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Form 990

Return of Organization Exempt From Income Tax Under section 501 (c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

~ The organization may have to use a copy of this return to satisfy state reporting requirements

Department of the Treasury Internal Revenue Service

h 2005

d

b

2005

d

d'

A For t e ca en ar vear or ax vear eamnma an en m
B Check.' app&cable Please C Name of organization 0 Employer identification number
~ Address use IRS TSUNAMI RELIEF INC 11-3737294
r-- change labelor
Name change print or Number and street (or P 0 box If maills not delivered to street address) Room/suite E Telephone number
f--
rX- Initial return type. C/O THE GALLEON GROUP
See
Final return 135 EAST 57TH STREET 16TH FL (212) 371-2939
f-- Specific F U Accrual
Amended Instrue- City or town, state or country, and ZIP + 4 Accountln9~
return method Gash
r-- Application tlons. r=f Other (specify) ~
'-- pending NEW YORK NY 10022
• Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable H and I are not applicable to section 527 organizations
trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is ttus a group return for affiliates? 0 Yes WNO
G WebSite: ~ WWW.TSUNAMIRELIEFINC.ORG H(b) If "Yes," enter number of affiliates ~
J Organization type (check only one) ~Ix 501(c) (3 ) .... (Insert no) 1 14947(a)(1) or 1 1527 H(c) Are all affiliates Included? Q" ;e~ D-N~
K Check here ~ U If the organization's gross receipts are normally not more than $25,000 The (If "No," attach a list See mstructrons
H(d) Is thrs a separate return tiled by an In IXI
orpamzenon need not file a return With the IRS, but If the organization chooses to file a return be organization covered bva group ruhnq? Yes X No
sure to file a complete return Some states require a complete return I Group Exemption Number ~
M Check ~ U If the organization IS not required

L Gross receipts Add lines 6b, Bb, 9b, and 1 Ob to line 12 ~ 7,186,361. to attach Sch B (Form 990, 990-EZ, or 990-PF)
1:F.Ti .. Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the tnstrucuons )
1 Contributions, gifts, grants, and Similar amounts received
a Direct public support. • .. 1a 7 085,115.
b Indirect public support • 1b
c Government contributions (grants) 1c
d Total (add lines ta through tc) (cash $ 7,085,115. noncash $ ) 1d 7 085 115_
2 Program service revenue including government fees and contracts (from Part VII, line 93) • 2
3 Membership dues and assessments 3
4 Interest on savings and temporary cash Investments 4 101 246_
5 DIVidends and Interest from secuntres 5
6a Gross rents .. . - - · r6~ r
b Less rental expenses 6b
c Net rental Income or (loss) (subtract line 6b from line 6a) 6c
'" 7 Other Investment Income (describe ~ ) 7
:J
C
'" 8a Gross amount from sales of assets other (A) Sec unties (8) Other
>
'"
It: than Inventory . 8a
. . . .
b Less cost or other baSIS and sales expenses. 8b
c Gain or (loss) (attach schedule) • 8c
d Net gain or (loss) (combine line 8c, columns (A) and (8» . · . [j 8d
9 Special events and actrvrtres (attach schedule) If any amount IS from gaming, check here ~
a Gross revenue (not Including $ of · 19a1
contributions reported on line 1 a) • · .
b Less direct expenses other than fundrarsinq expenses. · . 9b
c Net Income or (loss) from special events (subtract line 9b from line 9a) •• . - .. 9c
10a Gross sales of Inventory, less returns and allowances ••••.. • . h Oa I
b Less cost of goods sold · . · ~Ob
C Gross profit or (loss) from sal~ of Inventory (attach schedule) (subtract line 10b from line 10a) 10c
11 ~~CVII,lIn 103) •••••••••••.••• 11

1~ ToQ~CJi d I s..1t1..", 3 4 5 6c 7 8d 9c 10c and11). 12 7,_186 361.
13 '\ u~, g" services (from IIne_~ ~ lumn (8» •••.• 13 4 009 226.
III 14 ~ ~ anMPNenl a 1)1 QM3QGI (f ne 44, column (C» • 14
'"
III
c 15 ~ndralslng (from line 44, co I~~ (D» ••••••• 15 40 000_
'"
a.
)( 16 P~, ~_n~~:JlrSCh dule) •••• _ .• 16
w 0
17 Tot~- s16~ M 44, column (A»- 17 4 049 226_
III 18 = U' (cenc It) for the year (subtract line 17 from line 12) . 18 3,137 135_
OJ
III 19 Net assets or fund balances at beginning of year (from line 73, column (A» • 19 NON
III
c:( 20 Other changes In net assets or fund balances (attach explanation) • 20
OJ ..
z 21 Net assets or fund balances at end of year (combine lines 18 19 and 20) . 21 3 137 135_ E

For Privacy Act and Paperwork Reduction Act Nottce, see the separate instructrons.

Form 990 (2005)

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11-3737294

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Statement of

F fiE

All orqaruzauons must complete column (A) Columns (8), (C), and (0) are required for section 501(c)(3) and (4)

