12/01/2006 15 58 FAX
NAIL CITY PCG CINTI
513 639 1456
016/029
OMB No. 1545/047
990
Return of Organls tlon Exempt From Income Tax
2004
under .salon 501(o), Ii27, or 4a171a*)( 1) of the Internal Revenue Code (anoe01 neck lung
et or pNvats foundedon)
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^ The oroentrwtlon mar have to use Is xov of thIe wum to eatlsH state reoortlha rew4 emee
For We 200 oa4nda^
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Cf' or town, Nile or oome
e.nc
P booaro stot
❑ astir 6O
a.,., 01^ u C37.-30
(trap Ez nj b Number ^
M Chock ^ ❑ M the ainlrallon Is not Mqulred
to Imarh 6dt. 8 IForm 980. 690-EZ, or B94PF^
11mto
Contrlbuuons, gifts, grants, and almller emod to received:
761
.
.
.
.
lb
.
io
noncaah $
d TOW (add Iles la thnwph 1c) (cseh $
14
)
2
Pro g ram service revenue Including govmnment fees and ca*ac M (mm Part VIl , line W)
3
3
4
5
Membershi p dues and assessme is .
I
fides
D{
9
b Low: re up
o Net renIal 1
Inve stments
. . ; . . . .
.
l ea i
6b
555 1 a
3
4
a
x' 1 1
ee
3 000
.3000
41btract line 8b irvm line 6o) .
7
Other Investment Income (describe IIN-
7
o
0.. Die.
QI'w aaadh a let SOS hatrudlona)
N(4 brbaeeprurra mtbdejen
apente"w'wsd by a gnq ndhp7 Ora ON*
vimw (3 ),4 ke^ro.) ❑ 4047(X1) or ❑ en
a 1)[yed publig support
b Indirect public support . . . .
a Government contrtbuttons (grants)
(=
LJ .oaua
r.
N.
N(s) Is th a g,wp r*ai br OHNOI27
^ ...............
10) I! Y(K" enter tt, * r 01 etlls
H(o Areal oalw.a P,duded7
art ^
L Gross roeelpta: Add
00
L Cdi
4 ^
n arm I we not wpwnm to ®LD 1 o2(
• s acs. eot(GlPll oro•aa uera.-e *1w) ror.onye a«+rm.
6011904- A Qarw+ eee s 000`!
wn nw •e attach a eefe -'
NE W^9^k
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E Takmfmr nc+eir
AoarJaft
^+a^ d.a,sea b abMt aeb
w
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a,.dk h.. ^ ❑ a ns oewOOk +• W. m.*b
a Pat nwn r.n s25AO I. The
^
in WI h Nye IRBI DA r !» mglJt. on rwx1MId a Form 500 Padsp•
wWkstlon need not So a
I t^ rebem.
h 6,e met, U ohatl ft a noArn vArva* tr ndtl 0•t< *am vb%6 n h i ...
E.i
041
^I
wd"K ^
w 'CL
20
b Eu^brar Id^eNllcet on me
Nome of argmkom
Be Gross ams^Inw^rln^nst assets other
1W 019'a
W X01
then InvorU , Kf ,
Coat or other bale and Was expenses
b Lo
o Gain or (lose) (e1tach schedule)
.
.
.
end Mv d Net g ain or pons) (combina line Sc . coke=
am cd Is from joint , check hem ^ Q
0 3pede! evai and 50tMUes (9ftch Schedule).11
of
a arose revenue (dot Including i
conblbutlone reportod on line 1e) , . .
. . . . I Bel
'' ^
3V
15 2^1
lb
b Leas: direct eocpenses other than fundndalnp expenses
10a Grose sales of bnvento y. law returns and allpwar+aea .
I
b lass: cost of goods add
1 ob
c Goose g rout o r Pose) from salsa of Inverdc ry (eft h e^edule) (subtract Me 1Ob from line 104 ,
.I .
11 Other revenue (from Pen VII . Line 103)
- -
12
Total nvenus (add Ones 1d. 2, 3, 4 S. 8c, 7 @d;9c. 100end 11
13
14
is
15
. . .
P rog ram s er vices (from line 44 . column (B))
M.55 )
M anag eme n t and g eneral prv ^
FundmWn g OVarn line 44 , got
sen/f
Cen er
Payments to affiliates (attach schedule) .
17
Total evenses (add lines 16
lu
18
10
Excess or (deilctt) for the year
Net assets or fund balancers
tk'
,
Ire iqk% Une 12)
of or (6orn Ilne 73, column (A)).
20
21
PR
Ottwr changes In net assets or futt
Not swats or fund balances at and of ear
2 , 451
9c
c Net Income or (lose) from sp ecial events (s4tract line 9b from ^ ea)
.
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.
11
13
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13
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14
18
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.
3Q9
2
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17
,
1"1. 5
10
20
anetbn).
a Yeas 10 19 steel 2
For Pitveoy Act end Paperwork Reduction Act Nodes. Si. on asporaft Inetruotlona.
.
.
.
1 O°
q 350 a 9
Co.
EP op ®
6. 19
fl
1
12/01/2006 15 52 FAX
12003/029
NAIL CITY PCG CINTI
513 639 1456
Form No on
Pape
Mi orgenu$Um muti oonvlele cdumn (4 Cournre
and
an required for sc4mi 501(c)p) and (d) tupanaatcn
and en 4047(6(1) nonexempt dwrteble mate but optmnal for others . (yes page 22 of the irninictlona)
Statement of
Fun ctional Expenses
Po not Include amounts reported on line
Bb, 8b, 8b, 10b, or 16 of Part 1.
W TOW
22
Grants and allocations (attach schedule)
(cash i
noncaah i _ ^;
22
23
Specific assistance to Individuals (attach schedule)
:
24
Benefits paid to or for members (attach schedule).
24
2S
Compensation of officers, directors, etc. .
.
25
20
Other salaries and wages .
.
.
.
.
.
.
26
27
Pension plan contributions
.
.
.
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.
.
27
28
29
30
21
Other employee benefits .
Payroll taxes . . . . .
