...

Form

990.
~

Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue benefit trust or private foundation) and ending Code (except black lung The organization may have to use a copy of this retum to satisfy state reporting requirements.

OMS

Department theTreasury 01 Internal evenue R ServIce A For the 2009 calendar

Open to Public Inspection number

2009

No 1545-0047

year, or tax year beginning

B

Please C Name of organization useIRS IV"lAddress labelor "" L...O....Jchange pnnt or rREEDOM AND VALUES D~~~ L...O....Jretum 1V"l_ D~:;:r'n. D::u~ded D~~:~ type
See DOtnQ BUSiness

Check II applicable

o
ALLIANCE INC.

Employer

identification

k.
BLVD STE 325

~!:~~
3175 lions SAME AS C status.

Number and street (or P.O. box If mall is not dehvered to street address) SATELLITE and ZIP + 4 KELLER D 4947(a)(1) or D 527

I

27-0182697 Room/SUite E Telephone G number 770-622-1501
Gross recerpts $

Crty or town, state or country,

502 DYes

343.

1-_....IID=lUo.=L::..;U=T..:.H=-'--,..::G:.:A..:.......---=3:..0=-=0_.9:...;6::.._-_.9:...;0:<....:1...!7 F Name and address of pnncipal officer:GREGG ABOVE

---i H(a) Is this a group retum for affiliates? H(b) Are all affiliates Included? DYes H(c) Group exemption 2 0091 number ~

00 No
D No

--------~~===.==~~-=~~~-----------.==.---------~~----------_,
I Tax-exempt

00 501 (c) (4

) ..... (Insert no.) Trust D

If "No,' attach a list (see Instructions)

lPart II
Q)

J Website: ~ N / A K Form of orcamzanon;

00 Corporation
TO ~ D

D

ASSOCiatIOn [

] Other ~ FREEDOM PEOPLE or disposed

I L Year of formation:
AND
AT THE

M State of leilaI domicile: GA
IS LEVEL =3

Summary
Bnefly descnbe the organization's COMMITED Check this box mission or most Significant activities: VALUES ALLIANCE EDUCATING If the organization

u

1 2 3 4 5 6 b 8 9 10 11 12 13 14 15

c: C"II c:
Q)

...
>
(!)

AND

INFORMING ItS operations

GRASSROOTS 1-3""-1 4

discontinued

of more than 25% of ItS net assets

0

Number of voting members of the governing Number of Independent Total number of employees Total number of volunteers (Part V, line 2a)

body (Part Vl,lIne 1a) body (Part VI, line 1b)

all

voting members of the govemlng (estimate If necessary)

2

~ .s: ~ u
<{

1/1
Q)

5 6
7a 7b Prior Year Current 500 2 502 Year 000. 343. 343.

7a Total gross unrelated business revenue from Part VIII, column (C), line 12 Net unrelated busmess taxable Income from Form 990-T line 34 Contnbutions Investment and grants (Part VIII, line 1h) Income (Part VIII, column (A), lines 3, 4, and 7d) add lines 8 throuoh 11 (must eaual Part VIII, column (A), line 12)

5 0. 0.

°

Q)

C'.I

0

~

::l

c: Q)
II:

Program service revenue (Part VIII, line 2g) Other revenue (Part VIII, column (A), lines 5, 6d, Be, 9c, 10c, and 11e) Total revenue· Grants and Similar amounts paid (Part IX, column (A), lines 1·3) Benefrts paid to or for members (Part IX, column (A), line 4) Salaries, other compensation, employee benefits (Part IX, column (A), lines 5·10) ~ _ tundrarsmq fees (Part IX, column (A), line 11 e)

> Q)

~
I=l

U lL.l Cl

1/1
Q)

@


o~
Q;~
(I)~ ~(I)

W ~ ~

Q

1/1

c:
Q) )(

16a Professional 17 18 19

Co

w

b Total fund ratsmq expenses (Part IX, column (D), line 25) Other expenses (Part IX, column (A), lines 11a·11d, 11f·24f)

Total expenses. Add lines 13·17 (must equal Part IX, column (A), line 25) Revenue less expenses Subtract line 18 from line 12

(1)1:

Kt:~t:IVED
N a
10

502 Beginning of Current Year

343. 343.

End of Year 502 502,343.

20 Total assets (Part X, line 16)
21 22 Total habilmes (Part X, line 26) Net assets or fund balances Subtract

~

I Part
Sign Here

z,z

~I:

II

I Signature

line 21 from II e 2

NOV,l 9 lOW
,Np:;t:jrad

o
I

o C/)

Block

a::

Underpenalnes 01 P"'jUry,I declare I haveexamined thISreturn,ncludlncla that andcompleteDeclaratIon1 prepar..(oth thanofficer) Sbasedon 0 . ... I

statelnents, andto thebest01 myknowledge andbellel,It IStrue,correct, anykno..ledge

~ s;,,,~!9<
~ ~ GREGG KELLER, EXECUTIVE Type or print name and title I DIRECTOR Preparer's ~

I

Date

It-IS .. (a

signature ~ /t!/t;l!o employed ~ D Preparer's r.F=-"::Cm';-:'"s-:-:nam=-=-e 'D=--,-R'-Ir-hIG=S=-,-t(;:"or--t6'f..-:noL::-: 'D '&-=-I'-N-'-G==RAM-=---, -L-L-C--....1-~L.W.'I-L-__._~~..:..::.,....::E-IN--'=~==-..._---------Use Only yoursII ~ cu. self-employed). ~ 4 3 6 CHAMBLEE DUNWOODY RD. , SUITE 420 address, nd a ZlP+4 ATLANTA,_ GEORGIA 30341 Phone no. ~ 770

Paid

»< (;.-.,C_
~ /

°

t../.,4.

I

Date/

J

1~~~_Ckf I

1~~:-~~r,:~~lng

numb ...

- 457- 66

May the IRS diSCUSSthiS retum wrth the preparer shown above? (see Instructions) 93200102-04·10 SEE LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions, CONTINUATION SCHEDULE

[XJ Yes
STATEMENT

D

°

6 No ~

Form 990 (2009)

0

FOR

ORGANIZATION

MISSION

GIS

)

INC.
1 Bnefly descnbe the orqaruzanon's mission:

27-0182697

Pa

e2

FREEDOM AND VALUES ALLIANCE IS COMMITED TO EDUCATING AND INFORMING PEOPLE AT THE GRASSROOTS LEVEL ABOUT TIMELY PUBLIC POLICY ISSUES AND ENCOURAGE THEM TO PARTICIPATE IN THE LEGISLATIVE PROCESS.
2 Did the organization undertake any significant program services dunng the year which were not hsted on the pnor Form 990 or 990-EZ? If "Yes," descnbe these new services on Schedule 0 Did the organization cease conducting, or make significant changes In how rt conducts, any program servicesv If ·Ves: descnbe these changes on Schedule 0_ Descnbe the exempt purpose achievements for each of the organization's three largest program services by expenses, Section 501(c}(3)and 501(c}(4)organizations and section 4947(a}(1}trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, If any, for each program service reported 4a (Code) (Expenses $ Dves DYes [XJNo [XJNo

3 4

O.

