Return of Organization Exempt From Income Tax

Transcription

1 99 Rturn of Organization Exmpt From Inom Tax Dpartmnt of th Trasury Intrnal Rvnu Srvi Unr stion 5(), 57, or 4947(a)() of th Intrnal Rvnu Co (xpt lak lung nfit trust or privat founation) Th organization may hav to us a opy of this rturn to satisfy stat rporting rquirmnts. A For th 5 alnar yar, or tax yar ginning C of organization B Chk if applial: Arss hang hang Initial rturn Final rturn Amn rturn Appliation pning G Wsit: Plas us IRS lal or print or typ. S Spifi Instrutions Montgomry Avnu or town Bthsa + 4 MD ) (insrt no.) 4947(a)() or L Gross ripts: A lins 6, 8, 9, an to lin Rvnu a Expnss Nt Assts F Aounting mtho: Cash Arual Othr (spify) H() Ar all affiliats inlu? (If "," attah a list. S instrutions.) H() Is this a sparat rturn fil y an organization ovr y a group ruling? 57,,439 I Group Exmption Numr M Chk if th organization is not rquir to attah Sh. B ( 99, 99-EZ, or 99-PF) a 7 8a Contriutions, gifts, grants, an similar amounts riv: Dirt puli support a.,8,67.. Inirt puli support.. Govrnmnt ontriutions (grants)... Total (a lins a through ) (ash $,8,67 nonash $ ).....,8,67. Program srvi rvnu inluing govrnmnt fs an ontrats (from Part VII, lin 93)......,69 Mmrship us an assssmnts 3... Intrst on savings an tmporary ash invstmnts ,68 Divins an intrst from suritis 5... Gross rnts.... 6a.. Lss: rntal xpnss 6.. Nt rntal inom or (loss) (sutrat lin 6 from lin 6a) Othr invstmnt inom (sri ) 7 (A) Suritis (B) Othr Gross amount from sals of assts othr than invntory... 8a.. Lss: ost or othr asis an sals xpnss Gain or (loss) (attah shul) Nt gain or (loss) (omin lin 8, olumns (A) an (B)) Spial vnts an ativitis (attah shul). If any amount is from gaming, hk hr a Gross rvnu (not inluing $ of ontriutions rport on lin a). 9a... Lss: irt xpnss othr than funraising xpnss 9... Nt inom or (loss) from spial vnts (sutrat lin 9 from lin 9a) a Gross sals of invntory, lss rturns an allowans a.. Lss: ost of goos sol.. Gross profit or (loss) from sals of invntory (attah shul) (sutrat lin from lin a) Othr rvnu (from Part VII, lin 3) Total rvnu (a lins,, 3, 4, 5, 6, 7, 8, 9,, an )...,, Program srvis (from lin 44, olumn (B)) ,56 4 Managmnt an gnral (from lin 44, olumn (C)) ,3 5 Funraising (from lin 44, olumn (D)) ,69 6 Paymnts to affiliats (attah shul) Total xpnss (a lins 6 an 44, olumn (A)) 7...,45,57. 8 Exss or (fiit) for th yar (sutrat lin 7 from lin ) ,9 9 Nt assts or fun alans at ginning of yar (from lin 73, olumn (A)) ,983 Othr hangs in nt assts or fun alans (attah xplanation)... Nt assts or fun alans at n of yar (omin lins 8, 9, an ) ,895 For Privay At an Paprwork Rution At ti, s th sparat instrutions. (HTA) (3) Rvnu, Expnss, an Changs in Nt Assts or Fun Balans (S th instrutions.) 9 E Tlphon numr H an I ar not applial to stion 57 organizations. H(a) Is this a group rturn for affiliats? H() If "," ntr numr of affiliats K Chk hr if th organization's gross ripts ar normally not mor than $5,. Th organization n not fil a rturn with th IRS; ut if th organization hooss to fil a rturn, sur to fil a omplt rturn. Som stats rquir a omplt rturn. Part I Stat or ountry Stion 5()(3) organizations an 4947(a)() nonxmpt harital trusts must attah a omplt Shul A ( 99 or 99-EZ). 5() ( Opn to Puli Insption D Employr intifiation numr Numr an strt (or P.O. ox if mail is not livr to strt arss) Room/suit 5, an ning Womn's Larning Partnrship for Rights, Dv't. & Pa J Organization typ (hk only on) OMB (5)

