FOR TAX YEAR 2015 THE GRAY HAVEN PROJECT INC. Davis & Associates Accountants Inc PO BOX 458. Chesterfield, VA (804)

Transcription

1 FOR TA YEAR 05 THE GRAY HAVEN PROJECT INC Davis & Assoiates Aountants In PO BO 458 Chesterfield, VA 383 (804)45-553

2

3

4

5

6

7

8 Form 990 (05) The Gray Haven Projet In Page Part III Statement of Program Servie Aomplishments Chek if Shedule O ontains a response or note to any line in this Part III... Briefly desrie the organization's mission: The Gray Haven applies a trauma-informed approah to a wide spetrum of servies provided in house and through ommunity partners. Our hope is that any survivor that omes into our program will ultimately experiene restoration and the aility to live free and empowered a 4 4 Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ?... If "Yes," desrie these new servies on Shedule O. Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies?... If "Yes," desrie these hanges on Shedule O. Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 50()(3) and 50()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. (Code: ) (Expenses $ 70,55 inluding grants of $ ) (Revenue $ ) Our drop in enter ats as a safe and sared spae for our lients in and around Rihmond Virginia. Loated in an undislosed loation our drop in enter is the flagship of our lient servies and provides a spae where lients an ome to reieve support, searh and apply for jos, spend time with a mentor, spend time with other lients, and reeive additional servies they may need. (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) Yes Yes No No 4d 4e Other program servies (Desrie in Shedule O.) (Expenses $ inluding grants of $ ) (Revenue $ ) Total program servie expenses 70,55 Form 990 (05)

9 Form 990 (05) The Gray Haven Projet In Page 3 Part IV Cheklist of Required Shedules Is the organization desried in setion 50()(3) or 4947(a)() (other than a private foundation)? If "Yes," omplete Shedule A... Is the organization required to omplete Shedule B, Shedule of Contriutors (see instrutions)?... 3 Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part I Setion 50()(3) organizations. Did the organization engage in loying ativities, or have a setion 50(h) eletion in effet during the tax year? If "Yes," omplete Shedule C, Part II Is the organization a setion 50()(4), 50()(5), or 50()(6) organization that reeives memership dues, a Did the organization report an amount for land, uildings, and equipment in Part, line 0? If "Yes," omplete Shedule D, Part VI... a Did the organization report an amount for investments - other seurities in Part, line that is 5% or more of its total assets reported in Part, line 6? If "Yes," omplete Shedule D, Part VII... Did the organization report an amount for investments - program related in Part, line 3 that is 5% or more of its total assets reported in Part, line 6? If "Yes," omplete Shedule D, Part VIII... d Did the organization report an amount for other assets in Part, line 5 that is 5% or more of its total assets reported in Part, line 6? If "Yes," omplete Shedule D, Part I... d e Did the organization report an amount for other liailities in Part, line 5? If "Yes," omplete Shedule D, Part... e f Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FIN 48 (ASC 740)? If "Yes," omplete Shedule D, Part... f a Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I and II... a Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes," and if the organization answered "No" to line a, then ompleting Shedule D, Parts I and II is optional... 3 Is the organization a shool desried in setion 70()()(A)(ii)? If "Yes," omplete Shedule E a Did the organization maintain an offie, employees, or agents outside of the United States?... 4a Did the organization have aggregate revenues or expenses of more than $0,000 from grantmaking, assessments, or similar amounts as defined in Revenue Proedure 98-9? If "Yes," omplete Shedule C, Part III... Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "Yes," omplete Shedule D, Part I... Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas, or histori strutures? If "Yes," omplete Shedule D, Part II... Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," omplete Shedule D, Part III... Did the organization report an amount in Part, line, for esrow or ustodial aount liaility; serve as a ustodian for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? If "Yes," omplete Shedule D, Part IV... Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If "Yes," omplete Shedule D, Part V... If the organization's answer to any of the following questions is "Yes," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $00,000 or more? If "Yes," omplete Shedule F, Parts I and IV... 4 Did the organization report on Part I, olumn (A), line 3, more than $5,000 of grants or other assistane to or for any foreign organization? If "Yes," omplete Shedule F, Parts II and IV... 5 Did the organization report on Part I, olumn (A), line 3, more than $5,000 of aggregate grants or other assistane to or for foreign individuals? If "Yes," omplete Shedule F, Parts III and IV... 6 Did the organization report a total of more than $5,000 of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and e? If "Yes," omplete Shedule G, Part I (see instrutions)... 7 Did the organization report more than $5,000 total of fundraising event gross inome and ontriutions on Part VIII, lines and 8a? If "Yes," omplete Shedule G, Part II... 8 Did the organization report more than $5,000 of gross inome from gaming ativities on Part VIII, line 9a? If "Yes," omplete Shedule G, Part III... 9 Form 990 (05) Yes No

