IReturn Shgrt Fgrm oMe No 1545-1150 of Organization Exempt From Income Tax Form under section 5o1(c), 527, or 4947(ax1) of ing internal Reyenue code (except black lung benefit trust or pnvate foundation) G * Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(b)(13) must file Form 990 All other organizations with gross receipts less than $500,000 and total assets 0 t P bl less than $1,250,000 atofthe year userequirements this form pec 0 fu * The organization may have to use a copy thisend returnoftothe satisfy statemay reporting Ionlc Department of the Treasury Internal Revenue Service B Check if applicable Address change Name change Please use IRS lebel or 1063 30TH STREET (309) 325-7236 mms- F Group Exemption Initial feiumeeor Termination Specific Amended return C Name of orgamzahon D Employer identification number PROSTATITIS FOUNDATION 36-4034576 Number and street (or P O box, if mail is not delivered to street address) Room/suite E Telephone number Instmc- City or town, state or country, and ZIP + 4 Application Pending SMITHSHIRE IL 6 14 7 8 Number * A For the 2009 calendar (ear, or tax year beginning , 2009, and ending 0 Section 507(c)(3) organizations and 4.947(a)(1) nonexempt charitable trusts G Accountlng methodf E Cash E Accfual must attach a completed Schedule A (F omr 9.90 or 9.90-ED. Other (specify) * H Check * IZ-I if the organization is not IJ Tax-exem website: v N/A re%uired to attach Schedule B (Form 990, tstatus (check only one) - Q 501(c) ( 3 ) * (insert no) Q4947(a)(1) or Q 527 99 EZ* or 990"PF) K Check *LIE if the990-EZ organization is 990 not areturn section 509(a)(3) supporting its gross receipts are be normally than return $25,000 A orm or Form is not required, but if theorganization organizationand chooses to file a return, sure to not file more a complete instead of Form 990-EZ * $ 12 I 444 L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts, if $500,000 or more, file Form 990 lParii I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.) Contributions, gifts, grants, and similar amounts received . - . 1 3 , 633 1 Q - Program service revenue including government fees and contracts. 2 7 , 881 2 4 Membership dues and assessments . Investment income 5a Gross amount from sale of assets other than inventory 5a 3 b Less cost or other basis and sales expenses c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) 6 I 5bI reported on line 1) 6a Gross revenue (not including $ of contributions b Less direct expenses other than fundraising expenses . 6b c Net income or (loss) from special events and activities (Subtract line 6b from line Sa) . 7a b Gross sales of inventory, less returns and allowances 7a Less. cost of oods sold I 7b Other revenue (describe * ) Total revenue. Add lines 1, 2, 3, 4, 5c, 6c, 7c, and 8 * c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) 11 X 12 Grants and similar amounts paid (attach schedule) . -, . . .. . . . . . . . . .. . Benefits paid to or for members . Salaries, other compensation, and employee benefits " . A " "An A 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year"s return) , 8 9 12, 444 10 500 13 , 14 ,9 15 , 18 , 5 499 369 Occupancy, rent, utilities, and maintenance . 1"" 1 7 *sr Printing, publications, postage, and shipping . . .. Other changes in net assets or fund balances (attach explanation) . . 7c 12 Professional fees and other payments to independent contr s . A Other (describe * See Other Statement N gr ". T" Totalexpenses expenses. Add lines 10Expenses through 16 . . fs.. . ), Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . ee 11 13 14 15 16 17 18 32? 5c Special events and activities (complete applicable parts of Schedule G) If any amount is from gaming, check here * U a 8 9 10 930 16 17 7 289 3,019 20,276 -7 832 FT 84, 205 P 20 ro AA AL... r -at L AA ii A..x ,...r*i..1 n x4 -----.. l 5 - -...-ns1 .. Cash, savings, and investments 84 , 205 . Net assets or fund balances at end of year Combine lines 18 through 20 * 21 76,373 IPBI1 ll I BalanC8 Sheets. lf Total assets lineiii 25,iviis columniui (B)raii are $1,250,000 or molre, file Form 990 Blon Lal (Occ nic iii 11./ i ufu Dcuiiiiuiiu uiinstead veal of Form 990-EZ 22 23 24 25 26 27 Land and buildings 0 , Other assets (describe * ) . 