Short Form Return of Organization Exempt From Income Tax 990-EZ 2011

Transcription

1 OMB No Form Under setion 501(), 527, or 97(a)(1) of the Internal Revenue Code (exept lak lung enefit trust or private foundation) Sponsoring organizations of donor advised funds, organizations that operate one or more hospital failities, and ertain ontrolling Department of the Treasury organizations as defined in setion 512()(1) must file Form 990. All other organizations with gross reeipts less than $200,000 and total Internal Revenue Servie assets less than $500,000 at the end of the year may use this form. The organization may have to use a opy of this return to satisfy state reporting requirements. Open to Puli Inspetion A For the 2011 alendar year, or tax year eginning and ending B Chek if appliale: C Name of organization D Employer identifiation numer Address hange Name hange DISCOVERING DEAF WORLDS, INC Initial return Numer and street (or P.O. ox, if mail is not delivered to street address) Room/suite E Telephone numer Terminated PO BO 1006 (585) Amended return City or town, state or ountry, and ZIP + F Group Exemption ROCHESTER, NY 1610 Appliation pending Numer G Aounting Method: Cash Arual Other (speify) H Chek if the organization is not I Wesite: required to attah Shedule B J Tax-exempt status (hek only one) 501()() 501() ( ) ß (insert no.) 97(a)(1) or 527 (Form 990, 990-EZ, or 990-PF). K Chek if the organization is not a setion 509(a)() supporting organization or a setion 527 organization and its gross reeipts are normally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postard) may e required (see instrutions). But if the organization hooses to file Revenue Expenses Net Assets a return, e sure to file a omplete return. L Add lines 5, 6, and 7, to line 9 to determine gross reeipts. If gross reeipts are $200,000 or more, or if total assets (Part II, line 25, olumn (B) elow) are $500,000 or more, file Form 990 instead of Form 990-EZ $,0. Part I Revenue, Expenses, and Changes in Net Assets or Fund Balanes (see the instrutions for Part I.) Chek if the organization used Shedule O to respond to any question in this Part I 1 Contriutions, gifts, grants, and similar amounts reeived ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 28,95. 2 Program servie revenue inluding government fees and ontrats ~~~~~~~~~~~~~~~~~~~~~~~ LHA Short Form Return of Organization Exempt From Inome Tax 990-EZ a d Total revenue. Add lines 1, 2,,, 5, 6d, 7, and Oupany, rent, utilities, and maintenane ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Printing, puliations, postage, and shipping ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ,5. 16 Other expenses (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE SCHEDULE O 16 18,0. 17 Total expenses. Add lines 10 through , Exess or (defiit) for the year (Sutrat line 17 from line 9) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 18 7, Memership dues and assessments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment inome 5a Gross amount from sale of assets other than inventory~~~~~~~~~~~~~ Less: ost or other asis and sales expenses ~~~~~~~~~~~~~~~~~ Gain or (loss) from sale of assets other than inventory (Sutrat line 5 from line 5a) ~~~~~~~~~~~~~~~ Gaming and fundraising events Gross inome from gaming (attah Shedule G if greater than $15,000) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Gross inome from fundraising events (not inluding $ 9,15. of ontriutions from fundraising events reported on line 1) (attah Shedule G if the sum of suh gross inome and ontriutions exeeds $15,000) Less: diret expenses from gaming and fundraising events For Paperwork Redution At Notie, see the separate instrutions. ~~~~~~~~~~~~~~ ~~~~~~~~~~ Net inome or (loss) from gaming and fundraising events (add lines 6a and 6 and sutrat line 6) ~~~~~~~~~ 7a Gross sales of inventory, less returns and allowanes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross profit or (loss) from sales of inventory (Sutrat line 7 from line 7a) Other revenue (desrie in Shedule O) 5a a 7 ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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 (from line 27, 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),90.,90. ~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at end of year. Comine lines 18 through d , , ,98. Form 990-EZ (2011)

