990 Return of Organization Exempt From Income Tax Under Sect

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 trust or private foundation)

Form 990

Return of Organization Exempt From Income Tax ...; Schedule O - Supplemental Information to Form 990

OMB: 1545-0047

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I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 1 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Date

Form

Action

Date

O.K. to print
Revised proofs
requested

OMB No. 1545-0047

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
benefit trust or private foundation)

Department of the Treasury
Internal Revenue Service (77)

A

©

The organization may have to use a copy of this return to satisfy state reporting requirements.

For the 2008 calendar year, or tax year beginning

B Check if applicable:
Address change
Name change
Initial return
Termination
Amended return

Website: ©
Type of organization:

501(c) (

)§

(insert no.)

trust

association

2008
Open to Public
Inspection
, 20

D Employer identification number
Room/suite E

Telephone number

(

)

G Enter gross receipts $
H(a) Is this a group return for
affiliates?

F Name and address of Principal Officer:

Tax-exempt status:

Part I

, 2008, and ending

Please C Name of organization
use IRS
Doing Business As
label or
print or
Number and street (or P.O. box if mail is not delivered to street address)
type.
See
Specific
City or town, state or country, and ZIP + 4
Instructions.

Application pending

I
J
K

Signature

4947(a)(1) or

527

H(c) Group Exemption Number

Corporation

Other

©

No

Yes

H(b) Are all affiliates included?
No
Yes
If “No,” attach a list. (See instructions)
L Year of Formation:

©

M State of legal domicile:

Summary

Net Assets or
Fund Balances

Expenses

Revenue

Activities & Governance

1 Briefly describe the organization’s mission or most significant activities:

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Dr ary T FI
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b ON
e
F D

2
3
4
5
6
7a
b
8
9
10
11
12

Check this box
if the organization discontinued its operations or disposed of more than 25% of its assets.
Enter the number of voting members of the governing body (Part VI, line 1a)
Enter the number of independent voting members of the governing body (Part VI, line 1b)
Enter the total number of employees (Part V, line 2a)
Enter the total number of volunteers (estimate if necessary)
Enter total gross unrelated business revenue from Part VIII, line 12, column (C)
Enter net unrelated business taxable income from Form 990-T, line 34

3
4
5
6
7a
7b

Prior Year

Current Year

Beginning of Year

End of Year

Contributions and grants (Part VIII, line 1h)
Program service revenue (Part VIII, line 2g)
Investment income (Part VIII, lines 3, 4, and 7d, column (A))
Other revenue (Part VIII, lines 5, 6d, 8c, 9c, and 10c of column (A), and 11e)
Total revenue—add lines 8 through 11 (must equal Part VIII, line 12, column (A))

13 Grants and similar amounts paid (Part IX, lines 1–3, column (A))
14 Benefits paid to or for members (Part IX, line 4, column (A))
15 Salaries, other compensation, employee benefits (Part IX, lines 5–10, column (A))
16a Professional fundraising fees (Part IX, line 11e, column (A))
b (Enter total fundraising expenses, Part IX, line 25, column (D)
)
17 Other expenses (Part IX, lines 11a–11d, 11f–24f, column (A))
18 Total expenses—add lines 13–17 (must equal Part IX, line 25, column (A))
19 Revenue less expenses—line 12 minus line 18
20 Total assets (Part X, line 16)
21 Total liabilities (Part X, line 26)
22 Net assets or fund balances, line 20 minus line 21

Part II

Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Please
Sign
Here

Paid
Preparer’s
Use Only

©
©

Signature of officer

Date

Type or print name and title

Preparer’s
signature

©

Firm’s name (or yours
if self-employed),
address, and ZIP + 4

Date

©

Check if
selfemployed

Preparer’s PTIN (See Gen. Inst.)
©

EIN

©

Phone no.

© (

May the IRS discuss this return with the preparer shown above? (See instructions)
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

)

Yes
Cat. No. 11282Y

Form

990

No
(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 2 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part III

Page

2

Statement of Program Service Accomplishments (See the instructions.)

1

Briefly describe the organization’s mission:

2

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ?
Yes
No
If “Yes,” describe these new services on Schedule O.
Did the organization cease conducting or make significant changes in how it conducts any program
services?
Yes
No
If “Yes,” describe these changes on Schedule O.
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and (4) organizations and 4947(a)(1) trusts are required to report the amount of grants and allocations to
others, the total expenses, and revenue, if any, for each program service reported.

