Part I

OMB No. 1545-0047

Form 990 Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

benefit trust or private foundation)

Department of the Treasury

Internal Revenue Service © The organization may have to use a copy of this return to satisfy state reporting requirements.

For the 2009 calendar year, or tax year beginning , 2009, and ending , 20

Name of organization D Employer identification number Please

use IRS

label or

print or

type.

See

Specific

Instructions.

Number and street (or P.O. box if mail is not delivered to street address) E Telephone number

City or town, state or country, and ZIP + 4

Summary

1

Number of voting members of the governing body (Part VI, line 1a) 

Number of independent voting members of the governing body (Part VI, line 1b)

Total number of employees (Part V, line 2a)

2

3

4

5

Total gross unrelated business revenue from Part VIII, column (C), line 12 

6

7a

Activities & Governance

Check this box © if the organization discontinued its operations or disposed of more than 25% of its net assets.

Contributions and grants (Part VIII, line 1h)

Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)

Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12 )

Grants and similar amounts paid (Part IX, column (A), lines 1–3)

Benefits paid to or for members (Part IX, column (A), line 4) 

Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)

Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)

Revenue less expenses. Subtract line 18 from line 12 

8

Total assets (Part X, line 16) 

Total liabilities (Part X, line 26) 

9

Net assets or fund balances. Subtract line 21 from line 20 

10

12

Net Assets or

Fund Balances

13

14

15

16a

18

A

C

Room/suite

F Name and address of principal officer:

L

B Check if applicable:

Terminated

Amended return

Address change

Form of organization:

501(c) ( )§ 4947(a)(1) or 527

J

(insert no.)

Initial return

Name change

Open to Public

Inspection

( )

Application pending

Website: ©

Year of formation:

I

Program service revenue (Part VIII, line 2g)

Briefly describe the organization’s mission or most significant activities:

Net unrelated business taxable income from Form 990-T, line 34

Professional fundraising fees (Part IX, column (A), line 11e) 

19

21

22

Expenses Revenue

3

4

5

6

7a

b 7b

Prior Year Current Year

Beginning of Current Year End of Year

Corporation Trust Association

Is this a group return for affiliates?

17

H(a)

Investment income (Part VIII, column (A), lines 3, 4, and 7d) 

11

Tax-exempt status:

K Other © M State of legal domicile:

H(b) Are all affiliates included?

If “No,” attach a list. (see instructions)

H(c) Group exemption number ©

Yes No

Yes No

Total number of volunteers (estimate if necessary) 

Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)

20

Signature Block

Date

EIN ©

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

and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign

Here

Type or print name and title

Signature of officer Date

Preparer’s

signature

Check if

selfemployed ©

Paid

Preparer’s

Use Only Firm’s name (or yoursif self-employed),

address, and ZIP + 4

Preparer’s identifying number

(see instructions)

Phone no. © ( )

©

©

©

©

Yes No

Part II

2009

Gross receipts $

Doing Business As

G

May the IRS discuss this return with the preparer shown above? (see instructions) 

b Total fundraising expenses (Part IX, column (D), line 25) ©
Form 990 (2009) Page 2

Form 990 (2009)

4e Total program service expenses ©

Statement of Program Service Accomplishments 

1 Briefly describe the organization’s mission:

Yes No

If “Yes,” describe these new services on Schedule O.

Part III

2 Did the organization undertake any significant program services during the year which were not listed on

the prior Form 990 or 990-EZ? 

3 Did the organization cease conducting, or make significant changes in how it conducts, any program

services? Yes No

If “Yes,” describe these changes on Schedule O.

4 Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.

Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and

allocations to others, the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4d Other program services. (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $ )
Form 990 (2009) Page 3

Checklist of Required Schedules

Yes No

Is the organization required to complete Schedule B, Schedule of Contributors?

1

2

3

2

Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part 

X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” 

complete Schedule D, Part IV

3

Did the organization maintain any donor advised funds or any similar funds or accounts where donors have 

the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” 

complete Schedule D, Part I

4

7

8

4

5

6

15

16

18

6

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” 

complete Schedule D, Part III

11

13

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” 

complete Schedule A 

1

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to 

candidates for public office? If “Yes,” complete Schedule C, Part I 

Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete

Schedule C, Part II 

Did the organization, directly or through a related organization, hold assets in term, permanent, or

quasi-endowments? If “Yes,” complete Schedule D, Part V

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E

Did the organization maintain an office, employees, or agents outside of the United States? 

