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2 Form 99-PF (213) Page 2 17M il B a lance Sheets Attached schedules and amounts in the description column Beginning of year End of year should e for end-of-year amounts only (See instructions. ) ( a) Book Value () Book Val ue (c) Fair Market Value 1 Cash-non-interest-earing Savings and temporary cash investments Accounts receivale Less: allowance for doutful accounts Pledges receivale Less- allowance for doutful accounts Grants receivale Receivales due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions).. o 7 Other notes and loans receivale (attach schedule) Less. allowance for doutful accounts N 8 Inventories for sale or use N 9 Prepaid expenses and deferred charges < 1a Investments-U.S and state government oligations (attach schedule) Investments-corporate stock (attach schedule)..... c Investments-corporate onds (attach schedule).. 11 Investments-land, uildings, and equipment asis Less. accumulated depreciation (attach schedule) Investments-mortgage loans Investments-other (attach schedule) Land, uildings, and equipment asis Less, accumulated depreciation (attach schedule) Other assets (descrie ) Total assets (to e completed y all filers-see the instructions. Also, see page 1, item I) o 17 Accounts payale and accrued expenses N 18 Grants payale Deferred revenue.... o 2 Loans from officers, directors, trustees, and other disqualified persons 21 Mortgages and other notes payale (attach schedule)... J 22 Other liailities (descrie ) Total liailities (add lines 17 through 22) U) Foundations that follow SFAS 117, check here.. q d) and complete lines 24 through 26 and lines 3 and 31. C to 24 Unrestricted m 25 Temporarily restricted Permanently restricted Foundations that do not follow SFAS 117, check here q LL and complete lines 27 through 31. L_ 27 Capital stock, trust principal, or current funds... W 28 Paid -in or capital surplus, or land, ldg., and equipment fund N 29 Retained earnings, accumulated income, endowment, or other funds a 3 Total net assets or fund - alances (see_instructions)_.-..- _ d) 31 Total liailities and net assets /fund alances (see Z instructions) LZE 1W Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund alances at eginning of year-part II, column (a), line 3 (must agree with end-of-year figure reported on prior year's return ) Enter amount from Part I, line 27a Other increases not included in line 2 (itemize) 3 4 Add lines 1, 2, and Decreases not included in line 2 (itemize ) 5 6 Total net assets or fund alances at end of year (line 4 minus line 5)-Part II, column (), line 3 6 Form 99-PF (213)

3 Form 99-PF (213) Page 3 MUM Canital Gains and Losses for Tax on Investment Income 1a c d e a c d e a C d e None (a) List and descrie the kind(s) of property sold (e g, real estate, 2-story rick warehouse, or common stock, 2 shs MLC Co) (e) Gross sales price ( 1) Depreciation allowed (or allowale) () How acquired P-Purchase D-Donation (g) Cost or other asis plus expense of sale (c) Date acquired (Mo. day, yr) (h) Gain or (loss) ( e) plus ( f) minus (g) (d) Date sold (mo, day, yr) Complete only for assets showing gain in column (h) and owned y the foundation on 12/31/69 (I) Gains (Col (h) gain minus (^ F M V as of 12/31/69 U) Adjusted asis (k) Excess of col () col not less --) or ^Lout than as of 12/31/69 over col U), if any (from col (h)) 2 Capital gain net income or (net capital loss) ( If gain, also enter in Part I, line 7 l If (loss), enter -- in Part I, line Net short-term capital gain or (loss) as defined in sections 1222(5) and (6). If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -- in Part 1, Ilne LAM Qualification Under Section 494 (e) for Reduced Tax on Net Investment Income (For optional use y domestic private foundations suject to the section 494(a) tax on net investment income.) If section 494(d)(2) applies, leave this part lank. Was the foundation liale for the section 4942 tax on the distriutale amount of any year in the ase period? q Yes I No If "Yes," the foundation does not qualify under section 494(e) Do not complete this part. 1 Enter the appropriate amount in each column for each year; see the instructions efore making any entries. Base period years Adjusted qualifying distriutions Net value of noncharitale- use assets Distriution ratio Calendar year (or tax year eginning in) (col () divided y col (c)) Total of line 1, column (d) 2 3 Average distriution ratio for the 5-y ear. ase... eriod d ivide the tota l on lin e 2 y 5, _ jr-y-et ^ - onumer of years the foundation has een in existence if less than 5 years Enter the net value of noncharltale-use assets for 213 from Part X, line Multiply line 4 y line Enter 1 % of net investment income (1 % of Part I, line 27 ) Add lines 5 and Enter qualifying distriutions from Part XII, line If line 8 is equal to or greater than line 7, check the ox in Part VI, line 1, and complete that part using a 1 % tax rate. See the Part VI Instructions. Form 99-PF (213)

