GOVERNMENT COPY FOREGEN USA, INC., A CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATION 2980 COLUMBIA STREET TORRANCE, CA (310)

Transcription

1 0 TA RETURN OVERNMENT COPY Client: -0 Prepared for: NON-PROFIT PUBLIC BENEFIT CORPORATION 90 COLUMBIA STREET TORRANCE, CA 900 (0) Prepared by: MERRIETTA L. FON, CPA FON & ASSOCIATES, CPAS 90 COLUMBIA STREET TORRANCE, CA Date: OCTOBER, 0 Comments: Route to: FDIL00L 0//

2 FON & ASSOCIATES, CPAS 90 COLUMBIA STREET TORRANCE, CA October, 0 Foregen USA, Inc., A California n-profit Public Benefit Corporation 90 Columbia Street Torrance, CA 900 Dear Vincenzo: Your 0 Federal Return of Organization Exempt from Income Tax will be electronically filed with the Internal Revenue Service upon receipt of a signed Form 9-EO - IRS e-file Signature Authorization. tax is payable with the filing of this return. Your 0 California Exempt Organization Annual Information Return will be electronically filed with the State of California upon receipt of a signed Form -EO. There is a balance due of $0 payable by December, 0. Mail your California payment voucher, Form, on or before December, 0 to: Franchise Tax Board P.O. Box 9 Sacramento, CA 9-0 Enclosed is your California Registration/Renewal Fee Report to the Attorney eneral. The original should be signed at the bottom of page one. fee is payable with the filing of this report. Mail the California report on or before vember, 0 to: REISTRY OF CHARITABLE TRUSTS P.O. BO 90 SACRAMENTO, CA 90-0 Please be sure to call us if you have any questions. Sincerely, Merrietta L. Fong, CPA

3 FON & ASSOCIATES, CPAS Client -0 October, 0 90 COLUMBIA STREET TORRANCE, CA Foregen USA, Inc., A California n-profit Public Benefit Corporation 90 Columbia Street Torrance, CA 900 (0) FEDERAL FORMS Form 990-EZ Schedule A Schedule O Form Form 9-EO 0 Return of Organization Exempt from Income Tax Organization Exempt Under Section 0(c)() Supplemental Information Application for Extension IRS e-file Signature Authorization CALIFORNIA FORMS Form 99 Form 9 (99) Form Form -EO Form RRF- 0 California Exempt Organization Return Automatic Extension Voucher - Corp. Electronic Filing Payment Voucher California e-file Return Authorization for Exempt 0 Registration/Renewal Fee Report FEE SUMMARY Preparation Fee

4 Form 990-EZ Short Form Return of Organization Exempt From Income Tax OMB Under section 0(c),, or 9(a)() of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning Check if applicable: C Address change Name change Initial return Final return/terminated Amended return Open to Public Inspection Information about Form 990-EZ and its instructions is at 0, and ending NON-PROFIT PUBLIC BENEFIT CORPORATION 90 COLUMBIA STREET TORRANCE, CA 900 Corporation Trust Association Employer identification number E Telephone number (0) F roup Exemption Number Application pending Accrual Other (specify) Accounting Method: Cash I Website: 0(c) ( ) H(insert no.) J Tax-exempt status (check only one) ' 0(c)(), D 9(a)() or H Check if the organization is not required to attach Schedule B (Form 990, 990-EZ, or 990-PF). Other K Form of organization: L Add lines b, c, and b to line 9 to determine gross receipts. If gross receipts are $00,000 or more, or if total assets (Part II, column (B) below) are $00,000 or more, file Form 990 instead of Form 990-EZ $,9. Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I) Check if the organization used Schedule O to respond to any question in this Part I Contributions, gifts, grants, and similar amounts received ,9. Part I Program service revenue including government fees and contracts Membership dues and assessments Investment income a ross amount from sale of assets other than inventory b Less: cost or other basis and sales expenses R E V E N U E a b c ain or (loss) from sale of assets other than inventory (Subtract line b from line a) aming and fundraising events a ross income from gaming (attach Schedule if greater than $,000).... a of contributions b ross income from fundraising events (not including $ from fundraising events reported on line ) (attach Schedule if the sum of such gross income and contributions exceeds $,000) b c Less: direct expenses from gaming and fundraising events c d Net income or (loss) from gaming and fundraising events (add lines a and b and subtract line c) a ross sales of inventory, less returns and allowances a b Less: cost of goods sold b c ross profit or (loss) from sales of inventory (Subtract line b from line a) Other revenue (describe in Schedule O) Total revenue. Add lines,,,, c, d, c, and E P E N S E S A S NS EE TT S 0 c d c 9 rants and similar amounts paid (list in Schedule O) Benefits paid to or for members Salaries, other compensation, and employee benefits Professional fees and other payments to independent contractors Occupancy, rent, utilities, and maintenance Printing, publications, postage, and shipping Other expenses (describe in Schedule O) SEE......SCHEDULE...O... Total expenses. Add lines 0 through Excess or (deficit) for the year (Subtract line from line 9) Net assets or fund balances at beginning of year (from line, column (A)) (must agree with end-of-year figure reported on prior year's return) Other changes in net assets or fund balances (explain in Schedule O) Net assets or fund balances at end of year. Combine lines through BAA For Paperwork Reduction Act tice, see the separate instructions. 9 TEEA00L 0//,9.,9.,.,0. 9,,0. 9,.,. Form 990-EZ (0)

