Preparer File Copy. Assoc. Students of California State Univ Channel Islands, Inc. One University Drive Camarillo, CA

Transcription

1 2012 TA RETURN Preparer File Copy Client: Prepared for: ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc. One University Drive Camarillo, CA Prepared by: Rolland Vasin Vasin, Heyn & Company 5000 N. Parkway Calabasas #201 Calabasas, CA (818) Date: May 13, 2014 Comments: Route to: FDIL2001L 05/31/12

2 2012 Federal Exempt Organization Tax Summary Page 1 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 2:37 PM Diff REVENUE Contributions and grants ,787-2,787 Program service revenue , ,739 34,502 Investment income ,414 1,262 2,152 Other revenue ,000 24,065 12,935 Total revenue , ,853 46,802 EPENSES Other expenses , , ,931 Total expenses , , ,931 NET ASSETS OR FUND BALANCES Revenue less expenses , , ,129 Total assets at end of year ,400,492 1,389,467 11,025 Total liabilities at end of year , ,575 15,768 Net assets/fund balances at end of year.. 1,264,149 1,268,892-4,743

3 2012 California 199 Tax Summary Page 1 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 2:37 PM Diff REVENUE Interest ,414 1,262 2,152 Other income , ,804 47,437 Gross contributions, gifts, & grants ,787-2,787 Total income , ,853 46,802 EPENSES AND DISBURSEMENTS Depreciation and depletion ,466 2,536-1,070 Other deductions , , ,001 Total deductions , , ,931 Excess of receipts over disbursements , , ,129 FILING FEE Filing fee Balance due SCHEDULE L Beginning Assets ,389,467 1,251, ,299 Beginning Liabilities & Net Worth ,389,467 1,251, ,299 Ending Assets ,400,492 1,389,467 11,025 Ending Liabilities & Net Worth ,400,492 1,389,467 11,025

4 2012 Diagnostics Page 1 Assoc. Students of California State Univ Client ASICSUCI Channel Islands, Inc /13/14 02:37PM Federal Informational Diagnostics General The computer date of 5/13/2014 will be transmitted as organization's e-file PIN authorization signature date when the tax return is electronically filed.

5 2012 Overrides Page 1 Assoc. Students of California State Univ Client ASICSUCI Channel Islands, Inc /13/14 02:37PM Federal Overrides Screen 3.1 An override entry of 5/15/2014 has been made in Federal "Due date of return [O]" (Screen 3.1, Code 5). An override entry of 6/15/2014 has been made in Federal "State due date [O]" (Screen 3.1, Code 6). Screen 4.1 An override entry of 2 has been made in Federal "Form 990-EZ: 1=if applicable, 2=omit [O]" (Screen 4.1, Code 16). Screen 50.1 An override entry of has been made in Federal "Other notes and loans receivable [O]" (Screen 50.1, Code 118). An override entry of 273,269 has been made in Federal "Other notes and loans receivable [O]" (Screen 50.1, Code 218). California Overrides Screen An override entry of 'd' has been made in California "Exempt under section subsection [O]" (Screen , Code 21). Screen An override entry of 3 has been made in California "Form RRF-1: 1=when applicable, 2=suppress, 3=force [O]" (Screen , Code 89).

6 2012 General Information Page 1 Client ASICSUCI Forms needed for this return Federal: 990, Sch A, Sch D, Sch J, Sch O, Sch R California: 199, RRF-1 Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM Carryovers to 2013 None

7 2012 Federal Worksheets Page 1 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM

8 CLIENT ASICSUCI VASIN, HEYN & COMPANY 5000 N. PARKWAY CALABASAS #201 CALABASAS, CA (818) May 13, 2014 Assoc. Students of California State Univ Channel Islands, Inc. One University Drive Camarillo, CA Dear Client: Enclosed for your review: Form 990 Form 199 Form RRF Return of Organization Exempt from Income Tax 2012 California Exempt Organization Return 2013 Registration/Renewal Fee Report Each tax return or form listed above should be filed in accordance with the enclosed filing instructions. Please be sure to call us if you have any questions. Sincerely, Rolland Vasin

9 2012 Federal Filing Instructions Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM ELECTRONICALLY FILED: Form Return of Organization Exempt From Income Tax The above tax return will be electronically filed with the Internal Revenue Service upon receipt of a signed Form 8879-EO - IRS e-file Signature Authorization. PAYMENT: No payment is required.

10 Form 8879-EO Department of the Treasury Internal Revenue Service Name of exempt organization Name and title of officer IRS e-file Signature Authorization for an Exempt Organization For calendar year 2012, or fiscal year beginning 7/01, 2012, and ending 6/30, G Do not send to the IRS. Keep for your records. Assoc. Students of California State Univ Channel Islands, Inc. OMB No Employer identification number Melissa Jarnagin Treasurer Part I Type of Return and Return Information (Whole Dollars Only) Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than 1 line in Part I. 1 a Form 990 check here..... G b Total revenue, if any (Form 990, Part VIII, column (A), line 12) b 924, a Form 990-EZ check here..... G b Total revenue, if any (Form 990-EZ, line 9) b 3 a Form 1120-POL check here G b Total tax (Form 1120-POL, line 22) b 4 a Form 990-PF check here..... G b Tax based on investment income (Form 990-PF, Part VI, line 5) b 5 a Form 8868 check here.... G b Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) b Part II Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2012 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic funds withdrawal. Officer's PIN: check one box only I authorize Vasin, Heyn & Company to enter my PIN as my signature ERO firm name Enter five numbers, but do not enter all zeros on the organization's tax year 2012 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. As an officer of the organization, I will enter my PIN as my signature on the organization's tax year 2012 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Officer's signature G Part III Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN Date G do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature on the 2012 electronically filed return for the organization indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub 4163, Modernized e-file (MeF) Information for Authorized IRS e-file Providers for Business Returns. ERO's signature G Rolland Vasin Date G ERO Must Retain This Form ' See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So BAA For Paperwork Reduction Act Notice, see instructions. Form 8879-EO TEEA7401L 11/09/12

