no i 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 return...

12
990 Return of Organization Exempt From Income Tax under cad r. soil, sal, or a19a^Wtt1 of u^. M^rnal R mcods lsxcq+t Walt ling b*R tmM or put. s ftuvmkmdarO bawd a The bm hwft to use 0 ear rA robs Anne to g 0101s re a^ro® n A F4W a* am o or tax and udh I RE JUL OG No I MS-ma 2005 C B a' ^e D wpb si ides w^bv = t" w S''D C L u f 3 P" W Aimabw or qw P& be 0 Tom ft 00 da% % so t E ld"*Mft aM*W %Vb, 41 8S u,f extat tm^, Waft awers^ MW P44 F I= / 3// A o . sect MIWA ag ians ad a 9a1WQ mat M wd Ian W 4W/XAb Ra wAft 5aa awwa'am tug awit tal a p 0 0- , Stb k A Nam M or s M V44 Is ft a qmp wm oar psi wa X a a"& 1A qmmmw Ommadwqb ®u ®a 0 kmwmd 'An 6 Vkbsft J OMWA *m aoa% WAO& env Qndi 0 So4O LY) -4 OVA m ® 494 )P(ot U S "Wltlmtw nVA n* 110 a mbmn uft tlrot m hdt a the wwR aAL dmM 10 a 1iWW4, DR .*0^kaooT I AI. S®111!Ste!Is i saQ0^l^NINA. L Stan wb4$: Add bkft W fib. ft, Wd 10b to See tit W IZ a6* ft eotn to aftch 990-M ifld ChayMs In Net A89a1S Or Fwid B css the i corty , qft grants, and i to / 0 7 a oz pjbft uVW . . . . . . . . . . . . b n t pubk support . . . . . . lb c eavammmt aonl ( nto . . . . . . , is d TOW OM Was is**h10 kWh $ n ro $ ) 2 Peograreo WAVMS oarwa kdkoft ornwa tees and c et orls pVom Part VU, b 93) 3 M x du wd tents , . . . . . , . . 4 Intact an sovi s ad tar r07y cash in urmts . . . , . , . . . , . 5 toil and interest born sates . . . . . , , . . . . sa mots . . . . . . . . . . . . . sa o b Leers: mnta0 azeparms . . . . . . Sb c P rantai immm or ODSO OUbb-ad be Gb born fie so . . . , . . . , . 7 Of' t r snt Mioo ne a as Gross err xt wom sales at amts ®thor 44 smwba e `ntnt . . . . . . . so b Liss e:W or at bosh 8b c Ga^n at (ass (mach sctoda* . . . at d Net gin cr OQSQ I r *k* WO 80 , eQWcns ^Ry a4 61 9) . , . . . . . . . anod WWffift rye bra) II NV aaaa Nd as born gi dmv* Pee 0 kckm*g S 9a -3 repwwanwe10) . to m Lam; OYPKMS ®ttW %M R Or ' ) born sac wAnts r(^,tirat wno 9b ft rn Ida Sj , ; 7 1 6 Pss ®f kn^oantwA Maw ratra^ts and aftac Z ^ iob 3 2 0 K -3 1, fteeo WIN CA iro rp pt self O&ftd Uris 1 tm area t9$. WMAN nn Pastboa,,ke10 19 TOW ftWVM bMS 1d, 3, 4, a, 7, Sd, St, 10a„ and 11 13 PWm wvico ftm We 44, o mn (ED . . . . . . . . . . . . . . 14 MNOONWA and 9~4 Mm We 44,, cokwm (CD . . . . . . . . , . . IS FWadr Mom We 44, ackrm ft . . . . . . . . . . . . . is Pests to ali tas f(attath . . . . . . . . . . 17 76W is and 44, cdWm is Eatsar(doo"t®rteaVOWmost9eroPflan0.51a). . . . . . . . . 19 P10 ass ets or 9und bo at ba9irarft of r " Q1 73, colon , , 50 &* r chw4gm in eat amsds at s babnom (arm eypkmoftn). . . 31 Oft a ®r f+mid bata^ra aQ aae5 tcea^ liras 1s. 19, and i cam Act and Papvwwb ped I'll m "Nast*, sa lbe sq ake U utswo . cvs t1 t1 le 740 30, 8d aamm ON