2 Form 990-EZ (2011) DISCOVERING DEAF WORLDS, INC Page 2 Part II Balane Sheets. (see the instrutions for Part II.) Chek if the organization used Shedule O to respond to any question in this Part II (A) Beginning of year (B) End of year 22 Cash, savings, and investments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11, , Land and uildings ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other assets (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Total assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ , , Total liailities (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes (line 27 of olumn (B) must agree with line 21) 11, ,98. Part III Statement of Program Servie Aomplishments (see the instrutions for Part III.) Expenses (Required for setion Chek if the organization used Shedule O to respond to any question in this Part III 501()() and 501()() What is the organization's primary exempt purpose? SEE SCHEDULE O organizations and setion Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. In a lear and onise 97(a)(1) trusts; optional manner, desrie the servies provided, the numer of persons enefited, and other relevant information for eah program title. for others.) 28 ADVOCATING FOR AND SPREADING PUBLIC AWARENESS OF DEAF PEOPLE IN THE UNITED STATES AND OTHER COUNTRIES BY ISSUING NEWSLETTERS (Grants $ ) If this amount inludes foreign grants, hek here 28a 9, (Grants $ ) If this amount inludes foreign grants, hek here 29a (Grants $ ) If this amount inludes foreign grants, hek here 0a 1 Other program servies (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (Grants $ ) If this amount inludes foreign grants, hek here 1a 2 Total program servie expenses (add lines 28a through 1a) 2 9,007. Part IV List of Offiers, Diretors, Trustees, and Key Employees. List eah one even if not ompensated. (see the instrutions for Part IV.) Chek if the organization used Shedule O to respond to any question in this Part IV (a) Name and address () Title and average hours () Reportale (d) Health enefits, (e) Estimated ompensation (Forms ontriutions to per week devoted to W-2/1099-MISC) employee enefit amount of other position (if not paid, enter -0-) plans, and deferred ompensation ompensation HAROLD MOWL PRESIDENT 8 FALCON TRAIL, PITTSFORD, NY JAMES DECARO, PH.D., 5857 VICE PRESIDENT PITTSFORD-PALMYRA ROAD, PITTSFORD,, BRYAN HENSEL TREASURER 67 WILSONIA ROAD, ROCHESTER, NY MARTIN HILLER, 10 CLEVELAND DIRECTOR HEIGHTS BLVD., CLEVELAND HEIGHTS, OH STACEY MILLER, 15 POND ROAD, SECRETARY HONEOYE FALLS, NY MICHAEL A SCHWARTZ, ESQ DIRECTOR P.O. BO 65, SYRACUSE, NY KHADIJAT RASHID DIRECTOR 7919 FAWN RUN, JESSUP, MD MARILYN SMITH, 112 NE 6RD STREET, DIRECTOR SEATTLE, WA DENISE THEW DIRECTOR PO BO 1862, ROCHESTER, NY MADAN VASISHTA DIRECTOR CANDY CT., MANASSAS, VA BERNARD N. BRAGG, 21 DETOUR DRIVE, DIRECTOR LOS ANGELES, CA Form 990-EZ (2011)

3 Form 990-EZ (2011) DISCOVERING DEAF WORLDS, INC 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 Yes No 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 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6 7a 8a 9 1 Did the organization file Form 1120-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 a d e 2a 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) ~~~~~~ 5a Did the organization have unrelated usiness gross inome of $1,000 or more during the year from usiness ativities (suh as those reported on lines 2, 6a, and 7a, among others)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," to line 5a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Shedule O ~~~~~~~~~~ Was the organization a setion 501()(), 501()(5), or 501()(6) organization sujet to setion 60(e) notie, reporting, and proxy tax requirements during the year? If "Yes," omplete Shedule C, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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. ~~~~~ 7a 0. Did the organization orrow from, 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, Part II and enter the total amount involved ~~~~~~~~~~~~~~ 8 N/A Setion 501()(7) 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 501()() organizations. Enter amount of tax imposed on the organization during the year under: setion ; setion ; setion Setion 501()() and 501()() organizations. Did the organization engage in any setion 958 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, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501()() and 501()() organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under setions 912, 955, and 958 ~~~~~~~~~~~~~~~ Setion 501()() and 501()() 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 8886-T ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0e List the states with whih a opy of this return is filed. NY The organization's ooks are in are of DAVID JUSTICE Telephone no Loated at 88 BERKELEY STREET, #, ROCHESTER, NY 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 Form TD F , Report of Foreign Bank and Finanial Aounts. 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 97(a)(1) nonexempt haritale trusts filing Form 990-EZ in lieu of Form 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 N/A Yes No a d 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 720 to report these payments? If "No," provide an explanation in Shedule O ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5a Did the organization have a ontrolled entity within the meaning of setion 512()(1)? ~~~~~~~~~~~~~~~~~~~~~~~~ 5 Did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 512()(1)? If "Yes," Form 990 and Shedule R may need to e ompleted instead of Form 990-EZ (see instrutions) a d 5a 5 Yes No Form 990-EZ (2011)

