West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013

l efile GRAPHIC
Form
p rint
- DO NOT PROCESS
990 .EZ
Department of the Treasury

Internal Revenue Service
As Filed Data -
Short Form
Return of Organization Exempt From Income Tax
OMB No 1545-1150
Under section 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
2010
0- Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and
certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions)
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the
year may use this form
i The organization may have to use a copy of this return to satisfy state reporting requirements
A For the 2010 calendar year, or tax year beginning 07-01-2010

B
Check if applicable
Address change
Name change
Initial return
Terminated
Amended return
DLN: 93492136012992
, and ending 06-30-2011
C Name of organization
WEST HEMPSTEAD ROTARY FOUNDATION
D Employer identification number

27-1598339
Number and street (or P 0 box, if mail is not delivered to street address ) Room/suite
861 HEMLOCK STREET
E Telephone number
(516) 538-8515
City or town, state or country, and ZIP + 4

FRANKLIN SQUARE, NY 11010
F Group Exemption
Number i-
IlApplication pending
G Accounting method
F'Cash
r'Accrual
Other ( specify) i
I Website
3 Tax- Exempt status (check only one)-I_ 501(c)(3)? +fl 501(c)(
) A(insert no )I! 4947(a)(1) or r
527
Check i- F if the organization is not

required to attach Schedule B
(Form 990, 990-EZ, or990-PF)

K Check i-F
if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than
$50,000 A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions) But if the
organization chooses to file a return, be sure to file a complete return
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts, If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or
more,
file Form 990 instead of Form 990-EZ
i $
91,024
Revenue, Expenses , and Changes in Net Assets or Fund Balances (See the instructions for Part I )
Check if the organization used Schedule 0 to respond to any question in this Part I
1
Program service revenue including government fees and contracts
Membership dues and assessments
Investment income
Gross amount from sale of assets other than inventory
5a
?'
Less cost or other basis and sales expenses
5b
CD
1
CD
Cc
Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a)
5a
43,207
116
Sc
Gaming and fundraising events
6
a
Gross income from gaming (attach Schedule G if greater than $15,000)
Gross income from fundraising events (not including $ 47,701 of contributions from fundraising events
reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceed
$15,000)
.
Less direct expenses from gaming and fundraising events
Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c)
7a
a,
. F
Contributions, gifts, grants, and similar amounts received
6a
6c
6,679
6d
41,022
Gross sales of inventory, less returns and allowances
7a
Less cost of goods sold
7b
Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)
7c
Other revenue (describe in Schedule O)
Total revenue . Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8
84,345
10
Grants and similar amounts paid (list in Schedule O)
10
27,765
11
Benefits paid to or for members
11
12
Salaries, other compensation, and employee benefits
12
13
Professional fees and other payments to independent contractors
13
14
Occupancy, rent, utilities, and maintenance
14
15
Printing , publications , postage , and shipping
15
16
Other expenses (describe in Schedule O)
16
37
17
Total expenses . Add lines 10 through 16
17
27,872
18
Excess or (deficit) for the year (Subtract line 17 from line 9)
1g
56,473
19
Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
608
end-of-year figure reported on prior year's return)
19
20
Other changes in net assets or fund balances (explain in Schedule O)
20
21
Net assets or fund balances at end of year Combine lines 18 through 20
21
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions .
Cat No 106421
70
57,081
Form 990-EZ (2010)
Form 990-EZ ( 2010)

Balance Sheets
Page 2
Check if the organization used Schedule 0 to respond to any question in this Part II
(See the instructions for Part II
. 1
(A) Beginning of year
22 Cash, savings, and investments

23 Land and buildings
57,081
23
24 Other assets (describe in Schedule 0)
24
25 Total assets
608 25
26 Total liabilities (describe in Schedule O)
57,081
26
27 Net assets or fund balances (line 27 of column (B) must agree with line 21)
608 27
Statement of Program Service Accomplishments

Check if the organization used Schedule 0 to respond to any question in this Part III
. F
What is the organization's primary exempt purpose?

ASSISTANCE AND COMMUNITY SUPPORT
Describe what was achieved in carrying out the organization's exempt purposes In a clear and concise manner,
describe the services provided, the number of persons benefited, and other relevant information for each
program title
28ASSISTANCE AND SUPPORT TO MEMBERS OF THE WEST HEMPSTEAD COMMUNITY ASSISTANCE
AND SUPPORT TO MEMBERS OF THE WEST HEMPSTEAD COMMUNITY
(Grants $ )
If this amount includes foreign grants, check here .
0- F
29
(Grants $
(B) End of year
608 22
57,081
Expenses
(Required for section 501
(c)(3) and 501(c)(4)
organizations and section
4947(a)(1) trusts,
optional for others
28a
If this amount includes foreign grants, check here
0- (-
29a
0- (-
30a
0- F
31a
30
(Grants $
31 Other program services (describe in Schedule O)

.
(Grants $ )
32 Total program service expenses (add lines 28a through 31a)
lpl^
32
EffUST List of Officers, Directors , Trustees, and Key Employees . List each one even if not compensated (See the instructions for Part IV )
Check if the organization used Schedule 0 to respond to any question in this Part IV
(a) Name and address
(b) Title and average

hours per week
devoted to position
(c) Compensation
(If not paid ,
enter -0-.)
(d) Contributions to
employee benefit plans &
deferred compensation
. 1
(e) Expense
account and
other allowances
See Additional Data Table
Form 990-EZ (2010)
Form 990-EZ (2010)
Pace 3
Other Information (Note the statement requirements in the instructions for Part V.)
Check if the organization used Schedule 0 to respond to any question in this Part V
.
Yes
33
Did the organization engage in any activity not previously reported to the IRS? If "Yes," provide a detailed
description of each activity in Schedule 0
34
33
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change on
Schedule 0 (see instructions)
.
35
No
No
No
34
If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among
others), but not reported on Form 990-T, explain in Schedule 0 why the organization did not report the income on
Form 990-T
a
b
Did the organization have unrelated business gross income of$1,000 or more or was it a section 501(c)(4), 501
(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements?
35a
No
If "Yes," has it filed a tax return on Form 990-T for this year? (see instructions )
35b
No
36
No
37b
No
38a
No
40b
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If"Yes,"complete applicable parts of Schedule N
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions 0-
b
38a
Did the organization file Form 1120 -POL for this year?
37a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
b
39
If "Yes," complete Schedule L, Part II and enter the total amount involved
38b
Section 501(c)(7) organizations. Enter
Initiation fees and capital contributions included on line 9
Gross receipts, included on line 9, for public use of club facilities
40a
39a
.
39b
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under
section 4911 01
0 , section 4912 lik'
0 , section 4955 01
b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been
reported on any of its prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I
.
Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax imposed on organization managers or
disqualified persons during the year under sections 4912, 4955, and 4958 .
Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax on line 40c reimbursed by the
organization
lllp
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T
41
42a
List the states with which a copy of this return is filed
40e
NY
The organization ' s books are in care ofd RONY KESSLER
Telephone no lk- (516 ) 538-8515
861 HEMLOCK STREET

