in consolidated, independent audited financial statements for the tax year? If ',' and if the organization answered '' to line a, then completing Schedule D, Parts I and II is optional b 9 If the organization's answer to any of the following questions is '', then complete Schedule D, Parts VI, VII, VIII, I, or as applicable. a Did the organization maintain an office, employees, or agents outside of the United States? a b Did the organization have aggregate revenues or expenses of more than, from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at, or more? If ',' complete Schedule F, Parts I and IV b Is the organization a school described in section ()(A)(ii)? If ',' complete Schedule E Did the organization report on, column (A), line, more than, of grants or other assistance to or for any foreign organization? If ',' complete Schedule F, Parts II and IV Did the organization report on, column (A), line, more than, of aggregate grants or other assistance to or for foreign individuals? If ',' complete Schedule F, Parts III and IV Did the organization report a total of more than, of expenses for professional fundraising services on, column (A), lines and e? If ',' complete Schedule G, (see instructions) Did the organization report more than, total of fundraising event gross income and on Part VIII, lines c and a? If ',' complete Schedule G, I Did the organization report more than, of gross income from gaming activities on Part VIII, line 9a? If ',' complete Schedule G, II TEEAL // 9 Form 99 ()

7 Checklist of Required Schedules (continued) Form 99 () V 9- Page a Did the organization operate one or more hospital facilities? If ',' complete Schedule H a b If '' to line a, did the organization attach a copy of its audited financial statements to this return? b Did the organization report more than, of grants or other assistance to any domestic organization or domestic government on, column (A), line? If ',' complete Schedule I, Parts I and II Did the organization report more than, of grants or other assistance to or for domestic individuals on, column (A), line? If ',' complete Schedule I, Parts I and III Did the organization answer '' to Part VII, Section A, line,, or about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If ',' complete Schedule J a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than, as of the last day of the year, that was issued after December,? If ',' answer lines b through d and complete Schedule K. If ', 'go to line a b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? a b c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? c d a Section (), (), and (9) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If ',' complete Schedule L, a b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 99 or 99-EZ? If ',' complete Schedule L, b Did the organization report any amount on Part, line,, or for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If ',' complete Schedule L, I Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a % controlled entity or family member of any of these persons? If ',' complete Schedule L, II a A current or former officer, director, trustee, or key employee? If ',' complete Schedule L, V a b A family member of a current or former officer, director, trustee, or key employee? If ',' complete Schedule L, V b c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If ',' complete Schedule L, V Did the organization receive more than, in non-cash? If ',' complete Schedule M c 9 Did the organization receive of art, historical treasures, or other similar assets, or qualified conservation? If ',' complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If ',' complete Schedule N, Did the organization sell, exchange, dispose of, or transfer more than % of its net assets? If ',' complete Schedule N, I Did the organization own % of an entity disregarded as separate from the organization under Regulations sections.- and.-? If ',' complete Schedule R, Was the organization a party to a business transaction with one of the following parties (see Schedule L, V instructions for applicable filing thresholds, conditions, and exceptions): Was the organization related to any tax-exempt or taxable entity? If ',' complete Schedule R, I, III, or IV, and Part V, line a Did the organization have a controlled entity within the meaning of section ()? b If '' to line a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section ()? If ',' complete Schedule R, Part V, line a b Section () organizations. Did the organization make any transfers to an exempt non-charitable related organization? If ',' complete Schedule R, Part V, line Did the organization conduct more than % of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If ',' complete Schedule R, Part VI Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines b and 9? te. All Form 99 filers are required to complete Schedule O TEEAL // Form 99 ()

8 Part V Statements Regarding Other IRS Filings and Tax Compliance 9- Form 99 () Page Check if Schedule O contains a response or note to any line in this Part V a Enter the number reported in Box of Form 9. Enter -- if not applicable b Enter the number of Forms W-G included in line a. Enter -- if not applicable a b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? c a Enter the number of employees reported on Form W-, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return..... a b If at least one is reported on line a, did the organization file all required federal employment tax returns? b te. If the sum of lines a and a is greater than, you may be required to e-file (see instructions) a Did the organization have unrelated business gross income of, or more during the year? b If ',' has it filed a Form 99-T for this year? If '' to line b, provide an explanation in Schedule O a b a a b c a Does the organization have annual gross receipts that are normally greater than,, and did the organization solicit any that were not tax deductible as charitable? a b If ',' did the organization include with every solicitation an express statement that such or gifts were not tax deductible? b a 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)? b If ',' enter the name of the foreign country: G See instructions for filing requirements for FinCEN Form, Report of Foreign Bank and Financial Accounts (FBAR). a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If ',' to line a or b, did the organization file Form -T? Organizations that may receive deductible under section. a Did the organization receive a payment in excess of made partly as a contribution and partly for goods and services provided to the payor? b If ',' did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form? d If ',' indicate the number of Forms filed during the year d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g If the organization received a contribution of qualified intellectual property, did the organization file Form 99 as required? h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 9-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 9? b Did the sponsoring organization make a distribution to a donor, donor advisor, or related person? Section () organizations. Enter: a Initiation fees and capital included on Part VIII, line b Gross receipts, included on Form 99, Part VIII, line, for public use of club facilities..... Section () organizations. Enter: a Gross income from members or shareholders a b c e f g h 9a 9b a b a b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) b a Section 9() non-exempt charitable trusts. Is the organization filing Form 99 in lieu of Form? b If ',' enter the amount of tax-exempt interest received or accrued during the year b Section (9) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? te. See the instructions for additional information the organization must report on Schedule O. b Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans b c Enter the amount of reserves on hand c a Did the organization receive any payments for indoor tanning services during the tax year? b If ',' has it filed a Form to report these payments? If ',' provide an explanation in Schedule O TEEAL // a a a b Form 99 ()

9 Page 9- Governance, Management, and Disclosure For each '' response to lines through b below, and for a '' response to line a, b, or b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part VI Section A. Governing Body and Management Form 99 () Part VI a Enter the number of voting members of the governing body at the end of the tax year a If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O. b Enter the number of voting members included in line a, above, who are independent b Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? Did the organization make any significant changes to its governing documents since the prior Form 99 was filed? Did the organization become aware during the year of a significant diversion of the organization's assets? Did the organization have members or stockholders? a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? a b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? b Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? b Each committee with authority to act on behalf of the governing body? a b Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If ',' provide the names and addresses in Schedule O Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) a Did the organization have local chapters, branches, or affiliates? b If ',' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? a Has the organization provided a complete copy of this Form 99 to all members of its governing body before filing the form? b Describe in Schedule O the process, if any, used by the organization to review this Form 99 SEE SCHEDULE O a Did the organization have a written conflict of interest policy? If ',' go to line b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? If ',' describe in Schedule O how this was done Did the organization have a written whistleblower policy? Did the organization have a written document retention and destruction policy? Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official b Other officers or key employees of the organization If '' to line a or b, describe the process in Schedule O (see instructions). b a a a b c a b a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? a b If ',' did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? b Section C. Disclosure NONE List the states with which a copy of this Form 99 is required to be filed G Section requires an organization to make its Forms (or if applicable), 99, and 99-T (Section ()s only) available for public inspection. Indicate how you made these available. Check all that apply. Other (explain in Schedule O) Own website Another's website Upon request 9 Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. SEE SCHEDULE O State the name, address, and telephone number of the person who possesses the organization's books and records: G MONICA ROGERS E. ATEN ROAD IMPERIAL CA 9 () - TEEAL // Form 99 ()

10 Page 9- Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Form 99 () Check if Schedule O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.? List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -- in columns (D), (E), and (F) if no compensation was paid.? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.'? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box of Form W- and/or Box of Form 99-MISC) of more than, from the organization and any related organizations.? List all of the organization's former officers, key employees, and highest compensated employees who received more than, of reportable compensation from the organization and any related organizations.? List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than, of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) () () () () () () () () (9) () () () () () (A) (B) Name and Title Average hours per week (list any hours for related organizations below dotted line) SHAVAUN O'MALLEY DIRECTOR CYNTHIA MANCHA DIRECTOR JERRY HART DIRECTOR TOM DUBOSE DIRECTOR ERIK FREEMAN VICE PRESIDENT HAROLD WALK DIRECTOR DR. VICTOR JAIME DIRECTOR DAN DEVOY DIRECTOR VINCE SIGNOROTTI PRESIDENT FIDEL GONZALEZ TREASURER ROBERT RUBIO SECRETARY ROBERT VALDES DIRECTOR PEGGY DALE DIRECTOR ROD SMART EECUTIVE DIR. Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) Reportable compensation from the organization (W-/99-MISC) (E) (F) Reportable compensation from related organizations (W-/99-MISC) Estimated amount of other compensation from the organization and related organizations, TEEAL // Form 99 ()