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Page 1: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

990 Return of Organization Exempt From Income Taxunder cad r. soil, sal, or a19a^Wtt1 of u^. M^rnal R mcods lsxcq+t Walt ling

b*R tmM or put. s ftuvmkmdarO

bawd a ► The bm hwft to use 0 ear rA robs Anne to g 0101s re a^ro® n

A F4W a* am o or tax and udh

I

RE

JUL

OG

No IMS-ma2005

C B a'^e D wpb si ides w^bv=

t"w S''D CL u f 3P"W Aimabw or qw P& be 0 Tom ft 00 da% % so t E ld"*Mft aM*W%Vb, 418S u,f

extat tm^, Waft awers^ MW P44FI=

/3//A

o . sect MIWA ag ians ad a 9a1WQ mat Mwd IanW4W/XAb Ra wAft 5aa awwa'am

tug awit tal a p 0 0- , Stb k ANamM or s M V44 Is ft a qmpwm oar psi wa X

a a"& 1A qmmmw

Ommadwqb®u®a ►0 kmwmd 'An

6 Vkbsft ►

J OMWA *m aoa% WAO& env Qndi ► 0 So4O LY) -4 OVAm ® 494 )P(ot U S

"Wltlmtw nVA n* 110 a mbmn uft tlrot m hdt a the wwR aAL dmM 10 a 1iWW4, DR

.*0^kaooT I AI. S®111!Ste!Is i saQ0^l^NINA.

L Stan wb4$: Add bkft W fib. ft, Wd 10b to See tit ►W IZ a6* ft eotn

to aftch 990-Mifld ChayMs In Net A89a1S Or Fwid B css the

i corty , qft grants, and ito /07a oz pjbft uVW . . . . . . . . . . . .

b n t pubk support . . . . . . lb

c eavammmt aonl ( nto . . . . . . , is

d TOW OM Was is**h10 kWh $ n ro $ )2 Peograreo WAVMS oarwa kdkoft ornwa tees and c et orls pVom Part VU, b 93)3 M x du wd tents , . . . . . , . .4 Intact an sovi s ad tar r07y cash in urmts . . . , . , . . . , .5 toil and interest born sates . . . . . ,

,. . . .

sa mots . . . . . . . . . . . . . sa o

b Leers: mnta0 azeparms . . . . . . Sbc P rantai immm or ODSO OUbb-ad be Gb born fie so . . . , . . . , .

7 Of' t r snt Mioo ne a ►as Gross err xt wom sales at amts ®thor 44 smwba

entnt . . . . . . . so

b Liss e:W or at bosh 8b

c Ga^n at (ass (mach sctoda* . . . at

d Net gin cr OQSQ I r *k* WO 80, eQWcns ^Ry a4 61 9) . , . . . . . . .anod WWffift rye bra) II NV aaaa Nd as born gi dmv* Pee ► 0

kckm*g S 9a -3repwwanwe10) .tomLam; OYPKMS ®ttW %M

R Or ' ) born sac wAnts r(^,tirat wno 9b ft rn Ida Sj ,;716Pss ®f kn^oantwA Maw ratra^ts and aftac Z^ iob 320 K -3