Located ate FRANKLIN SQUARE, NY
ZIP +4
b At any time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country (such as a bank account, securities account, or other financial
account)?
11010
Yes
No
42b
No
42c
No
If "Yes," enter the name of the foreign country 0See the instructions for exceptions and filing requirements for Form TD F 90- 22.1, Report of Foreign Bank and
Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside of the U S ?
If "Yes," enter the name of the foreign country 0-
43
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 -Check here .
and enter the amount of tax-exempt interest received or accrued during the tax year
.
.F
I 43
Yes
44a
Form 990-EZ.
b
No
Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of
Did the organization operate one or more hospital facilities during the year? If 'Yes,'Form 990 must be completed
instead of Form990-EZ
44a
No
44b
No
44c
No
Did the organization receive any payments for indoor tanning services during the year?
If Yes to line 44c, has the organization filed a Form 720 to report these payments? If 'No,' provide an explanation
in Schedule 0
I4I
Form 990-EZ (2010)
Form 990-EZ (2010)
Pa g e 4
Yes
45
Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If
'Yes,' Form 990 and Schedule R must be completed instead of Form990-EZ
45a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512 (b)(13 )7 If 'Yes,'Form 990 and Schedule R must be completed instead of Form990-EZ
46
Did the organization engage, directly or indirectly , in political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C , Part I
No
45
No
45a
No
46
No
Section 501 ( c)(3) organizations and section 4947( a)(1) nonexempt charitable trusts only.
All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions
47-49b and 52.
Check if the organization used Schedule 0 to respond to any question in this Part VI
. 1
No
47
Did the organization engage in lobbying activities? If "Yes," complete Schedule C , Part II
47
No
48
Is the organization a school described in section 170 (b)(1)(A)(ii)7 If "Yes," completeScheduleE
48
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?
49a
No
If "Yes," was the related organization a section 527 organization?
49b
b
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees) who each received more than $100,000 of compensation from the organization If there is none, enter "None "
(a) Name and address of each employee

paid more than $100,000

hours per week
devoted to position
(c) Compensation
(e) Expense
account and
other allowances
NONE
50(f) Total number of other employees paid over $100,000
51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000
of compensation from the organization If there is none, enter "None "
(a) Name and address of each independent contractor paid more than $100,000
NONE
51(d) Total number of other independent contractors each receiving over $11
52
Did the organization complete Schedule A7 NOTE : All Section 501(c)(

must attach a completed Schedule A .
.
Under penalties of perjury, I declare that I have examined this return, including acco
knowledge and belief, it is true, correct, and complete . Declaration of preparer (other
knowledge.
Sign
Signature of officer
Here
RONY KESSLER TREASURER

Type or print name and title
Paid
Preparer's
Use Only
Preparers
signature
Date
2012-05-15
RICHARD MARMON HALM
Firm's name (or yours

if self-employed),
address, and ZIP + 4
RICHARD MARMON-HALM CPA PC

92-30 56 AVENUE
ELMHURST, NY
11373
May the IRS discuss this return with the preparer shown above? See instructio
(b) Type of service
(c) Compensation
l efile
GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93492136012992
OMB No 1545-0047
SCHEDULE A
Public Charity Status and Public Support
(Form 990 or 990EZ)
201 0
Complete if the organization is a section 501(c)(3) organization or a section
4947( a)(1) nonexempt charitable trust.

^ Attach to Form 990 or Form 990-EZ . ^ See separate instructions.

Name of the organization
Employer identification number
27-1598339
Reason for Public Charity Status (All organizations must complete this part.) See Instructions
The organization is not a private foundation because it is (For lines 1 through 11, check only one box)
1
A church, convention of churches, or association of churches described in section 170 ( b)(1)(A)(i).
A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E )
A hospital or a cooperative hospital service organization described in section 170 ( b)(1)(A)(iii).
A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the
hospital's name, city, and state
fl
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
fl
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in
section 170 ( b)(1)(A)(vi ) (Complete Part II )
fl
A community trust described in section 170 ( b)(1)(A)(vi ) (Complete Part II )
An organization that normally receives
section 170 ( b)(1)(A)(iv ). (Complete Part II )
(1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975 See section 509 (a)(2). (Complete Part III )
10
fl
An organization organized and operated exclusively to test for public safety Seesection 509(a)(4).
11
fl
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509 (a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a
fl Type I
b
fl Type II
c
fl Type III - Functionally integrated
d
fl Type III - Other
fl
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1 ) or
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,
check this box
F
Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
f
g
and (iii) below, the governing body of the the supported organization?
11g(i)
(ii) a family member of a person described in (i) above?
11g(ii)
(iii) a 35% controlled entity of a person described in (i) or (ii) above?
11g(iii)
Provide the following information about the supported organization(s)
0)
Name of
supported
organization
(ii)
EIN
(iii)
Type of
organization
(described on
lines 1- 9 above
or IRC section
(see
instructions ))
(iv)
Is the
organization in
col (i) listed in
your governing
document?
Yes
No
(v)
Did you notify the
organization in
col (i) of your
support?
Yes
No
(vi)
Is the
organization in
col (i) organized
in the U S ?
Yes
vii
Amount of
support
No
Total
For Paperwork Reduction Act Notice, seethe Instructions for Form 990
Cat No
11285F
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Support Schedule for Organizations Described in Sections 170(b )( 1)(A)(iv) and 170(b)(1)
(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify
under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A . Public Su pp ort
Calendar year (or fiscal year beginning

in) ^
Gifts, grants, contributions, and
1
membership fees received (Do not
include any "unusual
grants ")
Tax revenues levied for the
2
organization's benefit and either
paid to or expended on its
behalf
The value of services or facilities
3
furnished by a governmental unit to
the organization without charge
4
Total .Add lines 1 through 3
The portion of total contributions
5
by each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the
amount shown on line 11, column
(f)
Public Support . Subtract line 5 from
6
line 4
Section B. Total Su pp ort

Calendaryear (or fiscal year beginning
in)
7
8
(a) 2006
(a) 2006
(b) 2007
(b) 2007
(c) 2008
(c) 2008
Amounts from line 4

Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
Net income from unrelated
business activities, whether or
not the business is regularly
carried on
Other income Do not include gain
or loss from the sale of capital
assets (Explain in Part IV
Total support (Add lines 7
through 10)
Gross receipts from related activities, etc (See instructions
10
11
12
13
(d) 2009
(d) 2009
(e) 2010
(f) Total
(e) 2010
(f) Total
12
First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here
Section C. Com p utation of Public Su pp ort Percenta g e

14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
15
0 %
16a
331 / 3%support test - 2010 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here . The organization qualifies as a publicly supported organization
llik^Fb 33 1 / 3%support test - 2009 . If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here . The organization qualifies as a publicly supported organization
lk'F17a 10%-facts-and -circumstances test - 2010 . If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported
organization
llik^Fb 10%-facts-and-circumstances test - 2009 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly
supported organization
lk'FPrivate Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
18
instructions
llik^FSchedule A (Form 990 or 990-EZ) 2010
Page 3
Support Schedule for Organizations Described in Section 509(a)(2)

(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under
Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A . Public Sunnort
IMMITM
Calendar year
1
(or fiscal year beginning

in) llik^
membership fees received
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(Do not
(e) 2010
(f) Total
608
43,207
43,815
608
43,207
43,815
include any "unusual grants ")

Gross receipts from admissions,
merchandise sold or services
performed, or facilities furnished in
any activity that is related to the
organization's tax-exempt
purpose
Gross receipts from activities that
are not an unrelated trade or
business under section 513
behalf
Total . Add lines 1 through 5
7a
Amounts included on lines 1, 2,

and 3 received from disqualified
persons
b Amounts included on lines 2 and 3
received from other than
disqualified persons that exceed
the greater of$5,000 or 1% of the
amount on line 13 for the year
c Add lines 7a and 7b
8
Public Support (Subtract line 7c
from line 6 )
43,815

in)
9
10a
c
11
12
13
14
(a) 2006
(b) 2007
(c) 2008
Amounts from line 6
(d) 2009
(e) 2010
608
43,207
(f) Total
43,815

