[efile GRAPHIC print — DO NOT PROCESS TAs Filed Data-[DIN: 93493161001124] 990 Return of Organization Exempt From Income Tax Jove ve 2845 base Form! 2 inert se 5 gmranaietaamttenmecarimome secs | 2012 aes cern |» The organization may have to use a copy of this return to satisfy state reporting requirements keds eng Leino | a aaae Tamim roar aR TO FT RTT HST ROTO nee TF kooeaton pening Gros rete $ 364,208 F tame and sadrens of prineiparoficer Wa) fa this group return fr affliates? ves Ne H(b) Are all affiliates included?!” Yes No If*No,* attach a list (see instructions) T Tacerempt satus sous) FSO) inset mo) T so¥riaya) or Tz (@)_ Group exemption number ® J) Website: > van campinteractive org H(e)_ Group exempt irom of oganaaton co ‘Summary vaton] ast ASsocabonT Oe > ‘Lyesrottomation 2001 [State of gal domeie_OE 1 Srey describe the oiganvator’s mason ormasl sgneant ectwines Cpatatarscuve Cl] empowers neti Youth tSugn the nsevateon ofthe outdoors andthe costve pov of technolog 2 2 Check this box PY if the organization discontinued its operations or disposed of more than 25% of its net assets 3 & | 3 umber otvoting members ofthe governing body (PaHVI ine 18) 3 15 % | 4 numver ot independent voting members ofthe governing boty (Par VI, ne 16) 4 1 E | 5 total number ot navideale employed meslendaryear2042 (Pav, ime Za). ss ee = LB 7 2 6 Total number of volunteers (estimate if necessary) 6 Net unrelated business tarablencore fom Fom 990cT.ine34_. vs ss ss 7 Pir Year caret ¥ Contributions and arants (Par Vi, ne 1h) 105,039 136,098 3 Program service revenue (Pert VIII, line2g) = =. 2 ew ee 2 10 investment income (Part VIII, column (A), lines 3,4,and74) . . . T726 ° © }11 other revenue (Part VIE, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 202,289] 199,556 12 Total revenve—ac ies 8 trough 11 (must equal Part VIL, column (ne a eo nrree ee 226.663 335.655 23 Grants and similar amounts pan (Pan IX, column ines 1-3) 3 44 banetts pai to or formenbars Part 1% column (Aline 4) ve e+ 2 15 salanes, other compensebon, employee benefits (Part Tx, column (nes g 5-10) 198,007| 239,212 B [see rroessionalundrasing ees (art tH, column (Ayine tie) «ee a | © teatime everest can (0), 25) 387 17 otherexpenses (Part 1X,clunm (A), nes £1a-t1d, e242) vv Tay Tms78 18 Total expenses Add nes 13-17 (must equal Part 1X, column (A), ine 25) 31364 350,192 % sn Ho foo rouessnseannierey se PEPE Tears ree 1.726 7318 22 | 22 _netassets or tind balances Subtract ine 21 fom tne 20 Tacs Too.103 jure Block Under penalties of penury, 1 declare that Nave examined (his return, ncluding secompanying achedules and statement, ond to the Bast of my knowledge and belie, it true, corect, and complete Declaration of preparer (other than officer) is based on all information of which preparer has ony knowledge » a [o1e-06-10 sign |P Samnmeoranar ate were |) spose Senay Rosen nae peer e fen [Pooets2e2 Paid Ferme ey ona FS ‘meen Preparer Use Only |e sacs P Tan wea ran hac Foro CU TOF Stomfrt,ct_oso2 ifay the TRS Gicusa ths return withthe preparer shown above? Gee netuctong) yy 7 yy ss Yee 0 Gea aac eee eee eee GeeForm 990 (2012) Page 2 EEMEIT Statement of Program Service Accomplishments Check # Schedule O contains a response to any question m ths Part IT Q 1 Snefly desenbe the organization’ mission Ina city fled wath wealth and opportunity, there are many who are limited by resources and circumstance A short train ride away are towers of innovation ané booming technological advances, yet in the Bronx itis rare to have such access to technology, most private homes lack even a single computer These facts form the basis ofthe digital divide, a entieal issue challenging our community CI operates in one of New York City's poorest neighbarhoads where the income levels and education quality are at their worst 2 Did the organization undertake any significant program services during the year which were nat listed on he pnorForm 90 0r990-E27 vy tes ee se et et et te tee Yes FF NO 1f°Y¥es," describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes mhow\t conducts, any program ieee eaves Fate 1f°¥es," descnbe these changes on Schedule 0 4 Describe the organization's program service accomplishments for each ofits three largest program services, as measured by expenses Section 501(c)(3) and 503(c)(4) organizations ere requires to report the amount of grants ang llocetions to athers, the total expenses, and revenue, Fany, for each program service reported ae (cou V(expersess Bre S29 wang arms of ¢ TV Revemes 7 150 unferered youthsis Lata, 23% Aan frenran, 2% are Caxcasanummer Camp Expedon and Technoboy Intnsve_~ Combes extended outdoor ‘ventures nah computer tri pga Campers etn to us dal tnd vides eamers, expedition Jourols en ale toss o decent tex els genera Oteoor expedite opportunites ice rok cing, rt, backpacking, sat or hng and camp “A the end oe expedn,ssens ‘aur to Canplntmve (Ch ang am computer technotgy and ogra, as they bods tee ove totes ward the docaenaton they coleced Tech & Tek (ater Sool and Weekend Program)” Recognass that te stents need Suppor oughaut the adem Year" Usg the Tech & Tx Centr 959 base, Youth feerve year und hitonng -Suders fm Brom igh School of Seermes Arse enor Sucey re pared one-one mah Cl sdents or sce suppor the ‘Cemer and nough te wosk va smal - Teeny worchope wauge scsi mega, opensource, deal potograpy/ vs and grape Sean modules - Monthy tatoor tps on weekerds, as wells fe tps to et corianes and other rfessana| ervonments Young ererene Sunn (YES) YES tan off te a (coe Veena Techang gars orf VRevenae 7 Ink Donabons For the year ented August 31, 2013, omplnracve rcewed donated rer, professional serves and program serves The Organzaton ‘tmated thet value of these serves to be $125,000 ae (code V(eeperees Teckaing oer Verena $ y “4d_ Other program services (Desenbe m Schedule O ) (Expenses $ including grants of )iRevenue $ » ‘de_Total program service expenses 276525 eee.Form 990 (2012) 10 n 129 2 aaa 1 y 18 Page 3 EME Checklist of Required Schedules Yes [| No 1s the organization gescnbed in section 501(c)(3) or 4947 (2)(1) (other than a pnvate foundation)? If "Yes," Yes. complete Scneduie@ . ee 2 Is the organization required to complete Schedule 8, Schedule of Contnbutors (see instructions)? J. 2 | ves Did the organization engage in direct or indirect political campaign actwities on behalf of or in opposition to No candidates for public office? If "Yes,"complete Schedule Parts + ev ev wt we 3 ‘Section 501(c)(3) organizations. Did the organization engage in lobbying activities, orhave a section $01(h) No lection n effect during the tax year? If "Yes, "complete Schedule G, Part IT. + 6 + + vw + 4 1s the organization a section 501 (c)(4), 502 (c('5), or 504 (c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 96-197 If "Yes," complete Schedule.C, . Poa he eee etc e eccee 5 ° id the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? IF "Yes, complete ae Sei are Dee 6 Did the organization receive or hold a conservation easement, including easements to preserve open space, ae the environment, histonc land areas, or histonc structures? If "Yes, "complete Schedule D, Part 178) Z Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," a ia aei es cece reer eee Cena 8 . Did the organization report an amount in PartX, line 23 for escrow or custodial account lability, serve as a Custodian for amounts