10 Form 990 (05) The Gray Haven Projet In Page 4 Part IV Cheklist of Required Shedules (ontinued) 0a 3 4a d 5a Part IV instrutions for appliale filing thresholds, onditions, and exeptions): a A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV... 8a A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV... 8 An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Part IV Did the organization reeive more than $5,000 in non-ash ontriutions? If "Yes," omplete Shedule M Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "Yes," omplete Shedule M Did the organization liquidate, terminate, or dissolve and ease operations? If "Yes," omplete Shedule N, Part I Did the organization sell, exhange, dispose of, or transfer more than 5% of its net assets? If "Yes," omplete Shedule N, Part II Did the organization own 00% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes," omplete Shedule R, Part I Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete Shedule R, Part II, III, or IV, and Part V, line a Did the organization have a ontrolled entity within the meaning of setion 5()(3)?... 35a If "Yes" to line 35a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 5()(3)? If "Yes," omplete Shedule R, Part V, line Setion 50()(3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes," omplete Shedule R, Part V, line Did the organization ondut more than 5% of its ativities through an entity that is not a related organization 38 Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H... If "Yes" to line 0a, did the organization attah a opy of its audited finanial statements to this return?... Did the organization report more than $5,000 of grants or other assistane to any domesti organization or domesti government on Part I, olumn (A), line? If "Yes," omplete Shedule I, Parts I and II... Did the organization report more than $5,000 of grants or other assistane to or for domesti individuals on Part I, olumn (A), line? If "Yes," omplete Shedule I, Parts I and III... Did the organization answer "Yes" to Part VII, Setion A, line 3, 4, or 5 aout ompensation of the organization's urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? If "Yes," omplete Shedule J... Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $00,000 as of the last day of the year, that was issued after Deemer 3, 00? If "Yes," answer lines 4 through 4d and omplete Shedule K. If "No," go to line 5a... Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption?... Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds?... Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year?... Setion 50()(3), 50()(4), and 50()(9) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Part I... Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, Part I... Did the organization report any amount on Part, line 5, 6, or for reeivales from or payales to any urrent or former offiers, diretors, trustees, key employees, highest ompensated employees, or disqualified persons? If "Yes," omplete Shedule L, Part II... Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor or employee thereof, a grant seletion ommittee memer, or to a 35% ontrolled entity or family memer of any of these persons? If "Yes," omplete Shedule L, Part III... Was the organization a party to a usiness transation with one of the following parties (see Shedule L, and that is treated as a partnership for federal inome tax purposes? If "Yes," omplete Shedule R, Part VI Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines and 9? Note. All Form 990 filers are required to omplete Shedule O Form 990 (05) 0a 0 3 4a 4 4 4d 5a Yes No

11 Form 990 (05) The Gray Haven Projet In Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response or note to any line in this Part V... a a 3a 4a Enter the numer reported in Box 3 of Form 096. Enter -0- if not appliale... a 0 Enter the numer of Forms W-G inluded in line a. Enter -0- if not appliale... 0 Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners?... Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return... a 6 If at least one is reported on line a, did the organization file all required federal employment tax returns?... Note. If the sum of lines a and a is greater than 50, you may e required to e-file (see instrutions)... Did the organization have unrelated usiness gross inome of $,000 or more during the year?... 3a If "Yes," has it filed a Form 990-T for this year? If "No" to line 3, provide an explanation in Shedule O... 3 At any time during the alendar year, did the organization have an interest in, or a signature or other authority (FBAR). 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year?... Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation?... If "Yes" to line 5a or 5, did the organization file Form 8886-T?... 6a Does the organization have annual gross reeipts that are normally greater than $00,000, and did the organization soliit any ontriutions that were not tax dedutile as haritale ontriutions?... If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile?... 7 Organizations that may reeive dedutile ontriutions under setion 70(). a Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and servies provided to the payor?... 7a If "Yes," did the organization notify the donor of the value of the goods or servies provided?... 7 Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 88?... 7 d If "Yes," indiate the numer of Forms 88 filed during the year... 7d e Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat?... 7e f Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat?... 7f g If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required?.. 7g h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 098-C?... 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have exess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxale distriutions under setion 4966?... 9a Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Setion 50()(7) organizations. Enter: a Initiation fees and apital ontriutions inluded on Part VIII, line... 0a Gross reeipts, inluded on Form 990, Part VIII, line, for puli use of lu failities... 0 Setion 50()() organizations. Enter: a Gross inome from memers or shareholders... a Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.)... a Setion 4947(a)() non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 04?... a If "Yes," enter the amount of tax-exempt interest reeived or arued during the year... 3 Setion 50()(9) qualified nonprofit health insurane issuers. a Is the organization liensed to issue qualified health plans in more than one state?... 3a Note. See the instrutions for additional information the organization must report on Shedule O. 4a over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)?... If "Yes," enter the name of the foreign ountry: See instrutions for filing requirements for FinCEN Form 4, Report of Foreign Bank and Finanial Aounts Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans... 3 Enter the amount of reserves on hand... 3 Did the organization reeive any payments for indoor tanning servies during the tax year?... 4a If "Yes," has it filed a Form 70 to report these payments? If "No," provide an explanation in Shedule O... 4 Form 990 (05) 4a 5a 5 5 6a 6 Yes No

12 Form 990 (05) The Gray Haven Projet In Page 6 Part VI Governane, Management, and Dislosure For eah "Yes" response to lines through 7 elow, and for a "No" response to line 8a, 8, or 0 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part VI... Setion A. Governing Body and Management a ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line a, aove, who are independent... 5 Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee?... 3 Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? Did the organization eome aware during the year of a signifiant diversion of the organization's assets? Did the organization have memers or stokholders? a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody?... 7a Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following: a The governing ody?... Eah ommittee with authority to at on ehalf of the governing ody?... 9 Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization's mailing address? If "Yes," provide the names and addresses in Shedule O... Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code.) 0a a a Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If "Yes," desrie in Shedule O how this was done... 3 Did the organization have a written whistlelower poliy? Did the organization have a written doument retention and destrution poliy? Did the proess for determining ompensation of the following persons inlude a review and approval y a 6a partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization's exempt status with respet to suh arrangements?... Setion C. Dislosure 7 List the states with whih a opy of this Form 990 is required to e filed Enter the numer of voting memers of the governing ody at the end of the tax year... If there are material differenes in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an exeutive ommittee or similar Did the organization have loal hapters, ranhes, or affiliates?... If "Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exempt purposes?... Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form?.. Desrie in Shedule O the proess, if any, used y the organization to review this Form 990. Did the organization have a written onflit of interest poliy? If "No," go to line 3... Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? The organization's CEO, Exeutive Diretor, or top management offiial... Other offiers or key employees of the organization... If "Yes" to line 5a or 5, desrie the proess in Shedule O (see instrutions). Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year?... If "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its Setion 604 requires an organization to make its Forms 03 (or 04 if appliale), 990, and 990-T (Setion 50()(3)s only) availale for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite Another's wesite Upon request Other (explain in Shedule O) Desrie in Shedule O whether (and if so, how) the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year. State the name, address, and telephone numer of the person who possesses the organization's ooks and reords: Stephanie Davidson (804) , PO BO 7, Rihmond, VA 38 a 5 8a 8 9 0a 0 a a 5a 5 6a 6 Yes Yes No No Form 990 (05)