Including grants of $

VOTER EDUCATION

500 ,00 O.

)(Revenue $

4b

(Code:

) (Expenses $

Including grants of $

) (Revenue $

4c

(Code

) (Expenses $

Including grants of $

} (Revenue $

4d
4e

Other program services. (Descnbe In Schedule O) (Expenses $ Including grants of $ Total program service expenses ~ $

) (Revenue $ Form 990 (2009)

932002 02-04-10

2

10241116

759359 FAVA

2009.04010

FREEDOM AND VALUES ALLIANCE

FAVA

1

"

I Part
1

Form 990 (2009)

IV I Checklist

of Required
descnbed

FREEDOM AND VALUES ALLIANCE,
Schedules

INC.

27-0182697
Yes

Page No

3

Is the organization If 'Yes, • complete Is the organization Did the organization Section Section

In section 501 (c)(3) or 4947(a)(1) (other than a pnvate foundation)? Schedule

Schedule A required to complete

2
3 4 5 6 7 8 9 10 11 • • • • • • 12

8, Schedule of Contnbutors?
activmes on behalf of or In opposmon to candidates for

2
3

x

x
X

engage In direct or Indirect political campaign Schedule C, Part I Did the organization

public office? If 'Yes, • complete 501(c)(3) organizations.

engage In lobbymq actrvrties? If 'Yes, • complete Is the organization

Schedule C, Part II

4 5

501(c)(4), 501(c)(5), and 501(c)(6) organizations.

subject to the section 6033(e) notice and

reporting requirement Did the organization Did the organization the environment, Schedule Did the organization 0, Part /II Did the organization credit counseling, If 'Yes, • complete Is the organization's Did the organization,

and proxy tax? If 'Yes, • complete Schedule or Investment

C, Part /II
where donors have the nght to If 'Yes, • complete 0, Part II Schedule 0, Part I

X X X X X X X
I

maintain any donor advised funds or any similar funds or accounts of amounts In such funds or accounts? easement, including easements If 'Yes, • complete Schedule .. report an amount In Part X, line 21; serve as a custodian credit repair, or debt negotiation directly or through a related organization, answer to any of the following questions receive or hold a conservation maintain collections

provide advice on the distnbunon

6 7

to preserve open space,

rustonc land areas, or histone structures?

of works of art, hrstoncal treasures,

or other similar assets? If 'Yes, • complete

8
0, Part IV

for amounts not listed In Part X, or provide

debt management, Schedule 0, Part V

services? If 'Yes, • complete Schedule

9
10

hold assets In term, permanent, 'Yes'? If so, complete Schedule

or quasi-endowments? 0, Parts VI, VII, V/II, IX, or X 11 Schedule 0,

as app/tcable
Did the organization Part VI. Did the organization Did the organization Did the organization Did the organization Did the organization's the organization's Did the organization report an amount for Investments· report an amount for mvestrnentsother sec unties In Part X, line 12 that IS 5% or more of rts total program related In Part X, line 13 that IS 5% or more of ItS total assets reported In Part X, line 16? If 'Yes, • complete Schedule 0, Part VII. assets reported In Part X, line 16? If 'Yes, • complete Part X, line 16? If 'Yes, • complete Schedule 0, Part VIII report an amount for land, buildmqs, and equipment In Part X, line 10? If 'Yes,' complete

j
I

!

report an amount for other assets In Part X, line 15 that IS 5% or more of rts total assets reported In Schedule 0, Part IX. Schedule 0, Part report an amount for other habilrnes In Part X, line 25? If 'Yes, • complete separate or consolidated financial statements under FIN 48? If 'Yes, • complete audited financial statements

x.

for the tax year Include a footnote that addresses Schedule 0, Part X 12 for the tax year? If 'Yes, • complete for the tax year?

liability for uncertain tax positions obtain separate, Independent Included In consolidated,

Schedule 0, Parts XI, XII, and X/II. 12A Was the organization If 'Yes, • completmg 13 14a b 15 16 17 18 19 Is the organization Did the organization Did the organization Did the organization Did the organization Did the organization Did the organization Did the organization complete Did the organization Independent audited financial statements Schedule 0, Parts XI, XII, and X/II/s opttonal a school described In section 170(b)(1)(A)O~? If 'Yes, • complete Schedule E maintain an office, employees, or agents outside of the United States?

I Yes I No 112A1 IX

X

13 14a fund raising, business, 14b to any organization .. to Individuals 16 15

X X X X X X X X X 990
(2009)

have aggregate revenues or expenses of more than $10,000 from grantmaklng, Schedule F, Part I report on Part IX, column (A), line 3, more than $5,000 of grants or assistance

and program service acnvmes outside the Unrted States? If 'Yes, • complete

or entity located outside the United States? If 'Yes, • complete Schedule F, Part II report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance Schedule F, Part /II report a total of more than $15,000 of expenses for professional Schedule G, Part I located outside the United States? If 'Yes, • complete column (A), lines 6 and 11e? If 'Yes,' complete 1c and 8a? If 'Yes,' complete Schedule Schedule G, Part /II ooerate one or more hospitals?

fund raising services on Part IX, .. on Part VIII, lines 18

17

report more than $15,000 total of fund raising event gross Income and contnbutions

G, Part II
.... If 'Yes • como/ete Schedule H

report more than $15,000 of gross Income from gaming activmes on Part VIII, line 9a? If 'Yes,' 19

20

20
Form

932003 02-04-'0

10241116

759359 FAVA

2009.04010

3 FREEDOM AND VALUES ALLIANCE

FAVA

l

I Part
21 22

Form 990 (2009)

IV J Checklist
Old the organization

of Required

FREEDOM AND VALUES ALLIANCE
Schedules
(continued)

INC.
and organizations

27-0182697
Yes In the 21

Page

4

No

report more than $5,000 of grants and other assistance Schedule

to govemments to Individuals

Unrted States on Part IX, column (A), line 1? If 'Yes, • complete column (A), line 2? If 'Yes, • complete Schedule I, Parts I and III

I, Parts I and II In the Unrted States on Part IX,

x x
x

Old the orqaruzanon report more than $5,000 of grants and other assistance Old the organization ScheduleJ answer 'Yes'

22 of the organization's If 'Yes, • complete current employees?