4 Form 99 -PF (213) Page 4 Excise Tax Based on Investment Income (Section 494 (a), 494(), 494 (e), or see instructions) la Exempt operating foundations descried in section 494(d)(2), check here and enter "N/A" on line 1. Date of ruling or determination letter (attach copy of letter if necessary - see instructions) Domestic foundations that meet the section 494(e) requirements in Part V, check 1 here q and enter 1 % of Part I, line 27 c Qll other domestic foundations enter 2% of line 27. Exempt foreign organizations enter 4% of Part I, line 12, col. (). 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxale foundations only Others enter --) 2 3 Add lines 1 and Sutitle A (income) tax (domestic section 4947(a)(1) trusts and taxale foundations only. Others enter --) 4 5 Tax ased on investment income. Sutract line 4 from line 3. If zero or less, enter Credits/Payments: a 213 estimated tax payments and 212 overpayment credited to 213 6a Exempt foreign organizations-tax withheld at source c Tax paid with application for extension of time to file (Form 8868). 6c d Backup withholding erroneously withheld.... 6d 7 Total credits and payments. Add lines 6a through 6d Enter any penalty for underpayment of estimated tax. Check here q if Form 222 is attached 8 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid Enter the amount of line 1 to e Credited to 214 estimated tax Refunded 11 Statements Regarding Activities la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it Yes No participate or intervene in any political campaign? a,/ Did it spend more than $1 during the year (either directly or indirectly) for political purposes (see Instructions for the definition) If the answer is "Yes" to la or l, attach a detailed description of the activities and copies of any materials pulished or distriuted y the foundation in connection with the activities. c Did the foundation file Form 112-POL for this year? c 3 d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the foundation. $ (2) On foundation managers $ e Enter the reimursement (if any) paid y the foundation during the year for political expenditure tax imposed on foundation managers. $ 2 Has the foundation engaged in any activities that have not previously een reported to the IRS? If "Yes, " attach a detailed description of the activities. 3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or ylaws, or other similar instruments? 4a Did the foundation have unrelated usiness gross income of $1, or more during the year? a 3 If "Yes," has it filed a tax return on Form 99-T for this year? Was there a liquidation, termination, dissolution, or sustantial contraction during the year? 5 3 If "Yes, " attach the statement required y General Instruction T 6 Are the requirements of section 58(e) (relating to sections 4941 through 4945) satisfied either: By language in the governing instrument, or By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with th e state law re main in the governing instrument? 6 -V-- 7 Did the foundation have at least $5, in assets at any time during the ear's 8a Enter the states to which the foundation reports or with which it is registered (see instructions) If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 99-PF to the Attorney General (or designate) of each state as required y General Instruction G" If "No, " attach explanation Is the foundation claiming status as a private operating foundation within the meaning of section 4942)(3) or 4942)(5) for calendar year 213 or the taxale year eginning in 213 (see instructions for Part XIV)? If "Yes," complete Part XIV Did any persons ecome sustantial contriutors during the tax year? If "Yes," attach a schedule listing their names and addresses Form 99-PF (213)