0 . Total assets 84 , 2 0 5 . Total liabilities (describe * ) 0 , ip-r i:iiu ui -veal 22 23 24 25 26 27 76, 373 0. 0. 76, 373 0. Net assets or fund balances (line 27 of column (B) must agree with line 21) 84 , 205 . 76, 373 BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 990-EZ (2009) TEEA0812 01/30/10 ( i h d tth t " t . I I d , an a sec o F0rm,990-EZ (2009) PROSTATITIS FOUNDATION 3 6 - 4 0 3 4 57 6 Paqe 2 IPart Ill I Statement of Program Service Accomplishments (See the instructions.) Re ulreggvresgggon program title f0f Oi GFS) What is the organization s primary exempt purpose? RESEARCH GRANTS FOR MEDICAL RESEARCH g01?c)(3)t and (4)d t 533353t42a$.Y3ie1Cpl%t?a.Q ti?S%"32.85f ofep3522233422fi5J,e3?p.iR3Fi2i55an?.2f3f?5t?0"n fS?%2l2?i ""a""e* 25%v@ti*??fi32, 0pi.0*n2i 28 BE $.31-XBQPL 9E&N?L*LI515*LA. ETSEBE . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- -(Grants $ 500 . ) If this amount includes foreign grants, check here * lj 28a 500 . 29 (Grants $ ) If this amount includes foreign grants, check here . * EI 29a 30 If this amount includes foreign grants, check here *U 30a 31(Grants Other$ )program services (attach schedule) . . . (Grants $ ) If this amount includes foreign grants, check here . . * U 31 a 32 Total rogram seniice expenses (add lines 28a through 31a) * 32 500 . lfPaI*lsl)/asf LiSf Of OffiCerS, Dir8Ct0rS, Trustees, and Key Empl0yeeS. List each one even if not compensated. (See the instrs.) (b) devoted Title and not average (c)-0-.) Compensation Sd) Contributions to (e)otEx account (a) Name and address per week paid,hours enter emp oyee(If benefit plans and and erllense allowances to position deferred compensation EE QHQEE .R. 1EE.NFE1lFE1l"1. . . . .- SMITHSHIRE, IL 61478 30.00 0. 0. 0. .19 5.3. 2 QT.H. ETL- . . . . . . . . . .- - PRESIDENT CLARK HICKMAN, PHD sm-.1.oU1s, 14063121 15.00 o. o. o. 2327 PALM my coum* ssc/-rREAs SEBRING FL 33870 20.00 0. 0. 0. .39 91. HEILUBQL. 3151.595 .RP- - - - - V- PRES 335.111-EX .HE1iTLE.N1iENl1"1 .M.- 12 -. - - DAVE W. TRISSEL 2110. I&V*LNX.C.IBQ11E . . . . . . .- - MEMBER AUSTIN, TX78745 5.00 0. 0. 0. TIM MCLAREN KANKAKEE, IL60901 0.00 0. 0. 0. 32 @7."5.VL-- 50.17215 . . . . . . . .- - MEMBER All -iIi Ii BAA TEE/xoaiz oi/so/io Form 990-EZ (2009) Form 990-EZ (2009) PROSTATITIS FOUNDATION 36 -4034576 Page 3 IPart V I Other Information (Note the statement requirements in the instrs for Part V.) Yes No 33 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity 34 Were any changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the changes 35 lf the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T, attach a statement explaining why the organization did not report the income on Form 990-T. reporting, and proxy tax requirements? . . . . . a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice, 33 X 34 X maj 1.1L 36 X H 37b-xl ash b If "Yes," has it filed a tax return on Form 990-T for this year? 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicable parts of Schedule N 37a Enter amount of political expenditures, direct or indirect, as described in the instructions *I 37al O . b Did the organization file Form 1120-POL for this year? 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the period covered by this return? amount involved 38b gs: I i.aL.......*.l 38a b If "Yes," complete Schedule L, Part ll and enter the total 39 Section 501(c)(7) organizations Enter" a Initiation fees and capital contributions included on line 9 b Gross receipts, included on line 9, for public use of club facilities . 39b 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under. section 4911 * , section 4912 * 5 section 4955 * b transaction Section 501(c)(3) the organization eniage any sectionwith 4958 excess benefit duringand the 501(c)(4) year or is organizations it aware that itDid engaged in an excess enefitintransaction a disqualified person in a prior year, and that the transaction has not been reported on any of the organization"s prior Forms 990 or 990-EZ? If Yes," complete Schedule L, Part I . -.-4. 