11 Form 990 Department of the Treasury Internal Revenue Service OMB No Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) G The organization may have to use a copy of this return to satisfy state reporting requirements. A For the 2012 calendar year, or tax year beginning 7/01, 2012, and ending 6/30, 2013 B Check if applicable: C Address change Assoc. Students of California State Univ Name change Channel Islands, Inc. E Telephone number Initial return One University Drive Camarillo, CA Terminated Amended return F Open to Public Inspection D Employer Identification Number G Gross receipts Application pending Name and address of principal officer: H(a) Is this a group return for affiliates? Yes No H(b) Are all affiliates included? Same As C Above Yes No If 'No,' attach a list. (see instructions) Contributions and grants (Part VIII, line 1h) Program service revenue (Part VIII, line 2g) Investment income (Part VIII, column (A), lines 3, 4, and 7d) Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12)..... Grants and similar amounts paid (Part I, column (A), lines 1-3) Benefits paid to or for members (Part I, column (A), line 4) Salaries, other compensation, employee benefits (Part I, column (A), lines 5-10) a Professional fundraising fees (Part I, column (A), line 11e) Part II b Total fundraising expenses (Part I, column (D), line 25) G Melissa Jarnagin Other expenses (Part I, column (A), lines 11a-11d, 11f-24e) Total expenses. Add lines (must equal Part I, column (A), line 25) Revenue less expenses. Subtract line 18 from line Total assets (Part, line 16) Total liabilities (Part, line 26) Net assets or fund balances. Subtract line 21 from line Signature Block Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge. $ 924,655. I Tax-exempt status 501(c)(3) 501(c) ( )H (insert no.) 4947(a)(1) or 527 J Website: G H(c) Group exemption number G K Form of organization: Corporation Trust Association OtherG L Year of Formation: 2004 M State of legal domicile: CA Part I Summary 1 Briefly describe the organization's mission or most significant activities: Associated Students of California State University Channel Islands, Inc. was organized to promote and assist education, administration and related services of the California State University, Channel Islands. 2 Check this box G if the organization discontinued its operations or disposed of more than 25% of its net assets. 3 Number of voting members of the governing body (Part VI, line 1a) Number of independent voting members of the governing body (Part VI, line 1b) Total number of individuals employed in calendar year 2012 (Part V, line 2a) Total number of volunteers (estimate if necessary) a Total unrelated business revenue from Part VIII, column (C), line a b Net unrelated business taxable income from Form 990-T, line b Prior Year Current Year 2, , ,241. 1,262. 3, , , , , , , , , , ,743. Beginning of Current Year End of Year 1,389,467. 1,400, , ,343. 1,268,892. 1,264,149. Sign Here A Signature of officer A Type or print name and title. Melissa Jarnagin Date Treasurer Print/Type preparer's name Preparer's signature Date Check if PTIN Rolland Vasin Rolland Vasin 5/13/14 self-employed P Paid Preparer Firm's name GVasin, Heyn & Company Use Only Firm's address G5000 N. Parkway Calabasas #201 Firm's EIN G Calabasas, CA Phone no. (818) May the IRS discuss this return with the preparer shown above? (see instructions) Yes No BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA0113L 12/18/12 Form 990 (2012)

12 Form 990 (2012) Assoc. Students of California State Univ Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III Briefly describe the organization's mission: Associated Students of California State University Channel Islands, Inc. was organized to promote and assist education, administration and related services of the California State University, Channel Islands. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? Yes No If 'Yes,' describe these new services on Schedule O. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services?.... Yes No If 'Yes,' describe these changes on Schedule O. 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4 a (Code: ) (Expenses $ 272,280. including grants of $ ) (Revenue $ ) The Student Union serves to foster community and enhance student learning and development on the Channel Islands campus by providing exceptional services, supporting holistic programming, creating regular opportunities for staff development. 4 b (Code: ) (Expenses $ 82,463. including grants of $ ) (Revenue $ ) Student Programming Board (SPB) provides an abundance of opportunities by providing a social outlet for students, helping students learn how to plan and coordinate events, and working with local businesses and organizations. 4 c (Code: ) (Expenses $ 71,354. including grants of $ ) (Revenue $ ) Student Government 1. Communicate with the entire campus including our student body as well as staff, faculty, and administration to ensure that all parties are working collaboratively towards the common goal of student success. 2. Facilitate and promote community by providing a safe and comfortable campus environment, collaborating with other areas of the University, embracing our local community, and engaging in statewide affairs. 3. Support co-curricular education by providing leadership opportunities, encourage service learning, strive to develop in areas of the Dimensions, and encourage civic engagement. 4 d Other program services. (Describe in Schedule O.) See Schedule O (Expenses $ 165,876. including grants of $ ) (Revenue $ ) 4 e Total program service expenses G 591,973. BAA TEEA0102L 08/08/12 Form 990 (2012)

13 Form 990 (2012) Assoc. Students of California State Univ Page 3 Part IV Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete Schedule A Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete Schedule C, Part I Section 501(c)(3) organizations Did the organization engage in lobbying 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 section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If 'Yes,' complete Schedule C, Part III Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right 6 to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas or historic structures? If 'Yes,' complete Schedule D, Part II Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,' complete Schedule D, Part III Did the organization report an amount in Part, line 21, for escrow or custodial account liability; serve as a custodian 9 for amounts not listed in Part ; or provide credit counseling, debt management credit repair, or debt negotiation services? If 'Yes,' complete Schedule D, Part IV Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If 'Yes,' complete Schedule D, Part V If the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts VI, VII, VIII, I, 11 or as applicable. a Did the organization report an amount for land, buildings and equipment in Part, line 10? If 'Yes,' complete Schedule D, Part VI b Did the organization report an amount for investments ' other securities in Part, line 12 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' complete Schedule D, Part VII c Did the organization report an amount for investments ' program related in Part, line 13 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' complete Schedule D, Part VIII d Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Part, line 16? If 'Yes,' complete Schedule D, Part I e Did the organization report an amount for other liabilities in Part, line 25? If 'Yes,' complete Schedule D, Part f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes,' complete Schedule D, Part.... Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes,' complete 12 a Schedule D, Parts I, and II a b Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,' and if the organization answered 'No' to line 12a, then completing Schedule D, Parts I and II is optional Is the organization a school described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E a Did the organization maintain an office, employees, or agents outside of the United States? a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, b business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If 'Yes,' complete Schedule F, Parts I and IV Did the organization report on Part I, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If 'Yes,' complete Schedule F, Parts II and IV Did the organization report on Part I, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If 'Yes,' complete Schedule F, Parts III and IV Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part I, column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions) Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If 'Yes,' complete Schedule G, Part II Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 'Yes,' complete Schedule G, Part III a Did the organization operate one or more hospital facilities? If 'Yes,' complete Schedule H b If 'Yes' to line 20a, did the organization attach a copy of its audited financial statements to this return? a 11 b 11 c 11 d 11 e 11 f 12 b 14b 20 b BAA TEEA0103L 12/13/12 Form 990 (2012)

14 Form 990 (2012) Assoc. Students of California State Univ Page 4 Part IV Checklist of Required Schedules (continued) Yes No 21 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part I, column (A), line 1? If 'Yes,' complete Schedule I, Parts I and II Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part I, column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III Did the organization answer 'Yes' to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current 23 and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete Schedule J Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of 24 a the last day of the year, and that was issued after December 31, 2002? If 'Yes,' answer lines 24b through 24d and complete Schedule K. If 'No,'go to line b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? a 24b 24c 24d 25 a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If 'Yes,' complete Schedule L, Part I Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and b that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part I Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If 'Yes,' complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial 27 contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If 'Yes,' complete Schedule L, Part III Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV 28 instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV c An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If 'Yes,' complete Schedule L, Part IV Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If 'Yes,' complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete Schedule N, Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections and ? If 'Yes,' complete Schedule R, Part I Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts II, III, IV, and V, line a Did the organization have a controlled entity within the meaning of section 512(b)(13)? a If 'Yes' to line 35a, did the organization receive any payment from or engage in any transaction with a controlled b entity within the meaning of section 512(b)(13)? If 'Yes,' complete Schedule R, Part V, line a 25b 28a 28b 28c 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If 'Yes,' complete Schedule R, Part V, line Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If 'Yes,' complete Schedule R, Part VI Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O BAA Form 990 (2012) TEEA0104L 08/08/12