Professional fundraising fees
Accounting fees . . . .
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29
32
Legal fees . .
33
34
36
Supplies
. . . .
Telephone . . . .
Postage and shipping
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.
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.
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.
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.
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.
99
37
Occupancy
. . . . . . . .
Equipment rented and maintenance .
.
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.
37
38
Printing and publications
.
.
.
38
19
60
Travel
. . . . . . . . . . . .
Conferences , conventions , and meetings .
.
.
39
40
11
12
$3
41
Interest . . . . . . . . . . . . .
Depreciation, depletion , etc. (attach schedule)
42
oe,.r (opens not covered adore Qlainlrsr a o!?):kWd 43e
.
.
. . . . .
.
.
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.
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.
m°'4
133,531
1
3 '
LD 161
30
31
t 5 4 6-7
I
36
34
33
20
S . 01 L.
16, 74611 , to
38
.^
lA.. V
^ y,^1
.^ ! X15 lbllU^ 43b
C ^!^ !` ^cl-ni 4 n^'7 ^^^t
11R?^!1 430
b
e Cl'!`4^u! c .A . A.V.f
9 57 "1'
F
(c) Management
end general
28
. . .
.
.
.
(e) Program
24mcas
....... ....................
UA-IS
z2,
to
2'I
4
s"
14
Total futdW&l aqw= (add IVtee?2 thew 43117Mrncndmn
22, 10 3 'L1 0 ^ 9 ^^ 9 7 3 MffOdV mM+xe+, ffa arty theta totth to free 13-15 .
as
^S $ o , to I I
Jofnt Costa. Check ^ ❑ If you are following SOP 98-2.
Are any joint costs from a combined educational campaign and fundraisutg so(h tation reported in (B) Program services? . ^ ❑ Yes ❑ Nc
it -Yes,- enter (Q we aggregate amount of those pint costs $
; (II) the amount allocated to Program services S
015 the amount allocated to Management and general S
: and (Iv) the amount allocated to Fundraislno S
What Is the organlzaLon 's primary exempt purpose?
................................................... ....... .
Program Service
&C
All organization must describe their exempt purpose achievements In a clear and concise manner. State the number taa,,,ul
Nl era. s+e cs^i+1lp
Kit a WOfo^ a
)
of clients served , publications lamed . etc. Dlscues achievements that are not measurable . (Section 501(c)(3) and (4)
organizations and 4947(a)(1) no nexempt charitable trusts must also enter the amount of grants and allocations to others .)
.....
..... -
S3^"a''^a1s ..ruL
.w
.......
.............................•...........
(Grants and allocations
....................................)
S
3 S0 , b I
b ..........................................................................................................................
(Grants and allocations
$
o ..........................................................................................................................
.......................................
........................................
(Grants and allocations
$
d ..........................................................................................................................
4 ter program Services (attach schedule)
(Grants and allocations
$
(Grants and allocations
S
I Total of Program Service Expenses (should equal line 44, column (19), Program services) .
.
.
.
)
. ^
I
V
12/01/2006 15 53 FAX
0.
L
.
(2004/029
NAIL CITY PCG CINTI
513 639 1456
a
Form 99e 003)
Pegs 3
Balance Sheets (See page 25 of the instructions.)
Note:
45
4e
Where iegufed, attach d Schedules and amounts within the doscrlprron
oobmn should be for end-o6-ygev amounts only
Cash-non- interest- beering . . . . .
Savings and temporary cash Investments .
470 Accounts receivable . . . . . . .
b Less: allowance for doubtful accounts .
.
48a Pledges receivable . . . . . . .
b Less : allowance for doubtful accounts .
.
.
49
.
Grants receivable .
.
.
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.
1 5 15
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45
3q ?13 1
ss
-1 N 559
49
.
key employees
. . . . . .
so
51 c
.
.
.
.
'20 A 6 15
❑ Cost L3 FMV
65b
t34
1, 6qq, q24
5c
.
.
.
.
.
.
57a
1x-50 91
57b
Accounts payable and accrued expenses . . . . . . .
Grants payable
. . . . . . . . . . . . . . .
82 Deferred revenue . . . . . . . . . . . . . . .
63 Loans from officers , directors, trustees , and key employees
schedule) . . . . . . . . . . . . . . . . . .
64a Tax-exempt bond liabilities (attach schedule)
, . . . .
b Mortgagee and other notes payable (attach schedule)
65 Other liabilities (describe ^
88
10A(4
.
.
.
"a
Total assets add lines 45 through 58) (must eq ual line 74 .
60
61
.
.
47c
Receivables from officers , directors , trustees , and
(attach schedule) . . . . . . . . . . . .
51e Other notes and loans receivable (attach
1 51 0 1
b Less: allowance for doubtful accounts . .
Bib
52 Inventories for sale or use
. . . . . . . .
83 Prepaid expenses and deferred charges . . . .
111*
54 Mvestments^-secunties (attach schedule) ,
buildings,
658 Investments---land,
and
55e
equipment : basis . . . . . . . .
59
.
.
47a
47b
50
b Less: accumulated depredation (attach
schedule) . . . . . . . . . . ,
56 Investments--other (attach schedule) .
57@ land , buildings , and equipment : basis . .
b Less: accumulated depreciation (attach
schedule) . . . . . . . . . . . .
58 Other assets (describe ^
.
.
B^
Eno of year
W
Beginning of year
.
1 b"l `I . b9 g'
.
.
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.
.
.
.
.
.
I3% -
b 4 0 4
09
60
4, 1 B I lot'3 , r2 51
61
62
(attach
. . .
. . .
639
66
)
Total liabilities (add lines 60 throug h 65) .
Organizations that follow SFAS 117 , check here ^ ❑ and complete lines
67 through 69 and lines 73 and 74.
07 Unrestricted . . . . . . . . . . . . . . . . . . .
68 Temporarily restricted . . . . . . . . . . . . . . . .
69 Permanently restricted . . . . . . . . .
. . .
'o Organizations that do not follow SFAS 117 , check horn 0- ❑ and
complete lines 70 through 74.
