-

~©09

Return of Organization Exempt From Income Tax Under uctIon 6OiCe). BD. or 4841{a)(1} of the tntemaI ReIMnue Code (~ bfack fImg benerIt trust or prtwIe 1ourtcIatI®)

0P;;i1 to Pu!J!i<: lnspr-ctun I

B CI1edIr~ [B" Ad!ItMs ~ ONamechqe OlllltlalrellJm Di~

o AInendfd Allum

o AppIII:don pending

1 Brteny deser1be the CfgBI1I2atIon's mission or most sIgnIfIC8I'It activities: __ •. _ ...... '" •••••.•.• , ..... ..... __ •.•.•..•.• , •••

J _TI!!l.!!1J!!!9!lJ!lc!.P!~.!tI!J~!!.~_~.A.~_~o.~~rl1!1.f!!!!a!!_~~J!I).~_I!l!!l.~.Y!I~-.- ••.. -- •.• - •••. -

_~!!lJ!!.I!!.~!r'~.!~~~._ .. __ .. __ ._._ .. _._ .. . . ••. __ ._._ .. ._ ••. _, __ ..•.••. _ .•.•••.•...... _ •. _._

2 c,;;ilit;;;·;-O·ff·U;;;;;;;;;~b~;;·~d;;;-;;;25%~·ii;-~;;;;;:m _ ---- - -

.. 3 Number of voting memben; of the governing body (Part VI. nne 18). . , . . i 4 Nvmber of Independent voting rnernbeIlI of the go1MlTllng body (Part VI, line 1b) ft 5 Total number of emptoyeea (Part V, 1100 2a). . • . . . . • , . .

-< 6 Total number of volunteers (estimate If ~ . • • • • . • • •

7a Total gross unreIatod business revenue from Part line 12. . •

f 8 ContJibutfona and grants (part VIII, line 1 h). . • . . . • . . i 9 Program $«Vice revenue (part VIII. line 2g). . . . . . . • . fl 10 Investment Income (Part VIII. col!.lmn (A). lines 3, 4, and 7~ .' • .

11 Other revenue (part Vln. column lines 5, 6d, So, 90. 100, and 1

12 Total revenue-add lines 8 Part

13 Grants and similar amounts paid (part IX. COlumn (A). lines 1-3). •

14 Benefits paid to or tor memberS (Part IX, column t\), line 4} • •• •

I 15 Salaries, other compensation, employee benefits (Part IX, ooItmn (A). lines 5-1 0) I 168 Protesslonal1undralslng fees (part IX, column (A), line lie) , • • • • •

b TotaIfundrelsing expenses (part IX, cQIumn(D). fine 25) -.~~~ •••• 1"---.;.:;;;.....:.....:.:-:-:::~~...:..;...;...;_;;:..::;.;;:..4~,.:.,..

17 Other expenses (part IX, column {A). lines 11a-110, 111-24f) , . . . • .I---~~~t---~~~ 18 Total exp1IN'lStlS. Add lines 13-17 equal Part lX. coIUIlTl W. line 25) •• ~--~~~'__-___l~~!!t

SIgn Here

Cat. No. 11282Y

IM""

Statement of Pi'OQiim Service Acco;nplshments

Pago2

Form900~

1

Brtefly describe the organization's mission:

.!.~.!!:I~!t_<!!,.!!,.!~.p.r~~~.~J!!l~.~I)~.~!.~~.~~!'l~!~t!!1.~~~_~9!:.~!~!~.~~.~.'!.~~'«?.'!!.~~.'!!.~!! .

. ~~ _I.I!~.'!r:t~ .~~~: ...••• _ •.• , __ •.. '_'" •••••• '_" ._ ••.••.•..... - .",. - ••.•..••• -'" - ..•..•....••....••.•...••.....•••••.•••....•.

---_ _ ~ ~ .. --- - -_ _- --- .. -~-- - -- -- .. _ _ -.. _- - - .. _ .. _- -_ _ _- _----- _ .. _ --- -- _ -- - ~

2 Did the organization undertake any significant program selVIces during the year which were not listed on

the prior Form 990 or 99O-EZ? . 0 Yes 0 No

If "Yes," describe these new services on Schedule O.

3 DId the organization cease conducting, or make significant changes In how It conducts, any program

88IVlces? 0 Yes liZ] No

If MYes," describe these changes on Schedule O.

.. Describe the exempt purpose achievements for each of the organization's three largest program services by expenses.

Sectlon 501(c)(3) and 501 (c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and aHocations to others, the total expenses, and revenue, If any, for each program service reported.

4a (Code; •••••••••••• J (Expenses $ MIM~Q.lncludlng grants of $ _.J (Revenue $ ._ J

.TI!~J?!1l~!Il~~.I?!'.~~y.4!~'!P..!~~~~.<!!!I!~~~.!.r:.I!~J~.I.!!'.!!Y~I!~<!!! •. ~1'.!~.~~rl<!.~.~!"_~.~t.i!.~~~.~.I?f ..•.............•..•...... . ~~y!l.~!!!~!!tt!.P!~9J!M.tt<!~~!9.~jJ!!!I.~JJ!I~ __ .... _ ...•...................................•.........................•..............

4b (Code: •••••••.•.•. J (Expenses $ ~J:t.!~!~~~. including grants of $._ .•.... ~t!~!!,.~?_~J (Revenue $ .>

. I~. Qr9.~!:lJ~!.qrt. P"~9~5!~.t! .ar!ll!!.!!!:l1?P"9rt .t'?r .9!~Lt'I.~AA~fJ! .(ml~!1.~t<?!!.~< ..• , .••... _ ...•..•. _ ..•.•• __ ..•.••.••...•••.•.•..•..

4e (Code: •••.•••••••• J (Expenses $ ..................• including grants of $ _ , ) (Revenue $ ...•...•....... _ .>

-- _------- --_ .. _ _- _ - .. _._------- .. _-- - _- ---- _--------- "' _- - -- .. -- "'" .. --- -- -------- .. --- ~ ..

..... "' .. - - - --- .. -------- -- - .. ~-- ----- _ ------_ _--_ __ - --- .. ----------- .. _ _ - -------_ ..

-- .. -_ --- __ -- -- ----- .. - .. -- ---- -_ .. -- ------_ .. ----- --_ - .. ---- - .. --- _ _- _ -- ~-~ ---- - -------_ .. - - -_ .. -- - - __ -- -_ - -- --~

.. -- .. __ __ .. _ ~ "' -- -- _ _-- ,., .. - -_ .. -- -- _ _ _-_ - _ -- - _ - - - _

... - .. __ .. "" .. _-- .. - .. - ------ .. _ -- _ .. - --- _ .. --- _ -_ -_ - _ w. _~_"' _"' _,_ w • __ ~ M'" __ .. _ .. __ ~ _ .. _ _ .. _"'_ .. __ w.

_ __ .. - .. _-- _ .. -_ .. _ __ -""-_ _ -_ -----_ .. --_-- _ -_- "' ---~ _ .. ..,_ --- ------~- -- - .. - - - _ -_ .. - - .. '-_ -- _"' _---- -- -_ --~ -_ .. - -_ _ --- ...

... - -- --- - __ .. - -- _- --- - __ -- - __ -- -- __ .. -- - __ _ .. - _ _ __ _ __ ; .. w ~ _ .. ~ ~ ~_~ __ ~ _ .. ~ ~ __ .

........ .. --~ - --- ---- _ --- --_ ~ - .. - - --- -- .. -_ .. -- ------ -- -- --- - ,. .. _ - - --- --.

4d Other program services. (Describe In Schedule 0.)

(Expenses $ IncludIng grants of $

) (Revenue $

4e Total program service expenses ~ 6,093,670

Fonn 990 (2009)

Form 990

1 Is the organization described In section 501{c){3) or 4947(a)(1) (other than a private foundation)? If "Yes,~

COlTlpl&te Schedule A . . . . . . . . . • . . . . . . . , , . . . . . , . . . . r--!'-+--:;--t-.!...- 2 Is the organization required to complete Schedule S, Schedule of Contributors?, , . . ' . . , . ,r-='-+-'---t--

3 Did the organization engage In direct or Indirect poIItlcal campaign activities on behalf of or in opposition to

candidates for public office? If "Yes, n complete Schedule C, Part I . • , . . . . , . . . . , . I---"''-+~-+-- 4 Sectfon 501(cK3) organlzaUons.. DId the organization engage In lobbying activities? If "Yes,» cOlTlplete

Schedule C, Pert 1/ • • • • • • • • • • • • • • • • • • , • • , • • • , . • • 'f-:.!.-t---If---

5 Section 601(c)(4), 501{c)(5). and 501(c)(6) organization-. Is the organizatIon subject to the section 6033(e) notice and reporting requirement and proxy tax? If "Yes, " complete Schedule C, Part 111. . . . , , . f-"'-i---+-'--

6 Old the organization maintain any donor advised funds or any simIlar funds or accounts where donors have the right to provide advice on the dlstrlbutlon or Investment of amounts in such funds or accounts? II "Yes, " complete Schedule 0, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . r~-+';"'_

7 Did the organization receive or hold a Conservation easement, Including easements to praseI'Ve open space, the environment, historic land areas, or historic structures? If "Yes, ~ complete Schedule 0, Pert II . . ,ir--:-'-+_+'--

8 Old the organization maintain collections of wor1<s of art, historical treasures, or other similar assets? II ~Yes, ft

complete Schedule D, Part 11/. • • • • • . • • • • • . • • , • • • • • . • • • •

9 Old the organlzatlon report an amount In Part X, line 21; serve as a custodian for amounts not listed In Part

X; or provlckl credit counseling. debt management, credit repair. or debt negotiation services? 11 "Yes,. complete Schedule 0, Part IV . . . . , . . . . . . . . . . . . . . . , . . . . . r-='-+---t-....._ 10 Old the organization, directly or through a related organization, hold assets In term, permanent, or quasl-endowments? If "Yes," complete Schedule D, Part V. . • . . . , . . . • . . • . . . ""-"-+---t--

11 Is the organization's answer to any of the following questions "Yes"? If so, complete Schedule D, Perts VI,

VII, VIII, IX, or X as applicable . . . . . . . . . . . . • . • . . , . . . • . . . .

