Source: https://www.scribd.com/document/82834221/DT-2004-990
Timestamp: 2016-10-28 04:32:39
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Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) " The organization may have to use a copy of this return to satisfy state reporting requirements .
, 2004, and Please C Name of organization
For the 2004 calendar year, or tax year beginning
D Address change
D Name change
use SRS DONORS TRUST, INC. label or
20 D Employer identification number 52 ;2166327 E Telephone number ( 703 ) 535-3563
F Amounting method. D Other (specify) 0 Cash D Accrual
D Initial return
111 NORTH HENRY STREET see Specific City or town, state or country, and ZIP + 4
lions . ALEXANDRIA, VA 22314
Number and street (or P O box if mail is not delivered to street addres< I Room/surte
Amended return D Application pending
G Website: Iii- WWW.DONORSTRUST.ORG
J Organization type (check only one) "
9 motion 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ) .
0 501(c) ( 3 ) -o (insert no.) D 4947(a)(1) or
El 527
K Check here " D if the organization's gross receipts are normally not more than $25,000 The organization need not file a return with the IRS, but if the organization received a Form 990 Package in the mad, d should file a return without financial data Some states require a complete return.
H and I are not applicable to section 527 or,2 a,nrzations. H(a) Is this a group return for affiliates? LJ Yes W1 No H(b) If "Yes," enter number of affiliates ii- -------- . -----H(c) Are all affiliates included? E] Yes El No (If "No," attach a list See instructions) H(d) Is this a separate return filed by an organization covered by a group rulings El Yes W3 No I Group Exemption Number M Check " 0 if the organization is not required to attach Sch B (Form 990, 990-EZ, or 990-PF)
Gross receipts Add lines 6b, 6b, 9b, and 10b to line 12 .
0 N ,G~
~,1~J
7- 0 =
Contributions, gifts, grants, and similar amounts received : 1,585,251 is Direct public support Indirect public support Government contributions (grants) 1,585,251 noncash $ Total (add lines 1 a through 1 c) (cash $ ) 2 a~sii-eltiding government fees and contracts (from Part VII, line 93) 3 MemRIEl '~'d1) asse sments 4 In S'an orary cash investments 5 rQ idends and i r t fr ecurities 6a 6a ~ oa .rant- `~ ~~~!J + -Lr 6b b L ss: rental expenses T~ c Net OODWNe .(W oss) ( btract line 6b from line 6a) a b c d
Revenue, Expenses, and Changes in Net Assets or Fund Balances (See pac
18 of the 1311_`?;: .,
3,728 11,146
c 10a b c 11 12 13 14 15 16 17
(A) Securities (s) other 8a Gross amount from sales of assets other 154,973 8a than inventory 136,651 8b b Less : cost or other basis and sales expenses. 18,322 8c c Gain or (loss) (attach schedule) d Net gain or (loss) (combine line 8c, columns (A) and (B)) See Statement 1 9 Special events and activities (attach schedule). If any amount is from gaming, check here " D a Gross revenue (not including $ of 9a contributions reported on line 1a) 9b b Less : direct expenses other than fundraising expenses Net income or (loss) from special events (subtract line 9b from line 9a) 10a Gross sales of inventory, less returns and allowances 10b Less : cost of goods sold Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) Other revenue (from Part VII, line 103) Total revenue (add lines 7d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) Program services (from line 44, column (B)) Management and general (from line 44, column (C)) Fundraising (from line 44, column (D)) Payments to affiliates (attach schedule) . Total expenses (add lines 16 and 44, column (A))
cribe "
9c 10c 11 12 13 14 15 16 17 18 19 20
1,960,499 1,323,954 29,628 222,138 1,575,720 384,779 1,226,659 18,714
18 19 m 20 21
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions .
Excess or (deficit) for the year (subtract line 17 from line 12) Net assets or fund balances at beginning of year (from line 73, column (A)) Other changes in net assets or fund balances (attach explanation) See Statement 2 Net assets or fund balances at end of ear (combine lines 18, 19, and 20)
!_ 10-
DONORS TRUST, INC .
Form 990 (2Q04) Statement of Functional Expenses
27-2166327
Page 2 All organizations must complete column (A). Columns (B), (C), and (D) are required for section 501 (c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others (See page 22 of the instructions .)
6b, 8b, 9b, 10b, or 16 Of Pelt l . 22
~A) Total
(s) Program
1,062,976 noncash $ ~ (cash $ Specific assistance to individuals (attach schedule) Benefits paid to or for members (attach schedule). Compensation of officers, directors, etc. Other salaries and wages Pension plan contributions Other employee benefits Payroll taxes Professional fundraising fees Accounting fees Legal fees Supplies Telephone Postage and shipping Occupancy Equipment rental and maintenance Printing and publications _ _ Travel Conferences, conventions, and meetings Interest Depreciation, depletion, etc. (attach schedule) Other expenses not covered above (itemize): a --------
Grants and allocations (attach schedule)
SEE STATEMENT 3___ ._________,_ . .________._ 44 Total functional expenses (add lines 22 through 43). Organizations completing columns (B)-(D), carry these totals to lines 13-15
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43a 43b 43c 43d 43e 44
1,062,976 -41,926 58,420 1,438 8,761 22,335 1,567 2,166 969 9,769 2,622 657 7,602 1,444
104,815 120,498 7,088 16,351 50,258 3,527 4,874 2,180 21,982 5,899 1,478 15,204 3,250
57,648 48,994 4,885 6,406 23,827 1,672 2,311 1,033 10,422 2,796 701 7,602 1,541
5,241 13,084 765 1,184 4,096 288 397 178 1,791 481 120
155,340 1,575,720
91,140 1,323,954
1,738 29,628
62,462 222,738
W] No ,
Joint Costs. Check " El if you are following SOP 98-2 .
