NOVATO CHARTER SCHOOL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: NOVATO CHARTER SCHOOL FOUNDATION (EIN 68-0470644)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-03-12
IRS object ID: 201430719349300903
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule I
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-12T18:28:59-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VICENTI LLOYD & STUTZMAN	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2210 E ROUTE 66 STE 100	AddressLine1
City	GLENDORA	City
State	CA	State
ZIP Code	917404676	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	680470644	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NOVATO CHARTER SCHOOL FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NOVA	NameControl
Phone	4158834254	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	940 C STREET	AddressLine1
City	NOVATO	City
State	CA	State
ZIP Code	94949	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHRISTY ABELE	Name
Title	PRESIDENT	Title
Phone	4158834254	Phone
Date Signed	2014-02-27	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	WADE MCMULLEN CPA	Name
Phone	6268577300	Phone
Date Prepared	2014-02-27	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CHRISTY ABELE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	940 C STREET	AddressLine1
City	NOVATO	City
State	CA	State
ZIP Code	94949	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	461293	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	THE FOUNDATION'S MISSION IS TO SUPPORT NOVATO CHARTER SCHOOL, A CALIFORNIA K-8 PUBLIC CHARTER SCHOOL.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	3	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	437931	ContributionsGrantsPriorYear
Contributions Grants Current Year	460768	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	525	OtherRevenueCurrentYear
Total Revenue Prior Year	437931	TotalRevenuePriorYear
Total Revenue Current Year	461293	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	380000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	453057	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	28995	TotalFundrsngExpCurrentYear
Other Expense Prior Year	48098	OtherExpensePriorYear
Other Expenses Current Year	55539	OtherExpensesCurrentYear
Total Expenses Prior Year	428098	TotalExpensesPriorYear
Total Expenses Current Year	508596	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9833	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-47303	RevenuesLessExpensesCY
Total Assets BOY	87698	TotalAssetsBOY
Total Assets EOY	40194	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	87698	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	40194	NetAssetsOrFundBalancesEOY
Mission Description	THE FOUNDATION'S MISSION IS TO SUPPORT NOVATO CHARTER SCHOOL, A CALIFORNIA K-8 PUBLIC CHARTER SCHOOL.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	453057	Expense
Grants	453057	Grants
Description	CHARTER SCHOOL PROGRAMS: GENERAL AND SPECIFIC PROGRAM SUPPORT INCLUDING GENERAL BUDGET SUPPORT, FACILITIES AND GROUNDS IMPROVEMENTS, COMPUTER LAB, SPECIFIC PROGRAMS SUPPORT SUCH AS SPANISH AND GARDENING.	Description
Total Program Service Expense	453057	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	3	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JEFFREY ERKELENS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4158834254	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	940 C STREET	AddressLine1
City	NOVATO	City
State	CA	State
ZIP Code	94949	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
CHRISTY ABELE
PRESIDENT	0.50	X	X	0	0	0
ELIZABETH NIELSEN
SECRETARY	0.50	X	X	0	0	0
NADINE SUTO
TREASURER	0.50	X	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	460768	AllOtherContributions
Total Contributions	460768	TotalContributions

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	525	TotalRevenueColumn
Related Or Exempt Function Income	525	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	525	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	461293	TotalRevenueColumn
Related Or Exempt Function Income	525	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	453057	Total
Program Services	453057	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4780	Total
Management And General	4780	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1096	Total
Management And General	1096	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4024	Total
Management And General	4024	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	791	Total
Management And General	791	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	324	Total
Management And General	324	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1136	Total
Management And General	1136	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	FundraisingFundraising	Management And GeneralManagementAndGeneral
OTHER FUNDRAISING EXPENSE	28995	28995
CREDIT CARD PROCESSING	10180		10180
BAD DEBT	3325		3325
STAFF ACKNOLEDGEMENT	654		654

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	234	Total
Management And General	234	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	508596	Total
Program Services	453057	ProgramServices
Management And General	26544	ManagementAndGeneral
Fundraising	28995	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	49773	BOY
EOY	827	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	37925	BOY
EOY	39367	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	87698	BOY
EOY	40194	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	87698	BOY
EOY	40194	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	87698	BOY
EOY	40194	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	87698	BOY
EOY	40194	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-47303	ReconcilationRevenueExpenses
Reconcilation Other Changes	-201	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	314577	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	361183	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	367075	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	437931	CurrentTaxYearMinus1Year
Current Tax Year	460768	CurrentTaxYear
Total	1941534	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	314577	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	361183	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	367075	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	437931	CurrentTaxYearMinus1Year
Current Tax Year	460768	CurrentTaxYear
Total	1941534	Total

Field	Value	IRS element (for citing)
Public Support Total170	1941534	PublicSupportTotal170

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	1920	CurrentTaxYearMinus2Years
Total	1920	Total

Field	Value	IRS element (for citing)
Total Support	1943454	TotalSupport
Gross Receipts From Admissions Etc	525	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99900	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99890	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt	461092	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	461092	RevenueSubtotal
Other Revenues Not Included	201	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	201	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	461293	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	508596	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	508596	ExpensesSubtotal
Total Expenses Per Form990	508596	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	Identifier
Return Reference	SCHEDULE D, PAGE 4, PART XI, LINE 4B	ReturnReference
Explanation	ACCOUNTING CORRECTIONS TO BEGINNING BALANCE 201	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	NOVATO CHARTER SCHOOL	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	940 C STREET	AddressLine1
City	NOVATO	City
State	CA	State
ZIP Code	94949	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	562609145	EINOfRecipient
IRC Section	501C3	IRCSection
Amount Of Cash Grant	453057	AmountOfCashGrant
Purpose Of Grant	PROVIDE ANN. SUPPORT	PurposeOfGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE 990 RETURN IS REVIEWED BY THE BOARD PRIOR TO FILING THE RETURN.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE FOUNDATION PROVIDES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	ACCOUNTING CORRECTIONS TO BEGINNING BALANCE -201

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	NOVATO CHARTER SCHOOL	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	940 C STREET	AddressLine1
City	NOVATO	City
State	CA	State
ZIP Code	94949	ZIPCode

Field	Value	IRS element (for citing)
EIN	562609145	EIN
Primary Activities	SEE PT VII	PrimaryActivities
Legal Domicile State	CA	LegalDomicileState
Exempt Code Section	501C3	ExemptCodeSection
Public Charity Status	2	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	NOVATO CHARTER SCHOOL	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionType
Amount Involved	453057	AmountInvolved
Method Of Amt Determination	FMV	MethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE R	ReturnReference
Explanation	PRIMARY ACTIVITY OF NOVATO CHARTER SCHOOL CALIFORNIA K8 CHARTER SCHOOL	Explanation

NOVATO CHARTER SCHOOL FOUNDATION: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Grants To Domestic Orgs GrantsToDomesticOrgs

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Conferences Meetings ConferencesMeetings

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Pledges And Grants Receivable PledgesAndGrantsReceivable

Total Assets TotalAssets

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Other Income170 OtherIncome170

Schedule D IRS990ScheduleD

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Schedule I IRS990ScheduleI

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Address US AddressUS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Address US AddressUS

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Form990 Schedule R Part VII Form990ScheduleRPartVII

Comments