5 Form 99-PF (2613) Page 5 Statements Regarding Activities (continued) 11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of section 512()(13)? If "Yes," attach schedule (see instructions) Did the foundation make a distriution to a donor advised fund over which the foundation or a disqualified person had advisory privileges? If "Yes," attach statement (see instructions ) Did the foundation comply with the pulic inspection requirements for its annual returns and exemption application? 13 3 Wesite address The ooks are in care of Telephone no Located at ZIP Section 4947(a)(1) nonexempt charitale trusts filing Form 99-PF in lieu of Form 141 -Check here.... q and enter the amount of tax-exempt interest received or accrued during the year At any time during calendar year 213, did the foundation have an interest in or a signature or other authority Yes No over a ank, securities, or other financial account in a foreign country? See the instructions for exceptions and filing requirements for Form TD F If "Yes," enter the name of the foreign country la Statements Regarding Activities for Which Form 472 May Be Require d File Form 472 if any item is checked in the " Yes" column, unless an exception applies. During the year did the foundation (either directly or indirectly). (1) Engage in the sale or exchange, or leasing of property with a disqualified person'? (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? q Yes (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? q Yes (4) Pay compensation to, or pay or reimurse the expenses of, a disqualified person? q Yes (5) Transfer any income or assets to a disqualified person (or make any of either availale for the enefit or use of a disqualified person)? q Yes E] No q No [Z] No q No (6) Agree to pay money or property to a government official? (Exception. Check "No" if the foundation agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 9 days.)..... q Yes q3 No If any answer is "Yes" to 1 a(lh6), did any of the acts fail to qualify under the exceptions descried in Regulations section (d)-3 or in a current notice regarding disaster assistance (see instructions)?.... Organizations relying on a current notice regarding disaster assistance check here.... c Did the foundation engage in a prior year in any of the acts descried in 1a, other than excepted acts, that were not corrected efore the first day of the tax year eginning in Taxes on failure to distriute income (section 4942) (does not apply for years the foundation was a private operating foundation defined in section 4942)(3) or 4942)(5)): a At the end of tax year 213, did the foundation have any undistriuted income (lines 6d and 6e, Part XIII) for tax year(s) eginning efore 213? q Yes Zi No If "Yes," list the years 2, 2, 2, Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistriuted income'? (If applying section 4942(a)(2) to all years listed, answer "No" and attach statement-see instructions.) c If the provisions of section 4942(a)(2) are eing applied to any of the years listed in 2a, list the years here. 2 2, 2 2 3a Did the foundation hold more than a 2% direct or indirect interest in any usiness enterprise at any time during the year?. q Yes No 4a If "Yes," did it have excess usiness holdings in 213 as a result of (1) any purchase y the foundation or disqualified persons after May 26, 1969 ; (2) the lapse of the 5-year period (or longer period approved y the Commissioner under section 4943 (c)(7)) to dispose of holdings acquired y gift or equest, or (3) the lapse of the 1 -, 15-, or 2 - year first phase holding period? (Use Schedule C, Form 472, to determine if the foundation had excess usiness holdings in 213.) Did the foundation invest during the year any amount in a manner that would j eopardize its charitale purposes? Did the foundation make any investment in a prior year (ut after Decemer 31, 1969 ) that could jeopardize its charitale purpose that had not een removed from jeopardy efore the first day of the tax year eginning in 213? q No Yes No 1 3 1c I I J a 3 I4I I 3 Form 99-PF (213)

6 Form 99 -PF (2613) Statements Regarding Activit ies for Which Form 472 May Be Required (continued) 5a During the year did the foundation pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? q Yes q No (2) Influence the outcome of any specific pulic election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? q Yes q No (3) Provide a grant to an individual for travel, study, or other similar purposes?..... q Yes 21 No (4) Provide a grant to an organization other than a charitale, etc., organization descried in section 59(a)(1), (2), or (3), or section 494(d)(2)? (see instructions) q Yes 2] No (5) Provide for any purpose other than religious, charitale, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? No If any answer is "Yes" to 5a(1}{5), did any of the transactions fail to qualify under the exceptions descried in Regulations section or in a current notice regarding disaster assistance (see instructions )?... 5 Organizations relying on a current notice regarding disaster assistance check here q c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax ecause it maintained expenditure responsiility for the grant? q Yes No If "Yes, " attach the statement required y Regulations section (d). 6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? q Yes q No Did the foundation, during the year, pay premiums, directly or indirectly, on a personal enefit contract?. 6 If "Yes" to 6, file Form a At any time during the tax year, was the foundation a party to a prohiited tax shelter transaction? q Yes R] No If "Yes," did the foundation receive any proceeds or have any net income attriutale to the transaction? 7 Information Aout Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation (see instructions). (a) Name and address () Title, and average (c) Compensation (d) Contriutions to hours per week ( H not paid, employee enefit plans devoted to position enter --) and deferred compensation Page 6 (e) Expense account, other allowances Victor Minikwu Executive Director Endwell Chimera Oma Megulua Vanessa Mills 2 compensation of five highest-paid employees (other than those included on line 1-see instructions). If none, enter "NONE." None (a) Name and address of each employee paid more than $5, () Title, and average hours per week devoted to position (c) Compensation (d) Contriutions to employee enefit plans and deferred compensation (e) Expense account, other allowances Total numer of other employees paid over $5,... Form 99U-Fl(213)

