Form 990 (1990)

Page 5

Analysis of Income-Producing A

ies

Enter gross amounts unless otherwise indicated.

93 Program service revenue:

(a)

Unrelated business income

Excluded by section 512 , 513, or 514

(a)
Business code

(b) (c)
Amount Exclusion code

(d)
Amount

(e)
Related or exempt
function income
(See instructions)

(b)

(c)

(4)

(e)

(f)

(g) Fees from government agencies .
94 Membership dues and assessments -

95 Interest on savings and temporary cash investments .

96 Dividends and interest from securities
97 Net rental income or (loss) from real estate

(a) debt-financed property . toe

(b) not debt-financed property. . . . . . .
98 Net rental income or (loss) from personal property
99 Other investment income

100 Gain or (loss) from sales of assets other than inventory .

101 Net income from special fundraising events
102 Gross profit or (loss) from sales of inventory
103 Other revenue: (a)

(b)

(c)

(d)

(e)

104 Subtotal (add columns (b), (d), and (e)) .
105 TOTAL (add line 104, columns (b), (d), and (e))
(Line 105 plus line 1d, Part 1, should equal the amount on

ine 12, Part |.)

Pa Relationship of Activities to the Accomplishment of Exempt Purposes

Line No. Explain below how each activity for which income is reported in column (e) of Part VII contributed importantly to the
v

accomplishment of your exempt purposes (other than by providing funds for such purposes). (See instructions.)

Information Regarding Taxable Subsidiaries (Com,

plete this Part if you answered “Yes” to question 78c.)

Name, address, and employer identification

Percentage of
number of corporation or partnership ownership interest

Nature of
business activities

Total
income

End-of-year
assets

Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, and to the best of my knowledge and

Please belief, it is true, correct, and complete. Declaration of preparer (other than officer) 1s based on all information of which preparer has any knowledge.
Sign
Here » Signature of officer Date » Title
Paid Preparer’s pate Check if
Preparer’s signature self-employed > [1

Pi Firm's name (or ZIP code
Use Only yours if self-employed)

and address

“U.S. Government Printing Office: 1990 — 265-196


Form 990 (1990)

Page 4

List of Officers, Directors, and Trustees (List each one even if not compensated. See instructions.)

(#) Nome and aces Ceyruieardovesee | CO Gamenaion | )conubuions | | OP aers
devoted to position enter zero) benefit plans allowances
amas Other Information
Yes| No
76 Did you engage in any activity not previously reported to the Internal Revenue Service? 76
If “Yes,"’ attach a detailed description of each activity. Ue
77 Were any changes made in the organizing or governing documents, but not reported to IRS? . 77
If "Yes," attach a conformed copy of the changes. Uy
78a_ Did your organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78a
b_ If “*Yes,"" have you filed a tax return on Form 990-T, Exempt Organization Business Income Tax Return, for this year? | 78b
c Atany time during the year, did you own a 50% or greater interest in a taxable corporation or partnership? . 78
If “Yes,” complete Part IX. Th
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? (See instructions.) 79
If “Yes,”’ attach a statement as described in the instructions. 1]
80a Are you related (other than by association with a statewide or nationwide organization) through common membership, Mh
governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? (See instructions.) . 80a
b If''Yes,”’ enter the name of the organization > _
. and check whether itis CJ exempt OR L] nonexempt. 7 _
Bla Enter amount of political expenditures, director indirect, as described in the instructions. ..81a| ___ MMMM
b Did you file Form 1120-POL, U.S. Income Tax Return for Certain Political Organizations, for this year? 81b
82a Did you receive donated services or the use of materials, equipment, or facilities at no charge or at substantially Mh
less than fair rental value? 82a
b If ‘Yes,"" you may indicate the value of these items here. Do not include this amount as
revenue in Part | or as an expense in Part Il. See instructions for reporting in Part Il]... .[82b UU, Mh
83a Did anyone request to see either your annual return or exemption application (or both)? 83a
b If “Yes,” did you comply as described in the instructions? (See General Instruction L.) 83b
84a_Did you solicit any contributions or gifts that were not tax deductible? Wi
b If “Yes,” did you include with every solicitation an express statement that such contributions or gifts were not tax Uh
deductible? (See General Instruction M.) oo . [84b
85a Section 501(c)(5) or (6) organizations.—Did you spend any amounts in n attempts to influence public opinion Mh
about legislative matters or referendums? (See instructions and Regulations section 1.162-20(c)) 85a
b if “Yes,” enter the total amount spent for this purpose... . . . .[85b
86 Section 501(c)(7) organizations. —Enter:
a_ Initiation fees and capital contributions included on line 12. . . . [86a
b Gross receipts, included on line 12, for public use of club facilities (See instructions. ). . [86b
¢ Does the club's governing instrument or any written policy statement provide for discrimination against any 1]
person because of race, color, or religion? (See instructions.) 86c
87 Section 501(c)(12) organizations. —Enter amount of:
a Gross income received from members or shareholders . 87a
b Gross income received from other sources (Do not net amounts due or paid to other sources
against amounts due or received fromthem.). . . oo . (87b Yy
88 Public interest law firms.—Attach information described in nthe Instructions. ]/#
89 List the states with which a copy of this return is filed > _ Mh
90 During this tax year did you maintain any part of your accounting/tax records on a computerized system? 90
91 The books are in care of Telephoneno. »  _ -
Located at > -
92 Section 4947(a)(1) charitable trusts filing Form 990 in lieu of Form 1041, U.S. Fiduciary Income Tax Return.— . Check here » []