4 Form 990-EZ (2011) DISCOVERING DEAF WORLDS, INC Page Yes No 6 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 I 6 Part VI Setion 501()() organizations and setion 97(a)(1) nonexempt haritale trusts only. All setion 501()() organizations and setion 97(a)(1) nonexempt haritale trusts must answer questions 7-9 and 52, and omplete the tales for lines 50 and 51. Chek if the organization used Shedule O to respond to any question in this Part VI Yes No 7 8 Did the organization engage in loying ativities or have a setion 501(h) eletion in effet during the tax year? If "Yes," omplete Sh. C, Part II Is the organization a shool as desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~~~~~~ 7 8 9a Did the organization make any transfers to an exempt non-haritale related organization? ~~~~~~~~~~~~~~~~~~~~~~ 9a 50 If "Yes," was the related organization a setion 527 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 $100,000 of ompensation from the organization. If there is none, enter "None." (a) Name and address of eah employee () Title and average hours () Reportale (d) Health enefits, (e) Estimated ompensation (Forms ontriutions to paid more than $100,000 per week devoted to W-2/1099-MISC) employee enefit amount of other position plans, and deferred NONE ompensation ompensation 9 f Total numer of other employees paid over $100,000 ~~~~~~~~~~~~~~~~ 51 Complete this tale for the organization's five highest ompensated independent ontrators who eah reeived more than $100,000 of ompensation from the organization. If there is none, enter "None." NONE (a) Name and address of eah independent ontrator paid more than $100,000 () Type of servie () Compensation d Total numer of other independent ontrators eah reeiving over $100,000 ~~~~~~~~~~~~~~ 52 Did the organization omplete Shedule A? Note: All setion 501()() organizations and 97(a)(1) nonexempt haritale trusts must attah a ompleted Shedule A Yes 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 BRYAN HENSEL, TREASURER Type or print name and title Date No Print/Type preparer's name Preparer's signature Date Chek if PTIN Paid self- employed Preparer JEFFREY M. WELER P Use Only Firm's name DAVIE KAPLAN, CPA, P.C. Firm's EIN Firm's address FIRST FEDERAL PLAZA Phone no ROCHESTER, NY May the IRS disuss this return with the preparer shown aove? See instrutions Yes No Form 990-EZ (2011)

5 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Complete if the organization is a setion 501()() organization or a setion 97(a)(1) nonexempt haritale trust. Attah to Form 990 or Form 990-EZ. See separate instrutions. OMB No Open to Puli Inspetion Name of the organization Employer identifiation numer DISCOVERING DEAF WORLDS, INC Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions e f g h ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170()(1)(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 170()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170()(1)(A)(vi). (Complete Part II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 1/ of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and (2) no more than 1/ of its support from gross investment inome and unrelated usiness taxale inome (less setion 511 tax) from usinesses aquired y the organization after June 0, See setion 509(a)(2). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 509(a)(). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(2). See setion 509(a)(). Chek the ox that desries the type of supporting organization and omplete lines 11e through 11h. a Type I Type II Type III - Funtionally integrated d Type III - Other By heking this ox, I ertify that the organization is not ontrolled diretly or indiretly y one or more disqualified persons other than foundation managers and other than one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(2). If the organization reeived a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, hek this ox ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sine August 17, 2006, has the organization aepted any gift or ontriution from any of the following persons? (i) (ii) (iii) Puli Charity Status and Puli Support A person who diretly or indiretly ontrols, either alone or together with persons desried in (ii) and (iii) elow, the governing ody of the supported organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A family memer of a person desried in (i) aove? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A 5 ontrolled entity of a person desried in (i) or (ii) aove? ~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information aout the supported organization(s) The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) 1 A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 170()(1)(A)(i). 2 A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E.) A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital's name, (iii) Type of (i) Name of supported (ii) EIN (iv) Is the organization (v) Did you notify the (vi) Is the (vii) organization in ol. (i) listed in your organization in ol. organization in ol. Amount of organization (desried on lines 1-9 (i) organized in the support governing doument? (i) of your support? U.S.? aove or IRC setion (see instrutions) ) Yes No Yes No Yes No 11g(i) 11g(ii) 11g(iii) Yes No Total LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ)