LL
70 Capital sooc k , trust principal , or current funds . . . . . . . .
71
Paid- in or capital surplus , or land , building , and equipment fund . .
72 Retained earnings , endowment , accumulated income, or other funds
Sig
Sa
)
l
2 13x7
6e
bb 9 b'>
87
o0 0 -
so
SS7 "
1'12
5 000 -
70
71
72
Total net assets or fund balances (add Ones 67 through 69 or lines
70 through 72:
4,1- 1 1 , X51
t 6-11A163column (A) must equal line 19; column (8) must equal line 21 ). . .
74 Total liabilities and net assets / fund balances (ad d lines 66 and 7
l bey . b 9 B ^ 74
y I Go I , 3oq 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 i s return. Therefore , please make sure the return Is complete and accurate and fully describes, in Part III, the organlzatlon's
programs and accomplishments.
0 73
12/01/2006 15 53 FAX
t
r'orM aao
J)
PW 4
Reconciliation of Revenue per Audited
Financial Statements with Revenue per
Return (See pane 27 of the Instructions.
Total revenue, gains, and other support
IM
Miii
a
b
(1)
(2)
(3)
(4)
DOE=
a
per audited financial statements. . ^
Amounts Included on line a but not on
Una 12, Form 990:
Net unrealized gains
on investments . - S
Donated seances
and use of facilities $
Recoveries of prior
year grants . . .
Other (specify):
...................... $
Add amounts on lines (1) through (4) ^
c
d
Lme a minus line b. . . . .
Amounts Included on line 12,
Form 980 but not on line a:
. ^
b
,
b
......................
C
c
d
^
d
e
Ine c p lus line
. ^ e
list of OMoors , Directors , 7Yustesa, and Key
the Instructions.)
w Wsme and aod,
-' LS Gann
k ot Oo.L 14
.
76
! ......
-^'.o'^^.sk
s
an rF^+SI'40
23 0
0-1b
e
(2) Prior year adjustments
reported on line 20,
Form 990 . . . .
(3) Losses reported on
line 20, Form 990 ,
(4) Other (specify):
Total revenue per line 12. Form 990
oJcsiQc
Total expenses ano losses per
audited financial statements . . ^
Amounts included on line a but not
$
Add amounts on lines (1) through (4p•
Une a minus line b . . . . . ^
Amounts Included on line 17.
Form 990 but not on fine a:
b
C
(1) Investment expenses
not included on tine
fib, Form 990.
(2) Other (specify):
......................
Add amounts on lines (1) and (2)
Co
Reconc iliation of Expenses per Audited
Financial Statements with Expenses per
Return
on line 17, Form 990:
(1) Donated services
and use of facilities $
(1) Investment expenses
not Included on line
6b, Form 990.
(2) Other (specify)
e
1005/029
NAIL CITY PCG CINTI
513 638 1456
...................... $
Add amounts on lines (1) and (2) ^
Total expenses per line 17, Form 990
d
line c plus lined
. ^
e
nployeee (List each one even If not compensated ; see page 27 of
CHI Title and average nows wr
vresk e.wow m poa+non
(C) Gompeneatwn
^a pile. •irwr
-0.
04 F^rponae
Pr' ^eem^m a
m^ae pyre d ec we end
dogleg =MWWWM
kunwmua
.i b
to L,5
- 0-
o kAs
-0-
- 0^
(0 k z
- a-
- d
t
- Cr-
b-
,0 "tr
Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100.000 from your
organization and all related organizations, of which more than $10,000 was paraded by the related organizations? ^
If 'Yes,' attach schedule-see page 28 of the Instructions.
❑ Yee ❑ No
Fo}m 990 t2oM
12/01/2006 15 54 FAX
513 638 1456
12006/028
NAIL CITY PCG CINTI
Page 5
Form 090 OM
VOW= Other Information
70
77
a e 28 of the Instructions,
Yoe No
Old the apenlaft awe In any esiMy not previously reported to the IRS? If 'Yes.' attach a dota0ed dasatptlon of each actMty
Were any changes made in the organizing or governing documents but not reported to the IRS? . . .
If 'vbs." attach a conformed copy of the changes.
78a Did the organisation have unrelated business gross Income of $1,000 or more dung the year covered by this return?.
b If 'Yes , " has It filed a tax return on Form 000-T for this year? . . . . . . . . . . . . . . .
79
Was there a liquidation. dissolution , termination, or substantial contraction during the year? If 'Yes." attach a statement
76
T?
✓
m mi m
70b
7
80a Is the organization related (other than by association with a statewide or nationwide or©anlntlon) through common
membership , governing bodies, trustees , officers . etc., to any other exempt or nonexempt organization? . . .
b If "Yes." enter the name of the organization ^ ............................................................
❑ exempt or
....................................................... and check whether It Is
file
BID Enter direct and Indirect political expenditures. See line 81 Instructions ,
❑ non wwmpt.
-
b Did the organization file Fortin 1120-POL for this year? . . . . . . . . . . . . . . . . .
82. Did the organization receive donated services or the use of materials , equipment , or facilities at no charge
or at eubstantlally 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 experm In Pert II. (See Instructions in Part III.) . . 182b I
We Did the organization comply with the public Inspection requirements for returns and exemption applications?
b Did the organization comply with the disclosure requirements relating to quid pro quo contnbutions? . .
84a Did the organisation solicit any contributions or gifts that were not tax deductible ? . . . . . . . .
b It "Yes ,° did the organization Include with every solicitation an express statement that such contributions
or gifts were not tax deductible ? . . . . . . . . . . . . . . . . . . . . . . . . .
85 501 (cl(4) (5), or (S) organhations . a Were substantially all dues nondeductible by members ? . , . . . . .
b Did the organization make only In-house lobbying expenditures of 32.000 or less? . . . . . .
,r
81b
a2a
Me
✓
84a
we,
W.
a4b
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 . . . . . . .
e Aggregate nondeductible amount of section 6033 (e)(1)(A) dues notices
.
.
.
85c: I
.
.
.
Wd
850
- . 1 Taxable amount of lobbying and political expenditures (line 85d leas 85e) . . I BM I
g Does the organization elect to pay the section 8033(e) tax on the amount on fine 8517 .
