,.
For:n
990
OMS
No1545-0047
ReturnofOrganizationExemptFromIncomeTax
~@08
ndersection501(c),527,or4947(a)(1)oftheInternalRevenueCode(exceptblacklungbenefit
trust
orprivatefoundation)
DepartmentftheTreasuryInternalevenueervice•Theorganizationmayhavetouseacopyofthisreturntosatisfystatereportingrequirements
AForthe200820
OpentoPublicInspection
Pie...
~~2
1.~lorr-__~~~~~__~~~__-.~~~57-~~~~1~8~1~34~7~8~___printorNumberndstreetorPOboxIfmaillsnotdehveredostreetaddress)Room/suiteETelephonenumber
type.
Se.5801ALLENTOWNROAD205(301)899-9123~~~~~C~I~zy~o~r~to~w~n~,~st~at~e~o~r~co~u~n~t~~,~a~nd--ZI-P-+-4--------------~------~~----~~~~----~~~~----tiona.CAMPSPRINGSMD20746
G
GrossBCheck
f
applicable
o
Addresschange
o
Namechange
o
Initialreturn
o
Termination
o
Amendedreturn
o
ApplicationendingoEmployeridentificationnumberFNameandaddressofprincipalofficer:SABRAEY.DERBYHla)IsthISagroupeturnoraffillates?OVes
III
No
____________j~~_A!::.!::~~~~~~~~~~~~~~~~~~L--------~
H(b)AreallaffiliatesIncluded?OVes
0
NoIf"No,"attacha
hst
(seeInstructions)1B·fldibth.t·,..t.·f·ttl·t·PROVIDEDISEASEPREVENTIONANDneyescneeorgamzaIonsmissionormosslgm
roan
acIVI
res:.
_~~~hT_I:I_~~~_t;_~_I?_~~~I.19_~I_~_~~~~~~~_§NRI_~~~_t;NTJ_~~_I?_~Q~~~~I?_I~~~_~_I.M~N~~_~_
2Checkthisbox~
0
iftheorganizationdiscontinueditsoperationsordisposedofmorethan25%ofitsassets.3Numberofvotingmembersofthegoverningbody(PartVI,line1a).4Numberofindependentvotingmembersofthegoverningbody(PartVI,line1b)5Totalnumberofemployees(PartV,line2a).6Totalnumberofvolunteers(estimateifnecessary)7aTotalgrossunrelatedbusinessrevenuefromPartVIII,line12,column
(C).
13Grantsandsimilaramountspaid(PartIX,column(A),lines1-3).14Benefitspaidtoorformembers(PartIX,column(A),line4).~15Salaries,othercompensation,employeebenefits(PartIX,column(A),lines5-10)
c
8.
16aProfessionalfundraisingfees(PartIX,column(A),line11e)......~bTotalfundraisingexpenses(PartIX,column
(0),
line25)•....................~....17Otherexpenses(PartIX,column(A),lines11a-11d,11f-24f).18Totalexpenses.Addlines13-17(mustequalPartIX,column(A),line25).19RevenuelessSubtractline18fromline12
0")
=Sign
~Here
:z:
Cl
-+~__~
~~~----~~~~--r_----------------
W
Z
~Paid
U
reparer'sC/)Use
Only
Totalassets(PartX,line16)•Totalliabilities(PartX,line26)includingaccompanyingchedulesandstatements,ndtothebestofmyknowledge(otherthanofficer)isbasedonallinformationofwhichpreparerhasanyknowledgePreparer'sdentifyingumber(seenstructions)
p
ForPrivacyActandPaperworkReductionActNotice,seetheseparateInstructions.
CatNo
11282Y
Form
990
(2008)
t
l
52-1813478
Pae2
StatementofProramServiceAccom
Brieflydescribetheorganization'smission.