13 Form 990 (05) The Gray Haven Projet In Page 7 Part VII Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Chek if Shedule O ontains a response or note to any line in this Part VII... Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization's tax year. List all of the organization's urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -0- in olumns (D), (E), and (F) if no ompensation was paid. () () (3) (4) (5) (6) (7) (8) List all of the organization's urrent key employees, if any. See instrutions for definition of "key employee." List the organization's five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (Box 5 of Form W- and/or Box 7 of Form 099-MISC) of more than $00,000 from the organization and any related organizations. List all of the organization's former offiers, key employees, and highest ompensated employees who reeived more than $00,000 of reportale ompensation from the organization and any related organizations. List all of the organization's former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $0,000 of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (C) (A) (B) Position (do not hek more than one (D) (E) (F) Name and Title Average ox, unless person is oth an Reportale Reportale Estimated hours per offier and a diretor/trustee) ompensation ompensation from amount of week (list any from related other hours for the organizations ompensation related organization (W-/099-MISC) from the organizations (W-/099-MISC) organization elow dotted and related line) organizations. Individual trustee or diretor Ted Elmore.00 Board Memer Al Bailey.00 Board Memer Royn MDougle.00 Board Memer Gene Sun Diretor of Operations Kathleen Reed 6.00 Board Chairman Stephanie Davidson 4.00 Board Treasurer Ashleigh Friedman Board Sertary Institutional trustee Offier Key employee Highest ompensated employee Former (9) (0) () () (3) (4) Form 990 (05)

14 Form 990 (05) The Gray Haven Projet In Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (C) (A) (B) Position (D) (E) (F) (do not hek more than one Name and title Average ox, unless person is oth an Reportale Reportale Estimated hours per offier and a diretor/trustee) ompensation ompensation from amount of week (list any from related other hours for the organizations ompensation related organization (W-/099-MISC) from the organizations (W-/099-MISC) organization elow dotted and related line) organizations Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former (5) (6) (7) (8) (9) (0) () () (3) (4) (5) Su-total... Total from ontinuation sheets to Part VII, Setion A... d Total (add lines and ) Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $00,000 of reportale ompensation from the organization 0 Yes No 3 4 Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line a? If "Yes," omplete Shedule J for suh individual... For any individual listed on line a, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $50,000? If "Yes," omplete Shedule J for suh individual... 5 Did any person listed on line a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes," omplete Shedule J for suh person... Setion B. Independent Contrators Complete this tale for your five highest ompensated independent ontrators that reeived more than $00,000 of ompensation from the organization. Report ompensation for the alendar year ending with or within the organization's tax year. (A) (B) (C) Name and usiness address Desription of servies Compensation Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $00,000 of ompensation from the organization Form 990 (05)

15 Form 990 (05) The Gray Haven Projet In Page 9 Part VIII Statement of Revenue Chek if Shedule O ontains a response or note to any line in this Part VIII... Contriutions, Gifts, Grants and Other Similar Amounts Program Servie Revenue Other Revenue a d e f g h a d (i) Real (ii) Personal 6a Gross rents... Less: rental expenses... Rental inome or (loss)... d Net rental inome or (loss)... 7a Less: ost or other asis and sales expenses... Gain or (loss)... d 8a Net gain or (loss)... Gross inome from fundraising events (not inluding $ 07 of ontriutions reported on line ). See Part IV, line 8... a Less: diret expenses... Net inome or (loss) from fundraising events... 9a Gross inome from gaming ativities. See Part IV, line 9... a Less: diret expenses... Net inome or (loss) from gaming ativities... 0a Gross sales of inventory, less returns and allowanes... a Less: ost of goods sold... Net inome or (loss) from sales of inventory... a Federated ampaigns... a Memership dues... Fundraising events Related organizations... d 9,3 Government grants (ontriutions).. e 77,63 All other ontriutions, gifts, grants, and similar amounts not inluded aove f 43,375 Nonash ontriutions inluded in lines a-f: $ Total. Add lines a-f... e f All other program servie revenue... g Total. Add lines a-f... Investment inome (inluding dividends, interest, and other similar amounts)... Inome from investment of tax-exempt ond proeeds... Royalties... Gross amount from sales of assets other than inventory Misellaneous Revenue (i) Seurities Business Code (ii) Other d All other revenue... e Total. Add lines a-d... Total revenue. See instrutions... (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt usiness exluded from tax funtion revenue under setions revenue 5-54 Business Code 330,38 330, Form 990 (05)