unc lona xpenses organizations and section 4947(a)(1 ) nonexempt chantable trusts but optional for others (See the mstrucucns )
Do not mclude amounts reported on Ime (A) Total (8) Program (C) Management (0) Fundrarsmg
6b 8b 9b tab or 16 of Part I services and oenerai
22 Grants and allocations (attach schedule)
(cash S 4 I 000 1000. noncash S ) 22
If this amount Includes foreign grants. ~D 4 000 000. 4 000 000. STMT 1
check here •••••••....•
23 Specific assistance to Individuals (attach
schedule) 23
24 Benefits paid to or for members (attach
schedule) • 24
25 Compensatron of officers, directors, etc 25 NONE
26 Other salaries and wages . 26
27 Pension plan contributions 27 NONE
28 Other employee benefits 28
29 Payroll taxes . 29
30 Professional fundraismq fees 30
31 Accounting fees . 31
32 Legal fees 32
33 Supplies 33
34 Telephone 34
35 Postage and shipping 35
36 Occupancy. 36
37 Equipment rental and maintenance. 37
38 Printing and publications 38
39 Travel 39
40 Conferences, conventions, and meetings 40
41 Interest. 41
42 Depreciation, depletion, etc (attach schedule) 42
43 Other expenses not covered above (iterruze)
a~~~§JT~ ___________________ 43a 7 953. 7 953.
b ADVERTISING 43b 1 190. 1,190.
-------------------------- 43c
c BANK SERVICE CHARGES 83. 83.
--------------------------
d .fl1HPMJem§ _______________ 43d 40 000. 40 000.
e -------------------------- 43e
f 43f
--------------------------
g-------------------------- 43g
44 Total functional expenses. Add lines 22
through 43 (Organizations completing
columns (8)-(0), carry these totals to lines
13-15). . . 44 4 049 226. 4 009,226. 40 000 .
Joint Costs. Check ~ U If you are follOWing SOP 98-2 Are any JOint costs from a combined educational campaign and fundrarsmq sohcitation reported In (8) Program services? ~ 0 Yes [iJ No

If "Yes," enter (i) the aggregate amount of these JOint costs $ , (il) the amount allocated to Program services $

-------

(iii) the amount allocated to Management and general $

, and (IV) the amount allocated to Fundraismq $

Form 990 (2005)

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Form 990 (20OS) r

11-3737294

Page 3

Inilll Statement of Program Service Accomplishments (See the tnstructtons )

Form 990 IS available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization In such cases may be determined by the information presented on ItS return Therefore, please make sure the return IS complete and accurate and fully describes, In Part III, the organization's programs and accomplishments

e Other program services (attach schedule) (Grants and allocations $

) If this amount Includes foreign grants, check here ~ n

Program Service Expenses (Required for 501 (c)(3) and (4) orgs , and 4947(a)(1) trusts, but optional for others )

What IS the organization's primary exempt purpose? ~~;;;;_~'!:~'!:~;;I':!'!:_f. _

All orqarnzatrons must describe their exempt purpose achievements In a clear and concise manner State the number of clients served, publications Issued, etc DISCUSS achievements that are not measurable (Secllon 501 (c}(3) and (4) organizations and 4947(a)(1} nonexempt charitable trusts must also enter the amount of grants and allocations to others)

a 1QQ_~Q~;;~_W;;B;;_~~I~'!:_II':!_~QI':!BQYI~_;;~'!:~'!:~L_§JTY~~~P_~~ __ ~~~ _

~I~~~~_QIYI~IQI':!_~;;~B;;'!:~I~'!:_II':!_G~~;;_Q!§T~J~T~_~9 __ ~~~~~~ _

~Q~;;~_~Y~G;;Q_~X_,!:~;;_,!:~~!_QI':!_Q;;~_f.§L_~QQ1~ __ ~~~~ __ ~~Q~ _

G~_II':!YQ~~~_~~I~QII':!G_QI':!;;_'!:~Q~~~Q_~Q~§!~~_~~J~~_Y9_~Y_~~ _

~Q~;;~;;§~_~;;Q~~;;_QE_'!:~I§_~Q~I':!I'!:X_'!:~~Q~J1¥_JH_~~~~y_~~~~ _

THE PROGRAM IS SCHEDULED TO DELIVER 25 HOUSES IN A THREE MONTH PeRIOD. "(Grants-and -allocabons- $ - - - - - - - - - - - - - - - -) ,(this am-o-unt mciudesforelgn grar1ts,-check-here-~h

b f.LQQQ_~Q~;;§_~;;_~~;;Q_,!:Q_~;;_~QI':!§'!:B~~T~P_JH_~_~~Q~~L _

Q~B_~BQG~_~Q~I'!:'!:;;Q_'!:Q_~~I~QII':!G_~Q_~Q~~~§_f9F_~~~ _

~Q~;;~;;§~_YI~'!:I~§_QE_'!:~;;_'!:~~I':!~I~ _

c f.QQ_~QI':!QQ_~Q~§!I':!G_~I':!I'!:§_WI~~_~;;_~QI':!§~B~~T~P_JH_~~_~~~ _

Y!~~G;;L_~I':!~I_QI':!_'!:~;;_~§'!:_~Q~§'!:_QE_§B!_~~~_~_~_~~ _

~Q~~~;;'!:IQI':!_QE_'!:~;;_~QI':!QQ_~~'!:§L_'!:~;;_~II':!I§'!:B¥_9f_~9Y~~Fy_~Q _

~§'!:;;BI':!_Q;;~~Q~~I':!'!:_WI~~_QI§'!:BI~~'!:;;_~QI':!G_T~~_T~YF~~ _

Y!~'!:I~§_~;;E'!:_~Q~;;~;;§§~ _

"(Grants-and - allocatlons- $ - - - - - - - - - - - - - - - -) ,(this am-o-unt mciudes foreign gran-t$", -check here ~ n

