PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO Short Form Return of Organization Exempt From Income Tax

Transcription

1 Form 990-EZ PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 900 Short Form Return of Organization Exempt From Inome Tax Under setion 0(),, or 9() of the Internal Revenue Code (exept private foundations) OMB -0 0 Department of the Treasury Internal Revenue Servie Open to Puli Inspetion A For the 0 alendar year, or tax year eginning and ending B Chek if appliale: C Name of organization D Employer identifiation numer Address hange Name hange UNCHAINED AT LAST, INC -09 Initial return Numer and street (or P.O. ox, if mail is not delivered to street address) Room/suite E Telephone numer Final return/ terminated 0 LENO AVE Amended return City or town, state or provine, ountry, and ZIP or foreign postal ode F Group Exemption WESTFIELD, NJ 0090 Appliation pending Numer G Aounting Method: Cash Arual Other (speify) H Chek if the organization is I Wesite: not required to attah Shedule B J Tax-exempt status (hek only one) 0()() 0() ( ) (insert no.) 9() or (Form 990, 990-EZ, or 990-PF). K Form of organization: Corporation Trust Assoiation Other Revenue Expenses Net Assets 9 0 a d Memership dues and assessments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment inome SEE SCHEDULE O. Total revenue. Add lines,,,,, d,, and Oupany, rent, utilities, and maintenane ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Printing, puliations, postage, and shipping ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~,. Other expenses (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE SCHEDULE O,. Total expenses. Add lines 0 through,. Exess or (defiit) for the year (Sutrat line line 9) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 9, Do not enter soial seurity numers on this form as it may e made puli. Information aout Form 990-EZ and its instrutions is at L Add lines,, and to line 9 to determine gross reeipts. If gross reeipts are $00,000 or more, or if total assets (I, olumn (B) elow) are $00,000 or more, file Form 990 instead of Form 990-EZ $ 9,. Revenue, Expenses, and Changes in Net Assets or Fund Balanes (see the instrutions for ) Chek if the organization used Shedule O to respond to any question in this Contriutions, gifts, grants, and similar amounts reeived ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9,. LHA Program servie revenue inluding government fees and ontrats a Gross amount sale of assets other than inventory~~~~~~~~~~~~~ Less: ost or other asis and sales expenses ~~~~~~~~~~~~~~~~~ For Paperwork Redution At Notie, see the separate instrutions. ~~~~~~~~~~~~~~~~~~~~~~~ Gain or (loss) sale of assets other than inventory (Sutrat line line a) ~~~~~~~~~~~~~~~ Gaming and fundraising events Gross inome gaming (attah Shedule G if greater than $,000) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome fundraising events (not inluding $ fundraising events reported on line ) (attah Shedule G if the sum of suh gross inome and ontriutions exeeds $,000) Less: diret expenses gaming and fundraising events ~~~~~~~~~~~~~~ ~~~~~~~~~~ a a of ontriutions Net inome or (loss) gaming and fundraising events (add lines a and and sutrat line ) ~~~~~~~~~ a Gross sales of inventory, less returns and allowanes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross profit or (loss) sales of inventory (Sutrat line line a) Other revenue (desrie in Shedule O) a ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Grants and similar amounts paid (list in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Benefits paid to or for memers~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Salaries, other ompensation, and employee enefits ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Professional fees and other payments to independent ontrators ~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at eginning of year ( line, olumn (A)) (must agree with end-of-year figure reported on prior year s return) ~~~~~~~~~~~~~~~~~~~~~~~ Other hanges in net assets or fund alanes (explain in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at end of year. Comine lines through 0 d ,.,00. 9,. 0.,. Form 990-EZ (0) --