0
sources
Unrelated business taxable
income (less section 511 taxes)
0
from businesses acquired after
June 30, 1975
Add lines 10a and 10b
business activities not included
0
in line 10b, whether or not the
business is regularly carried on
Other income Do not include
gain or loss from the sale of
0
capital assets (Explain in Part
IV )
Total support (Add lines 9, 10c,
608
43,207
43,815
11 and 12 )
First Five Years If the Form 990 is for the organizati on's first, second , third, fourth, or fifth tax year as a section501(c)(3 ) organization,

15
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
16
100 000 %
Section D . Computation of Investment Income Percentage

17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
18
19a
33 1/3%support tests-2010 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not
more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported
organization
33 1 / 3% support tests- 2009 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line
18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
b
20
0 %
Page 4
Supplemental Information . Supplemental Information. Complete this part to provide the explanations
required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any
additional information. (See instructions).
Additional Data
Software ID :
10000149
Software Version :
2010.2.15
EIN:
Name :
27 -1598339
Form 990EZ, Part IV - List of Officers, Directors, Trustees, and Key Employees
(A) Name and address
RONY KESSLER
861 HEMLOCK STREET
FRANKLIN SQUARE,NY
(B) Title and average

hours per week
devoted to position
(C) Compensation
( If not paid ,
enter -0-.)
PRESIDENT 002 00
HOWARD ROBINS
2029 VALENTINES ROAD
WESTBURY,NY 11590
V PRES 002 00
SANDRA SALMON
191 BERRYHILL COURT
WEST HEMPSTEAD,NY 11552
V PRES 002 00
RICHARD MARMON-HALM
84-33 169 STREET
JAMAICA,NY 11432
DIRECTOR 002 00
LEO MONAHAN
C/O UBS 333 EARL OVINGTON BLVD
MITCHELL FIELD,NY 11553
SECY 002 00
11010
( D) Contributions to
employee benefit plans
&
(E) Expense
account and
other allowances
l efile
SCHEDULEG
(Form 990 or 990-EZ)
As Filed Data -
DLN: 93492136012992
Supplemental Information Regarding
OMB No 1545-0047
Fundraising or Gaming Activities
2010
Complete if the organization answered " Yes" to Forth 990, Part IV, lines 17 , 18, or 19,
or if the organization entered more than $ 15,000 on Form 990- EZ, line 6a .
Attach to Form 990 or Forth 990 - EZ.
See separate instructions.

Open to Public
Inspection

27-1598339
Fundraising Activities . Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Indicate whether the organization raised funds through any of the following activities Check all that apply
a
Mail solicitations
1 Solicitation of non-government grants
1 Internet and e-mail solicitations
1 Solicitation of government grants
1 Special fundraising events
1 In-person solicitations
2a
b
Phone solicitations
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
Yes
No
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization Form 990-EZ filers are not required to complete this table
(i) Name and address of
individual
or entity (fundraiser)
Total .
(ii) Activity
(iii) Did
fundraiser have
custody or
control of
contributions?
Yes
No
(iv) Gross receipts

from activity
(v) Amount paid to

(or retained by)
fundraiser listed in
col (i)
(vi) Amount paid to

(or retained by)
organization
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or
licensing
For Privacy Act and Paperwork Reduction Act Noticee see the Instructions for Form 990 .
Cat No 50083H
Schedule G ( Form 990 or 990 - EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Fundraising Events . Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported
more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1
(b) Event #2
(c) Other Events
DINNER
(event type)
(event type)
(total number)
(d) Total Events

(Add col (a) through
col (c))
co
u7
Gross receipts
Less Charitable
contributions
Gross income (line 1

minus line 2)
Cash prizes
Non-cash prizes
Rent/facility costs
Food and beverages
Entertainment
Other direct expenses
47,701
47,701
47,701
47,701
6,679
6,679
10
Direct expense summary Add lines 4 through 9 in column (d) .
11
Net income summary Combine lines 3 and 10 in column (d).
6,679
^
.
41,022
Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than
$15,000 on Form 990-EZ, line 6a.
(a) Bingo
co
(b) Pull tabs/Instant

bingo/progressive bingo
(c) Other gaming
(d) Total gaming

col (c))
co
co
cn
Gross revenue
Cash prizes
Non-cash prizes
Rent/facility costs
Volunteer labor
LIJ
F Yes
fl No
^0_
Yes
I No
Net gaming income summary Combine lines 1 and 7 in column (d) .
Yes
No
.
.
Enter the state ( s) in which the organization operates gaming activities

a
Is the organization licensed to operate gaming activities in each of these states?
If "No," Explain
. Yes
No
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------10a
b
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Were any of the organization ' s gaming licenses revoked, suspended or terminated during the tax year? . . . . . r-Yes
No
If "Yes," Explain
------------- ------------------------- ------------------------- ------------------------- ------------------------ ------------------------- ------------------------- ------------------------- -------------
Page 3
11
Does the organization operate gaming activities with nonmembers?
12
Is the organization a grantor , beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming?
13
. Yes
r- No
r-Yes
No
fl Yes
fl No
Indicate the percentage of gaming activity operated in
The organization ' s facility
13a
An outside facility
13b
14
Provide the name and address of the person who prepares the organization ' s gaming / special events books and
records
Name ^
Address ^
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue?
If "Yes," enter the amount of gaming revenue received by the organization ^ $

amount of gaming revenue retained by the third party
and the
If "Yes," enter name and address

Name ^
------------ ----------------------- ---------------------- ----------------------- ----------------------- ----------------------- ---------------------- ----------------------- --------
Address ^
-----------------------16
Gaming manager information
Name ^
------------------------------------------------------------
Gaming manager compensation 11111 $ _ ----------------------Description of services provided ^
---------- ------------------ ------------------ ------------------ ------------------- ------------------ ------------------ ------------------ ----------
r- Director/ officer
17
Employee
Independent contractor
Mandatory distributions
Is the organization required understate law to make charitable distributions from the gaming proceeds to
retain the state gaming license?
F Yes
F No
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization ' s own exempt activities during the tax
Complete this part to provide additional information for responses to question on Schedule G (see
instructions.)
Identifier
ReturnReference
Explanation
efile GRAPHIC p rint - DO NOT PROCESS
SCHEDULE 0
As Filed Data -
DLN: 93492136012992
OMB No 1545-0047
Supplemental Information to Form 990 or 990-EZ
O
201
Complete to provide information for responses to specific questions on

Open
Form 990 or to provide any additional information .
Inspection
1- Attach to Form 990 or 990-EZ.