Are any point costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? . Pilo- El Yes If "Yes," enter (i) the aggregate amount of these joint costs $ ; (ii) the amount allocated to Program services $ (iii) the amount allocated to Management and general $ ; and (iv) the amount allocated to Fundraising $
What is the organization's primary exempt purpose? "---------- .---------------
Statement of Program Service Accomplishments (See page 25 of the instructions.)
,ttJIAICMCNI 4 _ _ _ _ _ _ _ __ . ._ _ _ _ _ _ _ ___ .__ _ _ _ _ _ _ _ _ . .-_ ._ _ _ Program Service
All organizations must describe their exempt purpose achievements in a clear and concise manner . State the number (Requ,red for soi(c)(a) and of clients served, publications issued, etc . Discuss achievements that are not measurable. (Section 501(c)(3) and (4) (a~ orqs, and asa7(a1 trusts, but optional fDf~~) org anizations and 4947(a)(1) nonexem pt charitable trusts must also enter the amount of g rants and allocations to others . ) others )
------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------------- --------------------------(Grants and allocations SEE STATEMENT 5 $ 1 062,976)
---------------------------------------------------------------------------------------------------------------------------- ----- ---- - - ------ (Grants and allocations $ J------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------
- -------------------------------------- --------------------------------------------------------- ------------------------
-------------------------------------------------------------------------------------------------- -----------------------f Total of Program Service Expenses (should equal line 44, column (B), Program services) .
(Grants and allocations (Grants and allocations
1,323,954 Form 990 (2004)
Balance Sheets (See page 25 of the instructions.)
Note: 45 Where required, attached schedules and amounts within the description column should be for end-of-year amounts only. Cash-non-interest-bearing (A) Beginning of year (13) End of year 45
Savings and temporary cash investments 47a 47b 78,007
789,327 46
950,112 78,007
47a Accounts receivable b Less : allowance for doubtful accounts 48a b 49 50
52,905 47c
Pledges receivable 48b Less : allowance for doubtful accounts receivable Grants Receivables from officers, directors, trustees, and key employees (attach schedule) 51a Other notes and loans receivable (attach 51a schedule) 51b allowance for doubtful accounts y b Less: Inventories for sale or use 52 53 Prepaid expenses and deferred charges 54 Investments-securities (attach schedule)STMT 7 " D Cost D FMV buildings, and 55a Investments-land, 55a equipment: basis b Less: accumulated depreciation (attach 55b schedule) (attach schedule) 56 Investments-other 17,120 57a 57a Land, buildings, and equipment: basis b Less: accumulated depreciation (attach 10,622 57b schedule) ~ 58 Other assets (describe " DEPOSITS 59 Total assets (add lines 45 through 58) (must equal line 74)
49 50 51c 52 548 53 372,018 54 s `' 55c 56 9,747 57c 4,103 58 1,228,648 59 1,989 60 61 62 63 64a 65 1,989 1,226,659 gg 11,564 1,630,152 6,498 6,720 1,641,716 11,564
Accounts payable and accrued expenses Grants payable , Deferred revenue . . Loans from officers, directors, trustees, and key employees (attach schedule) M 64a Tax-exempt bond liabilities (attach schedule) b Mortgages and other notes payable (attach schedule) . ) 65 Other liabilities (describe " 66 Total liabilities (add lines 60 through 65) .
Organizations that follow SFAS 117, check here " ~ and complete lines y 67 through 69 and lines 73 and 74 . _ v 67 Unrestricted c 68 Temporarily restricted m 69 Permanently restricted c Organizations that do not follow SFAS 117, check here " El and complete lines 70 through 74 . U. 0 70 Capital stock, trust principal, or current funds Paid-in or capital surplus, or land, building, and equipment fund 10 71 72 Retained earnings, endowment, accumulated income, or other funds
70 through 72 ; 'v 1,226,659 73 1,630,152 column (A) must equal line 19 ; column (B) must equal line 21) 1,228,648 1,641,716 fund balances (add lines 66 and 73) 74 74 Total liabilities and net assets / information about a Form 990 is available for public inspection and, for some people, serves as the primary or sole source of particular organization . How the public perceives an organization in such cases may be determined by the information presented on its return . Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments.
Total net assets or fund balances (add lines 67 through 69 or lines
72 ~"--'- :
DONORS TRUST, INC Form 990 (2004)
Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See page 27 of the instructions.) a b Total revenue, gains, and other support per audited financial statements " Amounts included on line a but not on line 12, Form 990: 18,714 a 1,979, 3 a b
Total expenses and losses per audited financial statements " Amounts included on line a but not on line 17, Form 990: $ a
1,57 5,720
(1) Net unrealized gains $ on investments (2) Donated services and use of facilities (3) Recoveries of prior year grants (4) Other (specify):
(1) Donated services and use of facilities
(2) Prior year adjustments reported on line 20, Form 990 (3) Losses reported on line 20, Form 990 (4) Other (specify): b c 18,714 1,960,499 c d
$ c -
Add amounts on lines (1) through (4) " c d Line a minus line b Amounts included on line 12, Form 990 but not on line a: ~
(1) Investment expenses not included on line 6b, Form 990 $ (2) Other (specify): ------ - ----e
$ ., 0 d Add amounts on lines (1) and (2) " d 0 Add amounts on lines (1) and (2) " Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990 1,960,499 1,575,720 line c plus line d) . . " e line c plus line d " e List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated ; see page 27 of the instructions.)
(A) Name and address (B) Title and average hours per week devoted to position (C) Compensation (if not paid, enter -a .
