Short Form 990-EZ Return of Organization Exempt From Income Tax

Transcription

1 Form B G I J K Short Form 990-EZ Return of Organization Exempt From Income Tax 2014 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numers on this form as it may e made pulic. Department of the Treasury Internal Revenue Service Information aout Form 990-EZ and its instructions is at A For the 2014 calendar year, or tax year eginning, 2014, and ending, 20 Open to Pulic Inspection D Employer identification numer Numer and street (or P.O. ox, if mail is not delivered to street address) Room/suite E Telephone numer Application pending Waltham, MA Numer Accounting Method: Cash Accrual Other (specify) H Check if the organization is not Wesite: required to attach Schedule B L Add lines 5, 6c, and 7 to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) elow) are $500,000 or more, file Form 990 instead of Form 990-EZ... $ 195,936 Part I 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... 1 Contriutions, gifts, grants, and similar amounts received ,723 2 Program service revenue including government fees and contracts ,033 3 Memership dues and assessments Investment income a Gross amount from sale of assets other than inventory... 5a Less: cost or other asis and sales expenses... 5 c Gain or (loss) from sale of assets other than inventory (Sutract line 5 from line 5a)... 5c 6 Gaming and fundraising events Revenue a Gross income from gaming (attach Schedule G if greater than $15,000)... Gross income from fundraising events (not including $ from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contriutions exceeds $15,000) ,957 c Less: direct expenses from gaming and fundraising events... 6c d Net income or (loss) from gaming and fundraising events (add lines 6a and 6 and sutract line 6c)... 6d 7a Gross sales of inventory, less returns and allowances... 7a 220 Less: cost of goods sold c Gross profit or (loss) from sales of inventory (Sutract line 7 from line 7a)... 7c 8 Other revenue (descrie in Schedule O) Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and Grants and similar amounts paid (list in Schedule O) Benefits paid to or for memers Salaries, other compensation, and employee enefits Professional fees and other payments to independent contractors Occupancy, rent, utilities, and maintenance Printing, pulications, postage, and shipping Other expenses (descrie in Schedule O) Total expenses. Add lines 10 through Excess or (deficit) for the year (Sutract line 17 from line 9) Net assets or fund alances at eginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year's return) Other changes in net assets or fund alances (explain in Schedule O) Net assets or fund alances at end of year. Comine lines 18 through For Paperwork Reduction Act Notice, see the separate instructions. Expenses Net Assets Check if applicale: Address change Name change Initial return Final return/terminated Amended return Tax-exempt status (check only one) - C Name of organization 240 Beaver Street (781) City or town, state or province, country, and ZIP or foreign postal code 501(c)(3) 501(c)( ) (insert no.) 4947(a)(1) or 527 Form of organization: Corporation Trust Association Other 6a of contriutions F Group Exemption (Form 990, 990-EZ, or 990-PF). OMB No , ,798 75,530 3,896 10,328 2,732 17, ,442 85,356 31, ,526 Form 990-EZ (2014)