16 Form 990 (05) The Gray Haven Projet In Page 0 Part I Statement of Funtional Expenses Setion 50()(3) and 50()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A). Chek if Shedule O ontains a response or note to any line in this Part I... Do not inlude amounts reported on lines 6, 7, 8, 9, and 0 of Part VIII a d e f 5 6 g a d e Grants and other assistane to domesti organizations and domesti governments. See Part IV, line... Grants and other assistane to domesti individuals. See Part IV, line... Grants and other assistane to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 5 and 6... Benefits paid to or for memers... Compensation of urrent offiers, diretors, trustees, and key employees... Compensation not inluded aove, to disqualified persons (as defined under setion 4958(f)()) and persons desried in setion 4958()(3)(B)... Other salaries and wages... Pension plan aruals and ontriutions (inlude setion 40(k) and 403() employer ontriutions).. Other employee enefits... Payroll taxes... Fees for servies (non-employees): Management... Legal... Aounting... Loying... Professional fundraising servies. See Part IV, line 7. Investment management fees... Other. (If line g amount exeeds 0% of line 5, olumn (A) amount, list line g expenses on Shedule O.).. Advertising and promotion... Offie expenses... Information tehnology... Royalties... Oupany... Travel... Payments of travel or entertainment expenses for any federal, state, or loal puli offiials... Conferenes, onventions, and meetings... Interest... Payments to affiliates... Depreiation, depletion, and amortization... Insurane... Other expenses. Itemize expenses not overed aove (List misellaneous expenses in line 4e. If line 4e amount exeeds 0% of line 5, olumn (A) amount, list line 4e expenses on Shedule O.) Parking,550,550 Postage Program Servies 6,74 6,74 All other expenses Total funtional expenses. Add lines through 4e. Joint osts. Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation. Chek here if following SOP 98- (ASC )... (A) (B) (C) (D) Total expenses Program servie Management and Fundraising expenses general expenses expenses 07,84 08,937 98,904 73,3 36,556 36, , ,36,8,8,098,098 6,649 6,649 4,637,44,3 4,96 4,96,773 55,58 5,83 5,83 35,94 70,55 80,74,098 Form 990 (05)

17 Form 990 (05) The Gray Haven Projet In Page Part Balane Sheet Chek if Shedule O ontains a response or note to any line in this Part... (A) (B) Beginning of year End of year Cash - non-interest-earing..., 9,806 Savings and temporary ash investments... 3 Pledges and grants reeivale, net Aounts reeivale, net Loans and other reeivales from urrent and former offiers, diretors, Net Assets or Fund Balanes Liailities Assets trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L Loans and other reeivales from other disqualified persons (as defined under setion 4958(f)()), persons desried in setion 4958()(3)(B), and ontriuting employers and sponsoring organizations of setion 50()(9) voluntary employees' enefiiary organizations (see instrutions). Complete Part II of Shedule L Notes and loans reeivale, net Inventories for sale or use Prepaid expenses and deferred harges a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D... 0a Less: aumulated depreiation Investments - pulily traded seurities... Investments - other seurities. See Part IV, line... 3 Investments - program-related. See Part IV, line Intangile assets Other assets. See Part IV, line Total assets. Add lines through 5 (must equal line 34)..., 6 9,806 7 Aounts payale and arued expenses Grants payale Deferred revenue Tax-exempt ond liailities... 0 Esrow or ustodial aount liaility. Complete Part IV of Shedule D... Loans and other payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L... 3 Seured mortgages and notes payale to unrelated third parties Unseured notes and loans payale to unrelated third parties Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 7-4). Complete Part of Shedule D Total liailities. Add lines 7 through Organizations that follow SFAS 7 (ASC 958), hek here and omplete lines 7 through 9, and lines 33 and Unrestrited net assets Temporarily restrited net assets Permanently restrited net assets... 9 Organizations that do not follow SFAS 7 (ASC 958), hek here and omplete lines 30 through Capital stok or trust prinipal, or urrent funds Paid-in or apital surplus, or land, uilding, or equipment fund Retained earnings, endowment, aumulated inome, or other funds...,0 3 9,84 33 Total net assets or fund alanes..., 33 9, Total liailities and net assets/fund alanes..., 34 9,806 Form 990 (05)

18 Form 990 (05) The Gray Haven Projet In Page Part I Reoniliation of Net Assets Chek if Shedule O ontains a response or note to any line in this Part I... Total revenue (must equal Part VIII, olumn (A), line ) ,38 Total expenses (must equal Part I, olumn (A), line 5)... 35,94 3 Revenue less expenses. Sutrat line from line... 3 (,606) 4 Net assets or fund alanes at eginning of year (must equal Part, line 33, olumn (A))... 4, 5 Net unrealized gains (losses) on investments Donated servies and use of failities ,789 7 Investment expenses Prior period adjustments Other hanges in net assets or fund alanes (explain in Shedule O) Net assets or fund alanes at end of year. Comine lines 3 through 9 (must equal Part, line 33, olumn (B)) ,394 Part II Finanial Statements and Reporting Chek if Shedule O ontains a response or note to any line in this Part II... a Aounting method used to prepare the Form 990: Cash Arual Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule O. Were the organization's finanial statements ompiled or reviewed y an independent aountant? If "Yes," hek a ox elow to indiate whether the finanial statements for the year were ompiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization's finanial statements audited y an independent aountant?... If "Yes," hek a ox elow to indiate whether the finanial statements for the year were audited on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis If "Yes" to line a or, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant? If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule 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 At and OMB Cirular A-33?... 3a If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Shedule O and desrie any steps taken to undergo suh audits... 3 Form 990 (05) a Yes No