6 Shedule A (Form 990 or 990-EZ) 2011 DISCOVERING DEAF WORLDS, INC Page 2 Part II Support Shedule for Organizations Desried in Setions 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you heked the ox on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) Total. Add lines 1 through ~~~ 6 Puli support. Sutrat line 5 from line. Calendar year (or fisal year eginning in) assets (Explain in Part IV.) ~~~~ Total support. Add lines 7 through 10 (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total 15, , ,95. 60, First five years. If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage a 1/ support test If the organization did not hek the ox on line 1, and line 1 is 1/ or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17a 10 -fats-and-irumstanes test If the organization did not hek a ox on line 1, 16a, or 16, and line 1 is 10 or more, 18 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 1 that exeeds 2 of the amount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Total Support Amounts from line ~~~~~~~ Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on ~ Other inome. Do not inlude gain or loss from the sale of apital Gross reeipts from related ativities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentage for 2011 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentage from 2010 Shedule A, Part II, line 1 ~~~~~~~~~~~~~~~~~~~~~ 15, , ,95. 60, , , ,95. 60,520. 1/ support test If the organization did not hek a ox on line 1 or 16a, and line 15 is 1/ 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 IV how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~ 10 -fats-and-irumstanes test If the organization did not hek a ox on line 1, 16a, 16, or 17a, and line 15 is 10 or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part IV 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 1, 16a, 16, 17a, or 17, hek this ox and see instrutions , ,520. 1,18. Shedule A (Form 990 or 990-EZ)

7 Shedule A (Form 990 or 990-EZ) 2011 Part III Support Shedule for Organizations Desried in Setion 509(a)(2) 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 1 through 5 ~~~ 7a Amounts inluded on lines 1, 2, and reeived from disqualified persons Amounts inluded on lines 2 and reeived from other than disqualified persons that exeed the greater of $5,000 or 1 of the amount on line 1 for the year ~~~~~~ Add lines 7a and 7 ~~~~~~~ 8 Puli support (Sutrat line 7 from line 6.) Calendar year (or fisal year eginning in) 9 Amounts from line 6 ~~~~~~~ 10a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Unrelated usiness taxale inome (less setion 511 taxes) from usinesses aquired after June 0, 1975 ~~~~ (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total (a) 2007 () 2008 () 2009 (d) 2010 (e) 2011 (f) Total Page 1 First five years. If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage 15 Puli support perentage for 2011 (line 8, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~~~~~ Puli support perentage from 2010 Shedule A, Part III, line 15 Setion D. Computation of Investment Inome Perentage (Complete only if you heked the ox on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed elow, please omplete Part II.) Setion A. Puli Support Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization's tax-exempt purpose Gross reeipts from ativities that are not an unrelated trade or usiness under setion 51 ~~~~~ Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf ~~~~ Setion B. Total Support Add lines 10a and 10 ~~~~~~ Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on ~~~~~~~ Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part IV.) ~~~~ Total support (Add lines 9, 10, 11, and 12.) Investment inome perentage for 2011 (line 10, olumn (f) divided y line 1, olumn (f)) Investment inome perentage from 2010 Shedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~ 16 ~~~~~~~~ 17 19a 1/ support tests If the organization did not hek the ox on line 1, and line 15 is more than 1/, and line 17 is not more than 1/, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~ 1/ support tests If the organization did not hek a ox on line 1 or line 19a, and line 16 is more than 1/, and line 18 is not more than 1/, hek this ox and stop here. The organization qualifies as a pulily supported organization~~~~ 20 Private foundation. If the organization did not hek a ox on line 1, 19a, or 19, hek this ox and see instrutions 7 18 Shedule A (Form 990 or 990-EZ) 2011