2 Form 990-EZ (2014) Part II Page 2 Balance Sheets (see the instructions for Part II) Check if the organization used Schedule O to respond to any question in this Part II... (A) Beginning of year (B) End of year 22 Cash, savings, and investments... 31, , Land and uildings Other assets (descrie in Schedule O) , Total assets... 31, , Total liailities (descrie in Schedule O) Net assets or fund alances (line 27 of column (B) must agree with line 21)... 31, ,526 Part III Statement of Program Service Accomplishments (see the instructions for Part III) Expenses Check if the organization used Schedule O to respond to any question in this Part III... (Required for section What is the organization's primary exempt purpose? To Harvest/Glean for Charity Descrie the organization's program service accomplishments for each of its three largest program services, as measured y expenses. In a clear and concise manner, descrie the services provided, the numer of persons enefited, and other relevant information for each program title Harvested/Gleaned from area farms crops left in the field y the farmers, transported and donated all product to food anks, food pantires, meal programs and shelters. (Grants $ ) If this amount includes foreign grants, check here (c)(3) and 501(c)(4) organizations; optional for for others.) 28a 81, (Grants $ ) If this amount includes foreign grants, check here... 29a (Grants $ ) If this amount includes foreign grants, check here... 30a 31 Other program services (descrie in Schedule O)... (Grants $ ) If this amount includes foreign grants, check here... 31a 32 Total program service expenses (add lines 28a through 31a) ,347 Part IV 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 (c) Reportale (d) Health enefits, () Average compensation contriutions to employee (e) Estimated amount of hours per week (Forms W-2/1099-MISC) enefit plans, and other compensation devoted to position (if not paid, enter -0-) deferred compensation Helene Newerg Esq President Jessica Yu Treasurer Fred Berman Director Jonathan Golderg Nancy Goodman Kristen M Ploetz Oakes Plimpton Clerk Rai Elizaeth Stern Patience Terry Charlotte Milan MBA Matt Gray Emily Palmer RN DrKaveri M Roy RN DNP-PHNL CHPN Form 990-EZ (2014)

3 Form 990-EZ (2014) Part V Page 3 Other Information (Note the Schedule A and personal enefit contract statement requirements in the instructions for Part V) Check if the organization used Schedule O to respond to any question in this Part V... Yes No 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 usiness gross income of $1,000 or more during the year from usiness activities (such as those reported on lines 2, 6a, and 7a, among others)?... If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O... c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization suject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicale parts of Schedule N a Enter amount of political expenditures, direct or indirect, as descried in the instructions... 37a Did the organization file Form 1120-POL for this year? a Did the organization orrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered y this return?... If "Yes," complete Schedule L, Part II and enter the total amount involved Section 501(c)(7) organizations. Enter: a Initiation fees and capital contriutions included on line a Gross receipts, included on line 9, for pulic use of clu facilities a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: 41 c d e 42 a 43 At any time during the calendar year, did the organization have an interest in or a signature or other authority over Yes No a financial account in a foreign country (such as a ank account, securities account, or other financial account)? If "Yes," enter the name of the foreign country: c Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O... Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed section 4911 ; section 4912 ; section 4955 Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in any section 4958 excess enefit transaction during the year, or did it engage in an excess enefit transaction in a prior year that has not een reported on any of its prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Enter amount of tax on line 40c reimursed y the organization... All organizations. At any time during the tax year, was the organization a party to a prohiited tax shelter transaction? If "Yes," complete Form 8886-T... List the states with which a copy of this return is filed MA The organization's ooks are in care of Helene Newerg Esq Telephone no Located at 240 Beaver Street, Waltham, MA ZIP See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and... Financial Accounts (FBAR). At any time during the calendar year, did the organization maintain an office outside the U.S.?... 42c If "Yes," enter the name of the foreign country: Section 4947(a)(1) nonexempt charitale trusts filing Form 990-EZ in lieu of Form 1041-Check here... and enter the amount of tax-exempt interest received or accrued during the tax year Yes 44 a Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must e completed instead of Form 990-EZ... 44a Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must e completed instead of Form 990-EZ c Did the organization receive any payments for indoor tanning services during the year?... 44c d If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O... 44d 45 a Did the organization have a controlled entity within the meaning of section 512()(13)?... 45a Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512()(13)? If "Yes," Form 990 and Schedule R may need to e completed instead of Form 990-EZ (see instructions) Form 990-EZ (2014) a 35 35c a 40 40e No

