Form 990-Ez - Short Form Return Of Organization Exempt From Income Tax - 2012 Page 2
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42
Form 990-EZ (2012)
Page
Part II
Balance Sheets (see the instructions for Part II)
Check if the organization used Schedule O to respond to any question in this Part II . . . . . . . . . .
(A) Beginning of year
(B) End of year
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22
Cash, savings, and investments
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Land and buildings .
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24
Other assets (describe in Schedule O)
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25
Total assets .
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26
Total liabilities (describe in Schedule O)
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26
Net assets or fund balances (line 27 of column (B) must agree with line 21)
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Part III
Statement of Program Service Accomplishments (see the instructions for Part III)
Expenses
Check if the organization used Schedule O to respond to any question in this Part III
. .
(
Required for section
What is the organization’s primary exempt purpose?
501(c)(3) and 501(c)(4)
organizations and section
Describe the organization’s program service accomplishments for each of its three largest program services,
4947(a)(1) trusts; optional
as measured by expenses. In a clear and concise manner, describe the services provided, the number of
for others.)
persons benefited, and other relevant information for each program title.
28
(Grants $
) If this amount includes foreign grants, check here .
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28a
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29
(Grants $
) If this amount includes foreign grants, check here .
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29a
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30
(Grants $
) If this amount includes foreign grants, check here .
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30a
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31 Other program services (describe in Schedule O)
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(Grants $
) If this amount includes foreign grants, check here .
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31a
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32 Total program service expenses (add lines 28a through 31a) .
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Part IV
List of Officers, Directors, Trustees, and Key Employees List each one even if not compensated (see the instructions for Part IV)
Check if the organization used Schedule O to respond to any question in this Part IV
. . . . . . . . .
(c) Reportable
(d) Health benefits,
(b) Average
(e) Estimated amount of
compensation
contributions to employee
hours per week
(a) Name and title
(Forms W-2/1099-MISC)
benefit plans, and
other compensation
devoted to position
(if not paid, enter -0-)
deferred compensation
990-EZ
Form
(2012)
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