23

to Part VII, Section A, line 3,4, or 5 about compensation key employees, and highest compensated

and former officers, directors, trustees, 24a Old the organization have a tax-exempt .

23
bond Issue with an outstanding pnncipal amount of more than $100,000 as of the 24a bonds beyond a temporary penod exception? 24b other than a refunding escrow at any time dunng the year to defease

last day of the year, that was ISSUed after December 31, 2002? If 'Yes, • answer lines 24b through 24d and complete Schedule K. If 'No', go to line 25 b Old the organization c Old the organization any tax-exempt Invest any proceeds of tax-exempt maintain an escrow account .. at any time dunng the year? with a 25a With a disqualified person In a prior year, and 25b highly compensated employee, or disqualified 26 as of the end of the organization's provide a grant or other assistance tax year? If 'Yes, • complete Schedule L, Part II to an officer, director, trustee, key employee, substantial 27 a party to a business transaction filing thresholds, condmons, With one of the follOWing parties, (see Schedule and exceptions) If 'Yes, • complete Schedule L, Part IV If 'Yes, • complete Schedule L, Part IV L, Part IV Old the organization engage In an excess benefrt transaction

x

bonds?

t-2::.4c-=-+-_-+-__

d Old the organization

act as an 'on behalf of' Issuer for bonds outstanding Schedule L, Part I

r2=-4d=c.t--t--

25a

Section

501(c)(3) and 501(c)(4) organizations.

disqualified

person dunng the year? If 'Yes, • complete

x x
X

b Is the organization that the transaction Schedule L, Part I 26 27

aware that It engaged In an excess benefit transaction has not been reported on any of the organization's

pnor Forms 990 or 990·EZ? If 'Yes, • complete

Was a loan to or by a current or former officer, director, trustee, key employee, person outstanding Old the organization contnbutor, Schedule L, Part III

or a grant selection commrttee

member, or to a person related to such an mdividual? If 'Yes,' complete

X

28

Was the organization Instructions

for applicable

a A current or former officer, director, trustee, or key employee? c 29 30 31

b A family member of a current or former officer, director, trustee, or key employee?

28a 28b 28c

X X X X X X X X X X

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, Part IV Old the organization Old the organization contnbutions? Old the organization If 'Yes, • complete Old the organization Schedule N, Part II Old the organization sections 301.7701·2 receive more than $25,000 In non-cash contnbutions? receive contnbuncns Schedule liquidate. terminate, Schedule N, Part I sell, exchange, dispose of, or transfer more than 25% of ItS net assets? If 'Yes, • complete M If 'Yes, • complete Schedule M of art, historical treasures, or other Similar assets, or qualified conservation 30 31 or dissolve and cease operations? 29

If 'Yes, • complete

32 33 34
35

32
own 100% of an entrty disregarded and 301 7701·3? If 'Yes, • complete as separate from the organization Schedule R, Part I under Regulations

33 34
35

Was the orqaruzanon related to any tax-exempt Is any related organization If 'Yes, • complete Section a controlled

or taxable entity?

If 'Yes, • complete Schedule R, Parts II, III, IV, and V, line 1 entrty wnhm the meaning of section 512(b)(13)? make any transfers to an exempt non-chantable related organization? Schedule R, Part V, line 2 Old the organization Schedule R, Part V, line 2 .. conduct complete more than 5% of rts activrties through an entrty that IS not a related organization for federal Income tax purposes? Schedule O. If 'Yes, • complete Schedule R, Part VI
In Schedule

36
37 38

501(c)(3) organizations.

If 'Yes, • complete Old the organization Old the organization

..-.=36=-t--t-37 38 Form

and that IS treated as a partnership

X

Schedule 0 and provide explanations

0 for Part VI, lines 11 and 19?

Note. All Form 990 filers are reouireo to comolete

990 (2009)

X

932004 02.()4-10

4

10241116

759359 FAVA

2009.04010

FREEDOM AND VALUES ALLIANCE

FAVA_1

I Part

Form 990 (2009)

V

I

Statements

Regarding

FREEDOM AND VALUES ALLIANCE

Other IRS Filings and Tax Compliance

INC.

27-0182697
Yes

PageS No

1a Enter the number reported In Box 3 of Form 1096, Annual Summary and Transmittal U.S. Information b c Retums Enter.Q· If not applicable rules for reportable payments Enter the number of Forms W·2G Included In line 1a Enter.Q· If not applicable Old the organization comply with backup withholding (gambling) winnings to pnze Winners?

of 1a 1b to vendors and reportable gaming

o o
1c

2a Enter the number of employees reported on Form W·3, Transmittal of Wage and Tax Statements,
filed for the calendar year ending wrth or withm the year covered by this retum b If at least one IS reported on line 2a, did the organization file all required federal employment tax retums? Note. If the sum of lines la and 2a IS greater than 250, you may be required to

o
2b

e-tue

this retum. (see Instructions)

3a Old the organization have unrelated business gross Income of $1,000 or more dunng the year covered by this retum? b If 'Yes,' has rt filed a Form 990·T for this year? If 'No, ' provide an explanation In Schedule 0
4a b At any time dunng the calendar year, did the organization If 'Yes,' enter the name of the foreign country for exceptions ~ for Form TO F 90·22 1, Report of Foreign Bank and at any time dunng the tax year? tax shelter transaction? Entrty Regarding Prohibrted have an Interest In, or a signature or other authonty over, a securmes account, or other financial account)? _ financial account in a foreign country (such as a bank account, See the Instructions Financial Accounts. 5a b c 6a b 7 a b c d e f g h 8 Was the organization If 'Yes,' a party to a prohibited tax shelter transaction Old any taxable party notify the organization to line 5a or 5b, did the orqarnzation Tax Shelter Transaction? Does the organization any contributions If 'Yes,' have annual gross receipts that are normally greater than $100,000, Include With every sohcrtation an express statement deductible contributions under section and did the organization or gifts solicit that were not tax deductible? that such contnbutions that rt was or IS a party to a prohibited and filing requirements

3a 3b
4a

X

X

Sa 5b
5c 6a 6b

X X

file Form 8886·T, Disclosure by Tax-Exempt

X X
-

did the organization

were not tax deductible? Organizations that may receive 170(c). and partly for goods and services Old the organization If 'Yes,' receive a payment In excess of $75 made partly as a contnbuuon