4 Form 990-EZ (2014) 46 Did the organization engage, directly or indirectly, in political campaign activities on ehalf of or in opposition to candidates for pulic office? If "Yes," complete Schedule C, Part I Part VI Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions and 52, and complete the tales for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI... Yes No 47 Did the organization engage in loying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II Is the organization a school as descried in section 170()(1)(A)(ii)? If "Yes," complete Schedule E a Did the organization make any transfers to an exempt non-charitale related organization?... 49a If "Yes," was the related organization a section 527 organization? Complete this tale for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None." (c) (d) Health enefits, () Average Reportale contriutions to employee (e) Estimated amount of (a) Name and title of each employee hours per week compensation enefit plans, and deferred other compensation devoted to position (Forms W-2/1099-MISC) compensation Yes Page 4 No NONE 51 f Total numer of other employees paid over $100, Complete this tale for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None." (a) Name and usiness address of each independent contractor () Type of service (c) Compensation NONE 52 d Sign Here Paid Preparer Use Only Total numer of other independent contractors each receiving over $100, Did the organization complete Schedule A? Note. All section 501(c)(3) 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 est of my knowledge and elief, it is true, correct, and complete. Declaration of preparer (other than officer) is ased on all information of which preparer has any knowledge. Signature of officer Type or print name and title Print/Type preparer's name Preparer's signature Date Check if PTIN John M Monticone CPA self-employed P Firm's name Firm's address May the IRS discuss this return with the preparer shown aove? See instructions Helene Newerg, Esq Helene Newerg, Esq, President John M Monticone CPA 5 High Street Suite 207 Date Firm's EIN Medford MA Phone no Yes Yes No No Form 990-EZ (2014)

5 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Pulic Charity Status and Pulic Support Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitale trust. Attach to Form 990 or Form 990-EZ. Information aout Schedule A (Form 990 or 990-EZ) and its instructions is at Part I Reason for Pulic Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines 1 through 11, check only one ox.) (A) a c d e f g A church, convention of churches, or association of churches descried in section 170()(1)(A)(i). A school descried in section 170()(1)(A)(ii). (Attach Schedule E.) A hospital or a cooperative hospital service organization descried in section 170()(1)(A)(iii). A medical research organization operated in conjunction with a hospital descried in section 170()(1)(A)(iii). Enter the hospital's name, city, and state: An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 170()(1)(A)(iv). (Complete Part II.) A federal, state, or local government or governmental unit descried in section 170()(1)(A)(v). An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 170()(1)(A)(vi). (Complete Part II.) A community trust descried in section 170()(1)(A)(vi). (Complete Part II.) An organization that normally receives: (1) more than 33 1/3% of its support from contriutions, memership fees, and gross receipts from activities related to its exempt functions - suject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated usiness taxale income (less section 511 tax) from usinesses acquired y the organization after June 30, See section 509(a)(2). (Complete Part III.) An organization organized and operated exclusively to test for pulic safety. See section 509(a)(4). An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the ox in lines 11a through 11d that descries the type of supporting organization and complete lines 11e, 11f, and 11g. Type I. A supporting organization operated, supervised, or controlled y its supported organization(s), typically y 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), y 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 distriution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V. Check this ox if the organization received a written determination from the IRS that it is a Type I, Type II, Type III Employer identification numer functionally integrated, or Type III non-functionally integrated supporting organization. Enter the numer of supported organizations... Provide the following information aout the supported organization(s). OMB No Open to Pulic Inspection (i) Name of supported organization (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of (descried on lines 1-9 listed in your governing support (see other support (see aove or IRC section document? instructions) instructions) (see instructions)) Yes No (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2014