1, fteeo WINCA iro rp pt selfO&ftd Uris 1 tm area t9$.WMAN nn Pastboa,,ke10

19 TOW ftWVM bMS 1d, 3, 4, a, 7, Sd, St, 10a„ and 11

13 PWm wvico ftm We 44, o mn (ED . . . . . . . . . . . . . .14 MNOONWA and 9~4 Mm We 44,, cokwm (CD . . . . . . . . , . .IS FWadr Mom We 44, ackrm ft . . . . . . . . . . . . .is Pests to ali tas f(attath . . . . . . . . . .17 76W is and 44, cdWm

is Eatsar(doo"t®rteaVOWmost9eroPflan0.51a). . . . . . . . .19 P10 assets or 9und bo at ba9irarft of r" Q1 73, colon , ,50 &* r chw4gm in eat amsds at s babnom (arm eypkmoftn). . .31 Oft a ®r f+mid bata^ra aQ aae5 tcea^ liras 1s. 19, and

i cam Act and Papvwwb ped I'll m "Nast*, sa lbe sq ake U utswo . cvs t1 t1 le

740

30, 8d

aamm ON

Page 2: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

Fvzqm m , Pao* 2

statement of Am wgwambm ant craopbte comemo (A^ Cdw 48^, arod 4^ we "WilmA to SKOW 9m Ed mAjxfttal Bmwd s wpnkdmaswtm 49471) nnmmapt ct a bush bA apbwwfw pa ft OdAmw 4

22 (1rnts and dbcaftm (attach schaduk) . ,

2$ specft anistuce to 1 dkkhmft (attachwhadtiO ,........... 23

24 Bwaft paid to at to won6m I(att hschodul* ............ 24

2$ OOer ton at ofli s dkecW s etc, as.,46 r saWM and Wages 4 oG 6. , . . , . ,27 n pion cmuft i r s . . . . . .Ole OOW ei ib es beralft 26. . . . . . .

Pepy m to as 1-24 2 ab. . , . . . . .3$ k6maww un& ten 30. . .

,31 AccaurdftQ tees . . st 3 1. .. . . . .31 Leal ten 32. . . . . . . . ,3$ . Z 2NZ. . . . . . . . . , .34 Tekph&e . . . . . . . . . , 34, .3$ Posts" ard aoppkq 35 /Ao O, . . . . .3$ omupwcv . . 36 ZrC 3 2-&1,. . . , , . . , ,37 Egaoxrnnt rnntai and mai tararce s7 / /5-0. . . .

PdnOag wW pjbkaftm 3i 6 z 6 2. . . . . . .3$ Tmal . . . . . . . . .. . . .40 font t r an and mastkgs 401, ,„41 . . . . . . 41 1 Z'193. . . . . . .

dpleftn, eta. O#gch sctedu j41 Dapmciaft% 42,43 ^t c^varad d^^e (^le^r^iaa

b .. v St S ........................ . 45b Z7 7....c ..YYlr ^R(l;^7, ass....................... 43c q -7d ...................................................e ......................................... 43*

9 .................................................... 4ft

44 Total hwwft l erpooom Add 6*% 22*mjgh 4& ftim c&rok*qcokw" p)-ft a th tauft to was13-10 44 1 ti1 /5 g8 so, vs9

Joint Coats, Check ► 13 i you arc tommko SOP 26-2.#nmy 1 taft from a c said t ad n re ed in Pmw mn wvAm? . ► 13 You 0 NoIf'W etV p the aggreeta a mist CA tram trot cash S M tomamt a ced to PWM A *_-,in the waoaelt alb to O nom and 9~4 $ , and P.) the moo! akcated to F4nrdrai roc $

F 990 rcm

Page 3: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

a way 3

J=jL3Wewm* of Program Sar ike Acowelsimikents (See Me

Form M is avabbW for Pty kap o ar4 fit are pule., wvft as the paOary or sole source of 8nfumatin about ap ii * air motion. Mann the pubk partaiNft an cr at n in sch casm may be dakwn*wd by to W nnati®n praan s reo . T ekzi'a, t mt e Is corrq to and accurate ard h* d In art W to orgw&& nn's

rN and aw".Vfthmmts.