and enter the amount of tax-exempt interest received or accrued during the taxyear_. .p|92 |



Forrn 990 Return of Organization Exempt

OMB No. 1545-0047
From Income Tax = |

Under section 501(c) of the Internal Revenue Code (except black lung benefit trust or 1990

private foundation) or section 4947(a)(1) charitable trust
Department of the Treasury , “ . .
Internal Revenue Service Note: You may have to use a copy of this return to satisfy state reporting requirements. See instruction E.
For the calendar year 1990, or fiscal year beginning , 1990, and ending 19

Name of organization

A Employer identification number (see instructionS2)

Number, street, and room (or P.O. box number) (see instruction $1.)

B State registration number (see instruction E)

City or town, state, and ZIP code

C If application for exemption is. pencing check
here > . Lo

D Check type of organization—Exempt under section ® []501(c)( _) (insert number), | £ Accounting method: [] Cash oh Accrual

OR > [1 section 4947(a)(1) charitable trust (see instruction C7 and question 92.)

CO Other (specify) >

F Is this a group return (see instruction Q) filed for affiliates. . . . . ClYes CINo |G Meither answer in F is “Yes,” enter four-digit group
If “Yes,” enter the number of affiliates for which this return is filed exemption number (GEN) P
Is this a separate return filed by a group affiliate? . . . . . . . C1 Yes CINo | H Check boxif address changed > oO

1 Check here [1] if your gross receipts are normally not more than $25,000 (see instruction B

11). You do not have to file a completed return with IRS; but if you

received a Form 990 Package in the mail, you should file a return without financial data (see instruction A5). Some states require a completed return.

Note: Form 990EZ may be used by organizations with gross receipts less than $100,000 and total assets less than $250,000 at end of year.

Section 501(c)(3) organizations and 4947(a)(1) trusts must also complete an

id attach Schedule A (Form 990). (See instruction C1.)

Statement of Revenue, Expenses, and Changes in Net Assets or Fund Balances

1 Contributions, gifts, grants, and similar amounts received: Mh,
a Directpublicsuppot . . 2 2. 2. we ee la
b Indirect publicsupport . . . .. . Soe 1b
c Governmentgrants . . . lc
4 Total (add lines 1a through 1c) (attach schedule—see instructions) . id
2. Program service revenue (from Part VII, line 93) 2
3 Membership dues and assessments (see instructions) 3
4 Interest on savings and temporary cash investments 4
5 Dividends and interest from securities. oe 5
6a Grossrents . 2. 2 2... ee 6a
b Less: rental expenses . . oo 6b
° c Net rental income or (loss) (line 6a less line 6b) . | be
2 | 7 Other investment income (describe > am 7
3 8a Gross amount from sale of assets other (A) Securities (8) Other
« thaninventory . . . 8a
b Less: cost or other basis and sales expenses 8b
¢ Gain or (loss) (attach schedule). . . 8c
d_ Net gain or (loss) (combine line 8c, column (A) and line 8c, column (B)) . Lo 8d
9 Special fundraising events and activities (attach schedule—see instructions):
a_ Gross revenue (not including $___ of contributions
reportedonlinela) . . ..... Coe 9a
b Tees: direct expenses . : Soe 9b MU
Net income (line 9a less line 9b) Lo a 9c
10a Gross sales less returns and allowances . soe : 10a
b Less: costofgoodssold . . - 10b
¢ Gross profit or (loss) (line 10a less line 10b) (attach schedule) . 10c
11 Other revenue (from Part VII, line 103) . 11
12__ Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, ‘100, and ‘) 12
| 13 Program services (from line 44, column (B)) (see instructions) . 13
2 | 14 Managementand general (from line 44, column (C)) (see instructions) 14
g 15 Fundraising (from line 44, column (D)) (see instructions) 15
23 | 16 Payments to affiliates (attach schedule—see instructions) . 16
17__ Total expenses (add lines 16 and 44, column (A)). 17
2 18 Excess or (deficit) for the year (subtract line 17 from line 12) woe . . (18
3 8|19 _Netassets or fund balances at beginning of year (from line 74, column(A)) . . . . 19
@|20 Other changes in net assets or fund balances (attach explanation) 20
21 _Netassets or fund balances at end of year (combine lines 18, 19, and 20) 21

For Paperwork Reduction Act Notice, see page 1 of the separate instructions.