7 Form 99-PF (2613) Page 7 Information Aout Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest - paid independent contractors for professional services (see instructions ). If none, enter " NON E." (a) Name and address of each person paid more than $5, () Type of service ( c) Compensation None Total numer of others receiving over $5, for professional services Offl7iM, Summary of Direct Charitale Activities List the foundation's four largest direct charitale activities during the tax year Include relevant statistical information such as the numer of organizations and other eneficiaries served, conferences convened, research papers produced, etc Expenses 1 None IP :ff Summary of Program - Related Investments (see instructions) Descrie the two largest program-related investments made y the foundation during the tax year on lines 1 and 2 Amount 1 None All other program-related investments See instructions 3 - None Total. Add lines 1 through 3... Eorm_99-P_F_(213) -

8 Form 99-PF (2613) Page 8 Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions. ) 1 Fair market value of assets not used (or held for use) directly in carrying out charitale, etc., purposes. a Average monthly fair market value of securities la Average of monthly cash alances l c Fair market value of all other assets (see instructions ) c d Total (add lines 1a,, and c ) d e Reduction claimed for lockage or other factors reported on lines la and 1 c (attach detailed explanation) le 2 Acquisition indetedness applicale to line 1 assets Sutract line 2 from line 1d Cash deemed held for charitale activities. Enter 1 1/2 % of line 3 (for greater amount, see instructions) Net value of noncharitale-use assets. Sutract line 4 from line 3. Enter here and on Part V, line Minimum investment return. Enter 5% of line Distriutale Amount (see instructions) (Section 4942)(3) and (j)(5) private operating foundations and certain foreign organizations check here E] and do not complete this part.) 1 Minimum investment return from Part X, line a Tax on investment income for 213 from Part VI, line a Income tax for 213. (This does not include the tax from Part VI.).. 2 c Add lines 2a and c 3 Distriutale amount efore adjustments. Sutract line 2c from line Recoveries of amounts treated as qualifying distriutions Add lines 3 and Deduction from distriutale amount (see instructions) 6 7 Distriutale amount as adjusted Sutract line 6 from line 5. Enter here and on Part XIII, line Qualifying Distriutions (see instructions) 1 Amounts paid (including administrative expenses) to accomplish charitale, etc., purposesa Expenses, contriutions, gifts, etc -total from Part I, column (d), line la Program-related investments-total from Part IX-B l 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitale, etc., purposes Amounts set aside for specific charitale projects that satisfy the: a Suitaility test (prior IRS approval required) a Cash distriution test (attach the required schedule) Qualifying distriutions. Add lines 1a through 3. Enter here and on Part V, line 8, and Part XIII, line Foundations that qualify under section 494(e) for the reduced rate of tax on net investment income. Enter 1 % of Part I, line 27 (see instructions) Adjusted qualifying distriutions. Sutract line 5 from line Note. The amount on line 6 will e used in Part V, column (), in susequent years when calculating whether the foundation qualifies for the section 494(e) reduction of tax in those years Form 99-P P(213)

