Return of Organization Exempt From Income Tax

Size: px
Start display at page:

Download "Return of Organization Exempt From Income Tax"

Transcription

1 Form Part I Ativities & Governane Revenue Expenses Part II Sign Here Paid Preparer Use Only Return of Organization Exempt From Inome Tax NORTH HIGHWAY 79 (520) City or town, state or provine, ountry, and ZIP or foreign postal ode 2,212,768 FLORENCE, AZ G Gross reeipts$ F Name and address of prinipal offier: AL ARPAD, ESQ. H(a) Is this a group return for SAME AS C ABOVE suordinates? Yes FIRRP.ORG If "No," attah a list. (see instrutions) Group exemption numer 1989 AZ Summary Briefly desrie the organization's mission or most signifiant ativities: THE FLORENCE PROJECT PROVIDES AND COORDINATES FREE LEGAL SERVICES AND RELATED SOCIAL SERVICES TO INDIGENT MEN, WOMEN, AND UNACCOMPANIED CHILDREN DETAINED IN ARIZONA FOR IMMIGRATION REMOVAL PROCEEDINGS. Signature Blok Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial seurity numers on this form as it may e made puli. 2 Chek this ox if the organization disontinued its operations or disposed of more than 25% of its net assets. 3 Numer of voting memers of the governing ody (Part VI, line 1a) Numer of independent voting memers of the governing ody (Part VI, line 1) Total numer of individuals employed in alendar year 2014 (Part V, line 2a) Total numer of volunteers (estimate if neessary) a Total unrelated usiness revenue from Part VIII, olumn (C), line a Net unrelated usiness taxale inome from Form 990-T, line Contriutions and grants (Part VIII, line 1h) Program servie revenue (Part VIII, line 2g) Investment inome (Part VIII, olumn (A), lines 3, 4, and 7d) 11 Other revenue (Part VIII, olumn (A), lines 5, 6d, 8, 9, 10, and 11e) 12 Total revenue - add lines 8 through 11 (must equal Part VIII, olumn (A), line 12) 13 Grants and similar amounts paid (Part I, olumn (A), lines 1-3) 14 Benefits paid to or for memers (Part I, olumn (A), line 4) 15 Salaries, other ompensation, employee enefits (Part I, olumn (A), lines 5-10) 16a Professional fundraising fees (Part I, olumn (A), line 11e) Total fundraising expenses (Part I, olumn (D), line 25) 83, Other expenses (Part I, olumn (A), lines 11a-11d, 11f-24e) 18 Total expenses. Add lines (must equal Part I, olumn (A), line 25) 19 Revenue less expenses. Sutrat line 18 from line Total assets (Part, line 16) Total liailities (Part, line 26) Net assets or fund alanes. Sutrat line 21 from line 20 Open to Puli Inspetion No I Tax-exempt status: 501()(3) 501() ( ) (insert no.) 4947(a)(1) or 527 H() Are all suordinates inluded? Yes No J Wesite: H() K Form of organization: Corporation Trust Assoiation Other L Year of formation: M State of legal domiile: Net Assets or Fund Balanes Prior Year Beginning of Current Year OMB No Department of the Treasury Internal Revenue Servie Information aout Form 990 and its instrutions is at A For the 2014 alendar year, or tax year eginning, 2014, and ending, 20 B Chek if appliale: C Name of organization FLORENCE IMMIGRANT AND REFUGEE RIGHTS PROJECT, INC D Employer identifiation no. Address hange Doing usiness as Name hange Numer and street (or P.O. ox if mail is not delivered to street address) Room/suite E Telephone numer Initial return Final return/terminated Amended return Appliation pending Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than offier) is ased on all information of whih preparer has any knowledge. Signature of offier Type or print name and title Current Year End of Year Print/Type preparer's name Preparer's signature Date Chek if PTIN SALLY NEAL WARD CPA SALLY NEAL WARD CPA self-employed P Firm's name STEPHEN F WARD CPA PC Firm's EIN Firm's address 8787 E PINNACLE PEAK RD SE 209 Phone no. SCOTTSDALE AZ May the IRS disuss this return with the preparer shown aove? (see instrutions) Yes No For Paperwork Redution At Notie, see the separate instrutions. LAUREN DASSE LAUREN DASSE, EECUTIVE DIRECTOR Date ,068,955 2,203,751 11,769 1, ,749 7,107 1,082,775 2,212, ,672 1,056, , ,498 1,032,966 1,336,654 49, , ,548 1,893,079 76, , ,742 1,595,321

2 Part III 1 Statement of Program Servie Aomplishments Page Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization's mission: THE FLORENCE PROJECT PROVIDES AND COORDINATES FREE LEGAL SERVICES AND RELATED SOCIAL SERVICES TO INDIGENT MEN, WOMEN, AND UNACCOMPANIED CHILDREN DETAINED IN ARIZONA FOR IMMIGRATION REMOVAL PROCEEDINGS Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ? If "Yes," desrie these new servies on Shedule O. Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies? If "Yes," desrie these hanges on Shedule O. Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 501()(3) and 501()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. Yes Yes No No 4a (Code: ) (Expenses $ 1,045,673 inluding grants of $ ) (Revenue $ ) DURING 2014, THE ORGANIZATION PROVIDED 533 "KNOW YOUR RIGHTS" LEGAL PRESENTATIONS TO 8,403 INDIVIDUALS, INCLUDING 4,367 UNACCOMPANIED IMMIGRANT CHILDREN. THE ORGANIZATION ALSO PROVIDED 213 SMALL PEER-TO-PEER WORKSHOPS TO 2,212 ADULTS ON TOPICS INCLUDING CANCELLATION OR REMOVAL OF LAWFUL PERMANENT RESIDENTS, BOND, AND POLITICAL ASYLUM. THE ORGANIZATION PROVIDED INDIVIDUAL CASE ASSESSMENT AND FOLLOW UP PRO SE ASSISTANCE TO 8,403 INDIVIDUALS WHO CANNOT AFFORD TO HIRE PRIVATE COUNSEL. IT PROVIDED FULL DIRECT REPRESENTATION TO 123 INDIVIDUALS AND REFERRED 79 CASES TO VOLUNTEER ATTORNEYS IN THE ARIZONA COMMUNITY AND 426 CASES TO PRO BONO MATCHING ORGANIZATIONS AROUND THE COUNTRY. 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4d 4e Other program servies (Desrie in Shedule O.) (Expenses $ inluding grants of $ ) (Revenue $ ) Total program servie expenses 1,045,673