7a

-

--

provided to the payor? did the organization notify the donor of the value of the goods or services provided? dispose of tangible personal property for which It was required Old the organization to file Form 8282? If 'Yes,' Indicate the number of Forms 8282 filed dunng the year Old the organization, benefit contract? Old the organization, For all contnbutions For contnbutions Sponsoring supporting 9 a b 10 a 11 Sponsoring dunnq the year, pay premiums, directly or Indirectly, on a personal benefit contract? of qualified Intellectual maintaining property, did the organization file Form 8899 as required? file a Form 1098·C as required? organizations. Old the have excess business holdings 509(a)(3) supporting organization, sell, exchange, or otherwise

X X X X

7b 7c

I 7d I

dunng the year, receive any funds, directly or Indirectly, to pay premiums on a personal 7e 7f 7g 7h

of cars, boats, airplanes, and other vehicles, did the organization donor advised funds and section by a sponsonng or a donor advised fund maintained maintaining donor advised

organizations organization, organizations

at any time dunng the year? funds. Old the organization Old the organization Section make any taxable drstnbutions make a distnbutron Enter Included on Part VIII, line 12 .. 110a 1 10b 1-1-'-1.!!a"+ 11b Is the orqaruzanon filing Form 990 In lieu of FOrm l041?
1 12b

8
. ---

under section 4966?

9a 9b

to a donor, donor advisor, or related person?

501(c)(7) organizations.

lnmanon fees and caprtal contnbutions Section 501(c)(12) organizations.

b Gross receipts, Included on Form 990, Part VIII, line 12, for public use of club tacumes Enter .. _ _ a Gross Income from members or shareholders amounts due or received from them) 12a b Section 4947(a)(1) non-exempt .. . . ..

~

b Gross Income from other sources (Do not net amounts due or paid to other sources against charitable trusts.

i

12a

If 'Yes • enter the amount of tax-exempt

Interest received or accrued dunna the year

Form 990 (2009)

932005 02..()4-10

10241116

759359 FAVA

2009.04010

5 FREEDOM AND VALUES ALLIANCE

FAVA __ 1

Part VI Governance, Management, and Disclosure
to Ime Ba, Bb, or 1 below, descnbe the circumstances, Db

FREEDOM AND VALUES ALLIANCE
processes,

INC.

27-0182697
7b below, and for

Pae6

For each 'Yes' response to Imes 2 through or changes m Schedule 0 See

a

'No' response

tnstrucuons.
Yes No

Section A Governing Body and Management
1a b 2 3 4 5 6 7a Enter the number of voting members of the governing body or a business relationship performed

I
I

1a 1b

I
I

Enter the number of voting members that are Independent Old any officer, director, trustee, or key employee have a family relationship officer, director, trustee, or key employee? Old the organization of officers, directors Old the organization Old the organization Does the organization Does the organization governing body? body subject to approval by members, stockholders, document delegate control over management duties customanly

3 2
2

wrth any other

X X X X X X X X X X
Yes No

by or under the direct supervision 3 4 5 6 assets?

or trustees, or key employees to a management make any Significant changes to rts organizational have members or stockholders? have members, stockholders,

company

or other person? since the pnor Form 990 was filed?

documents

become aware dunng the year of a matenal diversion of the organization's

or other persons who may elect one or more members of the 7a or other persons? dunng the year 7b

b Are any decrsions of the governing 8 Old the organization by the following: a The governing b 9 Each committee organization's body?

contemporaneously

the meetings held or wntten actions undertaken

Sa
body?

wrth authority to act on behalf of the governing

8b 0
9

Is there any officer, director, trustee, or key employee listed In Part VII, Section A, who cannot be reached at the malllrlgaddress? If 'Yes '_p_rovlde the names and addresses m Schedule (ThIS Section B reauests mformatton about ooucies not reauirea by the Internal Revenue Code.) have local chapters, branches, or affiliates? governing the activrtres of such chapters, affiliates, 10b 11 12a 12b regularly and consistently monitor and enforce compliance policy? policy? and decision? 15a 15b In a JOint venture or Similar arrangement requmnq the organization With a 16a a wntten policy or procedure to evaluate rts participation 16b under applicable federal tax law, and taken steps to safeguard the organization's With the policy? If 'Yes, • descnbe 12c 13 14 retention and destruction substantiation With those of the organization? to review thrs Form 990. 10a

Section B Policies
10a b 11 12a

Does the organization If 'Yes,'

X X X X X X X X
I

does the organization

have wntten policies and procedures are consistent

and branches to ensure their operations Has the organization Does the organization to conflicts? c 13 14 15 Does the organization in Schedule Does the organization Does the organization persons, comparability a The organization's If 'Yes' 16a b

provided a copy of thrs Form 990 to all members of rts governing body before filing the form? have a wntten conflict of Interest policy? If 'No,' go to Ime 13 or trustees, and key employees required to disclose annually Interests that could give rise

11A Descnbe In Schedule 0 the process, rf any, used by the organization b Are officers, directors

0 how ttns IS done
have a written whistleblower have a written document compensation

Old the process for determining

of the Iollowmq persons Include a review and approval by Independent of the deliberation official

data, and contemporaneous

CEO, Executive Director, or top management

X X X

b Other officers or key employees of the organization to line 15a or 15b, descnbe the process In Schedule O. (See mstructtons.) Invest In, contnbute adopted assets to, or participate Old the organization If 'Yes,'

taxable entity dunng the year? has the organization In JOint venture arrangements

exemot status wrth resoect to such arranaements?

Section C. Disclosure
17 18 Ust the states With which a copy of ttus Form 990 IS required to be filed Section 6104 requires an organization public inspection.

~-=G:..=Ac.::..._
990, and 990·T (501 (c)(3)s only) available for

_

to make rts Forms 1023 (or 1024 rf applicable), Check all that apply. Upon request website

o

Indicate how you make these available

Own website

0

Another's

[X]

19 20

Describe In Schedule 0 whether (and If so, how), the organization statements available to the public. State the name, physical address, and telephone

makes rts governing documents,

conflict of Interest policy, and flnancial ~ _

number of the person who possesses

the books and records of the organization:

THE ORGANIZATION - 770-622-1501 3175 SATELLITE BLVD STE 325, DULUTH, GA
932006 02-04-'0

30096-9017
Form

990 (2009)

6

10241116

759359 FAVA

2009.04010

FREEDOM AND VALUES ALLIANCE

FAVA

1

Fo~m 990 2009

Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

FREEDOM AND VALUES ALLIANCE

INC.

27- 0182697

Pa

e7

1a Complete tms table for all persons required to be listed. Report compensation for the calendar year ending wrth or wtthm the organization's tax year Use Schedule J·2 If addmonal space IS needed • trst all of the organization's current officers, directors, trustees (whether Individuals or organizations), regardless of amount of compensation Enter .(). In columns (D), (E), and (F) If no compensation was paid.