5 Part II Balance Sheets (see the instructions for Part II) Form 990-EZ (0) Page Check if the organization used Schedule O to respond to any question in this Part II (A) Beginning of year (B) End of year Cash, savings, and investments ,0.,. Land and buildings Other assets (describe in Schedule O) Total assets ,0.,. Total liabilities (describe in Schedule O) SEE SCHEDULE O..... Net assets or fund balances (line of column (B) must agree with line ) ,.,. Expenses Part III Statement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III (Required for section 0 What is the organization's primary exempt purpose? SEE SCHEDULE O (c)() and 0(c)() organizations; optional Describe the organization's program service accomplishments for each of its three largest program services, as for others.) measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title. SEE SCHEDULE O (rants $ ) If this amount includes foreign grants, check here a (rants $ ) If this amount includes foreign grants, check here a 9, 9 0 (rants $ ) If this amount includes foreign grants, check here a Other program services (describe in Schedule O) (rants $ ) If this amount includes foreign grants, check here a Total program service expenses (add lines a through a) Part IV 9, List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated ' see the instructions for Part IV) Check if the organization used Schedule O to respond to any question in this Part IV (a) Name and title VINCENZO AIELLO PRESIDENT & CEO CARLO ALBERTO CIRIONI CFO MERRIETTA L. FON SECRETARY BAA (b) Average hours per week devoted to position (c) Reportable compensation (Forms W-/099-MISC) (If not paid, enter -0-) (d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation TEEA0L 0// Form 990-EZ (0)

6 Page Part V Other Information (te the Schedule A and personal benefit contract statement requirements insee SCHEDULE O the instructions for Part V) Check if the organization used Schedule O to respond to any question in this Part V Form 990-EZ (0) Did the organization engage in any significant activity not previously reported to the IRS? If ',' provide a detailed description of each activity in Schedule O Were any significant changes made to the organizing or governing documents? If ',' attach a conformed copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the change on Schedule O (see instructions) a Did the organization have unrelated business gross income of $,000 or more during the year from business activities (such as those reported on lines, a, and a, among others)? b If ',' to line a, has the organization filed a Form 990-T for the year? If ',' provide an explanation in Schedule O c Was the organization a section 0(c)(), 0(c)(), or 0(c)() organization subject to section 0(e) notice, reporting, and proxy tax requirements during the year? If ',' complete Schedule C, Part III Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If ',' complete applicable parts of Schedule N a Enter amount of political expenditures, direct or indirect, as described in the instructions. a b Did the organization file Form 0-POL for this year? a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? b If ',' complete Schedule L, Part II and enter the total amount involved b N/A 9 Section 0(c)() organizations. Enter: a Initiation fees and capital contributions included on line a N/A b ross receipts, included on line 9, for public use of club facilities b N/A a b c b a 0 a Section 0(c)() organizations. Enter amount of tax imposed on the organization during the year under: section 9 ; section 9 ; section 9 b Section 0(c)(), 0(c)(), and 0(c)(9) organizations. Did the organization engage in any section 9 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been 0 b reported on any of its prior Forms 990 or 990-EZ? If ',' complete Schedule L, Part I c Section 0(c)(), 0(c)(), and 0(c)(9) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 9, 9, and d Section 0(c)(), 0(c)(), and 0(c)(9) organizations. Enter amount of tax on line 0c reimbursed by the organization e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If ',' complete Form -T List the states with which a copy of this return is filed NONE a The organization's books are in care of Located at RONNETTA MARCHAND-COLLINS CRENSHAW BLVD, #0 TORRANCE CA Telephone no. ZIP + 0 e () b 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)? If ',' enter the name of the foreign country: b See the instructions for exceptions and filing requirements for FinCEN Form, Report of Foreign Bank and Financial Accounts (FBAR). c At any time during the calendar year, did the organization maintain an office outside the U.S.? If ',' enter the name of the foreign country: c Section 9(a)() nonexempt charitable trusts filing Form 990-EZ in lieu of Form 0 ' Check here and enter the amount of tax-exempt interest received or accrued during the tax year a Did the organization maintain any donor advised funds during the year? If ',' Form 990 must be completed instead of Form 990-EZ a N/A N/A b Did the organization operate one or more hospital facilities during the year? If ',' Form 990 must be completed instead of Form 990-EZ c Did the organization receive any payments for indoor tanning services during the year? b c d If '' to line c, has the organization filed a Form 0 to report these payments? If ',' provide an explanation in Schedule O a Did the organization have a controlled entity within the meaning of section (b)()? d a b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section (b)()? If ',' Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions) b TEEA0L 0// Form 990-EZ (0)