AM a t * ex pt pua in a dew &,%d cwcim mean Sala the mii ° mMof tbis hwa4 ekv-- Datum mi is that aee Qwt weasuraW r,-ac%On 5O1 ( j and (4) V°Ac )WWWOMMMW 4947W) t tut, musk aka ester the arnount ®f grants and a Clown t® othe

aLG ST^44e_TR.ll1.Kl.1,l.-_.^....^l.CC^_C.3.?f11,

.....................................................................................................

inns.. $-._... ............... l`aif u do `

b ...4 R..C^^.! ^(.. ,Fv,v^^z ^sr^s -...1 _ . o[.C-1..(^ ^ a ^ ^c%•,..^f^i t..-_'r"^la&lr cl -_ AP, ^r3 ..C^+.^'sld u ^^^_.^c ^.acc! f

Z o o^ 'I

_...CLLP ...a,,,;! 0Z,esj,C^^..Q ^arttt^af m ..... .

------------ YL Wiz.. ;.1?_L.!_ ^`^2cr^ ._^rta! rl,e.c :...............................

d ..... ...a SQL(ciC s . CA,*,'r. .......__.__..4 i,-v +I.C±^..- T^t+st...... _ft-. 0 ...^^!r!^.... --_:"

^vli^^...._..__......

........ .Qu,Z h;, ^ ...j .... LR,Q,'2e.... CA4 .!_

.,_^^CY^c •CdcF ._...QaLao1:.............o_..__.

OMW p rann SWAM Mach SOMM"OMU and a 3 $ A r ws am xa kckxm m waft c Haste ► n

sa mwu rat,

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S ao r sox 4Balance its the '

Notes Who* r wjft , w wft avd o ea Ancob= aw"be ter vow-OwwAwft 0. of vw Brad at yew

45 e -^n-iret t- ring . . . . . . . . . . . . . . ZY4 45 13

46 and trycwhits . . . . . . . . , 46

47047a its re as . .. , .b Lam:afor daubthi amts 47b at 1/ S

46% Plate . , . . . . . 480

b Lowat®r dmbtU amts 48b 480

49 Grarets receivaW . . . . . . . . . . . . . . 49

59 PaceNables; &can oftes, .,, tautane„ ard kW errOw*eft((attach . . . , . . . , , . . . . . . , Sol

Ste Othw notes and loam makable ((attarj. . . , . , , . .

b Less allmar" tar doubdk tents SW Sic

S& kmcwta tar wk or use . . . . . . . . . . . . . . 32 S LS3 Prepaid eexperksm and deterd charges; . , , 53

54 QattaP. schaew ► 0 f 0 FMV S4

580 bA*gs, andaq, ,mt bada . . . . . . . . Sul 21 50 -70.0

b Leers teal ten QatlachSSb Z^ U.O 8^7 tic 13 , O

S6 wt ch j . , . . . ,.

Se

3Ta Lam rs„ and cqt rent basisb Leers tad a reda* n Qattadi

sichadtAo . . . . , . . . . . . 57b 37c

I SO Other assaft ................................... ....... .a so. :.

59 TOW assets Ormat equal Ana 7 Add Ibis 45 through 58.. -413, 3o2- s8 72-

60 Accou is pwable and accrued eats . . . . . . . . 60 6.Si Girets pa"ble 61

62 Deta "Vern . . . . . . . . . . . . 62. . . . .63 Loam ftm o5ew% dd :tors and K wt u tees lo ees (attach, , , p o

64a T -exarrpt bared U bWem (attach , . . we

b Mortgages; a a notes; p bA (anschedule) ... 3 64b.65 Or^(describe 110- .. ........................................ 85