11 Page 9- Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Form 99 () (B) (A) Name and title () MONICA ROGERS COORDINATOR Average hours per week (list any hours for related organiza - tions below dotted line) (C) Position (do not check more than one box, unless person is both an officer and a director/trustee) (D) (E) (F) Reportable compensation from the organization (W-/99-MISC) Reportable compensation from related organizations (W-/99-MISC) Estimated amount of other compensation from the organization and related organizations,. () () () (9) () () () () () () b Sub-total G,. c from continuation sheets to Part VII, Section A G d (add lines b and c) G,. number of individuals (including but not limited to those listed above) who received more than, of reportable compensation from the organization G Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? If ',' complete Schedule J for such individual For any individual listed on line a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than,? If ',' complete Schedule J for such individual Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If ',' complete Schedule J for such person Section B. Independent Contractors Complete this table for your five highest compensated independent contractors that received more than, of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) Name and business address (B) Description of services (C) Compensation number of independent contractors (including but not limited to those listed above) who received more than, of compensation from the organization G TEEAL // Form 99 ()

12 Part VIII Statement of Revenue 9- Form 99 () Page 9 Check if Schedule O contains a response or note to any line in this Part VIII (A) revenue a b c d e Federated campaigns Membership dues Fundraising events Related organizations Government grants ()..... (B) Related or exempt function revenue (C) Unrelated business revenue (D) Revenue excluded from tax under sections - a b c d e f All other, gifts, grants, and similar amounts not included above.... f 9,9. g ncash included in lines a-f: h. Add lines a-f G 9,9. Business Code a b c d e f All other program service revenue.... g. Add lines a-f G Investment income (including dividends, interest and other similar amounts) G Income from investment of tax-exempt bond proceeds... G. Royalties G a b c d Gross rents Less: rental expenses Rental income or (loss).... Net rental income or (loss) G (i) Real a Gross amount from sales of assets other than inventory (i) Securities,9.,9. (ii) al (ii) Other b Less: cost or other basis and sales expenses c Gain or (loss) d Net gain or (loss) G a Gross income from fundraising events (not including.. of reported on line c). See V, line a,9. b Less: direct expenses b,. c Net income or (loss) from fundraising events G,. 9 a Gross income from gaming activities. See V, line a b Less: direct expenses b c Net income or (loss) from gaming activities G a Gross sales of inventory, less returns and allowances a b Less: cost of goods sold b c Net income or (loss) from sales of inventory G Miscellaneous Revenue Business Code a MISC. REIMBURSEMENTS b c d All other revenue e. Add lines a-d G revenue. See instructions G TEEA9L...,., // Form 99 ()

13 Statement of Functional Expenses 9- Form 99 () Page Section () and () organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this (A) (B) (C) (D) Do not include amounts reported on lines expenses Management and Fundraising Program service b, b, b, 9b, and b of Part VIII. expenses general expenses expenses Grants and other assistance to domestic organizations and domestic governments. See V, line Grants and other assistance to domestic individuals. See V, line ,.,. Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See V, lines and Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 9(f)()) and persons described in section 9()(B) Other salaries and wages Pension plan accruals and (include section (k) and employer ) Other employee benefits taxes Fees for services (non-employees): a Management b Legal c Accounting ,, d Lobbying e Professional fundraising services. See V, line... f Investment management fees g Other. (If line g amount exceeds % of line, column (A) amount, list line g expenses on Schedule O.)..... Advertising and promotion Office expenses ,.,. Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local public officials Conferences, conventions, and meetings....,, Interest Payments to affiliates Depreciation, depletion, and amortization.... Insurance ,9.,9. Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line e. If line e amount exceeds % of line, column (A) amount, list line e expenses on Schedule O.) a b c d STUDENT AMBASSADORS EPENSES DATABASE MANAGEMENT MISC. EPENSE BOARD DEVELOPMENT e All other expenses functional expenses. Add lines through e....,.,,.,.,.,.,.,.,,.,.,.,. Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. if following Check here G SOP 9- (ASC 9-) TEEAL // Form 99 ()

14 Balance Sheet Form 99 () Part 9- Page Check if Schedule O contains a response or note to any line in this Part (A) Beginning of year Cash ' non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net ,. (B) End of year,.,9. Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete I of Schedule L Loans and other receivables from other disqualified persons (as defined under section 9(f)()), persons described in section 9()(B), and contributing employers and sponsoring organizations of section (9) voluntary employees' beneficiary organizations (see instructions). Complete I of Schedule L tes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D a, b Less: accumulated depreciation b Investments ' publicly traded securities Investments ' other securities. See V, line Investments ' program-related. See V, line Intangible assets Other assets. See V, line assets. Add lines through (must equal line ) Accounts payable and accrued expenses Grants payable Deferred revenue Tax-exempt bond liabilities Escrow or custodial account liability. Complete V of Schedule D Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete I of Schedule L Secured mortgages and notes payable to unrelated third parties Unsecured notes and loans payable to unrelated third parties , c,9,.,99,. 9,,,,,. Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines -). Complete Part of Schedule D. liabilities. Add lines through Organizations that follow SFAS (ASC 9), check here G and complete lines through 9, and lines and. Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets ,.,.,, 9,. 9,.,,9,,.,,. Organizations that do not follow SFAS (ASC 9), check here G and complete lines through. Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, building, or equipment fund Retained earnings, endowment, accumulated income, or other funds net assets or fund balances liabilities and net assets/fund balances ,99,.,99,. Form 99 () TEEAL //

15 Reconciliation of Net Assets 9- Form 99 () Page Check if Schedule O contains a response or note to any line in this revenue (must equal Part VIII, column (A), line ) ,.,. 9,.,99,. 9,. expenses (must equal, column (A), line ) Revenue less expenses. Subtract line from line Net assets or fund balances at beginning of year (must equal Part, line, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments Other changes in net assets or fund balances (explain in Schedule O) Net assets or fund balances at end of year. Combine lines through 9 (must equal Part, line, column (B)) ,,. I Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this I Accounting method used to prepare the Form 99: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O. a Were the organization's financial statements compiled or reviewed by an independent accountant? a If ',' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? If ',' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Consolidated basis Both consolidated and separate basis Separate basis b c If '' to line a or b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? c If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-? a b If ',' did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits TEEAL // b Form 99 ()

16 Public Charity Status and Public Support SCHEDULE A (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Service OMB. - Complete if the organization is a section () organization or a section 9() nonexempt charitable trust. G Attach to Form 99 or Form 99-EZ. G Information about Schedule A (Form 99 or 99-EZ) and its instructions is at Name of the organization Open to Public Inspection Employer identification number 9- Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines through, check only one box.) A church, convention of churches, or association of churches described in section ()(A)(i). A school described in section ()(A)(ii). (Attach Schedule E (Form 99 or 99-EZ).) A hospital or a cooperative hospital service organization described in section ()(A)(iii). A medical research organization operated in conjunction with a hospital described in section ()(A)(iii). Enter the hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section ()(A)(iv). (Complete I.) A federal, state, or local government or governmental unit described in section ()(A)(v). A community trust described in section ()(A)(vi). (Complete I.) 9 An agricultural research organization described in section ()(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section ()(A)(vi). (Complete I.) An organization that normally receives: () more than -/% of its support from, membership fees, and gross receipts from activities related to its exempt functions'subject to certain exceptions, and () no more than -/% of its support from gross investment income and unrelated business taxable income (less section tax) from businesses acquired by the organization after June, 9. See section 9(). (Complete II.) An organization organized and operated exclusively to test for public safety. See section 9(). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 9() or section 9(). See section 9(). Check the box in lines a through d that describes the type of supporting organization and complete lines e, f, and g. Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete V, Sections A and B. a b Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete V, Sections A and C. c Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete V, Sections A, D, and E. Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete V, Sections A and D, and Part V. d e Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. f Enter the number of supported organizations g Provide the following information about the supported organization(s). (i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines - above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) (A) (B) (C) (D) (E) For Paperwork Reduction Act tice, see the Instructions for Form 99 or 99-EZ. TEEAL 9// Schedule A (Form 99 or 99-EZ)