not listed in Part X, oF provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes,"complete Schedule D, Port VB. ee we we ew ee LB ue id the organization, directly or through a related organization, hold assets in temporanly restncted endowments,| 10 No ermanent endowments, or uasi-endowments? If "Yes," complete Schedule D, Part Ifthe organrzation’s answer to any ofthe following questions 1s "Yes," then complete Schedule D, Parts VI, VII, VIHL, 1X, orX as applicable Did the organization report an amount for land, buildings, and equipment in Part X, line 107 Ee ie crite Gohale Pak Vi WO Stn areas gee See aia | Yes bid the organization report an amount for investments—other secunties in Part X,line 12 thats 5% or more of, : Its total assets reported in Part X, line 167 If "Yes, "complete Schedule D, Fat ViT ev wwe amb ce Did the organization report an amount for investments—program related in Part X, line 13 thats 5% or more of a Its total assets reported in Part X, line 16? If "Yes," complete Schedule O, Pare VII ate a Did the organization report an amount for other assets in Part Xyjine 15 that 1s 5% or more of ts total assets yes reported m Part X, lime 167 If "Yes," complete Schedule, Pat IX)... se wee ee [BRM Did the organization report an amount for other liabilities in Part X, line 257 Hf "Yes," complete Schedule 0, Pat XD] = Did the organization’ separate or consolidated fnancial statements for the tax year include 2 footnote that ur No addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes,"complete ‘Schedule 0, Part id the organization obtain seperate, independent audited financial statements for the tax year? 14 "Yes," complete Schedule D, Pats Xtand x) ee ee ee ee No Was the organization included in consolidated, independent audited financial statements for the tax year? If 5 “Yes,” and ifthe erganiation answered "No" to line 12a, then completing Schedule O, Parts XI and XII 1s eptional | 12 Z 1s the organization a school described in section 170(b){1)(Au)? IF "Yes,"comlete Schedule... . | 45 eR id the organization maintain an ofice, employees, oragents outside ofthe United States? . . . . [4a No. Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes,"complete Schedule F, Farts Tand IV... es ee sab No Did the organization report on Part IX, column (A), lie 3, more than $5,000 of grants or assistance to any A organization or entity located outside the United States? If "Yes," compete Schedule F Paes 1 and IV 15 le id the organization report on Part 1X, column (A), line 3, more than $5,000 of aggregate grants or assistance to z Individuals located outside the United States? If "Yes,”complete Schedule F, Parts III and IV. 16 ie Did the organization report a total of more than $15,000 of expenses for professional fundraising services.on Par} 4 No 1X, column (A), lines 6 and 11€7 If "Yes," complete Schedule G, Part I (see structions). . + Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part : VIIL, lines 1¢ and 8a? If "Yes, "complete ScheduleG, Pat If. eee ee ee as | ves Did the organization report more than $15,000 of gross income from gaming actwities on Part Vitt, line S871f | a9 No Ses eateletn Seca Pere FE Sct seen ie eat Sn Did the organization operate one or more hospital facilities? £f “Yes, "complete Schedule H oa No 11-Yes* to line 208, did the organization attach a copy ofits audited financial statements to this return? = eee aera atBRE ” Be eee Be, Form 990 (2012) Page 4 EERE Checklist of Required Schedules (continued) Did the organization report more then $5 000 of grants and other assistance to any government or organization] aq Wo the Unites States on Pert Ix, column (A), ine L717 "Yes," complete Schedule , Parts Langit. Did the organization report more than $5,000 of grants and other assistance to individuals in the United States ‘on Part 1X, column (A), line 2? If "Yee," complete Schedule I, Parte f and 111 = ue Did the organization answer "Ves" to Part VII, Section A, line 3,4, or 5 about compensation ofthe organization's j current and former officers, directors, trustees, key employees, and highest compensated employees? I? "ves," | 23 e ciple Schedule Jae te ene ine ete eee cet eee a Did the organization have a tax-exempt bond issue with an outstanding principal amount of mare than $100,000 fas of the last day of the year, that was issued after December 32, 20027 If “Yes, answer lines 240 through 24d : and complete Schedule K.TF"Nie,"gotoline25. ee eee ee te ee 2a ie Did the organization invest any proceeds of tax-exempt bonds beyond a temporary penod exception? . . - | aay Wo id the organization maintain an escrow account other than @ refunding escrow at any time dunng the year - id demeasa any tas exempt bonded ese tech ieee ete eaea i | aac) e id the organization act az an "on behalf of" ssuer for bonds outstanding at any time dunng the year?» | aa Wo ‘Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction wath ‘disqualified person during the year? If "Yes," complete Schedule Pats vs + vt + 250 No Is the organization aware that it engaged in an excess benefit transaction with # disqualified person in 2 prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 980-Ez? 1f | 256 No yes,"complete Schedule, PatD ve te te te te Was a loan to or by 8 current or former ofcer,airector, trustee, key employee, highest compensated employee, 0 Gisqualfed person outstanding as of the end ofthe organization's tax year” If "Yes, complete Schedule L, 26 ne Did the organization provide a grant or other assistance to on officer, airector, trustee, key employee, substantial Ccantnibutor or employes therect, 2 grant selection committee member, artoa 35% controlled entity aramiy. | 27 No member of any of these persons? If "Yes,"complete Schedule Pat [Il vv vs ee \Was the organization a party to 2 business transaction with one ofthe following parties (see Schedule L, Part IV instructions for applicable fling threshalds, conditions, and exceptions} A currant or former officer director, trustee, or key employee? If "Yes," complete Schedule L, Part a — ie | family member of a current or former officer, director, trustee, or key employee? If "Yes," a complete ScheduleL,PatIVe ee ee te te te te 28 ie An entity of which a current or former officer, director, trustee, or key employee (ora family member thereof) was ; ‘an officer, ditector, trustee, or direct or indirect owner? If “Yes, complete Schedule l, Port IV ~ + 26 ° Did the organization receive more than $25,000 imnon-cash contributions? IF "Yes,"complete Schedule . . | 2g No Did the organization receive contnbutions of ar, historical treasures, or other similar assets, or qualified : conservation contributions? If "Yes, "complete Schedule vv se vt tv ts se 30 e Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, No Did the organization sell, exchange, dispose of, of transfer more than 25% of ts net assets? If Yes,” complete N Schedien,PatI vv se we et te te tt et 2 e 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, Part. = ss 33 ie Was the organization relate to any tax-exempt or taxable entity? Zf "Yes," complete Schedule R, Prt 11,111, 1V, a ind Pre hoe eee eter eee ee 34 e Did the organization have a controlled entity within the meaning of section 512(bK23) = a 1fYes'to ine 35a, dd the organization receive any payment from or engage in any transaction wth a controlled | 555 z entity within the meaning of section 512(b)(13)? 