Form 990-Ez - Return Of Organization Exempt From Income Tax - 2012 Page 4
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15Form 990-EZ (2012)
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
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Page 4
No
No
Milil"i
Section 501 ( c)(3) organizations only
All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50
and 51
Check if the organization used Schedule 0 to respond to any question in this Part VI
.1
. . . . . . . . . . . . . . .
Yes
No
47
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
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47
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
48
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?
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49a
No
b If "Yes," was the related organization a section 527 organization? .
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49b
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees) who each received more than $100,000 of compensation from the organization If there is none, enter "None "
(a) Name and title of each employee paid
more than $100,000
(b) Average
hours per week
devoted to position
(c) Reportable
compensation
(Forms W-2/1099-
MISC)
(d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount
of other compensation
NONE
f
Total number of other employees paid over $100,000
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51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000
of compensation from the organization If there is none, enter "None "
(a) Name and address of each independent contractor paid more than $100,000
(b) Type of service
(c) Compensation
NONE
d
Total number of other independent contractors each receiving over $10
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(
nonexempt charitable trusts must attach a completed Schedule A
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Under penalties of perjury, I declare that I have examined this return, including acco
knowledge and belief, it is true, correct , and complete . Declaration of preparer (othe
knowledge.
Sign
Signature of officer
Here
W ayne R Connell President
Type or print name and title
Print/Type preparer's name
Preparers signature
Judy 0 Huggins
Paid
Firm's name
1- Tax Solutions Inc
Pre pare r
Use Only
Firm's address 0-6200 S Syracuse Way Suite 125
Englewood, CO 80111
May the IRS discuss this return with the preparer shown above? See instructio
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