• Old the organization report an amount for land, buildings, and equipment In Part X, line 1 o? II »Yes, " complete Schedule 0, Part VI.

• Did the organization report an amount for Investments-other securities In Part X, line 12 that Is 5% or more of its total assets reported in Part X. line 16? If -Yes, • complete Schedule D, Part VII.

• Old the organization report an amount for investments-program related In Part X. line 13 that Is 5% or more of Its total assets reported In Part X, line 16? It "Yes, • complete Schedule D, Part VIII.

• Old the organization report an amount for other assets In Part X, line 15 that Is 5% or more of Its total assets

reported In Part X, line 16? If "Yes," complete Schedule D, Part ,X. I

• Did the organization report an amount for other liabilities In Part X. line 257 If "Yes, " complete Schedule 0, Pert X. .

• Old ttle organization's separate or consolidated financial statements tor the tax year Inctude a footnote thai addresses the organization's liability for uncertain tax positions under FIN 48? If "Yes," complete Schedule D, Pwt X. 12 Did the organization obtain separate, Independent audfted financial statements for the tax year71f "Yea, # complete Schedule D, Parts Xl, XII, and XIII. 12A Was the orgoolzatlon Included in consolidatsd, Independent audited financial statements for the tax year?

If ·Yes, " completing Schedule D, Parts Xl, XII, and X1U is opticflal.. . • . . • , • . . . .

13 Is the organization a school described in section 17O(b}(1)(A)QI)7If "Yes, n complete Schedule E

14a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10.000 from grantmaking, fundralslng, business, and program service activities outside the United States? If "Yes, ~ complete Schedule F, Part I. . . I-'-'=-t---t-=--- 15 Old the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If "Yes, " complete Schedule F, Part II. • . . . ~~_-+-'--

16 Did the organization report on Part IX. column (A), line 3, more than $5,000 of aggregate grants or assistance

to IndIViduals located outside the United States? If "Yes, n complete Schedule F, Part 11/. , • • • • • ;.-:.:=-+_..;....;:..-..

17 Did the organization report a total 01 more than $15,000 of expenses for professional fundra!slng services on Part lX, column (A), Unes 6 and 11 e1 If "Yes, • complete Schedule G, Part I • . . . . • • • . . ;.-:.:'--t--"--t--

18 Did the organization report more than $15,000 total of fundrafslng event gross Income and contributions on I'

Part VIII, lines 1c and Sa? If "Yes," complete Schedule G, Part II. . . . . . . . , , , . . , . li-c . .:.::18"-t---r-'--

19 Old the organization report more than $15,000 of gross Income from gaming activities on Part VIII, line 981

20

Form 990 (2009)

21 Did the organlzatlon report more than $5,000 of grants and other assistance to govemmerrt:s and organizations

In the United States on Pert IX, column (A), nne 17 If "Yes, • complete Schedule I, Parts I and If. . 22 Did the organization report more than $5,000 of grants and other assistance to Individuals In the United States on Part IX, column (A), line 2? If "Yes,· ccmp/ete Schedule I, Parts I and IfI . . . . . . ~=-+_+-.:,__

23 DId the organizatlon answer "Yes" to Part VII, Sectlon A. line 3, 4, or 5 about ccmpensatlon of the organization's current and former officers, directors, trustees, key &mployees, and highest compensated employees7 If "Yes,· complete Schedule J . . . . . . . . . . . . . . . . . . . . . . I-='-I-"!"""""'__

248 DId the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was Issued after December 31, 20027 If MYes," answer lines 24b through 24<1 and complete Schedule K. If "No," go to Une 2& , , . . . • • • . . . . . . ~~-r--!-:-

b Old the organization Invest any proceeds of tax·exempt bonds beyond a temporary perlocI exception? . I='~_+-'--

c Old the organization malntaln an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? • . • • • • . • . . . • . . • . . . . . . . . . ~~_-+-!,-

d Old the organization act as an Uon behalf of" issuer for bonds outstanding at any time during the year? 25a Section 501 (c){3) end 501 (o}{4) organizatlon& Old the organization engage In an excess benefit transaction wfth a disqualified person during the year11f "Yes, " complete Schedule L, Part I • • • • . . . . • >=-=+--i---'-b Is the organization aware that it engaged In an excess benefit transaction with a dlsquanfied person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 99(}-EZ? If "Yes. " complete Schedule L. Part I. . . • • . . • . . . . . . . . . . . . . ~l:4--f-!--

26 Was a loan to or by a current or former officer, dlrector, trustee, key employee, highly compensated employee, or

disqualified person outstanding as at the end of the organization's tax year? If "Yes, • complete Schedule L, Part U. . ~4--f-!-- 27 Old the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an Individual? If "Yes," complete Schedule L, Part III. . . . . . . . . . . • . . . . . . . . . . . .

28 Was the organization a party to a business transaction with one of the folfowlng parties (see Schedule L, Part IV Instructions for applicable filing thresholds, conditions, and exceptions):

8 A current or former officer, director, trustee, or key employee? If "Yes. " complete Schedule L, Part IV . • 1-=""+-+-':"'b A famUy member of a current or former officer, director, trustee, or key employee? If uYes," complete

Schedule L, Part IV. . . • . . . . , . . . . . . . • . . . . . . . . . . . . . '''=~_i-!--

c An entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member) was an officer, director, trustee, or direct or indirect owner? If "Yes, " complete Schedule L, ;

Pert IV • • . . . . • . . • • . • • . . . . . . • . . . . . • . • . . . . . I.!' =+---+~_

29 Old the organization receive more than $25,000 in non-cash contributions? If "Yes, ~ complete Schedule M I-=~_-I-.!..-.

30 DId the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contrfbutlons? If "Yes, " complete Schedule M . . . . . • • • . • • . • • . . ~::...j..-4-:"'_

31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes, " complete Schedule N,

Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f-==--+---I--'''-

32 Old the organization sell. exchange, dispose of, or transfer more than 25% of Its net assets? If "Yes." complete

Schedule N, Part II . . . . . • . . • . . . . . . . . . . , . . . . . . . . . . f-=o...r--I-'--

33 Old the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes." complete Schedule R, Part I. • . . . • . • . . . -::::...j..-4-!-- 34 Was the organization related to any tax-exempt or taxable entity? If "Yes ." complete Schedule R, Parts fl.

III, IV, and V. line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f-==-t-...:;_+--

35 Is any related organization a controlled entIty within the meaning of section 512(b)(13)? If "Yes," complete •

Schedule R, Part V. line 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . '~~_~.f~ 36 Section S01 (c)(3) organizations. Old the organization make any transfers to an exempt non-charitable related organization? If "Yes, " complete Schedule R, Part V, Rne 2. . . . . . . • . . . • . . . • • f-"'=-+--t--- 37 Old the organization conduct more than 5% of Its actMties through an entity that Is not a related organization and that is treated as a partnership for fedenll income tax purposes? If "Yes, n eomp/et& Schedule R, .

Part VI • . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . .f

t---=-4-+-:__

38 DId the organization complete Schedule 0 and provide A'ltr'IA..,,,:rtk~""'n Schedule 0 for Part VI, nnes 11 and 19? Note. AU Form 990 fliers are

Form 990 (2009)

1a Enter the number reported In Box 3 of Form 1096. Annual Summary and Transmittal of U.S. Information Returns. Enter -0- if not applicable . • . . . . • . . . . .

b Enter the number of Forms W-2G Included In line 1 a. Enter -0- If not applicable

e Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambtlng) winnings to prize winners? . . . . . . . . . . . . . . .

2a Enter the number of employees reported on Form W-3. Transmittal of Wage and Tax I ~U __ _!?i!ti~~2l)l Statements, filed for the calendar year ending with or within the year covered by this retum w

b If at least one fs reported on line 28, did the organization file aU required federal employment tax returns?

Note. If the sum of lines ta and 2a is greater than 250, you may be required to e4i1e this return. (see

instructions) .

3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by

this retum? • • . • . . . . • . . . . . . . . . • • . • . . • . . . . . .

b If "Yes,~ has it flied a Form 990- T for this year? If "No," provide an explanation In Schedule O. . . . 4a At any time during the calendar year, did the organization have an Interest In, or a signature or other authority over, Ii financial account In a foreign country (such as a bank account, securities account, or other flnanclal

account)? . . . . . . • . . . • . . . . . . . . . . . • . . . . . . . . . .

b If "Yes," enter the name of the foreign country: _ .