7 Form 990-EZ (0) Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If ',' complete Schedule C, Part I Part VI Page Section 0(c)() organizations only All section 0(c)() organizations must answer questions -9b and, and complete the tables for lines 0 and. Check if the organization used Schedule O to respond to any question in this Part VI Did the organization engage in lobbying activities or have a section 0(h) election in effect during the tax year? If ',' complete Schedule C, Part II Is the organization a school as described in section 0(b)()(A)(ii)? If ',' complete Schedule E a Did the organization make any transfers to an exempt non-charitable related organization? b If ',' was the related organization a section organization? Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $00,000 of compensation from the organization. If there is none, enter 'ne.' (a) Name and title of each employee (b) Average hours per week devoted to position (c) Reportable compensation (Forms W-/099-MISC) (d) Health benefits, contributions to employee benefit plans, and deferred compensation 9 a 9 b (e) Estimated amount of other compensation NONE f Total number of other employees paid over $00, Complete this table for the organization's five highest compensated independent contractors who each received more than $00,000 of compensation from the organization. If there is none, enter 'ne.' (b) Type of service (a) Name and business address of each independent contractor (c) Compensation NONE d Total number of other independent contractors each receiving over $00, Did the organization complete Schedule A? te. All section 0(c)() organizations must attach a completed Schedule A 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 MERRIETTA L. FON SECRETARY Type or print name and title Print/Type preparer's name Paid Preparer Use Only Date Preparer's signature Date MERRIETTA L. FON, CPA MERRIETTA L. FON, CPA Firm's name FON & ASSOCIATES, CPAS Firm's address 90 COLUMBIA STREET TORRANCE, CA 900 PTIN Check if self-employed Firm's EIN Phone no. P May the IRS discuss this return with the preparer shown above? See instructions Form 990-EZ (0) TEEA0L 0//

8 Public Charity Status and Public Support SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service OMB. -00 Complete if the organization is a section 0(c)() organization or a section 9(a)() nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at 0 Open to Public Inspection Employer identification number NON-PROFIT PUBLIC BENEFIT CORPORATION Reason for Public Charity Status (All organizations must complete this part.) See instructions. Name of the organization Part I 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 0(b)()(A)(i). A school described in section 0(b)()(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization described in section 0(b)()(A)(iii). A medical research organization operated in conjunction with a hospital described in section 0(b)()(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 0(b)()(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit described in section 0(b)()(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 0(b)()(A)(vi). (Complete Part II.) A community trust described in section 0(b)()(A)(vi). (Complete Part II.) An organization that normally receives: () more than -/% of its support from contributions, membership fees, and gross receipts 9 0 a b c d e f g 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 0, 9. See section 09(a)(). (Complete Part III.) An organization organized and operated exclusively to test for public safety. See section 09(a)(). 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 09(a)() or section 09(a)(). See section 09(a)(). 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 Part IV, Sections A and 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 Part IV, Sections A and 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 Part IV, 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 Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization. Enter the number of supported organizations Provide the following information about the supported organization(s). (i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines -9 above or IRC section (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) Total BAA For Paperwork Reduction Act tice, see the Instructions for Form 990 or 990-EZ. TEEA00L 0// Schedule A (Form 990 or 990-EZ) 0

9 9-009 Part II Support Schedule for Organizations Described in Sections 0(b)()(A)(iv) and 0(b)()(A)(vi) Page Schedule A (Form 990 or 990-EZ) 0 (Complete only if you checked the box on line,, or of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) ifts, grants, contributions, 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.... Total. Add lines through... The portion of total contributions 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 (a) 00 (b) 0 (c) 0 (d) 0 (e) 0 (f) Total (a) 00 (b) 0 (c) 0 (d) 0 (e) 0 (f) Total Section B. Total Support Calendar year (or fiscal year beginning in) Amounts from line ross 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.) Total support. Add lines through ross receipts from related activities, etc (see instructions) First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 0(c)() organization, check this box and stop here Section C. Computation of Public Support Percentage Public support percentage for 0 (line, column (f) divided by line, column (f)) Public support percentage from 0 Schedule A, Part II, line % % a -/% support test ' 0. If the organization did not check the box on line, and the line is -/% or more, check this box and stop here. The organization qualifies as a publicly supported organization b -/% support test ' 0. 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 a 0%-facts-and-circumstances test ' 0. If the organization did not check a box on line, a, or b, and line is 0% 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 0%-facts-and-circumstances test ' 0. If the organization did not check a box on line, a, b, or a, and line is 0% 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... BAA Schedule A (Form 990 or 990-EZ) 0 TEEA00L 0//