,
. . ,
line 85f to its
h If section 6033(eXl)(A) dues notices were sent, does the organization agree to add the amount on ;Ina
reasonable estimate of dues allocable to nondeductible lobbying and poldlcal expenditures for the following tax
. . . .
year . . . . . . . . . . . . . . . . . . . . . . . .
Be
501 (c)(7) orgs . Enter a Initiation foes and capital contributions included on Are 12 .
859
ash
I
b Gross receipts , Included on line 12 . for public use of club facilities . . . . .
87s
501 (c)(12) ores . Enter a Gross income from members or shareholders . . . .
b Gross Income from other souncm (Do not net amounts due or paid to other
87b
sources against amounts due or received from them .) . . . . . . . . .
greater
Intamat
In
or
taxable corporation or
dunng
organization
own
50%
a
a
88 At any time
the year, did the
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 . . . . . . . . . . . . . . . . .
89a 501 (c)(3) organizations. Enter, Amount of tax Imposed on the organization during the year under
- t)
section 4911 ^
; section 4012 ^
- n; section 4955 ^ - 0b 501 (c)() and 501(c)(4) orgs. Did the organization engage In any section 4958 excess benefit transaction
during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," attach
a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . . . .
87
Be
c Enter. Amount of tax Imposed on the organization managers or disqualified persons during the year under
sections 4912 . 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . ^
d Enter. Amount of tax on line 89c , above. reimbursed by the organization . . . . . . . . . . ^
908 List the slates with which a copy of this return Is flied ^ .....D:!1•!^Q ..............................................................
Nod that Includes March 12, 2003 (See Instructions.)
In the pay
OW
b Number of employees empl
Telephone no. ^ ( 5 i .1 Z3-(-1`Iq ..-91 The books are In care of ^
..
ZIP + 4 ^ . ` 1524 .........................
Located at .
92 Section 4947(e)(1) nonexempt charitable rivets filing Form 990 in lieu of Fore, 1041-Check here . . . . . . . ^ ❑
^ 1 fly 1and enter the amount of tax-exempt interest received or accrued during the tax year ,_.
Form 990 R00e)
15 54 FAX
12/01/2008
513
639
NATL CITY
1456
PCG
J 007/029
CINTI
POO 6
Form 9W RXI
Exdi,dsa by sedron 51 Z, 513, Cr 514
_.Un relato d Uuu nm income
(D)
(C)
(A)
(0)
Amount
Aiiiuta,1t--- Exclusion coda
buzne1. I.
Note: Enter gross amounts unless otherwise
Indicated.
9$ Program service revenue ;
b
c
d
_
f Medlcer&Medlcald payments . . . .
g Fees and contracts from government agencies
94 Membership dues and assessments
.
85
Interest on savings and temporary cash Investments
9e Dividends and Interest from securities
97
Net rental income or (loss) from real eslate
a debt-financed property . . . . .
.
b not debt -financed property . . .
96 Net rental Income or (loss ) from personal property
99 Other Investment income
100 Gain or (lose) from sales of assets other than inventory
101 Net Income or Voss) from special events
102 Gross profit or Voss) from sales of inventory
101 Other revenue : a
b
.._...._.
...
--- -
-- - • - -
(EI
PAawd or
c
exempt
income
_ ___
- ...
- _ - ..- . _ • -,
-- - .
L.
d
e
104 Subtotal (add col umns (B), (D). and (E))
105 Thtal (add Ilne 104. col umns (8) (D), and (E)).
. ^
Note. Line 105 pW line id, Part 1 should equal the amount on line 12, Part 1.
Relationshi p of Activities to the Accom plishment of Exempt Purposes (See page-34 of the instructions.)
Explain how each actrvtty for which income is repoited in cufumi i (L•) of Part VII contributed importantly to the accomplishment
Une N .
of the organization ' s exempt purposes (other than by piovidunc tur.ds for such purposes)
Information Reaatdina Taxable Subsldlairl
Name, eddyse. and E1N of corporation,
, or disreg arded entrity
,' trdad Entities (Sea cane 34 of the instructions]
Pei oentago of
ownersh Molest
Nabire
activities
Totetwcome
End"'-ser
®sse^
96
Information Reaar Ina Transfers Associated w'd
ersonal Benefit Contracts (See once 34 of the Ins tructlons.l
12/01/2006 15 55 FAX
ICJ 008/029
NAIL CITY PCG CINTI
513 839 1456
SCHEDULE A
Organization Exempt Under Section 501(c)(3)
(Font1990 or 99QEZ)
(Except Privets Foundation) and Section 501 (o), 601 (f), 601P1),
601(n), or Section 4047(o)(1) Nonexempt Charitable Trust
aM
Tftmwy
Dwwvwt
re-,,r rte.a so..c.
OMB No 1
Supplementary Inlortnatlon-- 4See separate instructions.)
the above orgentzatl ons and attached to thW Form OON or OA0-P.2
^ MUST be aom leted
Empbyer Id
Nwmo of the awf1meeon
7
2003
ofic don rwnbv
Compensation of the Rve Highest Paid Employees Other Than Officers. D1r+eotore , and Trustees
(See oeoe 1 of the Instructions. List each one. If there are none. enter "None.')
(a) Name and edmaas of s& ei nployee pefd more
Than 56O.D00
04 TVs and swreoe hour
per week loosed to pomi0on
W O° ,peneation
( 1) cawb ms to
doles bmf t Dlarm
Oetened oom
on
N) Expense
aocoun and Mar
eUowr,rraa
^^6'V•JL^
Total number of other ampfoyees paid over
^
sso.000
LR=
Compensation of the Five, Highest Paid Independent Contractor for Proffeaefonal Services
(See
e 2 of the Instructions. List each one (whether individuals or firms). If there are none, enter 'None.'