8 SCHEDULE G (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Part I Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attah to Form 990 or Form 990-EZ. See separate instrutions. OMB No Open To Puli Inspetion Employer identifiation numer DISCOVERING DEAF WORLDS, INC Fundraising Ativities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ filers are not required to omplete this part. 1 Indiate whether the organization raised funds through any of the following ativities. Chek all that apply. a Mail soliitations e Soliitation of non-government grants Internet and soliitations f Soliitation of government grants Phone soliitations g Speial fundraising events d In-person soliitations 2 a Did the organization have a written or oral agreement with any individual (inluding offiers, diretors, trustees or key employees listed in Form 990, Part VII) or entity in onnetion with professional fundraising servies? Yes No If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under whih the fundraiser is to e ompensated at least $5,000 y the organization. Supplemental Information Regarding Fundraising or Gaming Ativities 2011 (i) Name and address of individual or entity (fundraiser) (ii) Ativity (iii) Did fundraiser (iv) Gross reeipts have ustody or ontrol of from ativity ontriutions? (v) Amount paid to (or retained y) fundraiser listed in ol. (i) (vi) Amount paid to (or retained y) organization Yes No Total List all states in whih the organization is registered or liensed to soliit ontriutions or has een notified it is exempt from registration or liensing. LHA Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule G (Form 990 or 990-EZ)

9 Shedule G (Form 990 or 990-EZ) 2011 DISCOVERING DEAF WORLDS, INC Page 2 Part II Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event ontriutions and gross inome on Form 990-EZ, lines 1 and 6. List events with gross reeipts greater than $5,000. Revenue 1 Gross reeipts ~~~~~~~~~~~~~~ (a) Event #1 () Event #2 () Other events COCKTAIL NONE PARTY (event type) (event type) (total numer) (d) Total events (add ol. (a) through ol. ()) 1,08. 1,08. 2 Less: Charitale ontriutions ~~~~~~ 9,15. 9,15. Gross inome (line 1 minus line 2),90.,90. Cash prizes ~~~~~~~~~~~~~~~ Diret Expenses Nonash prizes ~~~~~~~~~~~~~ Rent/faility osts ~~~~~~~~~~~~ Food and everages ~~~~~~~~~~ 8 Entertainment ~~~~~~~~~~~~~~ 9 Other diret expenses ~~~~~~~~~~,90., Diret expense summary. Add lines through 9 in olumn (d) ~~~~~~~~~~~~~~~~~~~~~~~~ (,90. ) 11 Net inome summary. Comine line, olumn (d), and line Part III Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. () Pull tas/instant (d) Total gaming (add (a) Bingo () Other gaming ingo/progressive ingo ol. (a) through ol. ()) Revenue 1 Gross revenue Diret Expenses 2 Cash prizes ~~~~~~~~~~~~~~~ Nonash prizes ~~~~~~~~~~~~~ Rent/faility osts ~~~~~~~~~~~~ 5 6 Other diret expenses Volunteer laor ~~~~~~~~~~~~~ Yes Yes Yes No No No 7 Diret expense summary. Add lines 2 through 5 in olumn (d) ~~~~~~~~~~~~~~~~~~~~~~~~ ( ) 8 Net gaming inome summary. Comine line 1, olumn d, and line 7 9 Enter the state(s) in whih the organization operates gaming ativities: a Is the organization liensed to operate gaming ativities in eah of these states? ~~~~~~~~~~~~~~~~~~~~ If "No," explain: Yes No 10a Were any of the organization's gaming lienses revoked, suspended or terminated during the tax year? ~~~~~~~~~ If "Yes," explain: Yes No Shedule G (Form 990 or 990-EZ)