2 Form 990-EZ (0) UNCHAINED AT LAST, INC -09 Page I Balane Sheets (see the instrutions for I) Chek if the organization used Shedule O to respond to any question in this I (A) Beginning of year (B) End of year Cash, savings, and investments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9,.,. Land and uildings ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other assets (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE SCHEDULE O 0. 0,000. Total assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9,.,. Total liailities (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes (line of olumn (B) must agree with line ) 9,.,. II Statement of Program Servie Aomplishments (see the instrutions for II) Expenses (Required for setion Chek if the organization used Shedule O to respond to any question in this II 0()() and 0()() What is the organization s primary exempt purpose? SEE SCHEDULE O organizations; optional for Desrie the organization s program servie aomplishments for eah of its three largest program servies, as measured y expenses. In a lear and onise others.) manner, desrie the servies provided, the numer of persons enefited, and other relevant information for eah program title. UNCHAINED PROVIDES FREE LEGAL AND SOCIAL SERVICES AND EMOTIONAL SUPPORT TO HELP WOMEN AND GIRLS AVOID OR LEAVE ARRANGED/FORCED MARRIAGES AND REBUILD THEIR LIVES (Grants $ ) If this amount inludes foreign grants, hek here a 9,. 9 0 (Grants $ ) If this amount inludes foreign grants, hek here 9a (Grants $ ) If this amount inludes foreign grants, hek here 0a Other program servies (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (Grants $ ) If this amount inludes foreign grants, hek here a Total program servie expenses (add lines a through a) 9,. V List of Offiers, Diretors, Trustees, and Key Employees (list eah one even if not ompensated - see the instrutions for V) Chek if the organization used Shedule O to respond to any question in this V Name and title () Average hours () Reportale Health enefits, (e) Estimated ompensation (Forms ontriutions to per week devoted to W-/099-MISC) employee enefit amount of other position (if not paid, enter -0-) plans, and deferred ompensation ompensation JEANNE GORDON PRESIDENT EMILY CARSTENSEN VICE PRESIDENT AMY BLACK TREASURER CHAYA SCHNEIDER SECRETARY NINA LAZAR TRUSTEE LAUREN ALBERT TRUSTEE ANGIE FARID TRUSTEE KAVITHA RAJAGOPALAN TRUSTEE SHEHNAZ ABDELJABER TRUSTEE Form 990-EZ (0)

3 Form 990-EZ (0) UNCHAINED AT LAST, INC -09 Page Part V Other Information (Note the Shedule A and personal enefit ontrat statement requirements in the instrutions for Part V) Chek if the organization used Sh. O to respond to any question in this Part V Did the organization engage in any signifiant ativity not previously reported to the IRS? If "Yes," provide a detailed desription of eah ativity in Shedule O ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a a 9 Did the organization file Form 0-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a d e a Were any signifiant hanges made to the organizing or governing douments? If "Yes," attah a onformed opy of the amended douments if they reflet a hange to the organization s name. Otherwise, explain the hange on Shedule O (see instrutions) ~~~~~~ a Did the organization have unrelated usiness gross inome of $,000 or more during the year usiness ativities (suh as those reported on lines, a, and a, among others)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Shedule O ~~~~~~~~~~~ Was the organization a setion 0()(), 0()(), or 0()() organization sujet to setion 0(e) notie, reporting, and proxy tax requirements during the year? If "Yes," omplete Shedule C, II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization undergo a liquidation, dissolution, termination, or signifiant disposition of net assets during the year? If "Yes," omplete appliale parts of Shedule N Enter amount of politial expenditures, diret or indiret, as desried in the instrutions ~~~~~ a 0. Did the organization orrow, or make any loans to, any offier, diretor, trustee, or key employee or were any suh loans made in a prior year and still outstanding at the end of the tax year overed y this return? If "Yes," omplete Shedule L, I and enter the total amount involved ~~~~~~~~~~~~~~ N/A Setion 0()() organizations. Enter: Initiation fees and apital ontriutions inluded on line 9 ~~~~~~~~~~~~~~~~~~~~~ Gross reeipts, inluded on line 9, for puli use of lu failities ~~~~~~~~~~~~~~~~~~ 0a Setion 0()() organizations. Enter amount of tax imposed on the organization during the year under: setion 9 0. ; setion 9 0. ; setion 9 0. Setion 0()(), 0()(), and 0()(9) organizations. Did the organization engage in any setion 9 exess enefit transation during the year, or did it engage in an exess enefit transation in a prior year that has not een reported on any of its prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 0()(), 0()(), and 0()(9) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under setions 9, 9, and 9 ~~~~~ Setion 0()(), 0()(), and 0()(9) organizations. Enter amount of tax on line 0 reimursed y the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ All organizations. At any time during the tax year, was the organization a party to a prohiited tax shelter transation? If "Yes," omplete Form -T ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0e List the states with whih a opy of this return is filed NJ,NY The organization s ooks are in are of THE ORGANIZATION Telephone no Loated at 0 LENO AVE, NO. 9, WESTFIELD, NJ ZIP 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)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the name of the foreign ountry: See the instrutions for exeptions and filing requirements for FinCEN Form, Report of Foreign Bank and Finanial Aounts (FBAR). At any time during the alendar year, did the organization maintain an offie outside of the U.S.? ~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the name of the foreign ountry: Setion 9() nonexempt haritale trusts filing Form 990-EZ in lieu of Form 0 - Chek here and enter the amount of tax-exempt interest reeived or arued during the tax year ~~~~~~~~~~~~~~~~~ N/A 9a 9 N/A N/A a a 0 N/A a d a -- Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must e ompleted instead of Form 990-EZ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization operate one or more hospital failities during the year? If "Yes," Form 990 must e ompleted instead of Form 990-EZ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization reeive any payments for indoor tanning servies during the year? ~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line, has the organization filed a Form 0 to report these payments? If "No," provide an explanation in Shedule O ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a ontrolled entity within the meaning of setion ()()? ~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization reeive any payment or engage in any transation with a ontrolled entity within the meaning of setion ()()? If "Yes," Form 990 and Shedule R may need to e ompleted instead of Form 990-EZ (see instrutions) a d a Form 990-EZ (0)