10 Support Schedule for Organizations Described in Section 09(a)() Schedule A (Form 990 or 990-EZ) 0 Part III Page (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal yr beginning in) ifts, grants, contributions and membership fees received. (Do not include any 'unusual grants.') ross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose ross 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.... Total. 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 $,000 or % of the amount on line for the year c Add lines a and b Public support (Subtract line c from line.) (a) 00 (c) 0 (b) 0 (d) 0,. (e) 0,0. (f) Total,9. 0,9.,.,0.,9. 0,9. 0,9. Section B. Total Support (a) 00 (b) 0 (c) 0 (d) 0 (e) 0 (f) Total Calendar year (or fiscal yr beginning in) 9 Amounts from line ,.,0.,9. 0,9. 0 a ross 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 0, 9... c Add lines 0a and 0b Net income from unrelated business activities not included in line 0b, 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.) Total support. (Add Iines 9, 0c, and.) ,.,0.,9. 0,9. First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 0(c)() organization, check this box and stop here Section C. Computation of Public Support Percentage Public support percentage for 0 (line, column (f) divided by line, column (f)) Public support percentage from 0 Schedule A, Part III, line % % Section D. Computation of Investment Income Percentage Investment income percentage for 0 (line 0c, column (f) divided by line, column (f)) Investment income percentage from 0 Schedule A, Part III, line a -/% support tests ' 0. 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 ' 0. 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 BAA TEEA00L 0// % % Schedule A (Form 990 or 990-EZ) 0

11 Page Supporting Organizations (Complete only if you checked a box on line of Part I. If you checked a of Part I, complete Sections A and B. If you checked b of Part I, complete Sections A and C. If you checked c of Part I, complete Sections A, D, and E. If you checked d of Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations Schedule A (Form 990 or 990-EZ) 0 Part IV 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 09(a)() or ()? If ',' explain in Part VI how the organization determined that the supported organization was described in section 09(a)() or () a Did the organization have a supported organization described in section 0(c)(), (), or ()? If ',' answer (b) and (c) below a b Did the organization confirm that each supported organization qualified under section 0(c)(), (), or () and satisfied the public support tests under section 09(a)()? 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 0(c)()(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 Part I, answer (b) and (c) 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 0(c)() and 09(a)() 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 0(c)()(B) purposes c a Did the organization add, substitute, or remove any supported organizations during the tax year? If ',' answer (b) and (c) 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 (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) 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 IRC 9(c)()(C)), a family member of a substantial contributor, or a -percent controlled entity with regard to a substantial contributor? If ',' complete Part I of Schedule L (Form 990) Did the organization make a loan to a disqualified person (as defined in section 9) not described in line? If ',' complete Part I of Schedule L (Form 990) a 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 09(a)() or ())? If ',' provide detail in Part VI a b Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If ',' provide detail in Part VI b c Did a disqualified person (as defined in line 9(a)) 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 c 0 a Was the organization subject to the excess business holdings rules of IRC 9 because of IRC 9(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If ',' answer (b) below a b Did the organization, have any excess business holdings in the tax year? (Use Schedule C, Form 0, to determine whether the organization had excess business holdings.) b BAA TEEA00L 0// Schedule A (Form 990 or 990-EZ) 0

12 Supporting Organizations (continued) Schedule A (Form 990 or 990-EZ) 0 Part IV 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 (b) and (c) below, the governing body of a supported organization? a b A family member of a person described in (a) above? b c A % controlled entity of a person described in (a) or (b) 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, () a written notice describing the type and amount of support provided during the prior tax year, () a copy of the Form 990 that was most recently filed as of the date of notification, and () 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 (a) and (b) 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 (a) 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 (a) and (b) 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 BAA TEEA00L 0// Schedule A (Form 990 or 990-EZ) 0

13 Type III n-functionally Integrated 09(a)() Supporting Organizations Schedule A (Form 990 or 990-EZ) 0 Part V Page Check here if the organization satisfied the Integral Part Test as a qualifying trust on vember 0, 9 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 Total (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 ) Current Year Section C ' Distributable Amount 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 990 or 990-EZ) 0 BAA TEEA00L 0//

14 Page Part V Type III n-functionally Integrated 09(a)() Supporting Organizations (continued) Current Year Section D ' Distributions Schedule A (Form 990 or 990-EZ) 0 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 Total annual distributions. Add lines through Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions Distributable amount for 0 from Section C, line Line amount divided by Line 9 amount Section E ' Distribution Allocations (see instructions) Distributable amount for 0 from Section C, line Underdistributions, if any, for years prior to 0 (reasonable cause required ' see instructions) (i) Excess Distributions (ii) Underdistributions Pre-0 (iii) Distributable Amount for 0 Excess distributions carryover, if any, to 0: a b c d e From f Total of lines a through e g Applied to underdistributions of prior years h Applied to 0 distributable amount i Carryover from 009 not applied (see instructions) j Remainder. Subtract lines g, h, and i from f Distributions for 0 from Section D, line : $ a Applied to underdistributions of prior years b Applied to 0 distributable amount c Remainder. Subtract lines a and b from Remaining underdistributions for years prior to 0, if any. Subtract lines g and a from line (if amount greater than zero, see instructions) Remaining underdistributions for 0. Subtract lines h and b from line (if amount greater than zero, see instructions) Excess distributions carryover to 0. Add lines j and c Breakdown of line : a b c d Excess from e Excess from Schedule A (Form 990 or 990-EZ) 0 BAA TEEA00L 0//