d ~QEIQI':!~~ X _II':! _ '!:~;; _I':!QB'!:~~§'!: L _'!:~;; _B;;§!9~_HbF.PJ:~J' __ H_IX _~~ _'!:~;; _

'!:§~I':!~IL_Q~B_~BQG~_WI~~_EII':!~~;;_'!:~;;_~Q~§T~~~TJ9H_9_~_~Q~~~ _

II':!_§;;~I':!_YI~~G;;§L_QE_'!:~B;;;;_~~~~ _

~~~~~L_Y~~I~~I':!~L_'!:~IX~I':!~~L_~~~L_y~~J _

~I':!IX~L_~~~X~~~~ __ '!:~I§_WI~~_~BQYIQ~_~Q~_~9~~~ __ ~Q~ _

APPROX 1 400 PEOPLE WHO WERE LEFT HOMELESS BY THE TSUNAMI.

(Grants- ~n-tall~~ab~~S- $ - - - - - - - - - - - - - - - -) ,(this am-o-unt mciUdes foreign grants,-check-here ~ n

f Total of Program Service Expenses (should equal line 44, column (8), Program services) ~

4,009,226.

Form 990 (2005)

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Form 990 (2005)

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Page 4

1:F.Ti.L'. Balance Sheets (See the instructions.)

Note: Where required, attached schedules and amounts wunm the descnption column should be tor end-at-veer amounts only

(A) Beginning of year

(B) End of year

45

Cash - non-mterest-beannq

46 Savings and temporary cash Investments.

47a Accounts receivable .

b Less allowance for doubtful accounts

48a Pledges receivable .

b Less' allowance for doubtful accounts .

51 a Other notes and loans receivable (attach

schedule) .

53

b Less allowance for doubtful accounts Inventories for sale or use . . . ..... Prepaid expenses and deferred charges.

47a

47b

45

NONE 46

47c

3,137,135.

48a

48b

48c

...... 1- --+-='4!..!!9~------_

49 Grants receivable. . . . . . . . . . . . . ••......

50 Receivables from officers, directors, trustees, and key employees (attach schedule) ...................•....•..

51c

54

55c

NONE 59

. . . . . . 1- ~5~0~------_

60 Accounts payable and accrued expenses

61 Grants payable . . . . . . . . . . . . • . . . ..••.•..

54 Investments - securities (attach schedule) .

55a Investments - land, buildings, and

. 1513 I 51b

.............. 1- ~5~2=__+------_

53

1/1 -

OJ

1/1

~ 52

. . . . . 1-'5:...:5:..:a'-l- -I

equipment basis .....•....... b Less accumulated depreciation (attach schedule) .........•...... 56 Investments - other (attach schedule) .. 57a Land, burldmqs, and equipment basis .. b Less accumulated depreciation (attach

schedule) L:5:.;.7-=b'-'- f-- +5:...:7....:c+ _

58 Other assets (descnbe ~ ) 1- --+....:5:..::8=----+ _

55b

57a

56

. . . . . . . . . . . . . . . ~----------~~~-----------

59 Total assets (must equal line 74) Add lines 45 through 58

3 137,135.

Deferred revenue. . . . . . . . . . . . . . . .......•

Loans from officers, directors, trustees, and key employees (attach

schedule) .

62

64a Tax-exempt bond liabilities (attach schedule) ..... b Mortgages and other notes payable (attach schedule)

60

61

62

63

64a

64b

65 Other liabilities (descnbe ~ ) 1- --l~6:::.:5~,...--------

66 Total liabilities. Add lines 60 through 65 .

Organizations that follow SFAS 117. check here ~ 1XJ and complete lines 67 through 69 and lines 73 and 74

Unrestncted

:ll 67

g 68 Temporarily restricted .

III

iij 69 Permanently restricted. . . . . . . . .

~ Organizations that do not follow SFAS 117. check here ~ D and

§ complete lines 70 through 74

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... 70 o

1/1 -71

~ 72

1/1

« 73

- OJ

Z

Capital stock, trust pnncrpal, or current funds .....

Paid-in or capital surplus, or land,_bUlldlng,_and equipment fund. . . . Retained earnings, endowment, accumulated Income, or other funds. Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72;

column (A) must equal line 19, column (8) must equal line 21) ... Total liabilities and net assets/fund balances. Add lines 66 and 73

74

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NONI 67

3 137,135.

68

69

70

.- .- f=- ~7....:1_1_-------

72

NONE 73

3 137 135.

NONE 74

3 137 135.

Form 990 (2005)

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Form 990 (2005) 11-3737294

Page 5

lilffiiW ~econciliation of Revenue per Audited Financial Statements With Revenue per Return (See the instrucuons.)

a Total revenue, gains, and other support per audited financial statements. a 7 186 361.
b Amounts Included on line a but not on Part I, line 12
1 Net unrealized gains on Investments b1
2 Donated services and use of facihtres , b2
3 Recoveries of prior year grants b3
4 Other (specify) _____________________________________________
------------------------------------------------------- b4
Add lines b1 through b4 b
c Subtract line b from line a c 7 186 361.
d Amounts Included on Part I, line 12, but not on line a:
1 Investment expenses not Included on Part I, line 6b . d1
2 Other (specify) _____________________________________________
------------------------------------------------------- d2
Add lines d1 and d2 . d
e Total revenue (Part I line 12) Add lines c and d. .~ e 7 186 361.
.:F.Tiiilll'J!: __ Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
a Total expenses and losses per audited financial statements. a 4 049 226.
b Amounts Included on line a but not on Part I, line 17
1 Donated services and use of facihties . b1
2 Prior year adjustments reported on Part I, line 20 b2
3 Losses reported on Part I, line 20 . b3
4 Other (specify) --- -- -- -- - -- --- - - -- - - - - -- ---- - - -------------
------------------------------------------------------- b4
Add lines b1 through b4 b
c Subtract line b from line a c 4 049 226.
d Amounts included on Part I, line 17, but not on line a:
1 Investment expenses not Included on Part I, line 6b . d1
2 Other (specify). --- -- ---- - --- - - - - - - - - -- ----------------------
------------------------------------------------------- d2
Add lines d1 and d2 . . . . . . . ......... d
e Total expenses (Part I, line 17) Add lines c and d . .~ e 4 049 226.
• :F.Tii ;au. Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee, (A) Name and address

or key employee at any time durmo the year even If they were not compensated) (See the mstructions )

(E) Expense account and other allowances

(8) (C) Compensation (01 Contnbut,ons to employee

Itle and average hours pe (If not pai~, enter benem pl.ns & deferred

