SCHEDULE A Organization Exempt Under Section 501(c)(3) 

(Except Private Foundation) and Section 501(e), 501(f), 501(k),

501(n), or Section 4947(a)(1) Nonexempt Charitable Trust

Department of the Treasury

Internal Revenue Service  MUST be completed by the above organizations and attached to their Form 990 or 990-EZ

Name of the organization Employer identifica

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, a

(See page 1 of the instructions. List each one. If there are none, enter “None.”)

(b) Title and average hours

per week devoted to position

(d) Contributions to

employee benefit plans &

deferred compensation

(c) Compensation (a) Name and address of each employee paid more

than $50,000

Total number of other employees paid over

$50,000 

Compensation of the Five Highest Paid Independent Contractors for Professional S

(See page 2 of the instructions. List each one (whether individuals or firms). If there are none

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service

Total number of others receiving over $50,000 for

professional services 

For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 

Part I

Part II

Cat. No. 11285F

Supplementary Information—(See separate instructions.)

(Form 990 or 990-EZ)
Schedule A (Form 990 or 990-EZ) 2004 

Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions

The organization is not a private foundation because it is: (Please check only ONE applicable box.)

5 A church, convention of churches, or association of churches. Section 170(b)(1)(A)(i).

6 A school. Section 170(b)(1)(A)(ii). (Also complete Part V.)

7 A hospital or a cooperative hospital service organization. Section 170(b)(1)(A)(iii).

8 A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v).

A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(iii). Enter the hos

and state  

9

An organization operated for the benefit of a college or university owned or operated by a governmental unit. Sec

(Also complete the Support Schedule in Part IV-A.)

10

An organization that normally receives a substantial part of its support from a governmental unit or from the gen

170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)

11a

11b A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-A.)

An organization that normally receives: (1) more than 331⁄3% of its support from contributions, membersh

receipts from activities related to its charitable, etc., functions—subject to certain exceptions, and (2) no m

its support from gross investment income and unrelated business taxable income (less section 511 tax) from b

by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part 

12

An organization that is not controlled by any disqualified persons (other than foundation managers) and sup

described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of sec

section 509(a)(3).)

13

Provide the following information about the supported organizations. (See page 5 of the instruction

(b) Lin

fro

(a) Name(s) of supported organization(s)

14 An organization organized and operated to test for public safety. Section 509(a)(4). (See page 5 of the instru

Part IV

Statements About Activities (See page 2 of the instructions.) 

During the year, has the organization attempted to influence national, state, or local legislation, including any

attempt to influence public opinion on a legislative matter or referendum? If “Yes,” enter the total expenses paid

or incurred in connection with the lobbying activities  $ (Must equal amounts on line 38,

Part VI-A, or line i of Part VI-B.)

1

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A. Other

organizations checking “Yes” must complete Part VI-B AND attach a statement giving a detailed description of

the lobbying activities.

During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any

substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or

with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority

owner, or principal beneficiary? (If the answer to any question is “Yes,” attach a detailed statement explaining the

transactions.)

2

a Sale, exchange, or leasing of property? 

b Lending of money or other extension of credit? 

c Furnishing of goods, services, or facilities? 

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? 

e Transfer of any part of its income or assets? 

3a Do you make grants for scholarships, fellowships, student loans, etc.? (If “Yes,” attach an explanation of how

you determine that recipients qualify to receive payments.)

Part III

Do you have a section 403(b) annuity plan for your employees?

4a

Schedule A (Form 9

b

b Do you provide credit counseling, debt management, credit repair, or debt negotiation services?

Did you maintain any separate account for participating donors where donors have the right to provide advice

on the use or distribution of funds?
Schedule A (Form 990 or 990-EZ) 2004 

Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received f

person,” prepare a list for your records to show the name of, and total amounts received in each year from, each “d

Do not file this list with your return. Enter the sum of such amounts for each year:

27

(2003) (2002) (2001) (2000)

For any amount included in line 17 that was received from each person (other than “disqualified persons”), prepare a lis

show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for th

(Include in the list organizations described in lines 5 through 11, as well as individuals.) Do not file this list with your ret

the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these dif

amounts) for each year:

b

28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2

prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the 

description of the nature of the grant. Do not file this list with your return. Do not include these grants in line 

c

d

e

f

Total support for section 509(a)(1) test: Enter line 24, column (e) 

Add: Amounts from column (e) for lines: 18 19

22 26b

Public support (line 26c minus line 26d total) 

Public support percentage (line 26e (numerator) divided by line 26c (denominator))  

c

e

f

Add: Amounts from column (e) for lines: 15 16

20

Public support (line 27c total minus line 27d total) 

Public support percentage (line 27e (numerator) divided by line 27f (denominator))  

17 21

g

Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denominator))  

d Add: Line 27a total and line 27b total

Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method o

Calendar year (or fiscal year beginning in)  (a) 2003 (b) 2002 (c) 2001 (d) 2000 

15

16 Membership fees received

17 Gross receipts from admissions, merchandise

sold or services performed, or furnishing of

facilities in any activity that is related to the

organization’s charitable, etc., purpose

18 Gross income from interest, dividends,

amounts received from payments on securities

loans (section 512(a)(5)), rents, royalties, and

unrelated business taxable income (less

section 511 taxes) from businesses acquired

by the organization after June 30, 1975

19 Net income from unrelated business

activities not included in line 18

Tax revenues levied for the organization’s

benefit and either paid to it or expended on

its behalf

20

The value of services or facilities furnished to

the organization by a governmental unit

without charge. Do not include the value of

services or facilities generally furnished to the

public without charge

21

Other income. Attach a schedule. Do not

include gain or (loss) from sale of capital assets

22

Total of lines 15 through 22

24 Line 23 minus line 17

25 Enter 1% of line 23

26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 

Prepare a list for your records to show the name of and amount contributed by each person (other than a

governmental unit or publicly supported organization) whose total gifts for 2000 through 2003 exceeded the

amount shown in line 26a. Do not file this list with your return. Enter the total of all these excess amounts 

b

Gifts, grants, and contributions received. (Do

not include unusual grants. See line 28.)

Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting

Part IV-A

h

Total support for section 509(a)(2) test: Enter amount from line 23, column (e) 

27

27

26

26

26

26

26

26

27

27

27

27f







Schedule A (Form 

(2003) (2002) (2001) (2000)

23
Schedule A (Form 990 or 990-EZ) 2004 

33 Does the organization discriminate by race in any way with respect to:

a Students’ rights or privileges? 

b Admissions policies? 

c Employment of faculty or administrative staff? 

d Scholarships or other financial assistance? 

e Educational policies? 

f Use of facilities?

g Athletic programs? 

h Other extracurricular activities? 

If you answered “Yes” to any of the above, please explain. (If you need more space, attach a separate statement.)

34a Does the organization receive any financial aid or assistance from a governmental agency? 

b Has the organization’s right to such aid ever been revoked or suspended? 

If you answered “Yes” to either 34a or b, please explain using an attached statement.

Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05

of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If “No,” attach an explanation

35

Private School Questionnaire (See page 7 of the instructions.)

(To be completed ONLY by schools that checked the box on line 6 in Part IV)

Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,

other governing instrument, or in a resolution of its governing body?

29

30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its

brochures, catalogues, and other written communications with the public dealing with student admissions,

programs, and scholarships? 

Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during

the period of solicitation for students, or during the registration period if it has no solicitation program, in a way

that makes the policy known to all parts of the general community it serves?

31

If “Yes,” please describe; if “No,” please explain. (If you need more space, attach a separate statement.)

32 Does the organization maintain the following:

a Records indicating the racial composition of the student body, faculty, and administrative staff? 

Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory

basis?

b

Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student admissions, programs, and scholarships?

c

d Copies of all material used by the organization or on its behalf to solicit contributions? 

If you answered “No” to any of the above, please explain. (If you need more space, attach a separate statement.)

Part V

Schedule A (Form 
Schedule A (Form 990 or 990-EZ) 2004 

4-Year Averaging Period Under Section 501(h)

(Some organizations that made a section 501(h) election do not have to complete all of the five columns 

See the instructions for lines 45 through 50 on page 11 of the instructions.)

Lobbying Expenditures During 4-Year Averaging P

(d)

2001

(c)

2002

(b)

2003

(a)

2004

Calendar year (or

fiscal year beginning in) 

45 Lobbying nontaxable amount

46 Lobbying ceiling amount (150% of line 45(e))

47

48 Grassroots nontaxable amount

49 Grassroots ceiling amount (150% of line 48(e))

50 Grassroots lobbying expenditures

Total lobbying expenditures

Part VI-B Lobbying Activity by Nonelecting Public Charities

(For reporting only by organizations that did not complete Part VI-A) (See page 11 of t

During the year, did the organization attempt to influence national, state or local legislation, including any

attempt to influence public opinion on a legislative matter or referendum, through the use of:

Yes No 

a

b

c

d

e

f

g

h

i

Volunteers

Paid staff or management (Include compensation in expenses reported on lines c through h.)

Media advertisements

Mailings to members, legislators, or the public

Publications, or published or broadcast statements

Grants to other organizations for lobbying purposes

Direct contact with legislators, their staffs, government officials, or a legislative body

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means

Total lobbying expenditures (Add lines c through h.)

If “Yes” to any of the above, also attach a statement giving a detailed description of the lobbying activities.

Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions

(To be completed ONLY by an eligible organization that filed Form 5768)

Check  Check 

(a)

Affiliated group

totals

Limits on Lobbying Expenditures

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36

37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37

38 Total lobbying expenditures (add lines 36 and 37) 38

39 Other exempt purpose expenditures 39

40 Total exempt purpose expenditures (add lines 38 and 39) 40

41 Lobbying nontaxable amount. Enter the amount from the following table—

If the amount on line 40 is— The lobbying nontaxable amount is—

Not over $500,000 20% of the amount on line 40

41

Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000

Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000

Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000

42 Grassroots nontaxable amount (enter 25% of line 41) 42

43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 43

44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 44

Part VI-A



(The term “expenditures” means amounts paid or incurred.)

Over $17,000,000 $1,000,000

Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.

Schedule A (Form 

a if the organization belongs to an affiliated group. b if you checked “a” and “limited contro
Schedule A (Form 990 or 990-EZ) 2004 

(d)

Description of transfers, transactions, and s

(c)

Name of noncharitable exempt organization

(b)

Amount involved

(a)

Line no.

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations

described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?  

b If “Yes,” complete the following schedule:

(c)

Description of relationshi

(b)

Type of organization

(a)

Name of organization

Information Regarding Transfers To and Transactions and Relationships With Noncha

Organizations (See page 11 of the instructions.)

51 Did the reporting organization directly or indirectly engage in any of the following with any other organization d

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations

a Transfers from the reporting organization to a noncharitable exempt organization of:

Cash (i)

Other assets 

(ii)

b Other transactions:

Sales or exchanges of assets with a noncharitable exempt organization (i)

Purchases of assets from a noncharitable exempt organization (ii)

Rental of facilities, equipment, or other assets (iii)

Reimbursement arrangements (iv)

Loans or loan guarantees (v)

Performance of services or membership or fundraising solicitations (vi)

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees 

If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair 

goods, other assets, or services given by the reporting organization. If the organization received less than fair m

transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received:

d

Part VII

Schedule A (Form