17 9- I Support Schedule for Organizations Described in Sections ()(A)(iv) and ()(A)(vi) Page Schedule A (Form 99 or 99-EZ) (Complete only if you checked the box on line,, or of or if the organization failed to qualify under II. If the organization fails to qualify under the tests listed below, please complete II.) Section A. Public Support Calendar year (or fiscal year beginning in) G Gifts, grants,, and membership fees received. (Do not include any 'unusual grants.') Tax revenues levied for the organization's benefit and either paid to or expended on its behalf The value of services or facilities furnished by a governmental unit to the organization without charge..... Add lines through... The portion of total by each person (other than a governmental unit or publicly supported organization) included on line that exceeds % of the amount shown on line, column (f)... Public support. Subtract line from line (e) (f),. 9,.,. 9, 9,9.,,.,. 9,.,. 9, 9,9.,,.,,. Section B. Support Calendar year (or fiscal year beginning in) G Amounts from line Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources Net income from unrelated business activities, whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. SEE PART VI... 9 (e) (f),. 9,.,. 9, 9,9.,,.,9,.,.,9., 9,.,.,.,.,.,. support. Add lines through Gross receipts from related activities, etc. (see instructions) ,9.,,. First five years. If the Form 99 is for the organization's first, second, third, fourth, or fifth tax year as a section () organization, check this box and stop here G Section C. Computation of Public Support Percentage Public support percentage for (line, column (f) divided by line, column (f)) Public support percentage from Schedule A, I, line % 9 % a -/% support test'. If the organization did not check the box on line, and line is -/% or more, check this box and stop here. The organization qualifies as a publicly supported organization G b -/% support test'. If the organization did not check a box on line or a, and line is -/% or more, check this box and stop here. The organization qualifies as a publicly supported organization G a %-facts-and-circumstances test'. If the organization did not check a box on line, a, or b, and line is % or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part VI how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization b %-facts-and-circumstances test'. If the organization did not check a box on line, a, b, or a, and line is % or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part VI how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization Private foundation. If the organization did not check a box on line, a, b, a, or b, check this box and see instructions... G G G Schedule A (Form 99 or 99-EZ) TEEAL 9//

18 Support Schedule for Organizations Described in Section 9() Schedule A (Form 99 or 99-EZ) II 9- Page (Complete only if you checked the box on line of or if the organization failed to qualify under I. If the organization fails to qualify under the tests listed below, please complete I.) Section A. Public Support Calendar year (or fiscal year beginning in) G Gifts, grants,, and membership fees received. (Do not include any 'unusual grants.') Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose Gross receipts from activities that are not an unrelated trade or business under section. Tax revenues levied for the organization's benefit and either paid to or expended on its behalf The value of services or facilities furnished by a governmental unit to the organization without charge..... Add lines through... a Amounts included on lines,, and received from disqualified persons b Amounts included on lines and received from other than disqualified persons that exceed the greater of, or % of the amount on line for the year c Add lines a and b (e) (f) Public support. (Subtract line c from line.) Section B. Support (e) (f) Calendar year (or fiscal year beginning in) G 9 Amounts from line a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources b Unrelated business taxable income (less section taxes) from businesses acquired after June, 9... c Add lines a and b Net income from unrelated business activities not included in line b, whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) support. (Add Iines 9, c,, and.) First five years. If the Form 99 is for the organization's first, second, third, fourth, or fifth tax year as a section () organization, check this box and stop here G Section C. Computation of Public Support Percentage Public support percentage for (line, column (f) divided by line, column (f)) Public support percentage from Schedule A, II, line % % Section D. Computation of Investment Income Percentage Investment income percentage for (line c, column (f) divided by line, column (f)) Investment income percentage from Schedule A, II, line a -/% support tests'. If the organization did not check the box on line, and line is more than -/%, and line is not more than -/%, check this box and stop here. The organization qualifies as a publicly supported organization b -/% support tests'. If the organization did not check a box on line or line 9a, and line is more than -/%, and line is not more than -/%, check this box and stop here. The organization qualifies as a publicly supported organization..... Private foundation. If the organization did not check a box on line, 9a, or 9b, check this box and see instructions % % TEEAL 9// G G G Schedule A (Form 99 or 99-EZ)

19 Page 9- Supporting Organizations (Complete only if you checked a box in line on. If you checked a of, complete Sections A and B. If you checked b of, complete Sections A and C. If you checked c of, complete Sections A, D, and E. If you checked d of, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Schedule A (Form 99 or 99-EZ) V Are all of the organization's supported organizations listed by name in the organization's governing documents? If ',' describe in Part VI how the supported organizations are designated. If designated by class or purpose, describe the designation. If historic and continuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under section 9() or ()? If ',' explain in Part VI how the organization determined that the supported organization was described in section 9() or (). a Did the organization have a supported organization described in section (), (), or ()? If ',' answer and below. a b Did the organization confirm that each supported organization qualified under section (), (), or () and satisfied the public support tests under section 9()? If ',' describe in Part VI when and how the organization made the determination. b c Did the organization ensure that all support to such organizations was used exclusively for section ()(B) purposes? If ',' explain in Part VI what controls the organization put in place to ensure such use. c a Was any supported organization not organized in the United States ('foreign supported organization')? If '' and if you checked a or b in, answer and below. a b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If ',' describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. b c Did the organization support any foreign supported organization that does not have an IRS determination under sections () and 9() or ()? If ',' explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section ()(B) purposes. c a Did the organization add, substitute, or remove any supported organizations during the tax year? If ',' answer and below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document). a b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? b c Substitutions only. Was the substitution the result of an event beyond the organization's control? c Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization's supported organizations? If ',' provide detail in Part VI. Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 9()(C)), a family member of a substantial contributor, or a % controlled entity with regard to a substantial contributor? If ',' complete of Schedule L (Form 99 or 99-EZ). Did the organization make a loan to a disqualified person (as defined in section 9) not described in line? If ',' complete of Schedule L (Form 99 or 99-EZ). 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 9 (other than foundation managers and organizations described in section 9() or ())? If ',' provide detail in Part VI. 9a b Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If ',' provide detail in Part VI. 9b c Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If ',' provide detail in Part VI. 9c a Was the organization subject to the excess business holdings rules of section 9 because of section 9(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If ',' answer b below. b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form, to determine whether the organization had excess business holdings.) TEEAL 9// a b Schedule A (Form 99 or 99-EZ)

20 Supporting Organizations (continued) Schedule A (Form 99 or 99-EZ) V 9- Page Has the organization accepted a gift or contribution from any of the following persons? a A person who directly or indirectly controls, either alone or together with persons described in and below, the governing body of a supported organization? a b A family member of a person described in above? b c A % controlled entity of a person described in or above? If '' to a, b, or c, provide detail in Part VI. c Section B. Type I Supporting Organizations Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year? If ',' describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization's activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year. Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If ',' explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controlled the supporting organization. Section C. Type II Supporting Organizations Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If ',' describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s). Section D. All Type III Supporting Organizations Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 99 that was most recently filed as of the date of notification, and (iii) copies of the organization's governing documents in effect on the date of notification, to the extent not previously provided? Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If ',' explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s). By reason of the relationship described in (), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If ',' describe in Part VI the role the organization's supported organizations played in this regard. Section E. Type III Functionally Integrated Supporting Organizations Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions). a The organization satisfied the Activities Test. Complete line below. b The organization is the parent of each of its supported organizations. Complete line below. c The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions). Activities Test. Answer and below. a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If ',' then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities. a b Did the activities described in constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If ',' explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the organization's involvement. b Parent of Supported Organizations. Answer and below. a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI. a b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? If ',' describe in Part VI the role played by the organization in this regard. b TEEAL 9// Schedule A (Form 99 or 99-EZ)