See the Instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank .

and Financial Accounts. . ~WoH""¥;;

Sa Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . r--=:=-r--t-"7- b Did any taxable party notify the organization that it was or Is a party to a prohibited tax shefter transaction? r--=:=-r--t-!...e if "Yes" to line 58 or 5b, did the organization file Form 8886-T. Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter Transaction? . . . . . . . . . . . . . . . . . . . . . . . . f--=-=-+~-t-Sa Does the organization have annual gross recelpts that 81'9 normally greater than $100,000, and did the r--=:=-+-=--+--

organization solicit any oon1rIbutlons that were not tax deductible? . . • • . . . . . • . . .

b If "Yes: did the organization include with every solicltatlon an express statement that such contributions or gifts were not tax deductible? . . . . . . . . • • . • . . . . . . . . .•.•.. ~IIII~ 7 Organizations that may receive deductible contributions under section 170(cJ.

a Old the organization receive a payment In excess of $75 made partly as a contribution and partly for goods and services provided to the payor? . . . . . . . . . . . . . . . . . . . . . . .

b If "Yes,· did the organization notify the donor of the value of the goods or services provided? . . .

c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 82827

d If "Yes," Indicate the number of Forms 8282 flied during the year • • . . . . .

e Old the organization, during the year, receive any funds, directly or Indirectly, to pay premiums on a personal

benefit contract? . . . . . . . . . . . . • . . . . . . . . . • . . . . • •

f Did the organlzatlon, during the year, pay premiums, directly or Indirectly, on a personal benefit contract? j-' ~+---+ __ 9 For all contributions of qualified Intellectual property. did the organization file Form 8899 as required? .

h For contributions of cars. boats, airplanes. and other vehicles. did the organization file a Form 1098·C as

required? . . • • . • • . . . . . . . • • . . .'. . . • . . . . . . . . .

8 Sponsoring organlzatlon$ maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring 1;e;~J'lIm organization, have excess business holdings at any time during the year? .

9 Sponsoring organizations maintaining donor advised funds.

a DId the organization make any taxable distributions under section 49661 .

b Did the organization make a distribution to a donor. donor advisor. or related person? 10 Seotion 501 (e){7) organizations. Enter:

a Inltlatloo fees and capital contrIbutions Included on Part VIII, line 12. . . . . • . b Gross receipts, Included on Form 990, Part VlII,line 12. for public use of club facilities 11 Section 501 (c){12) organizations. Enter;

a Gross Incoma from members or shareholders . . . . . . . . . . . . . .

b GroSS income from other. sources (00 not nat 8lI"IQWlla due Of pajO 10 ottw1lOVll:tlS -.gainst amounts due or recelved from them.). . . . . . • . . . .