9 Form'99 -PF (213) Undistriuted Income (see instruct 1 Distriutale amount for 213 from Part XI, line Undistriuted income, if any, as of the end of 213: a Enter amount for 212 only... Total for prior years- 22,2 3 Excess distriutions carryover, if any, to 213: a From From c From d From e From f Total of lines 3a through e Qualifying distriutions for 213 from Part XII, line 4: $ a c Applied to 212, ut not more than line 2a Applied to undistriuted income of prior years (Election required-see instructions).. Treated as distriutions out of corpus (Election required-see instructions). d Applied to 213 distriutale amount e Remaining amount distriuted out of corpus 5 Excess distriutions carryover applied to 213 (If an amount appears in column (d), the same amount must e shown in column (a).) 6 Enter the net total of each column as indicated elow: a Corpus Add lines 3f, 4c, and 4e Sutract line 5 Prior years' undistriuted income. Sutract line 4 from line 2. c Enter the amount of prior years' undistriuted income for which a notice of deficiency has een issued, or on which the section 4942(a) tax has een previously assessed.... d Sutract line 6c from line 6 Taxale amount-see instructions. e Undistriuted income for 212. Sutract line 4a from line 2a. Taxale amount-see instructions f Undistriuted income for 213. Sutract lines 4d and 5 from line 1. This amount must e distriuted in Amounts treated as distriutions out of corpus to satisfy requirements imposed -y section 17()(1)(F) or 4942(g)(3) (see instructions). 8 Excess distriutions carryover from 28 not applied on line 5 or line 7 (see instructions). 9 Excess distriutions carryover to 214. Sutract lines 7 and 8 from line 6a... 1 Analysis of line 9: a Excess from 29 Excess from 21 c Excess from 211 d Excess from e Excess from (a) () (c) (d) Corpus Years pnorto Page 9 o o Form 99-PF (213)

10 Form'99-PF (213) 1 Private Ooeratina Foundations (see instructions and Part VII-A, question 9) 1a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 213, enter the date of the ruling Check ox to indicate whether the foundation is a private operating foundation descried in section q 4942)(3) or q 4942)(5) 2a Enter the lesser of the adjusted net Tax year Prior 3 years income from Part I or the minimum (e) Total (a) 213 () 212 (c) 211 (d) 21 'investment return from Part X for each year listed %ofline2a... c Qualifying distriutions from Part XII, line 4 for each year listed d Amounts included in line 2c not used directly for active conduct of exempt activities e Qualifying distriutions made directly for active conduct of exempt activities. Sutract line 2d from line 2c... 3 Complete 3a,, or c for the alternative test relied upon. a "Assets" alternative test-enter (1) Value of all assets. (2) Value of assets qualifying under section 4942)(3)(B)(i). "Endowment" alternative test-enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed c "Support" alternative test-enter. (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties).. (2) Support from general pulic and 5 or more exempt organizations as provided in section 4942)(3)(B)(ni).. (3) Largest amount of support from an exempt organization... o (4) Gross investment income Supplementary information (Complete this part only if the foundation had $5, or more in assets at any time during the year-see instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contriuted more than 2% of the total contriutions received y the foundation efore the close of any tax year (ut only if they have contriuted more than $5,). (See section 57(d)(2) ) List any managers of the foundation who own 1% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 1% or greater interest. 2 Information Regarding Contriution, Grant, Gift, Loan, Scholarship, etc., Programs: C- eck-here- ation-only-makes- contra uo n s-to-preselected -charitale -organizations -and-does-not-accept unsolicited requests for funds. If the foundation makes gifts, grants, etc (see instructions) to individuals or organizations under other conditions, complete items 2a,, c, and d. a The name, address, and telephone numer or address of the person to whom applications should e addressed: The form in which applications should e sumitted and information and materials they should include: c Any sumission deadlines: d Any restrictions or limitations on awards, such as y geographical areas, charitale fields, kinds of institutions, or other factors: Form 99-PF (213)

11 Form 99-PF (213) Page 11 Supplementary Information (continued) 3 Grants and Contriutions Paid During the Year or Approved for Future Payment a Recipient Name and address (home or usiness) Paid during the year If recipient is an individual, show any relationship to any foundation manager or sustantial contriutor Foundation status of recipient Purpose of grant or contriution None Amount None Total a Approved for future payment Total Form 99-PF (213)