15 Form 990 (2012) Assoc. Students of California State Univ Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response to any question in this Part V a Enter the number reported in Box 3 of Form Enter -0- if not applicable a b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return a 0 b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions) 3 a Did the organization have unrelated business gross income of $1,000 or more during the year? a b If 'Yes' has it filed a Form 990-T for this year? If 'No,' provide an explanation in Schedule O b At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a 4 a financial account in a foreign country (such as a bank account, securities account, or other financial account)? a b If 'Yes,' enter the name of the foreign country: G See instructions for filing requirements for Form TD F , Report of Foreign Bank and Financial Accounts. 5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? a b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? b c If 'Yes,' to line 5a or 5b, did the organization file Form 8886-T? c Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization 6 a solicit any contributions that were not tax deductible as charitable contributions? a b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and a services provided to the payor? b If 'Yes,' did the organization notify the donor of the value of the goods or services provided? c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? d If 'Yes,' indicate the number of Forms 8282 filed during the year d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a h Form 1098-C? Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? Sponsoring organizations maintaining donor advised funds a Did the organization make any taxable distributions under section 4966? b Did the organization make a distribution to a donor, donor advisor, or related person? Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on Part VIII, line b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities..... Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders Gross income from other sources (Do not net amounts due or paid to other sources b against amounts due or received from them.) a Section 4947(a)(1) non - exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? a b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? a Note. See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in b which the organization is licensed to issue qualified health plans c Enter the amount of reserves on hand c 14 a Did the organization receive any payments for indoor tanning services during the tax year? a b If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O b BAA 10 a 10 b 11 a 11 b 13 b TEEA0105L 08/08/12 Form 990 (2012) c 2 b 6 b 7 a 7 b 7 c 7 e 7 f 7 g 7 h 9 a 9 b 13 a Yes No

16 Form 990 (2012) Assoc. Students of California State Univ Page 6 Part VI Governance, Management and Disclosure For each 'Yes' response to lines 2 through 7b below, and for a 'No' response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response to any question in this Part VI Section A. Governing Body and Management Yes No 1 a Enter the number of voting members of the governing body at the end of the tax year If there are material differences in voting rights among members 1 a 13 of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O. b Enter the number of voting members included in line 1a, above, who are independent b 10 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other 2 officer, director, trustee or key employee? Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? Did the organization become aware during the year of a significant diversion of the organization's assets? Did the organization have members or stockholders? Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more 7 a members of the governing body? a Are any governance decisions of the organization reserved to (or subject to approval by) members, b stockholders, or other persons other than the governing body? Did the organization contemporaneously document the meetings held or written actions undertaken during the year by 8 the following: 7 b a The governing body? b Each committee with authority to act on behalf of the governing body? Is there any officer, director or trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If 'Yes,' provide the names and addresses in Schedule O Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes 10 a Did the organization have local chapters, branches, or affiliates? a b If 'Yes,' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? a b Describe in Schedule O the process, if any, used by the organization to review this Form 990. See Schedule O 12 a Did the organization have a written conflict of interest policy? If 'No,' go to line a b Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? b c Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe in Schedule O how this is done See Schedule O Did the organization have a written whistleblower policy? Did the organization have a written document retention and destruction policy? Did the process for determining compensation of the following persons include a review and approval by independent 15 persons, comparability data, and contemporaneous substantiation of the deliberation and decision? 8 a 8 b 10 b 12 c No a The organization's CEO, Executive Director, or top management official b Other officers of key employees of the organization If 'Yes' to line 15a or 15b, describe the process in Schedule O. (See instructions.) Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a 16 a taxable entity during the year? a b If 'Yes,' did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's exempt status with respect to such arrangements? Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed G CA Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public 18 inspection. Indicate how you make these available. Check all that apply. Own website Another's website Upon request Other (explain in Schedule O) 19 Describe in Schedule O whether (and if so, how) the organization makes its governing documents, conflict of interest policy, and financial statements available to the public during the tax year. See Schedule O 20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization: GYsabel Trinidad One University Drive Camarillo CA BAA TEEA0106L 08/08/12 Form 990 (2012) 15 a 15 b 16 b

17 Form 990 (2012) Assoc. Students of California State Univ Page 7 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response to any question in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.? List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.'? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.? List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations.? List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A) (B) Position (do not check more than (D) (E) (F) Name and Title one box, unless person is both an Average Reportable Reportable Estimated officer and a director/trustee) hours per compensation from compensation from amount of other week (list the organization related organizations compensation any hours (W-2/1099-MISC) (W-2/1099-MISC) from the for related organization organizaorganizations and related tions below dotted line) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) Spencer Keaster 1 Chair Tanya Yancheson 1 Vice Chair Missy Jarnagin 1 Treasurer , ,673. Jillian Glassett 1 Director Steven Jordan 1 Director Chelsea Vinas 1 Director Chantyl Vasquez 1 Director David Ashley 1 Director Edwin Lebioda 1 Director , ,263. Lundon Templeton 1 Director Morgan Franklin 1 Director Susan Lefevre 1 Director Damien Pena 1 Director Dr. Terry Ballman 1 Director , ,885. BAA TEEA0107L 12/17/12 Form 990 (2012)

18 Form 990 (2012) Assoc. Students of California State Univ Page 8 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (cont) (B) (C) (A) Name and title Position Average (do not check more than one (D) (E) (F) hours box, unless person is both an Reportable Reportable Estimated per officer and a director/trustee) compensation from compensation from amount of other week the organization related organizations compensation (list any (W-2/1099-MISC) (W-2/1099-MISC) from the hours organization for and related related organizations organiza - tions below dotted line) (15) (16) Dr. Genevieve Evans-Taylor 40 Executive Dir , ,165. (17) (18) (19) (20) (21) (22) (23) (24) (25) 1 b Sub-total G c Total from continuation sheets to Part VII, Section A G d Total (add lines 1b and 1c) G , , , , Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization G 0 Yes No 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If 'Yes,' complete Schedule J for such individual For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for such individual Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If 'Yes,' complete Schedule J for such person Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) (B) (C) Name and business address Description of services Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization G 0 BAA TEEA0108L 01/24/13 Form 990 (2012)

19 Form 990 (2012) Assoc. Students of California State Univ Page 9 Part VIII Statement of Revenue Check if Schedule O contains a response to any question in this Part VIII a Federated campaigns a b Membership dues b c Fundraising events c d Related organizations d e Government grants (contributions)..... f All other contributions, gifts, grants, and similar amounts not included above f g Noncash contributions included in lns 1a-1f: $ h Total. Add lines 1a-1f G 2 a b c d 1 e Business Code e f All other program service revenue.... g Total. Add lines 2a-2f G Student Fees Investment income (including dividends, interest and other similar amounts) G Income from investment of tax-exempt bond proceeds.. G. Royalties (i) Real (ii) Personal 6 a Gross rents b Less: rental expenses c Rental income or (loss).... d Net rental income or (loss) G Gross amount from sales of 7 a assets other than inventory. (i) Securities (ii) Other G (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt business excluded from tax function revenue under sections revenue 512, 513, or , , ,241. 3,414. 3,414. Less: cost or other basis b and sales expenses c Gain or (loss) d Net gain or (loss) G 8 a Gross income from fundraising events (not including. $ of contributions reported on line 1c). See Part IV, line a b Less: direct expenses b c Net income or (loss) from fundraising events G Gross income from gaming activities. 9 a See Part IV, line a b Less: direct expenses b c Net income or (loss) from gaming activities Gross sales of inventory, less returns 10a and allowances a G b Less: cost of goods sold b c Net income or (loss) from sales of inventory G Miscellaneous Revenue Business Code 11a b c Other revenue 37, ,000. d All other revenue e Total. Add lines 11a-11d G Total revenue. See instructions G 37, , , ,414. BAA TEEA0109L 12/17/12 Form 990 (2012)