2 99 (5) Part II Do not inlu amounts rport on lin (B) Program (C) Managmnt (A) Total (D) Funraising srvis an gnral 6, 8, 9,, or 6 of Part I. Grants an alloations (attah shul).. (ash $ nonash $ ) a f g 44 Womn's Larning Partnrship for Rights, Dv't. & Pa All organizations must omplt olumn (A). Columns (B), (C), an (D) ar rquir for stion 5()(3) an (4) Statmnt of Funtional Expnss organizations an stion 4947(a)() nonxmpt harital trusts ut optional for othrs. (S th instrutions.) If this amount inlus forign grants, hk hr Spifi assistan to iniviuals (attah shul)... 3 Bnfits pai to or for mmrs (attah shul)... 4 Compnsation of offirs, irtors, t ,47 73,53. 6,89 9,85 Othr salaris an wags.. 6 5,87 9,659,95. 8,97 Pnsion plan ontriutions.. 74,87,79,545.,68 Othr mploy nfits...863,5 4,59 8,685 4,6 Payroll taxs. 9,39 6,599.,65,75 Profssional funraising fs. 3 Aounting fs 3 Lgal fs.. 3 Supplis... 33,463, Tlphon ,588 6, Postag an shipping , 6, Oupany ,4 3,49,97. 3,3 Equipmnt rntal an maintnan 37 3,57, Printing an puliations...384,745 3,4. 35, Travl ,457 9, Confrns, onvntions, an mtings.. 4 7,338 68,93.,35,7 Intrst... 4 Dpriation, pltion, t. (attah shul) 4 3,459, Othr xpnss not ovr aov (itmiz): S attah statmnt 43a 444,87 46,59 5,5 3, f 43g Total funtional xpnss. A lins through 43. (Organizations omplting olumns (B)-(D), arry ths totals to lins 3 5) ,45,57.94,56 43,3.59,69 Joint Costs. Chk if you ar following SOP 98-. Ar any joint osts from a omin uational ampaign an funraising soliitation rport (B) in Program srvis? If "," ntr (i) th aggrgat amount of ths joint osts $ (iii) th amount alloat to Managmnt an gnral $ ; (ii) th amount alloat to Program srvis $ ; ; an (iv) th amount alloat to Funraising $ 99 (5)

3 99 (5) Part III Womn's Larning Partnrship for Rights, Dv't. & Pa Statmnt of Program Srvi Aomplishmnts (S th instrutions.) 99 is availal for puli insption an, for som popl, srvs as th primary or sol sour of information aout a partiular organization. How th puli privs an organization in suh ass may trmin y th information prsnt on its rturn. Thrfor, plas mak sur th rturn is omplt an aurat an fully sris, in Part III, th organization's programs an aomplishmnts. What is th organization's primary xmpt purpos? S attah All organizations must sri thir xmpt purpos ahivmnts in a lar an onis mannr. Stat th numr of lints srv, puliations issu, t. Disuss ahivmnts that ar not masural. (Stion 5()(3) an (4) organizations an 4947(a)() nonxmpt harital trusts must also ntr th amount of grants an alloations to othrs.) Program Srvi Expnss (Rquir for 5()(3) an (4) orgs., an 4947(a)() trusts; ut optional for othrs.) a Larship - s attah (Grants an alloations $ Avoay - s attah ) If this amount inlus forign grants, hk hr 799,59 (Grants an alloations $ Human Rights - s attah ) If this amount inlus forign grants, hk hr 93,778 (Grants an alloations $ Confrn - s attah ) If this amount inlus forign grants, hk hr 4 (Grants an alloations $ ) If this amount inlus forign grants, hk hr 49,33 Othr program srvis (attah shul) (Grants an alloations $ ) If this amount inlus forign grants, hk hr f Total of Program Srvi Expnss (shoul qual lin 44, olumn (B), Program srvis). 94,56 99 (5)

4 99 (5) Part IV Womn's Larning Partnrship for Rights, Dv't. & Pa 4 Balan Shts (S th instrutions.) t: Whr rquir, attah shuls an amounts within th sription olumn shoul for n-of-yar amounts only (A) Bginning of yar (B) En of yar Cash non-intrst-aring 83, ,4. Savings an tmporary ash invstmnts 43, ,8. 47 a Aounts rival 47a..6,48. Lss: allowan for outful aounts ,48 Assts 48 a a a a Liailitis 58 Plgs rival 48a.. Lss: allowan for outful aounts Grants rival....98, ,468. Rivals from offirs, irtors, trusts, an ky mploys (attah shul).. 5. Othr nots an loans rival (attah shul)... 5a... Lss: allowan for outful aounts Invntoris for sal or us Prpai xpnss an frr hargs..3, ,693 Invstmnts suritis (attah shul) Cost FMV 54. Invstmnts lan, uilings, an quipmnt: asis 55a... Lss: aumulat priation (attah shul) Invstmnts othr (attah shul) 56. Lan, uilings, an quipmnt: asis a..4,356. Lss: aumulat priation (attah shul) , , ,869 Othr assts (sri Othr rival ) Total assts (must qual lin 74). A lins 45 through 58 84, ,8. Aounts payal an aru xpnss. 9, ,33 Grants payal 8, ,595 Dfrr rvnu..6. Loans from offirs, irtors, trusts, an ky mploys (attah shul) a Tax-xmpt on liailitis (attah shul)...64a. Mortgags an othr nots payal (attah shul) Othr liailitis (sri ) 65 Nt Assts or Fun Balans 66 Total liailitis. A lins 6 through 65.89, ,97 an omplt lins Organizations that follow SFAS 7, hk hr 67 through 69 an lins 73 an Unrstrit, , Tmporarily rstrit.. 5, ,36 69 Prmanntly rstrit 69. Organizations that o not follow SFAS 7, hk hr an omplt lins 7 through Capital stok, trust prinipal, or urrnt funs Pai-in or apital surplus, or lan, uiling, an quipmnt fun Rtain arnings, nowmnt, aumulat inom, or othr funs Total nt assts or fun alans (a lins 67 through 69 or lins 7 through 7; olumn (A) must qual lin 9; olumn (B) must qual lin ) , , Total liailitis an nt assts/fun alans. A lins 66 an , ,8 99 (5)