4 Form 990-EZ (0) UNCHAINED AT LAST, INC -09 Page Did the organization engage, diretly or indiretly, in politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part VI Setion 0()() organizations only All setion 0()() organizations must answer questions -9 and, and omplete the tales for lines 0 and. Chek if the organization used Shedule O to respond to any question in this Part VI Did the organization engage in loying ativities or have a setion 0(h) eletion in effet during the tax year? If "Yes," omplete Sh. C, I Is the organization a shool as desried in setion 0()()(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~~~~~~ 9a Did the organization make any transfers to an exempt non-haritale related organization? ~~~~~~~~~~~~~~~~~~~~~~ 9a 0 If "Yes," was the related organization a setion organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Complete this tale for the organization s five highest ompensated employees (other than offiers, diretors, trustees and key employees) who eah reeived more than $00,000 of ompensation the organization. If there is none, enter "None." Name and title of eah employee () Average hours () Reportale Health enefits, (e) Estimated ompensation (Forms ontriutions to per week devoted to W-/099-MISC) employee enefit amount of other position plans, and deferred NONE ompensation ompensation 9 f Total numer of other employees paid over $00,000 ~~~~~~~~~~~~~~~~ Complete this tale for the organization s five highest ompensated independent ontrators who eah reeived more than $00,000 of ompensation the organization. If there is none, enter "None." NONE Name and usiness address of eah independent ontrator () Type of servie () Compensation d Total numer of other independent ontrators eah reeiving over $00,000 ~~~~~~~~~~~~~~ Did the organization omplete Shedule A? Note. All setion 0()() organizations must attah a ompleted Shedule A 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. Sign Here = = Signature of offier FRAIDY REISS, EECUTIVE DIRECTOR Type or print name and title Print/Type preparer s name Preparer s signature Date Chek if PTIN KATHLEEN M. CLAYTON self- employed Paid CPA 0// P0 Preparer Firm s name SPIRE GROUP PC Firm s EIN -0 Use Only 9 9 Firm s address 9 00 WALNUT AVE, SUITE 0 Phone no. -- CLARK, NJ 00 May the IRS disuss this return with the preparer shown aove? See instrutions Yes Date Yes No No Form 990-EZ (0) --

5 OMB -00 SCHEDULE A (Form 990 or 990-EZ) Puli Charity Status and Puli Support Complete if the organization is a setion 0()() organization or a setion 0 9() nonexempt haritale trust. Department of the Treasury Attah to Form 990 or Form 990-EZ. Open to Puli Internal Revenue Servie Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at Inspetion Name of the organization Employer identifiation numer UNCHAINED AT LAST, INC -09 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 through, hek only one ox.) 9 0 a d e f g A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 0()()(A)(i). A shool desried in setion 0()()(A)(ii). (Attah Shedule E.) A hospital or a ooperative hospital servie organization desried in setion 0()()(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 0()()(A)(iii). Enter the hospital s name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 0()()(A)(iv). (Complete I.) A federal, state, or loal government or governmental unit desried in setion 0()()(A)(v). An organization that normally reeives a sustantial part of its support a governmental unit or the general puli desried in setion 0()()(A)(vi). (Complete I.) A ommunity trust desried in setion 0()()(A)(vi). (Complete I.) An organization that normally reeives: () more than /% of its support ontriutions, memership fees, and gross reeipts ativities related to its exempt funtions - sujet to ertain exeptions, and () no more than /% of its support gross investment inome and unrelated usiness taxale inome (less setion tax) usinesses aquired y the organization after June 0, 9. See setion 09(). (Complete II.) An organization organized and operated exlusively to test for puli safety. See setion 09(). 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 09() or setion 09(). See setion 09(). Chek the ox in lines a through d that desries the type of supporting organization and omplete lines e, f, and g. 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 V, 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 V, 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 V, Setions A, D, and E. 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 V, Setions A and D, and Part V. Chek this ox if the organization reeived a written determination the IRS that it is a Type I, Type II, Type III funtionally integrated, or Type III non-funtionally integrated supporting organization. Enter the numer of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information aout the supported organization(s). (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of organization (desried on lines -9 listed in your support (see other support (see governing doument? aove or IRC setion Instrutions) Instrutions) (see instrutions)) Total LHA For Paperwork Redution At Notie, see the Instrutions for Shedule A (Form 990 or 990-EZ) 0 Form 990 or 990-EZ