6 Schedule A (Form 990 or 990-EZ) 2014 Page 2 Part II Support Schedule for Organizations Descried in Sections 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you checked 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 complete Part III.) Section A. Pulic Support Calendar year (or fiscal year eginning in) (a) 2010 () 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 1 2 Gifts, grants, contriutions, and memership fees received. (Do not include any "unusual grants.")... Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of services or facilities furnished y a governmental unit to the organization without charge... Total. Add lines 1 through 3... The portion of total contriutions y each person (other than a governmental unit or pulicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)... 6 Pulic support. Sutract line 5 from line 4.. Section B. Total Support Calendar year (or fiscal year eginning in) 7 Amounts from line Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... (a) 2010 () 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 9 Net income from unrelated usiness activities, whether or not the usiness 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 7 through Gross 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 501(c)(3) organization, check this ox and stop here... Section C. Computation of Pulic Support Percentage 14 Pulic support percentage for 2014 (line 6, column (f) divided y line 11, column (f)) % 15 Pulic support percentage from 2013 Schedule A, Part II, line % 16a 33 1/3% support test If the organization did not check the ox on line 13, and line 14 is 33 1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization /3% support test If the organization did not check a ox on line 13 or 16a, and line 15 is 33 1/3% or more, check this ox and stop here. The organization qualifies as a pulicly supported organization... 17a 10%-facts-and-circumstances test If the organization did not check a ox on line 13, 16a, or 16, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this ox and stop here. Explain in 18 Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a pulicly supported organization... 10%-facts-and-circumstances test If the organization did not check a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this ox and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a pulicly supported organization... Private foundation. If the organization did not check a ox on line 13, 16a, 16, 17a, or 17, check this ox and see instructions... Schedule A (Form 990 or 990-EZ) 2014

7 Schedule A (Form 990 or 990-EZ) 2014 Page 3 Part III Support Schedule for Organizations Descried in Section 509(a)(2) (Complete only if you checked the ox on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please complete Part II.) Section A. Pulic Support Calendar year (or fiscal year eginning in) (a) 2010 () 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total a Gifts, grants, contriutions, and memership fees received. (Do not include any "unusual grants.") Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose Gross receipts from activities that are not an unrelated trade or us. under sec 513 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of services or facilities furnished y a governmental unit to the organization without charge Total. Add lines 1 through 5 Amounts included on lines 1, 2, and 3 received from disqualified persons ,683 35,699 40,832 76, , ,937 6,711 11,024 20,033 37,768 31,683 35,699 47,543 87, , ,705 50,000 50,000 c Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year Add lines 7a and Pulic support (Sutract line 7c from line 6.)... Section B. Total Support Calendar year (or fiscal year eginning in) 9 Amounts from line ,000 50, ,705 (a) 2010 () 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total 31,683 35,699 47,543 87, , ,705 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. c Unrelated usiness taxale income (less section 511 taxes) from usinesses acquired after June 30, 1975 Add lines 10a and Net income from unrelated usiness activities not included in line 10, whether or not the usiness 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 9, 10c, 11, and 12.)... 31,683 35,699 47,543 87, , , First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here... Section C. Computation of Pulic Support Percentage 15 Pulic support percentage for 2014 (line 8, column (f) divided y line 13, column (f)) % 16 Pulic support percentage from 2013 Schedule A, Part III, line % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2014 (line 10c, column (f) divided y line 13, column (f)) % 18 Investment income percentage from 2013 Schedule A, Part III, line % 19a 33 1/3% support tests If the organization did not check the ox on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization /3% support tests If the organization did not check a ox on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, check this ox and stop here. The organization qualifies as a pulicly supported organization Private foundation. If the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions... Schedule A (Form 990 or 990-EZ) 2014

8 SCHEDULE G (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service Name of the organization Supplemental Information Regarding Fundraising or Gaming Activities Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attach to Form 990 or Form 990-EZ. Information aout Schedule G (Form 990 or 990-EZ) and its instructions is at Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Part I Form 990-EZ filers are not required to complete this part. 1 a c d 2a Indicate whether the organization raised funds through any of the following activities. Check all that apply. Mail solicitations Internet and solicitations Phone solicitations In-person solicitations e f g Solicitation of non-government grants Solicitation of government grants Special fundraising events Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to e compensated at least $5,000 y the organization. Yes OMB No Open to Pulic Inspection Employer identification numer No 1 (v) Amount paid to (iii) Did fundraiser have (i) Name and address of individual (iv) Gross receipts (or retained y) (ii) Activity custody or control of or entity (fundraiser) from activity fundraiser listed in contriutions? col. (i) Yes No (vi) Amount paid to (or retained y) organization Total... 3 List all states in which the organization is registered or licensed to solicit contriutions or has een notified it is exempt from registration or licensing. For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990 or 990-EZ) 2014