3 Part IV Cheklist of Required Shedules Page 3 Yes No 1 Is the organization desried in setion 501()(3) or 4947(a)(1) (other than a private foundation)? If "Yes," omplete Shedule A Is the organization required to omplete Shedule B, Shedule of Contriutors (see instrutions)? Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part I Setion 501()(3) organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? If "Yes," omplete Shedule C, Part II Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 98-19? If "Yes," omplete Shedule C, Part III Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "Yes," omplete Shedule D, Part I Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas, or histori strutures? If "Yes," omplete Shedule D, Part II Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," omplete Shedule D, Part III Did the organization report an amount in Part, line 21, for esrow or ustodial aount liaility; serve as a ustodian for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? If "Yes," omplete Shedule D, Part IV Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If "Yes," omplete Shedule D, Part V If the organization's answer to any of the following questions is "Yes," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. a Did the organization report an amount for land, uildings, and equipment in Part, line 10? If "Yes," omplete Shedule D, Part VI a Did the organization report an amount for investments - other seurities in Part, line 12 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VII 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," omplete Shedule 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," omplete Shedule D, Part I d e Did the organization report an amount for other liailities in Part, line 25? If "Yes," omplete Shedule D, Part e f Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FIN 48 (ASC 740)? If "Yes," omplete Shedule D, Part f 12a Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I and II a Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then ompleting Shedule D, Parts I and II is optional Is the organization a shool desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E a Did the organization maintain an offie, 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, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," omplete Shedule F, Parts I and IV Did the organization report on Part I, olumn (A), line 3, more than $5,000 of grants or other assistane to or for any foreign organization? If "Yes," omplete Shedule F, Parts II and IV Did the organization report on Part I, olumn (A), line 3, more than $5,000 of aggregate grants or other assistane to or for foreign individuals? If "Yes," omplete Shedule F, Parts III and IV Did the organization report a total of more than $15,000 of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and 11e? If "Yes," omplete Shedule G, Part I (see instrutions) Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "Yes," omplete Shedule G, Part II Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If "Yes," omplete Shedule G, Part III a Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H a If "Yes" to line 20a, did the organization attah a opy of its audited finanial statements to this return?

4 Page 4 Part IV Cheklist of Required Shedules (ontinued) Yes No 21 Did the organization report more than $5,000 of grants or other assistane to any domesti organization or domesti government on Part I, olumn (A), line 1? If "Yes," omplete Shedule I, Parts I and II Did the organization report more than $5,000 of grants or other assistane to or for domesti individuals on Part I, olumn (A), line 2? If "Yes," omplete Shedule I, Parts I and III Did the organization answer "Yes" to Part VII, Setion A, line 3, 4, or 5 aout ompensation of the organization's urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? If "Yes," omplete Shedule J a Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of the last day of the year, that was issued after Deemer 31, 2002? If "Yes," answer lines 24 through 24d and omplete Shedule K. If "No," go to line 25a a Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption? Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds? d Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year? d 25a Setion 501()(3), 501()(4), and 501()(29) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Part I a Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, Part I Did the organization report any amount on Part, line 5, 6, or 22 for reeivales from or payales to any urrent or former offiers, diretors, trustees, key employees, highest ompensated employees, or disqualified persons? If "Yes," omplete Shedule L, Part II Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor or employee thereof, a grant seletion ommittee memer, or to a 35% ontrolled entity or family memer of any of these persons? If "Yes," omplete Shedule L, Part III Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part IV instrutions for appliale filing thresholds, onditions, and exeptions): a A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV a A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Part IV Did the organization reeive more than $25,000 in non-ash ontriutions? If "Yes," omplete Shedule M Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "Yes," omplete Shedule M Did the organization liquidate, terminate, or dissolve and ease operations? If "Yes," omplete Shedule N, Part I Did the organization sell, exhange, dispose of, or transfer more than 25% of its net assets? If "Yes," omplete Shedule N, Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes," omplete Shedule R, Part I Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete Shedule R, Part II, III, or IV, and Part V, line a Did the organization have a ontrolled entity within the meaning of setion 512()(13)? a If "Yes" to line 35a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 512()(13)? If "Yes," omplete Shedule R, Part V, line Setion 501()(3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes," omplete Shedule R, Part V, line Did the organization ondut more than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inome tax purposes? If "Yes," omplete Shedule R, Part VI Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to omplete Shedule O

5 Part V Statements Regarding Other IRS Filings and Tax Compliane Page Chek if Shedule O ontains a response or note to any line in this Part V Yes No 1a Enter the numer reported in Box 3 of Form Enter -0- if not appliale a 6 Enter the numer of Forms W-2G inluded in line 1a. Enter -0- if not appliale Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return a 39 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 e required to e-file (see instrutions) a Did the organization have unrelated usiness gross inome of $1,000 or more during the year? a If "Yes," has it filed a Form 990-T for this year? If "No" to line 3, provide an explanation in Shedule O a At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)? a If "Yes," enter the name of the foreign ountry: See instrutions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Finanial Aounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year? a Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? If "Yes" to line 5a or 5, did the organization file Form 8886-T? a Does the organization have annual gross reeipts that are normally greater than $100,000, and did the organization soliit any ontriutions that were not tax dedutile as haritale ontriutions? a If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile? Organizations that may reeive dedutile ontriutions under setion 170(). a Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and servies provided to the payor? a If "Yes," did the organization notify the donor of the value of the goods or servies provided? Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 8282? d If "Yes," indiate the numer of Forms 8282 filed during the year d e Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? e f Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? f g If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required?.. 7g h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C? h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have exess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxale distriutions under setion 4966? a Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Setion 501()(7) organizations. Enter: a Initiation fees and apital ontriutions inluded on Part VIII, line a Gross reeipts, inluded on Form 990, Part VIII, line 12, for puli use of lu failities Setion 501()(12) organizations. Enter: a Gross inome from memers or shareholders a Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.) a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041? a If "Yes," enter the amount of tax-exempt interest reeived or arued during the year Setion 501()(29) qualified nonprofit health insurane issuers. a Is the organization liensed to issue qualified health plans in more than one state? a Note. See the instrutions for additional information the organization must report on Shedule O. Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans Enter the amount of reserves on hand a Did the organization reeive any payments for indoor tanning servies during the tax year? a If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Shedule O

