Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 3

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COLLATERAL REPAIR PROJECT
20-4928141
2
Form 990 (2015)
Page
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III 
1
Briefly describe the organization's mission:
TO PROVIDE AID AND COMMUNITY TO IRAQI REFUGEES AND OTHER CIVILIAN
VICTIMS OF WAR AND CONFLICT - THOSE COMMONLY REFERRED TO AS
"COLLATERAL DAMAGE." WE SEEK TO REPAIR SOME OF THIS DAMAGE, AND
THROUGH THESE EFFORTS, TO FOSTER PEACE AND RECONCILIATION.
2
Did the organization undertake any significant program services during the year which were not listed on
X
the prior Form 990 or 990-EZ?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
No
If "Yes," describe these new services on Schedule O.
X
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.
Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.
4
Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and
revenue, if any, for each program service reported.
65963.
4a
(
) (
) (
)
Code:
Expenses $
including grants of $
Revenue $
OPERATE COMMUNITY CENTER PROVIDING EVENTS AND CLASSES FOR VICTIMS OF
WAR
178654.
4b
(
) (
) (
)
Code:
Expenses $
including grants of $
Revenue $
PROVIDE EMERGENCY AID AND MEDICAL ASSISTANCE TO VICTIMS OF WAR
23760.
4c
(
) (
) (
)
Code:
Expenses $
including grants of $
Revenue $
PROVIDE FAMILY SUPPORT TO VICTIMS OF WAR
4d
Other program services (Describe in Schedule O.)
(
) (
)
Expenses $
including grants of $
Revenue $
268377.
4e
Total program service expenses |
990
Form
(2015)
532002
12-16-15
2
12030810 758338 41096
2015.04010 COLLATERAL REPAIR PROJECT
41096__1

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