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,

business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I

Did the organization report a total of more than $15,000 of expenses for professional fundraising services

on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I

Did the organization report more than $15,000 total of fundraising event gross income and contributions on 

Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? 

If “Yes,” complete Schedule G, Part III

Did the organization operate one or more hospitals? If “Yes,” complete Schedule H

9

10

14a

13

15

16

17

b

18

Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subject to the section 6033(e) 

notice and reporting requirement and proxy tax? If “Yes,” complete Schedule C, Part III 

5

Part IV

7

8

9

10

14a

14b

17

20

Did the organization receive or hold a conservation easement, including easements to preserve open space, 

the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II 

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If “Yes,” complete 

Schedule D, Part VI.

Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete 

Schedule D, Parts XI, XII, and XIII.

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the United States? If “Yes,” complete Schedule F, Part II

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance 

to individuals located outside the United States? If “Yes,” complete Schedule F, Part III 

12

19

20

19

Form 990 (2009)

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more 

of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more 

of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets 

reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses 

the organization’s liability for uncertain tax positions under FIN 48? If “Yes,” complete Schedule D, Part X.

12

Was the organization included in consolidated, independent audited financial statements for the tax year? 

If “Yes,” completing Schedule D, Parts XI, XII, and XIII is optional. 

Is the organization’s answer to any of the following questions “Yes”? If so, complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable

11

●

●

●

●

●

●

12A

12A

Yes No
Form 990 (2009) Page 4

Form 990 (2009)

Yes No

Checklist of Required Schedules (continued)

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete 

Schedule N, Part II 

32

Part IV

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 R, Part I 

33

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II,

III, IV, and V, line 1

34

Did the organization conduct more than 5% of its activities through an entity that is not a related organization 

and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, 

Part VI

36

37

35

28a

29

30

31

32

33

34

Was the organization a party to a business transaction with one of the following parties (see Schedule L,

Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV 

A family member of a current or former officer, director, trustee, or key employee? If “Yes,” complete 

Schedule L, Part IV 

An entity of which a current or former officer, director, trustee, or key employee of the organization (or a

family member) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, 

Part IV 

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If “Yes,” complete Schedule M 

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N, 

Part I 

a

c

b

29

30

31

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

28

28b

28c

Is any related organization a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete

Schedule R, Part V, line 2

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related 

organization? If “Yes,” complete Schedule R, Part V, line 2

35

36

37

b

c

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than

$100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines

24b through 24d and complete Schedule K. If “No,” go to line 25

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 

Did the organization maintain an escrow account other than a refunding escrow at any time during the year 

to defease any tax-exempt bonds? 

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year? 

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction 

with a disqualified person during the year? If “Yes,” complete Schedule L, Part I

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a

prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or

990-EZ? If “Yes,” complete Schedule L, Part I

Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or

disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L, Part II

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor, or a grant selection committee member, or to a person related to such an individual? 

If “Yes,” complete Schedule L, Part III

24a

d

25a

b

24a

25a

26

27

24b

24c

24d

25b

26

27

Did the organization report more than $5,000 of grants and other assistance to governments and organizations 

in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II

Did the organization report more than $5,000 of grants and other assistance to individuals in the

United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III

Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the

organization’s current and former officers, directors, trustees, key employees, and highest compensated

employees? If “Yes,” complete Schedule J

21

22

23

21

22

23

38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 

19? Note. All Form 990 filers are required to complete Schedule O. 38
Form 990 (2009) Page 5

Form 990 (2009)

Part V Statements Regarding Other IRS Filings and Tax Compliance

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders

Gross income from other sources (Do not net amounts due or paid to other sources against 

amounts due or received from them.) 11b

11a

11

a

b

12a

12b

12a

b If “Yes,” enter the amount of tax-exempt interest received or accrued during the year

If “Yes,” indicate the number of Forms 8282 filed during the year 

7a

b

8

7d

7b

8

7 Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods 

and services provided to the payor? 

If “Yes,” did the organization notify the donor of the value of the goods or services provided?

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282?

Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal 

benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

For all contributions of qualified intellectual property, did the organization file Form 8899 as required?

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting

organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring

organization, have excess business holdings at any time during the year?

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?

Did the organization make a distribution to a donor, donor advisor, or related person?