CoMnbWons to (E) Expense yee benefit plans & account and other red com ensation allowances 3,402
(1) Investment expenses not included on line 6b, Form 990 (2) Other (specify): --------------------
---------------------- $ Add amounts on lines (1) through (4)101 Line a minus line b Amounts included on line 17, Form 990 but not on line a:
0 1,57 5 ,720 ` ~_ys
WHITNEY L. BALL ---------------------------------------- -- --- - -- -- - - - --------- SEC'YITREASURER ALL CAN REACHED IN C/O OF THE ORGAN KIMBERLY O. DENNIS ------ PRESIDENT JAMES PIERESON --------------------------------------------------------------DIRECTOR NATHANIEL MOFFAT ----------------------------------------------- - - - -- ---- --C DIRECTOR DANIEL C. SEARLE VICE-PRESIDENT
104,815 0 0 0 0 0
WILLIAM J. HOME --------------------------------------------------------------- DIRECTOR ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations . " If "Yes," attach schedule-see page 28 of the instructions .
0 Yes 93 No
FoCm 990 (2004)
27-2166327 Page rJ
76 77 78a b 79 80a b 81a b 82a b 83a b 84a b 85 b c d e f g h 86 87
88 89a b c d 90a b 91 92
7s J Did the organization engage in any activity not previously reported to the IRS If "Yes," attach a detailed description of each activity . 77 J the Were any changes made in the organizing or governing documents but not reported to IRS? If "Yes," attach a conformed copy of the changes. 78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? 78b If "Yes," has it filed a tax return on Form 990-T for this year? 79 r Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement aR °, Is the organization related (other than by association with a statewide or nationwide organization) through common 80a r membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? DONORS CAPITAL FUND, INC. If "Yes," enter the name of the organization " -----------------------------------------------------------------'', `f'~` _____________ .____. . .__ .. .. .._ . . . . .. .. .________________ and check whether it is W1 exempt or D nonexempt. 181 a Enter direct and indirect political expenditures . See line 81 instructions 81b J Did the organization file Form 1120-POL for this year? Did the organization receive donated services or the use of materials, equipment, or facilities at no charge 82a or at substantially less than fair rental value? If "Yes," you may indicate the value of these items here. Do not include this amount 182b I ,. as revenue in Part I or as an expense in Part II . (See instructions in Part III.). 83a J Did the organization comply with the public inspection requirements for returns and exemption applications? 83b r Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 84a r Did the organization solicit any contributions or gifts that were not tax deductible? y =- .r If "Yes," did the organization include with every solicitation an express statement that such contributions 84b or gifts were not tax deductible? 85a 501(c)(4), (5), or (6) organizations . a Were substantially all dues nondeductible by members? 85b Did the organization make only in-house lobbying expenditures of $2,000 or less? If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization ,pus received a waiver for proxy tax owed for the prior year. ~ . - 85c I Dues, assessments, and similar amounts from members Section 162(e) lobbying and political expenditures Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices . Taxable amount of lobbying and political expenditures (line 85d less 85e) Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? 501(c)(7) orgs. Enter: a Initiation fees and capital contributions included on line 12, 86b Gross receipts, included on line 12, for public use of club facilities 501(c)(12) orgs . Enter: a Gross income from members or shareholders Gross income from other sources. (Do not net amounts due or paid to other ~ 87b sources against amounts due or received from them .) At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 .7701-2 and 301 .7701-3? If "Yes," complete Pan IX . ,r, . 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under: '-t 0 ; section 4955 0 ; section 4912 " section 4911 . 501(c)(3) and 501(c)(4) orgs. Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," attach ~ 89b a statement explaining each transaction Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under 110. sections 4912, 4955, and 4958 . 0 00. Enter: Amount of tax on line 89c, above, reimbursed by the organization . _SEE STATMENT 9 List the states with which a copy of this return is filed " 3 1 90b 1 Number of employees employed in the pay period that includes March 12, 2004 (See instructions.) . . SEE PAGE 1 THE CORPORATION . . . . . The books are m care of " ---------------------------- Telephone no. " ( . . .. .. )- ------------ -------SEE PAGE 1 SEE PAGE 1 Located at " -------------------------------------------------------------------------- ZIP + 4 " -------------------------------------" 0 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 m lieu of Form 1041-Check here received or accrued during the tax year " I 92 and enter the amount of tax-exempt interest I
.Y'.sd~S1~ ~Fi :1. r'~~
Other Information (See page 28 of the instructions.)
Farm 990 (2004)
Analysis of Income-Producing Activities See page 33 of the instructions.
Unrelated business income (B) Amount (A) Business code (C) Exclusion code
Note: Enter gross amounts unless otherwise indicated. Program service revenue : 93
Excluded by section 512, 513, or 514 (ID) Amount
a ADMINISTRATIVE SERVICES
b c d e f Medicare/Medicaid payments g Fees and contracts 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 b not debt-financed property , 98 Net rental income or (loss) from personal property 99 Other investment income 100 Gam or (loss) from sales of assets other than inventory 101 Net income or (loss) from special events 102 Gross profit or (loss) from sales of inventory 103 Other revenue: a b c d .. 104 Subtotal (add columns (B), (D), and (E)) 105 Total (add line 104, columns (B), (D), and (E)) Note: Line 105 plus line 1d, Part l, should equal the amount on line 12, Part l.
33,196 0.
342,051 375,24E
PAYMENT FROM SUPPORTING ORGANIZATION FOR ADMINISTRATIVE SERVICES
Relationship of Activities to the Accom plishment of Exem pt Purpo ses See p ag e 34 of the instructions . Explain how each activity for which income is reported m column (E) of Part VII contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) .
