Form 990 - Return Of Organization Exempt From Income Tax - 2014
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12990
OMB No. 1545-0047
Return of Organization Exempt From Income Tax
Form
2014
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Open to Public
Do not enter social security numbers on this form as it may be made public.
▶
Department of the Treasury
Inspection
Internal Revenue Service
Information about Form 990 and its instructions is at
▶
A
For the 2014 calendar year, or tax year beginning
, 2014, and ending
, 20
D Employer identification number
B
C Name of organization
Check if applicable:
Doing business as
Address change
Number and street (or P.O. box if mail is not delivered to street address)
Room/suite
E Telephone number
Name change
Initial return
City or town, state or province, country, and ZIP or foreign postal code
Final return/terminated
G Gross receipts $
Amended return
F Name and address of principal officer:
H(a) Is this a group return for subordinates?
Yes
No
Application pending
H(b) Are all subordinates included?
Yes
No
If “No,” attach a list. (see instructions)
)
(insert no.)
I
Tax-exempt status:
501(c)(3)
501(c) (
4947(a)(1) or
527
◀
J
Website:
H(c) Group exemption number
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K
Form of organization:
Corporation
Trust
Association
Other
L Year of formation:
M State of legal domicile:
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Part I
Summary
1
Briefly describe the organization’s mission or most significant activities:
2
Check this box
if the organization discontinued its operations or disposed of more than 25% of its net assets.
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3
Number of voting members of the governing body (Part VI, line 1a) .
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3
4
Number of independent voting members of the governing body (Part VI, line 1b) .
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4
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Total number of individuals employed in calendar year 2014 (Part V, line 2a)
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Total number of volunteers (estimate if necessary) .
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7 a Total unrelated business revenue from Part VIII, column (C), line 12
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7a
b Net unrelated business taxable income from Form 990-T, line 34
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7b
Prior Year
Current Year
8
Contributions and grants (Part VIII, line 1h) .
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9
Program service revenue (Part VIII, line 2g)
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10
Investment income (Part VIII, column (A), lines 3, 4, and 7d) .
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11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) .
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12
Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)
13
Grants and similar amounts paid (Part IX, column (A), lines 1–3) .
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14
Benefits paid to or for members (Part IX, column (A), line 4) .
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15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)
16a Professional fundraising fees (Part IX, column (A), line 11e) .
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b Total fundraising expenses (Part IX, column (D), line 25)
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17
Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)
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18
Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)
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19
Revenue less expenses. Subtract line 18 from line 12 .
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Beginning of Current Year
End of Year
20
Total assets (Part X, line 16)
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21
Total liabilities (Part X, line 26) .
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22
Net assets or fund balances. Subtract line 21 from line 20
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Part II
Signature Block
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
Signature of officer
Date
Here
Type or print name and title
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Use Only
Firm’s name
Firm's EIN
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Firm's address
Phone no.
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May the IRS discuss this return with the preparer shown above? (see instructions) .
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Yes
No
990
For Paperwork Reduction Act Notice, see the separate instructions.
Form
(2014)
Cat. No. 11282Y
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