12 Form'99-PF (213 ) Page 12 Analysis of Income - Producing Activities Enter gross amounts unless otherwise indicated. Unrelated usiness income Excluded y section 512, 513, or 514 (e) (a) Business code () Amount Program service revenue: a c d e f g Fees and contracts from government agencies 16,955 2 Memership dues and assessments 3 Interest on savings and temporary cash investments 4 Dividends and interest from securities Net rental income or (loss) from real estate: a Det-financed property Not det-financed property 6 Net rental income or (loss) from personal property 7 Other investment income Gain or (loss) from sales of assets other than inventory 9 Net income or (loss) from special events... 1 Gross profit or (loss) from sales of inventory 11 Other revenue: a c d e 12 Sutotal. Add columns (), (d), and ( e)... 16,955 (C) Exclusion code (d ) Amount Related or exempt function income (See instructions.) 13 Total. Add line 12, columns (), (d), and (e) ,955 (See worksheet in line 13 instructions to verify calculation s.)

13 Foirn 99-PF (213) Page 13 Information Regarding Transfers To and Transactions and Relationships With Noncharitale Exempt Organizations 1 Did the organization directly or indirectly engage in any of the following with any other organization descried Yes No in section 51(c) of the Code (other than section 51(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting foundation to a nonchantale exempt organization of: (1) Cash a(1) 3 (2) Other assets la(2) 1 I 3 Other transactions- (1) Sales of assets to a nonchantale exempt organization (1) 3 (2) Purchases of assets from a nonchantale exempt organization l(2) 3 (3) Rental of facilities, equipment, or other assets l(3) 3 (4) Reimursement arrangements (4) 3 (5) Loans or loan guarantees (5) 1 I 3 (6) Performance of services or memership or fundraising solicitations (6) 1 I 3 c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c 3 d If the answer to any of the aove is "Yes," complete the following schedule. Column () should always show the fair m arket value of the goods, other assets, or services given y the reporting foundation. If the foundation received less than fair m arket value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services recei ved. 2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations descried in section 51(c) of the Code (other than section 51(c)(3)) or in section 527'.. q Yes 3q No If "Yes," complete the following schedule. (a) Name of organization I () Type of organization I (c) Description of relationship Sign Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the est of my knowledge and elief, it is true, correct, and complete Declaration of preparer (other than taxpayer) is ased on Here ^ GlZ,,c - Signature of officer or trustee Paid Preparer Use Only Print/Type preparer' s name Firm's name to Preparer 's signatur

14 Click here for Pending Payments PAGE: 1 VENDOR PAYMENT HISTORY RECORDS FOR FEID / SSN : PAYMENT DATE PAYMENT NUMBER PAYEE NAME PAYMENT TYPE AGENCY DOC NBR INVOICE NUMBER INVOICE AMOUNT 213/1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT6339 EKYE /1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT6339 EKYE3351 1, /1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT6339 EKYE3361 1, /1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT6339 EKYH611 1,334 *PAYMENT TOTAL: 4,66. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT722 EKZ ,59 FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ , /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ , /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ , /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ , /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ , /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT7377 EKZ ,668 'PAYMENT TOTAL: 16,898. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /2 / VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT777 EKZC7171 2,668

15 PAYMENT PAYMENT PAYEE NAME PAYMENT TYPE AGENCY INVOICE INVOICE AMOUNT DATE NUMBER DOC NBR NUMBER FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT792 EKZD4291 1, /2/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT792 EKZD4541 1,334 'PAYMENT TOTAL : 3,113. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /3/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT8396 EKZR /3/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT8396 EKZR7171 1,779 'PAYMENT TOTAL : 3,113. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /3/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT8814 EKZX5121 1, /3/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT8814 EKZX5721 1,334 *PAYMENT TOTAL: 2,668. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /3/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT9163 EL ,59 FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /4/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT9464 EL , /4/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT9464 EL8571 1, 779