{W Nar' and address of each Indepsdant oon amor paid mere than $SO.wo
Total number of others reoeMng over $50.000 for
professional se v ces
0)J Type of service
(C) Compernatbn
I
Fer Pep6 w t Fawcf n Act Notice, NO ft baCtadma for form W and P*m ME
Cat No. 1128SF
6olydoy A (ftM 900 or 000-. 200
12/01/2006
15 55 FAX
513
639
1458
NAIL CITY PCG
Z009/029
CINTI
9cAedule A ;arm 900 or 9" 2003
Pme 2
Statements About Activities (See page 2 of the Instructions.)
1
Yes No
During the year, has the organization attempted to influence national, state, or local legislation , tnduaing any
attempt to Influence public opinion on a legtalatlve matter or referendum? If "Yes ," enter the total expenses paid
or Incurred in connection with the lobbying activities ^ 5
(Must equal amounts on line 38,
Part VI-A, or line I of Part V1-9.)
. . . . . . . . . . . . . . . . . . . . . . . . . .
Organizations that made an election under section 50101) by filing Form 5768 must complete Part VI-A. Other
organizations checking 'Yes " must complete Part V1-t3 AND attach a statement giving a detailed description of
the lobbying activities-
1
✓
During the year. has the organization, either directly or indirectly, engaged In any of the following 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 principal beneficiary? Of the answer to any question is 'Yes," attach a detailed statement explaining the
2
transactions..)
,t
a Sale, exchange, or leasing of property?
. . .
b Lending Of money or other extension of credit? .
c Furnishing of goods, services, or tae t,es?
. .
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.
2s.
2b
2c
✓
Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7
o Transfer of any part of its income or assets? . . . . . . . . . . . . . . . .
.
.
.
.
.
.
2d
✓
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b
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d
3s Do you make grants for scholarships, fellowships, student loans, etc.? (M 'Yes," attach
you determine that recipients quality to receive payments.) . . . . . . . . .
b Do you have a section 403(b) annuity plan for your employees? . . . . . . . .
4 Did you maintain any separate account for participating donors where donors have the
on the use or dlstibutlon of funds?
an explanation of how
. . . . . . . .
. . . . . . . .
right to provide advice
✓
✓
so
✓
4
✓
Reason for Non-Private Foundation Status (See pages 3 through 6 of the Instructions.)
The organization is not a private foundation because It is: (Please check only ONE applicable box.)
6 ❑ A church, convention of churches, or association of churches, Section 170(b)(1)(fy(.
8
❑ A school . Section 170(b)( 1)(A)Qi). (Also complete Part V.)
7
8
❑ A hospital or a cooperative hoephel service organization . Section 170(b)(1)(NQli).
❑ A Federal, etate, or local government or governmental unit. Section 170(bj(1KA)M.
9
❑ A medical research organization operated In conj unction with a hospital. Section 170(b)(1)(A(Id). Enter the hospttePe name, city,
and stst^ ^ .............................................................................................................................
❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(Iv).
(Also complete the Support Schedule in Part IV-A.)
10
11a ❑ An organization that normally receives a eubstanllal pas of 29 support from a governmental unit or from the general public.
Section 170(bX1)(A)(vO . (Mso complete the Support Schedule in Part IV-A.)
11b ❑ A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule In Part IV-A.)
12
JN An organization that normally receives . (1) more than 33'/,% of Its support from contributions, membership fees, and gross
receipts from activities related to Its charitable . etc., functions-subjaet to certain exceptions, and (2) no more than 331A% of
its support from gross investment income and unrelated business taxable income (lase section 511 tax) from businesses acquired
by the organization after June 90, 1975 . See section 509(.)(1). (Also complete the Support Schedule In Pan IV-A.)
13
❑ An organization that Is not controlled by any disqualified persona (other than foundation managers ) and supports organizations
described in: (1) lines S through 12 above: or (Z section 501(c)(4), (5), or (6), it they meet the test of section 5O9(a)C2). (See
section 509(a)(3).)
Provide the following information ab out the supported organizations . (See page 5 of the Instructions,)
(a) Name(s) of supported organization(s)
14
I (b) Line number
from above
❑ An organization organized and operated to test for public safety. Section 509(a)(4). (See page 6 of the instructions.)
Schedule A (Form 000 or 000-EZ m0.7
12/01/2008 15 55 FAX
Z010/029
NAIL CITY PCG CINTI
513 639 1456
ecAea,b A worn No or etr0-f) 2003
pap 3
Support Schedule (Complete only if you checked a box on line 10. 11, or 12.) Use cash method of accounting.
Not-. You ma use the worksheet In the Instructions for converting Irom the accrual to the cash method of accounting
Calendar year (or fiscal year beginning In) . ^
2002
(b) 2001
c 2000
(d) 1999
(e Total
15 GIfts , grants . and contributions received. (Do
not Include unusual grants . See line 28.).
52q,10^'
yt, .01.3
L111dG')0
247 SSG
10 Membership fees received ,
9Q 1 11
^('L {e le
l '1^
M( bib
91
1^Sy
17 Gross receipts from admimons, merchandi se
sold or services performed , or furnishing of
facilities in any activity that is related to the
organization's charitable, etc., purpose .
18 Goss Income from Interest , dividends,
amounts received from payments on securities
loans (section 512(e)(5)), rents, royalties, and
unrelated business taxable Income pass
section 511 taxes) from businesses acquired
the org anization after June 30, 1975
.
Net income from unrelated
act 'dies not Included In line 19
20
Tax revenues levied for the organi zation's
benefit and either paid to It or expended on
Its behal f . . . . . . . . . .
The value of services or facilities furnished to
the organization by a governmental unit
without charg e. Do not Include the value of
services or facilities generally furnished to the
public without charge.
21
l5 , I 1 t
1-1,y6'L -
4"1 31 I^
532 0 9 8-
t. 45 3 q9 D '
business
23
Other Income. Attach a schedule. Do not
Include g ain or floss) from sale of
tal assets
Total of lines 15 throug h 22. .
24
Une23minus llnel7 .
22
i'2 614- .
'1 7,S%e
19
J
0
.