6 Governane, Management, and Dislosure Page 6 Part VI For eah "Yes" response to lines 2 through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part VI Setion A. Governing Body and Management 1a Enter the numer of voting memers of the governing ody at the end of the tax year 1a 14 If there are material differenes in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an exeutive ommittee or similar ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line 1a, aove, who are independent Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? Did the organization eome aware during the year of a signifiant diversion of the organization's assets? Did the organization have memers or stokholders? a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody? a Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following: a The governing ody? a Eah ommittee with authority to at on ehalf of the governing ody? Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization's mailing address? If "Yes," provide the names and addresses in Shedule O (This Setion B requests information aout poliies not required y the Internal Revenue Code.) Setion B. Poliies 10a Did the organization have loal hapters, ranhes, or affiliates? 10a If "Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exempt purposes? a Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form?.. 11a Desrie in Shedule O the proess, if any, used y the organization to review this Form a Did the organization have a written onflit of interest poliy? If "No," go to line a Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? 12 Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If "Yes," desrie in Shedule O how this was done Did the organization have a written whistlelower poliy? Did the organization have a written doument retention and destrution poliy? Did the proess for determining ompensation of the following persons inlude a review and approval y independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? a The organization's CEO, Exeutive Diretor, or top management offiial a Other offiers or key employees of the organization If "Yes" to line 15a or 15, desrie the proess in Shedule O (see instrutions). 16a Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year? a If "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization's exempt status with respet to suh arrangements? Setion C. Dislosure List the states with whih a opy of this Form 990 is required to e filed AZ Setion 6104 requires an organization to make its Forms 1023 (or 1024 if appliale), 990, and 990-T (Setion 501()(3)s only) availale for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite Another's wesite Upon request Other (explain in Shedule O) Desrie in Shedule O whether (and if so, how) the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year. State the name, address, and telephone numer of the person who possesses the organization's ooks and reords: LAUREN DASSE (520) , 2601 NORTH HIGHWAY 79, FLORENCE, AZ Yes Yes No No

7 Part VII Setion A. Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Page 7 Chek if Shedule O ontains a response or note to any line in this Part VII Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization's tax year. List all of the organization's urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -0- in olumns (D), (E), and (F) if no ompensation was paid. List all of the organization's urrent key employees, if any. See instrutions for definition of "key employee." List the organization's five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (Box 5 of Form W-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 offiers, key employees, and highest ompensated employees who reeived more than $100,000 of reportale ompensation from the organization and any related organizations. List all of the organization's former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $10,000 of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (C) (A) (B) Position (do not hek more than one (D) (E) (F) Name and Title Average ox, unless person is oth an Reportale Reportale Estimated hours per offier and a diretor/trustee) ompensation ompensation from amount of week (list any from related other hours for the organizations ompensation related organization (W-2/1099-MISC) from the organizations (W-2/1099-MISC) organization elow dotted and related line) organizations. Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former (1) (2) (3) (4) (5) (6) (7) (8) (9) AL ARPAD, ESQ BOARD PRESIDENT MILAGROS A. CISNEROS, ESQ VICE PRESIDENT HON. NOEL FIDEL, ESQ BOARD PRESIDENT EMERITUS SUSAN E. ANDERSON, ESQ DIRECTOR LETICIA HERNANDEZ 0.50 DIRECTOR LUIS IBARRA 0.50 DIRECTOR SAM ADAIR, ESQ DIRECTOR DAN BAGATELL, ESQ DIRECTOR IRA S. FELDMAN, CPA 1.00 TREASURER (10) MARGARET E. KIRCH 0.50 DIRECTOR (11) MARGARITA SILVA, ESQ SECRETARY (12) SARA AGNE 0.50 DIRECTOR (13) ANDREW SILVERMAN, JD 0.50 DIRECTOR (14) CINDY VILLANUEVA, ESQ DIRECTOR 0 0 0

8 Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (C) (A) (B) Position (D) (E) (F) (do not hek more than one Name and title Average ox, unless person is oth an Reportale Reportale Estimated hours per offier and a diretor/trustee) ompensation ompensation from amount of week (list any from related other hours for the organizations ompensation related organization (W-2/1099-MISC) from the organizations (W-2/1099-MISC) organization elow dotted and related line) organizations Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former (15) LAUREN DASSE EECUTIVE DIRECTOR 55, (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) 1 Su-total Total from ontinuation sheets to Part VII, Setion A d Total (add lines 1 and 1) , Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $100,000 of reportale ompensation from the organization 0 Yes No 3 Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line 1a? If "Yes," omplete Shedule J for suh individual For any individual listed on line 1a, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $150,000? If "Yes," omplete Shedule J for suh individual Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes," omplete Shedule J for suh person Setion B. Independent Contrators Complete this tale for your five highest ompensated independent ontrators that reeived more than $100,000 of ompensation from the organization. Report ompensation for the alendar year ending with or within the organization's tax year. (A) (B) (C) Name and usiness address Desription of servies Compensation 5 2 Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $100,000 of ompensation from the organization