17 *Yes,"complete Schedule R, Part V,line2 ° ‘Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-chantable related organization? If "Yes," complete Schedule , Part V, ne 2 36 No Did the organization conduct more than 5% of ts activities through an entity that isnot a related organization a ‘and thats treated ae a partnership for federal income tax purposes? if "Yas," complete Schedule R, Part VI e id the organization complete Schedule O and provide explanations in Schedule O for Pert VI, lines 11b and 197 y. Note. All Form 990 filers are requiredto complete ScheduleO s+ 7s 7 es 7 ss as | vee ace rereForm 990 (2012) Page S Statements Regarding Other IRS Filings and Tax Compliance tn Enterthe number reported in Box 3 of Form 1096 Enter-O- fnot applicable. «| ta 5 b Enterthe numberof Forms W-2G included inline 12 Enter-if not applicable [Ib 3 € dhe organzation comply with backup wtholding rules for eportable payments to vendors ond veporabie gum (Ganbingiamagstopneewmen? se eee eee sree ee es [ae No 2a Enter the number of employees reported on Form W3, Transmittal of Wage and Tax Statements, ed forthe calender yeeranding wath or thin the Year covered Dies ere eee ae 7 b ifatleast one 1 reported on tine 20, did the orgatztin ileal required federal empoyment tn ature? Note. If the sum of lines 12 and 2a 1s greater than 250, you may be required to e-file (see instructions) eee 3a id the organization have unrelated business gross income of $3,000 or more during the year? « as No b 1F-Ye5,"hae ied a Form 990-T forthis year? IF"N,"providean explanation m Schedule... 3b Neo vert fnantalwecount in» forergn county (euch as a bank account, secures account ov ter hance scesune * No © 1f*Ves," enter the name of the foreign country P- See instructions for fing requirements for Form DF 9U:22 1, Report of Fragn Bank and FinancaT ACCOunES Se Was the oraanzation party to» probit tax shelter transaction at any te during the tx year? = m7 Did any taxable party notify the organization that t mas orisa party toa prohited tx shelter transaction? — ay Neo €-1*Yes/to ina Sa or Sb id the organcaton fle Fom 8886-7? se 62 Does the organization have annua gross receipts that are normaly greater than $100,000, and did the @ We Srgumsnton sole any contsutons that were not ex deductible ws chantable cenmmbutena? ss re tte ced ee nen nee eee ee et core OT ay 7. Organizations that may receive deductible contributions under section 170(¢). Did the orenastion rece epayrientin excess of 75 made partly esa contnbution and parti for goods and. | 70 No Tea peeiel otanya et ee b 1f-Yes,"dd the organcaton notythe donor ofthe value ofthe goods or cerices provided? € id the organization sel, exchange, or otherwise dispose of tangible personal property for which it was required tl le aoe rere eae ec ener reer gee aera | aa No 4 1f-¥es,"indicate the number of Forms 6282 filed dunng the year «bud the orpancation receive any funds, directly or niecty to pay premiums on » persona benefit Dud the orpancation, dunng the year, pay premums divecty ormarectiy, on a personal benef contact? [7 No 4 ifthe organzation received a contnbution of qualified ntelectuel property, ci the organization file Form 8899 a8 bh Lfthe organization receweda contnbution of cars, boats, panes, or ther vehicles, dd the organaation fle a Pomoc ee eae | mh No {Sponsoring organizations maintaining donor advised Funds and sacton 509(a)(3) supporting organizations. ihe sunpoting organization, ers Corer aawised hind mamntened by s sponsonna orgencation, nave excess Disineoholange stany tine denngtieyont™ see es eee eens : i: © Soommoringcrpanizations maintaining donor advied funds 2 Did the orpanzation make any tarabledstnbutions under section 496s? . 2. 2 ee Lom No 10 Section 501(0)(7) organizations. Enter a Iniuation fees and ceptl contributions included on Part VIII,tine2.. [400 b ross recerpts, included on Form 990, Par Vill ine 12, forsublic use ofclub [a0 11. Section 501(6\(42) owanizatione. Enter Se A 1 ross income from ather sources (Oo ot net amounts dve or paid to other sources Peerage ey ee apa ETT 125 Section 4947(a)(1) non-exempt charitable trusts Is the organization ling Form 980 in lew ofForm 10417 | 2m No b 1f-Yes,"enter the amount oftax-exempt interest received oraccrued during the eae ee ee a 12 13. Section 501(0)(29) qualified nonprofit health insurance suers 21s the organzatonicensedto issue qualified neath plans n more than one state? Note. See the instructions for additional information the organization must report on Schedule O saad eee b Enterthe amount of eserves the organzation i required to maintain by the states \m which the organization 1s licensed to issue qualified health plans... asad € Enterthe ameuntotreservasontand ss. ee eee Lae 14a 01d the orgarzation receive any payments forindor tanning services during the tax year? vy | No b_if°¥es7 has it fled a Form 720 to resortthese payments? ifn" povide an explanation n Schedule». | 34 eee aera atForm 990 (2012) Page 6 Governance, Management, and Disclosure for each "Yes" response to Ines 2 through 7B below, and for @ ‘No responsé to lines 83, 80, or 10b Below, describe the circumstances, processes, or changes in Schedule ©. ‘See instructions. Check Schedule 0 contains a response to any question in this Part VI ‘Section A. Governing Body and Management 4a Enterthe number of voting members of the governing body at the end ofthe tax If there are material diferences in voting nghts among members ofthe governing body, orf the governing body delegated broad authonty to an executive committee ‘or similar committee, explain in Schedule O bb Enter the number of voting members included inline 12, above, who are indepanient eee ee w a5 2. Didany officer, director, trustee, or key employee have a family relationship or a business relationship mth any other officer, director, trustee, or key employee? 3. Didthe organization delegate control over management duties customarily performed by or under the direct Supervisien of officers, directors or trustees, or key employees to amanagement company or other person? « 4 Did the organization make ny significant changes to its governing documents since the prior Form 930 was. fle? et we etn ete en nn tne Did the organization become aware during the year ofa significant diversion ofthe organization's assets? Did the organization have members orstockholders? 5 ve ev ee 7a Did the organization have members, stockholders, or other persons who had the powertto elect or appoint one or mare members of the governing body? bb Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, for persons otherthan the governing body? vv sts te tt rt tt ee eee 18 Did the organization contemparaneously document the meetings held or wnten actions undertaken during the year By te fllowing The governing body? b Each committee with authonty to act on behalf ofthe governing body? © 2 ee ee ee 9 Is there any officer, director, trustee, or key employee listed n Part VII, Section A, who cannot be reached atthe organization’ mailing address? if "Yes," provide the names and addresses in Schedule O ‘Section B. Policies (This Section B requests information about policies not required by the Tnternal Re 308 Did the organization have local chapters, branches, or aftiiates? bb 1f-¥es," aid the organization have written policies and procedures governing the activities of such chapters, affiates, and branches to ensure their operations are consistent with the organization's exempt purposes? 