27-1598339
Identifier
Return
Reference
Explanation
Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee COALITION AGAINST DOMESTIC VIOLENCE, Cash
Grant 7,000, Relationship Form 990-EZ, Part I, Line 10, Grants Paid Activity , Grantee VARIOUS, Cash Grant
20,765, Relationship Form 990-EZ, Part I, Line 16, Other Expenses Bank charges 37
l efile GRAPHIC
F orm
p rint
- DO NOT PROCESS
As Filed Data -
DLN: 93492134011773
Short Form
990 .EZ
OMB No
2011
Under section 501 ( c), 527, or 4947 ( a)(1) of the Internal Revenue Code

The organization may have to use a copy of this return to satisfy state reporting requirements
DepatmentoftheTreasury
A
B
r
For the 2011 calendar year, or tax year beginning 07 - 01-2011

Check if applicable
Address change
Name change
O pe n t o Pu:
-
, and ending 06-30-2012

27-1598339
Number and street (or P 0 box, if mail is not delivered to street address) Room/suite
861 HEMLOCK STREET
IlInitial return
1545-1150
E Telephone number
(516) 538-8515
Terminated
Amended return

F Group Exemption
Number
0-
G Accounting method
I' Cash
r'Accrual
Other (specify) 0-
Check - F if the organization is not

(Form 990, 990-EZ, or 990-PF)
I
3 Tax - Exempt status (check only one)-I_ 501(c)(3)?+fl 501(c )(
) 1(insert no )I! 4947(a)(1) or r527
K Check 0-I
ifthe organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are
normally not more than
$50,000 A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see
instructions) But ifthe
organization chooses to file a return, be sure to file a complete return
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts, If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or
more,
file Form 990 instead of Form 990-EZ
1- $
84,446
Revenue , Expenses , and Changes in Net Assets or Fund Balances (See the instructions for Part I
1
Investment income
5a
5a
Less
5b
Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a)
?'
1
a
CD
Cc
cost or other basis and sales expenses
. F
31,645
Sc

a
Gross income from fundraising events (not including $ of contributions from fundraising events
reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds
6a
$15,000) S
6b
c
Less
Net income or (loss) from gaming and fundraising events (Add lines 6a and 6b and subtract line 6c)
7a
a,
direct expenses from gaming and fundraising events
52,801
6c
21,001
6d
31,800
7a
Less
7b
7c
Other revenue (describe in Schedule 0 )
Total revenue . Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8
63,445
10
10
62,654
11
11
12
12
13
13
14
14
15
Printing, publications, postage, and shipping
15
16
16
16
17
17
62,670
18
1g
775
19
19
57,081
20
Other changes in net assets or fund balances (explain in Schedule 0)
20
21
21
cost of goods sold
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions .
Cat No
106421
57,856
Form 990-EZ (2010)
Form 990-EZ ( 2010)
Page 2
Balance Sheets
ff^
(See the instructions for Part II
22
Cash, savings, and investments
23
Land and buildings
. 1

57,081
57,856
23
24
Other assets (describe in Schedule 0)
25
Total assets
24
57,081
26 Total liabilities (describe in Schedule 0)

27
(B) End of year

22
25
57,856
26
Net assets or fund balances (line 27 of column (B) must agree with line 21)
57,081

. F

Describe the organization's program service accomplishments for each of its three largest program services, as
measured by expenses In a clear and concise manner, describe the services provided, the number of persons
benefited, and other relevant information for each program title
28ASSISTANCE AND SUPPORT TO MEMBERS OF THE WEST HEMPSTEAD COMMUNITY
(Grants $ 62,654)
.
27
57,856
Expenses
(c)(3) and 501(c)(4)
4947(a)(1) trusts,
optional for others
28a
16
29
(Grants $
(-
29a
0- (-
30a
30
(Grants $
310 ther program services (describe in Schedule 0)
(Grants $
31a
0101
1 32
16
List of Officers , Directors , Trustees , and Key Employees . List each one even if not compensated (See the instructions for Part IV )
Check if the organization used Schedule 0 to respond to any Question in this Part IV
(a) Name and address
.1

hours per week
(c) Compensation
( If not paid ,
(e) Expense
account and
devoted to Dosition
enter -0-.)
other allowances
Form 990-EZ (2011)
Form 990-EZ ( 2011)
Page 3
NZW Other Information ( Note the statement requirements in the instructions for Part V.)
Check if the organization used Schedule 0 to resDond to any question in this Part V
Yes
33
No
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule 0

34
33
No
No
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change on
Schedule 0 (see instructions)
.
35
34
If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among
others), but not reported on Form 990-T, explain in Schedule 0 why the organization did not report the income on
Form 990-T
a
b
36
Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
35a
No
If'Yes'to line 35a, has the organization filed a Form 990 -T for the year? If'No,' provide an explanation in
Schedule 0
35b
No
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
.
notice, reporting, and proxy tax requirements during the year? If 'Yes,' complete Schedule C, Part III
35c
No
36
No
37b
No
38a
No
40b
No
the year? If "Yes," complete applicable parts of Schedule N
37a
b
38a
Enter amount of political expenditures, direct or indirect, as described in the instructions
37a
b
39
38b
Section 501(c)(7) organizations. Enter
40a
39a
.
39b
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under
0 , section 4912 IPPr
section 4911 Ok'

b
0 , section 4955 Ok'
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been
reported on any of its prior Forms 990 or 990-EZ'' If "Yes," complete Schedule L, Part I
Section 501(c)(3) and 501(c)(4) organizations
Enter amount of tax imposed on organization managers or
disqualified persons during the year under sections 4912, 4955, and 4958
Section 501(c)(3) and 501(c)(4) organizations
Enter amount of tax on line 40c reimbursed by the
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
organization
41
42a
List the states with which a copy of this return is filed

The organization's books are in care of
Located at
140e I
No
NY
' RONY KESSLER
Telephone no ^ (516 ) 538-8515
861 HEMLOCK STREET

FRANKLIN SQUARE, NY
ZIP + 4
11111
11010
account)?
If "Yes," enter the name of the foreign country
Yes
No
42b
No
42c
No
0-
See the instructions for exceptions and filing requirements for Form TD F 90-22 . 1, Report of Foreign Bank and
Financial Accounts.
At any time during the calendar year, did the organization maintain an office outside of the U S 7
If "Yes," enter the name of the foreign country
43
0-
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 -Check here
.
I
43
Yes
44a
Form 990-EZ.
44a
No
44b
No
44c
No
Did the organization operate one or more hospital facilities during the year? If'Yes,'Form 990 must be completed
instead of Form990-EZ
No
Did the organization maintain any donor advised funds? If " Yes ", Form 990 must be completed instead of
Did the organization receive any payments for indoor tanning services during the year?
If'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If 'No,'provide an explanation
in Schedule 0
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)7
45b
Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)'' If'Yes,' Form 990 and Schedule R may need to be completed instead of
Form990-EZ (see instructions)
44d
45a
No
45b
No
Form 990-EZ (2011)
Form 990-EZ (2011
Page 4
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
No
Section 501 ( c)(3) organizations and section 4947( a)(1) nonexempt charitable trusts only.
All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions
47-49b and 52.
1
Yes
47
No
Did the organization engage in lobbying activities or have a section 501(h ) election in effect during the tax year?
If "Yes," complete Schedule C , Part II
47
No
48
Is the organization a school described in section 170 (b)(1)(A)(ii)'' If "Yes ," complete ScheduleE
48
No
49a
Did the organization make any transfers to an exempt non-charitable related organization ?
49a
No
If "Yes," was the related organization a section 527 organization?
49b
50
Complete this table for the organization ' s five highest compensated employees (other than officers, directors, trustees and key
employees ) who each received more than $ 100,000 of compensation from the organization If there is none, enter "None "
(a) Name and address of each employee

paid more than $100,000

hours per week
devoted to position
(c) Compensation
(e) Expense
account and
other allowances
NONE
Total number of other employees paid over $100,000
51
101.
NONE
d
52
Total number of other independent contractors each receiving over $11

Did the organization complete Schedule A? NOTE : All Section 501(c)(
must attach a completed Schedule A
Under penalties of perjury, I declare that I have examined this return, including acc
knowledge and belief, it is true, correct, and complete. Declaration of preparer (oth
knowledge.
Sign
Here
Preparer's Ilk
signature
Date
2013-05-13
RICHARD MARMON-HALM
Paid
Preparer's Firm's name (or yours
if self-employed) ,
Use Only address,
and ZIP + 4
RICHARD MARMON-HALM CPA PC

92-30 56 AVENUE
ELMHURST, NY
11373
(b) Type of service
(c) Compensation
l efile GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93492134011773
OMB No
SCHEDULE A
1545-0047
(Form 990 or
990EZ)
2011
Complete if the organization is a section 501(c)( 3) organization or a section

4947( a) (1) nonexempt charitable trust.
^ Attach to Form 990 or Form 990-EZ. ^ See separate instructions.

