20 Total number of individuals employed in calendar year 2016 (Part V, line 2a) Total number of volunteers (estimate if necessary)...

Size: px
Start display at page:

Download "20 Total number of individuals employed in calendar year 2016 (Part V, line 2a) Total number of volunteers (estimate if necessary)..."

Transcription

1 Form 99 OMB. - Department of the Treasury Internal Revenue Service A B Return of Organization Exempt From Income Tax Uner section,, or 9() of the Internal Revenue Coe (except private founations) G Do not enter social security numbers on this form as it may be mae public. G Information about Form 99 an its instructions is at For the canar year, or tax year beginning C Check if applicab: / /,, an ening REGIONAL EAST TEAS FOOD BANK ROBERTSON ROAD TYLER, T Aress change Name change Initial return Open to Public Inspection, D Employer ientification number E Tephone number 9-9- nal return/terminate G Amene return Application pening F Name an aress of principal officer: DENNIS CULLINANE SAME AS C ABOVE )H (insert no.) ( () Website: G Form of organization: Trust sociation OtherG K Corporation Part I Summary I J Tax-exempt status 9() or H Group exemption number 9 M G State of gal omici: T FIGHT HUNGER AND FEED HOPE IN EAST Check this box G if the organization iscontinue its operations or ispose of more than % of its net assets. Number of voting members of the governing boy (Part VI, line a) Number of inepenent voting members of the governing boy (Part VI, line b) Total number of iniviuals employe in canar year (Part V, line a) Total number of volunteers (estimate if necessary) , Total unrelate business revenue from Part VIII, column (C), line a Net unrelate business taxab income from Form 99-T, line b Prior Year Current Year Contributions an grants (Part VIII, line h) ,,.,,99. Program service revenue (Part VIII, line g) ,9.,,. Investment income (Part VIII, column (A), lines,, an ) ,,. Other revenue (Part VIII, column (A), lines,, c, 9c, c, an e) ,. -,. Total revenue ' a lines through (must equal Part VIII, column (A), line ) ,,.,,. Grants an similar amounts pai (Part I, column (A), lines -) Benefits pai to or for members (Part I, column (A), line ) a b,9,. TEAS. H Are all suborinates inclue? If ',' attach a list. (see instructions) L Year of formation: Briefly escribe the organization's mission or most significant activities: TO Gross receipts H Is this a group return for suborinates?,9,9.,,.,9,9 9,,9. -,. 9,9,.,,. 9,9 Salaries, other compensation, employee benefits (Part I, column (A), lines -)..... a Professional funraising fees (Part I, column (A), line e) b Total funraising expenses (Part I, column (D), line ) G,. 9 Other expenses (Part I, column (A), lines a-, f-e) Total expenses. A lines - (must equal Part I, column (A), line ) Revenue ss expenses. Subtract line from line Total assets (Part, line ) Total liabilities (Part, line ) Net assets or fun balances. Subtract line from line Beginning of Current Year Part II En of Year,,.,.,,.,9,9.,.,,. Signature Block Uner penalties of perjury, I eclare that I have examine this return, incluing accompanying scheus an statements, an to the best of my knowge an belief, it is true, correct, an compte. Declaration of preparer (other than officer) is base on all information of which preparer has any knowge. Sign Here A A Signature of officer Date DENNIS CULLINANE CEO Type or print name an tit Print/Type preparer's name Preparer's signature Date ROBERT A. ROSEMAN Pai Preparer rm's name G PROTHRO, WILHELMI & COMPANY, P.L.L.C. Use Only rm's aress G OAK HILL BLVD. TYLER, T Check if self-employe PTIN P9-9.. May the IRS iscuss this return with the preparer shown above? (see instructions) For Paperwork Reuction Act tice, see the separate instructions. rm's EIN G Phone no. TEEAL // Form 99 ()

2 REGIONAL EAST TEAS FOOD BANK Statement of Program Service Accomplishments Form 99 () Part III Page Check if Scheu O contains a response or note to any line in this Part III Briefly escribe the organization's mission: TO FIGHT HUNGER AND FEED HOPE IN EAST TEAS. Di the organization unertake any significant program services uring the year which were not liste on the prior Form 99 or 99-EZ? If ',' escribe these new services on Scheu O. Di the organization cease conucting, or make significant changes in how it conucts, any program services?.... If ',' escribe these changes on Scheu O. Describe the organization's program service accomplishments for each of its three largest program services, as measure by expenses. Section () an () organizations are require to report the amount of grants an allocations to others, the total expenses, an revenue, if any, for each program service reporte.,, incluing grants of ) (Revenue,,. ) IN THE FISCAL YEAR ENDED //, THE EAST TEAS FOOD BANK WORKED WITH AGENCIES PROVIDING FOOD, SUPPORT AND EDUCATION TO APPROIMATELY, EAST TEANS IN COUNTIES BY DISTRIBUTING. MILLION POUNDS OF FOOD, ASSISTING INDIVIDUALS IN OBTAINING CRITICAL ONGOING SUPPORT SERVICES INCLUDING FOOD STAMPS AND MEDICAL CARE AND ENCOURAGING EDUCATION FOR BOTH CHILDREN AND ADULTS. ) (Expenses b (Coe: ) (Expenses incluing grants of ) (Revenue ) ) (Revenue ) a (Coe: c (Coe: ) (Expenses incluing grants of Other program services (Describe in Scheu O.) (Expenses incluing grants of e Total program service expenses G,, TEEAL ) (Revenue // ) Form 99 ()