40b c Section 501(c)(3) and 501(c)(4) organizations. Enter tax imposed on 4955, organization managers or disqualified persons uring the yearamount underofsections 4912, and 958 * by the organization . . * d Section 501 (c)(3) and 501(c)(4) organizations Enter amount of tax on line 4Oc reimbursed EX shelter transaction? lf "Yes," complete Form 6-T . . . . e All organizations At any time during the tax gg-zgir, was the organization a party to a prohibited tax 41 List the states wrth which a copy of this return is filed * Illinois 40e 42a The organization"s books are in care of * QQQH-AEE -1112111433-N13I5NL1* -------------------- g - Telephone no r -(g gs-) 22.5: 22.35 - Located at* 1063 30TH STREET, SMITHSHIRE IL ziP+4 e 61478 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . If "Yes," enter the name of the foreign country? ss to See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of a Foreign Bank and Financial Accounts. c At any time during the calendar year, did the organization maintain an office outside of the U S ? 42c If "Yes," enter the name of the foreign country? I I I1. 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 - Check here . 3F10 BRIEF IFIB afT1OUl"1l Of l8X-GXQITIDI IFIISY(-ESI FSCEIVEG OT BCCFUSG ClUflF1Q the 13X yeafP. . 43 of Form 9 0-EZ , 44 Did the organization maintain any donor advised funds? If "Yes," Form 990 must be completed instead 45 ls any related organization a controlled entt of th t th th f t 512 b 13 ? I " " -Vi No H 45 X BAA 1Eif.Aoai2 or/so/io Form 990-EZ (2009) Form 990 must be completed instead of Folrgci 990-tliigrgamza Ion WI In e meaning 0 Sec Ion ( X ) f Yes" Form 990-EZ (2009) PROSTATITIS FOUNDATION 3 6 -4 034 57 6 Page 4 IPart"VI I Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501 (c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 46-49b and complete the tables for lines 50 and 51. for public office? If "Yes," complete Schedule C art l .... .. 46 Did the organization engage in direct or indirect golitical campaign activities on behalf of or in opposition to candidates 47 Did the organization engage in lobbying activities? lf "Yes," complete Schedule C, Part ll . 48 ls the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E 49a Did the organization make any transfers to an exempt non-charitable related organization? b If "Yes," was the related organization a section 527 organization? . . . . 49b 50 Complete this table for the organization"s five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization If there is none, enter "None " (b) Title andpaid average (c) Compensation Contributions to emJJIoyee (e) Expense (a) Name and address of each employee hours per week(d)benefit plans an account and more than $100,000 devoted to position deferred compensation other allowances NONE f Total number of other employees paid over $100,000 * 51 Complete this table for the organization"s five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. lf there is none, enter "None," (a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation F9113 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- Sign PSignature , I 5t/4?-7/0 Here of ofticer page d Total number of other independent contractors each receiving over $100,000 * Under penalties of perpury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declaration ol preparer (other than officer) is based on all information ot which preparer has any knowledge Si na ure " , MICHAEL HENNENFENT Type or print name and title paid Pfepqfef-S ,W we gglwemployed ?Sf:sa.i1lfuLls,fi2l""g"um" Preg 1 03/13/10 * arelfs Fsrm"s name (or WALTE S CCOUNTING AND TAX Use Z"f"iE"1Sf0"y"e?i3",f" * 375 E BROADWAY s-r Em . BAA Form 990-EZ (2009) Unly Sfilf? am" RQSEVILLE 11. 61473 -9162 phone no - (309) 426-2013 */lay the IPS discuss th:s return *:.-:th thc preparer sho.-fn above? See instructions . *E Yes E No TEEAOSIZ Ol/30/10 OMB No 1545-0047 (?,ErlfnE92g-ll-rggg-EZ) Public Charity Status and Public Support " t Complete if the organization is a section 501(c)(D3) organization or a section 4947(a)(1) , Public 5 nonexempt charita Ie trust. ,frm nspection : Eiigr1ir$T1i32f/gfirigesgrfficsgw * Attach to Form 990 or Form 990-EZ. * See separate instructions. Name of the organization Employer identification number 36-4034576 PROSTATITIS FOUNDATION I"Part I * I Reason for Public Charity Status (All organizations must complete this part.) See instructions The organization is not a private foundation because it is (For lines 1 through 11, check only