27-1598339
NUTZ" Reason for Public Charity Status (All organizations must complete this part.) See Instructions
The organization is not a private foundation because it is (For lines 1 through 11, check only one box
1
A church, convention of churches, or association of churches section 170 ( b)(1)(A)(i).
A n organization operated for the benefit of a college or university owned or operated by a governmental unit described in
A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v).
described in
section 170 ( b)(1)(A)(vi ) (Complete Part II )
acquired by the organization after June 30, 1975
See section 509 (a)(2). (Complete Part III )
10
An organization organized and operated exclusively to test for public safety
11
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509 (a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a
1 Type I
b
1 Type II
c
1 Type III - Functionally integrated
d
1 Type III - Other
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,
check this box
F
Since August 17, 2006, has the organization accepted any gift or contribution from any of the
f
g
Seesection 509(a)(4).
following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
and (iii) below, the governing body of the the supported organization?
No
11g(i)
(ii) a family member of a person described in (i) above?
11g(ii)
(iii) a 35% controlled entity of a person described in (i) or (ii) above?
llg(iii)

(iii)
)
Name of
supported
organization
ii)
EIN
I ( n th e
Is
Type of
organization
organization in
(described on
col ( i) listed in
lines 1- 9 above
or IRC section
your governing
document?
(v)
(vi)
Did ou notify the

y
organization in
Is the
organization in
col (i) of your

support?
col ( i) organized
in the U S 7
ii
Amount of
support?
(see
instructions))
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice , see the Instructions for Form 990
Cat No
11285F
Schedule A ( Form 990 or 990-EZ) 2011
Page 2
Support Schedule for Organizations Described in IRC 170(b )( 1)(A)(iv) and 170 ( b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify
under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A . Public Support
in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
grants ")

behalf
The portion of total contributions by
each person (other than a
(f)
4
5
Public Support . Subtract line 5 from
line 4

in)
7
Amounts from line 4

(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
sources
business activities, whether or
not the business is regularly
carried on
Other income (Explain in Part
IV ) Do not include gain or loss
from the sale of capital assets
Total support (Add lines 7
through 10)
10
11
12
Gross receipts from related activities, etc (See instructions
13
lik^F-
12

14
14
15
Public Support Percentage for 2010 Schedule A, Part II, line 14
15
16a
33 1 / 3%support test - 2011 . Ifthe organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
33 1 / 3% support test - 2010 . If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
10 %-facts-and -circumstances test - 2011 . If the organization did not check a box on line 13, 16a, or 16b and line 14
b
17a
0 %
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here . Explain
18
in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported
organization
10%-facts -and-circumstances test - 2010 . If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly
Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
Schedule A (Form 990 or 990 -EZ) 2011

IMMOTM
Page 3
Support Schedule for Organizations Described in IRC 509(a)(2)
Calendar year
( or fiscal year beginning
in)
Gifts, grants , contributions, and
membership fees received
( a) 2007
( b) 2008
( c) 2009
( Do not
( d) 2010
( e) 2011
(f) Total
608
43,207
31,645
75,460
608
43,207
31,645
75,460
include any " unusual grants ")

2

performed , or facilities furnished in
organization ' s tax-exempt
purpose


organization ' s benefit and either
behalf
7a

persons
Amounts included on lines 2 and 3

the greater of $5,000 or 1% of the
c
8

Add lines 7a and 7b
Public Support ( Subtract line 7c
from line 6 )
Section B. Total Support
75,460
(a) 2007
( b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
in)
9
10a
c
11
12
13
14
Amounts from line 6
608
43,207
31,645
75,460

sources
June 30, 1975


IV )
Total support (Add lines 9, 10c,
608
43,207
31,645
11 and 12 )
75,460

15
15
100 000 %
16
16
100 000 %
0 %
Section D . Com p utation of Investment Income Percenta g e

17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
17
18
18
19a
33 1 / 3% support tests-2011 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not
33 1 / 3%support tests-2010 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3 % and line
more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
20
18 is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions

MOW^
Page 4
Supplemental Information . Supplemental Information. Complete this part to provide the explanation
required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any
additional information. (See instructions).
Facts And Circumstances Test
Explanation
l efile
As Filed Data -
DLN: 93492134011773
OMB No
Supplemental Information Regarding
SCHEDULEG
2011
Complete if the organization answered " Yes" to Form 990, Part IV, lines 17 , 18, or 19,
or if the organization entered more than $15 , 000 on Form 990-EZ, line 6a.
O p e n to Public
Attach to Form 990 or Fonn 990 - EZ. lik' See separate instructions.
1545-0047
Ins pe ction

27-1598339
1
a
Mail solicitations
F Solicitation of non-government grants
F Internet and e-mail solicitations
F Solicitation of government grants
F Special fundraising events
2a
Phone solicitations
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services'
Yes
No
to be compensated at least $5,000 by the organization Form 990-EZ filers are not required to complete this table

individual
or entity ( fundraiser )
(ii) Activity
( iii) Did
fundraiser have
custody or
control of
contributions?
Yes
Total
3
(iv) Gross receipts

from activity
( v) Amount paid to
( or retained by)
col (i)
(vi) Amount paid to

(or retained by)
organization
No
^
licensing
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 .
Cat No 50083H
Schedule G ( Form 990 or 990 - EZ) 2011
Page 2
more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1
(b) Event #2
(c) Other Events
(d) Total Events

FOUNDATION
DINNER
INSTALLATION
DINNER
(event type)
col
(c))
(total number)
(event type)
co
u7
Gross receipts
Less Charitable
contributions

minus line 2)
Cash prizes
Non-cash prizes
Rent/facility costs
Food and beverages
Entertainment
38,821
13,980
52,801
38,821
13,980
52,801
7,794
12,607
20,401
600
600
10
11
Net income summary
Combine lines 3 and 10 in column (d).
( 21,001
^
.
31,800
Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than
$15,000 on Form 990-EZ, line 6a.
(a) Bingo
co
(b) Pull tabs/Instant
(c) Other gaming
(d) Total gaming

col (c))
co
co
1
Gross revenue
cn
Cash prizes
u)
C:
i
Non-cash prizes
Rent / facility costs
Volunteer labor
F Yes
F
No
Yes
Yes
No
No
Direct expense summary Add lines 2 through 5 in column ( d) .
Net gaming income summary
Combine lines 1 and 7 in column ( d) .
Enter the state(s) in which the organization operates gaming activities

a
If "No," Explain
10a
b
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year ?
F Yes
F No
. Yes
No
If "Yes," Explain
I
Page 3
11
Does the organization operate gaming activities with nonmembers ?
12
13
F Yes
F No
F Yes
F No
r- Yes
r- No
F Yes
F No

a
The organization's facility
13a
An outside facility
13b
14
Provide the name and address of the person who prepares the organization's gaming/special events books and
records
Name ^
Address ^
15a
revenue '
and the
amount of gaming revenue retained by the third party 111111 $