3 REGIONAL EAST TEAS FOOD BANK Checklist of Require Scheus Form 99 () Part IV Page Is the organization escribe in section () or 9() (other than a private founation)? If ',' compte Scheu A Is the organization require to compte Scheu B, Scheu of Contributors (see instructions)? Di the organization engage in irect or inirect political campaign activities on behalf of or in opposition to caniates for public office? If ',' compte Scheu C, Part I Section () organizations. Di the organization engage in lobbying activities, or have a section (h) ection in effect uring the tax year? If ',' compte Scheu C, Part II Is the organization a section (), (), or () organization that receives membership ues, assessments, or similar amounts as efine in Revenue Proceure 9-9? If ',' compte Scheu C, Part III Di the organization maintain any onor avise funs or any similar funs or accounts for which onors have the right to provie avice on the istribution or investment of amounts in such funs or accounts? If ',' compte Scheu D, Part I Di the organization receive or hol a conservation easement, incluing easements to preserve open space, the environment, historic lan areas, or historic structures? If ',' compte Scheu D, Part II Di the organization maintain colctions of works of art, historical treasures, or other similar assets? If ',' compte Scheu D, Part III Di the organization report an amount in Part, line, for escrow or custoial account liability, serve as a custoian for amounts not liste in Part ; or provie creit counseling, ebt management, creit repair, or ebt negotiation services? If ',' compte Scheu D, Part IV Di the organization, irectly or through a relate organization, hol assets in temporarily restricte enowments, permanent enowments, or quasi-enowments? If ',' compte Scheu D, Part V a Di the organization report an amount for lan, builings, an equipment in Part, line? If ',' compte Scheu D, Part VI a b Di the organization report an amount for investments ' other securities in Part, line that is % or more of its total assets reporte in Part, line? If ',' compte Scheu D, Part VII b c Di the organization report an amount for investments ' program relate in Part, line that is % or more of its total assets reporte in Part, line? If ',' compte Scheu D, Part VIII c Di the organization report an amount for other assets in Part, line that is % or more of its total assets reporte in Part, line? If ',' compte Scheu D, Part I e Di the organization report an amount for other liabilities in Part, line? If ',' compte Scheu D, Part e f Di the organization's separate or consoliate financial statements for the tax year inclue a footnote that aresses the organization's liability for uncertain tax positions uner FIN (ASC )? If ',' compte Scheu D, Part.... f a Di the organization obtain separate, inepenent auite financial statements for the tax year? If ',' compte Scheu D, Parts I an II a b Was the organization inclue in consoliate, inepenent auite financial statements for the tax year? If ',' an if the organization answere '' to line a, then compting Scheu D, Parts I an II is optional b 9 If the organization's answer to any of the following questions is '', then compte Scheu D, Parts VI, VII, VIII, I, or as applicab. a Di the organization maintain an office, employees, or agents outsie of the Unite States? a b Di the organization have aggregate revenues or expenses of more than, from grantmaking, funraising, business, investment, an program service activities outsie the Unite States, or aggregate foreign investments value at, or more? If ',' compte Scheu F, Parts I an IV b Is the organization a school escribe in section ()(A)(ii)? If ',' compte Scheu E Di the organization report on Part I, column (A), line, more than, of grants or other assistance to or for any foreign organization? If ',' compte Scheu F, Parts II an IV Di the organization report on Part I, column (A), line, more than, of aggregate grants or other assistance to or for foreign iniviuals? If ',' compte Scheu F, Parts III an IV Di the organization report a total of more than, of expenses for professional funraising services on Part I, column (A), lines an e? If ',' compte Scheu G, Part I (see instructions) Di the organization report more than, total of funraising event gross income an contributions on Part VIII, lines c an a? If ',' compte Scheu G, Part II Di the organization report more than, of gross income from gaming activities on Part VIII, line 9a? If ',' compte Scheu G, Part III TEEAL // 9 Form 99 ()

4 REGIONAL EAST TEAS FOOD BANK Checklist of Require Scheus (continue) Form 99 () Part IV Page a Di the organization operate one or more hospital facilities? If ',' compte Scheu H a b If '' to line a, i the organization attach a copy of its auite financial statements to this return? b Di the organization report more than, of grants or other assistance to any omestic organization or omestic government on Part I, column (A), line? If ',' compte Scheu I, Parts I an II Di the organization report more than, of grants or other assistance to or for omestic iniviuals on Part I, column (A), line? If ',' compte Scheu I, Parts I an III Di the organization answer '' to Part VII, Section A, line,, or about compensation of the organization's current an former officers, irectors, trustees, key employees, an highest compensate employees? If ',' compte Scheu J a b c Di the organization maintain an escrow account other than a refuning escrow at any time uring the year to efease any tax-exempt bons? Di the organization act as an 'on behalf of' issuer for bons outstaning at any time uring the year? c a Section (), (), an (9) organizations. Di the organization engage in an excess benefit transaction with a isqualifie person uring the year? If ',' compte Scheu L, Part I a b Is the organization aware that it engage in an excess benefit transaction with a isqualifie person in a prior year, an that the transaction has not been reporte on any of the organization's prior Forms 99 or 99-EZ? If ',' compte Scheu L, Part I b a Di the organization have a tax-exempt bon issue with an outstaning principal amount of more than, as of the last ay of the year, that was issue after December,? If ',' answer lines b through an compte Scheu K. If ', 'go to line a b Di the organization invest any procees of tax-exempt bons beyon a temporary perio exception? Di the organization report any amount on Part, line,, or for receivabs from or payabs to any current or former officers, irectors, trustees, key employees, highest compensate employees, or isqualifie persons? If ',' compte Scheu L, Part II Di the organization provie a grant or other assistance to an officer, irector, trustee, key employee, substantial contributor or employee thereof, a grant section committee member, or to a % control entity or family member of any of these persons? If ',' compte Scheu L, Part III a A current or former officer, irector, trustee, or key employee? If ',' compte Scheu L, Part IV a b A family member of a current or former officer, irector, trustee, or key employee? If ',' compte Scheu L, Part IV b c An entity of which a current or former officer, irector, trustee, or key employee (or a family member thereof) was an officer, irector, trustee, or irect or inirect owner? If ',' compte Scheu L, Part IV Di the organization receive more than, in non-cash contributions? If ',' compte Scheu M c 9 Was the organization a party to a business transaction with one of the following parties (see Scheu L, Part IV instructions for applicab filing threshols, conitions, an exceptions): Di the organization sell, exchange, ispose of, or transfer more than % of its net assets? If ',' compte Scheu N, Part II Di the organization own % of an entity isregare as separate from the organization uner Regulations sections.- an.-? If ',' compte Scheu R, Part I Was the organization relate to any tax-exempt or taxab entity? If ',' compte Scheu R, Part II, III, or IV, an Part V, line a Di the organization have a control entity within the meaning of section ()? b If '' to line a, i the organization receive any payment from or engage in any transaction with a control entity within the meaning of section ()? If ',' compte Scheu R, Part V, line Di the organization receive contributions of art, historical treasures, or other similar assets, or qualifie conservation contributions? If ',' compte Scheu M Di the organization liquiate, terminate, or issolve an cease operations? If ',' compte Scheu N, Part I a b Section () organizations. Di the organization make any transfers to an exempt non-charitab relate organization? If ',' compte Scheu R, Part V, line Di the organization conuct more than % of its activities through an entity that is not a relate organization an that is treate as a partnership for feeral income tax purposes? If ',' compte Scheu R, Part VI Di the organization compte Scheu O an provie explanations in Scheu O for Part VI, lines b an 9? te. All Form 99 firs are require to compte Scheu O TEEAL // Form 99 ()