66 Tot l liabilbias, Add &M 5 through 65 . J 6 SSZ 66 Oc

Q^aa^aRioas gat toMow SFAS 117, th.dt hate ► 0 and a lete Was

6^

through 69 and Mom In egad 74,57 Urfestelcked ............... ....69 T ra*mad . . . . . . . . . . . . . so. . .69 PemwowMy restricted . . . . . . . . . , . . .C%w& ftm that do not to8w SFAS M, beck hers ► 0 and

ft t 70 u rough 74.io a stir, trust per at cu"W Ards. . ., . . . .^t P d. n or capital surplus, or land bu ldft and a Mpment Axed 71, .72 Patairad Oree5 w4mman't accaT ted k at a*w Ants 2a 7^ 8 701,73 Total riot assets or turd bates OM Was ST through 69 or Was

m through rd,c^Ao n ^1, must a + Ida 1 ^Iwnn , must ado 1 21 . 73

74 TOW habit and netaid bateiwes. AM Nines 6 and 83 1 44' 3, 301.. 74 6-7 2.-F ae 990

Page 5: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

one 9 0 , spa S

R ation of R&.u* Par /willed F1nancW Stmtwnwft W Revenue pair Ret a QAe

a Tot mwt*, 9mrs, and cthw support par aud tad OmrcM statements , . . . . . . .b d+wamis k ckx d an We a but not an PwR k ** 12,1 Plat no kwesWents . . . . . . . . . . , b1

I Dwwftd aard' es and use of few . . . . . . . .3 RetwWas at prior yw . . . . . . . . . .4 .............................................................

b4

AW bmbi ftough;`

. . . . :::...::.. ....

. . . . . . . . . . .c SAbrao &a b trorn We a , . . . . , . .d An%ow s kckxW an Part k *a 12 , bul not an be a:I bmasbrn ►t ads not i kpJad an Pact 1, k* Gb , , , , , di

2 ______________________________________________________________d2

AM b dt and d^.........:.. :...: ..... :...: ..:.. :...: ..:.. :....

. . . . .a Total nmwdm fart L 1*o 121 Add &as c a^d d _ _ _ _ _ _ _ _ _ _ _ _ _ _ ►

a Tamil ex s and losm pw audltad I* tai is , . . . , . , , . , . . ab Awmrots kckxW an W* a hurt not are Put k W* 17,I Dwated wvim and use of f Ues . . . , bi

2 Prim r ante me reported an art k ba 20 . . , . . . bA3 Lossm ra agile! no Pert I, Ike 20 . . . . . . . . . . . W4 O!w tspetft .................................................... ......

b4

Add 1m bi ttwnh b4 . . . . . . . . . . . . . . , , . , , . , ba brst We b from a . . . . . . . . . . . . . . . . . . . . . . .d ?inoemts kvckded an Pert 1, We I T, but not an We a:I l tmrota not bn ed ®nP t6aria6b . , . . .4 Odw Opacft _____________________________________________________________

d1<

add hlrea^ di and d! , da Total k We 1 Add b c and d e

curmnt OMioars, Dkectors, ThMaaa„ and Key Bmployeas"eed p6mQn acts ^ona^ are after, dlraor, bastes,at kw eiivee at Orton tdr no tM ver emro if tt wam rrzt canwansatmU (m ft &=ft aforaD

iN * wd aWARik awe

tm^A a indi oa axeW4 dbww4m

....................S OR G A/ AVE C nl O

IK6Sf0FN'-/ 0 - D- - 6-- -

o ... F,-r- . F,.K..................... V. P E s,

................. TRFf4si2ERZO -V- -G- o-

K...................... 1 i) SE C Q - o -- d

!NPe4 _414n^Kv ............................. 7 E c -G-

F^MM890 ri

Page 6: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

m

Fmmer OMitus,, Dkedw% Thrws, and Kay Bn es TlwtRead Oompen^Aion ar Ollwr s Ip^ asap t®nw^r®EIr drectw bus*, at hip WMWMmad CWa rii of d&w b babO daft to , I thtpalm bobw and orft Ve mno * of compumObw at o9w b in to appmpoft c urare. Se tt* katudws)

04o amp ads lei a wdp t^rm lb

rt auntrA%ftem

1^ E

Otar Nntor "m fSee the O"ucftW Yft ft

n Od he arWftafm orqa" in actift eat 3wsl + reported to the IFS? tt "`Y®s '" ntteav % a det edp a „ ,,dmwotion of each . . .