6 Shedule A (Form 990 or 990-EZ) 0 UNCHAINED AT LAST, INC -09 Page I Support Shedule for Organizations Desried in Setions 0()()(A)(iv) and 0()()(A)(vi) (Complete only if you heked the ox on line,, or of or if the organization failed to qualify under II. If the organization fails to qualify under the tests listed elow, please omplete II.) Setion A. Puli Support Calendar year (or fisal year eginning in) Total. Add lines through ~~~ Puli support. Sutrat line line. Calendar year (or fisal year eginning in) 9 0 assets (Explain in Part VI.) ~~~~ Total support. Add lines through 0 00 () 0 () 0 0 (e) 0 (f) Total 00 () 0 () 0 0 (e) 0 (f) Total,00.,. 9,.,9. a /% support test - 0. If the organization did not hek the ox on line, and line is /% or more, hek this ox and a 0% -fats-and-irumstanes test - 0. If the organization did not hek a ox on line, a, or, and line is 0% or more, Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ The value of servies or failities furnished y a governmental unit to the organization without harge ~ The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line that exeeds % of the amount shown on line, olumn (f) ~~~~~~~~~~~~ Setion B. Total Support Amounts line ~~~~~~~ Gross inome interest, dividends, payments reeived on seurities loans, rents, royalties and inome similar soures ~ Net inome unrelated usiness ativities, whether or not the usiness is regularly arried on ~ Other inome. Do not inlude gain or loss the sale of apital Gross reeipts related ativities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentage for 0 (line, olumn (f) divided y line, olumn (f)) ~~~~~~~~~~~~ Puli support perentage 0 Shedule A, I, line ~~~~~~~~~~~~~~~~~~~~~,00.,. 9,.,9.,00.,. 9,.,9. stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ /% support test - 0. If the organization did not hek a ox on line or a, and line is /% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~ 0% -fats-and-irumstanes test - 0. If the organization did not hek a ox on line, a,, or a, and line is 0% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~ Private foundation. If the organization did not hek a ox on line, a,, a, or, hek this ox and see instrutions,9. 9,9... 9,09. First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 0()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage Shedule A (Form 990 or 990-EZ) 0 % %

7 Shedule A (Form 990 or 990-EZ) 0 II Support Shedule for Organizations Desried in Setion 09() Calendar year (or fisal year eginning in) The value of servies or failities furnished y a governmental unit to the organization without harge ~ Total. Add lines through ~~~ a Amounts inluded on lines,, and reeived disqualified persons Amounts inluded on lines and reeived other than disqualified persons that exeed the greater of $,000 or % of the amount on line for the year ~~~~~~ Add lines a and ~~~~~~~ Puli support (Sutrat line line.) Calendar year (or fisal year eginning in) 9 Amounts line ~~~~~~~ 0a Gross inome interest, dividends, payments reeived on seurities loans, rents, royalties and inome similar soures ~ Unrelated usiness taxale inome (less setion taxes) usinesses aquired after June 0, 9 ~~~~ 00 () 0 () 0 0 (e) 0 (f) Total 00 () 0 () 0 0 (e) 0 (f) Total First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 0()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage Puli support perentage 0 Shedule A, II, line Setion D. Computation of Investment Inome Perentage Page Puli support perentage for 0 (line, olumn (f) divided y line, olumn (f)) ~~~~~~~~~~~~ % 9a /% support tests - 0. If the organization did not hek the ox on line, and line is more than /%, and line is not 0 (Complete only if you heked the ox on line 9 of or if the organization failed to qualify under I. If the organization fails to qualify under the tests listed elow, please omplete I.) Setion A. Puli Support Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Gross reeipts admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization s tax-exempt purpose Gross reeipts ativities that are not an unrelated trade or usiness under setion ~~~~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ Setion B. Total Support Add lines 0a and 0 ~~~~~~ Net inome unrelated usiness ativities not inluded in line 0, whether or not the usiness is regularly arried on ~~~~~~~ Other inome. Do not inlude gain or loss the sale of apital assets (Explain in Part VI.) ~~~~ Total support. (Add lines 9, 0,, and.) Investment inome perentage for 0 (line 0, olumn (f) divided y line, olumn (f)) Investment inome perentage 0 Shedule A, II, line ~~~~~~~~~~~~~~~~~~ ~~~~~~~~ % more than /%, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~ /% support tests - 0. If the organization did not hek a ox on line or line 9a, and line is more than /%, and line is not more than /%, hek this ox and stop here. The organization qualifies as a pulily supported organization~~~~ Private foundation. If the organization did not hek a ox on line, 9a, or 9, hek this ox and see instrutions Shedule A (Form 990 or 990-EZ) 0 % %