16 PAYMENT PAYMENT PAYEE NAME PAYMENT TYPE AGENCY INVOICE INVOICE AMOUNT DATE NUMBER DOC NBR NUMBER *PAYMENT TOTAL: 3,113. FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85) iii...i...ii...K...i :..,...iiiiii.ii +:: i: i ii:.:...,.ii:.:i,..i..i.i.iii.i..i..i,..i...i..ii...iii,.i..i..i /5/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT1567 ELOT7781 2, /5/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT1567 ELOT 'PAYMENT TOTAL: 3,924. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /5/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT11244 EL , /5/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT EL , /5/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT EL ,779 'PAYMENT TOTAL: 4,892. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) «.+...i...i.i...ii...i...,,iii.iii.iii...iiiiiiiiiiii...i...i...iiiii..ii...iii...i.,'...:...i...i..iii...i...i...i..i...iiiiii.ii.iiiii..i.iii...+i. 213/6/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT11433 EL1B FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) f1-iiifmifiihiiii'!lfhffffffmfmiitimhf -ItffFfNlffYMffffNf-FFfit 'ffffiiiifffff-ffyfyftftffffhf fltinihmfliff trfkilf-k'!'mhif.hfimihlifiiiiiitmkl -ihiiihfiihhffffhihfhfiy1fnnfflm 213/6/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT11766 EL1E9411 1,334 FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85 ) /6/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT12188 EL1L9421 1, /6/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT12188 EL ,59.

17 PAYMENT PAYMENT PAYEE NAME PAYMENT TYPE AGENCY INVOICE INVOICE AMOUNT DATE NUMBER DOC NBR NUMBER 213/6/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT12188 EL1Q *PAYMENT TOTAL: 5,511. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /6/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT1254 ELlK1981 1,59 FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) /7/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT563 EL /7/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT563 EL /7/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT563 EL ,779 *PAYMENT TOTAL: 4,447. FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85 ) /7/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT657 EL2A9321 2, /7/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT657 EL2A /7/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT657 EL2A9481 1,779 *PAYMENT TOTAL: 5,781. FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85 ) /8/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT168 EL2K /8/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT168 EL2K /8/ VICTORY COMMUNITY SERVICES,-INC REGULAR WARRANT VT168 EL2K8531 2, /8/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT168 EL2K8581 2, /8/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT168 EL2L6341 1,334.

18 PAYMENT PAYMENT PAYEE NAME PAYMENT TYPE AGENCY INVOICE INVOICE AMOUNT DATE NUMBER DOC.NBR NUMBER 213/8/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT168 EL2L6381 1, /8/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VTO168 EL2L651 22,668, 'PAYMENT TOTAL: 12,82. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /9/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT1941 EL3H /9/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT1941 EL3H /9/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT1941 EL3H6641 1,779 *PAYMENT TOTAL: 4,622. FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85 ) /1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT2512 EL3W FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT2573 EL3W7521 1, /1/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT2573 EL3W *PAYMENT TOTAL: 3,18. FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85) / 11/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT312 EL ,779

19 PAYMENT PAYMENT PAYEE NAME PAYMENT TYPE AGENCY INVOICE INVOICE AMOUNT DATE NUMBER DOC NBR NUMBER FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85) / 11/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT338 EL /11/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT338 EL4D 'PAYMENT TOTAL: 1,938. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /11/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT3668 EL4M FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT3852 EL4P , FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85 ) / 12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT3872 EL4R4351 ),334 FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) /12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT3959 EL4R9261 1,334. FOR ADDITIONAL INFORMATION PLEASE CONTACT : DEPARTMENT OF EDUCATION AT (85) / 12/ VICTORY COMMUNITY SERVICES,-INC REGULAR WARRANT VT4229 EL4X / 12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT4229 EL4X5671 2, / 12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT4229 EL4ZO191 1,334.

20 PAYMENT PAYMENT PAYEE NAME PAYMENT TYPE AGENCY INVOICE INVOICE AMOUNT DATE NUMBER DOC NBR. NUMBER 213/ 12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT4229 EL4Z1291 1,779. *PAYMENT TOTAL: 7,56. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85 ) / 12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT4331 EL , /12/ VICTORY COMMUNITY SERVICES, INC REGULAR WARRANT VT4331 EL ,779. 'PAYMENT TOTAL: 4,194. FOR ADDITIONAL INFORMATION PLEASE CONTACT: DEPARTMENT OF EDUCATION AT (85)