20 Form 990 (2012) Assoc. Students of California State Univ Page 10 Part I Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response to any question in this Part I Do not include amounts reported on lines 6b, Total expenses (A) (B) (C) (D) Program service Management and 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses Fundraising expenses 1 Grants and other assistance to governments and organizations in the United States. See Part IV, line Grants and other assistance to individuals in the United States. See Part IV, line Grants and other assistance to governments, 3 organizations, and individuals outside the United States. See Part IV, lines 15 and Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) Other salaries and wages Pension plan accruals and contributions 8 (include section 401(k) and section 403(b) employer contributions) Other employee benefits Payroll taxes Fees for services (non-employees): a Management b Legal c Accounting d Lobbying e Professional fundraising services. See Part IV, line f Investment management fees g Other. (If line 11g amt exceeds 10% of line 25, column (A) amt, list line 11g expenses on Sch O) Advertising and promotion Office expenses Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local public officials Conferences, conventions, and meetings.... Interest Payments to affiliates Depreciation, depletion, and amortization.... Insurance Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.) a Outside Services b Administrative Fees c Hospitality d Supplies e All other expenses... See Sch O Total functional expenses. Add lines 1 through 24e Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here G if following SOP 98-2 (ASC ) ,541. 1,541. 5,254. 2,285. 2, , ,129. 3,397. 1,466. 1,466. 1,730. 1, , , , , , , ,905. 5, , ,271. 5, , , , , , , BAA Form 990 (2012) TEEA0110L 12/18/12

21 Form 990 (2012) Assoc. Students of California State Univ Page 11 Part Balance Sheet Check if Schedule O contains a response to any question in this Part A S S E T S (A) Beginning of year (B) End of year 1 Cash ' non-interest-bearing Savings and temporary cash investments , , Pledges and grants receivable, net Accounts receivable, net , Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions). Complete Part II of Schedule L Notes and loans receivable, net Inventories for sale or use Prepaid expenses and deferred charges a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D a 16,727. b Less: accumulated depreciation b 16,727. 1, c 11 Investments ' publicly traded securities Investments ' other securities. See Part IV, line Investments ' program-related. See Part IV, line Intangible assets Other assets. See Part IV, line ,000, , Total assets. Add lines 1 through 15 (must equal line 34) ,389, ,400, Accounts payable and accrued expenses , , Grants payable Deferred revenue , ,589. L 20 Tax-exempt bond liabilities I A 21 Escrow or custodial account liability. Complete Part IV of Schedule D B I 22 Loans and other payables to current and former officers, directors, trustees, L key employees, highest compensated employees, and disqualified persons. I Complete Part II of Schedule L T 22 I E 23 Secured mortgages and notes payable to unrelated third parties S 24 Unsecured notes and loans payable to unrelated third parties Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part of Schedule D. 92, , Total liabilities. Add lines 17 through , ,343. N Organizations that follow SFAS 117 (ASC 958), check here G and complete E T lines 27 through 29, and lines 33 and 34. A S 27 Unrestricted net assets ,268, ,264,149. S E 28 Temporarily restricted net assets T S 29 Permanently restricted net assets O R F U Organizations that do not follow SFAS 117 (ASC 958), check here G and complete lines 30 through 34. N 30 Capital stock or trust principal, or current funds D B A 31 Paid-in or capital surplus, or land, building, or equipment fund ,269. L 32 Retained earnings, endowment, accumulated income, or other funds A N C 33 Total net assets or fund balances ,268, ,264,149. E S 34 Total liabilities and net assets/fund balances ,389, ,400,492. BAA Form 990 (2012) TEEA0111L 01/03/13

22 Form 990 (2012) Assoc. Students of California State Univ Page 12 Part I Reconciliation of Net Assets Check if Schedule O contains a response to any question in this Part I Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part I, column (A), line 25) Revenue less expenses. Subtract line 2 from line Net assets or fund balances at beginning of year (must equal Part, line 33, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities Investment expenses Prior period adjustments Other changes in net assets or fund balances (explain in Schedule O) Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part, line 33, column (B)) Part II 1 Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part II Accounting method used to prepare the Form 990: Cash Accrual Other If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? a If 'Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? If 'Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both: Separate basis Consolidated basis Both consolidated and separate basis c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. 3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? a BAA b 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 Schedule O and describe any steps taken to undergo such audits , , ,743. 1,268, b 2 c 3 b Yes 0. 1,264,149. No Form 990 (2012) TEEA0112L 08/09/11

23 OMB No SCHEDULE A (Form 990 or 990-EZ) Public Charity Status and Public Support 2012 Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Treasury Internal Revenue Service G Attach to Form 990 or Form 990-EZ. G See separate instructions. Name of the organization Assoc. Students of California State Univ Channel Islands, Inc Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). Employer identification number Open to Public Inspection 4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, See section 509(a)(2). (Complete Part III.) 10 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. a Type I b Type II c Type III ' Functionally integrated d Type III ' Non-functionally integrated e By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). f If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization, check this box (A) (B) g h Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? (i) (ii) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization? A family member of a person described in (i) above? (iii) A 35% controlled entity of a person described in (i) or (ii) above? Provide the following information about the supported organization(s). (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the (v) Did you notify (vi) Is the organization (described on lines 1-9 organization in the organization in organization in above or IRC section column (i) listed in column (i) of your column (i) (see instructions)) your governing support? organized in the document? U.S.? Yes No Yes No Yes No 11g (i) 11g (ii) 11g (iii) Yes No (vii) Amount of monetary support Cal State Univ,Channel Islands University 0. (C) (D) (E) Total 0. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2012 TEEA0401L 08/09/12

24 Schedule A (Form 990 or 990-EZ) 2012 Assoc. Students of California State Univ Page 2 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box 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 below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in) G 1 Gifts, grants, contributions, and membership fees received. (Do not include any 'unusual grants.') Tax revenues levied for the 2 organization's benefit and either paid to or expended on its behalf The value of services or 3 facilities furnished by a governmental unit to the organization without charge Total. Add lines 1 through The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)... 6 Public support. Subtract line 5 from line Section B. Total Support Calendar year (or fiscal year beginning in) G 7 Amounts from line Gross income from interest, 8 dividends, payments received on securities loans, rents, royalties and income from similar sources Net income from unrelated business activities, whether or not the business is regularly carried on Other income. Do not include 10 gain or loss from the sale of capital assets (Explain in Part IV.) Total support. Add lines 7 through (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Gross receipts from related activities, etc (see instructions) (f) Total (f) Total 13 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 box and stop here G Section C. Computation of Public Support Percentage Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) % 15 Public support percentage from 2011 Schedule A, Part II, line % 16 a 33-1/3% support test ' If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization G b 33-1/3% support test ' If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization G 17 a 10%-facts-and-circumstances test ' If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization G b 10%-facts-and-circumstances test ' If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization G 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions... G BAA Schedule A (Form 990 or 990-EZ) 2012 TEEA0402L 08/09/12

25 Schedule A (Form 990 or 990-EZ) 2012 Assoc. Students of California State Univ Page 3 Part III Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal yr beginning in) G (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Gifts, grants, contributions and membership fees received. (Do not include any 'unusual grants.') Gross receipts from admis- 2 sions, 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 3 that are not an unrelated trade or business under section Tax revenues levied for the organization's benefit and either paid to or expended on its behalf The value of services or facilities furnished by a governmental unit to the organization without charge Total. Add lines 1 through a Amounts included on lines 1, 2, and 3 received from disqualified persons Amounts included on lines 2 b 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 c Add lines 7a and 7b Public support (Subtract line 7c from line 6.) Section B. Total Support Calendar year (or fiscal yr beginning in) G 9 Amounts from line a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, c Add lines 10a and 10b Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) Total support. (Add lns 9, 10c, 11, and 12.) (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total (f) Total 14 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 box and stop here G Section C. Computation of Public Support Percentage 15 Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) % 16 Public support percentage from 2011 Schedule A, Part III, line % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) % 18 Investment income percentage from 2011 Schedule A, Part III, line % 19 a 33-1/3% support tests ' If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization G b 33-1/3% support tests ' If the organization did not check a box 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 box and stop here. The organization qualifies as a publicly supported organization..... G 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions G BAA TEEA0403L 08/09/12 Schedule A (Form 990 or 990-EZ) 2012