21 Type III n-functionally Integrated 9() Supporting Organizations Schedule A (Form 99 or 99-EZ) Part V 9- Page Check here if the organization satisfied the Integral Part Test as a qualifying trust on v., 9 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E. Section A ' Adjusted Net Income Net short-term capital gain Recoveries of prior-year distributions Other gross income (see instructions) Add lines through. Depreciation and depletion Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) Other expenses (see instructions) Adjusted Net Income (subtract lines,, and from line ). Section B ' Minimum Asset Amount (A) Prior Year (B) Current Year (optional) (A) Prior Year (B) Current Year (optional) Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): a Average monthly value of securities a b Average monthly cash balances b c Fair market value of other non-exempt-use assets c d (add lines a, b, and c) d e Discount claimed for blockage or other factors (explain in detail in Part VI): Acquisition indebtedness applicable to non-exempt-use assets Subtract line from line d. Cash deemed held for exempt use. Enter -/% of line (for greater amount, see instructions). Net value of non-exempt-use assets (subtract line from line ) Multiply line by.. Recoveries of prior-year distributions Minimum Asset Amount (add line to line ) Section C ' Distributable Amount Current Year Adjusted net income for prior year (from Section A, line, Column A) Enter % of line. Minimum asset amount for prior year (from Section B, line, Column A) Enter greater of line or line. Income tax imposed in prior year Distributable Amount. Subtract line from line, unless subject to emergency temporary reduction (see instructions). Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions). Schedule A (Form 99 or 99-EZ) TEEAL 9//

22 Page 9- Part V Type III n-functionally Integrated 9() Supporting Organizations (continued) Current Year Section D ' Distributions Schedule A (Form 99 or 99-EZ) Amounts paid to supported organizations to accomplish exempt purposes Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations Amounts paid to acquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) Other distributions (describe in Part VI). See instructions. annual distributions. Add lines through. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. 9 Distributable amount for from Section C, line Line amount divided by Line 9 amount Section E ' Distribution Allocations (see instructions) Distributable amount for from Section C, line Underdistributions, if any, for years prior to (reasonable cause required ' explain in Part VI). See instructions. (i) Excess Distributions (ii) Underdistributions Pre- (iii) Distributable Amount for Excess distributions carryover, if any, to : a b c From d From e From f of lines a through e g Applied to underdistributions of prior years h Applied to distributable amount i Carryover from not applied (see instructions) j Remainder. Subtract lines g, h, and i from f. Distributions for from Section D, line : a Applied to underdistributions of prior years b Applied to distributable amount c Remainder. Subtract lines a and b from. Remaining underdistributions for years prior to, if any. Subtract lines g and a from line. For result greater than zero, explain in Part VI. See instructions. Remaining underdistributions for. Subtract lines h and b from line. For result greater than zero, explain in Part VI. See instructions. Excess distributions carryover to. Add lines j and c. Breakdown of line : a b Excess from c Excess from d Excess from e Excess from Schedule A (Form 99 or 99-EZ) TEEAL 9//

23 Page 9- Supplemental Information. Provide the explanations required by I, line ; I, line a or b;ii, line ; V, Section A, lines,, b, c, b, c, a,, 9a, 9b, 9c, a, b, and c; V, Section B, lines and ; V, Section C, line ; V, Section D, lines and ; V, Section E, lines c, a, b, a, and b; Part V, line ; Part V, Section B, line e; Part V, Section D, lines,, and ; and Part V, Section E, lines,, and. Also complete this part for any additional information. (See instructions.) Schedule A (Form 99 or 99-EZ) Part VI PART II, LINE - OTHER INCOME NATURE AND SOURCE SPECIAL EVENTS-FUNDRAISING REIMBURSEMENTS AND REBATES TOTAL,.,99.,.,.,.,.,.,.,..,..,. TEEAL 9// Schedule A (Form 99 or 99-EZ)

24 OMB. - Schedule B (Form 99, 99-EZ, or 99-PF) Department of the Treasury Internal Revenue Service Schedule of Contributors G Attach to Form 99, Form 99-EZ, or Form 99-PF. G Information about Schedule B (Form 99, 99-EZ, 99-PF) and its instructions is at Name of the organization Employer identification number 9- Organization type (check one): Filers of: Form 99 or 99-EZ Section: ( ) (enter number) organization 9() nonexempt charitable trust not treated as a private foundation political organization Form 99-PF () exempt private foundation 9() nonexempt charitable trust treated as a private foundation () taxable private foundation Check if your organization is covered by the General Rule or a Special Rule. te. Only a section (), (), or () organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 99, 99-EZ, or 99-PF that received, during the year, totaling, or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total. Special Rules For an organization described in section () filing Form 99 or 99-EZ that met the -/% support test of the regulations under sections 9() and ()(A)(vi), that checked Schedule A (Form 99 or 99-EZ), I, line, a, or b, and that received from any one contributor, during the year, total of the greater of (), or () % of the amount on (i) Form 99, Part VIII, line h, or (ii) Form 99-EZ, line. Complete Parts I and II. For an organization described in section (), (), or () filing Form 99 or 99-EZ that received from any one contributor, during the year, total of more than, exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III. For an organization described in section (), (), or () filing Form 99 or 99-EZ that received from any one contributor, during the year, exclusively for religious, charitable, etc., purposes, but no such totaled more than, If this box is checked, enter here the total that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., totaling, or more during the year G Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 99, 99-EZ, or 99-PF), but it must answer '' on V, line, of its Form 99; or check the box on line H of its Form 99-EZ or on its Form 99-PF,, line, to certify that it doesn't meet the filing requirements of Schedule B (Form 99, 99-EZ, or 99-PF). For Paperwork Reduction Act tice, see the Instructions for Form 99, 99-EZ, or 99-PF. TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

25 Page Schedule B (Form 99, 99-EZ, or 99-PF) () of of Name of organization Employer identification number 9- Contributors (see instructions). Use duplicate copies of if additional space is needed. Name, address, and ZIP + IMPERIAL COUNTY PHYSICIANS GROUP,. ncash noncash.) IMPERIAL, CA 9 Name, address, and ZIP +,9 ncash noncash.) BRAWLEY, CA 9 Name, address, and ZIP +, ncash noncash.) CALEICO, CA 9 Name, address, and ZIP + 9,. ncash noncash.) SAN DIEGO, CA 9 Name, address, and ZIP +,. ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP + IMPERIAL VALLEY COLLEGE E. ATEN RD.,. ncash noncash.) IMPERIAL, CA 9 9 W. MAIN ST, SUITE IMPERIAL COUNTY HISTORIC DECATUR RD. THE SAN DIEGO FOUNDATION HEBER AVE. CONSULADO DE MEICO EN CALEICO W. LEGION ROAD WOMEN'S AUILIARY OF PMH E. ATEN ROAD TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

26 Page Schedule B (Form 99, 99-EZ, or 99-PF) () of of Name of organization Employer identification number 9- Contributors (see instructions). Use duplicate copies of if additional space is needed. Name, address, and ZIP + FIRST IMPERIAL CREDIT UNION,. ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP +, ncash noncash.) CALEICO, CA 9 Name, address, and ZIP +, ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP +, ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP +,. ncash noncash.) Name, address, and ZIP + NIELSEN CONSTRUCTION ROSECRANS ST., ncash noncash.) SAN DIEGO, CA 9 EL CENTRO, CA 9 IMPERIAL PRINTERS CO. W. MAIN ST. W. BARBARA WORTH DR. # DAVIS, HOPE N. IMPERIAL AVE. BURGERS & BEER, INC. P.O. BO 9 ARTIC AIR CONDITIONING W. MAIN ST. TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

27 Page Schedule B (Form 99, 99-EZ, or 99-PF) () of of Name of organization Employer identification number 9- Contributors (see instructions). Use duplicate copies of if additional space is needed. Name, address, and ZIP + KEITHLY-WILLIAM SEEDS P.O. BO, ncash noncash.) HOLTVILLE, CA 9 Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

28 to Page Schedule B (Form 99, 99-EZ, or 99-PF) () of I Name of organization Employer identification number 9- I ncash Property (see instructions). Use duplicate copies of I if additional space is needed.. from Description of noncash property given FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received N/A. from Description of noncash property given. from Description of noncash property given. from Description of noncash property given. from Description of noncash property given. from Description of noncash property given Schedule B (Form 99, 99-EZ, or 99-PF) () TEEAL /9/

29 Page Schedule B (Form 99, 99-EZ, or 99-PF) () Name of organization to of II Employer identification number 9- II Exclusively religious, charitable, etc., to organizations described in section (), (), or () that total more than, for the year from any one contributor. Complete columns through (e) and the following line entry. For organizations completing II, enter the total of exclusively religious, charitable, etc., of, or less for the year. (Enter this information once. See instructions.) G Use duplicate copies of II if additional space is needed.. from Purpose of gift Use of gift N/A Description of how gift is held N/A (e) Transfer of gift Transferee's name, address, and ZIP +. from Relationship of transferor to transferee Purpose of gift Use of gift Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP +. from Relationship of transferor to transferee Purpose of gift Use of gift Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP +. from Relationship of transferor to transferee Purpose of gift Use of gift Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + Relationship of transferor to transferee Schedule B (Form 99, 99-EZ, or 99-PF) () TEEAL /9/