9 Part II Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contriutions and gross income on Form 990-EZ, lines 1 and 6. List events with gross receipts greater than $5,000. Schedule G (Form 990 or 990-EZ) 2014 (a) Event #1 () Event #2 (c) Other events (d) Total events RideForFood None (add col. (a) through col. (c)) (event type) (event type) (total numer) Page 2 Revenue 1 Gross receipts... 21,957 21, Less: Contriutions... Gross income (line 1 minus line 2)... 21,957 21,957 4 Cash prizes... 5 Noncash prizes... Direct Expenses Rent/facility costs... Food and everages... Entertainment... 9 Other direct expenses Direct expense summary. Add lines 4 through 9 in column (d) Net income summary. Sutract line 10 from line 3, column (d)... Part III Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. Revenue 1 Gross revenue... (a) Bingo () Pull tas/instant ingo/progressive ingo (c) Other gaming 21,957 (d) Total gaming (add col. (a) through col. (c)) Direct Expenses Cash prizes... Noncash prizes Rent/facility costs Other direct expenses... Yes % Yes % Yes % 6 Volunteer laor... No No No 7 Direct expense summary. Add lines 2 through 5 in column (d)... 8 Net gaming income summary. Sutract line 7 from line 1, column (d)... 9 Enter the state(s) in which the organization conducts gaming activities: a Is the organization licensed to conduct gaming activities in each of these states?... Yes No If "No," explain: 10a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?... Yes No If "Yes," explain: Schedule G (Form 990 or 990-EZ) 2014

10 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 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 aout Schedule O (Form 990 or 990-EZ) and its instructions is at Description of other expenses (Part I, line 16) OMB No Open to Pulic Inspection Employer identification numer Description Amount Depreciation from ,085 Marketing and exhiits 839 Memerships 210 Insurance 3,135 Training & Prof Dev 130 Supplies 1,928 Meetings 29 Licenses and fees 234 Miscellaneous 504 Travel 970 Bank and Administrative fees 1,271 Domain and expense 73 Small equipment 207 Equipment rental 3,762 Fundraising expenses 645 Workcomp insurance 1, Description of other assets (Part II, line 24) Category Beginning of Year End of Year Vehicle 0 25,706 For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2014)

11 Form 4562 Department of the Treasury Internal Revenue Service (99) Name(s) shown on return Depreciation and Amortization (Including Information on Listed Property) Attach to your tax return. Information aout Form 4562 and its separate instructions is at Business or activity to which this form relates OMB No Attachment Sequence No. Identifying numer Boston Area Gleaners, Inc. FORM 990EZ Part I Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V efore you complete Part I. 1 Maximum amount (see instructions) Total cost of section 179 property placed in service (see instructions) Threshold cost of section 179 property efore reduction in limitation (see instructions) Reduction in limitation. Sutract line 3 from line 2. If zero or less, enter Dollar limitation for tax year. Sutract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions (a) Description of property () Cost (usiness use only) (c) Elected cost Listed property. Enter the amount from line Total elected cost of section 179 property. Add amounts in column (c), lines 6 and Tentative deduction. Enter the smaller of line 5 or line Carryover of disallowed deduction from line 13 of your 2013 Form Business income limitation. Enter the smaller of usiness income (not less than zero) or line 5 (see instructions) Section 179 expense deduction. Add lines 9 and 10, ut do not enter more than line Carryover of disallowed deduction to Add lines 9 and 10, less line Note: Do not use Part II or Part III elow for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) Property suject to section 168(f)(1) election Other depreciation (including ACRS) Part III MACRS Depreciation (Do not include listed property.) (See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years eginning efore If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here... Section B - Assets Placed in Service During 2014 Tax Year Using the General Depreciation System (a) Classification of property () Month and year (c) Basis for depreciation placed in (usiness/investment use (d) Recovery service only-see instructions) period (e) Convention (f) Method (g) Depreciation deduction 19 a c d e f g h i 20 a 3-year property 5-year property 7-year property 10-year property 15-year property 20-year property 25-year property 25 yrs. S/L Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L Nonresidential real 39 yrs. MM S/L property MM S/L Section C - Assets Placed in Service During 2014 Tax Year Using the Alternative Depreciation System Class life S/L 12-year 12 yrs. S/L c 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions For assets shown aove and placed in service during the current year, enter the portion of the asis attriutale to section 263A costs For Paperwork Reduction Act Notice, see separate instructions. 27,790 5 HY SL 2,085 2,085 Form 4562 (2014)