8 Shedule A (Form 990 or 990-EZ) 0 UNCHAINED AT LAST, INC -09 Page V Supporting Organizations (Complete only if you heked a ox on line of. If you heked a of, omplete Setions A and B. If you heked of, omplete Setions A and C. If you heked of, omplete Setions A, D, and E. If you heked d of, omplete Setions A and D, and omplete Part V.) Setion A. All Supporting Organizations Are all of the organization s supported organizations listed y name in the organization s governing douments? If "No" desrie in Part VI how the supported organizations are designated. If designated y lass or purpose, desrie the designation. If histori and ontinuing relationship, explain. Did the organization have any supported organization that does not have an IRS determination of status under setion 09() or ()? If "Yes," explain in Part VI how the organization determined that the supported organization was desried in setion 09() or (). a Did the organization have a supported organization desried in setion 0()(), (), or ()? If "Yes," answer () and () elow. a Did the organization onfirm that eah supported organization qualified under setion 0()(), (), or () and satisfied the puli support tests under setion 09()? If "Yes," desrie in Part VI when and how the organization made the determination. Did the organization ensure that all support to suh organizations was used exlusively for setion 0()() (B) purposes? If "Yes," explain in Part VI what ontrols the organization put in plae to ensure suh use. a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes" and if you heked a or in, answer () and () elow. a Did the organization have ultimate ontrol and disretion in deiding whether to make grants to the foreign supported organization? If "Yes," desrie in Part VI how the organization had suh ontrol and disretion despite eing ontrolled or supervised y or in onnetion with its supported organizations. Did the organization support any foreign supported organization that does not have an IRS determination under setions 0()() and 09() or ()? If "Yes," explain in Part VI what ontrols the organization used to ensure that all support to the foreign supported organization was used exlusively for setion 0()()(B) purposes. a Did the organization add, sustitute, or remove any supported organizations during the tax year? If "Yes," answer () and () elow (if appliale). Also, provide detail in Part VI, inluding (i) the names and EIN numers of the supported organizations added, sustituted, or removed, (ii) the reasons for eah suh ation, (iii) the authority under the organization s organizing doument authorizing suh ation, and (iv) how the ation was aomplished (suh as y amendment to the organizing doument). a Type I or Type II only. Was any added or sustituted supported organization part of a lass already designated in the organization s organizing doument? Sustitutions only. Was the sustitution the result of an event eyond the organization s ontrol? Did the organization provide support (whether in the form of grants or the provision of servies or failities) to anyone other than its supported organizations; () individuals that are part of the haritale lass enefited y one or more of its supported organizations; or () other supporting organizations that also support or enefit one or more of the filing organization s supported organizations? If "Yes," provide detail in Part VI. Did the organization provide a grant, loan, ompensation, or other similar payment to a sustantial ontriutor (defined in IRC 9()()(C)), a family memer of a sustantial ontriutor, or a -perent 9a ontrolled entity with regard to a sustantial ontriutor? If "Yes," omplete of Shedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in setion 9) not desried in line? If "Yes," omplete of Shedule L (Form 990). Was the organization ontrolled diretly or indiretly at any time during the tax year y one or more disqualified persons as defined in setion 9 (other than foundation managers and organizations desried in setion 09() or ())? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined in line 9) hold a ontrolling interest in any entity in whih 9a the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined in line 9) have an ownership interest in, or derive any personal enefit 9, assets in whih the supporting organization also had an interest? If "Yes," provide detail in Part VI. 9 0a Was the organization sujet to the exess usiness holdings rules of IRC 9 eause of IRC 9(f) (regarding ertain Type II supporting organizations, and all Type III non-funtionally integrated supporting organizations)? If "Yes," answer () elow. 0a Did the organization have any exess usiness holdings in the tax year? (Use Shedule C, Form 0, to determine whether the organization had exess usiness holdings.) Shedule A (Form 990 or 990-EZ) 0

