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I
9 9 0
R e t u r n
o fO r g a n i z a t i o n
E x e m p t
F r o m
I nco me
T a x
O M BN o
F o r m
U n d e r
s e c t i o n
5 0 1 ( c) ,
5 2 7 ,
o r4 9 4 7 (a) (1)
o ft h e
I nternal
R e v e n u e
Co de
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b l a c k
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2 0
D e p a r t m e n to ft h eT r e a s u r y
b e n e f i tt r u s to rpr i v a t ef o u n d a t i o n
I nternal
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I st h i s
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N umber
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ift h e
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Ad d
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Go v e r n m e n t
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VI I ,
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3
M e m b e r s h i p
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I nterest
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5
,
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5
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Gr o s s
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T o t a l
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l i n e s
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1 0 c
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8- 1 - 4 -
,
-9 2 6
1 3
Pr o g r a m
s e r v i c e s
(f r o m
l i n e
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,
co l umn
(B) )
1 3
7 38
,
34 4
1 4
M a n a g e m e n t
a n d
g e n e r a l
(f r o m
l i n e4 4 ,
co l umn
(C) )
1 4
6 6
,
6 6 2
1 5
F u n d r a i s i n g
(f r o m
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,
co l umn
(D) )
1 5
5 4
,30 3
W
1 6
P a y m e n t s
t o
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S t a t e m e n t
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1 6
1 j
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1 7
T o t a l
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.
Ad d
l i n e s
1 6a n d
4 4
,
co l umn
(A)
1 7
87 2
,
5 9 5
1 8
E x c e s s
o r
( d e f i c i t)
f o rt h e
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S u b t r a c t
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1 7
f r o m
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1 8
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6-69 -
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1 9
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co l umn
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1
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1 5 1
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3 6 1
Z
2 0
O t h e r
c h a n g e s
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n e t
a s s e t s
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a s s e t s
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C o m b i n e
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,
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Li ^
1
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Fo r
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Ac t
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P a p e r w o r k
R e d u c t i o n
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N OUCe
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s e e
t h e
s e p a r a t e
I I nssttructions.
F o r m
9 9 0
( 2 0 0 6) ' 1
D
F o r m
9 9 0
( 2 0 0 6 )
Gr eater
S u s q u e h a n n a
V a l l e y
U n i t e d
W2 3-16 9 76 31
P ag e2
P ath11
Statem ento f
A llo r g aniz atio ns
m ustc o m p letec o lum n
( A ) .
C o lum ns
( B ) ,
( C) ,
a n d
( D )
ar er equir ed
f o r
sec tio n
5 0 1( c ) ( 3)
a n d
( 4 )
F unc tio nal
Exp enses
o r g aniz atio ns
a n d
sec tio n4 9 4 7( a) ( 1)
no nexem p t
c har itab le
tr usts
b uto p tio nal
f o r
o ther s
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t h e
instr uc tio ns
)
D o
no t
inc lude
am o unts
r ep o r ted
o n
l i n e
6 b
,
8 b
,
9 b
,
10 b
o r
1 6
o f
P ar t
I .
( A )
T o tal
( B )
P r o g r am
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( C)
M anag em ent
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F undr aising
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Stm t
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5 2 9 , 2 6 9
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52 9
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52 9
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2 3
Sp ec if ic
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2 3
2 4
B enef its
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2 5 aC o m p ensatio n
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e t c
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in
P ar tV - A
( attac h
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2 5a
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C o m p ensatio n
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e t c
l i s t e d
in
P ar tV - B
( attac h
sc hedule)
2 5b
c
C o m p ensatio na n do ther
distr ib utio ns,
no tinc ludedab o v e,
t o
disqualif iedp er so ns
( asdef inedu n d e r
sec tio n4 9 5 8( f ) ( 1) )
a n d
p er so nsdesc r ib ed
insec tio n4 9 5 8( c ) ( 3) ( B )
( attac hsc hedule)
2 5c
2 6
Salar iesa n dw ag es
o fem p lo yees
no tinc luded
o n
l ines2 5 a,
b ,
a n dc
2 6
1 3 6
,
3 1 4
8 1
,
0 89
3 3
,2 78
2 1
9 4 7
2 7
P ensio n
p lanc o ntr ib utio nsno tinc ludedo n
l in e s2 5 a,
b ,
a n dc
2 7
2
,
19 6
1
,
30 6
5 36
35 4
2 8
Em p lo yee
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o n
l i n e s
2 5 a-2 7
2 8
6
,
36 8
3
,7 8 8
1
,5 5 5
1
,
0 2 5
2 9
P ayr o llt a x e s
2 9
1 1
,
8 7 2
7
,0 6 3
2
,
.