6
341 ,10S-
'5 51-0 4 9 d 1 1 953 990
5 1, -,LA -
L10 1.413(o
5"14 1`19'
25
Enter 1 % of tine 23
28
Organlaatlgifts described an lines 10 or 11: a Enter 2% of amount in column (a). line 24. - . . ^
288
Prepare a ii for your records to show the name of and amount contributed by each person (other than a
governmenta l unit or publicly supported organ zatlon) whose total gifts for 1999 through 2002 exceeded the
amount shown In One 28a. Do not file this list with your return. Enter the total of an these excess amounts ^ R28b
2$c
Total support for section 509(sX1) test : Enter line 24 , column (a) . . . . . . . . . . . . . ^
Add : Amounts from column (e) for lines: 16
19
M, 9goW&M
22
25d
26b
. . . . . . ^
Public support (fine 26c minus Ime 26d totaq
. . .
, .
. . . . . ^
280
Public suppo rt percentage (line We num
divided
line 26c (denomina
2of
94
. ^
b
c
d
e
f
`+ 11
Organlzatlona 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 . Etter the Sum of such amounts for each year
27
b
R00u1 .... ... .................... (2001) ..... ... .... l .......... (2000) .......... .. 0----........ (1999) .......... p.............
For any amount included In line 17 that was received from each parson (other than 'disqualfed 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 Will organIzaUons described In lines 5 through 11. as well as individuals ) Do not file his list with your return . After computing
the difference between the amount received and the larger amount descTlbed in (1) or 0), enter the eurn of these differences (the excess
amounts) for each year.
(2002) -------------------------- (2001) ........
C Add : Amounts from column (a) for line :
17
d Add : Una 27a total .
a
I
g
h
28
4 . 01L4 -
5 '1 '1
15
20
.......... (2000) ........'. 4.'.......... (1999 ) --.--....
t,by2,2n
18
16y.5 q"I
. ^
^
Z7c
27d
Public support plne 27c total minus line 27d total).
, ^
54 qq0
Total support for section 509(a)(2) test Enter amount from line 23 , column (e). . mo.
27t 1
Public support percentage p ine 27e (numerator) dMded by fine 27f (denominator)).
. . ^
Investm.nt Income percenta g e V im 1
column (e) (numerator) divided
line 271 (denomi nator)) . ^
270
21
and line 27b total .
.-..........
.
.
.
.
.
I
0e . 6
40
b ty
%
27
27h
2.1o
%
Unusual Gram For an organization described in line 10. 11. or 12 that received any unusual grants during 1999 through 2002,
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 We list with your return. Do not Include these grants in Una 15.
act,em,ta A (Form NO or aoo.aq MW
12/01/2006 15 56 FAX
Fj 011/029
NAIL CITY PCG CINTI
513 639 1456
SdmWa It (FQ m 996 o r 9904^ 2003
Pffvate School Ouestlo nabs (See page 7 of the instructions.)
(Tb be corn eted ONL by schools that checked the box on line 6 In Part IV)
Igm
29
30
31
32
Does the organization have a racially n ndhcnminatory policy toward students by statement In Its charter, bylaws,
other governing Instrument , or In a
utlon of its governing body? . . . . . . . . . . . . . .
Does the organization include a a
ment of Ito racially nondiscriminatory policy toward students In all its
brochures , catalogues , and other
en communications with to public dealing with student admissions,
programs , and scholarships ? .
. . . . . . . . . . . . . . . . . . . . . . . .
Has the organization publicized Its rectally nondlscr nInatory policy through newspaper or broadcast media during
the period of solicitation for students , or during the registration period if it has no solicitation 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 . Of you need more space, attach a separate statement.)
Yew
N°
a0
31
............................................................................................................
Does the organization maintain the following:
a Records indicating the racial composition of the student body, faculty , and administrative staff? . . . . .
b Records documenting that scholarships and other financial assistance are awarded on a racially nondlscrlminatory
basis?
.
.
.
.
.
.
.
.
.
.
,
32b
.
a Copies of all catalogues , bnwhures , announcements , and other written communications to the public dealing
d
with student admissions , programs, and scholarships? . . . . . . . . . . .
Copies of all maternal used by the organization or on its behalf to solicit contributions?
.
,
.
.
.
,
.
,
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,
.
,
.
,
.
,
_Rc
Ud
If you answered " No% to any of the above , please explain . (If you need more space, attach a separate statement.)
.............................
..-------------Does .........................
the organtration dtaariminnte
by race In any way with
.... ..........
respect to:
93
....
......
....
..-...-........
e Students ' rights or privileges ? .
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b Admissions policies?
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33O
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33d -
c
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Employment of faculty or admlrnstretive staff?
d Scholarships or other financial assistance?
e Educational policies?
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g Athletic programs ? .
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_33
h Other extracurricular acttvltles?
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39h
f
Use of facilities? .
33f
If you answered 'Yes' to any of the above, please explain . (If you need more space, attach a separate statement.)
34a Does the organization receive any financial aid or assistance from a governmental agency? .
b Has the organization 's right to such aid ever been revoked or suspended? . . . .
It you answered "Yes' to either 34a or b, please explain using an attached statement.
.
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.34411
A
36
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 76-50 , 1975-2 C.B. 587 , cover? racial nond iscrimination ? If 'No,' attacrl an exp lanation .
35
6ctSduM A (Fenn 090 er eeo-sq
J
12/01/2006
15 56 FAX
513
839
CITY PCG
NAIL
1456
lJ012/029
CINTI
Schedule A (Form 990 or 990-ER) 2003
P
6
Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions.)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check ^ a
Check ^
U If the org anization belongs to an affiliated 2Mu p
U If you checked "V and limited control' provisions apply.
b
Limits on Lobbying Expenditures
f') g ro up
Atntlatw
(The term 'expenditures" means amounts paid or incurred.)
WHIR
39
40
Total lobbying expenditures to Influence public opinion (grassroots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying) ,
Total lobbying expenditures (add lines 36 and 37) . . . . . . . . .
Other exempt purpose expenditures . . . . . . . . . . . . .