Name, address, and partnership, or di
of corporation,
ardin Taxable Subsidiaries and (s)
ded Entities See p a g e 34 of the inst (C) Nature of activities (D) Total income
Information Regarding Transfers Associated with (a) Did the organization, during the year, receive any funds, directly or indire (b) Did the organization, during the year, pay premiums, dire Note : If "Yes" to (b), file Form 8870 and Form 4 720 (see ins
Please Under penalties f penury, I declare that I have examined this return and belief, d isue, correct and complete Dealdraition of preparer ~.+w
Contracts (See Daae 34 of the
' QrAt we of fficer 1 ' Whitney L. Ball Exe
Preparer's' signature Firm's name (or yo if self-employed), address . and ZIP + 4
JefFrey X975 E
ysik c/o CEA LLC mrise Blvd Ste 823 I
(F'Of1Y1 990 Or 990-EZ)
(Except Private Foundation) and Section 501(e), 5010, 501(k), 501(n), or Section 4947(a)(1) Nonexempt Charitable Trust
infernal Revenue Service Name of the organization
" MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Employer identification number 52 .2166327
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (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 (c) Compensation (d) Contributions to employee benefit plans & deferred compensation
(a) Name and address of each employee paid more than $50,000 JESSICA F. DICKSON
--------------------------------------------------------ADDRESS IN C/O OF ORGANIZATION
ASSOCIATE DIR 40+
JOY SIMINGTON --------------------------------------------------------- PROGRAM ADMINISTRATOR 40+ ADDRESS IN CIO OF ORGANIZATION STACY M. ROOT ~ MARKETING DIR 40+ ----------------------------------------- ----------- ADDRESS IN C/O OF ORGANIZATION
------------------------ -------------------------------Total number of other employees paid over -
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service
(See page 2 of the instructions . List each one (whether individuals or firms) . If there are none, enter "None .") (c) Compensation
---------------------------------------------------------------------------------------Total number of others receiving over $50,000 far " professional services For Paperwork Reduction Act Notice, see the Instructions for Form 990 and form 990-EZ . -7-
0 Cat No 11285E Schedule A (Form 990 or 990-EZ) 2004
DONORS TRUST, INC
52-2166327 Page 2
1 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 )
;: t4 -
Organizations that made an election under section 501(h) by filing Form 5768 must complete Pan VI-A . Other organizations checking "Yes" must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities . 2 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 defaded statement explaining the transactions.) Sale, exchange, or leasing of property? Lending of money or other extension of credit? Furnishing of goods, services, or facilities? Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? See 990 Part V Transfer of any part of its income or assets? 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.) Do you have a section 403(b) annuity plan for your employees? Did you maintain any separate account for participating donors where donors have the right to provide advice on the use or distribution of funds? Do you provide credit counseling, debt management, credit repair, or debt negotiation services? 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 7 8 9 D A church, convention of churches, or association of churches . Section 170(b)(1)(A)(i) 2b 2° 2d 2e r
a b c d e 3a b 4a b
3b 4a ~4b
D A hospital or a cooperative hospital service organization . Section 170(b)(1)(A)(m) . D A Federal, state, or local government or governmental unit . Section 170(b)(1)(A)(v) . D A medical research organization operated in conjunction with a hospital . Section 170(b)(1)(A)(ui) . Enter the hospital's name, city, and state " -----------------------------------------------------------------------------------------------------------------------------10 D An organization operated for the benefit of a college or university owned or operated by a governmental unit . Section 170(b)(1)(A)(iv) . (Also complete the Support Schedule in Part IV-A .) 111a 0 An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)(A)(vi) . (Also complete the Support Schedule in Part IV-A .) iib D A community trust . Section 170(b)(1)(A)(vi) . (Also complete the Support Schedule m Part IV-A .) 12 D An organization that normally receives : (1) more than 33'/3% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc ., functions-subject to certain exceptions, and (2) no more than 33'/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 . See section 509(a)(2) . (Also complete the Support Schedule in Part IV-A.) 13 D An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in : (1) lines 5 through 12 above ; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) . (See section 509(a)(3) .) Provide the following information about the supported organizations. (See page 5 of the instructions .) (b) Line number (a) Name(s) of supported organization(s) from above
D A school . Section 170(b)(1)(A)(ii) . (Also complete Part V.)
[] An organization organized and operated to test for public safety . Section 509(a)(4). (See page 5 of the instructions.)
Schedule~A (Form 990 or 990-EZ) 2004
Support Schedule (Complete only if you checked a box on line 10, 11, or 12 .) Use cash method of accounting. Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting.
" Calendar year (or fiscal year beginning in) 15 Gifts, grants, and contributions received . (Do
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the
not include unusual grants . See line 28 .) . Membership fees received
organization's charitable, etc., purpose 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 Net
activities not included in line 18
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf The value of services or facilities furnished to the organization by a governmental unit without charge . Do not include the value of services orfacilities generally furnished to the public without charge Other income Attach a schedule . Do not include gain or (loss) from sale of capital assets Total of lines 15 through 22 Line 23 minus line 17 Enter 1 % of line 23 Organizations described on lines 10 or 11 b a
1,218,086 1,028,703 12,181
1,178,317 1,076,188 1 11,783
792 756 7
477,792 417,792
4,178 26a ''
755 65,581 ,r . 1,458,119
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 " " Total support for section 509(a)(1) test : Enter line 24, column (e) 35,891 19 18 Add . Amounts from column (e) for lines : 1,458,119 ~ 22 26b " Public support (line 26c minus line 26d total) " Public support percentage (line 26e (numerator) divided by line 26c (denominator))
2gb 2g° I y 26d 26e 28f
1,494,010 1,785,017 54.44 ~/
a For amounts included in lines 15, 16, and 17 that were received from a "disqualified Organizations described on line 12: person," prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person " Do not file this list with your return . Enter the sum of such amounts for each year: b (2003) --------------------------- (2002) --------------------------- (2001) --------------------------- (2000) -------------------------For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 . (Include in the list organizations described in lines 5 through 11, as well as individuals .) Do not file this list with your return. After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: (2003) --------------------------- (2002) --------------------------- (2001) ---------------------------- (2000) -------------------------15 16 Add: Amounts from column (e) for lines : 20 21 17 Add : Line 27a total, and line 27b total Public support (line 27c total minus line 27d total)
" 27f f Total support for section 509(a)(2) test : Enter amount from line 23, column (e) g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denomin
27g 27h
Unusual Grants : For an organization described in line 10, 11, or 12 that received any unusual grants during 2000 through 2003, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nat ure of the grant. Do not file this list with your return . Do not include these grants in line 15.