9 Shedule A (Form 990 or 990-EZ) 0 UNCHAINED AT LAST, INC -09 Page V Supporting Organizations (ontinued) a Has the organization aepted a gift or ontriution any of the following persons? A person who diretly or indiretly ontrols, either alone or together with persons desried in () and () elow, the governing ody of a supported organization? A family memer of a person desried in aove? A % ontrolled entity of a person desried in or () aove? If "Yes" to a,, or, provide detail in Part VI. a Setion B. Type I Supporting Organizations Did the diretors, trustees, or memership of one or more supported organizations have the power to regularly appoint or elet at least a majority of the organization s diretors or trustees at all times during the tax year? If "No," desrie in Part VI how the supported organization(s) effetively operated, supervised, or ontrolled the organization s ativities. If the organization had more than one supported organization, desrie how the powers to appoint and/or remove diretors or trustees were alloated among the supported organizations and what onditions or restritions, if any, applied to suh powers during the tax year. Did the organization operate for the enefit of any supported organization other than the supported organization(s) that operated, supervised, or ontrolled the supporting organization? If "Yes," explain in Part VI how providing suh enefit arried out the purposes of the supported organization(s) that operated, supervised, or ontrolled the supporting organization. Setion C. Type II Supporting Organizations Were a majority of the organization s diretors or trustees during the tax year also a majority of the diretors or trustees of eah of the organization s supported organization(s)? If "No," desrie in Part VI how ontrol or management of the supporting organization was vested in the same persons that ontrolled or managed the supported organization(s). Setion D. Type III Supporting Organizations Did the organization provide to eah of its supported organizations, y the last day of the fifth month of the organization s tax year, () a written notie desriing the type and amount of support provided during the prior tax year, () a opy of the Form 990 that was most reently filed as of the date of notifiation, and () opies of the organization s governing douments in effet on the date of notifiation, to the extent not previously provided? Were any of the organization s offiers, diretors, or trustees either (i) appointed or eleted y the supported organization(s) or (ii) serving on the governing ody of a supported organization? If "No," explain in Part VI how the organization maintained a lose and ontinuous working relationship with the supported organization(s). By reason of the relationship desried in (), did the organization s supported organizations have a signifiant voie in the organization s investment poliies and in direting the use of the organization s inome or assets at all times during the tax year? If "Yes," desrie in Part VI the role the organization s supported organizations played in this regard. Setion E. Type III Funtionally-Integrated Supporting Organizations Chek the ox next to the method that the organization used to satisfy the Integral Part Test during the year (see instrutions): a The organization satisfied the Ativities Test. Complete line elow. The organization is the parent of eah of its supported organizations. Complete line elow. The organization supported a governmental entity. Desrie in Part VI how you supported a government entity (see instrutions). Ativities Test. Answer and () elow. a Did sustantially all of the organization s ativities during the tax year diretly further the exempt purposes of the supported organization(s) to whih the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these ativities diretly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these ativities onstituted sustantially all of its ativities. a Did the ativities desried in onstitute ativities that, ut for the organization s involvement, one or more of the organization s supported organization(s) would have een engaged in? If "Yes," explain in Part VI the reasons for the organization s position that its supported organization(s) would have engaged in these ativities ut for the organization s involvement. a Parent of Supported Organizations. Answer and () elow. Did the organization have the power to regularly appoint or elet a majority of the offiers, diretors, or trustees of eah of the supported organizations? Provide details in Part VI. a Did the organization exerise a sustantial degree of diretion over the poliies, programs, and ativities of eah of its supported organizations? If "Yes," desrie in Part VI the role played y the organization in this regard Shedule A (Form 990 or 990-EZ) 0 9

10 Shedule A (Form 990 or 990-EZ) 0 UNCHAINED AT LAST, INC -09 Page Part V Type III Non-Funtionally Integrated 09() Supporting Organizations Chek here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 0, 90. See instrutions. All other Type III non-funtionally integrated supporting organizations must omplete Setions A through E. Setion A - Adjusted Net Inome (A) Prior Year (B) Current Year (optional) Net short-term apital gain Reoveries of prior-year distriutions Other gross inome (see instrutions) Add lines through Depreiation and depletion Portion of operating expenses paid or inurred for prodution or olletion of gross inome or for management, onservation, or maintenane of property held for prodution of inome (see instrutions) Other expenses (see instrutions) Adjusted Net Inome (sutrat lines, and line ) Setion B - Minimum Asset Amount (A) Prior Year (B) Current Year (optional) Aggregate fair market value of all non-exempt-use assets (see instrutions for short tax year or assets held for part of year): a d e Average monthly value of seurities Average monthly ash alanes Fair market value of other non-exempt-use assets Total (add lines a,, and ) Disount laimed for lokage or other fators (explain in detail in Part VI): Aquisition indetedness appliale to non-exempt-use assets Sutrat line line d Cash deemed held for exempt use. Enter -/% of line (for greater amount, see instrutions). Net value of non-exempt-use assets (sutrat line line ) Multiply line y.0 Reoveries of prior-year distriutions Minimum Asset Amount (add line to line ) a d Setion C - Distriutale Amount Current Year Adjusted net inome for prior year ( Setion A, line, Column A) Enter % of line Minimum asset amount for prior year ( Setion B, line, Column A) Enter greater of line or line Inome tax imposed in prior year Distriutale Amount. Sutrat line line, unless sujet to emergeny temporary redution (see instrutions) Chek here if the urrent year is the organization s first as a non-funtionally-integrated Type III supporting organization (see instrutions). Shedule A (Form 990 or 990-EZ)