5 REGIONAL EAST TEAS FOOD BANK Part V Statements Regaring Other IRS lings an Tax Compliance Form 99 () Page Check if Scheu O contains a response or note to any line in this Part V a Enter the number reporte in Box of Form 9. Enter -- if not applicab b Enter the number of Forms W-G inclue in line a. Enter -- if not applicab a b c Di the organization comply with backup withholing rus for reportab payments to venors an reportab gaming (gambling) winnings to prize winners? c a Enter the number of employees reporte on Form W-, Transmittal of Wage an Tax Statements, fi for the canar year ening with or within the year covere by this return..... a b If at ast one is reporte on line a, i the organization fi all require feeral employment tax returns? b te. If the sum of lines a an a is greater than, you may be require to e-fi (see instructions) a Di the organization have unrelate business gross income of, or more uring the year? b If ',' has it fi a Form 99-T for this year? If '' to line b, provie an explanation in Scheu O a b a a b c a Does the organization have annual gross receipts that are normally greater than,, an i the organization solicit any contributions that were not tax euctib as charitab contributions? a b If ',' i the organization inclue with every solicitation an express statement that such contributions or gifts were not tax euctib? b a Di the organization receive a payment in excess of mae partly as a contribution an partly for goos an services provie to the payor? b If ',' i the organization notify the onor of the value of the goos or services provie? c Di the organization sell, exchange, or otherwise ispose of tangib personal property for which it was require to fi Form? If ',' inicate the number of Forms fi uring the year e Di the organization receive any funs, irectly or inirectly, to pay premiums on a personal benefit contract? f Di the organization, uring the year, pay premiums, irectly or inirectly, on a personal benefit contract? g If the organization receive a contribution of qualifie intelctual property, i the organization fi Form 99 as require? g h If the organization receive a contribution of cars, boats, airplanes, or other vehics, i the organization fi a Form 9-C? Sponsoring organizations maintaining onor avise funs. Di a onor avise fun maintaine by the sponsoring organization have excess business holings at any time uring the year? Organizations that may receive euctib contributions uner section. a At any time uring the canar year, i the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? b If ',' enter the name of the foreign country: G See instructions for filing requirements for ncen Form, Report of Foreign Bank an nancial Accounts (FBAR). a Was the organization a party to a prohibite tax shelter transaction at any time uring the tax year? b Di any taxab party notify the organization that it was or is a party to a prohibite tax shelter transaction? c If ',' to line a or b, i the organization fi Form -T? Sponsoring organizations maintaining onor avise funs. a Di the sponsoring organization make any taxab istributions uner section 9? b Di the sponsoring organization make a istribution to a onor, onor avisor, or relate person? Section () organizations. Enter: a Initiation fees an capital contributions inclue on Part VIII, line b Gross receipts, inclue on Form 99, Part VIII, line, for public use of club facilities..... b Section () organizations. Enter: a Gross income from members or sharehors a a b c e f h 9a 9b a b Gross income from other sources (Do not net amounts ue or pai to other sources against amounts ue or receive from them.) b a Section 9() non-exempt charitab trusts. Is the organization filing Form 99 in lieu of Form? b If ',' enter the amount of tax-exempt interest receive or accrue uring the year b Section (9) qualifie nonprofit health insurance issuers. a Is the organization license to issue qualifie health plans in more than one state? te. See the instructions for aitional information the organization must report on Scheu O. b Enter the amount of reserves the organization is require to maintain by the states in which the organization is license to issue qualifie health plans b c Enter the amount of reserves on han c a Di the organization receive any payments for inoor tanning services uring the tax year? b If ',' has it fi a Form to report these payments? If ',' provie an explanation in Scheu O TEEAL // a a a b Form 99 ()

6 Page REGIONAL EAST TEAS FOOD BANK Governance, Management, an Disclosure For each '' response to lines through b below, an for a '' response to line a, b, or b below, escribe the circumstances, processes, or changes in Scheu O. See instructions. Check if Scheu O contains a response or note to any line in this Part VI Section A. Governing Boy an Management Form 99 () Part VI a Enter the number of voting members of the governing boy at the en of the tax year a If there are material ifferences in voting rights among members of the governing boy, or if the governing boy egate broa authority to an executive committee or similar committee, explain in Scheu O. b Enter the number of voting members inclue in line a, above, who are inepenent b Di any officer, irector, trustee, or key employee have a family relationship or a business relationship with any other officer, irector, trustee, or key employee? Di the organization egate control over management uties customarily performe by or uner the irect supervision of officers, irectors, or trustees, or key employees to a management company or other person? Di the organization make any significant changes to its governing ocuments since the prior Form 99 was fi? Di the organization become aware uring the year of a significant iversion of the organization's assets? Di the organization have members or stockhors? a Di the organization have members, stockhors, or other persons who ha the power to ect or appoint one or more members of the governing boy? a b Are any governance ecisions of the organization reserve to (or subject to approval by) members, stockhors, or persons other than the governing boy? b Di the organization contemporaneously ocument the meetings hel or written actions unertaken uring the year by the following: a The governing boy? b Each committee with authority to act on behalf of the governing boy? a b Is there any officer, irector, trustee, or key employee liste in Part VII, Section A, who cannot be reache at the organization's mailing aress? If ',' provie the names an aresses in Scheu O Section B. Policies (This Section B requests information about policies not require by the Internal Revenue Coe.) a Di the organization have local chapters, branches, or affiliates? b If ',' i the organization have written policies an proceures governing the activities of such chapters, affiliates, an branches to ensure their operations are consistent with the organization's exempt purposes? a Has the organization provie a compte copy of this Form 99 to all members of its governing boy before filing the form? b Describe in Scheu O the process, if any, use by the organization to review this Form 99 SEE SCHEDULE O a Di the organization have a written conflict of interest policy? If ',' go to line b Were officers, irectors, or trustees, an key employees require to isclose annually interests that coul give rise to conflicts? c Di the organization regularly an consistently monitor an enforce compliance with the policy? If ',' escribe in Scheu O how this was one.....see......schedule o Di the organization have a written whistblower policy? Di the organization have a written ocument retention an estruction policy? Di the process for etermining compensation of the following persons inclue a review an approval by inepenent persons, comparability ata, an contemporaneous substantiation of the eliberation an ecision? a The organization's CEO, Executive Director, or top management official SCHEDULE O... b Other officers or key employees of the organization... SEE If '' to line a or b, escribe the process in Scheu O (see instructions). b a a b c a b a Di the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxab entity uring the year? a b If ',' i the organization follow a written policy or proceure requiring the organization to evaluate its participation in joint venture arrangements uner applicab feeral tax law, an take steps to safeguar the organization's exempt status with respect to such arrangements? b a Section C. Disclosure NONE List the states with which a copy of this Form 99 is require to be fi G Section requires an organization to make its Forms (or if applicab), 99, an 99-T (Section ()s only) availab for public inspection. Inicate how you mae these availab. Check all that apply. Other (explain in Scheu O) Own website Another's website Upon request 9 Describe in Scheu O whether (an if so, how) the organization mae its governing ocuments, conflict of interest policy, an financial statements availab to the public uring the tax year. SEE SCHEDULE O State the name, aress, an tephone number of the person who possesses the organization's books an recors: G DENNIS CULLINANE ROBERTSON RD TYLER T TEEAL // Form 99 ()