9 Part VIII Contriutions, Gifts, Grants and Other Similar Amounts Other Revenue Statement of Revenue Page 9 Program Servie Revenue Chek if Shedule O ontains a response or note to any line in this Part VIII (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt usiness exluded from tax funtion revenue under setions revenue a Federated ampaigns a Memership dues Fundraising events d Related organizations d e Government grants (ontriutions).. 1e f All other ontriutions, gifts, grants, and similar amounts not inluded aove 1f 2,203,751 g Nonash ontriutions inluded in lines 1a-1f: $ h Total. Add lines 1a-1f ,203,751 Business Code 2a LEGAL SERVICES ,609 1,609 d e f All other program servie revenue g Total. Add lines 2a-2f ,609 3 Investment inome (inluding dividends, interest, and other similar amounts) Inome from investment of tax-exempt ond proeeds... 5 Royalties (i) Real (ii) Personal 6a Gross rents Less: rental expenses.... Rental inome or (loss)... d Net rental inome or (loss) a Gross amount from sales of (i) Seurities (ii) Other assets other than inventory Less: ost or other asis and sales expenses.... Gain or (loss) d Net gain or (loss) a Gross inome from fundraising events (not inluding $ of ontriutions reported on line 1). See Part IV, line a Less: diret expenses Net inome or (loss) from fundraising events a Gross inome from gaming ativities. See Part IV, line a Less: diret expenses Net inome or (loss) from gaming ativities a Gross sales of inventory, less returns and allowanes a Less: ost of goods sold Net inome or (loss) from sales of inventory Misellaneous Revenue Business Code 11a OTHER INCOME ,107 7,107 d All other revenue e Total. Add lines 11a-11d , Total revenue. See instrutions ,212,768 9,

10 Part I Statement of Funtional Expenses Page 10 Setion 501()(3) and 501()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A). Chek if Shedule O ontains a response or note to any line in this Part I Do not inlude amounts reported on lines 6, 7, (A) (B) (C) (D) 8, 9, and 10 of Part VIII. Total expenses Program servie Management and Fundraising expenses general expenses expenses 1 Grants and other assistane to domesti organizations and domesti governments. See Part IV, line Grants and other assistane to domesti individuals. See Part IV, line Grants and other assistane to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and Benefits paid to or for memers Compensation of urrent offiers, diretors, trustees, and key employees ,170 44,136 8,276 2,758 6 Compensation not inluded aove, to disqualified persons (as defined under setion 4958(f)(1)) and persons desried in setion 4958()(3)(B) Other salaries and wages , , ,702 40,901 8 Pension plan aruals and ontriutions (inlude setion 401(k) and 403() employer ontriutions).. 9 Other employee enefits ,169 92,935 17,425 5, Payroll taxes ,799 53,439 10,020 3, Fees for servies (non-employees): a Management Legal ,403 7,403 Aounting ,674 d Loying e Professional fundraising servies. See Part IV, line 17. f Investment management fees ,674 g Other. (If line 11g amount exeeds 10% of line 25, olumn (A) amount, list line 11g expenses on Shedule O.).. 12 Advertising and promotion ,847 11, Offie expenses ,716 54,536 10,908 7, Information tehnology Royalties Oupany ,514 48,386 9,677 6, Travel ,483 13,112 2,621 1, Payments of travel or entertainment expenses for any federal, state, or loal puli offiials Conferenes, onventions, and meetings ,604 2, Interest ,902 2, Payments to affiliates Depreiation, depletion, and amortization ,904 13,428 2,686 1, Insurane ,184 12,138 2,428 1, Other expenses. Itemize expenses not overed aove (List misellaneous expenses in line 24e. If line 24e amount exeeds 10% of line 25, olumn (A) amount, list line 24e expenses on Shedule O.) a d CLIENT SERVICES SOCIAL SERVICES LEGAL MATERIALS TRAINING 15,821 13,050 10,510 5,885 15,821 13,050 10,510 5,885 e All other expenses 7,001 6, Total funtional expenses. Add lines 1 through 24e. 1,336,654 1,045, ,236 83, Joint osts. Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation. Chek here if following SOP 98-2 (ASC )

11 Part Net Assets or Fund Balanes Liailities Assets Balane Sheet Page 11 Chek if Shedule O ontains a response or note to any line in this Part (A) (B) Beginning of year End of year 1 Cash - non-interest-earing , ,200 2 Savings and temporary ash investments , ,501 3 Pledges and grants reeivale, net , ,196 4 Aounts reeivale, net Loans and other reeivales from urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L 6 Loans and other reeivales from other disqualified persons (as defined under setion 4958(f)(1)), persons desried in setion 4958()(3)(B), and ontriuting employers and sponsoring organizations of setion 501()(9) voluntary employees' enefiiary organizations (see instrutions). Complete Part II of Shedule L 7 Notes and loans reeivale, net 7 8 Inventories for sale or use 8 9 Prepaid expenses and deferred harges , ,076 10a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D a 555,139 Less: aumulated depreiation , , , Investments - pulily traded seurities , , Investments - other seurities. See Part IV, line Investments - program-related. See Part IV, line Intangile assets Other assets. See Part IV, line , , Total assets. Add lines 1 through 15 (must equal line 34) , ,893, Aounts payale and arued expenses , , Grants payale Deferred revenue , Tax-exempt ond liailities Esrow or ustodial aount liaility. Complete Part IV of Shedule D Loans and other payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L Seured mortgages and notes payale to unrelated third parties , , Unseured notes and loans payale to unrelated third parties Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 17-24). Complete Part of Shedule D Total liailities. Add lines 17 through , ,758 Organizations that follow SFAS 117 (ASC 958), hek here and omplete lines 27 through 29, and lines 33 and Unrestrited net assets , , Temporarily restrited net assets , Permanently restrited net assets Organizations that do not follow SFAS 117 (ASC 958), hek here and omplete lines 30 through Capital stok or trust prinipal, or urrent funds Paid-in or apital surplus, or land, uilding, or equipment fund Retained earnings, endowment, aumulated inome, or other funds Total net assets or fund alanes , ,595, Total liailities and net assets/fund alanes , ,893,