26 Schedule A (Form 990 or 990-EZ) 2012 Assoc. Students of California State Univ Page 4 Part IV Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions). BAA Schedule A (Form 990 or 990-EZ) 2012 TEEA0404L 08/10/12

27 OMB No SCHEDULE D (Form 990) Supplemental Financial Statements 2012 G Complete if the organization answered 'Yes,' to Form 990, Department of the Treasury Part IV, lines 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b. Internal Revenue Service G Attach to Form 990. G See separate instructions. Open to Public Inspection Name of the organization Employer identification number Assoc. Students of California State Univ Channel Islands, Inc Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered 'Yes' to Form 990, Part IV, line Total number at end of year Aggregate contributions to (during year)..... Aggregate grants from (during year) Aggregate value at end of year (a) Donor advised funds 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? (b) Funds and other accounts Part II Conservation Easements. Complete if the organization answered 'Yes' to Form 990, Part IV, line 7. 1 Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area Protection of natural habitat Preservation of open space Yes Yes Preservation of a certified historic structure 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a Total number of conservation easements a b Total acreage restricted by conservation easements b c Number of conservation easements on a certified historic structure included in (a) c d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register d 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year G 4 Number of states where property subject to conservation easement is located G 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year G 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year G$ 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? In Part III, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 8. 1 a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part III, the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenues included in Form 990, Part VIII, line G$ (ii) Assets included in Form 990, Part G$ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: a Revenues included in Form 990, Part VIII, line G$ b Assets included in Form 990, Part G$ BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Yes Yes No No No No TEEA3301L 09/18/12 Schedule D (Form 990) 2012

28 Schedule D (Form 990) 2012 Assoc. Students of California State Univ Page 2 Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection a items (check all that apply): Public exhibition d Loan or exchange programs b Scholarly research e Other c Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part III. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? Yes Part IV Escrow and Custodial Arrangements. Complete if the organization answered 'Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part, line 21. No 1 a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part? b If 'Yes,' explain the arrangement in Part III and complete the following table: c Beginning balance c Yes Amount d Additions during the year d e Distributions during the year e f Ending balance f 2 a Did the organization include an amount on Form 990, Part, line 21? Yes No b If 'Yes,' explain the arrangement in Part III. Check here if the explantion has been provided in Part III Part V Endowment Funds. Complete if the organization answered 'Yes' to Form 990, Part IV, line 10. (a) Current (c) Two years (d) Three years (e) Four years (b) Prior year 1 a Beginning of year balance b Contributions c Net investment earnings, gains, and losses d Grants or scholarships e Other expenditures for facilities and programs f Administrative expenses g End of year balance Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as: a Board designated or quasi-endowment G % b Permanent endowment G % c Temporarily restricted endowment G % The percentages in lines 2a, 2b, and 2c should equal 100%. 3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: Yes No (i) unrelated organizations a(i) (ii) related organizations a(ii) b If 'Yes' to 3a(ii), are the related organizations listed as required on Schedule R? b 4 Describe in Part III the intended uses of the organization's endowment funds. Part VI Land, Buildings, and Equipment. See Form 990, Part, line 10. Description of property (a) Cost or other basis (b) Cost or other (c) Accumulated (d) Book value (investment) basis (other) depreciation 1 a Land b Buildings c Leasehold improvements d Equipment e Other , , Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part, column (B), line 10(c).) G 0. BAA Schedule D (Form 990) 2012 No TEEA3302L 06/07/12

29 Schedule D (Form 990) 2012 Assoc. Students of California State Univ Page 3 Part VII Investments ' Other Securities. See Form 990, Part, line 12. N/A (a) Description of security or category (b) Book value (c) Method of valuation: Cost or (including name of security) end-of-year market value (1) Financial derivatives (2) Closely-held equity interests (3) Other (A) (B) (C) (D) (E) (F) (G) (H) (I) Total. (Column (b) must equal Form 990, Part, column (B) line 12.)... G Part VIII Investments ' Program Related. See Form 990, Part, line 13. N/A (a) Description of investment type (b) Book value (c) Method of valuation: Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part, column (B) line 13.)... G Part I Other Assets. See Form 990, Part, line 15. (a) Description (b) Book value (1) Related Party Receivable 878,066. (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part, column (B), line 15.) G Part Other Liabilities. See Form 990, Part, line 25. (a) Description of liability (b) Book value (1) Federal income taxes (2) Funds Held for Others 52,930. (3) Related Party Payables 59,901. (4) (5) (6) (7) (8) (9) (10) (11) Total. (Column (b) must equal Form 990, Part, column (B) line 25.) G 112, FIN 48 (ASC 740) Footnote. In Part III, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part III See Part III BAA 878,066. TEEA3303L 12/23/12 Schedule D (Form 990) 2012

30 Schedule D (Form 990) 2012 Assoc. Students of California State Univ Page 4 Part I Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 1 Total revenue, gains, and other support per audited financial statements , Amounts included on line 1 but not on Form 990, Part VIII, line 12: a Net unrealized gains on investments a b Donated services and use of facilities b c Recoveries of prior year grants d Other (Describe in Part III.) e Add lines 2a through 2d Subtract line 2e from line Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b a b Other (Describe in Part III.) b c Add lines 4a and 4b Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) Part II Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 1 Total expenses and losses per audited financial statements Amounts included on line 1 but not on Form 990, Part I, line 25: a Donated services and use of facilities b Prior year adjustments c Other losses d Other (Describe in Part III.) d e Add lines 2a through 2d Subtract line 2e from line Amounts included on Form 990, Part I, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b a b Other (Describe in Part III.) b c Add lines 4a and 4b c 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) Part III Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part, line 2; Part I, lines 2d and 4b; and Part II, lines 2d and 4b. Also complete this part to provide any additional information. 2 c 2 d 2 a 2 b 2 c 2 e 4 c 2 e 924, , , , ,398. Part - FIN 48 Footnote The Associated Students, Inc. has adopted Financial Accounting Standards Board Accounting Standards Codification (ASC) Section , which clarifies the accounting for uncertainty in income taxes. ASC Section prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. ASC Section requires that an organization recognize in the financial statements the impact of the tax position if that position will more likely than not BAA Schedule D (Form 990) 2012 TEEA3304L 11/30/12

31 Schedule D (Form 990) 2012 Assoc. Students of California State Univ Page 5 Part III Supplemental Information (continued) Part - FIN 48 Footnote (continued) be sustained on audit, based on the technical merits of the position. As of and for the year ended June 30, 2013, the Associated Students, Inc. had no material unrecognized tax benefits, tax penalties or interest. BAA TEEA3305L 06/08/12 Schedule D (Form 990) 2012