15 Page Supplemental Information. Provide the explanations required by Part II, line 0; Part II, line a or b; and Part III, line. Also complete this part for any additional information. (See instructions). Schedule A (Form 990 or 990-EZ) 0 Part VI Schedule A (Form 990 or 990-EZ) 0 BAA TEEA00L 0//

16 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Supplemental Information to Form 990 or 990-EZ OMB. -00 Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Attach to Form 990 or 990-EZ. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at 0 Open to Public Inspection Employer identification number NON-PROFIT PUBLIC BENEFIT CORPORATION FORM 990-EZ, PART I, LINE OTHER EPENSES ADVERTISIN AND PROMOTION $ CONFERENCES, CONVENTIONS, AND MEETINS TRAVEL TOTAL $ 9.,00.,0. FORM 990-EZ, PART II, LINE TOTAL LIABILITIES BEINNIN REIMBURSEMENTS PAYABLE $ TOTAL $ ENDIN. $. $.. FORM 990-EZ, PART III - ORANIZATION'S PRIMARY EEMPT PURPOSE BIOMEDICAL RESEARCH PROMOTION AND FUNDIN: FOREEN'S WORK IS FOR MALES WHO HAVE SUFFERED PHYSICAL AND PSYCHOLOICAL DAMAE FROM THE EFFECTS OF CIRCUMCISION. IT EISTS TO PROMOTE AND ARRANE A CLINICAL TRIAL FOR TECHNIQUES TO REROW THE TISSUE REMOVED AT CIRCUMCISION, THEREBY HELPIN TO RESTORE NORMAL FUNCTION AND SENSITIVITY, WITH THE HELP OF REENERATIVE MEDICINE. FORM 990-EZ, PART III, LINE - STATEMENT OF PRORAM SERVICE ACCOMPLISHMENTS NEOTIATIN WITH RESEARCH INSTITUTES IN THE FIELD OF REENERATIVE MEDICINE TO PROMOTE DERMAL REENERATION FOR THE ENITALLY INJURED. FUND-RAISIN FOR THE CLINICAL TRIALS NEEDED TO MAKE REENERATIVE SOLUTIONS A REALITY. FORM 990-EZ, PART V - REARDIN TRANSFERS ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS (A) DID THE ORANIZATION, DURIN THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT? (B) NO DID THE ORANIZATION, DURIN THE YEAR, PAY PREMIUMS, DIRECTLY OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT? BAA For Paperwork Reduction Act tice, see the Instructions for Form 990 or 990-EZ. TEEA90L 0// NO Schedule O (Form 990 or 990-EZ) 0

17 Form (Rev January 0) Application for Extension of Time To File an Exempt Organization Return OMB. -09 File a separate application for each return. Department of the Treasury Internal Revenue Service Information about Form and its instructions is at If you are filing for an Automatic -Month Extension, complete only Part I and check this box ? If you are filing for an Additional (t Automatic) -Month Extension, complete only Part II (on page of this form). Do not complete Part II unless you have already been granted an automatic -month extension on a previously filed Form. Electronic filing (e-file). You can electronically file Form if you need a -month automatic extension of time to file ( months for a corporation required to file Form 990-T), or an additional (not automatic) -month extension of time. You can electronically file Form to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 0, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, visit and click on e-file for Charities & nprofits. Part I Automatic -Month Extension of Time. Only submit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic -month extension ' check this box and complete Part I only..... All other corporations (including 0-C filers), partnerships, REMICs, and trusts must use Form 00 to request an extension of time to file income tax returns. Enter filer's identifying number, see instructions Type or print Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or NON-PROFIT PUBLIC BENEFIT CORPORATION Number, street, and room or suite number. If a P.O. box, see instructions. File by the due date for filing your return. See instructions. Social security number (SSN) 90 COLUMBIA STREET City, town or post office, state, and ZIP code. For a foreign address, see instructions. TORRANCE, CA 900 Enter the Return code for the return that this application is for (file a separate application for each return) Application Is For Return Code Return Code Application Is For Form 990 or Form 990-EZ 0 Form 990-T (corporation) 0 Form 990-BL Form 0 (individual) Form 990-PF Form 0-A Form 0 (other than individual) Form Form 990-T (section 0(a) or 0(a) trust) Form 990-T (trust other than above) 0 0 Form 09 Form 0? The books are in the care of RONNETTA MARCHAND-COLLINS Fax. (0) 9-0 () 0-0 If the organization does not have an office or place of business in the United States, check this box If this is for a roup Return, enter the organization's four digit roup Exemption Number (EN). If this is for the whole group, check this box If it is for part of the group, check this box.... and attach a list with the names and EINs of all members Telephone.?? the extension is for. I request an automatic -month ( months for a corporation required to file Form 990-T) extension of time until, 0, to file the exempt organization return for the organization named above. / The extension is for the organization's return for: calendar year 0 or tax year beginning, 0, and ending If the tax year entered in line is for less than months, check reason: Change in accounting period, 0 Initial return. Final return a If this application is for Forms 990-BL, 990-PF, 990-T, 0, or 09, enter the tentative tax, less any nonrefundable credits. See instructions $ b If this application is for Forms 990-PF, 990-T, 0, or 09, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit b $ c Balance due. Subtract line b from line a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions c $ a Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form, see Form -EO and Form 9-EO for payment instructions. BAA For Privacy Act and Paperwork Reduction Act tice, see instructions. FIFZ00L // Form (Rev -0)