1a Has the organization provided a complete copy of ths Form 990 to all members ofits governing body before hling ie mie eres aes ace eet eda b Describe in Schedule O the process, fany, used by the organization to reviewthis Form 980. 5 ss 128 id the organization have 8 written conflict af interest policy? If No,"gotoline 12... ss ws bb Were ofcers, crectors, or trustees, and key employees required to disclose annually interests that could give ngetoconficts? vv tes ee tn te tt ee € Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes, “desenbe Im Schedule 0 haw thes was done 13. Did the organization have a wnitten whistleblower policy? 2 ee ee et et 14 Did the organization have a written document retention and destruction policy? ss se ve ee 15 id the process for determining compensation ofthe folloming persons include a review and approval by Independent persons, comparability data, and contemporaneous substantiation ofthe deliberation and decision? 2 The organization's CEO, Execute Director, ortop management oficial =. - 2 es 2 ee ee b Other officers or key employees ofthe organization ©. - ee 2 2 ee IfVes" to line 150 oF 15b, desenbe the process In Schedule O (see instructions) 46a. Did the organization invest in, contribute assets to, or participate ina joint venture or similar arrangement with 2 taxable entity during the year? vs ee et ee et te ee ee b_1F°¥es," aid the organization follow @ wntten policy or procedure requinng the organization to evaluate its participation inne venture arrangements under applicable federal tax law, and take steps to safeguard the organization’ exempt status with respect to such arrangements? vs tv sv st et ts Yes | No 2 | ves 3 No No 7 No cy No cy Ne ° No jevenue Code) 100 aa No Ta, Ne sab No B No 14 No 150 No 15b No ssp Section ©. Disclosure 47 List the States with which a copy of this Form 990 1s required to be fled NY 18 Section 6104 requires an organization to make ite Form 1023 (or 1024 if appliable), 990, and 990-7 (SOi(e) {G)s only) available for pubic inspection Indicate how you made these avaliable Check all that apply Fownwebsite [Another's website FF Upon request [~ other (explain in Schedule 0) 49. Describe in Schedule © whether (and ifs, how), the organization made its governing documents, conflict of Interest policy, and financial statements available to the public dunng the tax year 20 State the name, physical address, and telephone numberof the person who possesses the books and records of the organization craig Meisner 2865 University Avenue Bronx, NY (718)708-4852 eee reerForm 990 (2012) Page 7 EEMEUE Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check # Schedule O contains a response to any question inthis Pat VII... ee ee ee Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Ta Complete this table forall persons required tobe listed Report compensation for the calendar year ending wth or within the organization '¢ List al ofthe organization’ currant officers, directors, trustees (whether individuals or organizations), regardless of amount of Compensation Enter -0~ in columns (0), (€), and (F) Ise compensation was paid ‘¢ List al ofthe organization’ eurrent key employees, any See instructions for definition of “key employes ‘List the organization’ five eurent highest compensated employees (other than an officer director, trustee or key employee) whe received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 ‘rem the Organization end any related organizations 1 List al of the organization’ Former ofcers, key employaes, or highest compensated employees who received more than $100,000, of feportable compensation from the organization and any related organvzations ‘List al ofthe organization’ Former directors or trustees that received, in the capacity as 8 former director or trustee ofthe organization, more than $10,000 of reportable compensation from the organization and any related arganations List persons inthe following order individual trustees or irectors, institutional trustees, officers, Key employees, highest compensated employees, and former such persons F check this box sfneither the organization nor any related organization compensated any current officer, director, or trustee “ @ © o © © Name'and tle average | Position (do notcheck | Reportable | Reportable | Estimated tours per |morethean one box, unless | compensation | compensation | amountof week ist |"persons bothanmicer | tomthe. "| fom related | other ary hours | “andadrectarfrustee)_| organization | organtatians | compensation forreistee Tez ]a] We zioss- | (we 2/10s3- | “tom the organizations (2 2 [ga [a| mises wise) | orgenzation below [SE ls [SE |z and related aonectiney [BB Is Sz ee Sale| le feg Z |S & g z Tena = ‘ 7 : ann aa To (Gy meson Cones os 10 (a) nat Coe 100 repo Top cies Dara 100 (7 Toy Bs 1 (8) ban Foy 00 Ke PROT 100 rst 00 (in) aes AF To ‘in Je ey 100 {ia bo a To {13} Joke ABT 10> (ih oop a 100 (05) cng Naser 7000 aees aaa ee at:Form 990 (2012) Page 8 [EERE Section A-orficers, Directors, Trustees, Key Employees, and Highest Compensated Employees ( 7 ge Bele memberhpdiee th Cee n 2] a namssomanaators sd 5 2 EB | + sepension yinonns ml im 2 ° tears. BE | on recat cas ines 0-20. i = Sanaa Code 2 2a a b § a é 9 Total. Add lines 2a-2 > of tnsherbmsramcuna) » rea Personal a Grou ets fe nial wae a Netroeal neon arta ry 4 secures Woner oo : oae [oe 2 NetqunertonsT 7 zs d 2 ross income fom uneeiing : events (ot mega : 5 of contnbutions reported on ine 4.) : steparvsinele . a 228,105 Pee A en B | € wetmncome or oss} fom fundrasing SRS sss sou 9° Gross income fom gaming actwites SeePanvine 13 oe So ancsme of lciiiton anes avn 4 toa Gross sles of ventory ess [eed €_Netiecome or fost) fom sles of nenion 7 d ie . a Miahermeenae 12 Total revene, Se Instructions »| asa soul caer:Form 990 (2012) Page 10 PETIETA statement of Functional Expenses it ‘amounts reported on lines a) @ © ) tren rr aaa reo ier [Pome | reas | ene Gd einedunseronsnan saben) sndsemant Seserbed nsecton #9561010) nen , 4 Frosram xs] a reported in column (B) int costs froma combined educational campaign and fundraising solicitation Check here ® [~iftellowng SOP 98-2 (ASC 958-720) See ae a:Form 990 (2012) TEESE Balance Sheet Page at CherisiieinG cinnsthateswen aecnenere ee Ty o segmninpotyear| | endlyear 7 cestoporsmerest bean was 25 2 sevings.and temporary ceshmvestmants 2 @ fee 3 2 A ae @ 3 5 Loans and other receivables from current and former efiers, directors, trustees, key nployeus, and ighest compentated employees Complete Part if of SCheaute 5 ° 6 Loans and otherrecervabes rom other eisqualited persons (as defined under section 4555 (HEL), persons described nection #989{6)(5)(6), ond contnbuting employers and sponsoring organization of section 504 (e}) voluntary employees: Benehcary . Sronnaatons (see instructions) Complete Pareit of Scheele g 6 ° Be ee 7 3 = 8 —_Inventones for sale or use Reese eue rene arreeeaeniea ae 8 oO raped expenses and deferedcherges oe marl Tie 104 Land, budge, and ecuipment cost or other basis Complete | partie schedule 100 b Less accumulated gepreciaton =... ss 1 | 27 20.9) 106 ast 11 investments-publicly traded secuntes vv ve ve a 3 12° Investments—othersecunties See Part V,lne 11. 