Form 990 (1990)


Page 2

Form 990 (1990)
fPart II] Statement of All organizations must complete column (A). Columns (B), (C), and (D) are required for section 501(c)(3)
Functional Expenses and (c)(4) organizations and 4947(a)(1) charitable trusts but optional for others. (See instructions.)
Do not include amounts reported on line (A) Total (B) Program (C) Management (D) Fundraising
6b, 8b, 9b, 10b, or 16 of Part | services and general

22 Grants and allocations (attach schedule) .

23 — Specific assistance to individuals
24 Benefits paid to or for members.

.

25 Compensation of officers, directors, etc. .
26 Other salaries and wages .

27 Pension plan contributions
28 Other employee benefits

29 ~~ Payroll taxes .

30 Professional fundraising fees
31 + ~=Accounting fees.

32 Legal fees

33 = Supplies

34 = Telephone
35 Postage and shipping .

Expenses

36 Occupancy foe
37 Equipment rental and maintenance an _

38 ~~ Printing and publications

39 Travel . :
40 Conferences, conventions, and meetings
41 Interest

42 Depreciation, depletion, ete. (attach schedule) .

43 Other expenses (itemize): a.

moans

44 Total functional expenses (add lines 22 through 43)
Organizations completing columns B-D, carry these totals to lines 13-15.

Statement of Program Service Accomplishments (See instructions.)

Describe what was achieved in carrying out your exempt purposes. Fully describe the services provided; the number of | Expenses
persons benefited; or other relevant information for each program title. Section 501(c)(3) and (4) organizations must (ectiona for some
also enter the amount of grants to others. instruction)
)
a
b
c
d
(Grants and allocations $ )
e Other program services (attachschedule). . . . __._. (Grants and allocations $ 2

Total (add lines a through e) (should equal line 44, coumn(By wo fa woe ad



Form 990 (1990)

Page 3

izagig Balance Sheets

Note: Where required, attached schedules and amounts in the description column should
be for end-of-year amounts only.

(A)
Beginning of year

(B)
End of year

Assets
45 Cash—noninterest-bearing . 45
46 Savings and temporary cash investments . 46
47a Accountsreceivable. . . . oe. [47a
b Less: allowance for doubtful accounts. . . . .|47b A7c
48a Pledges receivable J. [488
b Less: allowance for doubtful accounts. . . . .[48b 48c
49 Grants receivable . rn 49
50 Receivables due from officers, directors, trustees, and key employees (attach
schedule) Loe 50
51a Other notes and loans receivable (attach schedule) .| 51a
b Less: allowance for doubtful accounts. . . . .|S1b 5c
52 Inventories for sale or use 52
53 Prepaid expenses and deferred charges 53
54 Investments—securities (attach schedule) 54
55a_Investments—land, buildings,
and equipment: basis . . . . . [55a
b Less: accumulated depreciation (attach
schedule) . . . . . . . .[55b 55¢
56 _Investments—other attach schedule) . _ 56
57a Land, buildings, and equipment: basis... 57a
b Less: accumulated depreciation (attach schedule) . | 57b 57¢
58 Other assets (describe > ) 58
59 Total assets (add lines 45 through 58) . . 59
Liabilities
60 Accounts payable and accrued expenses 60
61 Grants payable 61
62 Support and revenue designated for future periods (attach schedule) 62
63 Loans from officers, directors, trustees, and key employees (attach schedule) 63
64 Mortgages and other notes payable (attach schedule) . Loe 64
65 Other liabilities (describe > ) 65
66 Total liabilities (add lines 60 through 65) 66
Fund Balances or Net Assets
Organizations that use fund accounting, check here > [] and complete lines
67 through 70 and lines 74 and 75.
67a Current unrestricted fund 67a
b Current restricted fund 67b
68 Land, buildings, and equipment fund 68
69 Endowment fund . So 69
70 Other funds (describe > ) 70
Organizations that do not use fund accounting, check here > [] and complete
lines 71 through 75.
71 Capital stock or trust principal . 71
72 ~~ Paid-in or capital surplus . 72
73 Retained earnings or accumulated income 73
74 Total fund balances or net assets (see instructions) . 74
75 Total liabilities and fund balances/net assets (see instructions) 75