week devoted to ocsltlon ~.l compensation plans

SEE STATEMENT 3

NONE

NONE

NONE

-------~---------~~----~----~-----~-------

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Form 990 (2005)

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Form 990 (2005)

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l:F.Tiill'J:1!lI Current Officers, Directors, Trustees, and Key Employees (continued) Yes No
75a Enter the total number of officers, directors, and trustees permitted to vote on organization business at board
meetings . . . . ................................. ...... ~ _________ 3 ______
b Are any officers, directors, trustees, or key employees listed In Form 990, Part V-A, or highest compensated
employees listed In Schedule A, Part I, or highest compensated professional and other Independent
contractors listed In Schedule A, Part II-A or II-B, related to each other through family or business
relationships? If "Yes," attach a statement that Identifies the Individuals and explains the relationslupts) ...... 75b X
c Do any officers, directors, trustees, or key employees listed In From 990, Part V-A, or highest compensated
employees listed In Schedule A, Part I, or highest compensated professional and other Independent
contractors listed In Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether
tax exempt or taxable, that are related to thrs organization through common supervision or common control? 75c X
Note. Related organizations Include section 509(a)(3) supporting orqaruzations
If "Yes," attach a statement that Identifies the Individuals, explains the relationship between thrs orqarnzanon and
the other orqaruzatronts), and describes the compensation arrangements, including amounts paid to each
individual by each related orqaruzatron.
d Does the oruarnzatron have a written conflict of Interest policy? . . . . . . . . . . . . . . . . . . . . . . .. .... 75d X
l:F.Tiiill'J!!:. Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) dunng the year, list that person below and enter the amount of compensation or other benefits In the appropriate column See the instructions)

ID) Contnbutions to employee (E) Expense
(A) Name and address (8) Loans and Advances (e) Compensation benefit plans & deferred account and other
compensation plans allowances
------------------------------------------
0- 0- -0- -0-
------------------------------------------
------------------------------------------
------------------------------------------
------------------------------------------
------------------------------------------
------------------------------------------
------------------------------------------
------------------------------------------
------------------------------------------
l:F.Tiill'~1 Other Information (See the instructions.) Yes No
76 Did the organization engage In any activity not previously reported to the IRS? If ''Yes,'' attach a detailed
description of each activity . 76 X
77 Were any changes made In the organizing or governing documents but not reported to the IRS? 77 X
If "Yes," attach a conformed copy of the changes
78a Did the organization have unrelated business gross Income of $1,000 or more dUring the year covered by
this return? 78a X
b If "Yes," has It filed a tax return on Form 990-T for this year? 78b N/ IA
79 Was there a hquidatron, dissolution, termination, or substantial contraction dUring the year? If "Yes," attach
a statement. 79 X
80a Is the organization related (other than by assocration With a statewide or nationwide organ~abon) through
common membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt
organization? 80a X
b If "Yes," enter the name of the orqaruzanon ~ -------- ----------------0------0-------
__________________________________________ and check whether II IS exempt or nonexempt
81a Enter direct and indirect political expenditures (See line 81 mstructions ) ......•.. !81a'!
b Did the oruarnzatron file Form 1120·POL for thrs year? 81b X Form 990 (2005)

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83 a Old the organization comply with the public inspection requirements for returns and exemption applications? b Old the organization comply With the disclosure requirements relating to quid pro quo contnbuttons?

84 a Old the organization solicit any contributions or gifts that were not tax deductible? .

b If "Yes," did the organization Include With every sohcrtatron an express statement that such contributions

or gifts were not tax deductible? . • . .

85 50 1 (c)(4) , (5), or (6) organizations. a Were substantially all dues nondeductible by members? • b Old the organization make only In-house lobbYing expenditures of $2,000 or less?

If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year

c Dues, assessments, and Similar amounts from members • d Section 162(e) lobbYing and political expenditures

85c

----
Page 7
Yes No
82a X
N/A
83a X
83b N/tn..
84a X
84b N/~
85a N/~
85b N/~
N/A
N/A
N/A
N/A
.. 85g N/~
85h N/~
N/A
N/A
N/A
N/A
88 N/A.
..
N/A l:.F.riia II Other Information (continued)

Form 990 (2005)

11 3737294

82 a Old the organization receive donated services or the use of materials, equipment, or facihties at no charge

or at substantially less than fair rental value? ••.

b If "Yes," you may indicate the value of these items here Do not Include this amount as revenue In Part I or as an expense In Part II (See Instructions In Part III) .

• 182b 1

e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices. f Taxable amount of lobbYing and political expenditures (line 85d less 85e) g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f?

h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to ItS reasonable

85d

85e

85f

estimate of dues allocable to nondeductible lobbYing and political expenditures for the follOWing tax year?

86 501(c)(7) orgs Enter a Initiation fees and capital contributions Included on line 12 • 1-=-8.::.6;:a+ ---!!.I...:~ _ _1

b Gross receipts, Included on line 12, for public use of club faCilities. 87 501(c)(12) orgs Enter a Gross Income from members or shareholders. b Gross Income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them)