5 + + = 2 3 13 investments program-related See Part V, ine 11 3 3 Ce ry o ie Cacia et was area 16 _Totalasets, Add lines 1 through 15 (must equine 34) = = + + + tar a6 rae 17 Accounts payable and accrued expenses. sv vy aces) 47 aa77 18 Grantspayable 18 ee a] a9 Tm 20° Tacexemptbondinbites 20 ag. [24 escrowor custodial account habiity Complete Part IV of Schedule. 3 & [22 Loans and other payables to current and former oficers, directors, trustees, = Key employees, highest compensated employees, ond disquslined 2 persons Complete Parti ofsScheduleL ss se se we 2 Fi |2s secured morigages and notes payable to unrelated third pares... Fa 24 Unsecured notes and loans payable to unrelated third partes. = 2 25 other ‘ibis (niuding federal income tax, payabies to related thd partes, Shu cther abuses not cluded onlines 1-28) Complete Par Xo Schedule . 26__Totalliabiitin Addlinas 17 WroWgh2S ve Ter 26 Tas . “Organizations that follow SFAS 47 (ASC 950), check here [and complete 3 nes 27 through 29, and ines 3 and 34 E a7 unvestneted netassets 6 ee ee soness| 27 95.100 ee san] 20 5000 rr 2 2 COrnizations that do ot follow SFAS 117 (ASC 958), check here F [~ and . Complete ies 30 trough 34 $ [20 capital stock ortrust principal, orcurrent funds... ews Jax paid oreaptal surplus, or and, building r equipment fn 3 % [32 ratamed earnings, endowment accumulated income, or other nds 2 $ [xs Totainetansetsertndbaances Tam) 33 Tae s 34__Totalibiiies and necassets/fund balances vv ev + aril 30 Toraat eee erat:Form 990 (2012) Page 12 Reconcilliation of Net Assets 1 Total rovenue (must equal PAR VIM, colin (AY ImE12) 2 Totalexpances (mstaqual PERIK,columm (ALIN ZS) oe ee ee 2 35091 3 14,536 4. Net assets orfind balance at beginning ofyear(must eal PartX, line 33, column (A)) 4 114,645 hee 6 Donttedserveasandusectteedtes ‘ 125,000 2 8 Phorpenod adstments ® 9 otherchanges in nt assets orfund balances (explain nScheduleO) ©. ve we ° 125,000 10 Net assats or find bolances at end ofyear Combine ines 3 though 9 (must equal Part Xie 33 Sctun (8) 10 100,108 [EEEGY Financial Statements and Reporting Cretan OCrmiee moment ecterate nt 1 Accounting method used to prepare the Fo 990. [cash FF Accrual other {tthe organation changed te method of accounting fom a paar yenr ov checked “Other” AZT Eeheaule 3 an Were the organaaton's thane statements compiled or reviemedby an independent accountant? 2s No 1"¥ee,chack« box talon to mdiate whether the financial statements forthe year war compld or revtewad on 2 seperate basis, consolidated basi or both T Separate basis [Consolidated basis [Both consoldated and separate basis b Were the orgoncaton’sfnancial statements audited by an independent accountant? ae | ves Yes, check a box below to indicate whether the financial statements forthe year mare audited on a separate oui, consolateg boss, or both F Separate bass ("Consolidated baste [7 Both consoldated and separata basis €-1F-¥e5,"to line 28 or 2b, des the organization have a committee tat assumes responsi or oversight ofthe ‘de, review, or compton ots nancial statements and telecon ofan mdependant accodotant™ ae No Ifthe organzation changed ether is oversight processor selection process dunng the tax year, explain in Seheeuieo 3s a raul ofa fadaral anard, was te organization quired to undergo an autor audite a set forth nthe b 1f-Ye8/dd the orgenizaton undergo the requred autor audits? If the organization di not undergo the raqureal 3b buds o/ audit, ensian nym Setedule © and detente any steps taken founderge such outs eee[As Filed bata — ] : - - foe Ne 1545-0087 SCHEDULE A Public Charity Status and Public Support (Form 990 or 990EZ) 201 2 Complete ifthe orpaization i a section 501(6(3) organization ora section T9470) nonenerpt charitable tart. rem > Attach to Form 990 or Form 990-EZ. See separate instructi Inspection Name of the organization Employer Wentification number Crotre ote 13-4162016 [EEEISE_Reazon for Public Charity Status (Allorganauons must Complete Wns part.) See structions ‘The organization not a private foundation because tis (Forlines 4 trough 11, check only one box ) 1 [ Acchureh, convention of churches, or association of churches described in saction 170(B)(1)(A)(H). 2 [7 _ Achool described in section 170(6)(2)(A)(H). (Attach Schedule E ) 3 [A hospital ora cooperative hospital service organization described in section 170(B)(4)(A)(i)- 4 FA medical research organization operated in conyunction with a hospital described n section 170(b)(1)(A)(UI). Enter the hospiters name, city, and state 5 [7 Anorganization operated forthe Beneftofa college or university owned or operated By a governmental unl Gescnbed Ip section 170(6)(2)(AN(Wv). (Complete Pert It) 6 TA tederal, state, or lncat government or governmental unit described in section 170(b)(2)(A)(¥)- 7 F Anerganization that normally receives @ substantial part of ts support from @ governmental unt or from the general public eseribed in section 170(B)(4)(A)(vi). (Complete Part II) [7 Acommunity rust described in section 470(b)(4)(A)(ui) (Complete Part 11 ) 9 T Anerganzation that normally receives. (1) more than 334/26 ofits support from contributions, membership fees, and gross receipts from activities related to its exempt functions —subyect to certain exceptions, and (2) no more than 331% of Ite support from gross investment income and unrelated business taxable income (less section $11 tax) from businesses acquired by the organization after June 30, 1975 See section 508(a)(2). (Complete Part 111 ) 10 [F_ Anorganization organized and operated exclusively to test for public safety See section S09(a)(4). 11 F_Anorganization organized and operated exclusively for the beneft of, to perform the functions of, oF to carry out the purposes of tone or more publicly supported organizations describes n section $09(a)(1) or section S09(a)(2) See section 509(a)(3). Check the Box thet desenbes the type of supporting organization end complete lines 11e through 11h ‘2 [Typel b | Typell eT Typell- Functionally tegrated | Type [11 - Non-functionally mtegrated fe F_ By checking this box, 1 certify that the organization 1s nat controlled cirectly or indirectly by one or more disqualified persons ther than foundation managers and other thon ane of more publicly supported organizations desenbed in section 509(0)(1) or section 509(a)(2) ‘ Ifthe orgamaation received a wntten determination fom the IRS that its @ Type I, Type Il, or Type I1] supporting organization check this box ° Since August 17, 2006, has the organization accepted any aif or contribution from any of the followang persons? (A person who directly or indirectly controls, either alone or together with persons described n (1) Yes | Ne and (1) below, the governing body ofthe supported organization? Tie (Gi) A family member of a person described in (1) above? 