11 Shedule A (Form 990 or 990-EZ) 0 UNCHAINED AT LAST, INC -09 Page Part V Type III Non-Funtionally Integrated 09() Supporting Organizations (ontinued) Setion D - Distriutions Current Year Amounts paid to supported organizations to aomplish exempt purposes Amounts paid to perform ativity that diretly furthers exempt purposes of supported organizations, in exess of inome ativity Administrative expenses paid to aomplish exempt purposes of supported organizations Amounts paid to aquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) Other distriutions (desrie in Part VI). See instrutions. Total annual distriutions. Add lines through. Distriutions to attentive supported organizations to whih the organization is responsive (provide details in Part VI). See instrutions. 9 0 Distriutale amount for 0 Setion C, line Line amount divided y Line 9 amount (i) (ii) (iii) Setion E - Distriution Alloations (see instrutions) Exess Distriutions Underdistriutions Distriutale Pre-0 Amount for 0 Distriutale amount for 0 Setion C, line Underdistriutions, if any, for years prior to 0 (reasonale ause required-see instrutions) Exess distriutions arryover, if any, to 0: a d e f g h i j From 0 Total of lines a through e Applied to underdistriutions of prior years Applied to 0 distriutale amount Carryover 009 not applied (see instrutions) Remainder. Sutrat lines g, h, and i f. Distriutions for 0 Setion D, line : $ a Applied to underdistriutions of prior years Applied to 0 distriutale amount Remainder. Sutrat lines a and. Remaining underdistriutions for years prior to 0, if any. Sutrat lines g and a line (if amount greater than zero, see instrutions). Remaining underdistriutions for 0. Sutrat lines h and line (if amount greater than zero, see instrutions). Exess distriutions arryover to 0. Add lines j and. Breakdown of line : a d e Exess 0 Exess 0 Shedule A (Form 990 or 990-EZ)

12 Shedule A (Form 990 or 990-EZ) 0 UNCHAINED AT LAST, INC -09 Page Part VI Supplemental Information. Provide the explanations required y I, line 0; I, line a or ; and II, line. Also omplete this part for any additional information. (See instrutions) Shedule A (Form 990 or 990-EZ) 0

13 ** PUBLIC DISCLOSURE COPY ** Shedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Servie Name of the organization Shedule of Contriutors Attah to Form 990, Form 990-EZ, or Form 990-PF. Information aout Shedule B (Form 990, 990-EZ, or 990-PF) and its instrutions is at OMB Employer identifiation numer Organization type(hek one): UNCHAINED AT LAST, INC -09 Filers of: Setion: Form 990 or 990-EZ 0()( ) (enter numer) organization 9() nonexempt haritale trust not treated as a private foundation politial organization Form 990-PF 0()() exempt private foundation 9() nonexempt haritale trust treated as a private foundation 0()() taxale private foundation Chek if your organization is overed y the General Rule or a Speial Rule. Note. Only a setion 0()(), (), or (0) organization an hek oxes for oth the General Rule and a Speial Rule. See instrutions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that reeived, during the year, ontriutions totaling $,000 or more (in money or property) any one ontriutor. Complete Parts I and II. See instrutions for determining a ontriutor s total ontriutions. Speial Rules For an organization desried in setion 0()() filing Form 990 or 990-EZ that met the /% support test of the regulations under setions 09() and 0()()(A)(vi), that heked Shedule A (Form 990 or 990-EZ), I, line, a, or, and that reeived any one ontriutor, during the year, total ontriutions of the greater of () $,000 or () % of the amount on (i) Form 990, Part VIII, line h, or (ii) Form 990-EZ, line. Complete Parts I and II. For an organization desried in setion 0()(), (), or (0) filing Form 990 or 990-EZ that reeived any one ontriutor, during the year, total ontriutions of more than $,000 exlusively for religious, haritale, sientifi, literary, or eduational purposes, or for the prevention of ruelty to hildren or animals. Complete Parts I, II, and III. For an organization desried in setion 0()(), (), or (0) filing Form 990 or 990-EZ that reeived any one ontriutor, during the year, ontriutions exlusively for religious, haritale, et., purposes, ut no suh ontriutions totaled more than $,000. If this ox is heked, enter here the total ontriutions that were reeived during the year for an exlusively religious, haritale, et., purpose. Do not omplete any of the parts unless the General Rule applies to this organization eause it reeived nonexlusively religious, haritale, et., ontriutions totaling $,000 or more during the year ~~~~~~~~~~~~~~~ $ Caution. An organization that is not overed y the General Rule and/or the Speial Rules does not file Shedule B (Form 990, 990-EZ, or 990-PF), ut it must answer "No" on V, line, of its Form 990; or hek the ox on line H of its Form 990-EZ or on its Form 990-PF,, line, to ertify that it does not meet the filing requirements of Shedule B (Form 990, 990-EZ, or 990-PF). LHA For Paperwork Redution At Notie, see the Instrutions for Form 990, 990-EZ, or 990-PF. Shedule B (Form 990, 990-EZ, or 990-PF) (0) -0-