• ust

all of the organization's

current

key employees.

See Instructions

for definmon of ·key employee.·

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

• tist all of the organization's former directors or trustees that received, In the capacrty as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. trst persons In the followmq order: Individual trustees or directors, and former such persons. institutional trustees, officers; key employees, or trustee. (D) Reportable compensation from the organization (W·211099·MISC) (E) Reportable compensation from related organizations (W·211099·MISC) (F) Estimated amount of other compensation from the organization and related organizations highest compensated employees;

[XJ

Chec k t h IS b ox If t h e organization (A) Name and Trtle

dd not compensate I (8) Average hours per week

anv current 0ffiicer d irector (C) Position (check all that apply)

'C
0

~ ~~ .., ..,

~ ;;:; ,. ~~E

i

'" "" "'_ ~

~ ~ ~
0

~

8~
~i;' ~Ci .!?E

E

E

GREGG KELLER EXECUTIVE DIRECTOR RALPH E. REED JR. CHAIRMAN OF THE BOARD SADIE FIELDS DIRECTOR STEVE SCHAFFER DIRECTOR

40.00 20.00 10.00 10.00

X X X X

o. o. o. o.

o. o. o. o.

o. o. o. o.

932007

02..04·10

Form

10241116

759359 FAVA

2009.04010

7 FREEDOM AND VALUES ALLIANCE

990 (2009)

FAVA

1

I Part VIII Section

Form 990 (2009)

FREEDOM AND VALUES ALLIANCE,
A. Officers (A) Directors Trustees Key Employees (B) Average hours per week and Highest (C) Posmon (check all that apply)

INC.
Compensated (D) Reportable compensation from the orqaruzatron eN-2J1099-MISC)

27-0 182697
Emplo~ ees (continued) (E) Reportable compensation from related orqaruzanons r.y.J-2J1099-MISC) (F)

Page

8

Name and title

'i5
0

~
1?l

~ ~ =- '" ~ "" ~ ~ :s ~ ~ "" '"
0 0

~

E

C)

~~ ~~ E -"'e ~ "'-

e-

Estimated amount of other compensation from the orqaruzatron and related orqaruzations

1b 2

Total comoensation from the orqamzanon ~

~

O.
In reportable

O.
Yes

O. 0
No

Total number of mdividuals Oncludlng but not IImrted to those listed above) who received more than $100,000

3
4

DId the orqaruzanon list any former line 1a? If 'Yes, • complete and related orqaruzations

officer, director or trustee, key employee, or hIghest compensated compensation and other compensation

employee on

Schedule J for such mdtvuius! from the orqamzanon greater than $150,000? If 'Yes, • complete Schedule J for such individual

3
4

-

X X

For any mdividual listed on line 1a, IS the sum of reportable

5

DId any person listed on line 1a receive or accrue compensation the oroaruzanon? If 'Yes • complete Schedule J for such oerson Contractors B_ Independent

from any unrelated orqaruzanon for services rendered to

5
contractors that received more than $100,000 of compensation (B) Descnpnon of services

-

X

Section 1

Complete this table for your five hiqhest compensated th e orqarnza t ion.

Independent

from

NONE
(A) Name and business address (C) Cornpensanon

2

Total number of Independent $100000 in cornoensanon

contractors

Oncludlng but not hrrnted to those listed above) who received more than ~

from the oroarnzanon

0
Form

990

(2009)

932008

02-04-10

8

10241116

759359 FAVA

2009.04010

FREEDOM AND VALUES ALLIANCE

FAVA

1

I Part

Form 990 (2009)

VIII

I

Statement

of Revenue

FREEDOM AND VALUES

ALLIANCE
(A) Total revenue

INC.
(8) Related or exempt function revenue

27-0182697
(e) Unrelated business revenue

Page

9

-CO::J "'0 III

(0) Revenue excluded from tax under sections 512, 513,or514

111111

Cc

1 a Federated campaigns b Membership c dues Fundraismq events grants (contnbunons)

1a 1b 1c 1d 1e 1f

~E

~
0

co
...

CI.!!!

uj'E
..5.1: ~o coo oC oco

d Related organizations e Government f

._QI

;:u

c·111

All other contributions, giftS, grants, and
similar amounts not Included above

500 000.
~
BUSiness Code

9

Noncash

contributions

Included

In lines 1a-1t S

h Total. Add lines ta-tt 2a b c d e t All other program service revenue a Total. Add lines 2a-2f

500 000.

's QI ...
Cl)c
QI::J

o

E~ COQl 6,a:
Q.

...
0

~
Interest, and bond proceeds

3
4

Investment

Income (includmq dividends, of tax-exempt

other similar amounts) Income from Investment Royalties Gross Rents b Less: rental expenses c 7a b c d
QI ::J

5
6a

m Real

~ ~ ~

2,343.

2 343.

(10 Personal

Rental Income or (loss)

d Net rental Income or (loss) Gross amount from sales of assets other than Inventory Less: cost or other baSIS and sales expenses Gain or (loss) Net gain or (loss) Gross Income from fund raising events (not Including $ contributions Part IV, line 18 b Less' direct expenses c 9a Net Income or (loss) from fund raising events Gross Income from gaming activities Part IV, line 19 b Less direct expenses c Net Income or (loss) from gaming activities and allowances b c 11 a b c d All other revenue e Total.Addllnes11a-11d 12
93200g 02'{)4-10

~ 00 Secunties

Oil Other

~
of

Sa

a:
0

c QI >

QI .I:

...

QI

reported on line 1c). See a b

~
a b

See

~
a b

10 a Gross sales of Inventory, less returns Less. cost of goods sold Net Income or (loss) from sales of mventorv Miscellaneous Revenue

~
BUSiness Code

..

Total revenue. See mstrucnons,

~ ~

502,343.
9

O.

O.
Form

2,343.
990
(2009)

10241116

759359 FAVA

2009.04010

FREEDOM AND VALUES ALLIANCE

FAVA

l

INC.