10) (ti) 8 35% controlled entity of a person described in (1) oF (n) above? eT) h Provide the following information about the supported organization(s) (Name of | GEIN | (ii) Type of rte (@) Did you not Gis the ‘il Amount of supported organisstion | organization in the organization organization ‘monetary ‘organization (described on | cot (ip sted in ineol (otyour | col organized support tines 1-9 above | your governing support? nthe us? ‘OriRC section |" document? (eee instructions)) | Yes Ne Yes Ne Yes No Total Paperwork Reduction Act Notice, see the Instructions for Form 990 oF 99087 ct to 13205 ‘Sehedule A orm 000 soz) 2012‘Schedule A (Form 990 or 990-€Z) 2012 Page 2 WEETIETE Support Schedule for Organizations Described in Sections 170(b)(4)(A)(iv) and 170(b)(4)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part IIT. If the organwzation fails to qualify under the tests listed below, please complete Part IIT.) Section A. Public Support ‘alendar year (or fical year beginning > 1. Gifts, grants, contributions, ané membership fees received (Do not grants") 2. Tax revenues levied forthe organization's beneft and either paid to or expended on its benait 3. The value of services or facilities furnished by a governmental unt to ° the organization mthout charge 4 Total. Add ines 1 through 2 30070 aa arse sara ET] Zot 5 The portion of total contributions by each person (other than 8 governmental unt or publicly Supported organization) ineluded on ° line 1 that exceeds 2% ofthe mount show on line 12, column 0 {6 Public support. Subtract line 5 from line 4 ‘Section 6, Total Support ee ar peaaeerterenres | ee) 2008 ce | gc) c000 1 | Ge) 2010 0 | eta) coud | eco) aot (Total 7 Amounts from line 4 wey Ta ar TAT EE) Bao & Gross income from interest, dividends, payments received on Secunties loans, rents, royalties ar 3 al ral “” And income from similar 9 Net income from unrelated business activities, whether oF not the business 1s regularly carried on 10 Other income 09 not include gain for loss from the sla of capital ° faseete (Explain in Part IV) AL Total support (Add lines 7 through 10) 12 Gross receipts from related activities, ete (eee instructions) 2 13 First five years. f the Form 990 is forthe organzation’s frst, second, third, fourth, or fit tax yearas 2 SOIC this boxendstophere cs eee eee a ‘Section C. Computation of Public Support Percentage Ta Public support percentage for 2012 (ine 6, column (f) divided by line 21, coluran (Hy ™ 100 000% 45 Public support percentage for 2011 Schedule A, Part II, ime 14 roy 97 130% 62 331/3% support test-2012. 1f the organization did nat check the Box on line 13, and line 14 1s 33 wa% or more, check thie Box ‘and stop here. The organization qualifies as » publicly supported organization > b 331/296 support test—2011. If the organization did not chack a box on line 13 or 16a, and ine 15 1s 33 we ar more, check this box and stop here. The organization qualifies os a publicly supported organization > 17a 10%efacts-and-circumstances tast—2012. If the organization didnot chack a box on line 13, 16a, or 16b, and line 14 's 10% or more, andifthe organization meets the Tacts-and-circumstences” test, check this box ond stop here. Explain tn Part1V howthe organization mests the “facte-and-circumstances” test Tha organaation qualifies as 3 publicly supported organization a bb 10%-facts-and-circumstances test 2011. Ifthe organization did not check a box online 13, 16a, 166, or 17a, and line 15 16 109% or more, and f the organization meets the “Taets-and-eircumstances” test, check this Box ond stop here. Explain im Part IV how the organization meets the "acts-and. circumstances” test The organization qualifies a= 8 publicly t2008 | «2009 | (2010 | (2011 | (e2012 | (AyTotal TJerganzation, check supported organization ae 48 Private foundation. 11 the organization did nat check a box on line 13, 162, 16b, 172, or 17b, check this box and see instructions Ae eee‘Schedule A (Form 990 or 990-€Z) 2012 Page 3 WEENEMEE Support Schedule for Organizations Described in Section 509(a)(2) (Complete only sf you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part IT.) ‘Section A, Public Support “alendar year (or fecal year beginning i> 1 Gifts, grants, contributions, and membership fees received (Do not Include any "unusual grants *) 2. Gross receipts from admissions, merchandise sold or services, performed, or facies furnished in fany activity that i related tothe organization's tax-exempt purpose 3. Gross receipts from activities that Dusiness under section 513 4 Tax revenues levied fr the organization's Benefit and either paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organdation without charge 6 Total. Add lines 1 through 5 7a Amounts included on lines 1, 2, fand 3 received from disqualiied bb Amounts included on ines 2 and 3 received from other than Gisqualied persons thet exceed the greater of $5,000 oF 1% of the ‘amount online 13 forthe year © Add ines 72 and 78 8 Public support (Subtract line 7 fom line (a) 2008 (b) 2008 (©2010 (2011 (e202 (ey Total Section 6. Total Support Calendar year (oF Fiscal year beginning in) (@) 2008 (@) 2009 (92010 (@ 2011 (2012 (Total 9 Amounts from ine 6 02 Gross income from interest, dividends, payments received on Secunties loans, rents, royalties and income from similar b Unrelated business taxable income (less section 511 taxes) from businesses sequired afer une 30,1975 ‘Add ines 10a and 10b 11 Net income from unrelated business setivities not mneluded Inline 108, whether or not the business 16 regulary cared on 12 Otherincome Do not include gain or loss from the sale of Capital assets (Explain in Part Ww 13, Total support. (Ade lines 9, 10¢, 1i1,and12) 14 First Five yoars.f the Form 990 1s forthe organization's fst, Second, Hird, fourth, or fh tax year asa SOz(EV(S) organzation cheek this box and stop here > ‘Section C. Computation of Public Support Percentage TS Public support percentage for 2012 (line 8, column (F) divided by ine 13, column ()) 6 16 Public support percentage from 2014 Schedule A, Part 11, line 25 36 ‘Section D. Computation of Investment Income Percentage T7 Investment income percentage for 2012 (ine 10c, column (f divided by ine 13, column (7) 7 48 Investment income percentage from 2044 Schedule A, Part 111, hne 17 38 198 33 1/2% support tests—2012. 11 the organization did nat check the box on line 14, and line 15 1s more than 33 a, BhaTNe TT Te NOE ‘more than 33 1 check this box and stop here. The organization qualifies as a publicly supported organization » S8sjove suppor est 201s 1th oanrizaton aig not checkbox on ine 14 eine 198; aie 16 more than 336 and ine 28 's not more than 33 1%, check this box and stop here. The organization qualifies as a publicly supported organization 20 Private foundation. ifthe organization dis not check @ box on line 14, 198, oF 29b, cheek this box and see instructions > eee‘Schedule A (Form 990 or 990-€Z) 2012 Page 4 WEEMIEVME Supplemental Information. Complete this part to provide the explanations required by Part Il, ine 10, Part Il, line 17a or 17b; and Part III, ine 12. Also complete this part for any additonal information. (See instructions). Facts And Circumstances Test “Schedule A (Form 990 oF 990-EZ) 2012[efile GRAPHIC print DO NOT PROCESS [As Filed Data — | DLN: 93493161001124] ‘SCHEDULE D fowe No 1545-0047, trorm 0) 2012 Part line 6,7, 8, 9,10, a, 1b, 14c, 14d, 1e, 13f, 120, oF 12b rr Attach to Form 990. > See separate instructions. pec ‘Name of the organization Employer Wentification number Supplemental Financial Statements > complote if the organization answered "Yes," to Form 950, Int Revere See s3.aisz0ie KESISE 6; ganizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts, Complete the organization answered "Yes" to Form 990, Part IV, ine 6 (a) Donor aavsed nds Fan ad ata OE ‘Total number at end of year Aggregate contributions te (during year) Aggregate grants from (during year) Aggregate value at end of year id the organization inform all donors and donor advisors in writing that the assets held in donor advisea funds are the organization's property, subject to the organization's exclusive legal control? ves [Ne 6 _Didthe organization inform al grantees, donors, and donor advisors in wnting that grant funds can be ‘sed only for charitable purposes and not for the benefit of the donor ar donor advisor of for any other purpose conferring impermssibia povate benefit? Yes [Ne [EEMIEEE_ conservation easements. Complete i he organization answered "Ves" to Form 950, Part lv, Iie 7. 