89 8
1
9 11
3 0
P r o f essio nalf undr aising
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3 0
3 1
A c c o unting
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3 1
4
,
80 0
4
80 0
3 2
L eg alf ees
3 2
3 3
Sup p lies
3 3
1 1
,14 8
2
,2 30
5
,5 74
3-13-4 -4 -
3 4
T elep ho ne
3 4
2
,39 7
1
,
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4 80
2 4 0
3 5
P o stag e
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ship p ing
3 5
5
,
6 9 0
2
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56 9
2
84 5
3 6
O c c up anc y
3 6
2 6
,3 8 8
1 9
,52 7
4
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2
,6 39
3 7
Equip m ent
r ental
a n dm aintenanc e
3 7
2
,7 7 7
2
,0 5 5
4 4 4
2 78
3 8
P r inting
a n dp ub lic atio ns
3 8
2 1
,8 8 4
1 7
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3
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3 9
T r av el
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8
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2
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2
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4
4 0
C o nf er enc es,
c o nv entio ns,
a n d
m eeting s
4 0
2
,
4 5 9
1
,84 4
6 15
4 1
I nter est
4 1
4 2
D ep r ec iatio n,
dep letio n,
etc .
( attac hsc hedule)
4 2
3 5
,5 5 3
2 4
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5
,34 7
5
,8 1 6
4 3
O ther
exp enses
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ab o v e
( item iz e) ,
a
S e e
Statem ent
3. .
.
. . .
4 3a
5 1
,
9 82
4 1
,
0 38
2
,
7 8 7
8
,
15 7
b
4 3b
c
4 3c
d
4 3d
4 39
f
4 3f
g
4 3
4 4
T o talf unc tio nalexp enses
.
A dd
l i n e s2 2 a
thr o ug h4 3g
( O r g aniz atio ns
c o m p leting
c o lum ns
( B ) -( D ) ,
c ar r yt h e s e
to talst o
l i n e s
1 3 - 1 5)
4
5 9
,
0 9
3 8
34 4
6 6
6 62
5 4
,30 3
J o intC o sts
.
C hec k
^
U
ifyo u
ar e
f o llo w ing
SO P
9 8-2 .
A r e
a n y
jo int
c o sts
f r o m
a
c o m b ined
educ atio nal
c am p aig n
a n d
f undr aising
so lic itatio n
r ep o r ted
i n
( B )
P r o g r am
ser v ic es?
^
0
Y e s
N o
I f" Yes, '
e n t e r
( 1)
t h eag g r eg ate
am o unto ft h e s ej o intc o sts$
,
( I I )
t h eam o untallo c atedt o
P r o g r am
ser v ic es$
( ill)
t h eam o unt
allo c ated
t o
M anag em ent
a n dg ener a$
,
a n d
(I v)
t h eam o unt
allo c ated
t o
F undr aising $
D A A
F o r m
9 90
( 2 0 0 6 )
F o r m
9 9 0
( 2 0 0 6 )
Gr eater
S u s q u e h a n n a
V a l l e y
U n i t e d
W2 3-16 9 76 31
P
I I I
Statem ento f
P r o g r am
Ser v ic eA c c o m p lishm ents
( Seet h einstr uc tio ns. )
F o r m
9 9 0
isav ailab le
f o r
p ub lic
insp ec tio na n d ,
f o r
so m e
p eo p le,
ser v esast h e p r im ar yo r
so leso ur c eo f
inf o r m atio nab o ut
a
p ar tic ular
o r g aniz atio n
Ho w
t h e
p ub lic
p er c eiv esa no r g aniz atio n
insuc hc asesm ay
b e deter m inedb yt h e
inf o r m atio np r esented
o n
itsr etur n
T her ef o r e,
p leasem ake
sur et h er etur n
isc o m p letea n dac c ur ate a n d
f ullydesc r ib es,
inP ar t
I I I ,
t h eo r g aniz atio n' s
p r o g r am sa n dac c o m p lishm ents
W h a t
isthe o r g aniz atio n' sp r im ar yex em p tp ur p o se?
^
S e e
Statem ent
4
A llo r g aniz atio ns
m ustdesc r ib et h e i r
ex em p t
p ur p o se
ac hiev em ents
inac lear
a n dc o nc isem anner
S t a t et h enum b er
o fc lientsser v ed,
p ub lic atio nsi s s u e d ,
e t c
D isc ussac hiev em ents
t h a tar eno tm easur ab le
( Sec tio n5 0 1( c ) ( 3)
a n d
( 4)
o r g aniz atio ns
a n d49 47( a) ( 1)
no nex em p t
c har itab letr ustsm ust
a l s o
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t h eam o unt
o fg r ants
a n d
allo c atio nst o
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)
a
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Statem ent
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g n
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^
U
P r o g r am
Ser v ic e
E x p enses
( R equir edf o r5 0 1( c ) ( 3)
a n d
( 4)o r gs
,
a n d49 47( a) ( % )
tr usts,
b uto p tio nalf o r
o ther s
I
738, 344
Gr ants
a n d
allo c atio ns
$
I fthisam o unt
inc ludesf o r eign
r ants
c hec k
her e
^
e
O ther
p r o g r am
ser v ic es
( attac hsc hedule)
Gr ants
a n d
allo c atio ns
$
I fthisam o unt
inc ludesf o r eign
r ants
c hec k
her e
^
f
T o talo f
P r o g r am
Ser v ic eE x p enses
( sho ulde q u a l
line4 4 ,
c o lum n
( B ) ,
P r o g r am
ser v ic es)
^
7 3 8
,
34 4
F o r m
9 9 0
( 2 0 0 6 )
I f
s
am o unt
inc ludes
3
D A A
of 00

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