128 SectIon 4947(8)(1) charitable trusts. Is the organization

b If " enter the Interest received or accrued

~~~ ~6 iilMi§1 Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a UNo" response to Ifne 88, 8b, or tOb below, describe the circumstances, processes, or ch8l1g9S In Schedule O. See instructions.

18 Enter the number of voting members of the governing body . . • . . . . . . b Enter the number of voting members that are independent .• . . . . . . . 2 Old any officer, director, trustee. or key employee have a family relatfonshlp or a business relationship with

any other officer, dIrector. trustee, or key employee? . . . . • . . . . . . . • . . . .

3 Did the organization delegate control over management duties CUS'tomlrf'ily performed by or under the direct

supervision of officers. directors or trustees, or key employees to a management company or other person? . 4 Did the organization make any sJgnificant dlCWlges to Its organizational dOcUments since the prior Fonn 990 was filed? 5 Did the organization become aware during the year of a material diversion of the organization's assets? 6 Does the organization have members or stockholders? • . • . . • . , . . • . . , . . , 78 Does the organization have members, stockholders, or other persons who may elect one or more members '

of the governing body? . . • . . . . . . . . . . • . . . . . • . . . . . . . . '--!.C~_+'-;-

b Are any decisions of the governing body subject to approval by members, stockholders, or other persons? . . 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

a The governing body? • . , . • • , , . . . • . • • • . . • • . . . " . . . . . 1-="-1-"'":-11---

b Each committee with authority to act on behalf of the govemlng body? . . . . . . . • . . . . i-=''''+-'--t-- 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A. who cannot be reached Stll'UltlIUJa 0

108 Does the organization have local chapters, branches. or affiliates? . . . . . . • , . . . . , b If "Yes,» does the organization have written poiicles and procedures governing the activities of such chapters,

affiliates. and branches to ensure their operations are consistent with those of the organlzatfon? . • . f-!."""+--f--

11 Has the organization provided a copy of this Form 990 to ail members of Its governing body before filing the

form? . . . , . . • , . . . . . . . ' • . . . . . . . . . . . . .

11A Describe In Schedule 0 the process, If any, used by the organization to review this Form 990. 128- Does the organization have a written conflict of Interest policy? If We, b go to /lne 13. • • . b Are offlcers, directors or trustees, and key employees required to disclose annually Interests that could give rise to conflicts?

e Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes, •

describe in Schedule 0 how this is done •...........•

13 Does the organization have a written whlstleblower Policy? • • . . . . . . • . . • . . • 14 Does the organization have a written document retention and destruction policy? • • . . • . . . 15 Did the process for determining compensation of the followYlg persons Incfude a review and approval by

Independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization'S CEO, Executive Director, or top management ott1cial . . . .

b Other officers or key employees of the organization . . . . . . . , . . . • . . , , . .

If "Yes" to line 15a or 15b, describe the process In Schedule O. (See instructions.)

16a Did the organization Invest In, contribute assets to, or participate In a joint venture or similar arrangement

with a taxable entity during the year? . . . . . . . . . . • . . . . . . . .

b If • has the organization adopted a written policy or requiring the organization to evaluate

Its In joint venture arrangements under tax law, and taken steps to safeguard

status with

17 Ust the states with which a copy of this Form 990 Is required to be filed ~ §£~!l.c;!!J).!g_. . . . __ . ._. _

18 Section 6104 requires an organization to make Its Forms 1023 (or 1024 If applicable), 990, and 99O-T (501(c)(3)s only) available for public inspection. Indicate how you make these aVallable. Check ali that apply.

o Own weMitliL 0 Aootllere Hee,its blI IJpon lequeat

19 Describe In Schedule 0 whether (and If so, how), the organlzatlon makes its governing documents. conflict of Interest policy. and financial statements available to the publlc.

20 Stats the name, physical address, and telephone number of the person who possesses the books and records of the

organlzatfon: ~ J.~_~R£9_~~.!X'_?&_~_I!~.a.~_~!r~t_~r:.I_I!~tl?~'_!'{!~_~!!~y',~I}~?l_(~l_~~_~~~ .. ._. .

Form 990 (2009)

Form 99C (2009) Paoe 7

iii.ii Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated

Employees, and Independent Contractors

Section A. Offioers, Directors, Trustees, l$eY Employees, and Hlpst Compensated Employees

1. Complete this table for an persons required to be listed. Report compensatron for the calendar year ending with or within the organization's tax year. Use Schedule J-2 If additional space Is needed.

• List at[ of ttle organization's current offlcers, directors, trustees (whether fndMduals or organizations), regardless of amount of compensation; Enter -0- In columns (D). (E), and (F) If no compensation was paid.

• Ust all of the organization's CUlTent key employees. See instructions for definition of "key employee"

• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 andIor Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.

• Ust all of the organization's former offIcers, key employees, and highest compensated employees who recelved more than $100,000 of reportable compensation from the organization and any related organizations.

• Ust all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organIZation, mom than $10,000 of reportable compensation from the organization and any related organlzations.

Ust persons In the following order: Individual trustees or directors; Institutional trustees; officers; key employees; highest compensated employees; and former such persons.

o Check this box If the organIZation did not comoensate anv current officer director or trustee.

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 17,892
0 17,892 Estrnated amount of other oompensatlon

Iromthe organlzatlon and related orgenlzatlOll6

Reportable oompetl88tlon from related orgenlzlitfons (W-211099-M1SC)

Broe C. HlattBrta

-r5iieCto':"""-'-'-"" - -.- 2

o

;f
.f
./
./
./
./ I
'./ ./
.; .;
.; 1./
./ .f _~:;~!~!t~~ . . __ .. _ ..... __ . __ . 2

o

0:

Luis Tellez

. iil~ecio'~ -' ----- --- - ------ ... -- --- .. -- -. -.- -- - - .. -... 2

o

Kenneth Von Kohorn

-oi;~cio~'"'--''''' - -- --.- .. --. 2

o

Orson Scott Card

-oi;;et;;;-·-- .. ······· .. ·· --- -- .. -- -- 2

o

. 9.~'!!\J_ p'~g!l":9~JL .. _ _ .. -- -. -.--. ---'" - 2

Director

_~<?~!'!.~X9~ .... _ ..... . .... 8

Chairman

.~~!L9~~~!Y. .. ..... .. . .... _ ...... _ 25

Treasurer

.M~!.a!l!.!t.Q!IJ!I9~~--·--"-"·--·-'·"-"-·-·""40 President

Brian BroWn

'~~~-oi;;'~t~~"-"'-------'-'''-''---''------ 40

o

48,000

92,500

154,1671

Form 990 (2009)

EstImated atTlOUIltof other C(I(OpeI11Iatlon

from the ~on II1ld related organlzatiOll&

.......................................................

........................... .

....................................... c •••••••••••••••

.......................................................

............ .

.......................................................

.......................................................

.......................................................

11:1 Total ... 294.667 0 35.784

2 Total number ot 1".-11"1,, .. <>10 (including but not Ilmlted to those listed above) who received more than $100,000 In

reportable from the organization ... 1

3 Old the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1 a1 If "'Yes, " complete Schedule J for such Individual . . . . . . . . . . .

4 For any Individual listed on . line 1 a. Is the sum of reportable compensation and o1her compensation from the organization and related organizations greater than $150,0001 If "Yes, n complete Schedule J for such

individual. . . ". . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Did any person listed on line 1 a receive or accrue r- ... 'nn"""", .. tl/~n ,,,,,,,rI_,>rt to the

1 Complete this table for your ffve highest compensated Independent contractors that received more than $100,000 of compensation from the organization.

(Al (8) (C)
Name and business eddteas Descriptlon of seMces Compet188tlon
Marketing Communication Services advertiSing 1101.274
cc AdvertisIng telephone communication 579,740
CD Inc I "' .. " .. ri .. ; ......
-scnubert Flint I public relations 294,430
KMA. Direct Communications direct mall 419,151
'.. a..'; 0:: ••••• - :; •••• _.- ... ~.. • :r.,,:; ~,
'~~}~~·.,::i~:~·:~,ii,~:;} 2 Total number of Independent contractors Qncluding but not tlmited to those listed above) who received

more than $100 000 In com nsatlon from the anizatlon ... 8

Form 990 (2009)

Page 9

18 Federated campaigns b Membership dues. . c Fundralsfng events . d Related organizations e Government grants (contributions). f M other contributions, gifts, grants,

aM similar amol.l1tS not Incfuded above ~1~f'_l__..!..L~~~; 9 Noncash contributions Included In lines 1 a-t f: $ h Total.

2a ..

b

c .

d

e .

f All other program service revenue •

Total. Add lines 2a-2f

3

4 5

6a Gross RanUl

b Less: rental expenses c Rental Income cr OOOSl d Net rental Income Of

78 Qcas <JTWlt1i"a11saesa a9S8sdh:rttm ITw't:Iy

b l.Bsa: ro3t ex ctt-e- basis ~====t====~~I~i1~~t!~~~~~~I~lil

Erd saes e>q:alS8S

c Gain or (loss) . .

d Net gain or (loss). .

Sa Gross locOf1'1& from fundralslng

events (not including $ .

of contributions reported on line 1 c). See Part IV, line 18. . . . . .

d All other revenue . . .

e Total Add fines l1a-11d . . . .

Form 990 C20(9)

Form 900 (2009)

page 10

'Mid . Statem8nt of Functional expenSes

1 Grants and other assistance to governments and organizations in the U.S. See Part N, Hne 21 ' f---~~~!+---~~~~~a

2 Grants and other assistance to Individuals In the U.S. See Part IV, line 22 . . . . .