32 Compensation Information OMB No SCHEDULE J (Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest 2012 Compensated Employees G Complete if the organization answered 'Yes' to Form 990, Part IV, line 23. Department of the Treasury Open to Public G Attach to Form 990. G See separate instructions. Inspection Internal Revenue Service Name of the organization Assoc. Students of California State Univ Part I Questions Regarding Compensation Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part 1 a VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. Employer identification number Yes No First-class or charter travel Travel for companions Tax indemnification and gross-up payments Discretionary spending account Housing allowance or residence for personal use Payments for business use of personal residence Health or social club dues or initiation fees Personal services (e.g., maid, chauffeur, chef) b If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If 'No,' complete Part III to explain b 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? Indicate which, if any, of the following the filing organization used to establish the compensation of the organization's 3 CEO/Executive Director. Check all that apply. Do not check any boxes for methods used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III. Compensation committee Independent compensation consultant Form 990 of other organizations Written employment contract Compensation survey or study Approval by the board or compensation committee During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization 4 or a related organization: a Receive a severance payment or change-of-control payment? b Participate in, or receive payment from, a supplemental nonqualified retirement plan? c Participate in, or receive payment from, an equity-based compensation arrangement? If 'Yes' to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III. 4 a 4 b 4 c Only section 501(c)(3) and 501(c)(4) organizations must complete lines 5-9. For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation 5 contingent on the revenues of: a The organization? b Any related organization? If 'Yes' to line 5a or 5b, describe in Part III. For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation 6 contingent on the net earnings of: a The organization? b Any related organization? If 'Yes' to line 6a or 6b, describe in Part III. 5 a 5 b 6 a 6 b For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed 7 payments not described in lines 5 and 6? If 'Yes,' describe in Part III Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section (a)(3)? If 'Yes,' describe in Part III If 'Yes' to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations 9 section (c)? BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2012 TEEA4101L 12/10/12

33 Schedule J (Form 990) 2012 Assoc. Students of California State Univ Page 2 Part II Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable columns (D) and (E) amounts for that individual. (A) Name and Title Missy Jarnagin (i) 1 Treasurer (ii) Edwin Lebioda (i) 2 Director (ii) (i) 3 (ii) (i) 4 (ii) (i) 5 (ii) (i) 6 (ii) (i) 7 (ii) (i) 8 (ii) (i) 9 (ii) (i) 10 (ii) (i) 11 (ii) (i) 12 (ii) (i) 13 (ii) (i) 14 (ii) (i) 15 (ii) (i) 16 (ii) BAA (B) Breakdown of W-2 and/or 1099-MISC compensation (i) Base (ii) Bonus and (iii) Other compensation incentive reportable compensation compensation compensation , , (C) Retirement (D) Nontaxable (E) Total of (F) Compensation and other benefits columns(b)(i)-(d) reported as deferred deferred in prior Form , , , , TEEA4102L 12/11/12 Schedule J (Form 990) 2012

34 Schedule J (Form 990) 2012 Assoc. Students of California State Univ Page 3 Part III Supplemental Information Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, for Part II. Also complete this part for any additional information. BAA Schedule J (Form 990) 2012 TEEA4103L 12/11/12

35 OMB No SCHEDULE O Supplemental Information to Form 990 or 990-EZ (Form 990 or 990-EZ) 2012 Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. Open to Public Department of the Treasury G Attach to Form 990 or 990-EZ. Inspection Internal Revenue Service Name of the organization Assoc. Students of California State Univ Channel Islands, Inc. Form 990, Part III, Line 4d - Other Program Services Description NSTOP $49,448 Employer identification number MWGSC $32,124 Newspaper $22,178 Clubs and organizations $18,279 Other Programs $15,436 Student Leadership $15,411 Yearbook $13,000 Form 990, Part VI, Line 11b - Form 990 Review Process The Form 990 will be reviewed by the ASI Board. Form 990, Part VI, Line 12c - Explanation of Monitoring and Enforcement of Conflicts Annually each board member is required to complete a conflict of interest form. Form 990, Part VI, Line 19 - Other Organization Documents Publicly Available Conflict of Interest Policy and Financial statements are made available online and upon request. BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. TEEA4901L 12/8/12 Schedule O (Form 990 or 990-EZ) 2012

36 2012 Schedule O - Supplemental Information Page 2 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM Form 990, Part I, Line 24e Other Expenses (A) (B) (C) (D) Program Management Total Services & General Fundraising Awards 2,039. 1, Chargebacks 10, ,072. Dues and Fees 1, Education and Training 15, ,245. 1,350. Equipment Rental & Maintenance 2, ,533. Honoraria 2,150. 2,150. Postage and Shipping Printing and Publications 9,406. 8,151. 1,255. Professional Fees 46, , ,941. Promotional Items 7,093. 5,281. 1,812. Rent 19, ,695. 2,389. Repairs and Maintenance 13, ,844. Small Equipment 12,116. 9,924. 2,192. Telephone 3, ,717. Utilities 28, ,625. Total $ 173,935. $ 140,386. $ 33,549. $ 0.

37 OMB No SCHEDULE R (Form 990) Related Organizations and Unrelated Partnerships 2012 Department of the Treasury Internal Revenue Service Name of the organization G Complete if the organization answered 'Yes' to Form 990, Part IV, line 33, 34, 35, 36, or 37. Open to Public G Attach to Form 990. G See separate instructions. Inspection Employer identification number Assoc. Students of California State Univ Channel Islands, Inc Part I Identification of Disregarded Entities (Complete if the organization answered 'Yes' to Form 990, Part IV, line 33.) (1) (a) (b) (c) (d) (e) (f) Name, address, and EIN (if applicable) of disregarded entity Primary activity Legal domicile (state Total income End-of-year assets Direct controlling or foreign country) entity (2) (3) Part II (1) (2) (3) Identification of Related Tax-Exempt Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.) (a) (b) (c) (d) (e) (f) (g) Name, address, and EIN of related organization Primary activity Legal domicile (state Exempt Code Public charity status Direct controlling Sec 512(b)(13) or foreign country) section (if section 501(c)(3)) entity controlled entity? California St University,Channel I One University Drive Camarillo, CA University Glen Corporation One University Drive Camarillo, CA Year University CA St Agency N/A Commercial Svcs CA 501(c)(3) CSU, Channel Islands Foundation One University Drive Camarillo, CA 93012, CA Yes 11d Type III-O N/A University Auxiliary CA 501(c)(3) 5 N/A (4) CSU, Channel Islands Site Authorit One University Drive Camarillo, CA Legislative Body CA St Agency N/A BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA5001L 12/28/12 Schedule R (Form 990) 2012 No

38 Schedule R (Form 990) 2012 Assoc. Students of California State Univ Channel Islands, Inc Page 2 Part III Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.) (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) Name, address, and EIN of Primary activity Legal Direct Predominant income Share of total Share of Dispropor- Code V-UBI General or Percentage related organization domicile controlling (related, unrelated, income end-of-year tionate amount in box managing ownership (state or entity excluded from tax assets allocations? 20 of Schedule partner? foreign under sections K-1 (Form country) ) Yes No 1065) Yes No (1) (2) (3) Part IV Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.) (a) (b) (c) (d) (e) (f) (g) (h) (i) Name, address, and EIN of related organization Primary activity Legal domicile Direct Type of entity Share of Share of end-of- Percentage Sec 512(b)(13) (state or foreign controlling (C corp, S corp, total income year assets ownership controlled entity? country) entity or trust) Yes No (1) (2) (3) BAA TEEA5002L 12/28/12 Schedule R (Form 990) 2012