'

76 Ile77 W e any, ctmgm waft in to^or go%vwkdg docunrnts but riot reported to uh U ? n X.

It 'Y fees,'" nflnth a .ord rmed =W of the .

7U Od the motion Mm uRa ted brains ou income of $1 the e r co%eed bO at moe dui O, q b yWuei% rewm? . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .

b 1f I'YW hn A fkd a twt retwn an Foam OWTtar this Vow?, . . . . . . . . . ..k bom tou*i n r? It "'Ye79 Was t a lqjAd&Vw4 at uA tmt n met n or's deed '" att chWe, s „, fi

a Uait nt . . . . . . . .. . . . . . . . . . . . . , . . . .

Oft h ft argmimftn meted (dr than by a fvatiore ud h n tewide or naft wWa arquin" ttwonoscorn n me gw i bWM Uri tees etc to an r exwW or nw*m ptaft&&„ „, y

weX

b 16 e^nta^r the n^nne of ft argantmOm 10- p( ST..of T:/ Ll c SLvvi4 K ,UNiov...... ---. ............. # *teem it is ® "Wo or 0 ewoorr

eta Enter amt arted kdftd paft 0 e sure s. (See W* 81 iabn j . 81ab Did the aWnbaklan ft Faun 11 bGL tw this Vr? . 81b

Ftmmwupm

Page 7: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

remm

W At any *ft du*q the fir, did t e otguftallon own a or gr a er interest in a twWbla ccrpo+rati®n ors,orancnt p a^etcflr®mt a 1icnue r tiroscacti ^1J'01-^

and W1.7'h1 IF -vir^ " affoda Pat w . . . . . . . . . . . . . . . . . . . . .Oft 50104M aqwshabom Amount of tin Wposed an *a or9mbstion ai uft the Vow under:

Section 4911 section 4912 action 4955 to ...................

5010^M mad 507 Did the organizWon In any s hon49a twarmcdondu to or did it banana aware of an ass lift tr 4Ton from a prior r? If "`1Pes,w attacha staternent wAo&kq each transaction . . . . . . . . . . . . . . . . . . .

c enter Anm t of tai fta"d an the orWkition ors or diWiaffied persons aura toundar sections 4912, 4%5„ and 49 . . . . . . . . . . . . . . . . . . . . . ►

d enter; ? n *a t at teat an We Sgc , above, reirnbursed by the agar*ation , . . . . . . . . ►We Lhk ** %Wes vft which a copy of Oft reborn is fWad ► ___________________________________________________________________________

bN w4ftyeas arro®y in the pay period that inr,#4 Mauch 12, 2W5instructions) v^ 90^i I 8

Si. Ttea a,a ► of ► E_QCtG _[^[f^^/^ ___________ Te one ► C33Q ^Z`f-0/` ^.Loted at ► . ^ _^??l?CL^l9 c^_. E.....1. 9,A-P?vd.6if" B1P * 4 ► ._My !____________________

b At any Off* a rkq the callendw fir, did t e orgarkabon have an irate st in or a suture or cowau*ityNosoar a *WwCW amount in a Ibmign country ouch as a bai* amount woun-des a xet, or othw financial IYOMI

If "`Vets'" entax*0 nears offl*foreign country ► ________________________________________________________________See the t for wmepbons and We raqu,err is for Fam TO F 90 ,1, Report of Foreign Bankand Financial MUMS 1 -1

c Al any *m durft the calendar , did the orgarkWon maintain an offte out*k of W-ad StAe? 91c

If *Vt%" eatertto name of to foreign retry ► --------- -------------------------------- ----------- .........92 Seebon 4W(00) ao®omwao E5 Form9 obc ftw ®3Fwm IOU--Ctaack !ea . , . . ► 0

and enter the amount of to even t interest rac ved at accrued du*g the teat Vow . . ► p 92 d

p 7

FiMMOSO

Page 8: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

h

1

NASSSSgSAIIIS

fm vr vr pr 9.

ao00

ao

$s

l

III

Page 9: No I 2005990s.foundationcenter.org/990_pdf_archive/340/340314393/340314… · 990 Return ofOrganization ExemptFrom IncomeTax undercad r. soil,sal,ora19a^Wtt1ofu^.M^rnalR mcodslsxcq+t

SLOVAK J CLUB

Part 1 - Line 9 Special Events

FORM 990 - 2005

The Ohio Attorney General granted a Type 111, 2005 Charitable BingoLicense as provided by Section 2915.08 of the Ohio Revised Code to conductcharitable bingo games. No contributions are included in gross revenue.