7 Page REGIONAL EAST TEAS FOOD BANK Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensate Employees, an Inepenent Contractors Form 99 () Check if Scheu O contains a response or note to any line in this Part VII Section A. Officers, Directors, Trustees, Key Employees, an Highest Compensate Employees a Compte this tab for all persons require to be liste. Report compensation for the canar year ening with or within the organization's tax year.? List all of the organization's current officers, irectors, trustees (whether iniviuals or organizations), regarss of amount of compensation. Enter -- in columns (D), (E), an (F) if no compensation was pai.? List all of the organization's current key employees, if any. See instructions for efinition of 'key employee.'? List the organization's five current highest compensate employees (other than an officer, irector, trustee, or key employee) who receive reportab compensation (Box of Form W- an/or Box of Form 99-MISC) of more than, from the organization an any relate organizations.? List all of the organization's former officers, key employees, an highest compensate employees who receive more than, of reportab compensation from the organization an any relate organizations.? List all of the organization's former irectors or trustees that receive, in the capacity as a former irector or trustee of the organization, more than, of reportab compensation from the organization an any relate organizations. List persons in the following orer: iniviual trustees or irectors; institutional trustees; officers; key employees; highest compensate employees; an former such persons. Check this box if neither the organization nor any relate organization compensate any current officer, irector, or trustee. (C) () () () () () () (9) () () () () () ROSEMARY JONES SECRETARY BILL BOLTON DIRECTOR KIM LEWIS DIRECTOR GREGG DAVIS CHAIR ELECT ANN HOWELL DIRECTOR CAROL BRADLEY DIRECTOR EDGAR BURTON DIRECTOR CHARLES HUNT DIRECTOR HERBERT BUIE DIRECTOR BOB WESTBROOK DIRECTOR DAVID APPERLEY DIRECTOR LISA LUJAN DIRECTOR MARK SCIRTO DIRECTOR JIM DAUGHTRY DIRECTOR (D) Reportab compensation from the organization (W-/99-MISC) (E) (F) Reportab compensation from relate organizations (W-/99-MISC) Estimate amount of other compensation from the organization an relate organizations () (B) Average hours per week (list any hours for relate organizations below otte line) () (A) Name an Tit Position (o not check more than one box, unss person is both an officer an a irector/trustee) TEEAL // Form 99 ()

8 Page REGIONAL EAST TEAS FOOD BANK Part VII Section A. Officers, Directors, Trustees, Key Employees, an Highest Compensate Employees (continue) Form 99 () (B) () () () (9) () () () () () JAY JELINEK DIRECTOR MICHAEL STEVENS CHAIRMAN RICK ELLIS DIRECTOR JOHN GASTON DIRECTOR VERNA HALL DIRECTOR CATHY SCHREIBER TREASURER DIANE B. HEINDEL DIRECTOR BRYAN JACOBE DIRECTOR HOWARD TAGG DIRECTOR DENNIS CULLINANE CEO () (D) (E) (F) Reportab compensation from the organization (W-/99-MISC) Reportab compensation from relate organizations (W-/99-MISC) Estimate amount of other compensation from the organization an relate organizations,.,. () Average hours per week (list any hours for relate organiza - tions below otte line) (A) Name an tit (C) Position (o not check more than one box, unss person is both an officer an a irector/trustee) b Sub-total G,.,. c Total from continuation sheets to Part VII, Section A G Total (a lines b an c) G,.,. Total number of iniviuals (incluing but not limite to those liste above) who receive more than, of reportab compensation from the organization G Di the organization list any former officer, irector, or trustee, key employee, or highest compensate employee on line a? If ',' compte Scheu J for such iniviual For any iniviual liste on line a, is the sum of reportab compensation an other compensation from the organization an relate organizations greater than,? If ',' compte Scheu J for such iniviual Di any person liste on line a receive or accrue compensation from any unrelate organization or iniviual for services renere to the organization? If ',' compte Scheu J for such person Section B. Inepenent Contractors Compte this tab for your five highest compensate inepenent contractors that receive more than, of compensation from the organization. Report compensation for the canar year ening with or within the organization's tax year. (A) Name an business aress (B) Description of services (C) Compensation Total number of inepenent contractors (incluing but not limite to those liste above) who receive more than, of compensation from the organization G TEEAL // Form 99 ()