Schedule 'A (Form 990 or 990-EZ) 2004
Private School Questionnaire (See page 7 of the instructions.) (To be completed ONLY by schools that checked the box on line 6 in Part 11n
other governing instrument, or in a resolution of its governing body?
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
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? If "Yes," please describe ; if "No," please explain . (If you need more space, attach a separate statement) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
a Records indicating the racial composition of the student body, faculty, and administrative staff? b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis?
c d Copies of all catalogues, brochures, announcements, and other written communications to the public dealing
.: .~ with student admissions, programs, and scholarships?
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 .)
. ;,. _ ..
--------------------------------------------------------------------------------------------------------------------Does ----- the organization discriminate by race in any way with respect to: a Students' rights or privileges? b Admissions policies?
c d e f g h Employment of faculty or administrative staff? Scholarships or other financial assistance? Educational policies? Use of facilities? Athletic programs? Other extracurricular activities? If you answered "Yes" to any of the above, please explain . (If you need more space, attach a separate statement) ---------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
. _ c. .
r . .,. .;, .
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 ~° a -
.' 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 Schedule A (Form 990 or 990-EZ) 2004
DONORS TRUST, INC. Schedule A (Form 990 or 990-EZ) 2004
Check " a
Page 5 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 " b 0 if you checked "a" and "limited control" provisions apply D if the organization belongs to an affiliated group . Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred .) Affiliated group totals 36 37 3$ 39 40 -`~ ~41 `T ~> for ALL electi ng organizations
Total lobbying expenditures to influence public opinion (grassroots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 36 and 37) Other exempt purpose expenditures Total exempt purpose expenditures (add lines 38 and 39) Lobbying nontaxable amount . Enter the amount from the following tableIf the amount on line 40 isThe lobbying nontaxable amount isNot over $500,000 20% of the amount on line 40 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 Over $17,000,000 $1,000,000 Grassroots nontaxable amount (enter 25% of line 41) Subtract line 42 from line 36 . Enter -0- if line 42 is more than line 36 Subtract line 41 from line 38 . Enter -0- if line 41 is more than line 38
Caution : If there is an amount on either line 43 or line 44, you must file Form 4720.
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 below See the instructions for lines 45 through 50 on page 11 of the instructions .) Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal year beginning in) " 45 46 47 Lobbying nontaxable amount , '~ '~ L t `, . .r A (a) 2004 (b) 2003 (c) 2002 (d) 2001 (e) Total 0 0 0
Lobbying ceiling amount (150% of line 45(e)) Total lobbying expenditures
Grassroots nontaxable amount
Grassroots ceding amount (150% of line 48(e))
Grassroots lobbying expenditures
Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not corn
Part VI-A) (See page 11 of the instructs
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:
a Volunteers d e f g h
b Paid staff or management (Include compensation in expenses reported on lines c through h .) . c 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.
Schedule A (Forth 990 or 980-EZ) 2004
Schedule A (Form 990 or 990-E4 2004
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 11 of the instructions.)
a Transfers from the reporting organization to a noncharitable exempt organization of : (i) Cash (ii) Other assets Other transactions' (i) Sales or exchanges of assets with a noncharitable exempt organization (iii) Rental of facilities, equipment, or other assets
(ii) Purchases of assets from a noncharitable exempt organization
Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501 (c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
b(iii) J
b iv r _ (iv) Reimbursement arrangements b(y) r (v) Loans or loan guarantees b vi (vi) Performance of services or membership or fundraising solicitations c c Sharing of facilities, equipment, marling lists, other assets, or paid employees . d If the answer to any of the above is "Yes," complete the following schedule . Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization . If the organization received less than fair market value m any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received .
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? "
DONORTRUST, INC.
FORM 990 GAIN (LOSS) FROM PUBLICLY TRADED SECURITIES GROSS COST OR EXPENSE SALES PRICE OTHER BASIS OF SALE $0 Sale of marketable securities $154,973 $136,651 To Part 1, Line 8 $154,973 $136,651 $0
STATEMENT 1 NET GAIN OR (LOSS) $18,322 $18,322
FORM 990 OTHER CHANGES IN NET ASSETS OR FUND BALANCES
AMOUNT $18,714 $18,714
Unrealized gain on investments Total to Part I, Line 20
(A) (B) PROGRAM SERVICES $717 (8,507) 4,889 595 276 0 93,170 $91,140 (C) MANAGEMENT & GENERAL $123 624 840 103 48 0 0 $1,738
(D) FUNDRAISING $673 3,404 4,582 558 259 52,986 0 $62,462
Utilities Miscellaneous Website costs Insurance Dues Advertising & Promotion Project for New Philanthropy Total to Part II, Line 43
TOTAL $1,513 (4,479) 10,311 1,256 583 52,986 93,170 $155,340
FORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE PART III EXPLANATION
SUPPORT CHARITIES WHICH ALLEVIATE, THROUGH EDUCATION, RESEARCH AND PRIVATE INITIATIVES, SOCIETY'S MOST PERVASIVE AND RADICAL NEEDS, INCLUDING THOSE RELATING TO SOCIAL WELFARE, HEALTH, ENVIRONMENT, ECONOMICS, GOVERNANCE, FOREIGN RELATIONS AND ARTS AND CULTURE; AND WHICH ENCOURAGE PHILANTHROPY AND INDIVIDUAL GIVING AND RESPONSIBILITY AS AN ANSWER TO SOCIETY'S NEEDS, AS OPPOSED TO GOVERNMENTAL INVOLVEMENT.