30 SCHEDULE D (Form 99) Department of the Treasury Internal Revenue Service Name of the organization OMB. - Supplemental Financial Statements G Complete if the organization answered '' on Form 99, V, line,,, 9,, a, b, c, d, e, f, a, or b. G Attach to Form 99 G Information about Schedule D (Form 99) and its instructions is at Open to Public Inspection Employer identification number 9- Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered '' on Form 99, V, line. Donor advised funds Funds and other accounts number at end of year Aggregate value of to (during year) Aggregate value of grants from (during year) Aggregate value at end of year Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? I Conservation Easements. Complete if the organization answered '' on Form 99, V, line. Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education) Protection of natural habitat Preservation of open space Preservation of a historically important land area Preservation of a certified historic structure Complete lines a through d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a number of conservation easements a b acreage restricted by conservation easements b c of conservation easements on a certified historic structure included in c d of conservation easements included in acquired after //, and not on a historic structure listed in the National Register d of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year G of states where property subject to conservation easement is located G Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year G Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year G Does each conservation easement reported on line above satisfy the requirements of section (h)()(b)(i) and section (h)()(b)(ii)? In II, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. II Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered '' on Form 99, V, line. a If the organization elected, as permitted under SFAS (ASC 9), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in II, the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under SFAS (ASC 9), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenue included on Form 99, Part VIII, line G (ii) Assets included in Form 99, Part G If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS (ASC 9) relating to these items: a Revenue included on Form 99, Part VIII, line G b Assets included in Form 99, Part G For Paperwork Reduction Act tice, see the Instructions for Form 99 TEEAL // Schedule D (Form 99)

31 Page 9- II Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Schedule D (Form 99) Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): Public exhibition Loan or exchange programs a d Scholarly research Other b e Preservation for future generations c Provide a description of the organization's collections and explain how they further the organization's exempt purpose in II. During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? V Escrow and Custodial Arrangements. Complete if the organization answered '' on Form 99, V, line 9, or reported an amount on Form 99, Part, line. a Is the organization an agent, trustee, custodian or other intermediary for or other assets not included on Form 99, Part? b If ',' explain the arrangement in II and complete the following table: Amount c Beginning balance c d Additions during the year d e Distributions during the year e f Ending balance f a Did the organization include an amount on Form 99, Part, line, for escrow or custodial account liability?..... b If ',' explain the arrangement in II. Check here if the explanation has been provided on II Part V Endowment Funds. Complete if the organization answered '' on Form 99, V, line a Beginning of year balance b Contributions Current year Prior year,,,,9,9., Two years back,,, c Net investment earnings, gains,,9.,.,. and losses d Grants or scholarships ,.,.,. e Other expenditures for facilities and programs f Administrative expenses ,,.,. g End of year balance ,,9,,,9,9. Provide the estimated percentage of the current year end balance (line g, column ) held as: % a Board designated or quasi-endowment G % Permanent endowment G b % c Temporarily restricted endowment G The percentages on lines a, b, and c should equal %. Three years back (e) Four years back 9,., 9,.,.,.,,.,9.,.,,,. 9,. a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) unrelated organizations a(i) (ii) related organizations a(ii) b If '' on line a(ii), are the related organizations listed as required on Schedule R? b Describe in II the intended uses of the organization's endowment funds. SEE PART III Part VI Land, Buildings, and Equipment. Complete if the organization answered '' on Form 99, V, line a. See Form 99, Part, line Description of property a Land b Buildings c Leasehold improvements d Equipment Cost or other basis (investment) Cost or other basis (other), Accumulated depreciation Book value, e Other Add lines a through e. (Column must equal Form 99, Part, column (B), line c.) G, Schedule D (Form 99) TEEAL //

32 Page 9- Part VII Investments ' Other Securities. Complete if the organization answered '' on Form 99, V, line b. See Form 99, Part, line. Schedule D (Form 99) Description of security or category (including name of security) Book value Method of valuation: Cost or end-of-year market value () Financial derivatives () Closely-held equity interests () Other CALIF COMMUNITY COLLERGE (A) MORGAN STANLEY CASH, BDP, MMF (B) MORGAN STANLEY GOV SECURITIES (C) (D) (E) SCH,9.,9..,, MORGAN STANLEY STOCK PORTFOLIO MORGAN STANLEY MUTUAL FUNDS END END END END END OF OF OF OF OF YEAR YEAR YEAR YEAR YEAR MARKET MARKET MARKET MARKET MARKET VALUE VALUE VALUE VALUE VALUE (F) (G) (H) (I) G,, N/A Part VIII Investments ' Program Related. Complete if the organization answered '' on Form 99, V, line c. See Form 99, Part, line.. (Column must equal Form 99, Part, column (B) line.)... Description of investment Book value Method of valuation: Cost or end-of-year market value () () () () () () () () (9) (). (Column must equal Form 99, Part, column (B) line.)... G Other Assets. N/A Complete if the organization answered '' on Form 99, V, line d. See Form 99, Part, line. Description Book value () () () () () () () () (9) (). (Column must equal Form 99, Part, column (B) line.) G Part Other Liabilities. Complete if the organization answered '' on Form 99, V, line e or f. See Form 99, Part, line Description of liability () Federal income taxes () () () () () () () (9) () () Book value. (Column must equal Form 99, Part, column (B) line.) G. Liability for uncertain tax positions. In II, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN (ASC ). Check here if the text of the footnote has been provided in II TEEAL // Schedule D (Form 99)

33 9- Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. N/A Complete if the organization answered '' on Form 99, V, line a. Schedule D (Form 99) revenue, gains, and other support per audited financial statements Amounts included on line but not on Form 99, Part VIII, line : a Net unrealized gains (losses) on investments a b Donated services and use of facilities b c Recoveries of prior year grants c d Other (Describe in II.) d e Add lines a through d Subtract line e from line Amounts included on Form 99, Part VIII, line, but not on line : a Investment expenses not included on Form 99, Part VIII, line b a b Other (Describe in II.) b c Add lines a and b e revenue. Add lines and c. (This must equal Form 99,, line.) Page c I Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. N/A Complete if the organization answered '' on Form 99, V, line a. expenses and losses per audited financial statements Amounts included on line but not on Form 99,, line : a Donated services and use of facilities a b Prior year adjustments b c Other losses c d Other (Describe in II.) d e Add lines a through d Subtract line e from line Amounts included on Form 99,, line, but not on line : a Investment expenses not included on Form 99, Part VIII, line b a b Other (Describe in II.) b c Add lines a and b expenses. Add lines and c. (This must equal Form 99,, line.) e c II Supplemental Information. Provide the descriptions required for I, lines,, and 9; II, lines a and ; V, lines b and b; Part V, line ; Part, line ;, lines d and b; and I, lines d and b. Also complete this part to provide any additional information. PART V, LINE - INTENDED USES OF ENDOWMENT FUND PART V: ENDOWMENT FUNDS LINE INTEREST EARNED ON ENDOWMENT FUNDS IS USED FOR RESTRICTED SCHOLARSHIPS TO STUDENTS AS APPROVED BY THE GOVERNING BOARD. PART VII: LINE D; FUND RAISING EPENSES REPORTED AS A REDUCTION OF FUND RAISING INCOME-THAT IS, FUND RAISING INCOME IS REPORTED ON FORM 99, PAGE, NET OF FUND Schedule D (Form 99) TEEAL //

34 II Supplemental Information (continued) Schedule D (Form 99) 9- Page PART V, LINE - INTENDED USES OF ENDOWMENT FUND (CONTINUED) RAISING EPENSES. TEEAL // Schedule D (Form 99)