12 Part I Part II Reoniliation of Net Assets Page 12 1 Total revenue (must equal Part VIII, olumn (A), line 12) 1 2 Total expenses (must equal Part I, olumn (A), line 25) Revenue less expenses. Sutrat line 2 from line Net assets or fund alanes at eginning of year (must equal Part, line 33, olumn (A)) Net unrealized gains (losses) on investments Donated servies and use of failities Investment expenses Prior period adjustments Other hanges in net assets or fund alanes (explain in Shedule O) Net assets or fund alanes at end of year. Comine lines 3 through 9 (must equal Part, line 33, olumn (B)) a 3a Chek if Shedule O ontains a response or note to any line in this Part I Finanial Statements and Reporting Chek if Shedule O ontains a response or note to any line in this Part II Aounting method used to prepare the Form 990: Cash Arual Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule O. Were the organization's finanial statements ompiled or reviewed y an independent aountant? If "Yes," hek a ox elow to indiate whether the finanial statements for the year were ompiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization's finanial statements audited y an independent aountant? If "Yes," hek a ox elow to indiate whether the finanial statements for the year were audited on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis If "Yes" to line 2a or 2, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant? If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O. As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-133? If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Shedule O and desrie any steps taken to undergo suh audits ,212,768 1,336, , ,742 (1,535) 2a 2 2 3a Yes 0 1,595,321 No 3

13 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Puli Charity Status and Puli Support Complete if the organization is a setion 501()(3) organization or a setion 4947(a)(1) nonexempt haritale trust. Attah to Form 990 or Form 990-EZ. Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E.) A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital's name, ity, and state: 5 An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170()(1)(A)(iv). (Complete Part II.) 6 7 A federal, state, or loal government or governmental unit desried in setion 170()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170()(1)(A)(vi). (Complete Part II.) 8 9 A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 33 1/3% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and (2) no more than 33 1/3% of its support from gross investment inome and unrelated usiness taxale inome (less setion 511 tax) from usinesses aquired y the organization after June 30, See setion 509(a)(2). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 509(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(2). See setion 509(a)(3). Chek the ox in lines 11a through 11d that desries the type of supporting organization and omplete lines 11e, 11f, and 11g. a Type I. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a majority of the diretors or trustees of the supporting organization. You must omplete Part IV, Setions A and B. Type II. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or management of the supporting organization vested in the same persons that ontrol or manage the supported organization(s). You must omplete Part IV, Setions A and C. Type III funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You must omplete Part IV, Setions A, D, and E. d Type III non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instrutions). You must omplete Part IV, Setions A and D, and Part V. e Chek this ox if the organization reeived a written determination from the IRS that it is a Type I, Type II, Type III funtionally integrated, or Type III non-funtionally integrated supporting organization. f g Enter the numer of supported organizations Provide the following information aout the supported organization(s). (A) Employer identifiation numer OMB No Open to Puli Inspetion (i) Name of supported organization (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of (desried on lines 1-9 listed in your governing support (see other support (see aove or IRC setion doument? instrutions) instrutions) (see instrutions)) Yes No (B) (C) (D) (E) Total For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ) 2014

Open to Public Inspection A For the 2015 calendar year, or tax year beginning, 2015, and ending,

Open to Public Inspection A For the 2015 calendar year, or tax year beginning, 2015, and ending, Form 990 Department of the Treasury Internal Revenue Servie OMB No. 1545-0047 Return of Organization Exempt From Inome Tax 2015 Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept

More information

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

Short Form 990-EZ Return of Organization Exempt From Income Tax Form B G I J K Short Form 990-EZ Return of Organization Exempt From Inome Tax 2014 Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial seurity

More information

Form 990 (2017) Page 2. Petfinder Foundation Statement of Program Service Accomplishments

Form 990 (2017) Page 2. Petfinder Foundation Statement of Program Service Accomplishments Part III Statement of Program Servie Aomplishments Form 990 (07) Page............................. Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization's

More information

Aruna Project Tax Return. Public Inspection Copy

Aruna Project Tax Return. Public Inspection Copy Aruna Projet 0 990 Tax Return Puli Inspetion Copy Form 990 (0) Page Part III Statement of Program Servie Aomplishments Briefly desrie the organization's mission: Did the organization undertake any signifiant

More information

TAX RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING. Copy

TAX RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING. Copy TA RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ DECEMBER, 0 Prepared for Prepared y Amount due or refund Make hek payale to Mail tax return and

More information

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

Short Form 990-EZ Return of Organization Exempt From Income Tax Form Short Form 990-EZ Return of Organization Exempt From Inome Tax 05 B Chek if appliale: G I J K Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept private foundations) Do not enter

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 22 Part II Sign Here 99 Department of the Treasury Internal Revenue Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 51(), 52, or 494(a)(1) of the Internal

More information

PUBLIC INSPECTION COPY

PUBLIC INSPECTION COPY 990 OMB. -00 Form Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private foundations) 0 Department of the Treasury Do not enter soial seurity numers on this form as it may e made puli.

More information

2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Form Part I Short Form 99-EZ Return of Organization Exempt From Inome Tax 213 Under setion 51(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter Soial Seurity numers

More information

TAX RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING

TAX RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING TA RETURN FILING INSTRUCTIONS ** FORM 990 PUBLIC DISCLOSURE COPY ** FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ Deemer, 0 Prepared for Prepared y National Non Profit For Amerians With Disailities, In. 90 Chestnut

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service OMB. 155-007 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 97(a)(1) of the Internal Revenue Code (exept private foundations) 01 Department of the Treasury Do not enter

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

AUBURN, IN Phone no May the IRS discuss this return with the preparer shown above? (see instructions)...