19 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Puli Charity Status and Puli Support Complete if the organization is a setion 50()(3) organization or a setion 4947(a)() nonexempt haritale trust. Attah to Form 990 or Form 990-EZ. Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at The Gray Haven Projet In Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines through, hek only one ox.) (A) a d e f g A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 70()()(A)(i). A shool desried in setion 70()()(A)(ii). (Attah Shedule E (Form 990 or 990-EZ).) A hospital or a ooperative hospital servie organization desried in setion 70()()(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 70()()(A)(iii). Enter the hospital's name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 70()()(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 70()()(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 70()()(A)(vi). (Complete Part II.) A ommunity trust desried in setion 70()()(A)(vi). (Complete Part II.) An organization that normally reeives: () more than 33 /3% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and () no more than 33 /3% of its support from gross investment inome and unrelated usiness taxale inome (less setion 5 tax) from usinesses aquired y the organization after June 30, 975. See setion 509(a)(). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 509(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509(a)() or setion 509(a)(). See setion 509(a)(3). Chek the ox in lines a through d that desries the type of supporting organization and omplete lines e, f, and g. Type I. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a majority of the diretors or trustees of the supporting organization. You must omplete Part IV, Setions A and B. Type II. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or management of the supporting organization vested in the same persons that ontrol or manage the supported organization(s). You must omplete Part IV, Setions A and C. Type III funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You must omplete Part IV, Setions A, D, and E. Type III non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instrutions). You must omplete Part IV, Setions A and D, and Part V. Chek this ox if the organization reeived a written determination from the IRS that it is a Type I, Type II, Type III funtionally integrated, or Type III non-funtionally integrated supporting organization. Enter the numer of supported organizations... Provide the following information aout the supported organization(s). Yes No Employer identifiation numer OMB No Open to Puli Inspetion (i) Name of supported organization (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of (desried on lines -9 listed in your governing support (see other support (see aove (see instrutions)) doument? instrutions) instrutions) (B) (C) (D) (E) Total For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ) 05

20 Shedule A (Form 990 or 990-EZ) 05 The Gray Haven Projet In Page Part II Support Shedule for Organizations Desried in Setions 70()()(A)(iv) and 70()()(A)(vi) (Complete only if you heked the ox on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 0 () 0 () 03 (d) 04 (e) 05 (f) Total Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.")... Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf... 73,633 96,703 70, line that exeeds % of the amount shown on line, olumn (f)... 6 Puli support. Sutrat line 5 from line 4.. Setion B. Total Support Calendar year (or fisal year eginning in) 7 Amounts from line Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.)... Total support. Add lines 7 through 0. Gross reeipts from related ativities, et. (see instrutions)... 3 First five years. If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 50()(3) organization, hek this ox and stop here... Setion C. Computation of Puli Support Perentage 4 Puli support perentage for 05 (line 6, olumn (f) divided y line, olumn (f)) % 5 Puli support perentage from 04 Shedule A, Part II, line % 6a 33 /3% support test If the organization did not hek the ox on line 3, and line 4 is 33 /3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization /3% support test If the organization did not hek a ox on line 3 or 6a, and line 5 is 33 /3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization... 7a 0%-fats-and-irumstanes test If the organization did not hek a ox on line 3, 6a, or 6, and line 4 is 8 The value of servies or failities furnished y a governmental unit to the organization without harge... Total. Add lines through 3... The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on... (a) 0 () 0 () 03 (d) 04 (e) 05 (f) Total 73,633 96,703 70,336 0% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization... 0%-fats-and-irumstanes test If the organization did not hek a ox on line 3, 6a, 6, or 7a, and line 5 is 0% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. 73,633 96,703 70,336 Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization... Private foundation. If the organization did not hek a ox on line 3, 6a, 6, 7a, or 7, hek this ox and see instrutions... 70,336 70,336 Shedule A (Form 990 or 990-EZ) 05

21 Shedule A (Form 990 or 990-EZ) 05 The Gray Haven Projet In Page 3 Part III Support Shedule for Organizations Desried in Setion 509(a)() (Complete only if you heked the ox 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 elow, please omplete Part II.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 0 () 0 () 03 (d) 04 (e) 05 (f) Total 3 Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization's tax-exempt purpose... Gross reeipts from ativities that are not an unrelated trade or usiness under setion a Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of servies or failities furnished y a governmental unit to the organization without harge Total. Add lines through 5 Amounts inluded on lines,, and 3 reeived from disqualified persons Amounts inluded on lines and 3 reeived from other than disqualified persons that exeed the greater of $5,000 or % of the amount on line 3 for the year Add lines 7a and 7 8 Puli support. (Sutrat line 7 from line 6.)... Setion B. Total Support Calendar year (or fisal year eginning in) 9 Amounts from line a 3 Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures Unrelated usiness taxale inome (less setion 5 taxes) from usinesses aquired after June 30, 975 Add lines 0a and 0 Net inome from unrelated usiness ativities not inluded in line 0, whether or not the usiness is regularly arried on 4 First five years. If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 50()(3) organization, hek this ox and stop here... Setion C. Computation of Puli Support Perentage 5 Puli support perentage for 05 (line 8, olumn (f) divided y line 3, olumn (f))... 5 % 6 Puli support perentage from 04 Shedule A, Part III, line % Setion D. Computation of Investment Inome Perentage 7 Investment inome perentage for 05 (line 0, olumn (f) divided y line 3, olumn (f))... 7 % 8 Investment inome perentage from 04 Shedule A, Part III, line % 9a Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.)... Total support. (Add lines 9, 0,, and.)... (a) 0 () 0 () 03 (d) 04 (e) 05 (f) Total 33 /3% support tests If the organization did not hek the ox on line 4, and line 5 is more than 33 /3%, and line 7 is not more than 33 /3%, hek this ox and stop here. The organization qualifies as a pulily supported organization /3% support tests If the organization did not hek a ox on line 4 or line 9a, and line 6 is more than 33 /3%, and line 8 is not more than 33 /3%, hek this ox and stop here. The organization qualifies as a pulily supported organization... Private foundation. If the organization did not hek a ox on line 4, 9a, or 9, hek this ox and see instrutions... Shedule A (Form 990 or 990-EZ) 05