3

4

4a (Code:

4b (Code:

4c (Code:

) (Expenses $

including grants of $

) (Revenue $

)

) (Expenses $

including grants of $

) (Revenue $

)

) (Expenses $

including grants of $

) (Revenue $

)

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4d Other program services. (Describe in Schedule O.)
(Expenses $
including grants of $
4e Total program service expenses $

) (Revenue $
)
Must equal Part IX, Line 25, column (B).
Form

990

(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 3 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part IV
1
2
3
4
5
6

7
8

Page

3

Checklist of Required Schedules

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,”
complete Schedule A
Is the organization required to complete Schedule B, Schedule of Contributors?
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
candidates for public office? If “Yes,” complete Schedule C, Part I
501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subject to the section 6033(e) notice and
reporting requirement and proxy tax? If “Yes,” complete Schedule C, Part III
Did the organization maintain any donor advised funds or any accounts where donors have the right to
provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II

Yes

No

990

(2008)

1
2
3
4
5

6
7

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,”
8
complete Schedule D, Part III
9 Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services,
report an amount in Part X, line 21, or serve as a custodian for amounts not listed in Part X? If “Yes,”
9
complete Schedule D, Part IV
10
10 Did the organization hold assets in term, permanent, or quasi-endowments? If “Yes,” complete Schedule D, Part V
11 Did the organization report an amount in Part X, lines 10, 12, 13, 15, or 25? If “Yes,” complete Schedule D,
11
Parts VI, VII, VIII, IX, or X as applicable
12 Did the organization receive an audited financial statement for the year for which it is completing this return
12
that was prepared in accordance with GAAP? If “Yes,” complete Schedule D, Parts XI, XII, and XIII
13
13 Is the organization operating a school as described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
14a
14a Did the organization maintain an office, employees, or agents outside of the U.S.?
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
14b
business, and program service activities outside the U.S.? If “Yes,” complete Schedule F, Part I
15 Did the organization report on Part IX, line 3, more than $5,000 of grants or assistance to any organization
15
or entity located outside the United States? If “Yes,” complete Schedule F, Part II
16 Did the organization report on Form 990, Part IX, line 3, more than $5,000 of aggregate grants or assistance
16
to individuals located outside the United States? If “Yes,” complete Schedule F, Part III
17
17 Did the organization report more than $15,000 on Part IX, line 11e? If “Yes,” complete Schedule G, Part I
18
18 Did the organization report more than $15,000 total on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II
19 Did the organization report more than $15,000 on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III 19
20
20 Did the organization operate one or more hospitals? If “Yes,” complete Schedule H
21
21 Did the organization report more than $5,000 on Part IX, line 1? If “Yes,” complete Schedule I, Parts I and II
22
22 Did the organization report more than $5,000 on Part IX, line 2? If “Yes,” complete Schedule I, Parts I and III
23 Did the organization answer “Yes” to questions 3, 4, or 5 of Form 990, Part VII, Section A? If “Yes,” complete
23
Schedule J

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24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than
$100,000 as of the last day of the year, and that was issued after December 31, 2002? If “Yes,” answer
24b–24d and complete Schedule K. If “No,” go to question 25
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
c Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
d Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?
25a 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a
disqualified person during the year? If “Yes,” complete Schedule L, Part I
b Did the organization become aware that it had engaged in an excess benefit transaction with a disqualified
person from a prior year? If “Yes,” complete Schedule L, Part I
26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L, Part II
27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, or
substantial contributor, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III

24a
24b
24c
24d
25a
25b
26
27
Form

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 4 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part IV
28

Page

4

Checklist of Required Schedules (Continued)
Yes

No

990

(2008)

During the tax year, did any person who is a current or former officer, director, trustee, or key employee:

a Have a direct business relationship with the organization (other than as an officer, director, trustee, or
employee), or an indirect business relationship through ownership of more than 35% in another entity
(individually or collectively with other person(s) listed in Part VII, Section A)? If “Yes,” complete Schedule L,
28a
Part IV
b Have a family member who had a direct or indirect business relationship with the organization? If “Yes,”
28b
complete Schedule L, Part IV
c Serve as an officer, director, trustee, key employee, partner, or member of an entity (or a shareholder of a
28c
professional corporation) doing business with the organization? If “Yes,” complete Schedule L, Part IV
29 Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M 29
30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
30
conservation contributions? If “Yes,” complete Schedule M
31
32
33
34
35
36
37

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Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets or undergo a
substantial contraction? If “Yes,” complete Schedule N, Part II
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
section 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II,
III, IV, and V, line 1
Is any related organization a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete
Schedule R, Part V, line 2
501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related
organization? If “Yes,” complete Schedule R, Part V, line 2
Did the organization conduct more than 5 percent of its exempt activities through an entity that is not a
related organization and that is taxed as a partnership? If “Yes,” complete Schedule R, Part VI

31
32
33
34
35
36
37
Form

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 5 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part V

Page

5

Statements Regarding Other IRS Filings and Tax Compliance
Yes

1a Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of
1a
U.S. Information Returns. Enter -0- if not applicable
1b
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable
gaming (gambling) winnings to prize winners?