12 Form 8868 Application for Extension of Time To File an Exempt Organization Return (Rev. January 2014) OMB No File a separate application for each return. Department of the Treasury Internal Revenue Service Information aout Form 8868 and its instructions is at If you are filing for an Automatic 3-Month Extension, complete only Part I and check this ox... If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form). Do not complete Part II unless you have already een granted an automatic 3-month extension on a previously filed Form Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must e 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 & Nonprofits. Part I Automatic 3-Month Extension of Time. Only sumit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this ox and complete Part I only... All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Type or print File y the due date for filing your return. See instructions. Name of exempt organization or other filer, see instructions. Numer, street, and room or suite no. If a P.O. ox, see instructions. City, town or post office, state, and ZIP code. For a foreign address, see instructions. Enter filer's identifying numer, see instructions Employer identification numer (EIN) or 240 Beaver Street Waltham, MA Social security numer (SSN) Enter the Return code for the return that this application is for (file a separate application for each return) Application Return Application Return Is For Code Is For Code Form 990 or Form 990-EZ 01 Form 990-T (corporation) 07 Form 990-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form Form 990-T (sec. 401(a) or 408(a) trust) 05 Form Form 990-T (trust other than aove) 06 Form The ooks are in the care of Helene Newerg Esq, 240 Beaver Street, MA Telephone No FA No. If the organization does not have an office or place of usiness in the United States, check 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, check this ox.... If it is for part of the group, check this ox... and attach a list with the names and EINs of all memers the extension is for. 1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until 08-17, 20 15, to file the exempt organization return for the organization named aove. The extension is for the organization's return for: calendar year or tax year eginning, 20, and ending, If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return Change in accounting period 3a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundale credits. See instructions. 3a $ If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundale credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. 3 $ c Balance due. Sutract line 3 from line 3a. Include your payment with this form, if required, y using EFTPS (Electronic Federal Tax Payment System). See instructions. 3c $ Caution. If you are going to make an electronic funds withdrawal (direct deit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, see Instructions. Form 8868 (Rev )

13 Business Section Depreciation Current Accumulated Prior Bonus AMT No. Description Date Cost Salvage Life Method Rate percentage 179 Basis depr. Depreciation expense depreciation Current Chevrolet Expres , ,790 5 SL HY 10 2,085 2,085 2,779 Totals 27,790 27,790 2,085 2,085 2,779 * Item was disposed of during current year. Name(s) as shown on return Depreciation Detail Listing 990 EZ For your records only Social security numer/ein 2014 PAGE 1 Land Amount Net Depreciale Cost 27,790 ST ADJ: (694)

14 Business Section Depreciation Current Accumulated Prior Bonus AMT No. Description Date Cost Salvage Life Method Rate percentage 179 Basis depr. Depreciation expense depreciation Current ST ADJ: PAGE 1 Depreciation Detail Listing 2014 Name(s) as shown on return STATE 990 EZ For your records only Social security numer/ein Chevrolet Expres , ,790 5 SL HY 10 2,779 2,779 Totals 27,790 27,790 2,779 2,779 Land Amount Net Depreciale Cost 27,790