22 Shedule A (Form 990 or 990-EZ) 05 The Gray Haven Projet In Page 4 Part IV Supporting Organizations (Complete only if you heked a ox in line of Part I. If you heked a of Part I, omplete Setions A and B. If you heked of Part I, omplete Setions A and C. If you heked of Part I, omplete Setions A, D, and E. If you heked d of Part I, omplete Setions A and D, and omplete Part V.) Setion A. All Supporting Organizations Yes No 3a 4a 5a a 0a Are all of the organization's supported organizations listed y name in the organization's governing douments? If "No," desrie in Part VI how the supported organizations are designated. If designated y lass or purpose, desrie the designation. If histori and ontinuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under setion 509(a)() or ()? If "Yes," explain in Part VI how the organization determined that the supported organization was desried in setion 509(a)() or (). Did the organization have a supported organization desried in setion 50()(4), (5), or (6)? If "Yes," answer () and () elow. Did the organization onfirm that eah supported organization qualified under setion 50()(4), (5), or (6) and satisfied the puli support tests under setion 509(a)()? If "Yes," desrie in Part VI when and how the organization made the determination. Did the organization ensure that all support to suh organizations was used exlusively for setion 70()()(B) purposes? If "Yes," explain in Part VI what ontrols the organization put in plae to ensure suh use. Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes," and if you heked a or in Part I, answer () and () elow. Did the organization have ultimate ontrol and disretion in deiding whether to make grants to the foreign supported organization? If "Yes," desrie in Part VI how the organization had suh ontrol and disretion despite eing ontrolled or supervised y or in onnetion with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under setions 50()(3) and 509(a)() or ()? If "Yes," explain in Part VI what ontrols the organization used to ensure that all support to the foreign supported organization was used exlusively for setion 70()()(B) purposes. Did the organization add, sustitute, or remove any supported organizations during the tax year? If "Yes," answer () and () elow (if appliale). Also, provide detail in Part VI, inluding (i) the names and EIN numers of the supported organizations added, sustituted, or removed; (ii) the reasons for eah suh ation; (iii) the authority under the organization's organizing doument authorizing suh ation; and (iv) how the ation was aomplished (suh as y amendment to the organizing doument). Type I or Type II only. Was any added or sustituted supported organization part of a lass already designated in the organization's organizing doument? Sustitutions only. Was the sustitution the result of an event eyond the organization's ontrol? Did the organization provide support (whether in the form of grants or the provision of servies or failities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the haritale lass enefited y one or more of its supported organizations, or (iii) other supporting organizations that also support or enefit one or more of the filing organization's supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, ompensation, or other similar payment to a sustantial ontriutor (defined in setion 4958()(3)(C)), a family memer of a sustantial ontriutor, or a 35% ontrolled entity with regard to a sustantial ontriutor? If "Yes," omplete Part I of Shedule L (Form 990 or 990-EZ). Did the organization make a loan to a disqualified person (as defined in setion 4958) not desried in line 7? If "Yes," omplete Part I of Shedule L (Form 990 or 990-EZ). Was the organization ontrolled diretly or indiretly at any time during the tax year y one or more disqualified persons as defined in setion 4946 (other than foundation managers and organizations desried in setion 509(a)() or ())? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined in line 9a) hold a ontrolling interest in any entity in whih the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal enefit from, assets in whih the supporting organization also had an interest? If "Yes," provide detail in Part VI. Was the organization sujet to the exess usiness holdings rules of setion 4943 eause of setion 4943(f) (regarding ertain Type II supporting organizations, and all Type III non-funtionally integrated supporting organizations)? If "Yes," answer 0 elow. Did the organization have any exess usiness holdings in the tax year? (Use Shedule C, Form 470, to determine whether the organization had exess usiness holdings.) 3a 3 3 4a 4 4 5a a 9 9 0a 0 Shedule A (Form 990 or 990-EZ) 05

23 Part IV a 3 By reason of the relationship desried in (), did the organization's supported organizations have a signifiant voie in the organization's investment poliies and in direting the use of the organization's inome or assets at all times during the tax year? If "Yes," desrie in Part VI the role the organization's supported organizations played in this regard. 3 Setion E. Type III Funtionally-Integrated Supporting Organizations a Chek the ox next to the method that the organization used to satisfy the Integral Part Test during the year (see instrutions): The organization satisfied the Ativities Test. Complete line elow. The organization is the parent of eah of its supported organizations. Complete line 3 elow. The organization supported a governmental entity. Desrie in Part VI how you supported a government entity (see instrutions). Ativities Test. Answer (a) and () elow. Yes No a 3 a The Gray Haven Projet In Supporting Organizations (ontinued) Shedule A (Form 990 or 990-EZ) 05 Has the organization aepted a gift or ontriution from any of the following persons? A person who diretly or indiretly ontrols, either alone or together with persons desried in () and () elow, the governing ody of a supported organization? A family memer of a person desried in (a) aove? A 35% ontrolled entity of a person desried in (a) or () aove? If "Yes" to a,, or, provide detail in Part VI. Setion B. Type I Supporting Organizations Did the diretors, trustees, or memership of one or more supported organizations have the power to regularly appoint or elet at least a majority of the organization's diretors or trustees at all times during the tax year? If "No," desrie in Part VI how the supported organization(s) effetively operated, supervised, or ontrolled the organization's ativities. If the organization had more than one supported organization, desrie how the powers to appoint and/or remove diretors or trustees were alloated among the supported organizations and what onditions or restritions, if any, applied to suh powers during the tax year. Did the organization operate for the enefit of any supported organization other than the supported organization(s) that operated, supervised, or ontrolled the supporting organization? If "Yes," explain in Part VI how providing suh enefit arried out the purposes of the supported organization(s) that operated, supervised, or ontrolled the supporting organization. Setion C. Type II Supporting Organizations Were a majority of the organization's diretors or trustees during the tax year also a majority of the diretors or trustees of eah of the organization's supported organization(s)? If "No," desrie in Part VI how ontrol or management of the supporting organization was vested in the same persons that ontrolled or managed the supported organization(s). Setion D. All Type III Supporting Organizations Did the organization provide to eah of its supported organizations, y the last day of the fifth month of the organization's tax year, (i) a written notie desriing the type and amount of support provided during the prior tax year, (ii) a opy of the Form 990 that was most reently filed as of the date of notifiation, and (iii) opies of the organization's governing douments in effet on the date of notifiation, to the extent not previously provided? Were any of the organization's offiers, diretors, or trustees either (i) appointed or eleted y the supported organization(s) or (ii) serving on the governing ody of a supported organization? If "No," explain in Part VI how the organization maintained a lose and ontinuous working relationship with the supported organization(s). Did sustantially all of the organization's ativities during the tax year diretly further the exempt purposes of the supported organization(s) to whih the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these ativities diretly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these ativities onstituted sustantially all of its ativities. Did the ativities desried in (a) onstitute ativities that, ut for the organization's involvement, one or more of the organization's supported organization(s) would have een engaged in? If "Yes," explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these ativities ut for the organization's involvement. Parent of Supported Organizations. Answer (a) and () elow. Did the organization have the power to regularly appoint or elet a majority of the offiers, diretors, or trustees of eah of the supported organizations? Provide details in Part VI. Did the organization exerise a sustantial degree of diretion over the poliies, programs, and ativities of eah of its supported organizations? If "Yes," desrie in Part VI the role played y the organization in this regard. a a 3a 3 Yes Yes Yes Yes Page 5 No No No No Shedule A (Form 990 or 990-EZ) 05

