Short Form Return of Organization Exempt From Income Tax

Transcription

1 Form 990-EZ Short Form Return of Organization Exempt From Inome Tax Under setion 0(),, or 9(a)() of the Internal Revenue Code (exept private foundations) OMB No Department of the Treasury Internal Revenue Servie A For the 0 alendar year, or tax year eginning B Chek if appliale: C Name of organization and ending Open to Puli Inspetion D Employer identifiation numer Address hange Name hange Women s Reovery Corp -0 Initial return Numer and street (or P.O. ox, if mail is not delivered to street address) Room/suite E Telephone numer Final return/ terminated 0 Dromara Road 0-- Amended return City or town, state or provine, ountry, and ZIP or foreign postal ode F Group Exemption Guilford, CT 0 Appliation pending Numer G Aounting Method: Cash Arual Other (speify) H Chek if the organization is I Wesite: not required to attah Shedule B J Tax-exempt status (hek only one) 0()() 0() ( ) (insert no.) 9(a)() or (Form 990, 990-EZ, or 990-PF). K Form of organization: Corporation Trust Assoiation Other Revenue Expenses Net Assets 9 0 a d Total revenue. Add lines,,,,, d,, and Printing, puliations, postage, and shipping ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other expenses (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ See Shedule O,9. Total expenses. Add lines 0 through 0,. Exess or (defiit) for the year (Sutrat line from line 9) ~~~~~~~~~~~~~~~~~~~~~~~~~~ -, Do not enter soial seurity numers on this form as it may e made puli. Information aout Form 990-EZ and its instrutions is at L Add lines,, and to line 9 to determine gross reeipts. If gross reeipts are $00,000 or more, or if total assets (Part II, olumn (B) elow) are $00,000 or more, file Form 990 instead of Form 990-EZ $,9. 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 Contriutions, gifts, grants, and similar amounts reeived ~~~~~~~~~~~~~~~~~~~~~~~~~~~,0. Program servie revenue inluding government fees and ontrats ~~~~~~~~~~~~~~~~~~~~~~~,9. LHA Memership dues and assessments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Investment inome a 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 from line a) ~~~~~~~~~~~~~~~ Gaming and fundraising events Gross inome from gaming (attah Shedule G if greater than $,000) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from fundraising events (not inluding $ from fundraising events reported on line ) (attah Shedule G if the sum of suh gross inome and ontriutions exeeds $,000) Less: diret expenses from gaming and fundraising events For Paperwork Redution At Notie, see the separate instrutions. ~~~~~~~~~~~~~~ ~~~~~~~~~~ a a of ontriutions Net inome or (loss) from gaming and fundraising events (add lines a and and sutrat line ) ~~~~~~~~~ a Gross sales of inventory, less returns and allowanes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross profit or (loss) from sales of inventory (Sutrat line from line a) Other revenue (desrie in Shedule O) a ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Grants and similar amounts paid (list in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Benefits paid to or for memers~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Salaries, other ompensation, and employee enefits ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Professional fees and other payments to independent ontrators ~~~~~~~~~~~~~~~~~~~~~~~~ Oupany, rent, utilities, and maintenane ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at eginning of year (from line, olumn (A)) (must agree with end-of-year figure reported on prior year s return) ~~~~~~~~~~~~~~~~~~~~~~~ Other hanges in net assets or fund alanes (explain in Shedule O),.,9. ~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at end of year. Comine lines through 0 d ,.,0.,9. 99,9.,. 0. -,. Form 990-EZ (0) -0-