Total exempt purpose expenditures (add lines 38 and 39). . . . . . ,
41
Lobbying nontaxable amount. Enter the amount from the following table-
3e
37
38
`2
43
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,
38
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97
38
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To be co^l„aeted
is ALL erctvig
38
40
The lobbying nontaxable amount IaIf the amuwit on Una 40 toNot over $500,000 . . . . . . . 20% of the amount on line 40 . . . . .
Over 8500,000 but not over $1,000,000. . 3100,000 plus 15% of the excess over $600,000
Over $1.000.000 but not over $1,500,000 . $175.000 plus 10% of the excess over $1,000,000
Over 31,500.000 but not over $17,000.0003225,000 plus 5% of the excess over 31.600,000
Over 317.000.000 . . . . . . . . $1,000,00 0 . . . . . . . . . . .
Grassroots nontaxable amount (enter 25% of line 41) . . . . . . . . . . . .
Subtract line 42 from Iute 3t3. Enter -0- If line 42 Is more than hne 36 . . . . . . .
Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 . . . . . . .
Caution: If there Is an amount on Wrier line 43 or line 44, you mu r his Form 4720.
1 !!
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five columns below.
See the instructions for lines 45 tnmwh 50 on paste 11 of the instructions.)
lobbying tupendttuea During 4-Year Averaging Period
I
Calendar year (or
fiscal year beginning In) ^
(e)
2003
45
Lobbying nontaxable amount.
48
Lobbying ceiling amount (150% of line 45(e)),
47
Total lobbying expenditures .
48
Grassroots nontaxable amount .
4e
Grassroots coiling amount (160% of One 48(e))
00
Grassroots lobbying expenditures
OfflWaT
(c)
2001
(b)
2002
,
Lobbvlna Activity by Nonelectlna Public C harities
(For reporting only by organizations that did not complete Part VI-A) (See page 12 of the instructions.)
During the year, did the organization attempt to influence national, state or local legislation, including any
attempt to influence public opinion on a legislative matter or referendum, through the use of:
a Volunteers .
Yes
. . . . . . . . . . . . . . . . . . . .
. . . . . . .
b Paid staff or management pnclude compensation In expenses reported on lines a through h.) .
.
.
.
Media advertisements . . . . . . . . . .
d Mailings to members, legislators, or the public . .
a Publication& or Published or broadcast statements
c
f
g
h
I
(a)
Total
(d)
2000
.
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Grants to other organizations for lobbying purposes . . . . . . . . . . . . . .
Direct contact with legislators, their staffs, government officials, or a legislative body . . . .
Rallies, demonstrations, ssmtnars, conventions, speeches, lectures, or any other means . . .
Total lobbying expenditures (Add lines c through h.) . . , .
.
If 'Yes' to any of the above, also attach a statement giving a detailed desczi ton of the lobbying
Amount
.
.
.
No
.
. .
. .
. .
. .
activities.
aos.dul. A (Farm NO Or 000.52) 2011
12/01/2006
15 57 FAX
513 639 1456
Z013/029
NAIL CITY PCG CINTI
Sctwdute A (Fam ON or 99O Ela 2003
Page ,
jigwM
51
Information Regarding Transfers To and Transactions and Relationships With Noncharttabli
Exempt Organizations (See page 12 of the instructions)
Did the reporting organization directly or indirectly engage in any of the following with any other organization described In sactlo
501(c) of the Code (other than section 501(cu3) orgamxettons) or In secdon 527, relating to political organizations?
e Transfers from the reporting organization to a nonchantable exempt organization of:
tits
R) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(tn Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e
b Other transactions:
(1) Sales or exchanges of assets with a noncharltable exempt organization .
pq
Purchases of ass ets from a noncharitable exempt organization .
p)t) Rental of facilities, equipment, or other assets . . . . . .
(hn Reimbursement arrangements
. . . . . . . . . . .
(v) Loans or loan guarantees . . . . . . . . . . . . .
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b 1
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b II
b(IA
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Yos
No
(v4) Performance of services or membership or tundralsing solicitations
. . . . . . . . . . .
vI
c Shang of facilities, equipment, mailing Ilsts, other assets, or paid employees . . . . . . . . . . .
C
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 th
goods, other easels, or servtoss given by the reporting organization. If the organization recaved lass than fair market value In an
transaction or sharing arrangement, show In column (d) the value of the goods, other assetss, or services received:
52e Is the organization directly or Indirectly affiliated with, or related to, one or more tax-exempt organizations
described In section 501(c) of Vie Code (other than section 601(c)(3)) or in section 5277 . . . . . . ^
❑ Yes
❑ No
16 00 FAX
513 639
1458
Bohol @ A Q'am 00 or
MM
NAIL CITY PCG
023/029
CINTI
I
2W4
Pao 2
Statement. About Actlvdles (See page 2 of the Instructions.)
Yes No
During the year, has the organtzeflon attemptsd to Influence national , state, or local Ieglaletlon, Including any
attempt to Influence public opinion on a Iepteldtlvs matter or referendum? If 'Yes,' enter the total expenees paid
or Incurred in connection with the lobbying sotlvitles
S
Must equal amounts on line 38.
Pen Vi A, or line I of Pelt VI-B.) . . . . . I . . . . . . . . . . . . . . , . , . . . .
Otpanlratlons that made an election under a tlan 501(h) by filing Form 6768 mast complete Pert VI-A Other
organlaatlons oheoldng 'Yes' must mmple. Ievt V1-B AND attach a statement giving a detailed description of
1
1
✓
the Iotlbyln8 activities.
2
i
During the year, has the orguta+<tlon, either dtre^y or Indirectly, engaged In any of the following acts with any
aubstanllel contributors , M13lees dlne.Kara, ofRow% creators, koy wnployeas, or members of they ten Iles, or
with any taxable organtWon with witch any Leuch person Is affiliated as an offoer, d redo. trustee, majority
owner, or principal beneftcfaryr (N the meww ft any quesfbn !r 'Yes, • at arc h a dPA& & afereme n expdehknp the
DomactlonaJ
!
d Paynwrd of oompsneMlon (or payment or gel
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more
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a T}anefer of any part of its income or assaKr I . ,
. . , . . .
as Do you make grants for .cholarshlpa. leflowar [pit, student loan, etc.? pf 'Yee,• attach an explanation of how
you detarmUs that recIplants qualify to receive payments.) . . . . . . . . . . . . . . . . .
b Do you have a section 4030 annuity plan for your employees? . . . .