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities 10b

10a

a

c

d

e

f

g

9

10

a

b

a

b

7c

7e

7f

7g

9a

9b

1a Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of

U.S. Information Returns. Enter -0- if not applicable 

Yes No

2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements, filed for the calendar year ending with or within the year covered by this return

4a

5a

6a

3a

b

2a

2b

4a

5a

6a

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file this return. (see

instructions)

Did the organization have unrelated business gross income of $1,000 or more during the year covered by

this return?

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O

At any time during the calendar year, did the organization have an interest in, or a signature or other authority 

over, a financial account in a foreign country (such as a bank account, securities account, or other financial 

account)? 

If “Yes,” enter the name of the foreign country: ©

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes” to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding 

Prohibited Tax Shelter Transaction?

Does the organization have annual gross receipts that are normally greater than $100,000, and did the

organization solicit any contributions that were not tax deductible?

If “Yes,” did the organization include with every solicitation an express statement that such contributions or 

gifts were not tax deductible?

b

b

b

c

b

3b

5b

5c

6b

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable 

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable 

gaming (gambling) winnings to prize winners? 

b

c

1a

1b

1c

3a

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank

and Financial Accounts.

For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as

required?

h

7h
Form 990 (2009) Page 6

13 Does the organization have a written whistleblower policy?

14 Does the organization have a written document retention and destruction policy?

13

a 15a

14

Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

15

The organization’s CEO, Executive Director, or top management official

Other officers or key employees of the organization 15b

Section C. Disclosure

17 List the states with which a copy of this Form 990 is required to be filed ©

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only)

available for public inspection. Indicate how you make these available. Check all that apply.

18

Own website Another’s website Upon request

Section B. Policies (This Section B requests information about policies not required by the Internal

Revenue Code.)

12a Does the organization have a written conflict of interest policy? If “No,” go to line 13

Yes No

Are officers, directors or trustees, and key employees required to disclose annually interests that could give 

rise to conflicts? 

b

12a

12b

Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” 

describe in Schedule O how this is done 12c

c

b

Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest

policy, and financial statements available to the public.

19

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and

for a “No” response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in

Schedule O. See instructions.

Part VI

Section A. Governing Body and Management

Enter the number of voting members of the governing body 

Enter the number of voting members that are independent

Yes No

2

3

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with 

any other officer, director, trustee, or key employee?

4

5 Did the organization become aware during the year of a material diversion of the organization’s assets?

2

b

Did the organization delegate control over management duties customarily performed by or under the direct

supervision of officers, directors or trustees, or key employees to a management company or other person?

Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed?

1a

7a

3

5

6

1b

1a

8a

Does the organization have members, stockholders, or other persons who may elect one or more members 

of the governing body?

8

Are any decisions of the governing body subject to approval by members, stockholders, or other persons?

Did the organization contemporaneously document the meetings held or written actions undertaken during 

the year by the following:

The governing body? 

Each committee with authority to act on behalf of the governing body? 

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached

at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O 

b

9

8b

9a

6 Does the organization have members or stockholders?

b

a

4

7a

7b

State the name, physical address, and telephone number of the person who possesses the books and records of the

organization: ©

20

If “Yes” to line 15a or 15b, describe the process in Schedule O. (See instructions.)

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity during the year? 

If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate

its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard 

the organization’s exempt status with respect to such arrangements? 

16a

b

16a

16b

10a Does the organization have local chapters, branches, or affiliates? 10a

b If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, 

affiliates, and branches to ensure their operations are consistent with those of the organization? 10b

11 Has the organization provided a copy of this Form 990 to all members of its governing body before filing the

form? 11

11A Describe in Schedule O the process, if any, used by the organization to review this Form 990.
Form 990 (2009) Page 7

Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated

Employees, and Independent Contractors

Form 990 (2009)

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the

organization’s tax year. Use Schedule J-2 if additional space is needed.

● List the organization’s five current highest compensated employees (other than an officer, director, trustee, or key employee) 

who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the

organization and any related organizations.

● List all of the organization’s former officers, key employees, and highest compensated employees who received more than 

$100,000 of reportable compensation from the organization and any related organizations.

● List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of

the organization, more than $10,000 of reportable compensation from the organization and any related organizations.