DONOR TRUST, INC .
DESCRIPTION OF PROGRAM SERVICE TWO THE PROJECT FOR NEW PHILANTHROPY STUDIES (NPS) IS A PROGRAM OF DONORS TRUST THAT ENGAGES SCHOLARS AND PRACTITIONERS SEEKING TO BETTER UNDERSTAND THE ROLE OF VOLUNTARY ACTION AND PHILANTHROPY IN ACHIEVING SOCIAL COOPERATION AND DISTRIBUTION OF PRIVATE AND PUBLIC GOODS . FORM 990 CLASSIFICATION GRANT TOTAL INCLUDED ON FORM 990, PART II, LINE 22 FORM 990 CASH GRANTS AND ALLOCATIONS GRANTEE'S NAME PLEASE SEE ATTACHED LIST GRANTEE'S ADDRESS GRANTEE'S RELATIONSHIP NONE STATEMENT 6 AMOUNT $1,062,976
$1,062,976 NON-GOVERNMENT SECURITIES STATEMENT 7
OTHER PUBLICLY TRADED SEC. OTHER SEC. $600,379 $600,379 TOTAL NONGOVT SEC.
Mutual Funds To Part N, Line 54, Col. B
$600,379 $600,379
ACCUMULATED DEPRECIATION $10,622 $10,622
Office Furn. & Equip. To Part N, Line 57
COST OR OTHER BASIS $17,120 $17,120
BOOK VALUE $6,498 $6,498
STATES IN WHICH FORM 990 FILED
AK,AZ,AZ,CA,DC,FL,GA,IL,KS,KY,LA,MD,ME,MI,MN,MO,MS,NC,ND,NH,NJ,NM,NY,OH,OK,PA,RI,SC, TN,UT,VA,WA,WI,WV.
2004 Form 990 - Part II, Line 22 - Grants 8 Allocation Schedule
Address 6201 Leesburg Pike, Suite 220 161 Ottawa N W, Suite 301 15333 North Pima Road Suite 165 P O Box 3296 2160 East Fry Blvd #426 1009 Cameron Street 1150 Seventeenth Street, NW 11 East 69th Street 2000 North 14th Street, Ste 550 1920 L Street N W , Suite 200 310 South Peoria Street # 300 2001 L Street, NW 60 East 42nd Street, Suite 2102 200 North 14th Street 317 S College Street Suffolk University, 8 Ashburton Place 200 N Glebe Road, Suite 1050 1325 W Walnut Hill Lane 250 Central Avenue Post Office Box 2216 Post Office Box 931 P O Box 628222 3800 Blackford Avenue 1513 16th Street, N W P O Box 720 1000 Massachusetts Avenue, N W 1001 Connecticut Avenue, N W , Suite 204 P O Box 488 8 West 38th Street, 9th Floor 134 Christendom Drive P O Box 535 730 North Franklin Street #404 937 Foothill Boulevard, Suite E 215 Lexington Avenue P O Box 1504 29 Castle Place City Falls Church Grand Rapids Scottsdale Fremont Sierra Vista Alexandria Washington New York Arlington Washington Chicago Washington New York Arlington Auburn Boston Arlington Irving Albany Decatur Camarillo Orlando San Jose Washington West Covina Washington Washington Wachula New York Front Royal Front Royal Chicago Claremont New York Monterey New Rochelle 1001 Connecticut Avenue, Suite 1250 Washington P O Box 155 Greenvdle 159 Sapsucker Woods Road Ithaca 907 Maryland Avenue, NE Washington One Dag Hammarskjold Plaza, 885 2nd Ave 1 New York 1904 Franklin Street, Suite 517 Oakland 153 East 53rd Street, 49th Floor New York P O Box 5335 Santa Rosa P O Box 618 Alton 3135 Easton Turnpike, Rm E1-42 Fairfield 5817 Old Leeds Road Irondale 1 Briar Road Golf 806 Shaker Museum Road Auburn 1015 18th Street N W , Ste 425 Washington 1666 Connecticut Avenue, NW Washington 8605 Explorer Drive Colorado Springs 900 Broadway, Suite 602 New York 5500 River Road Bethesda 717 2nd Street, N E Washington P O Box 2072 Lrvingston Post Office Box 5570 Helena 1526 18th Street, NW Washington 3300 Poinsett Highway Greenvdle 1314 S King Street #1163 Honolulu Post Office Box 309 Jamestown 8001 Forties Place, Suite 102 Springfield 214 Massachusetts Avenue, N E Washington 1015 15th Street, NW, Sixth Floor[] []Suite 601 Washington 1726 M Street, NW Washington P O Box 467703 Atlanta 3301 North Fairfax Drive Suite 440 Arlington 1717 Pennsylvania Avenue, N W, Suite 200 Washington State Zip VA 22044 MI 49503 AZ 85260 CA 94539 AZ 85635-2794 VA 22314 DC 20036 NY 10021 VA 22201 DC 20036 IL 60607 DC 20036 NY 10165 VA 22201 AL 36849-5149 MA 02108-2770 VA 22203 TX 75015-2079 NY 12206 AL 35609 CA 93011 FL 32832 95117 CA DC 20036-1480 91793 20001-5403 20036-4353 33873 10018 22630 22630 60610 91711 10016 93942 10805 20036 02828 14850-1999 20002 10017 94612 10022 95402 62002-0618 06828 35210 60029 42206 20036 20009 80920 10003 20819
Amount $70000 $12,25000 $10000 $1,00000 $9,00000 $2,25000 $7,50000 $6,00000 $84,15000 $6,10000 $10000 $35000 $10000 $12,00000 $10000 $25000
Grantee A Woman's Choice Acton Institute for the Study of Religion & Liberty Alliance Defense Fund Alsion Montesson Foundation American Border Patrol American Conservative Union Foundation American Enterprise Institute American Friends of Hebrew University American Friends of IEA Americans for Tax Reform Foundation Americans United For Life America's Future Foundation Atlantic Legal Foundation Atlas Economic Research Foundation Auburn University Foundation Beacon Hill Institute for Public Policy Research Bill of Rights Institute Boy Scouts of America Brighter Choice Foundation Calhoun Community College California Public Policy Foundation Campus Crusade For Christ Canyon Heights Academy Capital Research Center Catholic Resource Center Cato Institute Center for Education Reform Center for Great Apes Children's Scholarship Fund Christendom College Christian Freedom International Citizens United for Research in Epilepsy (CURE) Claremont