9 REGIONAL EAST TEAS FOOD BANK Part VIII Statement of Revenue Form 99 () Page 9 Check if Scheu O contains a response or note to any line in this Part VIII (A) Total revenue a b c e Feerate campaigns Membership ues Funraising events Relate organizations Government grants (contributions)..... a b c e (B) Relate or exempt function revenue (C) Unrelate business revenue (D) Revenue exclue from tax uner sections -,.,,. f All other contributions, gifts, grants, an similar amounts not inclue above.... f,,. g ncash contributions inclue in lines a-f:,,9. h Total. A lines a-f G,,99. Business Coe Investment income (incluing iviens, interest an other similar amounts) G Income from investment of tax-exempt bon procees... G. Royalties G a b c Gross rents Less: rental expenses Rental income or (loss).... Net rental income or (loss) G,,.,9.,,.,.,. (ii) Personal (i) Real a Gross amount from sas of assets other than inventory,,.,9. a SHARED MAINTENANCE 999 b STORAGE RECOVERY 999 c e f All other program service revenue.... g Total. A lines a-f G (i) Securities (ii) Other, b Less: cost or other basis an sas expenses c Gain or (loss) , Net gain or (loss) G,, a Gross income from funraising events (not incluing..,. of contributions reporte on line c). See Part IV, line a 9,. b Less: irect expenses b,9. c Net income or (loss) from funraising events G -,. -,. 9 a Gross income from gaming activities. See Part IV, line a b Less: irect expenses b c Net income or (loss) from gaming activities G a Gross sas of inventory, ss returns an allowances a,,9. b Less: cost of goos sol b,9,9. c Net income or (loss) from sas of inventory G Miscellaneous Revenue a OTHER INCOME 999 b c All other revenue e Total. A lines a G Total revenue. See instructions G -,9. -,9.,.,.,.,,.,. Business Coe TEEA9L // 9,. Form 99 ()

10 REGIONAL EAST TEAS FOOD BANK Statement of Functional Expenses Form 99 () Part I Page Section () an () organizations must compte all columns. All other organizations must compte column (A). Check if Scheu O contains a response or note to any line in this Part I (A) (B) (C) (D) Do not inclue amounts reporte on lines Total expenses Management an Funraising Program service b, b, b, 9b, an b of Part VIII. expenses general expenses expenses Grants an other assistance to omestic organizations an omestic governments. See Part IV, line Grants an other assistance to omestic iniviuals. See Part IV, line Grants an other assistance to foreign organizations, foreign governments, an foreign iniviuals. See Part IV, lines an Benefits pai to or for members Compensation of current officers, irectors, trustees, an key employees , 9,9.,9,. Compensation not inclue above, to isqualifie persons (as efine uner section 9(f)()) an persons escribe in section 9()(B) Other salaries an wages ,,9.,,,. 9,. Pension plan accruals an contributions (inclue section (k) an employer contributions) Other employee benefits ,.,.,.,. Payroll taxes ,.,.,,9. Fees for services (non-employees): a Management b Legal c Accounting Lobbying e Professional funraising services. See Part IV, line... f Investment management fees g Other. (If line g amount excees % of line, column,.,. (A) amount, list line g expenses on Scheu O.)..... Avertising an promotion ,.,. Office expenses Information technology Royalties Occupancy ,.,9.,9. Travel Payments of travel or entertainment expenses for any feeral, state, or local public officials Conferences, conventions, an meetings.... Interest Payments to affiliates Depreciation, eption, an amortization....,. 9,9., Insurance ,9.,. 9,9. Other expenses. Itemize expenses not covere above (List miscellaneous expenses in line e. If line e amount excees % of line, column (A) amount, list line e expenses on Scheu O.) a b c FOOD DISTRIBUTED PROGRAM SERVICES FUNDRAISING CAMPAIGNS TRUCK EPENSE e All other expenses Total functional expenses. A lines through e....,9,9.,9.,. 9,9,9.,,.,9,9.,9. 9,9,.,,,.,99.,9.,9.,. Joint costs. Compte this line only if the organization reporte in column (B) joint costs from a combine eucational campaign an funraising solicitation. if following Check here G SOP 9- (ASC 9-) TEEAL // Form 99 ()

11 REGIONAL EAST TEAS FOOD BANK Balance Sheet Form 99 () Part Page Check if Scheu O contains a response or note to any line in this Part (A) Beginning of year Cash ' non-interest-bearing Savings an temporary cash investments Pges an grants receivab, net Accounts receivab, net (B) En of year,,9.,,.,,9.,,. Loans an other receivabs from current an former officers, irectors, trustees, key employees, an highest compensate employees. Compte Part II of Scheu L Loans an other receivabs from other isqualifie persons (as efine uner section 9(f)()), persons escribe in section 9()(B), an contributing employers an sponsoring organizations of section (9) voluntary employees' beneficiary organizations (see instructions). Compte Part II of Scheu L tes an loans receivab, net Inventories for sa or use Prepai expenses an eferre charges ,,.,,.,. Total assets. A lines through (must equal line ) Accounts payab an accrue expenses Grants payab Deferre revenue Tax-exempt bon liabilities Escrow or custoial account liability. Compte Part IV of Scheu D Loans an other payabs to current an former officers, irectors, trustees, key employees, highest compensate employees, an isqualifie persons. Compte Part II of Scheu L Secure mortgages an notes payab to unrelate thir parties Unsecure notes an loans payab to unrelate thir parties ,,. c a Lan, builings, an equipment: cost or other basis. Compte Part VI of Scheu D a,,. b Less: accumulate epreciation b,,. Investments ' publicly trae securities Investments ' other securities. See Part IV, line Investments ' program-relate. See Part IV, line Intangib assets Other assets. See Part IV, line ,9,9. 9,9,.,,.,,9.,9,9.,. Other liabilities (incluing feeral income tax, payabs to relate thir parties, an other liabilities not inclue on lines -). Compte Part of Scheu D. Total liabilities. A lines through ,.,. 9 Organizations that follow SFAS (ASC 9), check here G an compte lines through 9, an lines an. Unrestricte net assets Temporarily restricte net assets Permanently restricte net assets ,,. 99,.,9,.,,9. 9 Organizations that o not follow SFAS (ASC 9), check here G an compte lines through. Capital stock or trust principal, or current funs Pai-in or capital surplus, or lan, builing, or equipment fun Retaine earnings, enowment, accumulate income, or other funs Total net assets or fun balances Total liabilities an net assets/fun balances ,,.,,.,,.,9,9. Form 99 () TEEAL //