Name and Title Position (check all that apply) Reportable 

compensation 

from

the

organization 

(W-2/1099-MISC)

Reportable

compensation 

from related

organizations

(W-2/1099-MISC)

Estimated

amount of

other

compensation 

from the

organization

and related

organizations

(C) (D) (E) (F)

or directorIndividual trusteeInstitutional trusteeOfficerKey employee

employeeHighest compensated

Former

Section A.

(A)

Part VII

● List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount 

of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest

compensated employees; and former such persons.

Check this box if the organization did not compensate any current officer, director, or trustee.

(B)

Average

hours per

week

● List all of the organization’s current key employees. See instructions for definition of “key employee.”
Form 990 (2009) Page 8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

1b Total ©

Total number of individuals (including but not limited to those listed above) who received more than $100,000 in

reportable compensation from the organization ©

2

Part VII

Form 990 (2009)

Did the organization list any former officer, director or trustee, key employee, or highest compensated

employee on line 1a? If “Yes,” complete Schedule J for such individual

3

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from 

the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such 

individual

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for

services rendered to the organization? If “Yes,” complete Schedule J for such person

(A) 

Name and business address

(B) 

Description of services

(C) 

Compensation

2 Total number of independent contractors (including but not limited to those listed above) who received 

more than $100,000 in compensation from the organization ©

Yes No

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of

compensation from the organization.

1

3

4

5

Name and title Position (check all that apply) Reportable 

compensation 

from

the

organization 

(W-2/1099-MISC)

Reportable

compensation 

from related

organizations

(W-2/1099-MISC)

Estimated

amount of

other

compensation 

from the

organization

and related

organizations

(C) (D) (E) (F)

or directorIndividual trusteeInstitutional trusteeOfficerKey employee

employeeHighest compensated

Former

(A) (B)

Average

hours per

week
Gross income from fundraising

events (not including $

Form 990 (2009) Page 9

Form 990 (2009)

Total revenue. See instructions. ©

b

c

11a

Miscellaneous Revenue Business Code

d

e

12

Total. Add lines 11a–11d ©

Statement of Revenue

(C)

Unrelated

business

revenue

Other Revenue

1a Federated campaigns 

Membership dues 

Fundraising events 

Related organizations 

b

Government grants (contributions)

c

All other contributions, gifts, grants,

and similar amounts not included above 

(D)

Revenue

excluded from tax

under sections

512, 513, or 514

(B)

Related or

exempt

function

revenue

(A)

Total revenue

d

e

f

g Noncash contributions included in lines 1a-1f: $

2a

b

c

d

e

f

g Total. Add lines 2a–2f ©

Investment income (including dividends, interest, and

other similar amounts) ©

Gross Rents 

Less: rental expenses

Rental income or (loss)

Gross amount from sales of

assets other than inventory 

Less: cost or other basis

and sales expenses 

Gain or (loss) 

Net gain or (loss) ©

3

4

5

6a

b

c

7a

b

c

d

8a

Less: direct expenses 

Net income or (loss) from fundraising events ©

Gross sales of inventory, less

returns and allowances

Less: cost of goods sold 

Net income or (loss) from sales of inventory ©

Net rental income or (loss) ©

b

c

b

c

(i) Securities (ii) Other

(i) Real (ii) Personal

Business Code

10a

Contributions, gifts, grants

and other similar amounts Program Service Revenue

All other program service revenue 

1a

b

a

b

a

Royalties ©

Income from investment of tax-exempt bond proceeds ©

1b

1c

1d

1e

h Total. Add lines 1a–1f ©

d

All other revenue 

1f

Part VIII

Gross income from gaming activities.

See Part IV, line 19

Less: direct expenses

Net income or (loss) from gaming activities ©

b

a

9a

b

c

of contributions reported on line 1c).

See Part IV, line 18
Form 990 (2009) Page 10

Statement of Functional Expenses

(C)

Management and

general expenses

Grants and other assistance to governments and 

organizations in the U.S. See Part IV, line 21 

1

Grants and other assistance to individuals in

the U.S. See Part IV, line 22 

Grants and other assistance to governments, 

organizations, and individuals outside the

U.S. See Part IV, lines 15 and 16 

Compensation of current officers, directors,

trustees, and key employees 

Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B) 

(D)

Fundraising

expenses

(B) 

Program service

expenses

(A)

Total expenses Do not include amounts reported on lines 6b,

7b, 8b, 9b, and 10b of Part VIII.