87a

86b

87b

88 At any time dunnq the year, did the organization own a 50% or greater Interest In a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections

301 7701-2 and 301 7701-3? If 'Yes," complete Part IX ••

89 a 50 1 (c)(3) organizations Enter Amount of tax Imposed on the organization dUring the year under

section 4911 ~ N / A , section 4912 ~ N / A , section 4955 ~

----------~~--~ b 501(c)(3) and 50 1 (c)(4) orgs Old the organization engage In any section 4958 excess benefit transaction

dunnq the year or did It become aware of an excess benefit transaction from a prior year? If 'Yes," attach

a statement explaining each transaction . . . • • •

c Enter Amount of tax Imposed on the organization managers or disqualified persons dunng the year under

sections 4912, 4955, and 4958 •••••••••..••••••.. d Enter Amount of tax on line 89c, above, reimbursed by the organization

9 ° a list the states With which a copy of this return IS filed ~ ....!N~Y.L.- --:-_---.,. _

b Number of employees employed In the pay period that Includes March 12, 2005 (See instructions) . . ••.••••••..•• LI.:..9.:..0=.b...l.I _

91 a The books are In care of ~ ---"OT .... H ... E='--'=GAL=""L""-"E.."O"-'N"--'=G:.!.R."O:<.U"'-=P Telephone no ~ 212- 3 71- 2939

Located at ~ 135 EAST 57TH STREET NEW YORK, NY ZIP+4 ~ _-,1,,-0=0~2~2,-- __

89b

X

~ ...,N..L/ .... A"--_

~ --'N"-//c..<A"--_

b At any time dunnq the calendar year, did the organization have an Interest In or a signature or other authortty over

a financial account In a foreign country (such as a bank account, secunties account, or other financial account)? • • • ••••••••.

If "Yes," enter the name of the foreign country ~ _

See the instructions for exceptions and filing requirements for Form TO F 90.22.1, Report of Foreign Bank

and Financral Accounts

Yes No
91b X
91c X c At any time dUring the calendar year, did the organization maintain an office outside of the United States? •

If "Yes," enter the name of the foreign country ~ _

92 Section 4947(a)(1) nonexempt chantable trusts filing Form 990 In lieu of Form 1041 - Check here. • • • • • •••••

and enter the amount.of tax-exempt Interest received or accrued dunnq the tax year

~ 192

~[J

N/A

Form 990 (2005)

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Form 990 (2005) 1 - PaQe
• :.F.Tii ill' 11. Analysis of Income-Producing Activities (See the instructions.)
Note: Enter gross amounts unless otherwise Unrelated business Income Excluded by section 512, 513, or 514 (E)
mdlcated (A) (B) (D) Related or
(e) exempt function
BUSiness code Amount ExclusIOn code Amount
93 Program service revenue Income
a
b
c
d
e
f MedIcare/MedIcaId payments . . . . . . . .
9 Fees and contracts from govemment aqencres ,
94 Membership dues and assessments . •
95 Interest on saVings and temporary cash Investments 14 101 246.
96 DIvidends and Interest from secuntres •
97 Net rental Income or (loss) from real estate
a debt-financed property ..
b not debt-financed property .....
98 Net rental Income or (loss) trom personal property
99 Other Investment Income • • • • • •
100 Gain or (loss) trom sales or assets other than Inventory
101 Net Income or (loss) from special events
102 Gross pront or (loss) from sales of Inventory
103 Other revenue a
b
c
d
e
104 Subtotal (add columns (B), (D), and (E)) • 101 246. ..

1 3737294

8

1 05 Total (add line 104, columns (B), (D), and (E)) •••••••••••• Note: Lme 105 plus Ime 1d, Part I, should equal the amount on Ime 12, Part I.

101 246.

Line No, Explain how each activity for which Income IS reported In column (E) of Part VII contnbuted Importantly to the accomplishment

... of the organization's exempt purposes (other than by providing funds for such purposes)

(El End·o(.year assets

(a) Old the orqaruzauon, dUring the year, receive any funds, directly or mdirectty, to pay premiums on a personal benefit contract? ••••••• (b) Old the organization, dunnq the year, pay premiums, directly or indirectly, on a personal benefit contract? Note: If "Yes" to (b), file Form 8870 and Form 4720 (see tnstructtons),

No No

Please Sign Here

P00132138

erjurv, I declare that I have exammed thrs return, mcludmg accornpanymq schedules and statements, and to the best of my knowledge , cor(ect, and complete Declaration of preparer (other than officer) IS based on all mtcrrnanon of whIch preparer has any knowledge

Q.. $l.. # I.),..lo \L

Date

under~tles

and bel f IS

.~ ~

~ Type or print n

11-1986323

Paid Preparer's Use Only

Preparer. SSN or PTIN (See Gen lnst W)

Preparer's III... sIgnature ,..

FIrm's name (or yours III... MARCUM & KLI EGMAN LLP

If self-employed), ,.. _=I"'O'---'M'-"'=E"'L"-V:..,I=-=L"'L"'E"'--.=P ... AR......,....,K"--'R.."D"'-- ---l Phone

address, and ZIP + 4 MELVI LLE NY 11747 no ~

631 414-4000

JSA

5El050 1 000

Form 990 (2005)

11

83750J M831 05/12/2006 09:14:47

Organization Exempt Under Section 501 (c)(3)

(Except Private Foundation) and Section 501(e), 501(f), 501(k), 501(n), or 4947(a)(1) Nonexempt Charitable Trust Supplementary Information - (See separate instructions.)

~ MUST be completed by the above organizations and attached to their Form 990 or 990-EZ

SCHEDULE A' (Form 990 or 990-EZ)

OMS No 1545-0047

~@05

Department of the Treasury Intemal Revenue Service

Employer Identification number

Name of the orqaruzatron

TSUNAMI RELIEF INC 11-3737294

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 1 of the instructions. List each one. If there are none enter "None ")

,
(a) Name and address of each employee paid more (b) Title and average hours (d) Contnbutions to (e) Elcpense
than $50.000 per week devoted to position (c) Compensation employee benefit plans & account and other
deferred compensation allowances
----------------------------------
NONE
----------------------------------
----------------------------------
----------------------------------
----------------------------------
Total number of other employees paid over $50,000 • .~ NONE