Institute CMEDIA Coastal Peaks Association, Inc College of New Rochelle Competitive Enterprise Institute Consecrated Women Cornell Laboratory of Ornithology Cornerstone Community Schools Danish American Society Diversity Alliance for a Sustainable America Donors Forum on International Affairs Eagle Forum-CA Eagle Forum-IL ELFUN Community Foundation Eternal Word Television Network Evans Scholars Foundation Fathers of Mercy Federalist Society for Law & Public Policy Federation for American Immigration Reform (FAIR) Focus on the Family Foundation for Cultural Review Fourth Presbyterian Church Free Congress Foundation Friends of The Library Fully Informed Jury Association Fund for American Studies Furman University Grassroot Institute of Hawaii Guilford Technical Community College Gun Owners Foundation Heritage Foundation Hudson Institute Independent Women's Forum Innovative Media, Inc (ZENIT) Institute for Humane Studies Institute for Justice
CA DC DC FL NY VA VA IL CA NY CA NY DC RI NY DC NY CA NY CA IL CT AL IL KY DC DC CO NY MD DC MT MT DC SC HI NC VA DC DC DC GA VA DC
$10,00000 $10000 $247,50000 $1,00000 $1,25000 $1,50000 $8,00000 $5,00000 $1,20000 $19,45000 $50000 $2,00000 $10000 $10000 $3,00000 $50000 $10000 $50000 $1,50000 $5,00000 $5,75000 $1,20000 $1,00000 $5,00000 $3,20000 $3,00000 $10,00000 $15000 $60000
20002-4368 59047 59604-5570 20036 29613-1000 96814 27282 22151 20002-4999 20005 20036 31146 22201 20006-4615
$5,00000 $1,10000 $5,00000 $1,00000 $2,50000 $20,10000 $50000 $5,00000 $15,00000 $25000 $1,00000 $2,50000 $75000 $50000 $23,75600 $1,00000 $2,00000 $17,20000 $5,00000 $10000 $30000 $5,35000 $6,20000
2004 Form 990 - Part II, Line 22 - Grants & Allocation Schedule
Address City 1717 Pennsylvania Avenue, N W, Suite 200 Washington 250 South Stemmons Freeway, Suite 215 Lewiswlle 1521 16th Street, NW Washington 3901 Centerville Road P O Box 4431 Wilmington P O Box 10277 Silver Sprang 3rd Fl, Bedford Chambers, The Piazza, Covent Garden London 4595 Broadmoor SE, Suite 295 Grand Rapids 11 East 44th Street New York 1616 P Street, NW Suite 300 Washington Ashland College[1401 College Avenue Ashland 445-B Carlisle Drive Herndon 1101 North Highland Street Arlington 28 Beekman Avenue Sleepy Hollow P O Box 4185 Hamden Post Office Box 188 Kinston P O Box 14 Livingston Auburn University Auburn 140 West Main Street, P O Box 568 Midland 52 Vanderbdt Avenue New York University Park 65 Landsdowne Street, Room Cambridge P O Box 9300 McLean 113 S West Street Alexandria 1275 York Avenue New York One American Square, Suite 1750, Box 8207£ Indianapolis P O Box 116284 Atlanta 16633 Ventura Boulevard #1340 Encino 8001 Braddock Road, Ste 500 Springfield 12655 North Central Expressway, Suite 720 Dallas 50 F Street, NW #300 Washington 215 Lexington Avenue New York 108 North Alfred Street Alexandria P O Box 1162 Weston P O Box 60500 Dallas 170 Central Park West New York 2777 Knapp NE Grand Rapids 1601 North Kent Street Suite 1100 Arlington P O Box 4366 Citrus Heights 3900 Lennane Drive, Suwte 200 Sacramento 755 Sansome, Suite 450 San Francisco 701 North Broadway New York 11620 Rutan Circle Jerome 1150 17th Street, N W Suite 503 Washington P O Box 141172 Staten Island 1150 17th Street, NW Washington P O Box 15641 Washington 2048 Analysis Drive, Suite A Bozeman P O Box 260 Hankms 3415 South Sepulveda Boulevard, Ste 400 Los Angeles 1230 York Avenue New York Post Office Box 1595 Salisbury P O Box 4 Mecosta 15333 Woodard Road San Jose 6423 S Woodlawn Chicago 1449 Wilcox Park Drive, SE Grand Rapids 1800 Barrs Street P O Box 41564 Jacksonville 6255 Arlington Blvd Richmond 21 East 40th Street, Suite 1601 New York 2001 L Street, NW, Suite 1050 Washington 900 Congress Ave , Ste 400 Austin P O Box 3808 Evergreen 293 Benedict Avenue Tarrytown 4880 MacArthur Blvd Washington 1747 Pennsylvania Ave NW, Suite 1050 Washington P O Box 1230 Prescott 110 Elden Street, Suite A Herndon 7007-A Bradley Blvd , Suite 100 Potomac State DC TX DC DE MD MI NY DC OH VA VA NY CT NC MT AL MI NY MA VA VA NY IN GA CA VA TX DC NY VA ct TX NY MI VA CA CA CA NY MI DC NY DC DC MT NY CA NY Zip 20006-4615 75067 20036 19087-1938 20917 49512 10017 20036 44805 20170 22151 10591 06514 28502-0188 59047-0014 36849 48640-0568 10017 02139 22102 22314 10021 46282-0004 30368 91436 22160 75243-1739 20001 10016 22314 06883 75265-0500 10024 49525 22209 95611 95834 94111-1709 10591 49249-9530 20036 10314 20036 20003 59718 12741 90034-6014 10021 28145 49332 95124 60637 49506 32203 94805 10016 20036 78701 80437 10591 20007 20006 86302-1230 20170-4809 20817-2149
Amount $5,00000 $25000 $152,00000 $2,50000 $1,50000 $17,82000 $10000 $10,00000 $35000 $5,00000 $30000 $50000 $10,00000 $4,00000 $1,00000 $1,00000 $2,50000 $25000 $21,00000 $10,00000 $5,00000 $1,50000 $1,00000 $2,00000 $25000 $10000 $5,00000 $5,25000 $1,00000 $10,00000 $1,00000 $2,00000 $25000 $10,00000 $70000 $15,00000 $2,00000 $10000 $6,00000 $10,00000 $2,25000 $10,00000 $25000 $5,00000 $5,00000 $5,50000 $75000 $4,50000 $10,00000 $1,00000 $5,10000 $4,00000 $20000 $60000 $5,00000 $1,75000 $15,00000 $1,00000 $50000 $12,50000 $25,00000 $3,00000 $10000 $17,00000 $1,00000 $2,50000 $1,062,976 00