PROVIDEDISEASEPREVENTIONANDHEALTHCAREEDUCATIONANDRESEARCH
------------------------------------------------------------------
.!I~~L:!'!!~~E_~I?.U~~T_I2ti,_~Ap!l!I~_E.!l!~C~_N!!...~
iTQB_
B!Ap!:t!E§~_
TRAINING
------------------------------------------------------------------
2DidtheorganizationundertakeanysignificantprogramservicesdunnqtheyearwhichwerenotlistedonthepriorForm990or990-EZ?If'Yes,'describethesenewservicesonSchedule
0
3Didtheorganizationceaseconducting,ormakeSignificantchanges
In
howItconducts,anyprogramservices?If'Yes,'describethesechangesonSchedule
0
4Describetheexemptpurposeachievementsforeachoftheorganization'sthreelargestprogramservicesbyexpensesSection
SOl
(c)(3)and
SOl
(c)(4)organizationsandsection4947(a)(1)trustsarerequiredtoreporttheamountofgrantsandallocationstoothers,thetotalexpenses,andrevenue,Ifany,foreachprogramservicereported
o
Yes~No
o
Yes~No
4a(Code.)(Expenses
$
506,093.
Includinggrantsof
$
O.)
(Revenue
$
720,308.)
S:~I!.d~~t:..e~_l~!:g_e_r_a.!~i_!lg
w'!~l!_
y~u~~
_fE~~8.!~~I!..!l~~d~i_5:_~n.!':!:c_~4!n~L_j~~.!'!~d.!~e~!!...E:!:~e~~~e~e~!I!.~~~!I!.~~~a1~~~~r~_~d~~a~!~~_
j~~~~~ng~j!~~~~1~~!:~E:!:n~_
4b
(Code.)(Expenses
$
Includinggrantsof
$)
(Revenue
$_
4c
(Code____)(Expenses
$
Includinggrantsof
$)
(Revenue
$_
4d
Otherprogramservices.(DescribeInSchedule
0.)
(Expenses
$
includinggrantsof
$)
(Revenue
$
4eTotalprogramserviceexpenses~
$
506,093.
(MustequalPariIX,Lme
25,
column
(B))
BAA
TEEA0102
12124108
Form
990
(2008)
Form
_j9O
(2008)
SYNERGISTIC,INC.
52-1813478
Page
3
-<:J
ChecklistofRequiredSchedules
Yes
No
1
IstheorganizationdescribedInsection501(c)(3)or4947(a)(1)(otherthanaprivatefoundation)?
If
'Yes,'
completeScheduleA
..
1
X
2
IstheorganizationrequiredtocompleteScheduleB,ScheduleofContributors?
2
X
3
Oldtheorganizationengage
In
directorIndirectpoliticalcampaignactivitiesonbehalfofor
In
oppositiontocandidatesforpublicoffice?
If
'Yes,'
completeSchedule
C,
PartI
3
X
4
Section
501(cX3)
organizations.
Oldtheorganizationengage
In
lobbYingactivities?
If
'Yes,'
completeSchedule
C,
PartI
4
X
5
Section
501(cX4),
501(cX5),and
501(C~6~Organizations.
Istheorganizationsubjecttothesection6033(e)noticeandreportingrequirementandproxytax?
I'
es,'
completeSchedule
C,
PartIII
5
6
OldtheorganizationmaintainanydonoradvisedfundsoranyaccountswheredonorshavetherighttoprovideadviceonthedistributionorInvestmentofamounts
In
suchfundsoraccounts?
If
'Yes,'
completeScheduleD,PartI
6
X
7
Oldtheorganizationreceiveorholdaconservationeasement,includingeasementstopreserveopenspace,theenvironment,historiclandareasorhistoricstructures?
If
'Yes,'
completeScheduleD,Part1I
7
X
8
Oldtheorganizationmaintaincollectionsofworksofart,historicaltreasures,orotherSimilarassets?
If
'Yes,'
completeScheduleD,PartIII
8
X
9
Oldtheorganizationreportanamount
In
PartX,line21;serveasacustodianforamountsnotlisted
In
PartX,orprovidecreditcounseling,debtmanagement,creditrepair,ordebtnegotiationservices?
If
'Yes,'
completeScheduleD,PartIV.
9
X
10
Oldtheorpamzationholdassets
In
term,permanent,orquasi-endowments?
If
'Yes,'
completeScheduleD,Part
V
10
X
11
Oldtheor~anlzatlonreportanamount
In
PartX,lines10,12,13,15,or25?
If
'Yes,'
completeScheduleD,PartsVI,VII,VIII,I,orX
as
applicable...