5 Womn's Larning Partnrship for Rights, Dv't & Pa 99 (5) Part IV-A a Part IV-B 3 4 Part 5 Total rvnu, gains, an othr support pr auit finanial statmnts a....,,439.. Amounts inlu on lin a ut not on Part I, lin : Nt unraliz gains on invstmnts... Donat srvis an us of failitis Rovris of prior yar grants Othr (spify): 4 A lins through Sutrat lin,,439 Amounts inlu on Part I, lin, ut not on lin Invstmnt xpnss not inlu on Part I, lin Othr (spify): A lins an... Total rvnu (Part I, lin ). A lins,, a Roniliation of Rvnu pr Auit Finanial Statmnts with Rvnu pr Rturn (S th instrutions.) Roniliation of Expnss pr Auit Finanial Statmnts with Expnss pr Rturn Total xpnss an losss pr auit finanial statmnts a....,45,57.. Amounts inlu on lin a ut not on Part I, lin 7: Donat srvis an us of failitis Prior yar ajustmnts rport on Part I, lin.... Losss rport on Part I, lin Othr (spify): 4 A lins through Sutrat lin,45,57 Amounts inlu on Part I, lin 7, ut not on lin Invstmnt xpnss not inlu on Part I, lin Othr (spify): A lins an... Total xpnss (Part I, lin 7). A lins,45,57 V-A Currnt Offirs, Dirtors, Trusts, an Ky Employs (List ah prson who was an offir, irtor, trust, or ky mploy at any tim uring th yar vn if thy wr not ompnsat.) (C) Compnsation (B) (If not pai, an avrag hours pr wk vot to position ntr --.) (A) an arss Mahnaz Afkhami Chvy Chas (S Attah) 3 Cummings Ln. Prsint MD 85 4 hours 9,875 (D) Contriutions to mploy nfit plans & frr ompnsation plans (E) Expns aount an othr allowans 6, (5)

6 99 (5) Part V-A Womn's Larning Partnrship for Rights, Dv't. & Pa Currnt Offirs, Dirtors, Trusts, an Ky Employs (ontinu) 6 75 a Entr th total numr of offirs, irtors, an trusts prmitt to vot on organization usinss at oar mtings... Ar any offirs, irtors, trusts, or ky mploys list in 99, Part V-A, or highst ompnsat mploys list in Shul A, Part I, or highst ompnsat profssional an othr inpnnt ontrators list in Shul A, Part II-A or II-B, rlat to ah othr through family or usinss rlationships? If "," attah a statmnt that intifis th iniviuals an xplains th rlationship(s) Do any offirs, irtors, trusts, or ky mploys list in 99, Part V-A, or highst ompnsat mploys list in Shul A, Part I, or highst ompnsat profssional an othr inpnnt ontrators list in Shul A, Part II-A or II-B, riv ompnsation from any othr organizations, whthr tax xmpt or taxal, that ar rlat to this organization through ommon suprvision or ommon ontrol? t. Rlat organizations inlu stion 59(a)(3) supporting organizations. If "," attah a statmnt that intifis th iniviuals, xplains th rlationship twn this organization an th othr organization(s), an sris th ompnsation arrangmnts, inluing amounts pai to ah iniviual y ah rlat organization. Dos th organization hav a writtn onflit of intrst poliy? Part V-B r Offirs, Dirtors, Trusts, an Ky Employs That Riv Compnsation or Othr Bnfits (If any formr offir, irtor, trust, or ky mploy riv ompnsation or othr nfits (sri low) uring th yar, list that prson low an ntr th amount of ompnsation or othr nfits in th appropriat olumn. S th instrutions.) (A) an arss NONE a 79 8 a (D) Contriutions to mploy nfit plans & frr ompnsation plans (C) Compnsation (E) Expns aount an othr allowans Part VI (B) Loans an Avans Othr Information (S th instrutions.) Di th organization ngag in any ativity not prviously rport to th IRS? If "," attah a tail sription of ah ativity.. Wr any hangs ma in th organizing or govrning oumnts ut not rport to th IRS?.... If "," attah a onform opy of th hangs. Di th organization hav unrlat usinss gross inom of $, or mor uring th yar ovr y this rturn?.. If "," has it fil a tax rturn on 99-T for this yar? Was thr a liquiation, issolution, trmination, or sustantial ontration uring th yar? If "," attah a statmnt.. Is th organization rlat (othr than y assoiation with a statwi or nationwi organization) through ommon mmrship, govrning ois, trusts, offirs, t., to any othr xmpt or nonxmpt organization?. If "," ntr th nam of th organization an hk whthr it is xmpt or a N/A a.... nonxmpt 8 a Entr irt an inirt politial xpniturs. (S lin 8 instrutions.) 8a.. Di th organization fil -POL for this yar? (5)