Gross Revenue 143,192Direct Expense 112.386Net Income 30,806

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SLOVAK J CLUB FORM 990 - 2005

Part V-A - Current Officers , Directors, Trustees

b. Are any officers, trustees, or key employees listed in Form990, Part V-A, or highly compensated employees listed inSchedule A, Part 1, or highest compensated professional andother independent contractors listed in Schedule A, Part 11-A or11-B, related to each other through family or businessrelationships? If yes, attach a statement that identifies theindividuals and explain the relationship(s).

1. Steve Petrasek, President and Joseph Petrasek are brothers

2. George Kacsanek, Treasurer and Ann Kacsanek, FinancialSecretary are sister-in-law and brother-in-law respectively.

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Form 8868 Application for Extension of Time To File an(Rev. Dec imbvr 2oo4) Exempt Organization Return 0MB No. I W-1709

Department of t s TreasuryInternal Revenue Semce lo- File a separate application for each return.

• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . ►• If you are filing for an Additional (not automatic) 3-Month Extension , complete only Part II (on page 2 of this form).

Do not complete Part II unless you have already been granted an automatic 3-month extension on a previou3 ty filed Form 8888.

Automatic 3-Month Extension of Time-Only submit original (no copies needed)

Form 990-T corporations requesting an automatic 6-month extension-check this box and complete Part I only . . . ► q

All other corporations (Including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns.Partnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.

Electronic Filing (e -file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of thereturns noted below (6 months for corporate Form 990-T filers). However, you cannot file it electronically If you want the additional(not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For moredetails on the electronic filing of this form, visit www.irs.gov/efile.

Type or Nam f Exempt Organization Employer identification number

print .3LoV 14 le-, CLj 3 .3':0 -13 73File the Number street, and room or suite no. If a P.O. box, see instructions.due gate forfilin 8S {'n 0 (r l_`g yourreturn. Sea City , town or post office, state, and ZIP code. For a foreign address, see instructions.instructions.

f K 2 o o H t o qy3i/Ch ck type of return to be filed (file a separate application for each return):

Form 990 q Form 990-T (corporation) q Form 4720

Form 990-BL q Form 990-T (sec. 401(a) or 408(a) trust) ® Form 5227

q Form 990-EZ q Form 990-T (trust other than above) q Form 6089

q Form 990-PF q Form 1041-A q Form 8870

• The books are in the care of L?EU(ZGF/GSR^/^ K

Telephone No . ► .7`-( .-. 0.) 4. I.... FAX No. 10- ...........) .............................• If the organization does not have an office or place of business in the United States , check this box . . . . . . ►• If this is for a Group Return , enter the organization ' s four digit Group Exemption Number (GEN) . If this

is for the whole group , check this box . If It is for part of the group, check this box ► q and attach a list with thenames and EINs of all members the extension will cover.

I I request an automatic 3-month (8-months for a Form 990-T corporation) extension of time until U(rU S t 1 S , 200,4

to file the exempt organization return for the organization named above . The extension Is for the organization ' s return for:

► calendar year 200Sor

► q tax year beginning -------------------------------- - 20..., and ending .................................. , 20 ---•

2 If this tax year Is for less than 12 months, check reason: q Initial return q Final return q Change In accounting period

3a If this application Is for Form 990-BL. 990-PF, 990-T, 4720, or 6068, enter the tentative tax, less any 8nonrefundable credits. See Instructions . . . . . . . . . . . . . . . . . . . . . .

b If this application Is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments

made. Include any prior year overpayment allowed as a credit . . . . . . . . . . . . . . S

c Balance Due . Subtract line 3b from line 3a. Include your payment with this form, or, if required, depositwith FTD coupon or, If required, by using EFTPS (Electronic Federal Tax Payment System). SeeInstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IS

Caution . If you are going to make an electronic fund withdrawal with this Form 8868 , see Form 8453-EO and Form 8879-EO

for payment instructions.