1 Purpose(s) of conservation easements held by the organization (check all that apply) TT Preservation ofland for public use (e.g ,recreation or education) [Preservation of an historically important land area T Protection of natural habitat I Preservation ofa certified histone structure T Preservation of open space 2 Complete lines 2a through 24 ifthe organization held a qualified conservation contribution inthe form of a conservation easement on the last day ofthe tax year Held at the End of the Year ‘8 Total number of conservation easements 2 bb Total acreage restncted by conservation easements 2b € Number of conservation easements on a certified histone structure included in (a) 2e 4 Number of conservation easements included in(c) acquired after 8/17/06, and not on 2 histone structure listed n the National Register 2s 3 Number of conservation easements modified, transferred, released, extinguishes, or terminated by the orgenization during the tax year 4 Number of states where property subject to conservation easement is located P. 5 Does the organization have a wntten policy regarding the periodic mentoring, inspection, handling of violations, and enforcement ofthe conservation easements it holds? yes No 6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year 7 Amount of expenses incurred in monitoring, nspecting, and enforcing conservation easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4X8)) land section 170(n)¢4(8)n)? ves PNe 9 In PartxI1T, desenbe how the organization reports conservation easements Init revenue and expense statement, and balance sheet, and include, # applicable, the text ofthe footnote to the organization’ financial statements that describes the organization’ accounting for conservation easements EEMEH Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets, Complete if the organization answered "Yes" to Form 990, Part IV, line 8. ali the organization elected, os permitted under SFAS 116 (ASC 955), not to report in its revenue statement and balonce sheet works of art, histonal treasures, or other simular assets held for public exhibition, education, or research in furtherance of public Service, provide, in Part XIU, the text af the footnote to its financial statements that describes these fems bb_ Ifthe organization elected, as permitted under SFAS 116 (ASC 958), to report mits revenue statement and balance sheet works of art historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public Service, provide the following amounts relating to these items (O Revenues included in Form 990, Part VILL, line 2 > (W assets included in Form 990, Par x > 2. Ifthe organization received or held works of art, historical treasures, or other similar assets fo nancial gain, provide the follovang amounts required to be reported under SFAS 116 (ASC 958) relating to these items, Revenues includes in Form 990, Part VILL, hne 2 me Assets included in Form 990, Part x ms neta ns cen esse aE sna ESSE eae raeer errr enn RRSchedule 0 (oxm 990) 2022 age 2 ‘Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (commued) ‘3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of ts collection tems (check all tnat apply) © Public exhibition 4 TF Loan or exchange programs b Scholarly research e F other ¢ T_ Preservation or ature generations 4 Provide a description ofthe organization's collections and explain how they further the organization's exempt purpose '5 Dung the year, did the organization sali or recewe donations of at, historical treasures or other similar asets toe sold to raise funds rather than to be mamtarned az par ofthe orgenation's collection” Tes No Escrow and Custodial Arrangements. Complete the organization answered "Yes" to Form 990, Part IV, line 9, of reported an amount on Form 990, Part X, lime 21, 4a Is the organization an agent, trustee, custodian or ther intermediary for contributions or other assets nat Included on Form 990, Part X? yes No b_ If-Yes;" explain the arrangement in Part XI11 and complete the fllowng table ‘Amount Beginning balance ‘Adaitions during the year Distributions during the year Ending balance 2a Did the organization include an amount on Form 990, Part x, line 217 Yes [Ne b 1¢"es," explain the arrangementin Part XII1_Check here ifthe explanation has been provided in Part XIIE iz Endowment Funds. Complete ifthe organization answered "Yes" to Form 990, Part IV_tine 10. {aye ent | Pa ear To pens el ee yas sk] COO Fon tn Beginning of year balance b Contnbutions se ee Net investment earings, gains, and losses Grants orscholarships . - se Other expenditures for facilities andprograms se ee ee Administrative expenses =. . @ Endofyearbalance . . . 1. 2 Provide the estimated percentage of the current year end balance (line 19, column (8) held 8s Board designated or quasi-endownent Permanent endownent © Temporaniy restricted endowment ® The percentages in lines 22, 2b, and 2e should equal 100% 3a Are there endowment funds not in the possession ofthe organization that are held and administered forthe organization by Yes | Ne. (Gh dnrelates rguneenons es aa ined cease se 1b If"Ves" to Sali), are the related organizations listed as required on Schedule R?. se ee 4_Descnbe in Part XLT the intended uses ofthe organization's endowment funds EXERY_Land, Buildings, and Equipment. See Form 990, Part X, ine 10, Description of property (@) Con or oer | (o)Con or oer] e)Reamuted | (a) Book vate sss nvesmerty “bass othe | “depreaction eland beulangs ee € Leasehold improvements A equoment see eae 77 wat fe Other cae erect Total. Ada ines Ta through Te (Column (a) must equal Farm 990, Part, column (B) Ine 1O(e)) 7 > as ge ogrone enpssnnnnnageem>yfenasiSchedule D (Form 990) 2012 (EMAW_Investments—Other Securi i, See Form 990, Part X, ine 12. Page 3 (@) Description of secunty or category (incluging name of securty) (b)B00K value (©) Method of valuation Cost or end-of-year market value (Financial denvatives (2)Closely-held equity interests ‘ener Total (Cons (2) mut equa Form 990, Past col (8) He 12) T_Investments—Program Related. See Form 990, PartX, ine 13. (a) Descrption ofinvestment type (b) Book value (0 Method of valuation Cost or end-of-year market value Totat (Conrmn (2) must equa Form 960, Past col (8) tne 3) Other Assets. See Form 990, Part X, ine 15. (a) Desenption (OTHER ASSETS: (@) Soak valve e764 Toten. (Coma (2) must equal Form 990, Part X co.