12 REGIONAL EAST TEAS FOOD BANK Reconciliation of Net sets Form 99 () Part I Page Check if Scheu O contains a response or note to any line in this Part I Total revenue (must equal Part VIII, column (A), line ) ,,.,,. 9,9,,. 9, Total expenses (must equal Part I, column (A), line ) Revenue ss expenses. Subtract line from line Net assets or fun balances at beginning of year (must equal Part, line, column (A)) Net unrealize gains (losses) on investments Donate services an use of facilities Investment expenses Prior perio ajustments Other changes in net assets or fun balances (explain in Scheu O) Net assets or fun balances at en of year. Combine lines through 9 (must equal Part, line, column (B)) ,,. Part II nancial Statements an Reporting Check if Scheu O contains a response or note to any line in this Part II Accounting metho use to prepare the Form 99: Cash Accrual Other If the organization change its metho of accounting from a prior year or checke 'Other,' explain in Scheu O. a Were the organization's financial statements compi or reviewe by an inepenent accountant? a If ',' check a box below to inicate whether the financial statements for the year were compi or reviewe on a separate basis, consoliate basis, or both: Separate basis Consoliate basis Both consoliate an separate basis b Were the organization's financial statements auite by an inepenent accountant? If ',' check a box below to inicate whether the financial statements for the year were auite on a separate basis, consoliate basis, or both: Consoliate basis Both consoliate an separate basis Separate basis c If '' to line a or b, oes the organization have a committee that assumes responsibility for oversight of the auit, review, or compilation of its financial statements an section of an inepenent accountant? If the organization change either its oversight process or section process uring the tax year, explain in Scheu O. a a result of a feeral awar, was the organization require to unergo an auit or auits as set forth in the Sing Auit Act an OMB Circular A-? b If ',' i the organization unergo the require auit or auits? If the organization i not unergo the require auit or auits, explain why in Scheu O an escribe any steps taken to unergo such auits TEEAL // b c a b Form 99 ()

13 Public Charity Status an Public Support SCHEDULE A (Form 99 or 99-EZ) Department of the Treasury Internal Revenue Service OMB. - Compte if the organization is a section () organization or a section 9() nonexempt charitab trust. G Attach to Form 99 or Form 99-EZ. G Information about Scheu A (Form 99 or 99-EZ) an its instructions is at Name of the organization Open to Public Inspection Employer ientification number REGIONAL EAST TEAS FOOD BANK Part I Reason for Public Charity Status (All organizations must compte this part.) See instructions. The organization is not a private founation because it is: (For lines through, check only one box.) A church, convention of churches, or association of churches escribe in section ()(A)(i). A school escribe in section ()(A)(ii). (Attach Scheu E (Form 99 or 99-EZ).) A hospital or a cooperative hospital service organization escribe in section ()(A)(iii). A meical research organization operate in conjunction with a hospital escribe in section ()(A)(iii). Enter the hospital's name, city, an state: An organization operate for the benefit of a colge or university owne or operate by a governmental unit escribe in section ()(A)(iv). (Compte Part II.) A feeral, state, or local government or governmental unit escribe in section ()(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public escribe in section ()(A)(vi). (Compte Part II.) A community trust escribe in section ()(A)(vi). (Compte Part II.) 9 An agricultural research organization escribe in section ()(A)(ix) operate in conjunction with a lan-grant colge or university or a non-lan-grant colge of agriculture (see instructions). Enter the name, city, an state of the colge or university: An organization that normally receives: () more than -/% of its support from contributions, membership fees, an gross receipts from activities relate to its exempt functions'subject to certain exceptions, an () no more than -/% of its support from gross investment income an unrelate business taxab income (ss section tax) from businesses acquire by the organization after June, 9. See section 9(). (Compte Part III.) An organization organize an operate exclusively to test for public safety. See section 9(). a An organization organize an operate exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supporte organizations escribe in section 9() or section 9(). See section 9(). Check the box in lines a through that escribes the type of supporting organization an compte lines e, f, an g. Type I. A supporting organization operate, supervise, or control by its supporte organization(s), typically by giving the supporte organization(s) the power to regularly appoint or ect a majority of the irectors or trustees of the supporting organization. You must compte Part IV, Sections A an B. Type II. A supporting organization supervise or control in connection with its supporte organization(s), by having control or management of the supporting organization veste in the same persons that control or manage the supporte organization(s). You must compte Part IV, Sections A an C. c Type III functionally integrate. A supporting organization operate in connection with, an functionally integrate with, its supporte organization(s) (see instructions). You must compte Part IV, Sections A, D, an E. Type III non-functionally integrate. A supporting organization operate in connection with its supporte organization(s) that is not functionally integrate. The organization generally must satisfy a istribution requirement an an attentiveness requirement (see instructions). You must compte Part IV, Sections A an D, an Part V. e b Check this box if the organization receive a written etermination from the IRS that it is a Type I, Type II, Type III functionally integrate, or Type III non-functionally integrate supporting organization. f Enter the number of supporte organizations g Provie the following information about the supporte organization(s). (i) Name of supporte organization (ii) EIN (iii) Type of organization (escribe on lines - above (see instructions)) (iv) Is the organization liste in your governing ocument? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) (A) (B) (C) (D) (E) Total For Paperwork Reuction Act tice, see the Instructions for Form 99 or 99-EZ. TEEAL 9// Scheu A (Form 99 or 99-EZ)

DOUG NESS. H(b) Are all subordinates included? If 'No,' attach a list. (see instructions) H(c) Group exemption number

DOUG NESS. H(b) Are all subordinates included? If 'No,' attach a list. (see instructions) H(c) Group exemption number Form 990 OMB. -007 Department of the Treasury Internal Revenue Service A B 07 Return of Organization Exempt From Income Tax Under section 0, 7, or 97(a)() of the Internal Revenue Code (except private foundations)

More information

For the 2017 calendar year, or tax year beginning ROBERT M. BURKE

For the 2017 calendar year, or tax year beginning ROBERT M. BURKE Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501, 527, or 4947(1) of the Internal Revenue Code (except black lung benefit trust

More information

PUBLIC INSPECTION COPY

PUBLIC INSPECTION COPY PUBLIC INSPECTION COPY Form 990 OMB No. 1545-0047 Department of the Treasury Internal Revenue Service A B For the 2017 calendar year, or tax year beginning C Address change Name change Initial return Open

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

WORKFORCE OUTSOURCE SERVICES, INC Statement of Program Service Accomplishments

WORKFORCE OUTSOURCE SERVICES, INC Statement of Program Service Accomplishments Statement of Program Service Accomplishments Part III Page Check if Schedule O contains a response or note to any line in this Part III.................................................. Briefly describe

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2011 benefit trust or private foundation)

More information

18 Jan Bradley M. Kuhn, President

18 Jan Bradley M. Kuhn, President 18 Jan. 2018 Bradley M. Kuhn, President Form 990 (2016) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III.............