27-0182697

Pa

e10

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (8), (C) , and (D). (A) (8) (C) JD) Do not include amounts reported on lines 6b, Total expenses Program service Management and Fun raising 7b, Sb, 9b, and 10b of Part VIII. expenses general expenses expenses 1 2 3 Grants and other assistance to governments and organizations In the U.S. See Part IV, hne 21 Grants and other assistance the U.S. See Part IV, hne 22 Grants and other assistance orqamzanons, 4 See Part IV, lines 15 and 16 Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees 6 Compensation not mcluded above, to to govemments, and Individuals outside the U.S. ... to Individuals In

5

msquanned

persons (as defmed under secnon 4958(f)(1)) and persons descnbed m section 4958(c)(3)(8) 7 8 9 10 11 Other salanes and wages Pension plan contnbunons and (Include secnon 401(k)

section

403(b) employer contributions)

Other employee benefits Payroll taxes Fees for services (non-employees): a Management b Legal c Accounting d Lobbymq e Professional fundralsmg services. See Part IV, hne 17 f Investment Advertismq Information Royalties Occupancy Travel Payments of travel or entertainment Conferences, Interest Payments to affihates Depreciation, Insurance Other expenses. itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.) a b c d e f All other expenses Total functional expenses Add lines 1 through 24f Joint costs. Check here ~ depletion, and amortization conventions, expenses for any federal, state, or local pubhc officials management and promotion technology fees g Other

12 13 14 15 16 17 18 19

Office expenses

and meetings

20
21

22 23
24

25 26

D iffollowmg

o.

o.

o.

o.

SOP 98-2. Complete tms line only II the organization reported m column (8) IOmtcosts from a combmed educational campaign and tundraismn sohctanon
932010 02.04- 10

Form

990

(2009)

10241116

759359 FAVA

2009.04010

10 FREEDOM AND VALUES ALLIANCE

FAVA

1

I Part

Form 990_{200~

X

I Balance

Sheet

FREEDOM AND VALUES ALLIANCE

INC.
(A) Beginning of year

27-0182697

Page

11

(8) End of year 1 2 3 4

1 2 3 4 5

Cash - non-Interest-beanng Savings and temporary Accounts employees, of Schedule

cash Investments

--

....

1,000. 282,343.

Pledges and grants receivable, net receivable, net and highest compensated L persons (as defined under section In section 4958(c)(3)(B)_ Complete employees, Complete Part II Receivables from current and former officers, directors, trustees, key

5

6

Receivables from other disqualified 4958(f)(1)) and persons descnbed Part II of Schedule L

«

UI G> UI UI

6
7 8 9 10a 10b cost or other D

7 8

Notes and loans receivable, net Inventones for sale or use Prepaid expenses and deferred charges Land, buildmqs, and equipment: baSIS Complete depreciatron Part VI of Schedule

9
10a

---

---

-

-

b Less accumulated 11 12 13 14 15 16 17 18 19 Investments Investments Investments Other assets Accounts

10c 11 12 13 14 15 16 17 18 19

- publicly traded sec unties - other secunnes. See Part IV, line 11 - proqrarn-related. See Part IV, line 11

Intangible assets See Part IV, line 11 15 (must equal line 34) Total assets, Add lines 1 throuah Grants payable Deferred revenue Tax-exempt bond liabilities Escrow or custodial account highest compensated of Schedule L habihty. Complete Part IV of Schedule persons D Part II Payables to current and former officers, directors, trustees, key employees, employees, and disqualified Complete

o. o.

219 000. 502 343.

payable and accrued expenses

20

20
21

::::i

:c 10

~

UI G>

21

22

-- - "' .._-

-

-

- ----

--

-

- ---~-

- --

---

22
23 24

--

23 24 25

Secured mortgages Unsecured

and notes payable to unrelated third parties Part X of Schedule D SFAS 117, check here

notes and loans payable to unrelated third parties Add lines 17 throuqh 25 that follow net assets restncted restncted net assets net assets SFAS 117, check here

Other habilrties. Complete Total liabilities. Organizations lines 27 through

26
UI G> 0 10

~

[XJ

o.
and complete

25 26

o.
2,343. 500 000.
--

29, and lines 33 and 34_

c:

27 28 29

Unrestncted Temporanly Permanently Organizations complete

-

-

27 28 29

ED
-0

iii

u,
0 UI

«
z
G>

G> UI UI

..
::l

c:

that do not follow 34_

~

Dand 30

lines 30 through

30 31 32 33 34

Caprtal stock or trust pnncipal, or current funds Paid-In or capital surplus, or land, building, or equipment Retained earnings, endowment, Total net assets or fund balances Total liabilities and net assets/fund balances accumulated fund Income, or other funds

31

o. o.

32 33 34

502,343. 502 343.
Form

990 (2009)

932011 02-04-10

10241116

759359 FAVA

2009.04010

11 FREEDOM AND VALUES ALLIANCE

FAVA

l

I Part
1 2a c

Form 990 (2009)_

XI I Financial

FREEDOM AND VALUES ALLIANCE
Statements and Reportin9_
DCash

INC.
D Other accountant?

2 7- 0182697

Page Yes

12

No

Accounting

method used to prepare the Form 990 changed Its method of accounting financial statements financial statements compiled

[X]

Accrual

If the organization

from a pnor year or checked

"Other," explain In Schedule O.

Were the organization's If 'Yes'

or reviewed by an Independent accountant?

2a 2b
2c

X X X

b Were the organization's
review, or compilation If the organization consolidated

audited by an Independent have a committee

....
for oversight of the audit,

to line 2a or 2b, does the organization of Its financial statements changed either Its oversight

that assumes responsibility accountant?

and selection of an Independent

process or selection process dunng the tax year, explain In Schedule O. for the year were Issued on a

d If 'Yes' to line 2a or 2b, check a box below to Indicate whether the financial statements baSIS, separate baSIS, or both' D Consolidated basis D Both consolidated

[X]
3a b

Separate baSIS

and separate baSIS

As a result of a federal award, was the organization Act and OMB Circular A·133? If 'Yes,' or audits did the organization

required to undergo an audit or audits as set forth In the Single Audit

...
undergo the required audit or audits? If the organization did not undergo the required audit

3a

X

explain wh_Y_ln Schedule 0 and descnbe anv steos taken to underao such audits

3b
Form

990 (2009)

932012

02-04·10

10241116

759359 FAVA

2009.04010

12 FREEDOM AND VALUES ALLIANCE

FAVA

l

"

Schedule D
(Form?9Q)
Department 01 the Treasury Internal Revenue Service

Supplemental Financial Statements
~ Complete ~ Attach if the organization answered "Yes,
U

OMS No 1545-0047

to Form 990,

Part IV, line 6, 7, 8, 9, 10, 11, or 12. to Form 990. ~ See separate instructions. Employer

Open to Public Inspection identification Complete If the number

2009

Name of the organization

Organizations
organization

FREEDOM AND VALUES ALLIANCE
Maintaining
'Yes' to Form 990 Part IV line 6

Donor Advised Funds or Other Similar Funds or Accounts.
(a) Donor advised funds

INC.