3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16

4 Benefits paid to or for members. . . .

5 Compensation of current officers, directors, trustees, and key employees. . . . .

6 ~ not Included aOOJe, to ~ p;;l'SOI'lS (as defined lK1der sectfon 4958(1)(1) and persons described in section 4958(c}{3}(B) • ,

7 Other salaries and wages , . , . , ,

8 Penslon plan ccntri.>utlons (Include section 401 (I<) and section 403(b) employer contributions) •

9 Other employee beneflts . . , .

10 Payroll taxes , . • . . , . .

11 Fees for services (non-employees):

a Management

b Legal. . • c Accounting , d Lobbying

e PtofesslooaJ fI.rlctIisIr;'J savices. See Part IV, line 17 f Investment management fees .

9 Other. . , , . , , ,

12 AdvertiSing and promotion. 13 Office expenses , , . 14 Information technology • 15 Royalties

16 Occupancy. . . , , 17 Travel , . . . , .

18 Payments of travel or entertainment expenses

for any federal, state, or local public officials 19 Conferences, conventions, and meetings

20 Interest . , . . . , . • . , . . 21 Payments to affiliates • . . , . . , 22 Depreciation, depletion, and amortization.

23 Insurance . . . . . . . . . . . ~~lill~~II~lillll;III~11111

24 Other expenses. Itemize expenses not

covered above. (Expenses grouped together and labeled miscellaneous may not exceed

a 5;~~;;~~~;~~=~~.1~~~.~.~.~~~:)

b

Section 501(c)(3) and 501(c)(4) organizations muat complete all columns.

orclanlza1llol1l11 must complete column but are not to columns

c .

d

Form 990 (2009)

11

1
2
3
4
5
6
~ 7
8
~ 9
10a
b
11
12
13
14
15
16
17
18
19
20
i 21
22
D
CII
:::;
23
24
25
26 8 -Iv

CD2B

J29

5

J 30

31 32

j 33

(AI Begiming of year

(8)

End of year

Cash-non-Interest-bearlng . . . . . Savings and temporary cash investments . Pledges and grants receivable, net. . . Accounts receivable, net . . . . . .

Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of

Schedule L ...................•

Receivables from other disquallfled persons (as defined under section 4958(f)(1)) and persons described In section 4958(c)(3)(B). Complete Part II of Schedule L. . . • .

Notes and loans receivable, net

Inventories for sale or use. . .

Prepaid expenses and deferred charges Land, bUlldlngs, and equipment: cost or r:==+----.....:..::=~

other basis. Complete Part VI of Schedule D

Less: accumulated depreciation. . . • I....!.!:::J.. --==~---_-==z.:...::.=+=+_----"""":.==..

Investments-publicly traded securities Investments-other securities. See Part IV, line 11 Investments-program-relatoo. See Part IV, line 11 Intangible assets . . . . . .

Other assets. See Part IV, line 11

Accounts payable and accrued expenses .

Grants payable . . . .

Deferred revenue. . . . . . . . . Tax-exempt bond liabilities . . • . .

Escrow or custodial account liability. Complete Part IV of Schedule D Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L . . . . . . . .

Secured mortgages and notes payable to unrelated third parties . Unsecured notes and loans payable to unrelated third parties .

Other liabilities. Complete Part X of Schedule 0

Total liabilities. Noes 1

Organizations that follow SFAS 117, cm.ck here" 121 and complete Hoes 27 through 29, and lines 33 and 34.

Unrestricted net assets. . . . Temporarily restricted net assets. . . . . . . . Penmanently restricted net assets . . . . . . . . • . . Organizations that do not follow SFAS 117, check here ~ 0 and complete lines 30 through 34.

Capital stock ~r trust principal, or current funds . . . . . . . r-------'---~=_+-------

Paid-In or capital surplus, or land, building, or equiprnent fund Retained earnings. endowment, accumulated Income, or other funds Total net assets or fund balances . . • . balances

Form 990 (2000)

Page 12

1 Accounting method used to prepare the Form 990: 0 Cash ~ Accrual 0 Other _ If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O.

2a Were the organization's financial statements compllsd or reviewed by an Independent accountant? .

b Were the organization's financial statements audited by an Independent accountant? .. . . .

o If "Yes" to line 2a or 2b. does the organization have a committee that assumes responslbility for oversight of

the au<frt. ravielN, or compilation of Its financial statements and selection of an independent accountant? .

If the organization changed either Its oV&rslght process or selection process during the tax year. explain In Schedule O.

d If "Yes" to Une 2a or 2b, check a box below to Indicate whether the flnanclal statements for the year were fssued 011 a consolidated basis, separate basis, or both:

12l Separate basis 0 Consolidated basis 0 Both consolidated and separate basis

3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in

the Single Audit Act and OMB Circular A-133? .....•...... . . • . . . .

b If "Yes," did the organization undergo the requhd audit or audits? If the organization did not undergo the'

Form 990 (2009)

Schedule B

(Form 990, 99O-EZ, or WO-I¥}

Oepertmen! of t!1& Treasury Intemal Ilev&tlue SOtviOO

Schedule of Contributors

~@09

OMB No. 1545-0047

... Attach to Form 990, 9QO..EZ. or 99()..PF.

Name of the organization

National Organiution for Marriage. Inc.

EmpIo~r Identification numbtH:

0240498

Organization tn>e (check one):

Filers of:

Section:

Form 990 or 99O-EZ

o 501 (c) ( 4 ) (enter number) organization

o 4947(a}(1) nonexempt charitable trust not treated as a private foundation

o 527 political organization

Form 990-PF

o 501 (c)(3) exempt private foundation

o 4947(a)(1) nonexempt charitable trust treated as a private foundation

o 501(c)(3) taxable private foundatJon

Check if your organization is covered by the General Rule or a Special Rule.

Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

III For an organization filing Form 990, 990-EZ, or 99()"PF that received, during the year, $5,000 or more On money or property) from anyone contributor. Complete Parts I and II.

Special Rules

o For a section 501 (c)(3) organization flUng Form 990 or 99O-EZ that met the 33% % support test of the regulations under sections 509(a)(1) and 170(b)(1 )(A)(v~, and received from anyone contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on Q) Form 990, Part VIII, line 1h or OQ Form 99O-EZ, fine 1. Complete Parts I and

iI.

o For a section 501(c)(7), (8), or (10) organization filing Form 990 or 99()..EZ that received from any one contributor, during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or anImals. Complete Parts I, II, and III.

o For a section 501 (c)(7). (8), or (iO) organization filIng Form 990 or 990-EZ that received from anyone contributor, during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during the year 1m an exclusively religious, cnar\tab\e, etc., purpose. Do not complete any ot 'he parts unless 'he ~a\ ~u\e applies to this organization because it received nonexclusively reUglous, charitable, eto., contributions of $5,000 or more

during the year. . • . . . . . . . . . . . . . . . . . . . . . . . ,.. $ , .

Caution. An organization that Is not covered by the General Rule and/or the Special Rules does not file Schedule 8 (Form 990, 990-&, or 990-PF), but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of its Form 990-

Or on line 2 of its Form 990-PF, to certify that it does not m , 90-EZ, or

=~~=~~I=~~==-~==~==~==~=~-

For Privacy kt and Paperwork Reduction Act Notlc4I, see the Instructions for Fotm 900, 99O-EZ. Of 99O-PF.

Gat. No. 30613X

SchOOufe B (Form 990, 99(HZ, or 99O-PF) (2009)

1 3

Page of of Part I

Name of organization

National Organization for Marriage, Inc,

EmpIoY6f Identification number

26 02~98

''''11 Contributors (see instructions}

(a) No.

(b}

Narne, address, and ZIP + 4

(e}

Aggregate contributions

{d}

TYpe of contribution

(b)

Name, address, and ZIP + 4

$ ~,.~~

Pel"SQn Payroll Noncash

o

8

(Complete Part II If there Is a noncash contrtbutlon.)

(a) No.

(b)

Name, address, and ZIP + 4

(c) Aggregate contributions

(d)

Type 01 contribution

2

$ ~,.~~~

Pereon 0 Payroll 0 Noncash 0

(Complete Part II if th&re Is a noncash contribution.)

(a) No.

(b)

Neme, address, and ZIP + 4

(c) Aggf'698te contributions

(d)

'TYpe of contribution

3

$ ~ •. ~~?

Person Payroll Noncash

(Complete Part II if there Is a noncash oontributlor\.j

(a) No.

(b)

Name, address. and ZIP + 4

(c) Aggregate contributions

(d)

Type of contribution

4

$ ~~,.~

Person Payroll Noncash

[Zl o o

(Complete Part II If there is a noncash contrlbutlon.)

(a) No.

(b)

Name, address, and ZIP + 4

(c) Aggregate contributions

(d)

'TYpe of contribution

5

$ 1~'-~~.~

Person Payroll Noncash

[2J o o

(Complete Part II jf there Is a noncash contribution.)

{al No.

(c)

Aggregate contributions

(d)

Type of contribution

6

~;;;;.;;,~.:;,::; ~ ~ ~ .. ~~==~ ~ ~ :::-;-:- - .

$ ?fi.M!l.

Person G2J

Payroll 0 Nonca.n 0

(Complete Part /I If there is a noncasf contribution.)

SchOOuIe B (Form 990, 99O-EZ, or 99O-PF) (2009)

Page 2 of 3 Of Part I

Name of organization

Natiornll Organization for Marriage. Inc.

Employer khmtifioatlon number

26: 0240498

'." Contributors (see instructions)

(8) No.

(b)

Name, address, and ZIP + 4

(c)

Aggregate contributions

(d)

TYPe of contrlbutlon

(b)

Name, address, and ZIP + 4

7

$ .. , -- ~~!~~~

Person Pa1ro\l Noncash

~ o o

(Complete Part " If there Is a noncash contribution.)

(a) No.

(b)

Name, address, and ZIP + 4

(c) Aggregate contributions

(d)

Type of contribution

8

Person Payroll No~h

(Complete Part" If there Is a noncash contributIon.)

(a) No.

{b}

Name, address, and ZIP + 4

(c)

Aggregate contributions

(d)

Type of contribution

9

$ ~~!~~

Person Payroll Noncash

11:1 o o

(Complete Part II If there Is a noncash contribution.)

(a) No.

(b)

Name, address, and ZIP + 4

{cj

Aggregate contributions

(d)

'TYpe of contribution

10

$ ~~:~~g

Person Payroll Noncash

B

o

(Complete Part II If there is a noncash contribution.)

(a) No.

(b)

Name, address, and ZIP + 4

(c) Aggregate contributions

(d)

Type of contribution

11

$ __ J.~9&QQ

Person Payroll Noncash

(Complete Part" if there is a noncash contrIbution.)

(a) No.

(e) Aggregate contributions