No

1c

2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax
Statements filed for the calendar year ending with or within the year covered by this return
2a
b If at least one is reported in 2a, did the organization file all required federal employment tax returns?
Note: If the sum of lines 1a and 2a is greater than 250, you may be required to e-file this return.
3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by
this return?
b If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O
4a At any time during the calendar year, did 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 “Yes,” enter the name of the foreign country:
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank
and Financial Accounts.
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

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c If “Yes,” to 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding
Prohibited Tax Shelter Transaction?
6a Did the organization solicit any contributions that were not tax deductible?
b If “Yes,” did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible?
7 Organizations that may receive deductible contributions under section 170(c).
a Did the organization provide goods or services in exchange for any contribution of $75 or more?
b If “Yes,” did the organization notify the donor of the value of the goods or services provided?
c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was
required to file Form 8282?
7d
d If “Yes,” indicate the number of Forms 8282 filed during the year
e Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal
benefit contract?
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
g For all contributions of qualified intellectual property, did the organization file Form 8899 as required?
h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as
required?
8

501(c)(3) and other sponsoring organizations maintaining donor advised funds and 509(a)(3) supporting
organizations. Did the supporting organization, or a fund maintained by a sponsoring organization, have
excess business holdings at any time during the year?
501(c)(3) and other sponsoring organizations maintaining donor advised funds.
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
501(c)(7) organizations. Enter:
10a
Initiation fees and capital contributions included on Part VIII, line 12
10b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

9
a
b
10
a
b
11 501(c)(12) organizations. Enter:
a Gross income from members or shareholders
b Gross income from other sources (Do not net amounts due or paid to other sources against
amounts due or received from them.)
12a 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form
b If “Yes,” enter the amount of tax-exempt interest received or accrued during the year

2b

3a
3b

4a

5a
5b
5c
6a
6b
7a
7b
7c

7e
7f
7g
7h

8
9a
9b

11a
11b
1041?
12b

12a
Form

990

(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 6 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Page 6
Governance, Management, and Disclosure (Sections A, B, and C request information about policies not
required by the Internal Revenue Code.)
Section A. Governing Body and Management

Form 990 (2008)

Part VI

1a
b
2
3
4
5
6
7a
b
8

For each “Yes” response to lines 2-7 below, and for a “No” response to lines 8 or 9b below, describe the
circumstances, process, or changes in Schedule O. See instructions.
1a
Enter the number of voting members of the governing body
1b
Enter the number of voting members that are independent
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with
any other officer, director, trustee, or key employee?
Did the organization delegate control over management duties customarily performed by or under the direct
supervision of officers, directors or trustees, or key employees to a management company or other person?
Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed?
Did the organization become aware during the year of a material diversion of the organization’s assets?
Does the organization have members or stockholders?
Does the organization have members, stockholders, or other persons who may elect one or more members
of the governing body?
Are any decisions of the governing body subject to approval by members, stockholders, or other persons?
Did the organization contemporaneously document the meetings held or written actions undertaken during
the year by the following:
the governing body?
each committee with authority to act on behalf of the governing body?
Does the organization have local chapters, branches, or affiliates?

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a
b
9a
b If “Yes,” does the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with those of the organization?
10
11

Was a copy of the Form 990 provided to the organization’s governing body before it was filed? All organizations
must describe in Schedule O the process, if any, the organization uses to review the Form 990
Is there any officer, director or trustee, or key employee listed in Part VII, Section A, who cannot be reached at
the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O

Section B. Policies

12a Does the organization have a written conflict of interest policy? If “Yes”:
b Are officers, directors or trustees, and key employees required to disclose annually interests that could give
rise to conflicts?
c Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,”
describe in Schedule O how this is done
13 Does the organization have a written whistleblower policy?
14 Does the organization have a written document retention and destruction policy?
15 Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision:
a The organization’s CEO, Executive Director, or top management official?
b Other officers or key employees of the organization?
Describe the process in Schedule O.
16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement
with a taxable entity during the year?
b If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate
its participation in joint venture arrangements under applicable Federal tax law, and taken steps to safeguard
the organization’s exempt status with respect to such arrangements?