Grantee Institute for Justice Institute for Policy Innovation Institute of World Politics Intercollegiate Studies Institute International Christian Concern, Inc International Policy Network International Steward James Joyce Foundation Jesuit Refugee Services John M Ashbrook Center for Public Affairs, Ashlan Landmark Legal Foundation Leadership Institute Legend of Sleepy Hollow Monument Committee Legion of Christ Lenoir Community College Livingston Education Foundation Ludwig Von Mises Institute Mackmac Center for Public Policy Manhattan Institute For Policy Research MS General Hospital - AIDS Research Center McLean Bible Church Media Research Center Memorial Sloan-Kettering Cancer Center Milton and Rose D Freedman Foundation Mission to the World NARTH Nat Right to Work Legal Def & Edu Fdn National Center for Policy Analysis National Immigration Forum National Review Institute National Taxpayers Union Nature Conservancy-CT Chapter New Life Ministries New York Historical Society North Hills Classical Academy NumbersUSA Education and Research Council Pacific Justice Institute Pacific Legal Foundation Pacific Research Institute for Public Policy Phelps Memorial Hospital Philadelphia Society Philanthropy Roundtable Priests For Life Project for the New American Century ProjectUSA Property and Environment Research Center (PERC) Queen's Work, Inc Reason Foundation Rockefeller University Rowan-Cabarrus Community College Russell Kirk Center St Frances Cabrini Catholic Church St Martin de Porres House of Hope St Thomas the Apostle Catholic Church
St Vincent's Foundation State Policy Network Student Sponsor Partners Tax Foundation Texas Public Policy Foundation The Flagstaff Institute The Hackley School The River School U S English Foundation US, Inc Young America's Foundation Youth for the Millennium
NC MI CA IL MI FL CA NY DC TX CO NY DC DC AZ VA MD
,886$
" File a separate application for each return
" D " If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form). Do not corn lete Part 11 unless you have already been ranted an automatic 3-month extension on a previousl y filed Form 8868 . Automatic 3-Month Extension of Time-Only submit original (no copies needed) Form 990-T corporations requesting an automatic 6-month extension-check this box and complete Part I only . " D All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns. Partnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041 . Electronic Filing (e-file) . Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns noted below (6 months for corporate Form 990-T filers) . However, you cannot file it electronically if you want the additional (not automatic) 3-month extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868 . For more details on the electronic filing of this form, visit www.irs .gov/efile .
Name of Exempt Organization Donors Trust, Inc. Number, street, and room or suite no If a P .O . box, see instructions . 111 North Henry Street City, town or post office, state, and ZIP code . For a foreign address, see instructions Alexandria, VA 22314
Employer identification number -52 : 2166327
Check type of return to be filed (file a separate application for each return): D Form 990 D Form 990-T (corporation) D Form 990-BL ~ Form 990-T (sec . 401 (a) or 408(a) trust) D Form 990-EZ D Form 990-T (trust other than above) D Form 990-PF D Form 1041-A 0 The books are in the care of "_Donors Trust, Inc__
~ 0 D D
Telephone No . " (--703 -- ~--535-5363----------------FAX No. " S----------~-----------------------------" If the organization does not have an office or place of business in the United States, check this box " D " If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box " 0 . If it is for part of the group, check this box " Q and attach a list with the names and EINs of all members the extension will cover. 1 I request an automatic 3-month (6-months for a Form 990-T corporation) extension of time until August 15. . . . . .. . . . , 20 -05, to file the exempt organization return for the organization named above. The extension is for the organization's return for: " D calendar year 20 .9.4 or " D tax year beginning --------------------------------- , 20 ---, and ending ----------------------------------- , 20 --If this tax year is for less than 12 months, check reason : 0 Initial return
D Final return D Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made . Include any prior year overpayment allowed as a credit
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions $ Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions .
For Privacy Act and Paperwork Reduction Act Notice, see Instructions. Cat No 27916D Form 8868 (Rev 12-200a)
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