AUBURN, IN Phone no May the IRS discuss this return with the preparer shown above? (see instructions)... Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Form Under setion 01(), 27, or 97(a)(1) of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter Soial Seurity numers on this form as it may e made puli. Internal

More information

E. KATHLEEN STEVENS MEMBER/FOUNDER Type or print name and title Print/Type preparer's name

E. KATHLEEN STEVENS MEMBER/FOUNDER Type or print name and title Print/Type preparer's name Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

30417 GREATHEARTS AMERICA Client

30417 GREATHEARTS AMERICA Client 07 GREATHEARTS AMERICA 06 Client 990 Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this form

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private

More information

Do not enter Social Security numbers on this form as it may be made public.

Do not enter Social Security numbers on this form as it may be made public. OMB No. 155-007 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 97(a)(1) of the Internal Revenue Code (exept private foundations) 01 Department of the Treasury Internal

More information

NEIGHBORHOOD HOUSING SERVICES OF NEW HAVEN, INC. D Employer identification number

NEIGHBORHOOD HOUSING SERVICES OF NEW HAVEN, INC. D Employer identification number Form Department of the Treasury Internal Revenue Servie A B I J K Ativities & Governane Revenue Expenses Net Assets or Fund Balanes For the 05 alendar year, or tax year eginning Chek if appliale: Address

More information

PENCILS OF PROMISE INCORPORATED

PENCILS OF PROMISE INCORPORATED Form 990 (01) PENCILS OF PROMISE INCORPORATED 6-6187 Part III Statement of Program Servie Aomplishments 1 Chek if Shedule O ontains a response to any question in this Part III Briefly desrie the organization's

More information

Form 990 (2015) Did the organization undertake any significant program services during the year which were not listed on

Form 990 (2015) Did the organization undertake any significant program services during the year which were not listed on Form 990 (05) GREEN AMERICA 5-66076 Part III Statement of Program Servie Aomplishments Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization s mission:

More information

D Employer identification number WESTERN CLIMATE INITIATIVE, INC. Number and street (or P.O. box if mail is not delivered to street address)

D Employer identification number WESTERN CLIMATE INITIATIVE, INC. Number and street (or P.O. box if mail is not delivered to street address) Form Department of the Treasury Internal Revenue Servie A B I J K Ativities & Governane Revenue Expenses Net Assets or Fund Balanes For the 7 alendar year, or tax year eginning Chek if appliale: Address

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 50(), 57, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal Revenue

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial seurity numers

More information

GOOD SAMARITAN HEALTH CENTER OF GWINNETT INC. Employer identification number

GOOD SAMARITAN HEALTH CENTER OF GWINNETT INC. Employer identification number Form Department of the Treasury Internal Revenue Servie A B I J K For the 2012 alendar year, or tax year eginning Chek if appliale: Address hange Name hange Initial return Terminated 990 Ativities & Governane

More information

2013 Department of the Treasury Internal Revenue Service

2013 Department of the Treasury Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB 1545-0047 Return of Organization Exempt From Inome Tax Form 0 Under setion 501, 57, or 447(1) of the Internal Revenue Code (exept private foundations) 01 Department of

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 22 Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 501(), 527, or 97(a)(1) of the

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 501(), 57, or 4947(a)(1) of the Internal

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial seurity numers

More information

2014 Department of the Treasury

2014 Department of the Treasury FOR INFORMATIONAL PURPOSES ONLY OMB 1-007 Return of Organization Exempt From Inome Tax Form 990 Under setion 01(), 7, or 97(1) of the Internal Revenue Code (exept private foundations) 01 Department of

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service FOR INFORMATIONAL PURPOSES ONLY OMB 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 527, or 4947(1) of the Internal Revenue Code (exept private foundations) 2013 Department

More information

WATKINSVILLE, GA Phone no May the IRS discuss this return with the preparer shown above? (see instructions)...

WATKINSVILLE, GA Phone no May the IRS discuss this return with the preparer shown above? (see instructions)... Form Under setion 50(), 57, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

Return of Organization Exempt From Income Tax X SAME AS C ABOVE

Return of Organization Exempt From Income Tax X SAME AS C ABOVE Form Part I Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept

More information

Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 167 Pg 6 Form Department of the Treasury Internal Revenue Servie A B I J K Ativities & Governane Revenue Expenses Net Assets or Fund Balanes enefit trust or private foundation) The organization may have

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept lak lung enefit trust or private foundation) Department of the Treasury Internal Revenue Servie The organization may have to use

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Organization Exempt From Inome Tax 990 06 Chek if appliale: Address hange Name hange Initial return Final return/ terminated Doing usiness as Numer and street (or P.O. ox if mail is not delivered

More information

Form 990 (2014) (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

Form 990 (2014) (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) Form 990 (201) West Roane County Volunteer Fire De 62-1552398 Page 2 Part III Statement of Program Servie Aomplishments Chek if Shedule O ontains a response or note to any line in this Part III... 1 Briefly

More information

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER NORTHERN DENTAL ACCESS CENTER. Employer identification number

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER NORTHERN DENTAL ACCESS CENTER. Employer identification number Form Department of the Treasury Internal Revenue Servie A B I J K Ativities & Governane Revenue Expenses Net Assets or Fund Balanes For the 2011 alendar year, or tax year eginning Chek if appliale: Address

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 22 Part II 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private

More information

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (016) AREA 1-056658 Part III Statement of Program Servie Aomplishments 1 4 4a 4 Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization s mission:

More information

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

FOR TAX YEAR 2015 THE GRAY HAVEN PROJECT INC. Davis & Associates Accountants Inc PO BOX 458. Chesterfield, VA (804) FOR TA YEAR 05 THE GRAY HAVEN PROJECT INC Davis & Assoiates Aountants In PO BO 458 Chesterfield, VA 383 (804)45-553 Form 990 (05) The Gray Haven Projet In 7-3385507 Page Part III Statement of Program

More information

Forms 990 / 990-EZ Return Summary 182,576 5, ,195 33,057 1,055. Other. Other

Forms 990 / 990-EZ Return Summary 182,576 5, ,195 33,057 1,055. Other. Other Forms 990 / 990-EZ Return Summary For alendar year 0, or tax year eginning 0/0/, and ending 09/0/7 Gallup Puli Radio, In. -0909 Net Asset / Fund Balane at Beginning of Year 9,9 Revenue Contriutions Program