35 SCHEDULE G (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Service Supplemental Information Regarding Fundraising or Gaming Activities Complete if the organization answered '' on Form 99, V, line,, or 9, or if the organization entered more than, on Form 99-EZ, line a. G Attach to Form 99 or Form 99-EZ. G Information about Schedule G (Form 99 or 99-EZ) and its instructions is at OMB. - Open to Public Inspection Name of the organization Employer identification number 9- Fundraising Activities. Complete if the organization answered '' on Form 99, V, line. Form 99-EZ filers are not required to complete this part. Indicate whether the organization raised funds through any of the following activities. Check all that apply. a Mail solicitations e b Internet and solicitations f c Phone solicitations g d In-person solicitations Solicitation of non-government grants Solicitation of government grants Special fundraising events a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 99, Part VII) or entity in connection with professional fundraising services? b If ',' list the highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least, by the organization. (i) Name and address of individual or entity (fundraiser) (ii) Activity (iii) Did fundraiser have custody or control of? (iv) Gross receipts from activity (v) Amount paid to (or retained by) fundraiser listed in column (i) (vi) Amount paid to (or retained by) organization G List all states in which the organization is registered or licensed to solicit or has been notified it is exempt from registration or licensing. For Paperwork Reduction Act tice, see the Instructions for Form 99 or 99-EZ. TEEAL 9// Schedule G (Form 99 or 99-EZ)

36 Page 9- I Fundraising Events. Complete if the organization answered '' on Form 99, V, line, or reported more than, of fundraising event and gross income on Form 99-EZ, lines and b. List events with gross receipts greater than, Schedule G (Form 99 or 99-EZ) R E V E N U E D I R E C T E P E N S E S Event # Event # GOLF TOURNAMEN SPRING RECEPTI (event type) (event type) (total number) events (add column through column ) Other events,9.,.,.,9.,9.,.,.,9. ncash prizes ,9. Rent/facility costs ,.,. Food and beverages ,9.,9. Entertainment Other direct expenses ,9. Gross receipts Less: Contributions Gross income (line minus line )..... Cash prizes ,99.,.,.,.,. II Gaming. Complete if the organization answered '' on Form 99, V, line 9, or reported more than, on Form 99-EZ, line a. Direct expense summary. Add lines through 9 in column G Net income summary. Subtract line from line, column G R E V E N U E D I R E C T E P E N S E S Other gaming Gross revenue Cash prizes ncash prizes Rent/facility costs Other direct expenses Volunteer labor Direct expense summary. Add lines through in column G Net gaming income summary. Subtract line from line, column G 9 Pull tabs/instant bingo/progressive bingo Bingo % % % Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states? b If ',' explain: a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? b If ',' explain: TEEAL 9// gaming (add column through column ) Schedule G (Form 99 or 99-EZ)

37 Schedule G (Form 99 or 99-EZ) 9- Does the organization conduct gaming activities with nonmembers? Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to administer charitable gaming? Indicate the percentage of gaming activity conducted in: a The organization's facility a b An outside facility b Enter the name and address of the person who prepares the organization's gaming/special events books and records: Page % % Name G Address G a Does the organization have a contract with a third party from whom the organization receives gaming revenue? and the amount b If ',' enter the amount of gaming revenue received by the organizationg of gaming revenue retained by the third party G. c If ',' enter name and address of the third party: Name G Address G Gaming manager information: Name G Gaming manager compensation G Description of services provided G Director/officer Employee Independent contractor Mandatory distributions a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year G V Supplemental Information. Provide the explanations required by, line b, columns (iii) and (v); and II, lines 9, 9b, b, b, c,, and b, as applicable. Also provide any additional information. See instructions TEEAL 9// Schedule G (Form 99 or 99-EZ)

38 (Form 99) Department of the Treasury Internal Revenue Service OMB. - Grants and Other Assistance to Organizations, Governments, and Individuals in the United States SCHEDULE I Complete if the organization answered '' on Form 99, V, line or. G Attach to Form 99 G Information about Schedule I (Form 99) and its instructions is at Open to Public Inspection Name of the organization Employer identification number General Information on Grants and Assistance 9- Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? Describe in V the organization's procedures for monitoring the use of grant funds in the United States. SEE PART IV I Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered '' on Form 99, V, line, for any recipient that received more than, I can be duplicated if additional space is needed. Name and address of organization or government EIN IRC section (if applicable) Amount of cash grant (e) Amount of non-cash assistance (f) Method of valuation (book, FMV, appraisal, other) (g) Description of noncash assistance (h) Purpose of grant or assistance () () () () () () () () Enter total number of section () and government organizations listed in the line table G Enter total number of other organizations listed in the line table G TEEA9L // For Paperwork Reduction Act tice, see the Instructions for Form 99 Schedule I (Form 99) ()

39 9- Grants and Other Assistance to Domestic Individuals. Complete if the organization answered '' on Form 99, V, line. II can be duplicated if additional space is needed. Schedule I (Form 99) () II Type of grant or assistance of recipients Amount of cash grant Amount of noncash assistance (e) Method of valuation (book, FMV, appraisal, other) Page (f) Description of noncash assistance V Supplemental Information. Provide the information required in, line ; II, column ; and any other additional information. PART I, LINE - PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. GRANTS AND ASSISTANCE SCHEDULE I, PART, LINE THE FOUNDATION MONITORS THE UTILIZATION OF GRANT FUNDS BASED UPON THE DETERMINATION OF THE COLLEGE DISTRICTS FINANCIAL AID DEPARTMENT. THE FINANCIAL AID DEPARTMENT SUBSTANTIATES STUDENTS ELIGIBILITY FOR GRANT AND SCHOLARSHIP ASSISTANCE BY REVIEW OF STUDENTS FINANCIAL ANALYSIS AND ENROLLMENT INCLUDING GRADE POINT AVERAGE. Schedule I (Form 99) () TEEA9L //

40 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 9- PART I: RECONCILIATION OF NET ASSETS LINE CHANGE IN NET ASSETS CHANGE IN NET ASSETS OF 9, AS A RESULT OF THE RECOGNITION OF UNREALIZED GAIN (LOSS) ON INVESTMENTS DUE TO CHANGE IN FAIR MARKET VALUE. FORM 99, PART III. LINE - ORGANIZATION'S MISSION ATTACHMENT THE FOUNDATION IS AUTHORIZED TO OPERATE AS AN INDEPENDENT ORGANIZATION OF THE IMPERIAL VALLEY COMMUNITY COLLEGE DISTRICT IN ACCORDANCE WITH THE PROVISIONS OF ARTICLE OF CHAPTER OF PART OF THE EDUCATION CODE. THE FOUNDATION RECEIVES PUBLIC SUPPORT, REVENUE, AND DONATIONS FOR THE BENEFIT OF STUDENTS AND PROGRAM SUPPORT FOR IMPERIAL VALLEY COMMUNITY COLLEGE. FORM 99, PART VIII - INVESTMENT INCOME ATTACHMENT DESCRIPTION (A) (B) TOTAL RELATED OR REVENUE INTEREST AND DIVIDENDS ON INVESTMENTS,,,,,9,9 REALIZED GAIN ON SALE OF INVESTMENTS TOTAL INVESTMENT INCOME EEMPT REVENUE FORM 99, PART VIII - FUNDRAISING EVENTS ATTACHMENT DESCRIPTION: GROSS DIRECT INCOME EPENSES For Paperwork Reduction Act tice, see the Instructions for Form 99 or 99-EZ. TEEA9L NET INCOME // Schedule O (Form 99 or 99-EZ) ()

41 Page Schedule O (Form 99 or 99-EZ) Name of the organization Employer identification number 9- GOLF TOURNAMENT,9 9,, FORM 99, PART VI, LINE B - FORM 99 REVIEW PROCESS THE TA RETURNS ARE PREPARED BY AN INDEPENDENT CPA FIRM UTILIZING AUDITED FINANCIAL INFORMATION AND IS REVIEWED BY THE EECUTIVE DIRECTOR, FOUNDATION ACCOUNTANT, AND BOARD TREASURER PRIOR TO FILING. IN ADDITION, OTHER MEMBERS OF THE GOVERNING BOARD REVIEW THE TA RETURNS AT THE MONTHLY BOARD MEETING BEFORE THE TA RETURNS ARE FILED. FORM 99, PART VI, LINE 9 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE FINANCIAL RECORDS, GOVERNING DOCUMENTS, AND OTHER BOARD POLICIES ARE KEPT AT THE FOUNDATION OFFICE AND ARE AVAILABLE FOR INSPECTION TO THE GENERAL PUBLIC UPON REQUEST. Schedule O (Form 99 or 99-EZ) () TEEA9L //