(d)

Type of contribution

12

$ .. __ """""""" ~.QM.Q<}

Person Payroll Noncash

Q o o

(Complete Part" If there is a liooca~ contrlbutlon.)

Schedule B (Form 990, 99O-EZ, or 99O-PF) (2009)

Page 3 of 3 of Part I

Employer identification number

26: 0240498

'00' Contributors (see instructions)

(a) No.

(b)

Name, address, and ZIP + 4

te)

Aggregate contributions

ld)

Type of contribution

(b)

Name, address, and ZIP + 4

13

$- - ~,.~~~~~

Person Payroll Noncash

(Complete Part U it there is a noncash contribution.)

(a) No.

(b)

Name, address, and ZIP + 4

(c)

Aggregate contributions

(d)

Type of contribution

14

$ ... -.- ... --.- ..... ~~~~.~~~

Person Payroll Noncash

III

8

(Complete Part II If there Is a noncash contribution.)

(a) No.

(b)

Name, address, end ZIP + 4

(c)

Aggregate contributions

(d)

Type of contribution

$ .

Person Payroll Noncash

o o o

(Complete Part It if there Is a noncash contribution.)

(a) No.

Ib)

Name, address, and ZIP + 4

tc)

Aggregate contributions

(d)

Type of contribution

$ _ .

P&rsOn PayroJl Noncash

o

8

(Complete Part " If there is a noncash contribution.)

(a) No.

(b)

Name, address, and ZIP + 4

(c) Aggregate contributions

(et)

lYpe of contribution

$ .

Per$Q{\ Payroll Noncash

o o o

(Complete Part " if there is a noncash contrlbutlon.)

(a) No.

(0)

Aggregate contributions

$ .

(d)

Type of contribution

Person 0 PayroU 0 Noncash 0

(Complete Part " If there Is a noncash contribution.)

Political Campaign and Lobbying Activities

I OMB No. 1545-0047

SCHEDULE C (Form 990 or lI9O.EZ)

For Organlzatlons Exempt From Income Tax Under section 5Cn(c) and section 527 .. Complete if the organl%ation is described below.

"': Attach to Form 990 or Form 99O-EZ. .. See separate Jna1ructlona.

~@09

Open to Pubhc Inspection

If the organization answered "Yearn to Form 990. Part IV, line 3, or Form 99O-ez. Part VI, nne 48 (PoIitl<:al Campaign Actlv1tIe$), then

• SectIon 501(e)(3) organizations: Complete Parts I-A and 6. Do not complete Part I-C.

• SectIon 501(e) (other than section 501(c)(3» organizations: Complete Parts I·A and C below. Do not complete Part 1-8.

• Section 527 organlzalJons: Complete Part I·A only.

11 the organization answered "Yea." to Form 990. Part IV, line 4, or Form 99O-ez, Part VI, line 47 (LobbyIng Activities). then

• Section 50'1(c){3) organizations that have flled Form 5768 (election Uflder section 501(11)): Complete Part II-A Do nol complete Part II-B.

• SectIon 50 1 (c)(3) organizations that have NOT flied Form 5768 (electlon under section 501(11)): Complete Part II·B. Do not complete Part II-A If the organization answered "'Y"st to Form 990, Part IV, line 5 (Proxy Tax), then

• Section 501 (c)(4). (5). or (6) organizations: Complete Part Ill.

1 Provide a descrtptlon of the organization's direct end Indirect political campaign activities In Part N.

2 Political expenditures . . . . . . . . . • . . . . • . . . . . . .. $._ _ .. ~.1MQg.

3 Volunteer hours . . . . . . . . . . . . . . . . . . . . . . . . . .. • _ .••.• 9 ..

'MII:. Complete If the organization is exempt under section 501(0)(3).

1 Enter the amount of any excise tax Incurred by the organization under section 4955

2 Enter tile amount of any excise tax Incurred by organization managers under section 4955. ..

3 If the organization incurred a section 4955 tax, did It file Form 4720 for this year?, . • .

4a Was a correction made? . . . . . . • . . . . . . . . . . . . . . . .

b If "Yes," describe in Part IV •

• ::mIld Complete If the organization Is exempt under section 501(0), except section 501(c){3}.

1 Enter the amount directly expended by the filing organization tor section 527 exempt function

activities' . . . . . . . . . . . . . . . • . . . • . • . . . . . . .. $ 9.

2 Enter tile amount of the filing organization's funds contributed to other organizations for section

527 exempt function activities . . . . . . . . . . . . . . . . . . . . $ t119Q9.

3 Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form i12D-POL.

line 17b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ t1s9QQ.

4 Did the filing organization file Form 11:20-POL for this year? . . . . . . . . . . . . . . • [ll Yes 0 No

5 Enter the names, addresses and employer ldentlficatlon number {ElN} of all section 527 political organizations to which payments were made. For each organization listed. enter the amount paid from the filing organization'S funds. Also eoterthe amount of poIltlcal contributions recelved that were promptly and directly delivered to a separate political organization, such as a separate segregated

fund or a political action committee (PAC). If additional space is needed, provide informatlon In Part W.
Is) Name (b) Addr"". (e) EIN (d) Amount paid from {el Amount of poItttcal
. filing orgmatlon'& contribvtioos received and
rvnds. If none. enter -o -, promptly and dJrectly
deIlvenJd to a separate
polijical organlmtfon. If
none. enter ·0·.
PO 80116171
Friends of Barbara Comstocl ~ ~~ ___ • __ 4 ... ___________________ .... ____ .. $3000i
McLean, VA 22106 26-4229583 0
f9.~?~!'3.~ ...... _ ............. _ ... I
Friends of Bob Marshall Manas"s. VA 54·1998260 $30001 0
_1.~~~~M~!~.~i!~~.t!.~)~_~~~ ... __ . _
Friends of Cucclnnelli for AG Fairfax, VA 22030 26·2280210 $5000 0
....... _ .... ______ --"<0_- _ ... _ .... ______ ........... __
.... ----------- .. ,,_ .......... ~------ ---------
"" .. _-" . .. " ... _ ... ,_,_ ...... __ ... _ ... ---
- ._ .... -_. . _ ... '-'" ._._ . _ .. _"".'_ •• o_ ••
11000 0 For Privacy Aot and Paperwork Reduction Act Notice, '" tilt Instructions for Form 990 Of 99O-EZ. Cat No. 50084$ Seh<Hiukl C (Form 990 or 99O-EZ) 200II

Schedule C (Form 990 0( 99o-EZ) 2009 Page 2

i#lMli,yicomplete if the organization Is exempt under section 501(c)(3) and filed Form 5768 (election under section 501 (11)).

A Check 0 If the filing organization belongs to an affiliated group.

B Check 0 If the filln or anlzation checked box A and "limited control"

limItS on Lobbying Expenditures

(The term "expenditures" means amounts paid or Incurred)

1 a Total lobbying expenditures to Influence public opinion (grass roots lobbying) b Total lobbying expenditures to Influence a legislative body (direct lobbying)

c Total lobbying expenditures (add lines is and 1b)

d Other exempt purpose expenditures . . . . . . . . . . . . . e Total exempt purpose expenditures (add lines 1c and 1d). . . . . .

1 lobbying nontaxable amount. Enter the amount from the following table in both columns.

ta) Filing organizatlon's totals

(blAflifiated group totals

If the amount on line le. column la) or (Il) hi:

Not over 500

9 Grassroots nontaxable amount (enter 25% of line if) h Subtract line 1 g from line 1 a. If zero or less, enter ..Q-

Subtract line if from line ic. If zero or less. enter -0- . . , . . . . . . . .

If there Is an amount other than zero on either line 1 h or Hne 1 l, did the organization flle Form 4720 reporting

sectIon 4911 tax for this year? , . . . . . . • . . . . . . . . . . . . . . . .. 0 Yes 0 No

4-Year Averaging Period Under SectIon 501(11)

(Some organizations that made a section 501 (11) election do not have to complete aH 01 the five columns below. See the instructions fOr lines 2a through 2f on page 4.)

Lobby! expenditures Dun

ng Period

Calendar year (Of' fl~aI year beglnoing in)

(e) Total

2a Lobbying nontaxable amount

b Lobbying cening amount (150% of line 2a. column (e))

e Total lobbying expendltures

d Grassroots nontaxable amount

e Grassroots ceiling amount (150% of line 2d. column (e))

f Grassroots lobbying expenditures

(a) 2006

(b12007

Ie) 2008

(d) 2009

Schedule C (FOrni 990 or 99O-EZ) 2009

Schedule C (Form 990 or 99O-EZ) 2009 Page 3

.tilll.' Complete if the organization is exempt under section 501{c)(3) and has NOT flied Form 5768 under section

1 During the year, did the filing organizatIon attempt to Influence foreign, national, state or local legislation, Including any attempt to Influence public opinion on a legislative matter or referendum, through the use of: .

a Volunteers? . . . . . . . . . . • . . . . . . .. .

b PaId staff or management (include compensation In expenses reported on lines 1c tlTough 1Q? c Media advertisements? . . . . . . . . . .

d Mailings to members, legislators, or the public? . .

e Publications, or published or broadcast statements?

f Grants to other organizations for lobbying purposes?

9 Direct contact with legislators. their staffs, govemment offiCials, or a legislative body?

h Rallies, demonstrations, seminars, conventions, speeches. lectures, or any similar means?

I Other activities? If "Yes," describe In Part IV . . . . . . . . . . . . . . .

j Total. Add lines 1 c through 11 • . • • . . . . . . . . . . . . . . . .

2a Did the activltles In line 1 cause the organization to be not described In section 501 (cX3)?

b If "Yes," enter the amount of any tax Incurred under section 4912 .

If "Yes," enter the amount of any tax incurred by organization ""ling""",",,,

If the file

1 Were substantially aU (90% or more) dues received nondeductible by members? . . . . 1 .f

2 Old the organization make only In-house lobbying expenditures of $2,000 or less? . . . 2.f

Did the nlzation ea to lebb I and poIitlcal ex nditures from the . rear? 3 I

Yes No

Complete If the organization is exempt under section 501{c)(4), section 501{c)(5), or section 501{c)(6} If BOTH Part III-A, lines 1 and 2 are answered "No" OR If Part III-A, line 3 Is answered "Yes."

1 DUes, assessments and similar amounts from members ..••....•.••..

2 Section 162(e} nondeductible lobbying and political expenditures (do not Include amounts of political

expenses for which the section 527(1) tax was paid).

a Current year . . . .

b Carryover from last year. . . . . . . . . . .

c Total. • . . . • • . . . . . . . . . .

3 Aggregate amount reported In section 6033(eX1)(A) notices of nondeductible section 162(e} dues. .. 3

4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the ~ ~ excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying .

and political expenditure next year? .. . . . . . . • . . •