More information

Return of Organization Exempt From Income Tax X SAME AS C ABOVE

Return of Organization Exempt From Income Tax X SAME AS C ABOVE Form Part I Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 50(), 57, or 97(a)() of the Internal Revenue Code (exept private

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Form Under setion 0(), 7, or 7(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter Soial Seurity numers on this form as it may e made puli. Internal Revenue

More information

2016 Department of the Treasury

2016 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB -007 Return of Organization Exempt From Inome Tax Form 990 Under setion 0(), 7, or 97() of the Internal Revenue Code (exept private foundations) 0 Department of the Treasury

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service ** PUBLIC DISCLOSURE COPY ** OMB No. 155-007 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 97(a)(1) of the Internal Revenue Code (exept private foundations) 01 Department

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (06) SANTA FE COMMUNITY FOUNDATION 85-00044 Part III Statement of Program Servie Aomplishments 4 4a Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the

More information

Return of Organization Exempt From Income Tax X SAME AS C ABOVE

Return of Organization Exempt From Income Tax X SAME AS C ABOVE Form Part I Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 501(), 57, or 4947(a)(1) of the Internal

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

943 S 1st Street Louisville, KY Phone no May the IRS discuss this return with the preparer shown above? (see instructions)...

943 S 1st Street Louisville, KY Phone no May the IRS discuss this return with the preparer shown above? (see instructions)... 990 Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

9 9 MEMPHIS, TN Phone no. (901)

9 9 MEMPHIS, TN Phone no. (901) Form Under setion 501, 527, or 97(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) Department of the Treasury Internal Revenue Servie The organization may have to use

More information

** PUBLIC DISCLOSURE COPY ** *** ELECTRONICALLY FILED ON 10/01/2016 *** COPY

** PUBLIC DISCLOSURE COPY ** *** ELECTRONICALLY FILED ON 10/01/2016 *** COPY ** PUBLIC DISCLOSURE ** 1 *** ELECTRONICALLY FILED ON 10/01/016 *** Form 990 (01) EVERY MOTHER COUNTS -106 Part III Statement of Program Servie Aomplishments 1 a Chek if Shedule O ontains a response or

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form I Part I Ativities & Governane Revenue Expenses Part II Sign Here 990 Return of Organization Exempt From Inome Tax Under setion 50(), 57, or 97(a)() of the Internal Revenue Code (exept private foundations)

More information

NEW ALBANY, IN Phone no May the IRS discuss this return with the preparer shown above? (see instructions)...

NEW ALBANY, IN Phone no May the IRS discuss this return with the preparer shown above? (see instructions)... Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

Return of Organization Exempt From Income Tax. X Same as C above

Return of Organization Exempt From Income Tax. X Same as C above Form Part I 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 50(), 57, or 97(a)() of the Internal Revenue Code (exept private foundations)

More information

2012 Open to Public Inspection

2012 Open to Public Inspection ***PUBLIC INSPECTION COPY*** Form ETENSION GRANTED TO //0 990 Return of Organization Exempt From Inome Tax Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept lak lung enefit trust or private

More information

65250 FEEDING MATTERS, INC Client

65250 FEEDING MATTERS, INC Client 0 FEEDING MATTERS, INC. 07 Client 990 Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 501(), 57, or 97(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) Department of the Treasury Internal Revenue Servie The organization may have to

More information

UNITED WAY OF NORTHERN NEW MEXICO Form 990 (2015) SERVING LOS ALAMOS & RIO ARRIBA COUNTIES

UNITED WAY OF NORTHERN NEW MEXICO Form 990 (2015) SERVING LOS ALAMOS & RIO ARRIBA COUNTIES UNITED WAY OF NORTHERN NEW MEICO Form 990 (015) SERVING LOS ALAMOS & RIO ARRIBA COUNTIES -71897 II Statement of Program Servie Aomplishments 1 Chek if Shedule O ontains a response or note to any line in

More information

** PUBLIC DISCLOSURE COPY ** OMB No

** PUBLIC DISCLOSURE COPY ** OMB No ** PUBLIC DISCLOSURE COPY ** OMB 1-007 Return of Organization Exempt From Inome Tax Form 990 Under setion 01(), 7, or 97(1) of the Internal Revenue Code (exept private foundations) 01 Department of the

More information

622,417 9, ,356 34,118 25,666

622,417 9, ,356 34,118 25,666 Forms 990 / 990-EZ Return Summary For alendar year 2011, or tax year eginning World's Children, and ending 20-52765 Net Asset / Fund Balane at Beginning of Year 445,817 Revenue Contriutions Program servie

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I Ativities & Governane Revenue Expenses Part II 990 Return of Organization Exempt From Inome Tax Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept private foundations)

More information

Return of Organization Exempt From Income Tax X SAME AS C ABOVE

Return of Organization Exempt From Income Tax X SAME AS C ABOVE Form Part I Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Return of Organization Exempt From Inome Tax Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Department of the Treasury Internal Revenue Servie Under setion 01(), 7, or 97(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) The organization may have to use

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter soial seurity numers on this form as it may e made puli. Internal Revenue

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 Ativities & Governane Revenue Expenses 22 Part II Sign Here 990 Return of Organization Exempt From Inome Tax Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private

More information

Do not enter social security numbers on this form as it may be made public. Open to Public

Do not enter social security numbers on this form as it may be made public. Open to Public ** PUBLIC DISCLOSURE COPY ** OMB 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(1) of the Internal Revenue Code (exept private foundations) 015 Department

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 22 Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 501(), 527, or 4947(a)(1) of the

More information

CLEVELAND, OH Phone no May the IRS discuss this return with the preparer shown above? (see instructions)...