14 Shedule B (Form 990, 990-EZ, or 990-PF) (0) Name of organization Employer identifiation numer Page UNCHAINED AT LAST, INC -09 Contriutors (see instrutions). Use dupliate opies of if additional spae is needed. () Name, address, and ZIP + () Total ontriutions Type of ontriution Person Payroll $,000. Nonash (Complete I for nonash ontriutions.) () Name, address, and ZIP + () Total ontriutions Type of ontriution Person Payroll $,0. Nonash (Complete I for nonash ontriutions.) () Name, address, and ZIP + () Total ontriutions Type of ontriution Person Payroll $,000. Nonash (Complete I for nonash ontriutions.) () Name, address, and ZIP + () Total ontriutions Type of ontriution Person Payroll $ 0,000. Nonash (Complete I for nonash ontriutions.) () Name, address, and ZIP + () Total ontriutions Type of ontriution Person Payroll $ 0,000. Nonash (Complete I for nonash ontriutions.) () Name, address, and ZIP + () Total ontriutions Type of ontriution Person Payroll $ 0,000. Nonash (Complete I for nonash ontriutions.) -0- Shedule B (Form 990, 990-EZ, or 990-PF) (0)

15 Shedule B (Form 990, 990-EZ, or 990-PF) (0) Name of organization Page Employer identifiation numer UNCHAINED AT LAST, INC -09 I Nonash Property (see instrutions). Use dupliate opies of I if additional spae is needed. () Desription of nonash property given () FMV (or estimate) (see instrutions) Date reeived $ () Desription of nonash property given () FMV (or estimate) (see instrutions) Date reeived $ () Desription of nonash property given () FMV (or estimate) (see instrutions) Date reeived $ () Desription of nonash property given () FMV (or estimate) (see instrutions) Date reeived $ () Desription of nonash property given () FMV (or estimate) (see instrutions) Date reeived $ () Desription of nonash property given () FMV (or estimate) (see instrutions) Date reeived $ -0- Shedule B (Form 990, 990-EZ, or 990-PF) (0)

16 Shedule B (Form 990, 990-EZ, or 990-PF) (0) Name of organization Page Employer identifiation numer UNCHAINED AT LAST, INC -09 II Exlusively religious, haritale, et., ontriutions to organizations desried in setion 0()(), (), or (0) that total more than $,000 for the year any one ontriutor. Complete olumns through (e) and the following line entry. For organizations ompleting II, enter the total of exlusively religious, haritale, et., ontriutions of $,000 or less for the year. (Enter this info. one.) $ Use dupliate opies of II if additional spae is needed. () Purpose of gift () Use of gift Desription of how gift is held (e) Transfer of gift Transferee s name, address, and ZIP + Relationship of transferor to transferee () Purpose of gift () Use of gift Desription of how gift is held (e) Transfer of gift Transferee s name, address, and ZIP + Relationship of transferor to transferee () Purpose of gift () Use of gift Desription of how gift is held (e) Transfer of gift Transferee s name, address, and ZIP + Relationship of transferor to transferee () Purpose of gift () Use of gift Desription of how gift is held (e) Transfer of gift Transferee s name, address, and ZIP + Relationship of transferor to transferee -0- Shedule B (Form 990, 990-EZ, or 990-PF) (0)

17 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ 0 OMB -00 Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Open to Puli Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at Inspetion Employer identifiation numer UNCHAINED AT LAST, INC -09 FORM 990-EZ, PART I, LINE, OTHER INVESTMENT INCOME: DESCRIPTION OF PROPERTY: AMOUNT: INTEREST. FORM 990-EZ, PART I, LINE, OTHER EPENSES: DESCRIPTION OF OTHER EPENSES: AMOUNT: INSURANCE,0. CLIENT NEEDS,9. CONTRACTS,00. TELEPHONE. WEBSITE 09. PAYPAL FEES 0. FUNDRAISING,99. SUPPLIES. BUSINESS AND OPERATIONS 9. MISC PROGRAM EPENSES 0. VOLUNTEER RETAINMENT 0,0. TOTAL TO FORM 990-EZ, LINE,. FORM 990-EZ, PART II, LINE, OTHER ASSETS: DESCRIPTION BEG. OF YEAR END OF YEAR ACCOUNTS RECEIVABLE 0. 0,000. FORM 990-EZ, PART III, PRIMARY EEMPT PURPOSE - UNCHAINED PROVIDES FREE LEGAL AND SOCIAL SERVICES AND EMOTIONAL SUPPORT TO HELP WOMEN AND GIRLS AVOID OR LEAVE ARRANGED/FORCED MARRIAGES AND REBUILD THEIR LIVES LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (0) 0--

18 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ 0 OMB -00 Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Open to Puli Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at Inspetion Employer identifiation numer UNCHAINED AT LAST, INC -09 FORM 990-EZ, PART V, INFORMATION REGARDING PERSONAL BENEFIT CONTRACTS: THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (0) 0--