(8) line 15.) ‘Other Liabili a {@) Description of ability jes. See Form 990, Part x, ine 25, = e764 (©) Book valve Federal income taxes ‘See Additonal Data Table “oar (Coun (0) mst equal Form 960, Pat cr(6) tne 25) Brin 4B (ASC 740) Footnote In Part MIIL, provide the text ofthe footnote tothe organization’ financial statements that reports The ‘organization's ability for uncertain tax positions under FIN 48 (ASC 740) Check here ifthe text ofthe footnote has been provided in Pare XII a ee a‘Schedule D (Form 990) 2012 EE Recone 2 Reconciliation of Expenses per Audited Financi Posed tion of Revenue per Audited Financial Statements With Revenue per Return Total revenue, gains, and other support per audited financial statements. « ‘Amounts include on line 1 but nat on Form 990, Part VIIL, ime 22 . i Net unrealized gains on investments 2a Donated services anduse offaciites . ses se a 2 Recoveries ofpnoryeargrants . - . - - +. + +s [ae Other(DescnbemPatxI) . - - - 2. ee ee es Lae Addlines 2athrough 2M sv Soiectinostnim i Amounts include on Form 990, Pare VILL, line 22, but not an ine 1 Investment expenses not included on Form990, Part Vit, ine 7b. | 4a Other (DescnbeimPartXHT) «2. ee ee ee o Ags lines 4a and Ab a i : ae Total revenue Add lines 3nd 4e. (This must equal Form 990, Part ine 12) + Statements With Expenses per Return : 2 Total expenses and losses peraudited financial statements. - . ‘Amounts included on line 1 but not on Form 990, Part Ix, line 25 Donated services and use of fecities 2s Proryearadustments . . a : 2b Cte [ea Other (Desenbe m Part XI1T ) 2 POT Vit ir ee Subtractline Zefomline Lv se Amounts included on Form 990, Part IX, line 25, but not online 4 Investment expenses not included on Form990, Part Vit, ine 7b. . | 4 Other (Desenbe mPa)». - ee ee ee eee Le POMC 8 ae Total expenses Add lines 3.and 4e. (This must equal Form 990, PartI, line 18 } [EEEEGHE_ supplemental Information ‘Complete this part to provide the descriptions required or Part Il, lines 3, 5, nd 9, Pare Ill, mes 1a and, Part lV, lines 1b and 26, Part; line 4, Port X, line 2, Pert Xi, ines 24 and 4b, end Part XII, lines 26 and 4b Also complete this part to provide any aditional Information Taentiier Return Reference Explanation aa ae[:file GRAPHIC print DO NOT PROCESS [As Filed bata~[_____DiNro3a93i61001124] SCHEDULE G Supplemental Information Regarding OMB No 1545-0047 Krome 300 or e0e-oo) Fundraising or Gaming Activities compete te pnzatn aero fa 90, 1 ae 7 rth xpantion rtd ‘ror thon $15,000 onFom80 28, ne 6a FarmOBOEC fers ar ot gue to compile hapa anachta Form o00 or Fem a00 EZ PSee sparta atone rs Inara Revere Souce Efe) Tome ofthe organisation Employer entification number (EEE Funar. 1 Indicate whether the organization raised funds through eny ofthe following actwities Check all that apply 13-4162016 ing Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17 2 F Mail solicrations eT Solicitation of non-government grants bT Internet and email solicitations #T Solicitation of government grants ¢ Phone solicitations 9 1 Special fundraising events 4 F in-person solicitations (Did the organization have # written or oral agreement with any indvidual (including officers, directors, trustees or key employees listed n Form 990, Part Vit) or entity n connection with professional fundraising services? [yes No 1b f*¥e5," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser 1s to be compensated at east $5,000 by the erganization () Name and acaress of (iy Actwty (ay bid (iv) Gross receipts | (v) Amount paid to] (vi) Amount paid to individval fundraiserhave | from activity, (orretainedby) | (orretained by) or entity (fundraiser) Custody or fundraiser listed in organization contol of col (i) contributions? Yes | No. ne ne ee ee '3_Ligtall states m which the organization s registered or licensed to solicit funds or has been notified itis exempt from registration or leensing ‘or Paperwork Reduction Act Notice 2e the Instructions for Form 9900r 990:€Z (Gt Ho S008BH Schedule 6 (Form 990 oF 990-42) 2012‘Schedule G (Form 990 or 990-€Z) 2012 Page 2 Fundraising Events. Complete # the organwaton answered "Yes" to Form 550, Part Iv, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000. Theentst |W eeta | ete eet | tial eats (oldu! ta) troogh ve Marathon . a — ees — | Saran : : = 13 Gross income (line 1 |e Entertainment Slo otherdirect expenses 7,881 5,201] 15,467) 28,549 [ENEMY Gaming. Complete the organization answered "Ves" to Form 990, Partlv, line 19, or reported more than $15,000 on Form 990-EZ, line 6a g (a) Binge (Pull tane/inetant_ | _(@) Other gaming [@) Total gaming ead 2 lsaovorogressive bingo ol (a) trough ea 5 © & | 1 Gross revenue [2 cosnpnces 3 & | 2 non-cash pnzes a % | 4 Renvocity costs 2 & [5 omerarect expenses 7 ee evan Cee re oo Heke 7 Direct expense summary Add lines 2 though incolumn(@) ee 8 Netganmg come summary Combine ines 1 and7incoluma(@)e = 2 2 ee ee 9 Enter the state(s) in which the organization operates gaming activities ‘2 Is the organization licensed to operate gaming activities in each ofthese states? Tves F no 1b Ifo," explain 400 Were any ofthe organization's gaming licenses revoked, suspended or terminated during the tax year? eva ee. b rf-ves;" explain‘Schedule G (Form 990 o 990-€Z) 2012 Foe Sy Does the organization operate gaming activities wth nonmembers? . . ee ee ee es Pye Pino 2 4 150 ‘Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, 1s the organization a grantor, beneficiary or trustee ofa trust or a member of partnership or other entity formed to administerchantable gaming? oe ee ee ee ee ee ee Pyes Pino Indicate the percentage of gaming activity operated in rie cronseasuot’a Woerbey/ gg | aml Anouee ely ee [ase Enter the name and address ofthe person who prepares the organization's gaming/special events books and records Name De Address Does the organization have a contract mith a thrd party from whom the organization recewes gaming Cn ee eee 1f"¥e5," enter the amount of gaming revenue received by the organization § and the amount of gaming revenue retained by the third party & 1f"Ye8,* enter name and address of the third party Namep Address Gaming manager information NameP Gaming manager compensation § Decnunosevces iedh ee : F orector/oticer T emptoyee TF independent contractor Mandatory distributions 1s the organization required under state law to make chantable distributions from the gaming proceeds to retainthe state gominglicense? so 0 ee ee ee ee ee ee Pes Fro Enter the amount of distnbutions raquired under state law distributed to other exempt organizations or spent Inthe organization's own exempt activities dunng the tax year columns (i) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions). ‘Schedule G (Form 990 oF 990-2) 2012[efile GRAPHIC print DO NOT PROCESS [As Filed Data — | DLN: 93493161001124] SCHEDULE O (Form 990 or 990-E2)} apr he Ty Supplemental Information to Form 990 or 990-EZ ‘Complate to provide information for responses to specific questions on Form 990 or to provide any additional information Attach to Form 990 or 990-E2, fone Ne 1545-0087 2012 Name ofthe organization Employer Wentification number 33-4162016 identifier Return Reference Explanation Form90, Part, | Other Changes Net Assets Or Fund Balances - Other Donated services = -$125000 Line 9 Decreases Form$90, Part Vi, | Form@80, Part VI Line 19 Other Organzation Documents By request Line 19 Pubicly Avaiable Form 990, Part Vi Forms60, Part VI Line 11b Form$90 Review Process. Form 990 was reviewed by the Treasurer and Une 1 Execute Drector prior to fing Form960, Part Vi, | Form@80, Part VI Line 2 Descrcton of Business or Family | A member of the board m the Father-nvlaw of the Line 2 Retatonshp of Officers, Drectors, & Execute Drector