18 Form (Rev -0) Page? If you are filing for an Additional (t Automatic) -Month Extension, complete only Part II and check this box te. Only complete Part II if you have already been granted an automatic -month extension on a previously filed Form.? If you are filing for an Automatic -Month Extension, complete only Part I (on page ). Additional (t Automatic) -Month Extension of Time. Only file the original (no copies needed). Part II Enter filer's identifying number, see instructions Type or print Name of exempt organization or other filer, see instructions. Employer identification number (EIN) or NON-PROFIT PUBLIC BENEFIT CORPORATION Social security number (SSN) Number, street, and room or suite number. If a P.O. box, see instructions. File by the due date for filing your return. See instructions. FON & ASSOCIATES, CPAS 90 COLUMBIA STREET City, town or post office, state, and ZIP code. For a foreign address, see instructions. TORRANCE, CA 900 Enter the Return code for the return that this application is for (file a separate application for each return) Application Is For Return Code Return Code Form 990 or Form 990-EZ Form 990-BL Form 0 (individual) Form 990-PF Form 990-T (section 0(a) or 0(a) trust) Form 990-T (trust other than above) Application Is For Form 0-A Form 0 (other than individual) Form Form 09 Form STOP! Do not complete Part II if you were not already granted an automatic -month extension on a previously filed Form.? The books are in the care of RONNETTA MARCHAND-COLLINS Telephone. () 0-0 Fax. (0) 9-0? If the organization does not have an office or place of business in the United States, check this box ? If this is for a roup Return, enter the organization's four digit roup Exemption Number (EN).... If this is for the whole group, check this box..... If it is for part of the group, check this box and attach a list with the names and EINs of all members the extension is for. I request an additional -month extension of time until / For calendar year 0, or other tax year beginning, 0., 0, and ending If the tax year entered in line is for less than months, check reason: Initial return Change in accounting period State in detail why you need the extension.. TAPAYER RESPECTFULLY REQUESTS, 0. Final return ADDITIONAL TIME TO ATHER INFORMATION NECESSARY TO FILE A COMPLETE AND ACCURATE TA RETURN. a If this application is for Forms 990-BL, 990-PF, 990-T, 0, or 09, enter the tentative tax, less any nonrefundable credits. See instructions a $ b If this application is for Forms 990-PF, 990-T, 0, or 09, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit and any amount paid previously with Form b $ c Balance due. Subtract line b from line a. Include your payment with this form, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions c $ Signature and Verification must be completed for Part II only. Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form. Signature Title SECRETARY BAA Date Form (Rev -0) FIFZ00L //

19 Voucher at bottom of page. DO NOT MAIL A PAPER COPY OF THE CORPORATE OR EEMPT ORANIZATION 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 '0 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 9-0 Make all checks or money orders payable in U.S. dollars and drawn against a U.S. financial institution. WHEN TO FILE: Fiscal Year ' See instructions. Calendar Year ' File and Pay by March, 0. 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. ONLINE SERVICES: Corporations can make payments online with Web Pay for Businesses. After a one-time online registration, corporations can make an immediate payment or schedule payments up to a year in advance. o to ftb.ca.gov for more information. IF NO PAYMENT IS DUE OR PAID ELECTRONICALLY, DO NOT MAIL THIS VOUCHER DETACH HERE DETACH HERE CAUTION: You may be required to pay electronically, see instructions. TAABLE YEAR 0 Payment Voucher for Corps and Exempt Orgs e-filed Returns CALIFORNIA FORM (e-file) 0 FORE FORM TYB 0-0- TYE -- FOREEN USA INC A CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATION RONNETTA MARCHAND-COLLINS 90 COLUMBIA STREET TORRANCE CA 900 (0) TOTAL PAYMENT AMT 09 CACA0L 0/0/ FTB 0