For Privacy Act aed Paperwork Reduction Act Notice, we biefruction•. Cat. No. 279160 Farts 8888 pow. 12-20"

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Form 8868 (Rev. 12 - 2004) Page 2

• If you are filing for an Additional (not automatic) 3-Month Extension , complete only Part II and check this box 11. qNote. Only complete Part 11 if you have already been granted an automatic 3-month extension on a previously filed Form 8868.• If you are filing for an Automatic 3-Month Extension , complete only Part I (on page 1).

OnM __ Additional (not automatic 3-Month Extension of Time-Must File Ori gin I and One Cop.

Type or Name of Exempt Organization Employer Identification number

print

File by the Number, street , and room or suite no . If a P O. box, see instructions For IRS use onlyextendeddue date forfiling the City, town or post office, state, and ZIP code. For a foreign address , see instructions. -return. See -instructions.

Check type of return to be filed (File a separate application for each return):

q Form 990 q Form 990-T (sec. 401(a) or 408(a) trust) q Form 5227

q Form 990-BL q Form 990-T (trust other than above) q Form 6069q Form 990-EZ q Form 1041-A q Form 8870q Form 990-PF q Form 4720

STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

• The books are in the care of ► .............................................. ......................................

Telephone No. ► (---•-----)-------•-----------••--•---- FAX No. ► (----------)

• If the organization does not have an office or place of business In the United States, check this box . . . . . . ► q

• If this is for a Group Return , enter the organization's four digit Group Exemption Number (GEN) If this isfor the whole group, check this box ► q If it is for part of the group, check this box ► q and attach a list with the

names and EINs of all members the extension is for.

4 I request an additional 3-month extension of time until ________________________________________ _ 20 __-_.

5 For calendar year ...... .orother taxyear beginning ........................ -20...... and ending ........................ .20____

6 If this tax year is for less than 12 months, check reason: q Initial return q Final return q Change in accounting period

7 State in detail why you need the extension ____________________________

--------------------------------------------------------------------------------------------------------------------------------- -----------

8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits . See instructions . . . . . . . . . . . . . . . . . . . . . . $

b If this application Is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated

tax payments made. Include any prior year overpayment allowed as a credit and any amount paid

previously with Form 8868 . . . . . . . . . . . . . . . . . . . . . . . . . . $

c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, depositwith FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System ). See Instructions. $

Signature and VerificationUnder penalties of perj ury, I declare that I have examined this form , including accompanying schedules and statements, and to the best of my knowledge and belief,it is true , correctcomplete, and

7^7

honzed to pr a this form.

signature ► c Title ► 7/?-6 a ct)2E2 Date ► LI d 6

Notice to Applicant-To Be Completed by the IRS

q We have approved thi application . Please attach this form to the organization ' s return.

q We have not approved this application . However, we have granted a 10-day grace period from the later of the date shown below or the duedate of the organization ' s return (including any prior extensions ). This grace period is considered to be a valid extension of time for electionsotherwise required to be made on a timely return . Please attach this form to the organization 's return.

q We have not approved this application . After considering the reasons stated in item 7 , we cannot grant your request for an extension of timeto file . We are not granting a 10-day grace period.

q We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested.

q Other ..............................................................................................

By.Director Date

Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3-month extension

returned to an address different than the one entered above.

Name

Type or Number and street (include suite , room, or apt. no.) or a P.O. box number

print

City or town, province or state , and country (including postal or ZIP code)

Form 8868 (Rev . 12.2004)