7 99 (5) Part VI Womn's Larning Partnrship for Rights, Dv't. & Pa Othr Information (ontinu) 7 8 a Di th organization riv onat srvis or th us of matrials, quipmnt, or failitis at no harg or at sustantially lss than fair rntal valu?.. 8a If "," you may iniat th valu of ths itms hr. Do not inlu this amount as rvnu in Part I or as an xpns in Part II. (S instrutions in Part III.) N/A. 83 a Di th organization omply with th puli insption rquirmnts for rturns an xmption appliations?. 83a.... Di th organization omply with th islosur rquirmnts rlating to qui pro quo ontriutions? a Di th organization soliit any ontriutions or gifts that wr not tax util? 84a If "," i th organization inlu with vry soliitation an xprss statmnt that suh ontriutions or gifts wr not tax util? N/A. 85 5()(4), (5), or (6) organizations. a Wr sustantially all us nonutil y mmrs?.85a.... Di th organization mak only in-hous loying xpniturs of $, or lss? If "" was answr to ithr 85a or 85, o not omplt 85 through 85h low unlss th organization riv a waivr for proxy tax ow for th prior yar. Dus, assssmnts, an similar amounts from mmrs Stion 6() loying an politial xpniturs Aggrgat nonutil amount of stion 633()()(A) us notis f Taxal amount of loying an politial xpniturs (lin 85 lss 85)...85f.... g Dos th organization lt to pay th stion 633() tax on th amount on lin 85f? g.... h If stion 633()()(A) us notis wr snt, os th organization agr to a th amount on lin 85f to its rasonal stimat of us alloal to nonutil loying an politial xpniturs for th following tax yar? 85h ()(7) orgs. Entr: a Initiation fs an apital ontriutions inlu on lin 86a Gross ripts, inlu on lin, for puli us of lu failitis ()() orgs. Entr: a Gross inom from mmrs or sharholrs... 87a.... Gross inom from othr sours. (Do not nt amounts u or pai to othr sours against amounts u or riv from thm.) At any tim uring th yar, i th organization own a 5% or gratr intrst in a taxal orporation or partnrship, or an ntity isrgar as sparat from th organization unr Rgulations stions an ? If "," omplt Part I a 5()(3) organizations. Entr: Amount of tax impos on th organization uring th yar unr: stion 49 ; stion 49 ; stion ()(3) an 5()(4) orgs. Di th organization ngag in any stion 4958 xss nfit transation uring th yar or i it om awar of an xss nfit transation from a prior yar? If "," attah a statmnt xplaining ah transation Entr: Amount of tax impos on th organization managrs or isqualifi prsons uring th yar unr stions 49, 4955, an 4958 Entr: Amount of tax on lin 89, aov, rimurs y th organization. 9 a List th stats with whih a opy of this rturn is fil MD Numr of mploys mploy in th pay prio that inlus Marh, 5 (S instrutions.) a Th ooks ar in ar of WLP Tlphon no. (3) Loat at 4343 Montgomry Av., # Bthsa MD At any tim uring th alnar yar, i th organization hav an intrst in or a signatur or othr authority ovr a finanial aount in a forign ountry (suh as a ank aount, suritis aount, or othr finanial aount)? If "," ntr th nam of th forign ountry S th instrutions for xptions an filing rquirmnts for TD F 9-., Rport of Forign Bank an Finanial Aounts. At any tim uring th alnar yar, i th organization maintain an offi outsi of th Unit Stats? 9 If "," ntr th nam of th forign ountry 9 Stion 4947(a)() nonxmpt harital trusts filing 99 in liu of 4 Chk hr... an ntr th amount of tax-xmpt intrst riv or aru uring th tax yar 9.. N/A 99 (5)

8