10 Shedule G (Form 990 or 990-EZ) 2011 DISCOVERING DEAF WORLDS, INC Page Does the organization operate gaming ativities with nonmemers? ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization a grantor, enefiiary or trustee of a trust or a memer of a partnership or other entity formed to administer haritale gaming? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes Yes No No 1 Indiate the perentage of gaming ativity operated in: a The organization's faility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a An outside faility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1 Enter the name and address of the person who prepares the organization's gaming/speial events ooks and reords: Name Address 15a Does the organization have a ontrat with a third party from whom the organization reeives gaming revenue? ~~~~~~ Yes No If "Yes," enter the amount of gaming revenue reeived y the organization $ and the amount of gaming revenue retained y the third party $. If "Yes," enter name and address of the third party: Name Address 16 Gaming manager information: Name Gaming manager ompensation $ Desription of servies provided Diretor/offier Employee Independent ontrator 17 Mandatory distriutions: a Is the organization required under state law to make haritale distriutions from the gaming proeeds to retain the state gaming liense? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No Enter the amount of distriutions required under state law to e distriuted to other exempt organizations or spent in the organization's own exempt ativities during the tax year $ Part IV Supplemental Information. Complete this part to provide the explanations required y Part I, line 2, olumns (iii) and (v), and Part III, lines 9, 9, 10, 15, 15, 16, and 17, as appliale. Also omplete this part to provide any additional information (see instrutions) Shedule G (Form 990 or 990-EZ) 2011

11 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 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 OMB No Open to Puli Inspetion Employer identifiation numer DISCOVERING DEAF WORLDS, INC FORM 990-EZ, PART I, LINE 16, OTHER EPENSES: DESCRIPTION OF OTHER EPENSES: AMOUNT: OFFICE EPENSES 06. FUNDRAISING EPENSES 977. PROGRAM DEVELOPMENT 1,59. WEBSITE 2,860. TRAVEL 1,60. COMMISSIONS 0. INTERPRETERS 1,187. INSURANCE 1,00. MEMBERSHIPS 150. GIFTS AND DONATIONS 28. HOSPITALITY 29. DDW JOURNEYS 227. GLOBAL DEAF AWARNESS,19. RIT INNOVATION 2,99. TOTAL TO FORM 990-EZ, LINE 16 18,0. FORM 990-EZ, PART III, PRIMARY EEMPT PURPOSE - THE OBJECTIVE OF THE ORGANIZATION IS TO ADVOCATE THE SELF-DETERMINATION OF SIGNING DEAF COMMUNITIES THROUGH LOCAL CAPACITY BUILDING IN DEVELOPING COUNTRIES. 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, LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (2011)

12 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 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 OMB No Open to Puli Inspetion Employer identifiation numer DISCOVERING DEAF WORLDS, INC 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) (2011)

13 TA RETURN FILING INSTRUCTIONS NEW YORK FORM CHAR500, ANNUAL FILING REPORT FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~~ Deemer 1, 2011 Prepared for Prepared y Mail tax return to Return must e mailed on or efore Speial Instrutions Disovering Deaf Worlds, In. Mr. David Justie P.O. Box 1006 Rohester, NY 1610 Davie Kaplan, CPA, P.C First Federal Plaza Rohester, NY New York State Department of Law Charities Bureau - Registration Setion 120 Broadway New York, NY May 15, 2012 New York Form CHAR500 must e signed and dated y oth of the authorized individuals. Also e sure that the attahed opy of federal Form 990-Ez has een properly signed and dated. Enlose a hek for $5 made payale to NYS Department of Law. Inlude the organization's state registration numer(s) on the remittane