Taxable amount of lobb 109 and olltical e ndltutes (see InstructIons) . . . . . . . . •

o

o

o

o

o

o

Complete this part to provide the descriptions required for Part I-A, line 1; Part 1-8, line 4; Part I-C, fine 5; and Part II-B, line 1 i. Also, complete thIs part for any additional Jnformatlon.

Sdledule C (FOIT11 990 01' 1I9O-EZ) 2009

Schedvl& C (F0IIn 990 or 99O-EZ) 2009

Page 4

'Wi"" Supplemental Information (continued)

Schedule C (Form 9IlO or 99O-E%l 2009

SCHEDULE D (Form 990)

OMS No, 1545-0047

Supplemental Rnanclal Statements

~ Complete If the organization answered "Yes.~ to Form 990,

Part 1V,IIne 6, 7, 8, 9, to, 11, or 12-

~..::.!.~~ ... Attach to Form 990 .... See separat. Instructions.

~;;~~~~~;---------------~~------------~----------------reE;~~~~~~~ mmWw

N",nn,n:o.. or,nA"I7::"tltln for Inc. 26 ;' 0240498

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if IV II 6

~@09

Open to Public Inspection

the organization answered "Yes" to Form 990, Part , ne
(al Donor advised funds (b) Funds and other accounts
1 Total number at end of year .
2 Aggregate contributions to (during year)
3 Aggregate grants from (during year)
4 Aggregate value at end of year 5

Old the organization Inform all donors and donor advisors In writing that the assets held In donor advised

funds are the or9llnlzatlon's property, subject to the organization's exclusive legal control? . . .. 0 Yes D No

Did the organization Inform all grantees, donors, and donor advisors In writing that grant funds can be

used only for charitable and not for the beneflt of the donor or donor advisor, or for any other

benefit?

6

Purpose{s) of conservation easements held by the organization (check ali that apply).

o Preservation of land for public use (e.g., recreation or pleasure) 0 PreseIvatIon of an historically Important land area

o Protection of natural habitat 0 Preservation 01 a certified hlstoric structure

o Preservation of open space

2 Complete lines 2a through 2d If the organization held a qualified conservation contribution In the form of a conservation easement on the last day of the tax year.

8 Total number of conservation easements. . . . . . . . . . . . . . . b TotaJ acreage restricted by conservation easements . . . . . . . , . , . c Number of conservation easements on a certified historic structure Included In (a) . d Number of conservation easements included In (e) acquired after 8117/06. . , .

I;t~ Held at the End ofth& Tax Year
28
2b
2c
2d 3

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during

the tax year e- ; ..

Number of states where property subject to conservation easement Is located ..

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements It holds? . . . . . . . . . .. DYes D No

Staff and volunteer hours devoted to monitoring, Inspecting, and enforcing conservation easements during the year

...

4 5

6

7 Amount of expenses incurred In monitoring, Inspecting, and enforcing conservation easements during the year ~$

. - .... ~ ~ - - - . - .. "" . -. "".

8 Does each conservation easement reported on nne 2(d} above satisfy the requirements of section

170(h){4)(B)~) and section 170(h)(4)(B)(IQ? . . . . . . . . . . . . . . . . . . .

DYes D No

9 In Part XIV, describe how the organization reports conservation easements in Its revenue and expense statement, and

balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that descr1bes for

Maintaining Treasures, or

Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

18 If the organization elected, as permitted under SFAS 116, not to report In its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV, the text of the footnote to Its financial statements that describes these items.

b If the organimtion elected. as permitted under SFAS 116, to report In Its revenue statement and balance sheet works of art, historical treaslres, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(ij Revenues Included in Form 990, Part VIII, line 1 . . . .. $ _

(ill ASsets !"ClUded Iii FOriI! 900, Part X . • . -. . . . . . . . •• . . . . • .- $ : ...

2 If the organization received or held works of art, hlstortcai treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 relating to these Items:

a Revenues inciuded in Form 990, Part VIII, line 1

b Assets included in Form 990, Part X . • . . . . . . . . . . . .

.. $ _ .

... $ "

For Privacy Act and Paperwork R$duc1lon Act Notice, see the Instructions for Form 990.

Cat. No. 522830

Schedule 0 (Form e&O) 2009

Schedule 0 (Form 990) 2009 paga 2

,pAlili' Organizations Maintaining CoUections of Art, Historical Treasures, or Other SImilar Assets (continued) 3 Using the organization's acquisition, accession, and other recorcs, check any of the following that are a significant use of its

collection items (check all that apply):

8 8 Public exhibition

b Scholarly research

c 0 Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organizatk>n's exempt purpose In Part XIV.

d 0 Loan or exchange programs

e 0 Other .

5

Escrow and Custodial Arrangements. Complete If the organization answered "Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

1a Is the organization an agent, trustee, custodian or other Intermediary for contributions or other assets not

Included on Form 990, Part X? . . . . . . . . . . . . . • . . . . . . • . . .. 0 Yes 0 No b If "Yes," explain the arrangement in Part XN and complete the following tabla:

Amount
1c :
1d
1.
1f
o Yee 0 No c BeginnIng balance . . . d Additions during the year . e Distributions during the year

Ending balance . . . .

2a Did the organization Include an amount on Form 990, Part X, line 21? Part XN.

18 Beginning of year balance. • • b Contributions . . . . . • .

c Net Investment eamings, gains,

and losses. . . . . . . .

d Grants or scholarships. . • .

e Other expenditures for facilities

and programs. . . .

f Administrative expenses . . . 9 End of year balance. . • . .

2 Provide the estimated percentage of the year end balance held as:

a Board d!;lslgnated or quasi-endowment ~ %

b Permanent endowment ~ %

c Term endowment ~ %

3a Ale there endowment funds not In the possesslon of the organization that are held and administered for the organfzation by:

(I) unrelated organizations . • . . . . . . . . . . . . . . • . (iI) related organizations . . . . . . . . . • . . . . . . . . .

b If ''Yes· to 3aQQ, are the related organizations listed as required on Schedule R? 4 Describe in Part XN the intended uses of the organization's endowment funds

Yea No
3a(i)
i3a(ffl
l3b .:IiTi.'J. Investments-Land. Buildings, and Equipment. See Form 990, Part X line 10.
Description of in""stment 181 Cost 0( other bl1$l$ fbI Cost or other (0) Accumulated Id) Book value
(Investment) basis (other) deprecl9.liort
18 Land 1~~7 ,·':":.--;/·i: ~:~,:t~:;,!~,;~'·
b Buildings.
0 Leasehold Improvements
d Equipment 1S.950 602A 10JJ_22
e Other . .... ,. ..,
Total. Add lines 1 a through 1 e. (Column (d) must equal Form 990, Part X, column (8), line 10(e).) .~ 10,922 Schedul. D (Form 990) 2009 Page 3
I. ..ntJ.. .... Securities See Fonn 990, Part X, line 12.
II." .... '
III) Oescnpt!On of security Of category (bl Book value (oj Method of vaIuatlon:
Ondudlng name of $EICUrity) Cost Of eM-<ll.year market value
financial derivatives
Closely-held equity Interests .
Other . - ............. - ........... - . - - - - .. - - , ~ - - . - - ......... - ..

- - ...... O' ...... " - __ .. - _ .... - ....... "' ...... - ~ ..... - ...... _ ... - • - .... _ .. ~ _ ..
.. ~ • - - ........ - •• _ ............... - _ .............. - - - - - .... _. - - - _ ........ O' ...... " ..
.. _ ....... _ ... - •••• - - ..... - ...... ~ ~ ......................... O' ................ _ ........ ~ .. -
.. -- ....... -._----- .................. _._-- ............. _".-- ......
r,. ___ ... _ • __ . _ • _ •• ; ....... _ ..... _ •• __ • _ .......... ~ ...... _ .... _ ..... _
__ ... __ .......... _______ ••••••••••• _____ ........................... 4
.. _ ........ ~ ...... _ ...... __ ......... _"' •• _ ...... _ .. ___ ..... _ .. _ ... _ .. ~ .. __ • k"
~ ~ .. __ .... _ ....... _____ .. _ ... _ ...... _. __ • __ • *._ •• ~~¥_ .~ __ V*. 4 ••
~equaI Fo!m 990, Pirt X. col. (8) Nne 12.) ,. !'Wli. ""J 1~~~~{ri1 .. N~".If.f,
. See Form 990, Part X line 13.
Ie) Description 01 investment type (b) Book value (0) Method of wluatlon:
Cost or end-or-year owl<8l value










Total. (Co/!.rnIJ ib,l must equal Form 990, Part X. coL (8) line 13.) ... I!/i'(r~_: ~·?~,:~.~~ •. \~~;Z·:;_C~,,~~~:'~:~~H,(.t~Wl
• ~.t:. Other Assets. See Form 990, Part_X, line 15 .
la) ~~value
Security DeposIt $7,361









TotaI./CoJuJm(b) must equal Form 990, Part X. col. (8) line 15.) ... $7,381
.arn:aT• Other I See Form 990, Part X, line 25.
1. (a) ~, of liability (b) Amount ~: ~;;.~Jfl::~"l ~.~!,
Fedeml Income taxes ,~

"'''VI -'''' "' loan due to related entity t?nn nR? v: '" .c ~i1'~~ ~!"~.... I]

I 0.'1; ::;:'1 1&.." l.j a! ~
. ~ .. ~-' "t~~~8 'it ~;;t

H :~~: ~~ .'~ ~

:~t~~~~~t;JJ~t" ~f!"~

Ii!x:~~::r r,.,~·v ~ ,1(;9tt~::;l
~':'1 CiOI, :-~c: ,.,' ~ .
~~;;1f:~s~~.r~~_~


Total. iCOiUmn- M must 9qV8i ForrrI990, PefiX, col. (B) line 25.) ... t?M M? ',' . '.' ';:;.'~.' ... '; ,;Y.~;H·~t'fL· . . .. ~ . 2. FIN 48 Footnote. In Part XN, provide the text of the footnote to the organizatlon's financial statements that reports the 0wanlzatlon's liability for uncertain tax positions under FIN 48.

990) 2009

1 Total revenue (Form 990, Part VIII, column (A), line 12) 2 Total expenses (Form 990, Part IX, column (A), line 25)

3 Excess or (deficit) for the year. Subtract line 2 from line 1 4 Net unreafized gains (losses) on investments

5 Donated services and use of facilities .

6 7 8

Total revenue, gains, and other support per audited financial statements . Amounts Included on line 1 but not on Form 990, Part VIII, line 12: 8 Net unrealized gains on Investments . b Donated services and use of facilities . c Recoveries of prior year grants d Other (Describe In Part XIV.) e Add lines 28 through 2d . .

3 Subtract line 2e from line 1 . 4 Amounts included on Form 990, Part Viii, line 12, but not on line 1: 8 Investment expenses not included on Form 990, Part VIII. Hne 7b b Other (Describe In Part XIV.) Add lines 48 and 4b