2 Form 990-EZ (0) Women s Reovery Corp -0 Page 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 Cash, savings, and investments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~,90.,. Land and uildings ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~,.,. Other assets (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~ See Shedule O,0.,. Total assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0,9.,. Total liailities (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~ See Shedule O,.,0. Net assets or fund alanes (line of olumn (B) must agree with line ),. -,. 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 0()() and 0()() What is the organization s primary exempt purpose? See Shedule O organizations; optional for Desrie the organization s program servie aomplishments for eah of its three largest program servies, as measured y expenses. In a lear and onise others.) manner, desrie the servies provided, the numer of persons enefited, and other relevant information for eah program title. Operation of soer living programs. 9 0 (Grants $ ) If this amount inludes foreign grants, hek here (Grants $ ) If this amount inludes foreign grants, hek here (Grants $ ) If this amount inludes foreign grants, hek here 0a Other program servies (desrie in Shedule O) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ (Grants $ ) If this amount inludes foreign grants, hek here a Total program servie expenses (add lines a through a),9. 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 title () Average hours () Reportale (d) Health enefits, (e) Estimated ompensation (Forms ontriutions to per week devoted to W-/099-MISC) employee enefit amount of other position (if not paid, enter -0-) plans, and deferred ompensation ompensation Herert Swartz President 0.00, William Hoey Diretor Jana Shea Diretor a 9a, Form 990-EZ (0)

3 Form 990-EZ (0) Women s Reovery Corp -0 Page Part V Other Information (Note the Shedule A and personal enefit ontrat statement requirements in the instrutions for Part V) Chek if the organization used Sh. O to respond to any question in this Part V Did the organization engage in any signifiant ativity not previously reported to the IRS? If "Yes," provide a detailed desription of eah ativity in Shedule O ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a a 9 Did the organization file Form 0-POL for this year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a d e a Were any signifiant hanges made to the organizing or governing douments? If "Yes," attah a onformed opy of the amended douments if they reflet a hange to the organization s name. Otherwise, explain the hange on Shedule O (see instrutions) ~~~~~~ a Did the organization have unrelated usiness gross inome of $,000 or more during the year from usiness ativities (suh as those reported on lines, a, and a, among others)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Shedule O ~~~~~~~~~~~ Was the organization a setion 0()(), 0()(), or 0()() organization sujet to setion 0(e) notie, reporting, and proxy tax requirements during the year? If "Yes," omplete Shedule C, 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 ~~~~~ a 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 ~~~~~~~~~~~~~~ 0,. Setion 0()() organizations. Enter: Initiation fees and apital ontriutions inluded on line 9 ~~~~~~~~~~~~~~~~~~~~~ Gross reeipts, inluded on line 9, for puli use of lu failities ~~~~~~~~~~~~~~~~~~ 0a Setion 0()() organizations. Enter amount of tax imposed on the organization during the year under: setion 9 0. ; setion 9 0. ; setion 9 0. Setion 0()(), 0()(), and 0()(9) organizations. Did the organization engage in any setion 9 exess enefit transation during the year, or did it engage in an exess enefit transation in a prior year that has not een reported on any of its prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 0()(), 0()(), and 0()(9) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under setions 9, 9, and 9 ~~~~~ Setion 0()(), 0()(), and 0()(9) organizations. Enter amount of tax on line 0 reimursed y the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ All organizations. At any time during the tax year, was the organization a party to a prohiited tax shelter transation? If "Yes," omplete Form -T ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0e List the states with whih a opy of this return is filed CT The organization s ooks are in are of Her Swartz Telephone no. 0-- Loated at 0 Dromara Road, Guilford, CT ZIP + 0 At any time during the alendar year, did the organization have an interest in or a signature or other authority over a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the name of the foreign ountry: See the instrutions for exeptions and filing requirements for FinCEN Form, Report of Foreign Bank and Finanial Aounts (FBAR). At any time during the alendar year, did the organization maintain an offie outside the United States? ~~~~~~~~~~~~~~~~~ If "Yes," enter the name of the foreign ountry: Setion 9(a)() nonexempt haritale trusts filing Form 990-EZ in lieu of Form 0 - Chek here and enter the amount of tax-exempt interest reeived or arued during the tax year ~~~~~~~~~~~~~~~~~ N/A 9a 9 N/A N/A a a 0 N/A a d a Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must e ompleted instead of Form 990-EZ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization operate one or more hospital failities during the year? If "Yes," Form 990 must e ompleted instead of Form 990-EZ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization reeive any payments for indoor tanning servies during the year? ~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line, has the organization filed a Form 0 to report these payments? If "No," provide an explanation in Shedule O ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a ontrolled entity within the meaning of setion ()()? ~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion ()()? If "Yes," Form 990 and Shedule R may need to e ompleted instead of Form 990-EZ (see instrutions) -0- a d a Form 990-EZ (0)