one box.) 1 in A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 iz A school described in section 170(b)(1)(A)(ii). (Attach Schedule E ) A hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii). A medical research organization operated in conjunction with a hospital described in section 170(bX1)(A)(iii) Enter the hospital"s 1 5 6 7 8 9 10 11 name, city, and state. - - - - - * - - - - - - - - - * - - - - - - - - - - - * - - - - - - - * * - - - - - - -- -" - - - - -- An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section : 170(b)(1)(A)(iv). (Complete Part ll ) A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public described Z in section 170(bX1)(A)(vi). (Complete Part ll.) : A community trust described in section 170(b)(1)(A)(vi). (Complete Part ll ) i An organization that normally receives" (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 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). (Complete Part Ill ) An organization organized and operated exclusively to test for public safety See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. a ljType I b ljType Il c U Type III - Functionally integrated d lj Type Ill- Other e * By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other fiwggidation managers and other than one or more publicly supported organizations described In section 509(a)(1) or section check this box . . . a. If the organization received a written determination from the IRS that is a Type I, Type ll or Type Ill supporting organization, EI Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? (i) a person who directly or indirectly controls, either alone or together with persons described In (ii) and (iii) below, the governing body of the supported organization? . . . No (ii) a family member of a person described in (i) above? (iii) a 35% controlled entity of a person described in (i) or (ii) above? 11 g (iii) Provide the following information about the supported organizations. (i) Name of Supported (ii) EIN ofanization organization (iv)the ls organization the (v) Did you notify (vi) Is in thecol Organization (described on (iii) linesType 1-9 or in col in organization (vii) Amount of Support above or IRC .section 8) listed in your col (i) of (i) organized in the (see instructions)) governsng your support? U S 7 document? Yes No Yes No Yes No . *. ,, ,.33 tort H M, 1 .ggttezg A. ,- WW,- K Total is -- i -- 1"" iw * " ,, , ,L ,W J ff: " it. :il f mils * *ri*-*ei -*r iff f wi"-"*g.Ji BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Fomi 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2009 TEEA0401 02/05/ I 0 schedule A (Form 990 or 990-Ez) 2009 PRos*rA-1-1-rrs Fouunivrrou 36 -4034576 i Page 2 IPartYII ISupport Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) b (Complete only if you checked the box on line 5, 7, or 8 of Part I ) Section A. Public Support Calendar (or fiscal 200(d)2009 T0iBI beginning in)year , (a) 2005 (b) 2006year (c) 2007 8 (e) (f) not include *unusual grants I 1 Gifts, grants, contributions and membership fees received (Do 2 Tax revenues levied for the org1anization"s and eit er paid to it benefit or expended on its behalf 3 The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge 4 Total. Add lines 1-through 3 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) 9 9:3 gf, We $3? from line 4 . .f it 6 Public support. Subtract line 5 Section B. Total Support gggmgfggyfngf S" "Sci" Ye" (a) 2005 (b) 2006 (C) 2007 (ci) 2008 (e) 2009 (f) Toiai 7 Amounts from line 4 .. 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income form similar sources 9 Net income from unrelated business activities, whether or not the business is regularly " carried on 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) . 13 d " I " . " . A iji 11 Total supgort. Add lines 7 through 1 12 Gross receipts from related act ities, etc. (see instructions) , I 12 iv First five years. lf the Form 990 is for the organization"s first second third fourth or fifth tax year as a section 501(c)(3) organization, check this box an stop here. Section C. Computation of Public Support Percentage 15 Public support percentage A,line Part line (f) 14. 