39 Schedule R (Form 990) 2012 Assoc. Students of California State Univ Channel Islands, Inc Page 3 Part V Transactions With Related Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34, 35b, or 36.) Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. Yes No 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity a b Gift, grant, or capital contribution to related organization(s) b c Gift, grant, or capital contribution from related organization(s) c d Loans or loan guarantees to or for related organization(s) d e Loans or loan guarantees by related organization(s) e f g h i j Dividends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets with related organization(s) Lease of facilities, equipment, or other assets to related organization(s) f 1 g 1 h 1 i 1 j k Lease of facilities, equipment, or other assets from related organization(s) l Performance of services or membership or fundraising solicitations for related organization(s) m Performance of services or membership or fundraising solicitations by related organization(s) n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) o Sharing of paid employees with related organization(s) k 1 l 1 m 1 n 1 o p q Reimbursement paid to related organization(s) for expenses Reimbursement paid by related organization(s) for expenses p 1 q 2 r s Other transfer of cash or property to related organization(s) r Other transfer of cash or property from related organization(s) s If the answer to any of the above is 'Yes,' see the instructions for information on who must complete this line, including covered relationships and transaction thresholds. (a) Name of other organization (b) Transaction (c) Amount involved (d) Method of determining type (a-s) amount involved (1) California St University,Channel Islands (2) California St University,Channel Islands (3) University Glen Corporation (4) University Glen Corporation (5) CSU, Channel Islands Foundation (6) CSU, Channel Islands Foundation m q m q m q 452,798.Amounts paid 339,549.Amounts recv'd 451,992.Amounts paid 12,812.Amounts recv'd 433.Amounts paid 2,752.Amounts recv'd BAA TEEA5003L 12/28/12 Schedule R (Form 990) 2012

40 Schedule R (Form 990) 2012 Assoc. Students of California State Univ Channel Islands, Inc Page 4 Part VI Unrelated Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 37.) Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) Name, address, and EIN of entity Primary activity Legal domicile Predominant Are all partners Share of Share of Dispropor- Code V-UBI General or Percentage (state or foreign income section total income end-of-year tionate amount in box managing ownership country) (related, unre- 501(c)(3) assets allocations? 20 of Schedule partner? lated, excluded organizations? K-1 from tax under Form (1065) section ) Yes No Yes No Yes No (1) (2) (3) (4) (5) (6) (7) (8) BAA TEEA5004L 12/28/12 Schedule R (Form 990) 2012

41 Schedule R (Form 990) 2012 Page 5 Part VII Supplemental Information Complete this part to provide additional information for responses to questions on Schedule R (see instructions). BAA TEEA5005L 12/28/12 Schedule R (Form 990) 2012

42 Schedule R Cont (Form 990) 2012Assoc. Students of California State Univ Channel Islands, Inc Continuation Page 1 of 1 Part V Continuation of Transactions With Related Organizations (Schedule R (Form 990), Part V, line 2) (A) (B) (C) (D) Name of other organization Transaction Amount involved Method of determining type (a-s) amount involved CSU, Channel Islands Site Authority m 15,765. Amounts paid CSU, Channel Islands Site Authority q 5,000. Amounts recv'd TEEA5105L 12/28/12 Schedule R Cont (Form 990) 2012

43 2012 California Filing Instructions Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM FORM TO FILE: Form California Exempt Organization Annual Information Return SIGNATURE: Sign and date Form 199. PAYMENT: There is a balance due of $10 which is payable by June 15, Attach a check or money order for the full amount payable to "Franchise Tax Board," and write the California corporation number, the tax period to which it applies, and "Form 199" on it. WHEN TO FILE: On or before June 15, WHERE TO FILE: Franchise Tax Board P.O. Box Sacramento, CA

44 2012 California Filing Instructions Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM FORM TO FILE: Form RRF-1 - Registration/Renewal Fee Report to Attorney General of California SIGNATURE: Sign and date Form RRF-1. PAYMENT: There is a fee due of $75 which is payable by May 15, Attach a check or money order for the full amount payable to "Attorney General's Registry of Charitable Trusts" and write the California charity registration number on the payment. WHEN TO FILE: On or before May 15, WHERE TO FILE: Registry of Charitable Trusts P.O. Box Sacramento, CA

45 FORM California Exempt Organization 2012 Annual Information Return 199 TAABLE YEAR Calendar Year 2012 or fiscal year beginning month 07 day 01 year 2012, and ending month 06 day 30 year 2013 Corporation/Organization Name California corporation number ASSOC. STUDENTS OF CALIFORNIA STATE UNIV CHANNEL ISLANDS, INC Address (suite, room, or PMB no.) ONE UNIVERSITY DRIVE City State ZIP Code CAMARILLO CA A First Yes No J If exempt under R&TC Section 23701d, has the Return organization during the year: (1) participated in any B Amended Yes No political campaign, or (2) attempted to influence legislation or any ballot measure, or (3) made an election C IRC Section 4947(a)(1) trust Yes No under R&TC Section (relating to lobbying by public Surrendered D Final Return If 'Yes,' complete and attach form FTB Merged/Reorganized Enter K Is the organization exempt under R&TC Section If 'Yes,' enter gross receipts from E Check accounting method: nonmember sources $ 1 Cash 2 Accrual 3 Other L If organization is exempt under R&TC Section 23701d F Federal return filed? and is exclusively religious, educational, or charitable, 990T 990 (PF) Sch H (990) and is supported primarily (50% or more) by public contributions, check box. No filing fee is G Is this a group filing for the Yes No If 'Yes,' attach a roster. See instructions M Is the organization a Limited Liability H Is this organization in a group exemption? Yes No N Did the organization file Form 100 or Form 109 to report If 'Yes,' What's the parent's name? taxable I O Is the organization under audit by the IRS or has the IRS Did the organization have any changes in its activities, audited in a prior governing instrument, articles of incorporation, or bylaws Yes No that have not been reported to the Franchise Tax Yes No If 'Yes,' explain, and attach copies of revised documents. CACA1112L 10/11/12 Part I Complete Part I unless not required to file this form. See General Instructions B and C. 1 Gross sales or receipts from other sources. From Side 2, Part II, line 1 924, Gross dues and assessments from members and 2 Receipts 3 Gross contributions, gifts, grants, and similar amounts 3 and Revenues 4 Total gross receipts for filing requirement test. Add line 1 through line 3. This line must be completed. If the result is less than $50,000, see General Instruction 4 924, Cost of goods 5 6 Cost or other basis, and sales expenses of assets 6 7 Total costs. Add line 5 and line Total gross income. Subtract line 7 from line 8 924, Total expenses and disbursements. From Side 2, Part II, line 9 929,398. Expenses 10 Excess of receipts over expenses and disbursements. Subtract line 9 from line 10-4, Filing fee $10 or $25. See General Instruction F Total payments Filing Fee 13 Penalties and Interest. See General Instruction J Use tax. See General Instruction Balance due. Add line 11, line 13, and line 14. Then subtract line 12 from the result Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign Title Telephone Here Signature of officer G TREASURER Date Check PTIN Preparer's selfsignature G employed G Paid ROLLAND VASIN 5/13/14 P FEIN Use Only Firm's name VASIN, HEYN & COMPANY (or yours, if G self-employed) 5000 N. PARKWAY CALABASAS # and Telephone CALABASAS, CA (818) May the FTB discuss this return with the preparer shown above? See Yes No FEIN Yes Yes Yes Yes No No No No For Privacy Notice, get form FTB Form 199 C Side 1