20 TAABLE YEAR 0 FORM California Exempt Organization Annual Information Return Calendar Year 0 or fiscal year beginning (mm/dd/yyyy) Corporation/Organization name 99, and ending (mm/dd/yyyy). California corporation number NON-PROFIT PUBLIC BENEFIT CORPORATION 0 Additional information. See instructions. FEIN Street address (suite or room) PMB no COLUMBIA STREET City State TORRANCE CA Foreign country name B Amended Return C IRC Section 9(a)() trust D Final Information Return? Dissolved Surrendered (Withdrawn) Merged/Reorganized Enter date (mm/dd/yyyy) E Check accounting method: Accrual Cash F Federal return filed? 990T 990-PF Other Sch H (990) 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 Part I 900 Foreign province/state/county A First Return ZIP code Foreign postal code J If exempt under R&TC Section 0d, has the organization engaged in political activities? See instructions K Is the organization exempt under R&TC Section 0g?... If ',' enter the gross receipts from nonmember sources $ M Is the organization a Limited Liability Company? N Did the organization file Form 00 or Form 09 to report O Is the organization under audit by the IRS or has the IRS taxable income? audited in a prior year? L If organization is exempt under R&TC Section 0d and meets the filing fee exception, check box. filing fee is required P Is an IRS Form 0/0 pending? Date filed with IRS CACAL 0/0/ Complete Part I unless not required to file this form. See eneral Instructions B and C. Receipts and Revenues Expenses Filing Fee Sign Here Paid Preparer's Use Only ross sales or receipts from other sources. From Side, Part II, line ross dues and assessments from members and affiliates ross contributions, gifts, grants, and similar amounts received ,9. Total gross receipts for filing requirement test. Add line through line. This line must be completed. If the result is less than $0,000, see eneral Instruction B...,9. Cost of goods sold Cost or other basis, and sales expenses of assets sold Total costs. Add line and line Total gross income. Subtract line from line Total expenses and disbursements. From Side, Part II, line Excess of receipts over expenses and disbursements. Subtract line 9 from line Filing fee $0 or $. See eneral Instruction F Total payments Penalties and Interest. See eneral Instruction J Use tax. See eneral Instruction K Balance due. Add line, line, and line. Then subtract line from the result >,9. 9,, 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 Preparer's signature MERRIETTA Firm's name (or yours, if self-employed) and address SECRETARY L. FON, CPA FON & ASSOCIATES, CPAS 90 COLUMBIA STREET TORRANCE, CA 900 Date Check if selfemployed - Telephone May the FTB discuss this return with the preparer shown above? See instructions For Privacy tice, get FTB EN/SP. 09 (0) PTIN P00 FEIN Form 99 C 0 Side

21 Organizations with gross receipts of more than $0,000 and private foundations Part II regardless of amount of gross receipts ' complete Part II or furnish substitute information. Receipts from Other Sources 9 0 Expenses and Disbursements Schedule L ross sales or receipts from all business activities. See instructions Interest Dividends ross rents ross royalties ross amount received from sale of assets (See instructions) Other income. Attach schedule Total gross sales or receipts from other sources. Add line through line. Enter here and on Side, Part I, line Contributions, gifts, grants, and similar amounts paid. Attach schedule Disbursements to or for members Compensation of officers, directors, and trustees. Attach schedule...see......statement..... Other salaries and wages Interest Taxes Rents Depreciation and depletion (See instructions) Other Expenses and Disbursements. Attach schedule see......statement..... Total expenses and disbursements. Add line 9 through line. Enter here and on Side, Part I, line Balance Sheets Beginning of taxable year (a) (b) 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 Total. Add line through line Side Form 99 C 0,.,. 9, End of taxable year (c) (d) 9,0.,. 9,0. Total assets Liabilities and net worth Accounts payable Contributions, gifts, or grants payable Bonds and notes payable Mortgages payable Other liabilities. Attach schedule STM 9,. 9 Capital stock or principal fund Paid-in or capital surplus. Attach reconciliation Retained earnings or income fund ,0. Total 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 (d), is less than $0,00,0. 9 0,0. 09,.,. 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 Total. Add line and line Net income per return. Subtract line 9 from line CACAL.,. /0/,0.

22 Form at bottom of page. IF PAID ELECTRONICALLY: DO NOT FILE THIS FORM 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 '0 FTB 9' on the check or money order. Detach form below. Enclose, but do not staple, payment with form and mail to: FRANCHISE TA BOARD PO BO 9 SACRAMENTO CA 9-0 Make all checks or money orders payable in U.S. dollars and drawn against a U.S. financial institution. WHEN TO FILE: Calendar year corporations ' File and Pay by March, 0 Fiscal year filers ' See instructions Employees' trust and IRA ' File and Pay by April, 0 Calendar year exempt orgs ' File and Pay by May, 0 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. ONLINE SERVICES: Corporations can make payments online with Web Pay for Businesses. After a one-time online registration, corporations can make an immediate payment or schedule payments up to a year in advance. o to ftb.ca.gov for more information. IF NO PAYMENT IS DUE OR PAID ELECTRONICALLY, DO NOT MAIL THIS FORM DETACH HERE CAUTION: You may be required to pay electronically, see instructions. TAABLE YEAR 0 Payment for Automatic Extension for Corps and Exempt Orgs DETACH HERE CALIFORNIA FORM 9 (CORP) 0 FORE FORM TYB TYE --0 FOREEN USA INC A CALIFORNIA NON-PROFIT PUBLIC BENEFIT CORPORATION RONNETTA MARCHAND-COLLINS 90 COLUMBIA STREET TORRANCE CA 900 (0) TOTAL PAYMENT AMT 09 CACZ00L 0/0/ FTB 9 0