4 Form 990-EZ (0) 0 f d 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 Part VI Setion 0()() organizations only All setion 0()() organizations must answer questions -9 and, and omplete the tales for lines 0 and. If "Yes," was the related organization a setion organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Complete this tale for the organization s five highest ompensated employees (other than offiers, diretors, trustees, and key employees) who eah reeived more than $00,000 of ompensation from the organization. If there is none, enter "None." (a) Name and title of eah employee () Average hours () Reportale (d) Health enefits, (e) Estimated ompensation (Forms ontriutions to per week devoted to W-/099-MISC) employee enefit amount of other position plans, and deferred NONE ompensation ompensation Total numer of other employees paid over $00,000 ~~~~~~~~~~~~~~~~ Complete this tale for the organization s five highest ompensated independent ontrators who eah reeived more than $00,000 of ompensation from the organization. If there is none, enter "None." NONE (a) Name and usiness address of eah independent ontrator () Type of servie () Compensation Total numer of other independent ontrators eah reeiving over $00,000 ~~~~~~~~~~~~~~ Did the organization omplete Shedule A? Note: All setion 0()() organizations must attah a ompleted Shedule A Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than offier) is ased on all information of whih preparer has any knowledge. Sign Here = = Signature of offier Women s Reovery Corp -0 Type or print name and title Print/Type preparer s name Preparer s signature Date Chek if PTIN self- employed Paid JAMES TRAESTER, CPA Preparer Firm s name APICELLA, TESTA & COMPANY, P.C. Firm s EIN 0-0 Use Only 9 9 Firm s address 9 0 BRIDGEPORT AVENUE Phone no SHELTON, CT 0 May the IRS disuss this return with the preparer shown aove? See instrutions Yes Date 9 Yes Page Chek if the organization used Shedule O to respond to any question in this Part VI Did the organization engage in loying ativities or have a setion 0(h) eletion in effet during the tax year? If "Yes," omplete Sh. C, Part II Is the organization a shool as desried in setion 0()()(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~~~~~~ 9a Did the organization make any transfers to an exempt non-haritale related organization? ~~~~~~~~~~~~~~~~~~~~~~ 9a Herert Swartz, President No No Form 990-EZ (0) -0-