11
X
12
OldtheorganizationreceiveanauditedfmancialstatementfortheyearforwhichItIScompletingthisreturnthatwaspreparedInaccordanceWithGAAP?
If
'Yes,'
completeScheduleD,PartsXI,XII,andXIII.
12
X
13
IstheorganizationaschooldescribedInsectionI70(b)(1)(A)
(JI)
?I
f
'Yes,'
completeScheduleE
13
X
14a
Oldtheorganizationmaintainanoffice,employees,oragentsoutsideoftheU.S.?
14a
X
bOldtheorganizationhaveaggregaterevenuesorexpensesofmorethan$10,000fromwantmaklng,fundralslng,business,andprogramserviceactivitiesoutsidetheU.S.?
If
'Yes,'
completeSchedule,PartI.
14b
X
15
OldtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofgrantsorassistancetoanyorganizationorentitylocatedoutsidetheUnitedStates?
If
'Yes,'
completeScheduleF,PartII..
15
X
16
OldtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofaggregategrantsorassistancetoindividualslocatedoutsidetheUnitedStates?
If
'Yes,'
completeScheduleF,PartIII.
16
X
17
Oldtheorganizationreportmorethan
$15,000
onPartIX,column(A),line11e?
If
'Yes,'
completeSchedule
G,
PartI.
17
X
18
Oldtheorganizationreportmorethan$15,000totalonPartVIII,lineslcand8a?
If
'Yes,'completeSchedule
G,
Part11
18
X
19
Oldtheorganizationreportmorethan$15,000onPartVIII,line9a?
If
'Yes,'
completeSchedule
G,
PartIII
19
X
20
Oldtheorganizationoperateoneormorehospitals?
If
'Yes,'
completeScheduleH
20
X
21
Oldtheorganizationreportmorethan
$5,000
onPartIX,column
(A),
line
I?
If'Yes,'completeScheduleI,PartsIandII
21
X
22Oldtheorganizationreportmorethan
$5,000
onPartIX,column
(A),
line
2?
If
'Yes,'completeScheduleI,PartsIand
1/1
22
X
23
Oldtheorganizationanswer'Yes'toPartVII,SectionA,questions3,4,or5?
If
'Yes,'completeSchedule
J
..
23
X
24a
Oldtheorqaruzatronhaveatax-exemptbondIssueWithanoutstandingpnncrpalamountofmorethan$100,000asofthelastdayoftheyear,andthatwasIssuedafterDecember31,2002?
If
'Yes,'
answerquestions24b-24dandcompleteScheduleKIf'No,'gotoquestion
25................
bOldtheorqaruzatronInvestanyproceedsoftax-exemptbondsbeyondatemporaryperiodexception?
24a
X
24b
cOldtheorganizationmaintainanescrowaccountotherthanarefundingescrowatanytimedunnqtheyeartodefeaseanytax-exemptbonds?.
r:=24_;_c-=+-_-+_
dOldtheorganizationactasan'onbehalfof'Issuerforbondsoutstandingatanytimedunnqtheyear?r=24d.=.t--_t--_
25aSection
501(cX3)
and501(cX4)organizations.
Oldtheorganizationengage
In
anexcessbenefittransactionWithadisqualifiedpersondunnqtheyear?
If
'Yes,
t
completeScheduleL,Part[.
25a
X
bOldtheorganizationbecomeawarethatIthadengagedInanexcessbenefittransactionWithadisqualifiedpersonfromaprioryear?
If
'Yes,'
completeScheduleL,PartI.
25bX26
Wasaloantoorbyacurrentorformerofficer,director,trustee,keyemployee,highlycompensatedemployee,or
26
disqualifiedpersonoutstandingasoftheendoftheorganization'staxyear?
If'Yes,'completeScheduleL,PartII
X
27
Oldtheorganizationprovideagrantorotherassistancetoanofficer,director,trustee,keyemployee,orsubstantialcontributor,ortoapersonrelatedtosuchanIndividual?
If
'Yes,'completeScheduleL,PartIII..
27
X
BAA
Form990(2008)
TEEAOl03
10113IOS
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Synergistic IRS Filings
IRS filings for 2008 and 2010 for Synergistic Inc., the nonprofit that recently lost its contract for youth job training from the District of Columbia.
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