Yes

No

Yes

No

2
3
4
5
6
7a
7b

8a
8b
9a
9b
10
11

12a
12b
12c
13
14

15a
15b

16a

16b

Section C. Disclosure
17
18

19
20

List the States with which a copy of this Form 990 is required to be filed.
IRC Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only)
available for public inspection. Indicate how you make these available. Check all that apply.
own website
another’s website
upon request
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest
policy, and financial statements available to the public.
State the name, physical address, and telephone number of the person who possesses the books and records of the
organization:
Form

990

(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 7 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part VII
Section A

Page

7

Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated
Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Use Schedule J-2 if additional space is needed.
* List all of the organization’s current officers, directors, trustees (whether individuals or organizations) and key employees regardless
of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
* List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

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* List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.
* List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if the organization did not compensate any officer, director, trustee or key employee.

Former

(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations

Highest compensated
employee

(E)
Reportable
compensation
from related
organizations
(W-2/1099-MISC)

Key employee

(D)

Reportable
compensation
from
the
organization
(W-2/1099-MISC)

Officer

(C)

Position (check all that apply)
Institutional trustee

(B)

Average
hours per
week

Individual trustee
or director

(A)

Name and Title

Form

990

(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 8 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part VII

Page

8

Continued

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©
1b Total
2 Total number of individuals (including those in 1) who received more than $100,000 in reportable compensation from the
organization ©

Yes No
3

Did the organization list any former officer, director or trustee, key employee, or highest compensated
employee in Section A? If “Yes,” complete Schedule J for such individual

3

4

For any individual listed in Section A, is the sum of reportable compensation and other compensation from
the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such
4
individual
5 Did any person listed in Section A receive or accrue compensation from any unrelated organization for
services rendered to the organization? If “Yes,” complete Schedule J for such person
5
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization.
(A)
Name and business address

2

(B)
Description of services

(C)
Compensation

Total number of independent contractors (including those in 1) who received more than $100,000 in
©
compensation from the organization
Form

990

(2008)

VERSION B

5

I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 9 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part VIII

Page

Program Service Revenue

Contributions, gifts, grants
and other similar amounts

(A)
Total Revenue

1a
b
c
d
e
f

Federated campaigns
Membership dues
Fundraising events
Related organizations
Government grants (contributions)
All other contributions, gifts, grants, and
similar amounts not included above
g Noncash $
h Total (lines 1a–1f).

(B)
Related or
Exempt
Function
Revenue

(C)
Unrelated
Business
Revenue

(D)
Revenue
Excluded from
Tax under IRC
512, 513, or 514

1a
1b
1c
1d
1e
1f
©
Business Code

2a
b
c
d
e
f
g Total
3
4
5

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$

Investment income (including dividends, interest and
©
other similar amounts)
Income from investment of tax-exempt bond proceeds ©
©
Royalties
(i) Real

6a
b
c
d

(ii) Personal

Gross Rents
Less: rental expenses
Rental income or (loss)
Net rental income or (loss)

7a Gross amount from sales of
assets other than inventory

Other Revenue

9

Statement of Revenue

©

(i) Securities

(ii) Other

b Less: cost or other basis
and sales expenses
c Gain or (loss)
d Net gain or (loss)
8a Gross income from fundraising
events (not including $
of contributions reported on line 1c).
Attach Schedule G if total exceeds
$15,000
a
b
b Less: direct expenses
c Net income or (loss) from fundraising events
9a Gross income from gaming activities.
Complete Schedule G if total exceeds $15,000 a
b Less: direct expenses
b
c Net income or (loss) from gaming activities
10a Gross sales of inventory, less
a
returns and allowances
b
b Less: cost of goods sold
c Net income or (loss) from sales of inventory
Miscellaneous Revenue

©

©

©

©

Business Code

11a
b
c
d All other revenue
e Total
$
12 Total Revenue. Add lines 1h, 2g, 3, 4, 5, 6d, 7d, 8c,
©
9c, 10c, and 11e
Form

990

(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 10 of 12
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part IX

Page

10

Statement of Functional Expenses

501(c)(3) and (4) organizations must complete all columns.
All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
1
2
3