C
If "Yes," enter name and address
Name ^
Address ^
16
Name ^
Gaming manager compensation llik^ $
Description of services provided ^
F Director/ officer
17
F Employee
F Independent contractor
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license ?
in the organization ' s own exempt activities during the tax year 11111
Complete this part to provide additional information for responses to quuestion on Schedule G (see
instructions.)
Identifier
ReturnReference
Explanation

SCHEDULE 0
(Form 990 or 990
As Filed Data -
DLN: 93492134011773
OMB No 1545 0047
EZ)

2011
Open to Public
Insp e ction

27-1598339
Identifier
Return
Reference
Explanation
Form 990-EZ, Part I, Line 10, Grants Paid Activity GENERAL SUPPORT, Grantee NEW YORK ASIAN WOMENS
CENTER 39 BOWERY NEW YORK NY 10002, Cash Grant 10,000, Relationship Form 990-EZ, Part I, Line 16, Other
Expenses Bank charges 16
Additional Data
Software ID:
Software Version :
EIN:
Name :
11000218
2011.0.0
27 -1598339
Form 990EZ, Part IV - List of Officers, Directors, Trustees, and Key Employees
(A) Name and address
RONY KESSLER
861 HEMLOCK STREET
FRANKLIN SQUARE,NY
( B) Title and average
( C) Compensation
( D) Contributions to
(E) Expense
hours per week

devoted to position
( If not paid,
enter -0-.)
employee benefit plans

&
account and
other allowances
TREASURER 002 00
HOWARD ROBINS
2029 VALENTINES ROAD
WESTBURY,NY 11590
PRESIDENT 002 00
SANDRA SALMON
191 BERRYHILL COURT
WEST HEMPSTEAD,NY 11552
LEO MONAHAN
C/O UBS 333 EARL OVINGTON BLVD
MITCHELL FIELD, NY 11553
SECY 002 00
11010
PRES 002 00
l efile GRAPHIC
Form
p rint
- DO NOT PROCESS
DLN: 93492133031224
Short Form
990 .EZ
As Filed Data -
1- The organization may have to use a copy of this return to satisfy state reporting requirements
For the 2012 calendar year, or tax year beginning 07 - 01-2012

Check if applicable
IlAddress change

27-1598339
E Telephone number
(516) 538-8515
r-Terminated
F
, and ending 06-30-2013
Number and street (or P 0 box, if mail is not delivered to street address) Room/suite
861 HEMLOCK STREET
Initial return
2012
Under section 501 (c), 527, or 4947 ( a)(1) of the Internal Revenue Code
A
B
I! Name change
OMB No 1545-1150

Amended return
F Group Exemption
Number
1-
H
G Accounting Method
I Website: I
F'Cash
r'Accrual
Check 1- F if the organization is not

(Form 990, 990-EZ, or 990-PF)
Other (specify) 0-
NIA
3 Tax- exempt status (check only one)-I_ 501(c)(3)9fl 501(c)(
) A(insert no )fl 4947(a)(1) or r- 527
K Check 0-1
if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are
normally not more than $50,000 A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see
instructions) But if the organization chooses to file a return, be sure to file a complete return
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts If gross receipts are $200,000 or more, or if total assets (Part II, line 25,
column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ
-$ 75,158
Revenue , Expenses , and Changes in Net Assets or Fund Balances (see the instructions for Part I)
F
1
Investment income
1
a
CD
Cc
. .
. .
..
5
Sc

cost or other basis and sales expenses
. .
. .
. .
35,861
5a
Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a )
5b
....
Gross income from fundraising events (not including $

from fundraising events reported on line 1) (attach Schedule G if the
6a
of contributions
direct expenses from gaming and fundraising events
7,971
Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)
Less
7c
11
12
13
14
15
Printing , publications , postage , and shipping
16
17
18
19
.
.
20
Other changes in net assets or fund balances (explain in Schedule 0)
21
For Paperwork Reduction Act Notice, see the separate instructions .
.
.
10
Total revenue . Add lines 1 , 2 , 3 , 4 , 5c, 6d, 7c, and 8
Other revenue (describe in Schedule O )
31,326
7b
.
6d
7a
.
39,297
cost of goods sold
6c
Less
6b

Z
. .
Less
7a
. .
sum of such gross income and contributions exceeds $15,000)
a,
. .
. .
5a
?D
.
.
.
.
.
.
.
.
.
.
67,187
10
57,370
11
12
13
14
15
16
187
17
57,557
1g
9,630
57,856
.
.
.
.
19
20
Cat No 106421
ok-
21
67,486
Form 990-EZ (2012)
Form 990-EZ ( 2012)
Page 2
Balance Sheets ( see the instructions for Part II)

. .
. .
. .
. .

22 Cash, savings, and investments
57,856 22
23
24
57,856 25
26
27 Net assets or fund balances (line 27 of column ( B) must agree with line 21 )
57,856 27
24 Other assets (describe in Schedule 0)

25 Total assets
26 Total liabilities (describe in Schedule 0)
1:M-Oili$
(see the instructions for Part III)
. F

Describe the organization's program service accomplishments for each of its three largest program services, as
measured by expenses In a clear and concise manner, describe the services provided, the number of persons
benefited, and other relevant information for each program title
28 ASSISTANCE AND SUPPORT TO MEMBERS OF THE WEST HEMPSTEAD COMMUNITY
(Grants $ 57,370)
If this amount includes foreign grants, check here .
. .
. .
. .
.I
(B) End of year
23 Land and buildings
. .
67,486
67,486
67,486
Expenses
(c)(3) and 501(c)(4)
4947(a)(1) trusts,
optional for others
0- F
28a
187
29
(Grants $
0- (-
29a
0- (-
30a
30
(Grants $
31 Other program services (describe in Schedule O )

(Grants $ )
0- F
^
31a
32
187
List of Officers, Directors , Trustees, and Key Employees List each one even if not compensated (see the instructions for Part IV)
Check if the organization used Schedule 0 to respond to any question in this Part IV.
.
.
.
.
.
.
.
.
.
.
(a) Name and title
(b ) Average
hours per week
devoted to position
( c)Reportable
compensation
(Forms W-2/ 1099MISC) (if not paid,
enter -0-)
RONY KESSLER
TREASURER
002 00
SANDRA SALMON
PRESIDENT
002 00
REGINA MASCIA
V PRES
002 00
JHEA SCOTTO-LAUB
SECY
002 00
( d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount

of other compensation
Form 990-EZ (2012)
Form 990-EZ (2012)
Page 3
NZW Other Information (Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V ) Check if the organization used Schedule 0 to respond to any question in this Part V
.F
Yes
33
34
35a
No
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule 0
. . . . . . . . . . . . . . . .
33
No
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change
on Schedule 0 (see instructions)
. . . . . . . . . . . . . . . . . . . . . . .
34
No
35a
No
Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others )?
. . . . . . . . . . .
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule 0 35b
Was the organization a section 501 (c)(4), 501 (c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
No
36
the year? If"Yes,"complete applicable parts of Schedule N
. . . . . . . . . . . . .
36
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions 0-
37b
No
38a
No
40b
No
40e
No
b
38a
1 37a
b
39
38b
Section 501(c)(7) organizations Enter
40a
39a
39b
Section 501(c)(3) organizations Enter amount of tax imposed on the organization during the year under
0 , section 4912 IPPr
section 49111111111
0 , section 4955 1111111
Section 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit
transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been
reported on any of its prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I
. . . . . .
Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax imposed on organization managers or
disqualified persons during the year under sections 4912, 4955, and 4958
. . .
Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax on line 40c reimbursed by the organization
. . . . . . . . . . . . . . . . . . . . . . . . . . .
All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter
. . . . . . . . . . . . . . . . . . . .
41
42a
List the states with which a copy of this return is filed JPr NY
The organization's books are in care ofd RONY KESSLER