27-0182697

answered

(b) Funds and other accounts

1 2

Total number at end of year Aggregate Aggregate Aggregate contnbunons to (dunng year) grants from (dunng year) value at end of year Inform all donors and donor advisors In wntmq that the assets held In donor advised funds property, subject to the organization's exclusive legal control? Inform all grantees, donors, and donor advisors In writing that grant funds can be used only

3
4 5 6

..

Old the organization are the organization's Old the organization for chantable

o Yes

ONo

purposes and not for the benefit of the donor or donor advisor, or for any other purpose confernng

o

Yes

ONo

Purpose(s) of conservation

o Preservation

easements

held by the organization

(check all that apply)

o o
2

of land for public use (e g., recreation or pleasure) of open space

Protection

of natural habitat

0 0

Preservation Preservation

of an histoncally

Important land area

of a certified historic structure easement on the last

Preservation

Complete

lines 2a through 2d If the organization

held a qualified conservation

contnbution

In the form of a conservation

day of the tax year Held at the End of Ihe Tax Year a Total number of conservation b Total acreage restncted c 3 4 5 6 7 8 9 Number of conservation Number of conservation year ~ Does the organization _ easement IS located ~ Inspection, handling of easements dunnq the year ~ It holds? and enforcing conservation easements dunnq the year ~ have a written policy regarding the penodic monitoring, of the conservation easements Inspecting, d Number of conservation easements easements Included In (a) or terminated on a certified histone structure rnodmed, transferred, 2a by conservation easements easements easements

2b
2c 2d by the organization dunnq the tax

Included In (c) acquired after 8/17/06 released, extmquished,

Number of states where property subject to conservation violations, and enforcement

0
$

Yes

ONo

Staff and volunteer hours devoted to momtonnq, Amount of expenses Incurred In momtonnq, Does each conservation and section 170(h)(4)(8)OO? In Part XIV, descnbe how the organization Include, If applicable, conservation easements.

Inspecting,

and enforcing conservation

_

easement reported on line 2(d} above satisfy the requirements reports conservation easements

of section 170(h)(4)(8)(O

0

Yes for

ONo

In ItS revenue and expense statement, that descnbes

and balance sheet, and accounting

the text of the footnote

to the organization's

financial statements

the organization's

I Part
1a

III

I

Organizations
Complete

Maintaining

Collections
'Yes'

of Art, Historical Treasures, or Other Similar Assets.

If the organization

answered

to Form 990, Part IV, line 8

If the organization the footnote

elected, as permrtted under SFAS 116, not to report In rts revenue statement education, or research In furtherance that descnbes these Items.

and balance sheet works of art, rustoncat of public service, provide, In Part XIV, the text of

treasures, or other Similar assets held for public exhibition, to rts financial statements b If the organization these Items: (i) 2 Revenues Included In Form 990, Part VIII, line 1 (ii) Assets Included In Form 990, Part X If the organization the follOWing amounts required to be reported b Assets Included in Form 990, Part X LHA For Privacy Act and Paperwor1< Reduction Act Notice,

elected, as permrtted under SFAS 116, to report In rts revenue statement or research In furtherance

and balance sheet works of art, hrstoncal treasures,

or other Similar assets held for public exrubmon, education,

of public service, provide the follOWing amounts relating to

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

received or held works of art, rustoncal treasures, or other Similar assets for financial gain, provide under SFAS 116 relating to these items:

a Revenues included In Form 990, Part VIII, line 1

~ $_------~ $_------see the Instructions for Form 990. Schedule 0 (Form 990) 2009

932051 02-01-10

10241116 759359 FAVA

15 2009.04010 FREEDOM AND VALUES ALLIANCE FAVA

1

"

3 a b c 4 5

USing the organization's (check all that apply):

acquismon,

accession,

and other records, check any of the following that are a slgnrficant use of rts collection d e

Items

0 0 0

Public exruomon Scholarly research Preservation for future generations of the organization's collections

0 0

Loan or exchange Other

programs _

Provide a descnption

and explain how they further the organization's of art, rustoncal treasures, as art of the or arnzanon's collection? Complete

exempt purpose In Part XIV

Dunng the year, did the organization

sollcrt or receive donations

or other Similar assets

to be sold to raise funds rather than to be maintained

0

Yes

DNo

Part IV
1a b c e f 2a b

Escrow and Custodial Arrangements,
reported an amount on Form 990, Part X, line 21. an agent, trustee, custodian

rf organization answered 'Yes' to Form 990, Part IV, line 9, or
for contnbutions or other assets not Included DYes DNo

Is the organization

or other Intermediary

on Form 990, Part X? If "Yes," explain the arrangement Beginning balance dunng the year Include an amount on Form 990, Part X, line 21? In In Part XIV and complete the following table:

Amount 1e 1d 1e 1f DYes 'Yes' to Form 990, Part IV, line 10 (e) Two years back
,.

d Addmons dunnq the year Distributions Ending balance Did the organization If 'Yes • explain the arranqernent

DNo

I Part V I Endowment
1a c e f 2 a b 3a b Contnbutions Net Investment

Part XIV.
If the organization (a) Current year answered (b) Prior year

Funds.

Complete

I (d) Three years back
"
'

(e) Four years back

Beginning of year balance earmnqs, gains, and losses for facilmes
r

,

"
:; r,

4

d Grants or scholarships Other expenditures and programs Administrative expenses percentage ~ of the year end balance held as ~

.,~-f~

"
,"

.

"

>5
~1

r

..

a

_,

~-,."
J.}~~If'~<

,< ~;.." ...
<

_

-

_':--,~~:~,:1 <-';')~:-1

~ -> .. l'

" d:~J:~_~~ ,':,
, '<

-~'k~' ~

~ ,...,':. ,.1

"
'

<

"

,
"

"
"

,

, '-"'j
' Jd \.~

.,.~~
' ".},1

:,
~'.1 •

e'!:'t'!'1

9 End of year balance
Provide the estimated Board desiqnated Permanent endowment ~ Are there endowment by: (i) b unrelated organizations to 3a(I~, are the related organizations listed as required on Schedule R? or quasi-endowment

-,

!I~ .. '

-------_%
%

e Term endowment

-------_%
of the organization that are held and administered for the organization Yes 3a(i) 3a1ii) No

funds not In the possession

(ii) related organizations If 'Yes' 4 Descnbe In Part XI Vh e mten dd t e uses 0fht e orqaruzatron s en d owment f un d s See Form 990, Part X, line 10 (b) Cost or other baSIS (other) (e) Accumulated depreciation (a) Cost or other baSIS (investment)

3b

I Part

VI

I Investments
Descnption

- Land, Buildings, and Equipment.

of Investment

(d) Book value

1a Land b Buildings e Leasehold Improvements d Equipment e Other Total. Add lines 1a throuah 1e (Column (dJ must eaual Form 990 Part X column (8J, Ime 10(c))

~
Schedule

O.
0 (Form 990) 2009

932052 02-01-10

10241116

759359 FAVA

2009.04010

16 FREEDOM AND VALUES ALLIANCE

FAVA

1

Schedule

..