14 Form This form used for Artile 7-A, EPTL and dual filers (replaes forms CHAR 97, CHAR 010 and CHAR 006) 1. General Information a. For the fisal year eginning (mm/dd/yyyy) Annual Filing for Charitale Organizations New York State Department of Law (Offie of the Attorney General) Charities Bureau - Registration Setion 120 Broadway New York, NY CHAR /01/2011 and ending (mm/dd/yyyy) 12/1/2011 Open to Puli Inspetion. Chek if appliale for NYS:. Name of organization d. Fed. employer ID no. (EIN) Address hange DISCOVERING DEAF WORLDS, INC Name hange e. NY State registration no. Initial filing Final filing Numer and street (or P.O. ox if mail not delivered to street address) Room/suite f. Telephone numer Amended filing PO BO NY registration pending City or town, state or ountry and ZIP + g. ROCHESTER, NY Certifiation - Two Signatures Required We ertify under penalties of perjury that we reviewed this report, inluding all attahments, and to the est of our knowledge and elief, they are true, orret and omplete in aordane with the laws of the State of New York appliale to this report. BRYAN HENSEL TREASURER a. President or Authorized Offier Signature Printed Name Title Date. Chief Finanial Offier or Treas. Signature Printed Name Title Date. Annual Report Exemption Information a. Artile 7-A annual report exemption (Artile 7-A registrants and dual registrants) Chek if total ontriutions from NY State (inluding residents, foundations, orporations, government agenies, et.) did not exeed. $25,000 and the organization did not engage a professional fund raiser (PFR) or fund raising ounsel (FRC) to soliit ontriutions during this fisal year. NOTE: An organization may laim this exemption if no PFR or FRC was used and either: 1) it reeived an alloation from a federated fund, United Way or inorporated ommunity appeal and ontriutions from other soures did not exeed $25,000 or 2) it reeived all or sustantially all of its ontriutions from one government ageny to whih it sumitted an annual report similar to that required y Artile 7-A.. EPTL annual report exemption (EPTL registrants and dual registrants) Chek if gross reeipts did not exeed $25,000 and assets (market value) did not exeed $25,000 at any time during this fisal year.. For EPTL or Artile 7-A registrants laiming the annual report exemption under the one law under whih they are registered and for dual registrants laiming the annual report exemptions under oth laws, simply omplete part 1 (General Information), part 2 (Certifiation) and part (Annual Report Exemption Information) aove. Do not sumit a fee, do not omplete the following shedules and do not sumit any attahments to this form.. Artile 7-A Shedules If you did not hek the Artile 7-A annual report exemption aove, omplete the following for this fisal year: a. Did the organization use a professional fund raiser, fund raising ounsel or ommerial o-venturer for fund raising ativity in NY State? ~ Yes* * If "Yes", omplete Shedule a.. Did the organization reeive government ontriutions (grants)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes* * If "Yes", omplete Shedule. No No 5. Fee Sumitted: See last page for summary of fee requirements. Indiate the filing fee(s) you are sumitting along with this form: a. Artile 7-A filing fee ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $. EPTL filing fee ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $. Total fee ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ Sumit only one hek or money order for the total fee, payale to "NYS Department of Law" 6. Attahments - For organizations that are not laiming annual report exemptions under oth laws, see last page for required attahments CHAR

15 DISCOVERING DEAF WORLDS, INC. 5. Fee Instrutions The filing fee depends on the organization's Registration Type. For details on Registration Type and filing fees, see the Instrutions for Form CHAR500. Organization's Registration Type Artile 7-A EPTL Dual Fee Instrutions Calulate the Artile 7-A filing fee using the tale in part a elow. The EPTL filing fee is $0. Calulate the EPTL filing fee using the tale in part elow. The Artile 7-A filing fee is $0. Calulate oth the Artile 7-A and EPTL filing fees using the tales in parts a and elow. Add the Artile 7-A and EPTL filing fees together to alulate the total fee. Sumit a single hek or money order for the total fee. a) Artile 7-A filing fee Total Support & Revenue more than $250,000 up to $250,000 * Artile 7-A Fee $25 $10 * Any organization that ontrated with or used the servies of a professional fund raiser (PFR) or fund raising ounsel (FRC) during the reporting period must pay an Artile 7-A filing fee of $25, regardless of total support and revenue. ) EPTL filing fee Net Worth at End of Year Less than $50,000 $50,000 or more, ut less than $250,000 $250,000 or more, ut less than $1,000,000 $1,000,000 or more, ut less than $10,000,000 $10,000,000 or more, ut less than $50,000,000 $50,000,000 or more EPTL Fee $25 $50 $100 $250 $750 $ Attahments - Doument Attahment Chek-List Chek the oxes for the douments you are attahing. For All Filers Filing Fee Single hek or money order payale to "NYS Department of Law" Copies of Internal Revenue Servie Forms IRS Form 990 IRS Form 990-EZ IRS Form 990-PF All required shedules (inluding All required shedules (inluding All required shedules (inluding Shedule B) IRS Form 990-T Shedule B) IRS Form 990-T Shedule B) IRS Form 990-T Additional Artile 7-A Doument Attahment Requirement Independent Aountant's Report Audit Report (total support & revenue more than $250,000) Review Report (total support & revenue $100,001 to $250,000) No Aountant's Report Required (total support & revenue not more than $100,000) CHAR