4
5
6

7
8
9
10
11
a
b
c
d
e
f
g
12
13
14
15
16
17
18
19
20
21
22
23
24

(A)
Total expenses

(B)
Program service
expenses

(C)
Management and
general expenses

(D)
Fundraising
expenses

Grants and other assistance to governments and
organizations in the U.S. See Part IV, line 21
Grants and other assistance to individuals in
the U.S. See Part IV, line 22
Grants and other assistance to governments,
organizations and individuals outside the U.S.
See Part IV, lines 15 and 16
Benefits paid to or for members
Compensation of current officers, directors,
trustees, and key employees
Compensation not included above, to disqualified
persons (as defined under section 4958(f)(1)) and
persons described in section 4958(c)(3)(B)
Other salaries and wages
Pension plan contributions (include section 401(k)
and section 403(b) employer contributions)
Other employee benefits
Payroll taxes
Fees for services (non-employees):
Management
Legal
Accounting
Lobbying
Professional fundraising. See Part IV, line 17
Investment management fees
Other
Advertising and promotion
Office expenses
Information technology
Royalties
Occupancy
Travel
Payments of travel or entertainment expenses
for any Federal, state, or local public officials
Conferences, conventions, and meetings
Interest
Payments to affiliates
Depreciation, depletion, and amortization
Insurance

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Other expenses—Itemize expenses not
covered above (Expenses grouped together
and labeled miscellaneous may not exceed
5% of total expenses shown on line 25 below.)

a
b
c
d
e
f All other expenses
25 Total functional expenses. Add lines 1 through 24f
26 Joint Costs. Check
if following SOP 98-2.
Complete this line only if the organization reported
in column (B) joint costs from a combined
educational
campaign
and
fundraising
solicitation
Form

990

(2008)

1
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 990, PAGE 11 of 12 (page 12 is blank)
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
7
FLAT SIZE: 216 mm (8 ⁄ 2 ") 3 835 mm (32 ⁄ 8 ),
1
FOLDED TO 216 mm (8 ⁄ 2 ") 3 279 mm (11")
PERFORATE: ON FOLD
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 990 (2008)

Part X

Page

(A)
Beginning of year

1
2
3
4
5

11

Balance Sheet

Cash—non-interest-bearing
Savings and temporary cash investments
Pledges and grants receivable, net
Accounts receivable, net
Receivables from current and former officers, directors, trustees, key
employees or other related parties. Complete Part II of Schedule L

1
2
3
4
5

Assets

6

Liabilities

Receivables from other disqualified persons (as defined under section
4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete
Part II of Schedule L
7
Notes and loans receivable, net
8
Inventories for sale or use
9
Prepaid expenses and deferred charges
10a Land, buildings, and equipment: cost basis 10a
b Less: accumulated depreciation. Complete
10b
Part VI of Schedule D
11
Investments—publicly traded securities
12
Investments—other securities. Complete Part VII of Schedule D
13
Investments—program-related. Complete Part VIII of Schedule D
14
Intangible assets
15
Other assets. Complete Part IX of Schedule D
16
Total assets. Add Columns A and B, lines 1 through 15 (must equal line 34)

(B)
End of year

17
18
19
20
21

Accounts payable and accrued expenses
Grants payable
Deferred revenue
Tax-exempt bond liabilities
Escrow account liability. Complete Part IV of Schedule D

10c
11
12
13
14
15
16
17
18
19
20
21

22

Payable to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L
Secured mortgages and notes payable to unrelated third parties
Unsecured notes and loans payable
Other liabilities. Complete Part X of Schedule D
Total liabilities. Add lines 17 through 25

22
23
24
25
26

Net Assets or Fund Balances

23
24
25
26

Organizations that follow SFAS 117, check here
complete lines 27 through 29, and lines 33 and 34.
27
28
29

30
31
32
33
34

Part XI
1
2a
b
c

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6
7
8
9

©

Unrestricted net assets
Temporarily restricted net assets
Permanently restricted net assets
Organizations that do not follow SFAS 117, check here
and complete lines 30 through 34.

and
27
28
29
©

Capital stock or trust principal, or current funds
Paid-in or capital surplus, or land, building, or equipment fund
Retained earnings, endowment, accumulated income, or other funds
Total net assets or fund balances
Total liabilities and net assets/fund balances

30
31
32
33
34

Financial Statements and Reporting

cash
accrual
other
Accounting method used to prepare the Form 990:
Were the organization’s financial statements compiled or reviewed by an independent accountant?
Were the organization’s financial statements audited by an independent accountant?
If “Yes” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the
audit, review, or compilation of its financial statements and selection of an independent accountant?
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in
the Single Audit Act and OMB Circular A-133?
b If “Yes,” did the organization undergo the required audit or audits?

Yes

No

990

(2008)

2a
2b
2c
3a
3b
Form


File Typeapplication/pdf
File Title2008 Form 990
SubjectReturn of Organization Exempt From Income Tax
AuthorSE:W:CAR:MP
File Modified2008-05-14
File Created2008-02-14

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