Schedule J (Form 990) - Compensation Information - 2012 Page 2

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2
Schedule J (Form 990) 2012
Page
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)–(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(B) Breakdown of W-2 and/or 1099-MISC compensation
(C) Retirement and
(D) Nontaxable
(E) Total of columns
(F) Compensation
other deferred
(i) Base
(ii) Bonus & incentive
(iii) Other
benefits
(B)(i)–(D)
(A) Name and Title
reported as deferred in
compensation
compensation
compensation
reportable
prior Form 990
compensation
(i)
(ii)
1
(i)
(ii)
2
(i)
(ii)
3
(i)
(ii)
4
(i)
(ii)
5
(i)
(ii)
6
(i)
(ii)
7
(i)
(ii)
8
(i)
(ii)
9
(i)
(ii)
10
(i)
(ii)
11
(i)
(ii)
12
(i)
(ii)
13
(i)
(ii)
14
(i)
(ii)
15
(i)
(ii)
16
Schedule J (Form 990) 2012

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