Professional Documents
Culture Documents
;;,,::-,:,
~
m
No 1545-0047
~@09
Under section 501(c), 527, or 4947(a)(1)of the Internal Revenue Code (except black lung
benefit trust or private foundation)
oi
c:nm
-tz
3!:: <
l>m
Om
990
o:partrnent
the Treasury
Internal Revenue Service
-,:,
0
::D
OMB
.., The organization may have to use a copy of this return to satisfy state reporting requirements
Open to Public
Inspection
o~
------~~A~n~d~r~e~w~L~a~n~e'-r_-~s~a~m~e~a~s-'a~b~o;;_v~e~---~~--------~H~~~d~w~~e~Dv~
Ill 501(c)( 4 ).,. (insertno.) 0 4947(a)(1)
or O 527
If "No," attacha hst (seemstruct1ons)
J
H c Grou exemtlonnumber
"'
K
Other..,
L Yearof fonmat1on 2008
M Stateof legaldom1c1le:
DC
Briefly describe the organization's mission or most significant activities: ---------------------------------------------------_Defend the_r~ghts_of individuals to pursue the American_dream injectin_g the pers_pective of small_businessesl
______
_
_ and_the working families that depend_on theml into_the public _policy_debate. ----------------------------------------------2
3
4
Number of voting members of the governing body (Part VI, line 1a).
Number of independent voting members of the governing body (Part VI, line 1b)
1fthe organization
discontinuedits operationsor disposedof morethan25% of its net assets
f--3'--+-------4'1--4--1_______
3_
5
6
1--5:;......-if--------1"f--6--t _______
o_
7a Total gross unrelated business revenue from Part VIII, column (C), line 12.
b Net unrelated business taxable income from Form 990-T line 34.
8
9
t 10
a: 11
12
GI
E
GI
Ii
52 060
13
14
15
16a
b
f--'-7=a--+--------'O'7b
Prior Year
CurrentYear
1846645
0
0
0
52 060
0
10 000
1846645
31 000
0
126 389
v:1
24 515
34 515
17 545
Beginningof CurrentYear
17 545
0
0
1447058
1604448
242197
Endof Vear
259 742
17 545
259 742
re at I haveexaminedthis return,includingaccompanying
schedulesandstatements,andto the bestof my knowledge
com te Declar
of preparer(otherthanofficer)1sbasedon all informationof whichpreparerhasanyknowledge
Sign
Here
~-SI--~~~~~~~~-+--~
Lqrv@!L
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J
Typeor print nameand title
PRt<;/O{rvI
Preparer's~
signature
Paid
Preparer's
Firm'sname(or yours~ Howard Sckolnik
UseOnly 1fself-employed),
CPA
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat No 11282Y
Page
?MIO
Statement of Program Service Accomplishments
1
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . .
D Yes Ill No
If "Yes," describe these new services on Schedule 0.
Did the organization cease conducting, or make significant changes 1n how it conducts, any program
D Yes Ill No
services? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "Yes," describe these changes on Schedule 0.
Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1)trusts are required to report the amount of grants and
allocations to others, the total expenses, and revenue, 1fany, for each program service reported.
4a (Code: ____________
_) (Expenses $ _______
J_.~~J_.~~J_
including grants of $ ____________________
) (Revenue $ ___________________
_)
_Engaged in ana!Ysis of and_advocacy on public polic_y_issuesand_their impacts on small_business ________________________
_
_and entrepreneurship~--- _____________________________________________________________________________________________
_
4b (Code: _____________
) (Expenses $ ---------~~~~?~
including grants of $____________________
) (Revenue $ -----------)
_Facilitated birth_and growth of national free-market/limited-government_grassroots_movement. --------------
4c (Code:---------)
(Expenses $----------including
grants of $____________________
) (Revenue $ ____________________
)
) (Revenue$
Form
990
(2009)
Page
No
Is t~1eorganization described 1n section 501 (c)(3) or 494 7(a)(1) (other than a private foundation)? If "Yes,"
complete Schedule A
. . . . . . . . .
. . . . . . . .
Is the organization required to complete Schedule B, Schedule of Contributors?.
. . . .
1
2
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
Section 501 (c)(3) organizations. Did the organization engage in lobbying activities? If "Yes," complete
Schedule C, Part II . . . . . . . . .
. . . . . 1--4--+--+--Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations. ls the organization subject to the section 6033(e)
. . . . 1--5'---1---,1---'-,/notice and reporting requirement and proxy tax? If "Yes," complete Schedule C, Part Ill . .
1
2
5
6
./
./
./
Did the organization maintain any donor advised funds or any similar funds or 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 .
. . . . . .
. . . .
. . . . . . . 1--6--+---+--,/Did the organization receive or hold a conservation easement, including easements to preserve open space,
,/
7
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II
7
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part Ill .