24 Shedule A (Form 990 or 990-EZ) 05 The Gray Haven Projet In Page 6 Part V Type III Non-Funtionally Integrated 509(a)(3) Supporting Organizations Chek here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 0, 970. See instrutions. All other Type III non-funtionally integrated supporting organizations must omplete Setions A through E. Setion A - Adjusted Net Inome (A) Prior Year (B) Current Year (optional) Net short-term apital gain Reoveries of prior-year distriutions 3 Other gross inome (see instrutions) 3 4 Add lines through Depreiation and depletion 5 6 Portion of operating expenses paid or inurred for prodution or olletion of gross inome or for management, onservation, or maintenane of property held for prodution of inome (see instrutions) 6 7 Other expenses (see instrutions) 7 8 Adjusted Net Inome (sutrat lines 5, 6 and 7 from line 4) 8 Setion B - Minimum Asset Amount (A) Prior Year (B) Current Year (optional) Aggregate fair market value of all non-exempt-use assets (see instrutions for short tax year or assets held for part of year): a Average monthly value of seurities a Average monthly ash alanes Fair market value of other non-exempt-use assets d Total (add lines a,, and ) d e Disount laimed for lokage or other fators (explain in detail in Part VI): Aquisition indetedness appliale to non-exempt-use assets 3 Sutrat line from line d 3 4 Cash deemed held for exempt use. Enter -/% of line 3 (for greater amount, see instrutions). 4 5 Net value of non-exempt-use assets (sutrat line 4 from line 3) 5 6 Multiply line 5 y Reoveries of prior-year distriutions 7 8 Minimum Asset Amount (add line 7 to line 6) 8 Setion C - Distriutale Amount Adjusted net inome for prior year (from Setion A, line 8, Column A) Enter 85% of line 3 Minimum asset amount for prior year (from Setion B, line 8, Column A) 3 4 Enter greater of line or line Inome tax imposed in prior year 5 6 Distriutale Amount. Sutrat line 5 from line 4, unless sujet to emergeny temporary redution (see instrutions) 6 7 Chek here if the urrent year is the organization's first as a non-funtionally-integrated Type III supporting organization (see instrutions). Current Year Shedule A (Form 990 or 990-EZ) 05

25 Shedule A (Form 990 or 990-EZ) 05 The Gray Haven Projet In Page 7 Part V Type III Non-Funtionally Integrated 509(a)(3) Supporting Organizations (ontinued) Setion D - Distriutions Current Year a d e f g h i j 4 a Amounts paid to supported organizations to aomplish exempt purposes Amounts paid to perform ativity that diretly furthers exempt purposes of supported organizations, in exess of inome from ativity Administrative expenses paid to aomplish exempt purposes of supported organizations Amounts paid to aquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) Other distriutions (desrie in Part VI). See instrutions. Total annual distriutions. Add lines through 6. Distriutions to attentive supported organizations to whih the organization is responsive (provide details in Part VI). See instrutions. Distriutale amount for 05 from Setion C, line 6 Line 8 amount divided y Line 9 amount (ii) (iii) (i) Setion E - Distriution Alloations (see instrutions) Underdistriutions Distriutale Exess Distriutions Pre-05 Amount for 05 8 a d e Distriutale amount for 05 from Setion C, line 6 Underdistriutions, if any, for years prior to 05 (reasonale ause required-see instrutions) Exess distriutions arryover, if any, to 05: From 03 From Total of lines 3a through e Applied to underdistriutions of prior years Applied to 05 distriutale amount Carryover from 00 not applied (see instrutions) Remainder. Sutrat lines 3g, 3h, and 3i from 3f. Distriutions for 05 from Setion D, line 7: $ Applied to underdistriutions of prior years Applied to 05 distriutale amount Remainder. Sutrat lines 4a and 4 from 4. Remaining underdistriutions for years prior to 05, if any. Sutrat lines 3g and 4a from line (if amount greater than zero, see instrutions). Remaining underdistriutions for 05. Sutrat lines 3h and 4 from line (if amount greater than zero, see instrutions). Exess distriutions arryover to 06. Add lines 3j and 4. Breakdown of line 7: Exess from 03 Exess from 04 Exess from Shedule A (Form 990 or 990-EZ) 05

