Form
990
OMBNo.1545-0047
ReturnofOrganizationExemptFromIncomeTax
~@09
ndersection501(c),527,or4947(a)(1)oftheInternalRevenueCode(exceptblacklung
benefittrustorprivatefoundation)
.OpentoPublicInspection
DepartmentoftheTreasury
InternalRevenueService
B
Checkifapplicable:DAddresschangeDNamechangeDInitialreturnDTerminatedDAmendedreturnDApplicationpending
F
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labelor~__~.-~~~~~~~~~___
~m
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type.
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f-2-=~::::..c=~--------------------------------j__-------------lI---"-=-'::"'::"-'----=-::'::::''''':'::=:'''_-
Instruc-
tions.
GGrossH(a)Isthisagroupreturnforaffiliates?DYes______________~~~~~~~~~~~~~~~~~~~~~~------------~H~)Am~laffU~~sinduded?DYes
Q)
o
c
(Il
E
~D
2Checkthisbox~iftheorganizationdiscontinueditsoperationsordisposedofmorethan25%ofitsnetassets.
<!'
cIS
3Numberofvotingmembersofthegoverningbody(PartVI,line1a).
g;
4Numberofindependentvotingmembersofthegoverningbody(PartVI,line1b)
:e
.:::5Totalnumberofemployees(PartV,line2a).~6Totalnumberofvolunteers(estimateifnecessary)7aTotalgrossunrelatedbusinessrevenuefromPartVIII,column
(C),
line12.bNetunrelatedbusinesstaxableincomefromForm990-Tline34
Q)
8Contributionsandgrants(PartVIII,line1h).~9Programservicerevenue(PartVIII,line2g).~10Investmentincome(PartVIII,column(A),lines3,4,and7d)
a:
11Otherrevenue(PartVIII,column(A),lines5,6d,8c,9c,1
Oc,
and11e)12Totalrevenue-addlines8thh11ustIPartVIII,columnline1213Grantsandsimilaramountspaid(PartIX,column(A),lines1-3).14Benefitspaidtoorformembers(PartIX,column(A),line4).
VI
~15Salaries,othercompensation,employeebenefits(PartIX,column(A),lines5-10)
c:
~16aProfessionalfundraisingfees(PartIX,column(A),line11e).
.lj
bTotalfundraisingexpenses(PartIX,column(D),line25)~_17Otherexpenses(PartIX,column(A),lines11a-11d,11f-24f).18Totalexpenses.Addlines13-17(mustequalPartIX,column(A),line25).19Revenueless.Subtractline18fromline12
SignHere
Underpenaltiesofperjury,IdeclarethatIhaveexaminedthisreturn,includingaccompanyingschedulesandstatements,andtothebestofmyknowledgeandbelief,itistrue,correct,andcomplete.Declarationofpreparer(otherthanofficer)isbasedonallinformationofwhichpreparerhasanyknowledge.~SignatureofofficerDateTypeorprintnameandtitleDateCheckifPreparer'sidentifyingnumberself-(seeinstructions)employed~D
Paid
ForPrivacyActandPaperworkReductionActNotice,seetheseparateinstructions.
Form
990
(2009)at.No.11282Y
3
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