42 Voucher at bottom of page. DO NOT MAIL A PAPER COPY OF THE CORPORATE OR EEMPT ORGANIZATION TA RETURN WITH THE PAYMENT VOUCHER. If the amount of payment is zero, do not mail this voucher. 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 ' on the check or money order. Detach voucher below. Enclose, but do not staple, payment with voucher and mail to: FRANCHISE TA BOARD PO BO 9 SACRAMENTO CA 9- Make all checks or money orders payable in U.S. dollars and drawn against a U.S. financial institution. WHEN TO FILE: Corporations ' File and Pay by the th day of the th month following the close of the taxable year. S corporations ' File and Pay by the th day of the rd month following the close of the taxable year. Exempt organizations ' File and Pay by the th day of the th month following the close of the taxable year. 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. Due to the federal Emancipation Day holiday observed on April,, tax returns filed and payments mailed or submitted on April,, will be considered timely. ONLINE SERVICES: Corporations can make payments online with Web Pay for Businesses. 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, DO NOT MAIL THIS VOUCHER DETACH HERE DETACH HERE CAUTION: You may be required to pay electronically, see instructions. TAABLE YEAR Payment Voucher for Corporations and Exempt Organizations e-filed Returns 99 IMPE 9- TYB -- TYE -- MONICA ROGERS PO BO IMPERIAL CA 9 () - CALIFORNIA FORM (e-file) FORM AMOUNT OF PAYMENT 9 CACAL // FTB

43 TAABLE YEAR FORM California Exempt Organization Annual Information Return Calendar Year or fiscal year beginning (mm/dd/yyyy) Corporation/Organization name 99 //, and ending (mm/dd/yyyy) //. California corporation number 99 Additional information. See instructions. FEIN Street address (suite or room) PMB no. 9- P.O. BO City State IMPERIAL CA 9 Foreign country name Foreign province/state/county Foreign postal code A First Return B Amended Return C IRC Section 9() trust D Final Information Return? Dissolved Surrendered (Withdrawn) Merged/Reorganized Enter date (mm/dd/yyyy) E Check accounting method: Cash Other Accrual 99T 99-PF Sch H (99) F Federal return filed? Other 99 series 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 Receipts and Revenues Expenses Filing Fee Sign Here Paid Preparer's Use Only Zip code J If exempt under R&TC Section d, has the organization engaged in political activities? See instructions K Is the organization exempt under R&TC Section g?... If ',' enter the gross receipts from nonmember sources L If organization is exempt under R&TC Section d and meets the filing fee exception, check box. filing fee is required M Is the organization a Limited Liability Company? N Did the organization file Form or Form 9 to report taxable income? O Is the organization under audit by the IRS or has the IRS audited in a prior year? P Is federal Form / pending? Date filed with IRS CACAL // Complete unless not required to file this form. See General Instructions B and C. Gross sales or receipts from other sources. From Side, I, line Gross dues and assessments from members and affiliates Gross, gifts, grants, and similar amounts received see SCH B..,9. gross receipts for filing requirement test. Add line through line. This line must be completed. If the result is less than,, see General Instruction B...,. Cost of goods sold Cost or other basis, and sales expenses of assets sold costs. Add line and line gross income. Subtract line from line expenses and disbursements. From Side, I, line ,9. 9,.,.,. Excess of receipts over expenses and disbursements. Subtract line 9 from line Use tax balance. If line is more than line, subtract line from line Filing fee or. See General Instruction F Penalties and Interest. See General Instruction J Balance due. Add line, line, and line. Then subtract line from the result payments Use tax. See General Instruction K Payments balance. If line is more than line, subtract line from line > 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 GEORGE Firm's name (or yours, if self-employed) and address G DIRECTOR Date J. WOO GEORGE J. WOO, CPA STATE STREET EL CENTRO, CA 9 Check if selfemployed G May the FTB discuss this return with the preparer shown above? See instructions () - PTIN P9 FEIN - Telephone () - Form 99 C Side

44 Organizations with gross receipts of more than, and private foundations I 9- regardless of amount of gross receipts ' complete I or furnish substitute information. Receipts from Other Sources 9 Expenses and Disbursements Schedule L Gross royalties Gross amount received from sale of assets (See instructions) Other income. Attach schedule see......statement..... gross sales or receipts from other sources. Add line through line. Enter here and on Side,, line Contributions, gifts, grants, and similar amounts paid. Attach schedule Disbursements to or for members Compensation of officers, directors, and trustees. Attach schedule see......stmt..... Other salaries and wages Interest Taxes Rents Depreciation and depletion (See instructions) Other Expenses and Disbursements. Attach schedule see......statement Gross sales or receipts from all business activities. See instructions Interest Dividends Gross rents expenses and disbursements. Add line 9 through line. Enter here and on Side,, line Balance Sheet Beginning of taxable year 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 Add line through line ,9,., Side Form 99 C,. 9,. 9,.,. End of taxable year,.,99,. assets Liabilities and net worth Accounts payable Contributions, gifts, or grants payable Bonds and notes payable Mortgages payable Other liabilities. Attach schedule ,99,. 9 Capital stock or principal fund Paid-in or capital surplus. Attach reconciliation Retained earnings or income fund ,99,. 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, is less than,,9.,9.,,,,,.,,.,,. 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 Add line and line Net income per return. Subtract line 9 from line CACAL,.,9. //,.

45 CALIFORNIA COPY Schedule B (Form 99, 99-EZ, or 99-PF) Department of the Treasury Internal Revenue Service OMB. - Schedule of Contributors G Attach to Form 99, Form 99-EZ, or Form 99-PF. G Information about Schedule B (Form 99, 99-EZ, 99-PF) and its instructions is at Name of the organization Employer identification number 9- Organization type (check one): Filers of: Form 99 or 99-EZ Section: ( ) (enter number) organization 9() nonexempt charitable trust not treated as a private foundation political organization Form 99-PF () exempt private foundation 9() nonexempt charitable trust treated as a private foundation () taxable private foundation Check if your organization is covered by the General Rule or a Special Rule. te. Only a section (), (), or () organization can check boxes for both the General Rule and a Special Rule. See instructions. General Rule For an organization filing Form 99, 99-EZ, or 99-PF that received, during the year, totaling, or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total. Special Rules For an organization described in section () filing Form 99 or 99-EZ that met the -/% support test of the regulations under sections 9() and ()(A)(vi), that checked Schedule A (Form 99 or 99-EZ), I, line, a, or b, and that received from any one contributor, during the year, total of the greater of (), or () % of the amount on (i) Form 99, Part VIII, line h, or (ii) Form 99-EZ, line. Complete Parts I and II. For an organization described in section (), (), or () filing Form 99 or 99-EZ that received from any one contributor, during the year, total of more than, exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III. For an organization described in section (), (), or () filing Form 99 or 99-EZ that received from any one contributor, during the year, exclusively for religious, charitable, etc., purposes, but no such totaled more than, If this box is checked, enter here the total that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., totaling, or more during the year G Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 99, 99-EZ, or 99-PF), but it must answer '' on V, line, of its Form 99; or check the box on line H of its Form 99-EZ or on its Form 99-PF,, line, to certify that it doesn't meet the filing requirements of Schedule B (Form 99, 99-EZ, or 99-PF). For Paperwork Reduction Act tice, see the Instructions for Form 99, 99-EZ, or 99-PF. TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

46 Page Schedule B (Form 99, 99-EZ, or 99-PF) () of of Name of organization Employer identification number 9- Contributors (see instructions). Use duplicate copies of if additional space is needed. Name, address, and ZIP + IMPERIAL COUNTY PHYSICIANS GROUP,. ncash noncash.) IMPERIAL, CA 9 Name, address, and ZIP +,9 ncash noncash.) BRAWLEY, CA 9 Name, address, and ZIP +, ncash noncash.) CALEICO, CA 9 Name, address, and ZIP + 9,. ncash noncash.) SAN DIEGO, CA 9 Name, address, and ZIP +,. ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP + IMPERIAL VALLEY COLLEGE E. ATEN RD.,. ncash noncash.) IMPERIAL, CA 9 9 W. MAIN ST, SUITE IMPERIAL COUNTY HISTORIC DECATUR RD. THE SAN DIEGO FOUNDATION HEBER AVE. CONSULADO DE MEICO EN CALEICO W. LEGION ROAD WOMEN'S AUILIARY OF PMH E. ATEN ROAD TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