26 Part VI Page 8 Supplemental Information. Provide the explanations required y Part II, line 0; Part II, line 7a or 7; Part III, line ; Part IV, Setion A, lines,, 3, 3, 4, 4, 5a, 6, 9a, 9, 9, a,, and ; Part IV, Setion B, lines and ; Part IV, Setion C, line ; Part IV, Setion D, lines and 3; Part IV, Setion E, lines, a,, 3a and 3; Part V, line ; Part V, Setion B, line e; Part V, Setion D, lines 5, 6, and 8; and Part V, Setion E, lines, 5, and 6. Also omplete this part for any additional information. (See instrutions.) Shedule A (Form 990 or 990-EZ) 05 Shedule A (Form 990 or 990-EZ) 05

27 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at OMB No Open to Puli Inspetion Employer identifiation numer The Gray Haven Projet In Form 990 governing ody review (Part VI, line ) FORM 990 is presented and availale to the entire Board of Diretors prior to filing 0. Conflit of interest poliy ompliane (Part VI, line ) The Gray Haven In has a Conflit of Interest poliy that is reviewed with all new oard memers upon installment on the Board as well as annually to existing Board Memers 03. CEO, exeutive diretor, top management omp (Part VI, line 5a) In all ases where a Board Memer is a paid employee of The Gray Haven ompensation is reviewed annually with the Board of Diretors. The Board Memer in question is exluded from vote and disussion. 04. Other offier or key employee ompensation (Part VI, line 5 In all ases where a Board Memer is a paid employee of The Gray Haven ompensation is reviewed annually with the Board of Diretors. The Board Memer in question is exluded from vote and disussion. 05. Governing douments, et, availale to puli (Part VI, line 9) All governing douments, tax returns, another other legal and tax information is availale, upon request, to anyone within 48 hours For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (05)

28 Form 8868 Appliation for Extension of Time To File an Exempt Organization Return (Rev. January 04) OMB No File a separate appliation for eah return. Department of the Treasury Internal Revenue Servie Information aout Form 8868 and its instrutions is at If you are filing for an Automati 3-Month Extension, omplete only Part I and hek this ox... If you are filing for an Additional (Not Automati) 3-Month Extension, omplete only Part II (on page of this form). Do not omplete Part II unless you have already een granted an automati 3-month extension on a previously filed Form Eletroni filing (e-file). You an eletronially file Form 8868 if you need a 3-month automati extension of time to file (6 months for a orporation required to file Form 990-T), or an additional (not automati) 3-month extension of time. You an eletronially file Form 8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exeption of Form 8870, Information Return for Transfers Assoiated With Certain Personal Benefit Contrats, whih must e sent to the IRS in paper format (see instrutions). For more details on the eletroni filing of this form, visit and lik on e-file for Charities & Nonprofits. Part I Automati 3-Month Extension of Time. Only sumit original (no opies needed). A orporation required to file Form 990-T and requesting an automati 6-month extension - hek this ox and omplete Part I only... All other orporations (inluding 0-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file inome tax returns. Type or print File y the due date for filing your return. See instrutions. Enter filer's identifying numer, see instrutions Appliation Return Appliation Return Is For Code Is For Code Name of exempt organization or other filer, see instrutions. Employer identifiation numer (EIN) or The Gray Haven Projet In Numer, street, and room or suite no. If a P.O. ox, see instrutions. Soial seurity numer (SSN) PO BO 7 City, town or post offie, state, and ZIP ode. For a foreign address, see instrutions. Rihmond, VA 38 Enter the Return ode for the return that this appliation is for (file a separate appliation for eah return) Form 990 or Form 990-EZ 0 Form 990-T (orporation) 07 Form 990-BL 0 Form 04-A 08 Form 470 (individual) 03 Form 470 (other than individual) 09 Form 990-PF 04 Form 57 0 Form 990-T (se. 40(a) or 408(a) trust) 05 Form 6069 Form 990-T (trust other than aove) 06 Form 8870 The ooks are in the are of Telephone No FA No. If the organization does not have an offie or plae of usiness in the United States, hek this ox If this is for a Group Return, enter the organization's four digit Group Exemption Numer (GEN).... If this is for the whole group, hek this ox.... If it is for part of the group, hek this ox... and attah a list with the names and EINs of all memers the extension is for. I request an automati 3-month (6 months for a orporation required to file Form 990-T) extension of time until 0-5, 0 7, to file the exempt organization return for the organization named aove. The extension is for the organization's return for: alendar year 0 Stephanie Davidson, PO BO 7, Rihmond, VA 38 or... 0 tax year eginning 07-0, 05, and ending 06-30, 06. If the tax year entered in line is for less than months, hek reason: Initial return Final return Change in aounting period 3a If this appliation is for Forms 990-BL, 990-PF, 990-T, 470, or 6069, enter the tentative tax, less any nonrefundale redits. See instrutions. 3a $ If this appliation is for Forms 990-PF, 990-T, 470, or 6069, enter any refundale redits and estimated tax payments made. Inlude any prior year overpayment allowed as a redit. 3 $ Balane due. Sutrat line 3 from line 3a. Inlude your payment with this form, if required, y using EFTPS (Eletroni Federal Tax Payment System). See instrutions. 3 $ Caution. If you are going to make an eletroni funds withdrawal (diret deit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instrutions. For Privay At and Paperwork Redution At Notie, see Instrutions. Form 8868 (Rev. -04)

29