. . . . . .
. . . . . .
,/
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part
X; or provide credit counseling, debt management, credit repair, or debt negot1at1on services? If "Yes,"
____
complete Schedule D, Part IV
. . . . ,__9
10 Did the organization, directly or through a related organization, hold assets in term, permanent, or
10
quasi-endowments? If "Yes," complete Schedule D, Part V. .
11 Is the organization's answer to any of the following questions "Yes"? If so, complete Schedule D, Parts VI,
VII, VIII, IX, or X as applicable
. . . . . . .
. . . . . . 11
Did the organization report an amount for land, buildings, and equipment in Part X, line 1O?If "Yes," complete
Schedule D, Part VI.
Did the organization report an amount for investments-other securities in Part X, line 12 that 1s5% or more
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.
./_
,/
,/
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X.
Did the organization'sseparate or consolidated financial statementsfor the tax year include a footnote that addresses
the organization's liability for uncertain tax positions under FIN 48? If "Yes," complete Schedule D, Part X
12
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI, XII, and XIII.
Yes
12A
No
,/
13
14a
./
./
business, and program service activities outside the United States? If "Yes," complete Schedule F, Part I . . . 14b
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any
organization or entity located outside the United States? If "Yes," complete Schedule F, Part II. . . . . 15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance
to individuals located outside the United States? If "Yes," complete Schedule F, Part Ill .
16
Did the organization report a total of more than $15,000 of expenses for professional fundraising services
on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I .
. . . . . 17
Did the organization report more than $15,000 total of fundraising event gross income and contributions on
Part VIII, lines 1c and Ba? If "Yes," complete Schedule G, Part II .
18
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part Ill. . . . . . . . .
. . . . .
19
./
b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundra1sing,
15
16
17
18
19
20
./
./
./
./
,/
20
Form
990
(2009)
Page
21 Did,the organization report more than $5,000 of grants and other assistance to governments and organizations
22
23
in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II.
Did the organization report more than $5,000 of grants and other assistance to individuals in the
United States on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and Ill
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the
organization's current and former officers, directors, trustees, key employees, and highest compensated
employees? If "Yes," complete Schedule J
21
No
,/
22
,/
23
,/
24a
24b
,/
,/
24c
24d
,/
,/
25a
,/
25b
,/
26
,/
27
,/
28a
,/
28b
,/
28c
29
,/
,/
30
,/
31
,/
Schedule N, Part II
32
,/
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
sections 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,
33
,/
34
,/
35
,/
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, that was issued after December 31, 2002? If "Yes," answer lines
24b through 24d and complete Schedule K. If "No," go to line 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 Section 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 Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a
prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or
990-EZ? If "Yes," complete Schedule L, Part I .
26
27
Was a loan to or by a current or former officer, director, trustee, key employee,highly compensatedemployee,or
disqualifiedpersonoutstandingas of the end of the organization'stax year?If "Yes," complete Schedule L, Part II
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,
substantial contributor, or a grant selection committee member, or to a person related to such an individual?
If "Yes," complete Schedule L, Part Ill .
Was the organization a party to a business transaction with one of the following parties (see Schedule L,
Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV
b A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete
28
Schedule L, Part IV .
c An entity of which a current or former officer, director, trustee, or key employee of the organization (or a
family member) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L,
Part IV
29
30
31
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes," complete Schedule M
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I .
32
33
34
35
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete
Is any related organization a controlled entity within the meaning of section 512(b)(13)?If "Yes," complete
Schedule R, Part V, line 2 .
36
Section 501(c)(3)organizations. Did the organization make any transfers to an exempt non-charitable related
organization? If "Yes," complete Schedule R, Part V, /me 2 .
Did the organization conduct more than 5% of its activities through an entity that 1snot a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,
36
37
Part VI
37
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and
19? Note. All Form 990 filers are required to complete Schedule 0 ..
38
38
Form
,/
,/
990
(2009)
Page
Statements Re
1a Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of
U.S. Information Returns. Enter -0- 1f not applicable .
1--'1-"'a-+___
.......:;.5
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable
L.....:.1=b__,_
___
.......:;.O
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable
gaming (gambling) winnings to prize winners? . . . . . . . . . . . . . . .
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
1
b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of Imes 1a and 2a is greater than 250, you may be required to e-fi/e this return. (see
instructions)
3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by
this return? . . . . . .
. . . . . . . . . . . . . . . . .
. . . .
3a
./
b If "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation m Schedule O .
l--'3"""b-+---+--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)? . . . . . .
. . . . . . . . . . . . . .
. . . . 4a
,/
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.
./
Sa Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . Sa
b Did any taxable party notify the organization that 1twas or is a party to a prohibited tax shelter transaction? Sb
./
c If "Yes" to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding
Prohibited Tax Shelter Transaction?.