5 OMB No. -00 SCHEDULE A (Form 990 or 990-EZ) Puli Charity Status and Puli Support Complete if the organization is a setion 0()() organization or a setion 0 9(a)() nonexempt haritale trust. Department of the Treasury Attah to Form 990 or Form 990-EZ. Open to Puli Internal Revenue Servie Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at Inspetion Name of the organization Employer identifiation numer Women s Reovery Corp -0 Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines through, hek only one ox.) 9 0 a d e f A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 0()()(A)(i). A shool desried in setion 0()()(A)(ii). (Attah Shedule E (Form 990 or 990-EZ).) A hospital or a ooperative hospital servie organization desried in setion 0()()(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 0()()(A)(iii). Enter the hospital s name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 0()()(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 0()()(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 0()()(A)(vi). (Complete Part II.) A ommunity trust desried in setion 0()()(A)(vi). (Complete Part II.) An agriultural researh organization desried in setion 0()()(A)(ix) operated in onjuntion with a land-grant ollege or university or a non-land-grant ollege of agriulture (see instrutions). Enter the name, ity, and state of the ollege or university: An organization that normally reeives: () more than /% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and () no more than /% of its support from gross investment inome and unrelated usiness taxale inome (less setion tax) from usinesses aquired y the organization after June 0, 9. See setion 09(a)(). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 09(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 09(a)() or setion 09(a)(). See setion 09(a)(). Chek the ox in lines a through d that desries the type of supporting organization and omplete lines e, f, and g. Type I. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a majority of the diretors or trustees of the supporting organization. You must omplete Part IV, Setions A and B. Type II. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or management of the supporting organization vested in the same persons that ontrol or manage the supported organization(s). You must omplete Part IV, Setions A and C. Type III funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You must omplete Part IV, Setions A, D, and E. Type III non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instrutions). You must omplete Part IV, Setions A and D, and Part V. Chek this ox if the organization reeived a written determination from the IRS that it is a Type I, Type II, Type III funtionally integrated, or Type III non-funtionally integrated supporting organization. Enter the numer of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ g Provide the following information aout the supported organization(s). (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the organization listed (v) Amount of monetary (vi) Amount of other in your governing doument? organization (desried on lines -0 support (see instrutions) support (see instrutions) aove (see instrutions)) Total LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ Shedule A (Form 990 or 990-EZ) 0

6 Shedule A (Form 990 or 990-EZ) 0 Women s Reovery Corp -0 Page Part II Support Shedule for Organizations Desried in Setions 0()()(A)(iv) and 0()()(A)(vi) (Complete only if you heked the ox on line,, or of 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 through ~~~ Puli support. Sutrat line from line. Calendar year (or fisal year eginning in) 9 0 assets (Explain in Part VI.) ~~~~ Total support. Add lines through 0 (a) 0 () 0 () 0 (d) 0 (e) 0 (f) Total (a) 0 () 0 () 0 (d) 0 (e) 0 (f) Total First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 0()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage a /% support test - 0. If the organization did not hek the ox on line, and line is /% or more, hek this ox and a 0% -fats-and-irumstanes test - 0. If the organization did not hek a ox on line, a, or, and line is 0% or more, Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ The value of servies or failities furnished y a governmental unit to the organization without harge ~ The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line that exeeds % of the amount shown on line, olumn (f) ~~~~~~~~~~~~ Setion B. Total Support Amounts 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 0 (line, olumn (f) divided y line, olumn (f)) ~~~~~~~~~~~~ Puli support perentage from 0 Shedule A, Part II, line ~~~~~~~~~~~~~~~~~~~~~ stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ /% support test - 0. If the organization did not hek a ox on line or a, and line is /% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~ 0% -fats-and-irumstanes test - 0. If the organization did not hek a ox on line, a,, or a, and line is 0% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~ Private foundation. If the organization did not hek a ox on line, a,, a, or, hek this ox and see instrutions Shedule A (Form 990 or 990-EZ) 0 % %