Located ate 861 HEMLOCK STREET FRANKLIN SQUARE,
Telephone no lk- (516) 538-8515
NY
ZIP +4
11010
account)?
Yes
No
42b
No
42c
No
If "Yes," enter the name of the foreign country 0See the instructions for exceptions and filing requirements for Form TD F 90- 22.1, Report of Foreign Bank and
Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U S ?
If "Yes," enter the name of the foreign country 0-
43
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 -Check here .
.
. . . .
I 43
Yes
44a
Did the organization operate one or more hospital facilities during the year? If "Yes,"Form 990 must be completed
instead of Form 990-EZ
. . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization receive any payments for indoor tanning services during the year? .
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No, "provIde an
explanation in Schedule 0
. . . . . . . . . . . . . . . . . . . . . . . . .
45a
No
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990- EZ
Did the organization have a controlled entity within the meaning of section 512(b)(13)? .
44a
No
44b
No
44c
No
44d
.
45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of
Form 990-EZ (see instructions)
45a
No
45b
No
Form 990-EZ (2012)
Form 990-EZ (2012)
Page 4
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
. . . . . . . . . . .
46
No
Section 501 ( c)(3) organizations only

All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50
and 51
Milil"i
. .
. .
. .
. .
. .
. .
. .
. .1
Yes
47
No
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
. . . . . . . . . . . . . . . . . . . .
47
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
48
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?
No
If "Yes," was the related organization a section 527 organization? .
50
49a
49b
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees) who each received more than $100,000 of compensation from the organization If there is none, enter "None "
(a) Name and title of each employee paid

more than $100,000
(b) Average
hours per week
devoted to position
(c) Reportable
compensation
(Forms W-2/1099MISC)
(d) Health benefits,

contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount

of other compensation
NONE
Total number of other employees paid over $100,000
51
. sk.
NONE
d
52
Total number of other independent contractors each receiving over $10

Did the organization complete Schedule A? NOTE: All Section 501(c)(
nonexempt charitable trusts must attach a completed Schedule A .
Under penalties of perjury, I declare that I have examined this return , including acco
knowledge and belief, it is true, correct, and complete . Declaration of preparer (othe
knowledge.
Sign
Here

Print/Type preparer's name
Paid
Pre pare r
Use Only
Firm's name
Preparers signature
RICHARD MARMON-HALM
I
1- RICHARD MARMON-HALM CPA PC
Firm's address -92-30 56 AVENUE

ELMHURST, NY
11373
(b) Type of service
(c) Compensation
efile GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93492133031224
OMB No 1545-0047
SCHEDULE A
(Form 990 or 990EZ)

2012
Complete if the organization is a section 501(c)(3) organization or a section

4947( a)(1) nonexempt charitable trust.

^ Attach to Form 990 or Form 990-EZ. ^ See separate instructions.

27-1598339
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organi zation is not a private foundation because it is (For lines 1 through 11, check only one box )
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
fl
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
fl
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
described in section 170(b)(1)(A)(vi ). (Complete Part II )
acquired by the organization after June 30, 1975 See section 509(a)(2). (Complete Part III )
10
fl
An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11
one or more publicly supported organizations described in section 509 ( a)(1) or section 509(a)(2) See section 509(a)(3). Check
the box that describes the type of supporting organization and complete lines Ile through 11 h
a
fl Type I
b
1 Type II
c
fl Type III - Functionally integrated
d
(- Type III - Non - functionally integrated
(-
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1 ) or
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II, orType III supporting organization,
check this box
(Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
f
g
and (iii) below, the governing body of the supported organization?
11g(i)
(ii) A family member of a person described in (i) above?
11g(ii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above?
11g(iii)

(i) Name of
supported
organization
(ii) EIN
(iii) Type of
organization
(described on
lines 1- 9 above
or IRC section
(see
instructions))
(iv) Is the
organization in
col (i) listed in
your governing
document?
Yes
No
(v) Did you notify

the organization
in col (i) of your
support?
Yes
(vi) Is the
organization in
col (i) organized
in the U S ?
No
Yes
(vii) Amount of
monetary
support
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ .
Cat No 11285F
ScheduleA(Form 990 or 990-EZ)2012
MU^
Page 2
Support Schedule for Organizations Described in Sections 170(b )( 1)(A)(iv) and 170 ( b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support

Calendar year ( or fiscal year beginning
in) 11111
1
grants ")
2
behalf
3
4
Total .Add lines 1 through 3
5
The portion of total contributions
by each person (other than a
(f)
6
Public support . Subtract line 5 from
line 4
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
(d) 2011
(e) 2012
(f) Total

(a) 2008
(b) 2009
in) ^
7
Amounts from line 4
8
sources
9
business activities, whether or not
the business is regularly carried
on
Other income Do not include gain
10
or loss from the sale of capital
assets (Explain in Part IV )
Total support (Add lines 7 through
11
10)
12
Gross receipts from related activities, etc (see instructions)
13
(c) 2010
12
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ItE

14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
15
0 %
16a
331 / 3%support test - 2012 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
b 331 / 3%support test - 2011 . If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
17a 10%-facts-and -circumstances test - 2012 . If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2011 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly
18
Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
Page 3
Support Schedule for Organizations Described in Section 509(a)(2)

IMMITM

in) 11111
1
include any "unusual grants ")
2
performed, or facilities furnished in
organization's tax-exempt
purpose
3
4
behalf
5
6
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
608
43,207
31,645
35,861
111,321
608
43,207
31,645
35,861
111,321
7a

persons
b Amounts included on lines 2 and 3
the greater of$5,000 or 1% of the
c Add lines 7a and 7b
8
Public support (Subtract line 7c
from line 6 )
111,321

in) ^
9
10a
c
11
12
13
Amounts from line 6
(a) 2008
(b) 2009
(c) 2010
608
(d) 2011
43,207
(e) 2012
31,645
35,861
(f) Total
111,321

sources
June 30, 1975
IV )
Total support . (Add lines 9, 1Oc,
11, and 12 )
608
43,207
31,645
35,861
111,321
14
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
15
100 000 %
16
16
100 000 %
0 %
Section D . Com p utation of Investment Income Percenta g e

17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
17
18
18
19a
331 / 3%support tests- 2012 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
331 / 3%support tests- 2011 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18
is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
lk'FPrivate foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
b
20
Schedule A (Form 990 or 990- EZ) 2012
Page 4
Supplemental Information . Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See
instructions).
Facts And Circumstances Test
Explanation
l efile
As Filed Data -
DLN: 93492133031224
OMB No 1545-0047
lemental Information Re ardin

pp
g
g
SCHEDULEG
SU
Complete if the organization answered "Yes" to Forth 990, Part IV, lines 17, 18, or 19, or if the organization entered
more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part.
2012
PrAttach to Form 990 or Forth 990-EZ. PrSee separate instructions.