15 14 Public support percentage for 2009 from (line 6, 2008 columnSchedule (f) divided by 11,ll, column 14 I% % 16a 33-1/3 support test - 2009. If the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box and stop here. The organization qua ifies as a publicly supported organization. * EI b 33-1/3 support test - 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qua ities as a publicly supported organization. . . * D 17a 10%-facts-and-circumstances test - 2009 If the organization did not check a box on line 13, 16a, or l6b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this bex and step here. Explain in Part IV how U19 OYQBHIZBIIOD ITISGIS U18 TBCIS-BUG-CIYCUITISIZTICES (BSI ITIS OfQaI"lIZ3IlOl"l qUaIlfI6S BS 3 DUDIlCly SUDDOYIGG OYQZFIIZBIIOFL P E b 10%-facts-and-circumstances test - 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the r BAA Schedule A (Form 990 or 990-EZ) 2009 18 Private foundation. If the did not check a box on line, 16a, 16b, 17a, or 17b,ascheck this boxsupported and see instructions organization meets theorganization "facts-and-circumstances* test. The 13, organization qualifies a publicly organization * H TEEAO402 10/08/09 Schedule A (Form 990 Or 990-EZ) 2009 PROSTATITIS FOUNDATION 36 -4034 576 Page 3 Raft III ISupport Schedule for Organizations Described in Section 509(a)(2) * (Complete only if you checked the box on line 9 of Part I ) Section A. Public Support ceiendar year (er fiseei yr beginning my (5) 2005 (13) 2006 (9 2007 (Q) 2008 (9) 2009 (9 Total 1 Giftsbgragts,fcontributioncs mem ers i ees receive arlsd o not includegunusual grantsfs 30,994. 27,032. 28,121. 19,879. 11,454. 117,480. 2 Gross receipts from admissions, merchandise sold or sen/ices performed, or facilities furnished in a activity that is related to the organizations tax-exempt purpose . . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . 4 Tax revenues levied for the or anization"s benefit and eit?-ier paid to or expended on its behalf 5 The value of services or facilities furnished by a governmental unit to the organization without charge persons . 0 . 0 6 Total. Add Iines1 lhrough5 30,994. 27,032. 28,121. 19,879. 11,454. 117,480. year 0 . 0 7a Amounts included on lines 1, 2, 3 received from disqualified b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of 1% of the amount on line 13 for the c Add lines 7a and 7b O . 0 8 Public support (Subtract line We "ii te ,se . ...M 7c from line 6) X W sy 117,480 Section B. Total Support Calendar year (or fiscal yr beginning in) * (a) 2005 (b) 2006 (c) 2007 (Q) 2008 (5) 2009 (9 Total 9 Amountsfromline6 . 30,994. 27,032. 28,121. 19,879. 11,454. 117,480. 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income form Slmllalsoufces 1,525. 2,596. 2,647. 1,792. 990. 9,550. b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 cAddlines10aand10b .. 1,525. 2,596. 2,647. 1,792. 990. 9,550. 11 Net income from unrelated business activities not included inline 10b, whether or not the business is regularly carried on . 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 13 Total support. (eaainse, ioe ii,ena iz) 127 , 030 . organization, check this box and stop here . * U Section C. Computation of Public Support Percentage 14 First five years. If the Form 990 is for the organization"s first, second, third, fourth, or fifth tax year as a section 501(c)(3) 16 Public support percentage 2008 Schedule Ill,column line 15 15 Public support percentage for 2009from (line 8, column (f) dividedA,byPart line 13, (f))16 1593 * 92. 26 . 48% % C4-nOnAn-u IN f*nnAnnn*a&:nn nf Jiibtlvll IJ. UUIIIHULCEIUII UIlnnunefrvunn* lllvwatlllvllsIna-Aryan lllvvlllvDfgvnnn-u*ar1rg I bl vvllmuql, 18 Investment income percentage from 2008 Schedule A,byPart lll,column line 17 6 7. 74 17 Investment income percentage for 2009 (line 10c, column (f) divided line 13, (f))18 * 17 . 52% % 19a 33-1/3 support tests - 2009. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization * lil b 33-1/3 support tests - 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18 20 Private foundation. If the organization didand notstop check a box line 14, 19a,qualifies or 19b, as check this boxsupported and see instructions is not more than 33-1/3%, check this ox here. Theonorganization a publicly organization* * H BAA TEE/10403 02/is/io Schedule A (Form 990 or 990-EZ) 2009
© Copyright 2024