. . . . . . . . . . . . . . . . . . . . . ,__S_c-+---+--6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the 6a ./
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . 6b ./
990
(2009)
Page
hlfflfHGovernance,
Management, and Disclosure For each "Yes" response to lines 2 through lb below, and
for a "No" response to line Ba, Bb, or 10b below, describe the circumstances, processes, or changes in
Schedule 0. See instructions.
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
./
10a
10b
11
12a
./
./
l-1=2=b+-----f--
c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"
describe ,n Schedule O how this is done
. . . . . . . . . .
1-1.:..:2=-ac:+---+--13 Does the organization have a written whistleblower policy?
. . . . .
13
./
14 Does the organization have a written document retention and destruction policy? .
14
./
15 Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneoussubstantiation 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
If "Yes" to line 1Sa or 1Sb, describe the process 1nSchedule 0. (See instructions.)
16a Did the organization invest in, contribute assets to, or part1c1patein 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? .
. . . .
Section C. Disclosure
17
18
19
20
List the states with which a copy of this Form 990 is required to be filed..,.. -------------------------------------------------------Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)sonly)
available for public inspection. Indicate how you make these available. Check all that apply.
D Own website
D Another's website Ill 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: ..,..-~!~!-~.i~~!:'.9_~~1~-~-~-~?!ti.~'!.~-~-t~-~9.Q:~~-~-~l-~!:'-~?_l_!!_,_~~~2:~-~?_,_!_.!~-~-!3-~~-Q~--~~~=~~~.:-~-~~-~---Form 990 (2009)
Page
UZMIW
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated
Section ~-
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the
organization's tax year. Use Schedule J-2 if additional space is needed.
List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
List all of the organization's current key employees. See instructions for definition of "key employee."
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.
List all of the organization's former officers, key employees, and highest compensated employees who received more than
$100,000 of reportable compensation from the organization and any related organizati9ns.
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.
D Check this box if the oroanization did not compensate anv current officer, director, or trustee.
(A)
(B)
(C)
(D)
Average
hours per
week
Reportable
compensation
from
the
organization
'YV-2/1099-MISC)
0::,
, a.
a. -
::,;;
0
:;;; '<CD
!!l. (")
::,
~(") c5. ~
-pi
0-
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e!.
CD
Andrew Langer
President and Director
_A. Bailey Wood, Jr.------------------------------Director and Secretary
_Michelle_Korsmo _________________________________
_
Director and VP
_Michael Zarrelli ___________________________________
_
Treasurer and Director
./
./
./
./
9l
CD
3
0
"O
'<
CD
CD
!!l.
CD
CD
CDI
"Tl
0
.gcg. 3
om 9l
l~
0
(E)
(F)
Reportable
compensation
from related
orgarnzat1ons
rN-2/1099-MISC)
Estimated
amount of
other
compensation
from the
orgamzat1on
and related
organizations
"O
CD
::,
V>
2l.
CD
a.
./ ./
./
118,000
Form
990
(2009)
~'~II
Page
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(B)
(C)
Average
hours per
week
(A)
0:::,
0
3:
!!!.
;,;.
n
~ c.
c. @
:::,
~-
5
:::,
a. s.
n c
-c,
0-
!!l (b3
!!!..
2
!!!.
2
(b
!!!.
(b
(b
(b
"Q.
0
~
CD
(b
(D)
<b I
3-<g.
"O
.,,
om
m~
!!l
(F)
(E)
Reportable
Reportable
compensation
compensation
from related
from
organizations
the
(W-2/1099-MISC)
orgarnzallon
r,N-2/1099-MISC)
"O
(b
:::,
Estimated
amount of
other
compensation
from the
organization
and related
organizations
(/)
~
(b
c.
1b Total . _
.,...
118,000
O
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in
reportable compensation from the organization .,...1
Did the organization list any former officer, director or trustee, key employee, or highest compensated
employee on lme 1a? If "Yes," complete Schedule J for such individual
For any individual listed on line 1a, 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
individual_
5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for
. . . . . .
services rendered to the organization? If "Yes," complete Schedule J for such person
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)
(B)
(C)
Descnpt1on of services
Compensation
DCI Grou , LLC 1828 L Street NW Suite 400, Washin ton, DC 20036
Consulting
480,000
Total number of independent contractors (including but not limited to those listed above) who received
more than $100,000 in compensation from the organization .,...1
Form
990
(2009)
Page
J!l
J!l
cc
l!!::::,
Federated campaigns
Membership dues .
c Fundraising events
d Related organizations
e Government grants (contributions).
f All othercontributions,gifts, grants,
a, 0
_e
~~
- I'll
a,_
u;'e
cO UI
5 ...