CLEVELAND, OH Phone no May the IRS discuss this return with the preparer shown above? (see instructions)... Form Under setion 501(), 527, or 97(a)(1) of the Internal Revenue Code (exept private foundations) Department of the Treasury u Do not enter Soial Seurity numers on this form as it may e made puli. Internal

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 9 0/7/0 :9 PM 990 Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this form as it may e made

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Department of the Treasury Internal Revenue Servie Under setion 501, 527, or 97(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) The organization may have to use

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Part I 1 Ativities & Governane Revenue Expenses Part II Sign Here 990 Return of Organization Exempt From Inome Tax Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private

More information

** PUBLIC DISCLOSURE COPY **

** PUBLIC DISCLOSURE COPY ** ** PUBLIC DISCLOSURE COPY ** OMB No. -007 Return of Organization Exempt From Inome Tax Form 990 Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) 06 Department of

More information

Instructions for filing the above forms are furnished for easy reference. Your copies should be retained for your files.

Instructions for filing the above forms are furnished for easy reference. Your copies should be retained for your files. Organi Consumers Assoiation 677 South Silver Hill Drive Finland, MN 60 Enlosed are the 0 Exempt Organization returns, as follows... 0 Form 990 0 Minnesota Annual Report Instrutions for filing the aove

More information

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO OMB No

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO OMB No PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 01817 OMB. 1-007 Return of Organization Exempt From Inome Tax Form 990 Under setion 01(), 7, or 97(a)(1) of the Internal Revenue Code (exept private foundations)

More information

428 MARILYN LANE ALCOA, TN Phone no May the IRS discuss this return with the preparer shown above? (see instructions)...

428 MARILYN LANE ALCOA, TN Phone no May the IRS discuss this return with the preparer shown above? (see instructions)... Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this form as it may e made puli. Internal Revenue

More information

Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 0067 //0 Pg Form Department of the Treasury Internal Revenue Servie A B I J K Ativities & Governane Revenue Expenses Net Assets or Fund Balanes enefit trust or private foundation) The organization may

More information

Do not enter Social Security numbers on this form as it may be made public.

Do not enter Social Security numbers on this form as it may be made public. ** PUBLIC DISCLOSURE COPY ** OMB 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(1) of the Internal Revenue Code (exept private foundations) 01 Department

More information

THE COLORADO NONPROFIT DEVELOPMENT X

THE COLORADO NONPROFIT DEVELOPMENT X Form 990 (0) Page Part III Statement of Program Servie Aomplishments Briefly desrie the organization's mission: Did the organization undertake any signifiant program servies during the year whih were not

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Return of Organization Exempt From Inome Tax OMB No. 1545-0047 Form Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 990 Do not enter Soial Seurity numers

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Return of Organization Exempt From Inome Tax 06 Department of the Treasury Internal Revenue Servie Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept private foundations)

More information

Form 990 (2014) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2014) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (014) AMERICAN HUMANE ASSOCIATION 84-04950 Part III Statement of Program Servie Aomplishments Chek if Shedule O ontains a response or note to any line in this Part III 1 Briefly desrie the organization

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 990 Form Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this form as it may e made puli. Internal

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 990-EZ Short Form Return of Organization Exempt From Inome Tax Under setion 501, 527, or 4947(1) of the Internal Revenue Code (exept private foundations) OMB 1545-1150 2015 Department of the Treasury

More information

Do not enter Social Security numbers on this form as it may be made public.

Do not enter Social Security numbers on this form as it may be made public. OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 01 Department of the Treasury Internal

More information

30420 GREAT HEARTS AMERICA-TEXAS Client

30420 GREAT HEARTS AMERICA-TEXAS Client 040 GREAT HEARTS AMERICA-TEAS 06 Client 990 Form Under setion 0(), 7, or 4947(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers

More information

2014 Department of the Treasury Internal Revenue Service. Do not enter social security numbers on this form as it may be made public.

2014 Department of the Treasury Internal Revenue Service. Do not enter social security numbers on this form as it may be made public. ETENDED TO NOVEMBER 16, 015 OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 014 Department

More information

2017 Department of the Treasury

2017 Department of the Treasury OMB -007 Return of Organization Exempt From Inome Tax Form 990 Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) 07 Department of the Treasury Do not enter soial

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Form Part I Part II 990 Return of Organization Exempt From Inome Tax Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept private foundations) F Name and address of prinipal offier:

More information

Filing Instructions 2015 FORM 990 ELECTRONIC FILING:

Filing Instructions 2015 FORM 990 ELECTRONIC FILING: Prepared for: Filing Instrutions Prepared y: BAY.ORG BARLOW & HUGHAN LLP THE EMBARCADERO AT BEACH STREET 118 MARKET STREET SUITE 400 SAN FRANCISCO, CA 941 SAN FRANCISCO, CA 9410-49 015 FORM 990 ELECTRONIC

More information

30415AMEND2 GREATHEARTS ARIZONA Client

30415AMEND2 GREATHEARTS ARIZONA Client 045AMEND GREATHEARTS ARIZONA 06 Client 990 Form Under setion 50(), 57, or 4947(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers

More information

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2016) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (016) AMERICAN REFUGEE COMMITTEE 6-10 Part III Statement of Program Servie Aomplishments 1 Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization

More information

The organization may have to use a copy of this return to satisfy state reporting requirements. Community Foundation of North Central Florida, Inc.

The organization may have to use a copy of this return to satisfy state reporting requirements. Community Foundation of North Central Florida, Inc. Form Department of the Treasury Internal Revenue Servie A B I J K Ativities & Governane Revenue Expenses Net Assets or Fund Balanes For the 2012 alendar year, or tax year eginning Chek if appliale: Address

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Form Under setion 0(), 7, or 97(a)() of the Internal Revenue Code (exept private foundations) Department of the Treasury Do not enter soial seurity numers on this form as it may e made puli. Internal Revenue

More information

** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax

** PUBLIC DISCLOSURE COPY ** Return of Organization Exempt From Income Tax Form Department of the Treasury Internal Revenue Servie Under setion 01(), 7, or 97(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) The organization may have to use

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 013 Department of the Treasury Do

More information