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2010 benefit trust or private foundation)

More information

For the 2017 calendar year, or tax year beginning DELFARIB FANAIE

For the 2017 calendar year, or tax year beginning DELFARIB FANAIE Form OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Address change Initial return Open to Public Inspection,, and ending, Check if applicable:

More information

For the 2016 calendar year, or tax year beginning

For the 2016 calendar year, or tax year beginning Form 990 OMB. -007 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Final return/terminated

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

Name change 801 2nd Avenue, 2nd Floor. New York, NY (212)

Name change 801 2nd Avenue, 2nd Floor. New York, NY (212) Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

Government Copy. One Summit, Inc. 4 High Street Suite 128 North Andover, MA

Government Copy. One Summit, Inc. 4 High Street Suite 128 North Andover, MA 0 TA RETURN Government Copy Client: 0 Prepared for: High Street Suite rth Andover, MA 0 9-- Prepared by: David S Gaudet, CPA Stafford, Gaudet & Associates, LLC 9 Fletcher St., PO Box Chelmsford, MA 0 (9)

More information

For the 2016 calendar year, or tax year beginning

For the 2016 calendar year, or tax year beginning Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

For the 2014 calendar year, or tax year beginning

For the 2014 calendar year, or tax year beginning Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Final return/terminated

More information

Public Disclosure Copy

Public Disclosure Copy Form 990 Department of the Treasury Internal Revenue Service A For the 2010 calendar year, or tax year beginning, 2010, and ending, B Check if applicable: D Employer Identification Number Address change

More information

For the 2016 calendar year, or tax year beginning JEFF GILLMAN

For the 2016 calendar year, or tax year beginning JEFF GILLMAN Form 990 OMB. -007 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III...

Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III... Form 990 (2010) Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III.............. 1 Briefly describe the organization s

More information

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

For the 2016 calendar year, or tax year beginning. Sandra Tamari

For the 2016 calendar year, or tax year beginning. Sandra Tamari Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Final return/terminated,

More information

B Check if applicable: C E Telephone number TORRANCE, CA HANNAH SONG

B Check if applicable: C E Telephone number TORRANCE, CA HANNAH SONG Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2014 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

For the 2017 calendar year, or tax year beginning. Doreen Martinez

For the 2017 calendar year, or tax year beginning. Doreen Martinez Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

PUBLIC INSPECTION COPY

PUBLIC INSPECTION COPY Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2015 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

2014 Federal Exempt Organization Tax Summary Page 1

2014 Federal Exempt Organization Tax Summary Page 1 2014 Federal Exempt Organization Tax Summary Page 1 GALLATIN RIVER TASK FORCE 74-3127146 2014 2013 Diff REVENUE Contributions and grants........................ 209,581 0 209,581 Program service revenue..........................

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Final return/terminated

More information

B Check if applicable: C E Telephone number. Pittstown, NJ

B Check if applicable: C E Telephone number. Pittstown, NJ Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2016 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

Change of Accounting Period

Change of Accounting Period Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2014 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

For the 2016 calendar year, or tax year beginning

For the 2016 calendar year, or tax year beginning Form OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

Visalia, CA Form of organization: Corporation Trust Association Other Year of formation: State of legal domicile:

Visalia, CA Form of organization: Corporation Trust Association Other Year of formation: State of legal domicile: Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2016 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Final return/terminated

More information

Checklist of Required Schedules

Checklist of Required Schedules Page 3 Part IV Checklist of Required Schedules 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If Yes, complete Schedule A.............................

More information

For the 2016 calendar year, or tax year beginning ISLAMIC CENTER OF IRVINE, INC. 2 TRUMAN (949)

For the 2016 calendar year, or tax year beginning ISLAMIC CENTER OF IRVINE, INC. 2 TRUMAN (949) Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C TUCSON, AZ

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C TUCSON, AZ Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

2014 Exempt Org. Return prepared for: Motivating Inspiring Supporting and Serving Sexually Exploited Youth th St Suite 150 Oakland, CA 94612

2014 Exempt Org. Return prepared for: Motivating Inspiring Supporting and Serving Sexually Exploited Youth th St Suite 150 Oakland, CA 94612 0 Exempt Org. Return prepared for: Serving Sexually Exploited Youth th St Suite 0 Oakland, CA IRYNA AC 000 Broadway, 00-G Oakland, CA 0 Form 0 OMB. -00 Department of the Treasury Internal Revenue Service

More information

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ Form 990 (2017) THE TRANSITION NETWORK, INC. 13-4116831 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-47 Form 99 Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 217 Do not enter social security

More information

2015 Exempt Org. Return prepared for: La Jolla Golden Triangle Rotary Club Foundation PO Box La Jolla, CA 92039

2015 Exempt Org. Return prepared for: La Jolla Golden Triangle Rotary Club Foundation PO Box La Jolla, CA 92039 0 Exempt Org. Return prepared for: Rotary Club Foundation PO Box 0 La Jolla, CA 0 FC PAYROLL & ACCOUNTING Bernardo Center Drive # 0 San Diego, CA Form 0 OMB. -00 Department of the Treasury Internal Revenue

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 990 OMB. -007 Department of the Treasury Internal Revenue Service A B For the 07 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 07 Return of

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ (Expenses $ including grants of $ ) (Revenue $ 4 e Total program service expenses G

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ (Expenses $ including grants of $ ) (Revenue $ 4 e Total program service expenses G Form 990 (2014) THE DESMOND TUTU PEACE FOUNDATION 13-4092458 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

HONORING AMERICA S WARRIORS, (405)

HONORING AMERICA S WARRIORS, (405) HONORING AMERICA S WARRIORS, (405)-948-4376 August 22, 2017 Honoring America s Warriors 1301 CORNELL PKWY STE 700 OKLAHOMA CITY, OK 73108 Dear Client: Enclosed is your 2016 Federal Return of Organization

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 99 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 1(c), 27, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

For the 2017 calendar year, or tax year beginning CHRIS CARMICHAEL

For the 2017 calendar year, or tax year beginning CHRIS CARMICHAEL Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

SEE SCHEDULE O. 2 Did the organization undertake any significant program services during the year which were not listed on the prior

SEE SCHEDULE O. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 (2014) AVAAZ FOUNDATION 20-5050267 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ Form 990 (2013) WORKFORCE OUTSOURCE SERVICES, INC 20-3684091 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

Open to Public Inspection A For the 2015 calendar year, or tax year beginning, 2015, and ending, Malibu, CA (310)

Open to Public Inspection A For the 2015 calendar year, or tax year beginning, 2015, and ending, Malibu, CA (310) Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2015 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Open to Public Inspection A For the 2016 calendar year, or tax year beginning, 2016, and ending,

Open to Public Inspection A For the 2016 calendar year, or tax year beginning, 2016, and ending, Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2016 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

For the 2016 calendar year, or tax year beginning

For the 2016 calendar year, or tax year beginning Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Final return/terminated

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-47 Form 99 Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 214 Do not enter social security

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2017 Do not enter social security

More information

Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III...

Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III... Form 990 (2012) First Presbyterian Church Housing 38-3405663 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III.............

More information

Part III Statement of Program Service Accomplishments. Check if Schedule O contains a response or note to any line in this Part III...

Part III Statement of Program Service Accomplishments. Check if Schedule O contains a response or note to any line in this Part III... Check if Schedule O contains a response or note to any line in this Part III................. Form 990 (2016) Colorado Horse Rescue 84-1095741 Page 2 Part III Statement of Program Service Accomplishments

More information

For the 2017 calendar year, or tax year beginning. Kit Armstrong

For the 2017 calendar year, or tax year beginning. Kit Armstrong Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Address change Name change Initial return Open to Public Inspection, 0, and ending,

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 990 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

For the 2016 calendar year, or tax year beginning. Name and address of principal officer: H(b) Are all subordinates included?

For the 2016 calendar year, or tax year beginning. Name and address of principal officer: H(b) Are all subordinates included? Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2017 Do not enter social security

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C TULSA, OK (918)

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C TULSA, OK (918) Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

2 Did the organization undertake any significant program services during the year which were not listed on the prior

2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 (2016) CENTER FOR ORANGUTAN AND CHIMPANZEE 65-0444725 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

For the 2016 calendar year, or tax year beginning

For the 2016 calendar year, or tax year beginning Form 990 OMB. -007 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

For the 2016 calendar year, or tax year beginning

For the 2016 calendar year, or tax year beginning Form 990 OMB. -007 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C OAKLAND, CA

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C OAKLAND, CA Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

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 Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2015 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-47 Form 99 Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 216 Do not enter social security

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

B Check if applicable: C E Telephone number BILLINGS, MT

B Check if applicable: C E Telephone number BILLINGS, MT Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2016 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-47 Form 99 Return of Organization Exempt From Income Tax Under section 51(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 215 Do not enter social security

More information

For the 2013 calendar year, or tax year beginning C

For the 2013 calendar year, or tax year beginning C Form ETENSION ATTACHED 990 For the 2013 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 2013 Return of Organization Exempt From Income Tax Under section

More information

SEE SCHEDULE O. 2 Did the organization undertake any significant program services during the year which were not listed on the prior

SEE SCHEDULE O. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 (2015) VENTURE FOR AMERICA, INC 27-2987904 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

For the 2016 calendar year, or tax year beginning GREGG HARRIS

For the 2016 calendar year, or tax year beginning GREGG HARRIS Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return 0 Return of Organization

More information

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501, 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2017 a Do not enter social security

More information

2013 Exempt Org. Return prepared for: Bike & Build Inc 6153 Ridge Avenue, Unit B Philadelphia, PA Kauffman & Co. PO Box 396 Media, PA 19063

2013 Exempt Org. Return prepared for: Bike & Build Inc 6153 Ridge Avenue, Unit B Philadelphia, PA Kauffman & Co. PO Box 396 Media, PA 19063 2013 Exempt Org. Return prepared for: Bike & Build Inc 6153 Ridge Avenue, Unit B Philadelphia, PA 19128 Kauffman & Co. PO Box 396 Media, PA 19063 KAUFFMAN & CO. PO BO 396 MEDIA, PA 19063 (443) 621-9951

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

Open to Public Inspection A For the 2013 calendar year, or tax year beginning 7/01, 2013, and ending 6/30, 2014 B Check if applicable: C

Open to Public Inspection A For the 2013 calendar year, or tax year beginning 7/01, 2013, and ending 6/30, 2014 B Check if applicable: C Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

The Teen Project & Freehab 990s

The Teen Project & Freehab 990s The Teen Project & Freehab 990s Please see the following 990 forms for both The Teen Project Inc. and Freehab Inc. herein. Freehab was dissolved and the assets merged under The Teen Project Inc. (the surviving

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service A For the 2010 calendar year, or tax year beginning, 2010, and ending, B Check if applicable: D Employer Identification Number Address change

More information

For the 2017 calendar year, or tax year beginning

For the 2017 calendar year, or tax year beginning Form 99 OMB. - Department of the Treasury Internal Revenue Service A B For the calendar year, or tax year beginning C Check if applicable: Address change Name change Initial return Return of Organization

More information

Open to Public Inspection A For the 2013 calendar year, or tax year beginning 7/01, 2013, and ending 6/30, 2014 B Check if applicable: C

Open to Public Inspection A For the 2013 calendar year, or tax year beginning 7/01, 2013, and ending 6/30, 2014 B Check if applicable: C Form 990 OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2013 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) G Do not enter Social Security

More information

2015 Department of the Treasury

2015 Department of the Treasury ETENDED TO MAY 15, 017 OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 57, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 015 Department

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service A For the 2010 calendar year, or tax year beginning, 2010, and ending, B Check if applicable: D Employer Identification Number Address change

More information

Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III...

Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III... Form 990 (2010) Our Saviour's Manor Senior Nonprofit 38-3593702 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part III.............

More information

B Check if applicable: C E Telephone number

B Check if applicable: C E Telephone number Form 990 Department of the Treasury Internal Revenue Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2016 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information

Form 990 (2016) THE PREM RAWAT FOUNDATION Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a respon

Form 990 (2016) THE PREM RAWAT FOUNDATION Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a respon Form 990 Department of the Treasury Internal Revenue Service OMB. 1545-0047 Return of Exempt From Income Tax 2016 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

** PUBLIC COPY ** For the 2017 calendar year, or tax year beginning

** PUBLIC COPY ** For the 2017 calendar year, or tax year beginning Form 0 OMB. -00 Department of the Treasury Internal Revenue Service A B For the 0 calendar year, or tax year beginning C Address change Initial return Open to Public Inspection, 0, and ending, Check if

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security

More information

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 Service OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2015 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except

More information