1:F.Ti.11!f!1I Compensation of the Five Highest Paid Independent Contractors for Professional Services
• ., • •• II " (See page 2 of the instructions List each one (whether individuals or firms). If there are none, enter None.)

(a) Name and address of each Independent contractor paid more than $50.000

(b) Type of service

(c) Compensation

NONE

Total number of others receiving over $50,000 for I professronal services • • • • • • • • • • • • • • • • • ~ NONE

.:lillII~:JI Compensation of the Five Highest Paid Independent Contractors for Other Services

(List each contractor who performed services other than professional services, whether individuals or firms. If there are none, enter "None." See page 2 of the instructions.)

(b) Type of service

(a) Name and address of each Independent contractor paid more than $50.000

(c) Compensation

NONE

...... -~I

Total number of other contractors receivmq over $50,000 for other services • • • • • • • • •

NONE

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

Schedule A (Form 990 or 990-EZ) 2005

JSA

5E1210 1 000

83750J M831 05/12/2006 09:14:47

12

Schedule A (Form 990 or 990-eZ) 2005

11-3737294

Yes No

Statements About Activities (See pace 2 of the instructions.)

1 DUring the year, has the organization attempted to Influence national, state, or local legislation, including any attempt to Influence public cpirucn on a legislative matter or referendum? If 'Yes," enter the total expenses paid

or Incurred In connection with the lobbYing activities ~ $ (Must equal amounts on line 38,

Part VI-A, or line I of Part VI-B) _ _ •

Organizations that made an election under section 501 (h) by filing Form 5768 must complete Part VI-A. Other organizations checking 'Yes" must complete Part VI-B AND attach a statement giving a detailed description of the lobbYing activities

2 DUring the year, has the organization, either directly or indirectly, engaged In any of the Iollowmq acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person IS affiliated as an officer, director, trustee, majority owner, or pnncrpat beneflciary? (If the answer to any question IS "Yes," attach a detailed statement explammg the transactions)

a Sale, exchange, or leasmq of properly? •

b Lending of money or other extension of credit? , c Furnishing of goods, services, or factlmes?

d Payment of compensation (or payment or reimbursement of expenses If more than $1 ,OOO)? •

e Transfer of any part of ItS Income or assets? • • • •

3a Do you make grants for scholarships, fellowships, student loans, etc? (If 'Yes," attach an explanation of how you determine that reciprents qualify to receive payments) •••

Do you have a section 403(b) annuity plan for your employees? •

b

c DUring the year, did the organization receive a contribution of qualified real property Interest under section 170(h)? • 4a Old you maintain any separate account for participating donors where donors have the nght to provide advice on

the use or drstnbution of funds? • • • •

b Do you provide credit counseling, debt management, credit repair, or debt negotiation services? •.

Page 2

x

2a

x

2b

x

2c

x

2d

2e

x

x

3a

x

3b

3c

x

x

4a

4b

x

x

1#1'"

Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions.)

5 6 7 8 9

aruzation IS not a pnvate foundation because It IS (Please check only ONE applicable box) A church, convention of churches, or association of churches Section 170(b)(1 )(A)(I)

A school Section 170(b)(1 )(A)(II) (Also complete Part V )

A hospital or a cooperative hospital service orqaruzation Section 170(b)(1 )(A)(m) A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v)

A medical research organization operated In conjunction with a hospital Section 170(b)(1)(A)(m) Enter the hospital's name, City,

and state ~ _

10 D An organization operated for the benefit of a college or university owned or operated by a governmental Unit. Section 170(b)(1)(A)(lv) (Also complete the Support Schedule In Part IV-A)

11 a Gl An organization that normally receives a substantial part of Its support from a governmental Unit or from the general public Section 170(b)(1 )(A)(vl) (Also complete the Support Schedule In Part IV-A)

11 bOA community trust Section 170(b)(1 )(A)(vl) (Also complete the Support Schedule In Part IV-A)

12 D An organization that normally receives (1) more than 33 1/3% of Its support from contnbuuons. membership fees, and gross receipts from actrvrtres related to ItS chantable, etc, functions - subject to certain exceptions, and (2) no more than 33 1/3% of ItS support from gross Investment Income and unrelated business taxable Income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule In Part IV-A)

13 D An organization that IS not controlled by any disqualified persons (other than foundation managers) and supports organizations descnbed In (1) lines 5 through 12 above, or (2) section 501 (c)(4), (5), or (6), If they meet the test of section 509(a)(2) Check the box that descnbes the type of supporting orqaruzanon ~ DType 1 0 Type 2 0 Type 3

Provide the Iollowmq Information about the supported organizations (See page 6 of the instructions)

(a) Name(s) of supported crqaruzatronts)

(b) Line number from above

14 0 An organization organized and operated to test for public safety Section 509(a)(4) (See page 6 of the Instructions)

Schedule A (Form 990 or 990-EZ) 2005

JSA

5E1220 1 000

83750J M831 05/12/2006 09:14:47

13

Schedule A (Form 990 or 990-EZ) 2005 11- 3 7 37294

Page 3

ItfilW Support Schedule (Complete only If you checked a box on line 10, 11, or 12) Use cash method of accounting. Note' You may use the worksheet In the tnstructions for convertmg from the accrual to the cash method of accountmg

Calendar year (or fiscal year beginning in) ~ (a) 2004 (b) 2003 (c) 2002 (d) 2001 (e) Total
15 Grfts, grants, and contnbutions received (Do
not Include unusual grants See line 28 ) .. · .
16 Membership fees received . ........ · .
17 Gross receipts from admissions, merchandise
sold or services performed, or furnishing of
Iacihtres In any activity that IS related to the
organization's charitable, etc, purpose • • • .