GI
,e:5
.:=0
c 'C
oc
1f
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>
Cl)
cc
Cl)
-~
Cl)
Cl)
I!!
Cl
a.
(D)
Revenue
excluded from tax
under sections
512 513 or 514
1c
1d
1e
Cl)
Cl)
(C)
Unrelated
business
g Noncashcontributionsincludedm lines1a-1f: $
01'11
c
(A)
Total revenue
2a ---b ----------------------------c --------------------------------d ------------------------------------------e --------------------------f All other program service revenue
g Total. Add Imes 2a-2f
3
(1)Real
(11)Personal
6a Gross Rents
b Less: rental expenses
(1)Securities
(11)Other
assetsotherthaninventory
a1-- ____
GJ
::::,
Sa Gross
income
from
fundraising
.
events (not including $ .............
of contributions reported on line 1c).
See Part IV, line 18 .
cc
...
GI
.c
b ~-----0
c Net income or (loss) from fundraising e~v_en_t_s_.
___ ..,._
9a Gross income from gaming activities.
See Part IV, line 19 .
a
b
b Less: direct expenses.
c Net income or (loss) from gaming activities
O
O
..,..
10a Gross
sales of inventory,
less
returns and allowances .
a 1------b Less: cost of goods sold
b ~----c Net income or (loss) from sales of invento
Miscellaneous Revenue
..,..
Business Code
11a
b
c ..........................................
990
(2009)
@lf!i Statement
Page
10
of Functional Expenses
Section 501 (c)(3) and 501 (c)(4) organizations must complete all columns.
All, other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
1
2
3
4
5
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
31,000
31,000
0
0
118,000
118,000
0
0
0
0
0
0
0
0
8,388
0
0
0
0
0
0
0
0
8,388
0
0
0
0
0
0
697,700
652,852
0
0
0
0
0
0
299
0
4,407
11,535
697,700
657,852
0
0
0
0
0
0
0
2,917
299
0
4,407
11,535
0
0
0
0
0
0
1,500
0
0
0
0
0
0
0
68,500
2,348
68,500
2,348
0
0
1,604.448
1,458,901
145,547
2,917
0
0
0
0
0
0
0
0
0
0
0
a T.~~~P.~~~-~ .'?.~!~~-~~~
.':>~~~-~~~~ ............ .
b !\'.l!~~l'.!!1.~!1.~~-~~
................................
.
c
e
f
25
26
.
All other expenses ............................
Total functionalexpenses.Add lines1 throu h 24f
Joint costs. Check here .,.. O if following
SOP 98-2. Complete this hne only if the
organization reported in column (8) joint costs
from a combined educational campaign and
fundraising solicitation
Form
990
(2009)
Page
11
Balance Sheet
1
2
3
4
5
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, and highest compensated employees. Complete Part II of
Schedule L .
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
8
9
10a
11
12
13
14
15
16
17
18
19
20
i 21
:!: 22
23
24
25
26
27
... 28
i 29
(.
~
J!l 30
m 31
~ 32
j 33
34
(B)
End of year
17,545
0
0
2
3
259,742
0
0
(A)
Beginning of year
0
O
0
O
0
0
0
0
0
259 742
17
18
19
20
0
0
0
0
0 22
0 23
0 24
0
0
0
0
0
30
31
32
33
34
0
0
259,742
259,742
259,742
D and
0
0
17,545
17 545
17 545
Form
990
(2009)
Page
2a
b
c
3a
12
3a
f--==-i!----lf---
3b
Form
990
(2009)
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Complete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.
.,.. Attach to Form 990.
Open to Public
Inspection
~@09
Employer Identification
20
number
2641983
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance?
Describe in Part IV the organiza!ion's procedures for monitoring the use of grant funds in the United States.
lil[j)il
1
Yes
No
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule 1-1 (Form 990) if additional space is needed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,.
(b) EIN
2
3
Ill
I 501-C6
30,000
I (e) Amount
of non-cash
assistance
O IN/A
N/A
economic growth.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
(g) Description of
non-cash assistance
.....
.....
Cat. No 50055P
0
1
Page
Uff#iju
Grants
and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Part IV and Schedule 1-1 (Form 990) if additional space is needed.
(a) Type of grant or assistance
{b) Number of
recipients
(c) Amount of
cash grant
{d) Amount of
non-cash assistance
None
H'
Suoolemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
_A _discussion_is_held with the recipient to_ensure that funds are used consistent with the_recipient organizations_ mission. ----------------------------------------------------------
SCHEDULE O
(Form 990)
OMB No 1545-0047
~09
Open to Public
Inspection
20
2641983
_Part VI #11_-A draft of the return has been circulated to mebers of the ROverning board-------------------------------------------_________
#19 - Ueon written request a_copy of this return will be_provided to interested parties.--------------------------------------
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.