Other salaries and wages 

9

Pension plan contributions (include section 401(k)

and section 403(b) employer contributions) 

Other employee benefits 

Payroll taxes 

Accounting 

Professional fundraising services. See Part IV, line 17 

Investment management fees 

Other 

Advertising and promotion

Office expenses 

Information technology 

Royalties 

Travel 

Payments of travel or entertainment expenses 

for any federal, state, or local public officials

Conferences, conventions, and meetings 

Interest 

a

b

c

d

e

Other expenses. Itemize expenses not

covered above. (Expenses grouped together

and labeled miscellaneous may not exceed

5% of total expenses shown on line 25 below.)

b

c

Section 501(c)(3) and 501(c)(4) organizations must complete all columns.

All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Fees for services (non-employees):

Management 

Legal 

Lobbying

Occupancy 

Depreciation, depletion, and amortization 

Total functional expenses. Add lines 1 through 24f 

2

3

4

5

6

7

8

10

11

f

g

12

13

14

15

16

17

18

19

20

24

22

a

d

e

f

25

Benefits paid to or for members 

All other expenses 

21 Payments to affiliates 

Part IX

Joint costs. Check here © if following

SOP 98-2. Complete this line only if the

organization reported in column (B) joint costs

from a combined educational campaign and

fundraising solicitation 

26

23 Insurance 
Form 990 (2009) Page 11

Balance Sheet

(B)

End of year

(A)

Beginning of year

Assets

1 Cash—non-interest-bearing 1

2 Savings and temporary cash investments 2

3

4 Accounts receivable, net 4

5

6

7

Receivables from current and former officers, directors, trustees, key

employees, and highest compensated employees. Complete Part II of 

Schedule L 

Notes and loans receivable, net 7

8

11

Inventories for sale or use 

Prepaid expenses and deferred charges 9

Total assets. Add lines 1 through 15 (must equal line 34) 

Liabilities

Accounts payable and accrued expenses 

Grants payable 

Deferred revenue

Tax-exempt bond liabilities 

Escrow or custodial account liability. Complete Part IV of Schedule D

Secured mortgages and notes payable to unrelated third parties 

Total liabilities. Add lines 17 through 25 

25

Payables to current and former officers, directors, trustees, key

employees, highest compensated employees, and disqualified

persons. Complete Part II of Schedule L

Net Assets or Fund Balances

Organizations that do not follow SFAS 117, check here ©

and complete lines 30 through 34.

28

Unrestricted net assets

29

Temporarily restricted net assets 

30

Permanently restricted net assets

30

31

Capital stock or trust principal, or current funds

32

Paid-in or capital surplus, or land, building, or equipment fund

Form 990 (2009)

Receivables from other disqualified persons (as defined under section 

4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete

Part II of Schedule L 

Pledges and grants receivable, net

Unsecured notes and loans payable to unrelated third parties 

Other liabilities. Complete Part X of Schedule D

5

6

8

9

19

18

20

21

22

23

17

24

26

27

Organizations that follow SFAS 117, check here © and

complete lines 27 through 29, and lines 33 and 34.

3

31

29

28

27

10a

33

Retained earnings, endowment, accumulated income, or other funds

34

Total net assets or fund balances 

Total liabilities and net assets/fund balances

32

33

34

11

Part X

10a

10b

Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D

Less: accumulated depreciation 

Investments—publicly traded securities

Investments—other securities. See Part IV, line 11

Investments—program-related. See Part IV, line 11

Intangible assets

Other assets. See Part IV, line 11

12

13

14

15

16

b 10c

12

13

14

15

16

17

18

19

20

21

22

24

25

23

26
Form 990 (2009) Page 12

Form 990 (2009)

Financial Statements and Reporting

1 Accounting method used to prepare the Form 990: Cash Accrual Other

2a 2a

Yes No

Were the organization’s financial statements compiled or reviewed by an independent accountant?

Were the organization’s financial statements audited by an independent accountant?

If “Yes” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of

the audit, review, or compilation of its financial statements and selection of an independent accountant?

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in

the Single Audit Act and OMB Circular A-133?

If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the

required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

2b

2c

3a

3b

b

c

3a

b

Part XI

d If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were

issued on a consolidated basis, separate basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If the organization changed its method of accounting from a prior year or checked “Other,” explain in

Schedule O.

If the organization changed either its oversight process or selection process during the tax year, explain in

Schedule O.