47 Page Schedule B (Form 99, 99-EZ, or 99-PF) () of of Name of organization Employer identification number 9- Contributors (see instructions). Use duplicate copies of if additional space is needed. Name, address, and ZIP + FIRST IMPERIAL CREDIT UNION,. ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP +, ncash noncash.) CALEICO, CA 9 Name, address, and ZIP +, ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP +, ncash noncash.) EL CENTRO, CA 9 Name, address, and ZIP +,. ncash noncash.) Name, address, and ZIP + NIELSEN CONSTRUCTION ROSECRANS ST., ncash noncash.) SAN DIEGO, CA 9 EL CENTRO, CA 9 IMPERIAL PRINTERS CO. W. MAIN ST. W. BARBARA WORTH DR. # DAVIS, HOPE N. IMPERIAL AVE. BURGERS & BEER, INC. P.O. BO 9 ARTIC AIR CONDITIONING W. MAIN ST. TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

48 Page Schedule B (Form 99, 99-EZ, or 99-PF) () of of Name of organization Employer identification number 9- Contributors (see instructions). Use duplicate copies of if additional space is needed. Name, address, and ZIP + KEITHLY-WILLIAM SEEDS P.O. BO, ncash noncash.) HOLTVILLE, CA 9 Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) Name, address, and ZIP + ncash noncash.) TEEAL /9/ Schedule B (Form 99, 99-EZ, or 99-PF) ()

49 to Page Schedule B (Form 99, 99-EZ, or 99-PF) () of I Name of organization Employer identification number 9- I ncash Property (see instructions). Use duplicate copies of I if additional space is needed.. from Description of noncash property given FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received FMV (or estimate) (see instructions) Date received N/A. from Description of noncash property given. from Description of noncash property given. from Description of noncash property given. from Description of noncash property given. from Description of noncash property given Schedule B (Form 99, 99-EZ, or 99-PF) () TEEAL /9/

50 Page Schedule B (Form 99, 99-EZ, or 99-PF) () Name of organization to of II Employer identification number 9- II Exclusively religious, charitable, etc., to organizations described in section (), (), or () that total more than, for the year from any one contributor. Complete columns through (e) and the following line entry. For organizations completing II, enter the total of exclusively religious, charitable, etc., of, or less for the year. (Enter this information once. See instructions.) G Use duplicate copies of II if additional space is needed.. from Purpose of gift Use of gift N/A Description of how gift is held N/A (e) Transfer of gift Transferee's name, address, and ZIP +. from Relationship of transferor to transferee Purpose of gift Use of gift Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP +. from Relationship of transferor to transferee Purpose of gift Use of gift Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP +. from Relationship of transferor to transferee Purpose of gift Use of gift Description of how gift is held (e) Transfer of gift Transferee's name, address, and ZIP + Relationship of transferor to transferee Schedule B (Form 99, 99-EZ, or 99-PF) () TEEAL /9/

51 CALIFORNIA STATEMENTS PAGE 9- STATEMENT FORM 99, PART II, LINE OTHER INCOME INCOME FROM SPECIAL EVENTS MISC. REIMBURSEMENTS OTHER INVESTMENT INCOME TOTAL,9..,9.,9. 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 SHAVAUN O'MALLEY E. ATEN ROAD IMPERIAL, CA 9 DIRECTOR CYNTHIA MANCHA E. ATEN ROAD IMPERIAL, CA 9 TOTAL COMPENSATION CONTRIBUTION TO EBP & DC EPENSE ACCOUNT/ OTHER DIRECTOR JERRY HART E. ATEN ROAD IMPERIAL, CA 9 DIRECTOR. TOM DUBOSE E. ATEN RD. IMPERIAL, CA 9 DIRECTOR ERIK FREEMAN E. ATEN ROAD IMPERIAL, CA 9 VICE PRESIDENT HAROLD WALK E. ATEN ROAD IMPERIAL, CA 9 DIRECTOR DR. VICTOR JAIME E. ATEN ROAD IMPERIAL, CA 9 DIRECTOR. DAN DEVOY E. ATEN ROAD IMPERIAL, CA 9 DIRECTOR VINCE SIGNOROTTI E. ATEN ROAD IMPERIAL, CA 9 PRESIDENT.

52 CALIFORNIA STATEMENTS PAGE 9- STATEMENT (CONTINUED) 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 FIDEL GONZALEZ E. ATEN ROAD IMPERIAL, CA 9 TREASURER. ROBERT RUBIO E. ATEN ROAD IMPERIAL, CA 9 TOTAL COMPENSATION CONTRIBUTION TO EBP & DC EPENSE ACCOUNT/ OTHER SECRETARY. ROBERT VALDES E. ATEN ROAD IMPERIAL, CA 9 DIRECTOR PEGGY DALE E. ATEN RD. IMPERIAL, CA 9 DIRECTOR ROD SMART E. ATEN RD. IMPERIAL, CA 9 EECUTIVE DIR. TOTAL KEY EMPLOYEES: NAME MONICA ROGERS E. ATEN ROAD IMPERIAL, CA 9 TITLE AND AVERAGE HOURS PER WEEK DEVOTED COORDINATOR TOTAL COMPENSATION CONTRIBUTION TO EBP & DC EPENSE ACCOUNT/ OTHER STATEMENT FORM 99, PART II, LINE OTHER EPENSES ACCOUNTING FEES BANK & BROKER FEES BOARD DEVELOPMENT COMPUTER/TECHNOLOGY CONFERENCES, CONVENTIONS, AND MEETINGS COPIER / PRINTER DATABASE MANAGEMENT DONOR APPOINTMENTS INSURANCE MEMBSERSHIP DUES MISC. EPENSE OFFICE EPENSES ,,9.,.,.,.,.,9. 9,.,.

53 CALIFORNIA STATEMENTS PAGE 9- STATEMENT (CONTINUED) FORM 99, PART II, LINE OTHER EPENSES PAYROLL EPENSES POSTAGE AND SHIPPING PRINTING AND PUBLICATIONS PROMOTION AND MARKETING SPECIAL EVENT EPENSES STUDENT AMBASSADORS EPENSES TOTAL,..,.,.,.,.,.

54 ANNUAL REGISTRATION RENEWAL FEE REPORT TO ATTORNEY GENERAL OF CALIFORNIA IN MAIL TO: Registry of Charitable Trusts P.O. Box 9 Sacramento, CA 9- Telephone: (9) - Sections and, California Government Code Cal. Code Regs. sections -, and Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of, plus interest, and/or fines or filing penalties as defined in Government Code Section.. IRS extensions will be honored. WEBSITE ADDRESS: Check if: State Charity Registration CT Change of address Amended report Name of Organization P.O. BO Corporate or Organization. 99 Address ( and Street) IMPERIAL, CA 9 Federal Employer I.D.. City or Town State 9- ZIP Code ANNUAL REGISTRATION RENEWAL FEE SCHEDULE ( Cal. Code Regs. sections -, and ) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue Fee Less than, Between, and, Gross Annual Revenue Fee Between, and, Between, and million Gross Annual Revenue Fee Between,, and million Between,, and million Greater than million PART A ' ACTIVITIES // For your most recent full accounting period (beginning Gross annual revenue,. assets ending //,,. ) list: PART B ' STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT te: If you answer 'yes' to any of the questions below, you must attach a separate sheet providing an explanation and details for each 'yes' response. Please review RRF- instructions for information required. During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any officer, director or trustee thereof either directly or with an entity in which any such officer, director or trustee had any financial interest? During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds? During this reporting period, did non-program expenditures exceed % of gross revenues? During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a Form with the Internal Revenue Service, attach a copy. During this reporting period, were the services of a commercial fundraiser or fundraising counsel for charitable purposes used? If 'yes,' provide an attachment listing the name, address, and telephone number of the service provider. During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing the name of the agency, mailing address, contact person, and telephone number. During this reporting period, did the organization hold a raffle for charitable purposes? If 'yes,' provide an attachment indicating the number of raffles and the date(s) they occurred. Does the organization conduct a vehicle donation program? If 'yes,' provide an attachment indicating whether the program is operated by the charity or whether the organization contracts with a commercial fundraiser for charitable purposes. 9 Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period? Organization's area code and telephone number () - Organization's address I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete. Signature of authorized officer DR. VICTOR JAIME DIRECTOR Printed Name Title CAEA9L // Date RRF- (-)