" D(Form 990) 2009

I Part VIII Investments - Other Securities.
(a) Descnptton of secunty or category (inctudmq name of secunty) Financial derivatives Closely-held equity Interests Other

FREEDOM AND VALUES ALLIANCE
See Form 990, Part X,lIne 12. (b) Book value

INC.

27-0182697

Page

3

(e) Method of valuation: Cost or end-of-year market value

.. ...

Total. (Col (b) must eaual Form 990 Part X collB) line 12.) ~

I Part Villi Investments - Program Related.
(a) Descnption of Investment type

See Form 990 Part X, line 13. (b) Book value (e) Method of valuation Cost or end-of-year market value

Total. (Col (b) must equal Form 990 Part X col (B) line 13.) ~

I Part IX I Other Assets.

See Form 990, Part X, line 15 (a) Descnption (b) Book value

DUE FROM FAITH & FREEDOM

COALITION

219,000.

Total. (Column (b) must equal Form 990 Part X col (B) Ime 15)

~
(b) Amount

I Part X I Other Liabilities.
1 Federal Income taxes

219,000.

See Form 990, Part X, line 25. of habilrty

(a) Descnption

Total. (Column (b) must equal Fonn 990 Part X col (B) Ime 25)

~
financial statements that reports the organization's Schedule liability for

2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organization's uncertain tax posrtlons under FIN 48
932053 02~1·10

D (Form 990) 2009

10241116

759359 FAVA

2009.04010

17 FREEDOM AND VALUES ALLIANCE

FAVA

1

I Part
1 2 3 4 5

Schedule 0 (Form 990) 2009

XI

1 Reconciliation

of Change in Net Assets from Form 990 to Audited Financial Statements
1

FREEDOM AND VALUES

ALLIANCE,
..

INC.

27- 0182697

Page

4

Total revenue (Form 990, Part VIII, column (A), line 12) Total expenses (Form 990, Part IX, column (A), line 25) Excess or (deficrt) for the year. Subtract Donated services and use of facumes Investment expenses line 2 from line 1 Net unrealized gains Oosses) on Investments

2 3

.. .. .

..

....

4

..
.. ..

6
7

5 6
7

Pnor penod adjustments Other (Descnbe In Part XIV) Total adjustments

..
..

8 9
10 1 2 a c

(net). Add lines 4 through 8 Combine lines 3 and 9

8 9
10

Excess or (deficrt) for the year per audited financial statements Total revenue, gains, and other support Amounts Net unrealized gains on Investments Recovenes of pnor year grants

I Part XII I Reconciliation

of Revenue per Audited Financial Statements
per audrted financial statements

With Revenue per Return
1 2a 2b 2c 2d

Included on line 1 but not on Form 990, Part VIII, line 12:

b Donated services and use of tactlrties d Other (Descnbe In Part XIV.) e Add lines 2a through 2d 3 4 a c Subtract Amounts Investment line 2e from line 1 Included on Form 990, Part VIII, line 12, but not on line 1 expenses not Included on Form 990, Part VIII, line 7b

....

2e 3

I
12 )

4a 4b

I
-

b Other (Descnbe In Part XIV) Add lines 4a and 4b Total revenue. Add lines 3 and 4c. (ThIS must eaual Form 990 Part lime Total expenses and losses per audrted financial statements Amounts Included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of tacnmes b Pnor year adjustments c Other losses d Other (Descnbe In Part XIV) e Add lines 2a through 2d 3 4 a c Subtract Amounts Investment line 2e from line 1 Included on Form 990, Part IX, line 25, but not on line 1: expenses not Included on Form 990, Part VIII, line 7b

5
1 2

4c 5
1 2a 2b 2c 2d 2e 3

I Part Xliii Reconciliation

of Expenses per Audited Financial Statements With Expenses per Return

I
18.)

4a 4b

I
4c 5

b Other (Descnbe In Part XIV.) Add lines 4a and 4b Total expenses. Add lines 3 and 4c. (rhls must eaual Form 990 Part lime

5

I Part XlVI Supplemental

Information
required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4, Part IV, lines 1band 2b, Part V, line 4; Part Information.

Complete this part to provide the descnptions

X, line 2; Part XI, line 8; Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b. Also complete this part to provide any additional

Schedule
932054 02-0'-'0

0 (Form 990) 2009

10241116 759359 FAVA

18 2009.04010 FREEDOM AND VALUES ALLIANCE

FAVA

1

SCHEDULE 0
(Form.990)
Department 01 the Treasury Internal Revenue Service

..
Supplemental Information to Form 990
Complete to provide information for responses to specific questions on Form 990 or to provide any additional information. ~ Attach to Form 990.
OMS No 1545-0047

Open to Public Inspection Employer identification number

2009

Name of the orqamzatron

FREEDOM AND VALUES

ALLIANCE

INC.

27-0182697 MISSION: IN

FORM 990, PART I, LINE 1, DESCRIPTION ABOUT TIMELY PUBLIC POLICY PROCESS.

OF ORGANIZATION

ISSUES AND ENCOURAGE

THEM TO PARTICIPATE

THE LEGISLATIVE

FORM 990, PART VI, SECTION A, LINE 6: INDIVIDUALS MEMBERS AND RECEIVE REGULAR INFORMATION

REGISTER

TO BECOME

AND UPDATES

THERE IS ONLY ONE CLASS

OF MEMBERSHIP

AND IS NON-VOTING.

FORM 990, PART VI, SECTION THE BOARD UPON REQUEST.

B, LINE 11: A COPY OF FORM 990 IS PROVIDED

TO

FORM 990, PART VI, SECTION ARE REQUIRED CONFLICT

B, LINE 12C: THOSE CHARGED WITH THE GOVERNANCE ANY INTEREST THAT COULD GIVE RISE TO A

TO REPORT ANNUALLY

OF INTEREST

FORM 990, PART VI, SECTION

B, LINE 15A: BY CONSULTATION

WITH THE CHAIRMAN.

FORM 990, PART VI, SECTION MADE AVALIABLE

C, LINE 19: ALL ORGANIZATIONAL

DOCUMENTS

ARE

TO THE PUBLIC UPON REQUEST

EITHER BE IN PERSON OR BY MAIL.

LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
932211 02-03-10

Schedule 0 (Form 990) 2009

10241116

759359 FAVA

2009.04010

19 FREEDOM AND VALUES ALLIANCE

FAVA

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