7 Shedule A (Form 990 or 990-EZ) 0 Women s Reovery Corp -0 Part III Support Shedule for Organizations Desried in Setion 09(a)() Calendar year (or fisal year eginning in) The value of servies or failities furnished y a governmental unit to the organization without harge ~ Total. Add lines through ~~~ a Amounts inluded on lines,, and reeived from disqualified persons Amounts inluded on lines and reeived from other than disqualified persons that exeed the greater of $,000 or % of the amount on line for the year ~~~~~~ Add lines a and ~~~~~~~ Puli support. (Sutrat line from line.) Calendar year (or fisal year eginning in) 9 Amounts from line ~~~~~~~ 0a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Unrelated usiness taxale inome (less setion taxes) from usinesses aquired after June 0, 9 ~~~~ (a) 0 () 0 () 0 (d) 0 (e) 0 (f) Total Page (a) 0 () 0 () 0 (d) 0 (e) 0 (f) Total,.,0.,. 0,9. First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 0()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage Puli support perentage for 0 (line, olumn (f) divided y line, olumn (f)) ~~~~~~~~~~~~ 99.9 % Puli support perentage from 0 Shedule A, Part III, line 99. % Setion D. Computation of Investment Inome Perentage Investment inome perentage for 0 (line 0, olumn (f) divided y line, olumn (f)) ~~~~~~~~.00 % 0 (Complete only if you heked the ox on line 0 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 ~~~~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ Setion B. Total Support Add lines 0a and 0 ~~~~~~ Net inome from unrelated usiness ativities not inluded in line 0, whether or not the usiness is regularly arried on ~~~~~~~ Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.) ~~~~ Total support. (Add lines 9, 0,, and.) Investment inome perentage from 0 Shedule A, Part III, line ~~~~~~~~~~~~~~~~~~,.,00.,0.,. 0,.,.,9.,.,.,0.,. 0,9. /% support tests - 0. If the organization did not hek a ox on line or line 9a, and line is more than /%, and line is not more than /%, hek this ox and stop here. The organization qualifies as a pulily supported organization~~~~ Private foundation. If the organization did not hek a ox on line, 9a, or 9, hek this ox and see instrutions , ,.,.,. 0,9. 9a /% support tests - 0. If the organization did not hek the ox on line, and line is more than /%, and line is not more than /%, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~ Shedule A (Form 990 or 990-EZ) 0 %

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

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

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

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

12 Shedule A (Form 990 or 990-EZ) 0 Women s Reovery Corp -0 Page Part VI Supplemental Information. Provide the explanations required y Part II, line 0; Part II, line a or ; Part III, line ; Part IV, Setion A, lines,,,,,, a,, 9a, 9, 9, a,, and ; Part IV, Setion B, lines and ; Part IV, Setion C, line ; Part IV, Setion D, lines and ; Part IV, Setion E, lines, a,, a, and ; Part V, line ; Part V, Setion B, line e; Part V, Setion D, lines,, and ; and Part V, Setion E, lines,, and. Also omplete this part for any additional information. (See instrutions.) Shedule A (Form 990 or 990-EZ) 0

13 Transations With Interested Persons SCHEDULE L (Form 990 or 990-EZ) Complete if the organization answered "Yes" on Form 990, Part IV, line a,,,, a,, or, or Form 990-EZ, Part V, line a or 0. Department of the Treasury Attah to Form 990 or Form 990-EZ. Internal Revenue Servie Information aout Shedule L (Form 990 or 990-EZ) and its instrutions is at OMB No. -00 Open To Puli Inspetion Name of the organization Employer identifiation numer Women s Reovery Corp -0 Part I Exess Benefit Transations (setion 0()(), setion 0()(), and 0()(9) organizations only). Complete if the organization answered "Yes" on Form 990, Part IV, line a or, or Form 990-EZ, Part V, line 0. 0 () Relationship etween disqualified (d) Correted? (a) Name of disqualified person person and organization () Desription of transation Part II Enter the amount of tax inurred y the organization managers or disqualified persons during the year under setion 9 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of tax, if any, on line, aove, reimursed y the organization ~~~~~~~~~~~~~~~~ Loans to and/or From Interested Persons. Complete if the organization answered "Yes" on Form 990-EZ, Part V, line a or Form 990, Part IV, line ; or if the organization reported an amount on Form 990, Part, line,, or. Loan to or (a) Name of () Relationship () Purpose (d) (e) Original (f) (g) (h) Approved Balane due In (i) Written from the y oard or interested person with organization of loan organization? prinipal amount default? ommittee? agreement? To From Herert Swartz See Pt VSee Pt V 0,000. 0,00. Herert Swartz See Pt VSee Pt V,00.,. Herert Swartz See Pt VSee Pt V 0,000. 9,. Total $ Part III Grants or Assistane Benefiting Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line. 0,. (a) Name of interested person () Relationship etween () Amount of (d) Type of (e) Purpose of interested person and assistane assistane assistane the organization $ $ LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule L (Form 990 or 990-EZ) 0 See Part V for Continuations 0--