27-1598339
a
1 Solicitation of non-government grants
1 Internet and email solicitations
1 Solicitation of government grants
F Special fundraising events
2a
b
Mail solicitations
Phone solicitations
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
Yes
No
to be compensated at least $5,000 by the organization
individual
or entity (fundraiser)
Total .
3
1'
(ii) Activity
(iii) Did
fundraiser have
custody or
control of
contributions?
Yes
No
(iv) Gross receipts

from activity
(v) Amount paid to

(or retained by)
col (i)
(vi) Amount paid to

(or retained by)
organization
licensing
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ .
Cat No 50083H
Page 2
more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List
events with gross receipts greater than $5,000.
(a) Event #1
(b) Event #2
(c) Other events
FOUNDATION
DINNER
(event type)
(event type)
(total number)
(d) Total events

(add col (a) through
col (c))
co
u7
rros s rp
ecei s
Less Contributions

minus line 2)
Cash prizes
Noncash prizes
Rent /facility costs
Food and beverages
Entertainment
39,297
39,297
39,297
39,297
7,971
7,971
10
Direct expense summary Add lines 4 through 9 in column (d)
11
Net income summary Combine line 3, column ( d), and line 10
(7,971)
.
.
111k.
31,326
Gaming . Complete if the organization answered "Yes" to Form 990, Part IV , line 19, or reported more than
$ 15,000 on Form 990-EZ , line 6a.
(a) Bingo
( b) Pull tabs/Instant
( c) Other gaming
(d) Total gaming (add

col ( a) through col
(c))
co
1
Gross revenue
Cash prizes
Non-cash prizes
Rent/facility costs
Volunteer labor
Net gaming income summary Combine lines 1 and 7 in column (d) .
u)
C
LIJ
F Yes
fl No
F Yes-
F Yes------------------fl No
.
.
.
.
.
F No
.
.
.
.
.
.
.
.
.
.
.
^
.
Enter the state (s) in which the organization operates gaming activities
a
If "No," explain
10a
b
. Yes
r No
------------- ------------------------- ------------------------- ------------------------- ------------------------ ------------------------- ------------------------- ------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Were any of the organization ' s gaming licenses revoked, suspended or terminated during the tax year? . . . . . F Yes F No
If "Yes," explain
Page 3 11
Does the organization operate gaming activities with nonmembers?

12
. Yes
r- No
13
. Yes
r- No
r- Yes
r- No
The organization ' s facility
13a
An outside facility
13b
14
Enter the name and address of the person who prepares the organization ' s gaming/special events books and records
Name ^
Address ^
15a
revenue?
amount of gaming revenue retained by the third party

c
and the
If "Yes," enter name and address of the third party

Name '
Address '
---------------- ------------------------------ ------------------------------ ------------------------------------------------------------ ------------------------------ -
16
Name llik^
------------ ----------------------- ---------------------- ----------------------- ----------------------- ----------------------- ---------------------- -
Gaming manager compensation ^ $ _ -------------------------------------------Description of services provided

---------- ------------------ ------------------ ------------------ ------------------- ------------------ ------------------ ------------------ ---------r- Director/ officer
17
Employee
Independent contractor
Is the organization required understate law to make charitable distributions from the gaming proceeds to
retain the state gaming license?
r-Yes
r-No
in the organization ' s own exempt activities during the tax year
Supplemental Information. Complete this part to provide the explanations required by Part I , line 2b,
columns ( iii) and (v ), and Part III , lines 9 , 9b, 10b, 15b, 15c, 16, and 17b, as applicable . Also complete this
part to provide any additional information ( see instructions).
Identifier
I
Return Reference
Explanation
l efile
SCHEDULE 0
As Filed Data -
DLN: 93492133031224
OMB No 1545 0047



Identifier
Return Reference
2012
Open
Inspection
Explanation
Form 0990-EZ, Part 1, Line

Grants
Activity , Grantee THE
NUTRIT IONAL NE
TWORK211
AVENE HEMPSTEAD
y1 1550, Cash Grant 0,0 0, Relationship
Form 990-EZ, Part I, Line 16 , Other Expenses Bank charges 2
As Filed Data -
DLN: 93492133031224
TY 2012 Compensation Explanation

Name : WEST HEMPSTEAD ROTARY FOUNDATION
EIN: 27-1598339
Software ID:
Software Version :
Person Name
12000057
12.19.1011.1
Explanation

West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013

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West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013

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l efile GRAPHIC

Department of the Treasury

A For the 2010 calendar year, or tax year beginning 07-01-2010

, and ending 06-30-2011

D Employer identification number

City or town, state or country, and ZIP + 4

3 Tax- Exempt status (check only one)-I_ 501(c)(3)? +fl 501(c)(

) A(insert no )I! 4947(a)(1) or r

Check i- F if the organization is not

(Form 990, 990-EZ, or990-PF)

Program service revenue including government fees and contracts

Membership dues and assessments

Gross amount from sale of assets other than inventory

Less cost or other basis and sales expenses

Gaming and fundraising events

Gross income from gaming (attach Schedule G if greater than $15,000)

Less direct expenses from gaming and fundraising events

Contributions, gifts, grants, and similar amounts received

Gross sales of inventory, less returns and allowances

Less cost of goods sold

Other revenue (describe in Schedule O)

Total revenue . Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8

Grants and similar amounts paid (list in Schedule O)

Benefits paid to or for members

Salaries, other compensation, and employee benefits

Professional fees and other payments to independent contractors

Occupancy, rent, utilities, and maintenance

Printing , publications , postage , and shipping

Other expenses (describe in Schedule O)

Total expenses . Add lines 10 through 16

Excess or (deficit) for the year (Subtract line 17 from line 9)

end-of-year figure reported on prior year's return)

Other changes in net assets or fund balances (explain in Schedule O)

Net assets or fund balances at end of year Combine lines 18 through 20

Form 990-EZ (2010)

Form 990-EZ ( 2010)

(A) Beginning of year

22 Cash, savings, and investments

24 Other assets (describe in Schedule 0)

26 Total liabilities (describe in Schedule O)

Statement of Program Service Accomplishments

What is the organization's primary exempt purpose?

(B) End of year

If this amount includes foreign grants, check here

If this amount includes foreign grants, check here

31 Other program services (describe in Schedule O)

32 Total program service expenses (add lines 28a through 31a)

(a) Name and address

(b) Title and average

See Additional Data Table

Form 990-EZ (2010)

Form 990-EZ (2010)

Enter amount of political expenditures, direct or indirect, as described in the instructions 0-

Section 501(c)(7) organizations. Enter

Initiation fees and capital contributions included on line 9

Gross receipts, included on line 9, for public use of club facilities

0 , section 4912 lik'

List the states with which a copy of this return is filed

The organization ' s books are in care ofd RONY KESSLER

Telephone no lk- (516 ) 538-8515

861 HEMLOCK STREET

Form 990-EZ (2010)

Is the organization a school described in section 170 (b)(1)(A)(ii)7 If "Yes," completeScheduleE

If "Yes," was the related organization a section 527 organization?