46 ASSOC. STUDENTS OF CALIFORNIA STATE UNIV Part II Organizations with gross receipts of more than $50,000 and private foundations regardless of amount of gross receipts ' complete Part II or furnish substitute information. 1 Gross sales or receipts from all business activities. See , Receipts 4 Gross 4 from 5 Gross 5 Other Sources 6 Gross amount received from sale of assets (See 6 7 Other income. Attach schedule SEE STATEMENT , Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Side 1, Part I, line ,655. Expenses 9 Contributions, gifts, grants, and similar amounts paid. Attach 9 and 10 Disbursements to or for 10 Disbursements 11 Compensation of officers, directors, and trustees. Attach schedule... SEE STATEMENT Other salaries and Depreciation and depletion (See 16 1, Other Expenses and Disbursements. Attach schedule SEE STATEMENT , Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line ,398. Schedule L Balance Sheets Beginning of taxable year End of taxable year Assets (a) (b) (c) (d) 1 Cash , Net accounts 1, Net notes 273, Federal and state government 6 Investments in other 7 Investments in 8 Mortgage 9 Other investments Attach 10a Depreciable assets , , ,261. 1, ,727. b Less accumulated depreciation Land Other assets. Attach schedule STM Total assets Liabilities and net worth Accounts payable Contributions, gifts, or grants payable Bonds and notes payable Mortgages payable Other liabilities. Attach schedule STM Capital stock or principle fund Paid-in or capital surplus. Attach reconciliation Retained earnings or income fund Total liabilities and net 878,066. 1,389,467. 1,400, , ,389,467. 1,400,492. Schedule M-1 Reconciliation of income per books with income per return Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $50,000 1 Net income per -4, Income recorded on books this year not included 2 Federal income in this return. Attach sch Excess of capital losses over capital 8 Deductions in this return not 4 Income not recorded on books this year. against book income this year. Attach Attach 5 Expenses recorded on books this year not deducted 9 Total. Add line 7 and line in this return. Attach 10 Net income per return. 6 Total. Add line 1 through line ,743. Subtract line 9 from line ,743. Side 2 Form 199 C CACA1112L 12/26/12

47 2012 California Statements Page 1 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM Statement 1 Form 199, Part II, Line 7 Other Income Other revenue $ 37,000. Program Service Revenue ,241. Total $ 921,241. Statement 2 Form 199, Part II, Line 11 Compensation of Officers, Directors, Trustees and Key Employees Current Officers: Title and Contri- Expense Average Hours Compen- bution to Account/ Name and Address Per Week Devoted sation EBP & DC Other Spencer Keaster Chair $ 0. $ 0. $ 0. One University Drive 1.00 Camarillo, CA Tanya Yancheson Vice Chair One University Drive 1.00 Camarillo, CA Missy Jarnagin Treasurer One University Drive 1.00 Camarillo, CA Jillian Glassett Director One University Drive 1.00 Camarillo, CA Steven Jordan Director One University Drive 1.00 Camarillo, CA Chelsea Vinas Director One University Drive 1.00 Camarillo, CA Chantyl Vasquez Director One University Drive 1.00 Camarillo, CA David Ashley Director One University Drive 1.00 Camarillo, CA Edwin Lebioda Director One University Drive 1.00 Camarillo, CA 93012

48 2012 California Statements Page 2 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM Statement 2 (continued) Form 199, Part II, Line 11 Compensation of Officers, Directors, Trustees and Key Employees Current Officers: Title and Contri- Expense Average Hours Compen- bution to Account/ Name and Address Per Week Devoted sation EBP & DC Other Lundon Templeton Director $ 0. $ 0. $ 0. One University Drive 1.00 Camarillo, CA Morgan Franklin Director One University Drive 1.00 Camarillo, CA Susan Lefevre Director One University Drive 1.00 Camarillo, CA Damien Pena Director One University Drive 1.00 Camarillo, CA Dr. Terry Ballman Director One University Drive 1.00 Camarillo, CA Dr. Genevieve Evans-Taylor Executive Dir One University Drive Camarillo, CA Total $ 0. $ 0. $ 0. Statement 3 Form 199, Part II, Line 17 Other Expenses Administrative Fees $ 80,000. Advertising and Promotion ,541. Awards ,039. Chargebacks ,072. Dues and Fees ,215. Education and Training ,595. Equipment Rental & Maintenance ,389. Honoraria ,150. Hospitality ,341. Insurance ,730. Office Expenses ,254. Outside Services ,175. Postage and Shipping Printing and Publications ,406. Professional Fees ,160. Promotional Items ,093. Rent ,084. Repairs and Maintenance ,844. Small Equipment ,116.

49 2012 California Statements Page 3 Client ASICSUCI Assoc. Students of California State Univ Channel Islands, Inc /13/14 02:37PM Statement 3 (continued) Form 199, Part II, Line 17 Other Expenses Supplies $ 61,430. Telephone ,721. Travel ,526. Utilities ,625. Total $ 927,932. Statement 4 Form 199, Schedule L, Line 12 Other Assets Related Party Receivable ,066. Total $ 878,066. Statement 5 Form 199, Schedule L, Line 18 Other Liabilities Deferred Revenue ,589. Funds Held for Others ,930. Related Party Payables ,901. Total $ 128,420.

50 IN MAIL TO: Registry of Charitable Trusts P.O. Box Sacramento, CA Telephone: (916) WEBSITE ADDRESS: ANNUAL REGISTRATION RENEWAL FEE REPORT TO ATTORNEY GENERAL OF CALIFORNIA Sections and 12587, California Government Code 11 Cal. Code Regs. sections , 311 and 312 Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of $800, plus interest, and/or fines or filing penalties as defined in Government Code Section IRS extensions will be honored. State Charity Registration Number ASSOC. STUDENTS OF CALIFORNIA STATE UNIV CHANNEL ISLANDS, INC. Name of Organization Check if: Change of address Amended report ONE UNIVERSITY DRIVE Corporate or Organization No Address (Number and Street) CAMARILLO, CA Federal Employer ID No City or Town State ZIP Code ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections , 311 and 312) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue Fee Gross Annual Revenue Fee Gross Annual Revenue Fee Less than $25,000 0 Between $100,001 and $250,000 $50 Between $1,000,001 and $10 million $150 Between $25,000 and $100,000 $25 Between $250,001 and $1 million $75 Between $10,000,001 and $50 million $225 Greater than $50 million $300 PART A ' ACTIVITIES For your most recent full accounting period (beginning 7/01/12 ending 6/30/13 ) list: Gross annual revenue $ 924,655. Total assets $ 1,400,492. PART B ' STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note: If you answer 'yes' to any of the questions below, you must attach a separate sheet providing an explanation and details for each 'yes' response. Please review RRF-1 instructions for information required. During this reporting period, were there any contracts, loans, leases or other financial transactions between the 1 organization and any officer, director or trustee thereof either directly or with an entity in which any such officer, 2 3 director or trustee had any financial interest? During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds? During this reporting period, did non-program expenditures exceed 50% of gross revenues? During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a 4 Form 4720 with the Internal Revenue Service, attach a copy. Yes No During this reporting period, were the services of a commercial fundraiser or fundraising counsel for charitable 5 purposes used? If 'yes,' provide an attachment listing the name, address, and telephone number of the service 6 7 provider. During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing the name of the agency, mailing address, contact person, and telephone number. During this reporting period, did the organization hold a raffle for charitable purposes? If 'yes,' provide an attachment indicating the number of raffles and the date(s) they occurred. Does the organization conduct a vehicle donation program? If 'yes,' provide an attachment indicating whether 8 the program is operated by the charity or whether the organization contracts with a commercial fundraiser for charitable purposes. 9 Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period? Organization's area code and telephone number Organization's address MISSY.JARNAGIN@CSUCI.EDU I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete. MELISSA JARNAGIN TREASURER Signature of authorized officer Printed Name Title Date CAVA9801L 01/25/13 RRF-1 (3-05)