14 Shedule L (Form 990 or 990-EZ) 0 Women s Reovery Corp -0 Part IV Business Transations Involving Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line a,, or. (a) Name of interested person () Relationship etween interested () Amount of (d) Desription of person and the organization transation transation Page (e) Sharing of organization s revenues? Yes No Part V Supplemental Information Provide additional information for responses to questions on Shedule L (see instrutions). Shedule L, Part II, Loans To and From Interested Persons: (a) Name of Person: Herert Swartz () Relationship with Organization: See full explanation provided under "SCHEDULE L, PART II, COLUMN B". () Purpose of Loan: To fund purhase of the real property at 9 Sherland Avenue. (d) Loan to or from organization? = To (e) Original Prinipal Amount $ 0,000. (f) Balane Due $ 0,00. (g) Loan in Default? = No (h) Approved y Board or Committee? = Yes (i) Written Agreement? = Yes (a) Name of Person: Herert Swartz () Relationship with Organization: Herert Swartz is the President of the organization. () Purpose of Loan: To fund purhase of two automoiles and a new oiler for the organization. (d) Loan to or from organization? = To (e) Original Prinipal Amount $,00. (f) Balane Due $,. (g) Loan in Default? = No Shedule L (Form 990 or 990-EZ) 0 0--

15 Shedule L (Form 990 or 990-EZ) Women s Reovery Corp -0 Part V Supplemental Information Complete this part to provide additional information for responses to questions on Shedule L (see instrutions). Page (h) Approved y Board or Committee? = Yes (i) Written Agreement? = Yes (a) Name of Person: Herert Swartz () Relationship with Organization: Herert Swartz is the President of the organization. () Purpose of Loan: Working apital loan. (d) Loan to or from organization? = To (e) Original Prinipal Amount $ 0,000. (f) Balane Due $ 9,. (g) Loan in Default? = No (h) Approved y Board or Committee? = Yes (i) Written Agreement? = Yes SCHEDULE L, PART II, COLUMN B The mortgage holder on the purhase of the aove property is 9 Sherland LLC. Her Swartz is oth the President of the Corporation and the sole partner of 9 Sherland LLC Shedule L (Form 990 or 990-EZ) 9

16 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ 0 OMB No. -00 Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Open to Puli Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at Inspetion Employer identifiation numer Women s Reovery Corp -0 Form 990-EZ, Part I, Line, Other Expenses: Desription of Other Expenses: Amount: Program (Food, Household, Rereation) Supplies 9,0. Automoile and Travel Expense,9. Insurane,. Offie and Mis Expenses,. Total to Form 990-EZ, line,9. Form 990-EZ, Part II, Line, Other Assets: Desription Beg. of Year End of Year Prepaid Expenses, Deferred Finaning - Net,0.,. Other Depreiale Assets,0.,9. Total to Form 990-EZ, line,0.,. Form 990-EZ, Part II, Line, Other Liailities: Desription Beg. of Year End of Year Aounts Payale and Arued Expenses,9.,90. Notes and Mortgages Payale,0. 0,. Total to Form 990-EZ, line,.,0. Form 990-EZ, Part III, Primary Exempt Purpose - To provide soer living programs that give women of all ages the aility to reak the onds of their additions and grow into healthy, soer, and prinipled human eings. LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (0) 0-- 0

17 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ 0 OMB No. -00 Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Open to Puli Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at Inspetion Employer identifiation numer Women s Reovery Corp -0 Form 990-EZ, Part V, Information Regarding Personal Benefit Contrats: The organization did not, during the year, reeive any funds, diretly, or indiretly, to pay premiums on a personal enefit ontrat. The organization, did not, during the year, pay any premiums, diretly, or indiretly, on a personal enefit ontrat. LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (0) 0--