Total expenses and losses per audited financial statements . Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities .

b Prior year adJustments. .

c Other losses . . . . .

d Other (Describe In Part XIV.)

e Add lines 2a through 2d .

3 Subtract line 2e from line 1

4 Amounts included on Form 990, Part IX, Hne 25, but not on line 1: 8 Investment expenses not Included on Form 990. Part VIII. line 7b b Other (DescrIbe in Part XIV.)

e Add lines 48 and 4b 5 Total

Complete this part to provide the descriptions required for Part II, lines 3,5, and 9; Part III, lines ta and 4; Part IV. lines tb and 2b; Part V, line 4; Part X, line 2; Part XI, IJna 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete

!~!~.P~.t~J?~?v:i5!~.~_I}l'.~.~.~I~~~.!r:!?f!!1.~~~~: .

Sehedoht 0 (Form etOI 2009

Schedule 0 (Fom1 990) 2009

Page 5

'Mell Supplementallnfonnation (continued)

SCHEDULE G Supplemental Information Regarding

(Form 990 or 99O-EZ) Fundralsing or Gaming Activities

Complete if the organization Insw«ed "V .. " to Fonn 990, Part IV. Un •• 17, 18, or 19, or If til.

0epartm0nI of the Tr08SOl)' organl%atlon 1II>te ..... mot. than $15.000 on Fonn 99O-EZ. liM ea.

~ln~;;~~~;;,~g,;;;;;- __ L- ~~~A=~~~w~~~m~~~~or~F~onn~~~~~~~~~~~~~~~=.r·~~;;~

N identification numb«

N",1rtnnal IJ'm ... ,nl2'I\tlLlM for Inc, 0240498

Fundralslng Activities. Complete if the organization answered "Yes" to Form 990, Part IV. line 17. Form 990-EZ filers are not required to complete this part.

1 Indicate whether the organIzation raised funds through any of the following activities. Check all that apply.

a [i] Mall sollcltations e [ZJ SoUcltation of non-govemment grants

b [Z] Intemet and emall solicitations f 0 Solicitation of government grants

c 0 Phone soncltatlons 9 0 Spacial fundralslng events

d [ZJ In-person solicltatlons

28 Old the organization have a written or oral agreement with any Individual Qncludlng officers. directors, trustees r7l 0

or key employees IIstedln Form 990, Part VII) or entity In connectlon with professional fundraislng services? l!:J Yes No

b If "Yes," list the ten highest paid individuals or entities (fund raisers) pursuant to agreements under which the fundralser Is to be compensated at least $5,000 by the organization.

(il Name of Ind1I1iOOa1 I [til ActIvity (Ill) Did fundral_ have I (l\I) Gross recelpts (vi Amount paid to 11 Amount paid to
or entity (lvndralserl custody Of control of I from actMty (or retained bY) or retalned bY)
contributions? functalser HSIed in organlla1lon
I 001. (I)
, Yea No I
i .f 1
KMA Direct: Communications : DIrect Mail ! I na 419.151 0
The Sterting Corporation Consulting .f 57390 0
na

I !


I !

r
i I
I
Total. ." oa 476541 0 3 Ust ali states In which the organization Is registered or licensed to solicit funds or has been notified It Is exempt from registration or Ilcenslng .

. ~~J.f.:4.~!£~!!!-:·.~~!~~d·~P!g.~!.<?~.T.~!-'~t~!!!.<?~I.<?I!!:~!.~~·.~~J.~J.~~,.~~!.~~!.9~!.y'!':z.~ _ ..

~ .. -_ _ _ ----~ - _ ~ _ _ __ __ "_"" "' - -- -_ _ "' - _ -- -_ .. --"'_ - -_ -_ -_ - ----- _ -- -_ ..

For PrIvacy Act and Paperwork Reduction Act NotIu. '" the instructions for Form 990 or 99O-EZ. Cat. No. 50063H ~16 G (Form 990 or 99O-EZ) 2009

Schedule G (Form 990 or 99O-EZ) 2009 Page 2

'dill Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported

on Form 99O-E2. nne 6a. list events with than

4>
:::l
a\ Gross receipts .
>11
£ 12 Less: Charitable
contributions .
3 Gross Income (line 1
minus line
4 Cash prizes
5 Noncash prizes
* 6 RenVfaclHty costs
i 7 Food and beverages
~
~ 8 Entertainment.
is
Other direct expenses (8) Ev6nt .1

type)

(d) Total events (add cot (s) ~ 001. (01)

4>
::l
j 1 Gross revenue
s 2 Cash prizes
'"
! 3 Noncash prizes
~ 4 RenVfacllity costs
5 Other direct (II) Bingo

(0) Other gaming

more

(d) Total gaming (Bdd col. (a) through 001. (e»

(b) Pull tabsIlnstant bingo/progressive bingo

6 Volunteer labor

7 Direct expense summary. Add lines 2 through 5 In column (d) .

8 Net

income summary. Combine line 1. column and line 7 .

9 Enter the state(s) In which the organization operates gaming actMtles: .• ._ .• _._ .. __ .. • __ ~ __ .. __ ._ •• _. [I •• iijl~

a Is the organization uoeneed to operate gaming activities In each of these states? . . . . . . . . b If "No," explain:

10a Were any of the organizatIon's gaming licenses revoked. suspended or terminated during the tax year?

Schedule Q (Form 990 or 99O-SZ) 2009

Address II" ._. ._ •• • • 1-~'f;I",tJ~:r.~1:1

16 Gaming manager Information:

Name II" •. . " • •

Schedule G

2009

13 Indicate the percentage of gaming activity operated In: a The organization's facility. . . . . . . . . . . . . . . . . . . . b An outside facility . . . _ _ . . . . _ . . . . . . . . . . . . 14 Enter the name and address of the person who prepares the organization's gaming/special events books and records:

15a Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . .

b If "Yes," enter the amount of gaming revenue received by the organization" $ _ •. __ • .... and the

amount of gaming revenue retained by the third party .. $ . __ .

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

Name 11> .. • _ .. __ ... .•.• .. • .. __ • ..... _ .... _

Gaming manager compensation II" $ .. .. ..

17 Mandatory distributions:

a Is the organization required under state law to make charitable distributions from the gaming proceeds to 1Ii1!\I"I"""~-jl:_''''

retain the state gaming license? . . • . . . . . . . . • • . . . • . . . . . . . _

b Enter the amount of distributions required under state law to be distributed to other exempt organizations

Scf1edula G (Fenn 990 or 99O-EZ) 2009

SCHEDULE J (Form 990)

Compensation Information

For certain OffIcers, DIrectors, Trus1ees, Key Employees, snd Highest Compensated Employees

~ Complete If the organtutlon answered "Vee" to Form 990,

Part IV, line 23. .

~ Attach to Form 990. ~ See aeparate instructions.

OMS No. 1 &45-0047

~@09

Open 10 Public Inspection

NBIrt. of the organization

National Or nlzation for Marna e Inc.

Employer Iclentitloetlon number

26 : 0240498

18 Check the appropriate box(es) If the 0l1lanization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line 1 a Complete Part III to provide any relevant Information regarding these items.

o First-class or charter travel 0 Housing allowance or residence for personal use

o Travel for companions 0 Payments for business use of personal residence

o Tax Indemnification and gross-up payments 0 Health or social club dues or Initiation fees

o Discretionary spending account 0 Personal services (e.g., maid, chauffeur, chef)

b If any of the boxes on line ta are checked, did the organization follow a wrltten policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part iii to

explain .

2 Old the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEOlExecutive Director. regarding the Items checked In line 1a1

3 Indicate which. if any, of the following the organization uses to establish the compensation of the organization's CEO/Executive Director. Check all that apply.

o Compensation committee 0 Written employment contract

o Independent compensation consultant 0 Compensation surveyor study

o Form 990 of other organizations IZl Approval by the board or compensation committee

4 During the year, did any person listed In Form 990, Part VII, Section A, line ta, with respect to the filing

organization or a related organization:

a Receive a severance payment or change-of-control payment? . . . . . . . . . b Participate In, or receive payment from, a supplemental nonquallfled retirement plan? . c Participate In, or receive payment from, an equity-based compensation arrangement?

If "Yes" to any of lines 4a-c. list the persons and provide the applicable amounts for each item in Part III.

Only section 501(0)(3) and 501{cI(4) organizations must oomplete lines 5-9.

5 For persons rtsted in Form 990, Part VII, Section A, line 1 a, did the organization payor accrue any compensation contingent on the revenues of:

a The organization? . , . . . . . . .

b Any related organization? . . . . . . .

If "Yes" to line Sa or 5b, describe in Part III.

6 For persons listed In Form 990. Part VfI, Section A, line 18, did the organization payor accrue any compensation contingent on the net earnings of:

8 The organization? . . . . . . . . . .

b Any related organization? . . . . . . . .

If "Yes" to line 6a or 6b, describe in Part III.

7 For persons listed In Form 990, Part VII, Section A, line 1 a, did the organizatIon provide any non-fixed payments not described In lines 5 and '6? If "Yes: describe In Part III. . . , . . . . . . .

8 Were any amounts reported In Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the Initial contract exceptlon described in Regs. section 53.4958-4(a}(3)? If "Yes," describe

in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

8

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

9 If "Yes" to line 8, did the organizatIon also follow the rebuttable presumption procedure described in

Regulations section 53.4958-6 c)? • . . . . . . . . . . . . . . . . . . . . . 9

Cat, No. 50053T Schedule J (Form 9901 2009

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~ SCHEDULE 0 (Form 990J

OMB No. 1545-0047

Supplemental Information to Form 990

Complete to provide Information for respon_ to specific questions on Form 990 or to provide any IIKIdltionallnfomlation.

.. Attsch to Form 990.

~@09

Open to Public inspection

Name of tho organization

National Or anlzatlon for Mania Or Inc.

Employer Jdenllflcatlon numbel'

26 i 0240498

_ ~!_Q£i!!~~~.rl~. ~I) .!~~ .Q~.~!~P_~~4? _~r~: _ .. .. _._._._ _ . _" __ . _ . _' .. ' __ _ _ _. _ .. _ .. _ _ - ..

. !'I'~" ~X .. Q!-!t ~ ~" ~I .... _. _ ...•.•... _ ..••••. _ ....••. _ ... __ ... _ ... _ .. __ . _ ..•..•• _ .. _. _ •.•... _. __ • _ •. _ .••... _ •• _ .•• _ .. _ ... _. _ .•..... _ ... _"'" .

For Privacy Act and Paperwork Reduction Act Notice, see the Instructlon8 for Form 990.

Cat. No. 510561<

Schedule 0 (Form 990) 2009

C'\I sifl & It ~
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