18 Gross Income from Interest, dividends.
amounts received from payments on secunties
loans (section 512(a)(5», rents, royalties, and
unrelated business taxable Income (less
section 511 taxes) from businesses acquired
by the organization after June 30, 1975 ... · .
19 Net Income from unrelated business
activities not Included In line 18 ....... · .
20 Tax revenues levied for the organization's
benefit and either paid to It or expended on
ItS behalf .................. · .
21 The value of services or facihtres furnished to
the organization by a governmental Unit
without charge Do not Include the value of
services or Iacrhtres generally furnished to the
public without charge • . • • • • ...••• · .
22 Other Income Attach a schedule Do not
Include gain or (loss) from sale of capital assets
23 Total of lines 15 through 22
24 line 23 minus line 17. . . . . . . • • • • .
25 Enter 1 % of line 23. • . • . . . . . • • • .
26 Organizations described on lines 10 or 11: a Enter 2% of amount In column (e), line 24 ............... ~ 26a
b Prepare a list for your records to show the name of and amount contributed by each person (other than a
governmental Unit or publicly supported organization) whose total gifts for 2001 through 2004 exceeded the
amount shown In line 26a Do not file this list with your return. Enter the total of all these excess amounts ~ 26b
c Total support for section 509(a)(1) test Enter line 24, column (e) . . . . . . . . . . ... ~ 26c
. ...............
d Add Amounts from column (e) for lines 18 19
22 26b ~ 26d
e Public support (line 26c minus line 26d total) · ........... . . . ..... ~ 26e
f Public support percentage (line 26e (numerator) divided by line 26c (denominator» .~ 26f NONE % 27 Organizations described on line 12: a For amounts Included In lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received In each year from, each "disqualified person." Do not file this list with your return. Enter the sum of such amounts for each year:

NOT APPLICABLE

(2004) (2003) (2002) (2001) _

b For any amount Included In line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include In the list organizations descnbed In lines 5 through 11, as well as individuals) Do not file this list with your return. After computing the difference between the amount received and the larger amount descnbed In (1) or (2), enter the sum of these differences (the excess amounts) for each year

(2004) (2003) (2002) (2001) _

-c- Add--Amounts-from column.tej.tor lines 1 5- _-~-'---~~~---='---::....=..- -16

17 20 21 ~ 27c
d Add Line 27a total and line 27b total. ~ 27d
e Public support (line 27c total minus line 27d total). : ~i 2'7; i ~ 27e
f Total support for section 509{a)(2) test Enter amount from line 23, column (e)
g Public support percentage (line 27e (numerator) divrded by line 27f (denominator» ~ 27q %
h Investment income percentaqe (line 18 column (e) (numerator) divided bv line 27f (denominator)) . .. ~ 27h % 28 Unusual Grants: For an organization descnbed In line 10, 11, or 12 that received any unusual grants dUring 2001 through 2004, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your return. Do not Include these grants In line 15

Schedule A (Form 990 or 990-EZ) 2005

JSA

5El221 1000

83750J M831 05/12/2006 09:14:47

14

Schedule A (Form 990 or 990-Ell 2005

11-3737294

lifti!) Private School Questionnaire (See page 7 of the instructions.)

(To be completed ONLY by schools that checked the box on line 6 in Part IV)

NOT APPLICABLE

Page 4

29 Does the organization have a racially nondiscriminatory policy toward students by statement In Its charter, bylaws, Yes No

other governing Instrument, or In a resolution of Its governing body? r=2;,,:9'--t-_--+ __

30 Does the organization Include a statement of Its racially nondiscriminatory policy toward students In all rts brochures, catalogues, and other written cornrnumcatrons with the public dealing with student adrmssrons,

programs, and scholarships? _ r--.::3..,:0'--t-_--+ __

31 Has the organization publicized ItS racrally nondiscriminatory policy through newspaper or broadcast media dunng

the period of solicitation for students, or dunnq the registration period If It has no sohcrtanon program, In a way that makes the policy known to all parts of the general community It serves? .

If "Yes," please describe. If "No," please explain (If you need more space, attach a separate statement)

32 Does the organization maintain the followmq

a Records indicating the racral composition of the student body, faculty, and adrrurustranve staff? . t--3::.;2=-a=t-_--+ __

b Records documenting that scholarships and other flnancial assistance are awarded on a racially nondiscriminatory

baSIS? t--3::..:2::..:bT_-+- __

C Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student adrmssrons, programs, and scholarships? . t--3=-2=ct--_+- __

d Copies of all material used by the organization or on ItS behalf to sohcrt contnbutions? . 1-3;:..;2=-d=-t-_-+ __

If you answered "No" to any of the above, please explain (If you need more space, attach a separate statement)

33 Does the organization drscnrrunate by race In any way with respect to

a Students' rights or privileges?

31

33a

b Admissions policies?

c Employment of faculty or adrmrusnanve staff?

33b

33c

d Scholarships or other flnancral assistance?

33d

e Educational pohcies?

33e

f Use of facihties?

33f

g Athletic programs?

330

h Other extracurricular activrtres?

33h

If you answered "Yes" to any of the above, please explain (If you need more space, attach a separate statement)

34 a Does the organization receive any financial aid or assistance from a governmental agency?

34a

b Has the organization's right to such aid ever been revoked or suspended?

If you answered "Yes" to either 34a or b, please explain usmq an attached statement

35 Does the organization certify that It has complied with the applicable requirements of sections 4 01 through 4 05

of Rev Proc 75-50 1975-2 C B 587 covering racial nondrscnrmnatron? If "No" attach an explanation 35

34b

JSA 5E12301000