23 0 CALIFORNIA STATEMENTS PAE NON-PROFIT PUBLIC BENEFIT CORPORATION STATEMENT FORM 99, PART II, LINE COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES CURRENT OFFICERS: NAME AND ADDRESS TITLE AND AVERAE HOURS PER WEEK DEVOTED VINCENZO AIELLO VIA CAMPI FLEREI 9 ROME, 00 ITALY PRESIDENT & CEO.00 CARLO ALBERTO CIRIONI VIA ANTONIO LOCATELLI ROME, 00 ITALY MERRIETTA L. FON 90 COLUMBIA STREET TORRANCE, CA 900 COMPENSATION $ CONTRIBUTION TO EBP & DC EPENSE ACCOUNT/ OTHER $ $ CFO.00 SECRETARY.00 $ $ TOTAL $ STATEMENT FORM 99, PART II, LINE OTHER EPENSES ACCOUNTIN FEES $ ADVERTISIN AND PROMOTION CONFERENCES, CONVENTIONS, AND MEETINS OTHER FEES TRAVEL TOTAL $, 9.,00 0,9..,. STATEMENT FORM 99, SCHEDULE L, LINE OTHER LIABILITIES REIMBURSEMENTS PAYABLE TOTAL $..

24 0 PREPARER E-FILE INSTRUCTIONS - CALIFORNIA PAE NON-PROFIT PUBLIC BENEFIT CORPORATION THE ENTITY'S CALIFORNIA TA RETURN IS NOT FINISHED UNTIL YOU COMPLETE THE FOLLOWIN INSTRUCTIONS. PRIOR TO TRANSMISSION OF THE RETURN FORM 99 THE ENTITY SHOULD REVIEW THEIR CALIFORNIA EEMPT INCOME TA RETURN ALON WITH ANY ACCOMPANYIN SCHEDULES AND STATEMENTS. FORM -EO THE ENTITY SHOULD REVIEW, SIN AND DATE FORM -EO PRIOR TO YOU E-FILIN THE RETURN. BALANCE DUE THERE IS A BALANCE DUE IN THE AMOUNT OF $ AFTER TRANSMISSION OF THE RETURN RECEIVE ACKNOWLEDEMENT OF YOUR E-FILE TRANSMISSION STATUS. WITHIN SEVERAL HOURS, CONNECT WITH LACERTE AND ET YOUR FIRST ACKNOWLEDEMENT (ACK) THAT LACERTE HAS RECEIVED YOUR TRANSMISSION FILE. CONNECT WITH LACERTE AAIN AFTER AND THEN HOURS TO RECEIVE YOUR CALIFORNIA ACKNOWLEDEMENTS. KEEP A SINED COPY OF FORM -EO IN YOUR FILES FOR YEARS. DO NOT MAIL: FORM -EO MAIL FORM AND PAYMENT TO: FRANCHISE TA BOARD, PO BO 9, SACRAMENTO CA 9-0 CAUTION DO NOT MAIL FORM UNTIL THE FRANCHISE TA BOARD HAS ACCEPTED FORM 99. ECEPTION: MAIL FORM WITH PAYMENT BY THE DUE DATE, EVEN IF THE RETURN IS STILL PENDIN, TO AVOID LATE PAYMENT PENALTIES AND INTEREST CHARES.

25 ANNUAL REISTRATION RENEWAL FEE REPORT TO ATTORNEY ENERAL OF CALIFORNIA IN MAIL TO: Registry of Charitable Trusts P.O. Box 90 Sacramento, CA 90-0 Telephone: (9) -0 Sections and, California overnment Code Cal. Code Regs. sections 0-0, 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 $00, plus interest, and/or fines or filing penalties as defined in overnment Code Section.. IRS extensions will be honored. WEBSITE ADDRESS: Check if: CT09 NON-PROFIT PUBLIC BENEFIT CORPORATION State Charity Registration Number Change of address Amended report Name of Organization 90 COLUMBIA STREET Corporate or Organization. 0 Address (Number and Street) TORRANCE, CA 900 Federal Employer I.D.. City or Town State ZIP Code ANNUAL REISTRATION RENEWAL FEE SCHEDULE ( Cal. Code Regs. sections 0-0, and ) Make Check Payable to Attorney eneral's Registry of Charitable Trusts ross Annual Revenue Fee Less than $,000 Between $,000 and $00,000 0 $ ross Annual Revenue Fee Between $00,00 and $0,000 Between $0,00 and $ million $0 $ ross Annual Revenue Fee Between $,000,00 and $0 million Between $0,000,00 and $0 million reater than $0 million $0 $ $00 PART A ' ACTIVITIES For your most recent full accounting period (beginning ross annual revenue $,9. /0/ Total assets ending $ //,. ) list: PART B ' STATEMENTS REARDIN ORANIZATION DURIN 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 0% of gross revenues? During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a Form 0 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. Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period? 9 Organization's area code and telephone number Organization's address (0) INFOFOREEN.OR 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 MERRIETTA L. FON SECRETARY Printed Name Title CAVA90L 0/9/ Date RRF- (-0)