Schedule A (Form 990 or 990-EZl 2005

15

83750J M831 05/12/2006 09:14:47

Form 990 or 990-EZ 2005 1 -3737294

Pa e 5

Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions.)

(To be completed ONLY by an eligible organization that filed Form 5768) NOT APPLICABLE

Check ~ a I Ilf the organization belongs to an affiliated group Check ~bl Ilf you checked "a" and "limited control" provrsions apply
Limits on Lobbying Expenditures (a) (b)
Affiliated group To be completed
totals for ALL electing
(The term "expenditures" means amounts paid or Incurred) organizations
36 Total lobbymq expenditures to Influence public opinion (grassroots lobbymq) . 36
37 Total lobbymq expenditures to Influence a legislative body (direct lobbymq) 37
38 Total lobbymq expenditures (add lines 36 and 37) ..... 38
39 Other exempt purpose expenditures . . . . . • . • . . . . . . . . . . . . . 39
40 Total exempt purpose expenditures (add lines 38 and 39) 40
.........
41 Lobbymq nontaxable amount Enter the amount from the followinq table -
If the amount on line 40 is - The lobbying nontaxable amount is -
No"~, $500.000 • • • • • • • • • • • • 20% of the amount on ""'... • • • • • • • • • }
Over $500000 but not over $1 000000 $100,000 plus 15% of the excess over $500,000
Over $1 ,0~0,000 but not over ~1 ,5~0,000' : : $175,000 plus 10% of the excess over $1,000,000 41
Over $1,500,000 but not over $17,000,000 .. $225,000 plus 5% of the excess over $1,500,000
Over$17,000,000 ............ $1,000,000 ................
42 Grassroots nontaxable amount (enter 25% of line 41). . ....... 42
43 Subtract line 42 from line 36 Enter -0- If line 42 IS more than line 36 43
44 Subtract line 41 from line 38 Enter -0- If line 41 IS more than line 38 44
Caution: If there IS an amount on etther line 43 or Ime 44, you must file Form 4720 4-Year Averaging Period Under Section S01(h)

(Some orqamzations that made a section 501 (h) election do not have to complete all of the five columns below

S h t f I 45 th h 50 11 f h )

ee t e mstruc Ions or mes roug on page o t e Instructions
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal (a) (b) (c) (d) (e)
year beginning in) ~ 2005 2004 2003 2002 Total
LobbYing nontaxable
45 amount· ......
LobbYing ceiling amount
46 (150% of line 45(e» ..
47 Total tobbvmo exoenditures
Grassroots nontaxable
48 amount· •.•....
Grassroots ceiling amount
49 (150% of line 48(e)) . ..
Grassroots lobbYing
50 expenditures. . .. ..
•• • : . Lobbying Activity by Nonelecting Public Charities NOT APPLICABLE e 11 of the instructions,

Amount

DUring the year, did the organization attempt to Influence national, state or local legislation, Including any attempt to Influence public opimon on a legislative matter or referendum, through the use of

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

b Paid staff or management (Include compensation In expenses reported on lines c through h )

c Media advertisements .

d Mailings to members, legislators, or the public .... e Publications, or published or broadcast statements . f Grants to other organizations for lobbymq purposes

g Direct contact With legislators, their staffs, government officials, or a legislative body .... h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means •.

Total lobbyinq expenditures (Add lines c through h) ..............•.......••..

Yes No

JSA

5E1240 1 000

If "Yes" to any of the above, also attach a statement giVing a detailed descnption of the lobbying activmes

Schedule A (Form 990 or 990-EZ) 2005

83750J M831 05/12/2006 09:14:47

16

Form 990 or 990-EZ 2005 11-3737294

Pa e 6

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 12 of the instructions.)

51 Old the reporting organization directly or indirectly engage In any of the following with any other organization descnbed In section 501 (c) of the Code (other than section 501 (c)(3) organizations) or In section 527, relating to polibcal orqamzatrons?

a Transfers from the reporting organization to a nonchantable exempt orgamzabon of (i) Cash .....

(ii) Other assets . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . .

bOther transactions

(i) Sales or exchanges of assets with a nonchantable exempt orgamzabon . (ii) Purchases of assets from a nonchantable exempt orgamzabon .

(iii) Rental of facilities, equipment, or other assets .

(iv) Reimbursement arrangements •................. (v) Loans or loan guarantees . . . • . . . . . . . . . . . . • . . . .

(vi) Performance of services or membership or fundratsmq sohcrtations

c Shanng of facilities, equipment, mailing lists, other assets, or paid employees.

d If the answer to any of the above IS "Yes," complete the follOWing schedule Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fair market value In any transaction or sharing arrangement show In column (d) the value of the goods other assets or services received

Yes No
51 a(i) X
alii) X
b(i) X
b(ii) X
b(iii) X
b(iv) X
bey) X
b(vi) X
c X ,
(a) (b) (c) (d)
Line no Amount Involved Name of nonchantable exempt organization Oescnptron of transfers, transactions, and sharing arrangements

N/A 52a Is the organization directly or Indirectly affiliated With, or related to, one or more tax-exempt orqamzanons

descnbed In section 501 (c) of the Code (other than section 501(c)(3» or In section 52?? . . . . . . . . .. ~ DYes [i] No

b If"Y I t th f II h d I

es comple e e o oWing sc e ue
(a) (b) (c)
Name of organization Type of organization Descnptron of relationship

N/A






- - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ JSA

5E 1250 1 000

Schedule A (Form 990 or 990-EZ) 2005

83750J M831 05/12/2006 09:14:47

17

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TSUNAMI RELIEF INC

11-3737294

FORM 990, PART III - ORGANIZATION'S PRIMARY EXEMPT PURPOSE

==========================================================

THE OBJECTIVE OF TSUNAMI RELIEF INC. IS TO REBUILD HOUSING IN SRI LANKA, PROVIDING THE NECESSARY SHELTER TO THE VICTIMS LEFT HOMELESS WHEN THE TSUNMAI HIT ON DECEMBER 26TH.

STATEMENT 2

83750J M831 05/12/2006 09:14:47

21

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