. . . . . . . . .
4a Did you maintain any ooparate i coo rd for pait{dpating donors where donors have the right to provide advice
on the use or dlsblbutlon of funds?
. . . .
. .
. . . .
b Do you provide eredk couneellnc. debt moneaement. credit reoalr. or debt neootlatlon sevices7 . . . •
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.
of expenses
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2
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a Sale. m change, or leasing of propa1y1 . . I . . . .
e landing of money or Other extension of oredW
. . .
e Furnishing of goods, eervioes. or fa ilmas?
.
...
12/01/2006
-
Zc
2e
✓
sa
l
✓
Reason for Non-Private Found) ion Statue (See pages 3 through 6 of the inst notion.)
The organization Is not a private foundation been" It Is: (Please check only ONE applicable box.)
6
s
❑ A church, convention of church , or seaorllet)on of chunctmsa. Section 1700)(1XA
❑ A school. Section 170(b)(1)(A . (Also complft Pert V.)
7
8
❑ A hospital or a cooperative hospital my" agentatlon . Section 170rp)(1)(A)plq,
❑ A Federal, state. or local government or Adpemmentsi unit Section 170jb)(1)IA)M.
9
❑ A medical raaeert h organ zation operated Ih oonlunctlon with a hospital . Section 170,)(1 gQpll). Enter the hospital's name, aft,
end state ^ ................................. I............................................................................................
❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit.. Section 170kbX1)(A)Q.
(Also complete the Support Schedule In P,1 N,&)
10
.
Ile ❑ M organization that normally receives a eutiplsntlal pert of Its support from a governmental unit or from the general pu bilk. Section
170^)(1)(q)(vl), (Nso complete the Sop - --&.
In Part IV-A)
11b
A community coif Section 170(bX1)VA(W). so complete the Support Schedule In Pat IV-&)
12
l An or ent^sUon that normally recalvei (1) tno a than 3314% of Its support from contribution , membership fees, and g row
receipts from actMt ee related to its char!
, 61m. hmctlonp- subleci to certain exceptions, and 0 no more then 331% of
its support from QM68 Imieetmont YCon^e d urrmlated business taxable income fees se tlon 611 ta+O from businesses acquired
by the orponI tion afar June 30, 1075. Se section 606(eM (Also complete the Support Schedule In Part IV-A)
13
❑ M organization that la not controlled by sn^ dlsquollfled persons ()other than foundation managers) and supports organlsuom
desoAbed In: (1) Gnus 6 through 12 atovw, or IZ section 501 (c)(4), (5). or (0). If they moat the test of section 609(ax2). (See
section 609(a)M.)
Provide the following Information about the supported or antraflons. (See papa 6 of the lnetrualone.)
(a) Name(s) of supported organization(s)
14
I (b) Una number
ham above
❑ M organization organized and operated to led for public safety. Section 609(A)(4). (See page 5 of the Instructions.)
ediais A (1 onn 900 or NO- Et) 2004
1
12/01/2006 16 01 FAX
2024/029
NAIL CITY PCG CINTI
513 639 1458
Pss 3
SdwdL& A jai i 690 of 89-FZ 2004
UMM Support Schedule (Complete only If yoli checked a box online 10, 11, or 12.) Use Dash method of accountb g.
fiem the a ual to the cash method of acmmft
Not.: You may use t e worksheet In tho Mettucdons for
Cat.nda
ar or Aecal
r
nning
^
16
Gifts. prance, end contdbutbro reoelvod. po
10
not Include untsuel
See line 2&).
Membershl tees rece(ved
17
Gross rsoolpts pnm edmissb
10
19
20
2000
8
oO,Z % O-
(b) 2002
(0 2001
SA9 b4 -
3y(. L3
41 . ,T%4
4?,V 6 16
2000
144'1 eB 163^
II
Total
V 0 Se b3 t ^-. t^ I J
. mem%a dlsa
add or eervloes petformed, or furnishing of
Willies in any activity that Is related to the
s
from Interest, dividends,
Gross Income
amounts received from payments on secxirttloa
loans (section 612(a)n rnts, royalf,ae, and
unremted business taxable Income one
section 311 taxes) from businesses acquired
by the
tlon after June 30, 1076 .
Net Income from urtt.lated business
activities not Intruded In Una 1& _
q , b^8
1 7j(o
(2 S47 -
t5 II -
,Ic0
Tax revenues levied for the orUenlradon'e
benefit and either paid to it or expanded on
Its behalf .
21
.
.
.
.
'
The value of services or fadlhies furnished to
23
the organlzWon by a governmental unit
without cher0e. Do not Include the value of
seMces orfecUlt as generally furnished to the
public without charge .
Other Income. Attach a echomp, Do root
Include gain or
from sale of caplw assets
Total of line 15 thro ugh 22. .
24
2s
Une 23 minus line 17,
Biter 1% of fine 23 .
20
Orpe last on. desorfb od on Unee 10 or 11 :
22
Z,
2
5L4)
511Y -
401 436
. 5 52 O
355
^3-1g -t L S d^ -
o { 43
kklh
1,
't Dg '
3 W I'1
-
E) 14
tA I
V ?^Sl 4 t^-
a *2% of smouit In column (e), Yns 24. . , , ^
b Pryers a Got for your records to show the name of hard amount contributed by each person (other ttum a
governmental unit or publicly supported organ
whose teal glHs for 2000 through 2003 exceeded the
amount shown In line 26a. Do not fife this flat with
return Enter the told of a2 those excess amounts ^ 020M
c Total import for section 500(aXl) teat: Enter line 2 column (a) . . . . . . . . . . . . . ^ 2k
d Add: Am unts from column (a) for Ilia
16
19
22
26b
.
e Public salt (line 28c minus Yne 26d total)
!
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26
f Public support pero.ntego 0Ine 26o (rwanore0pf) Acted byfina
(deno^ntnetori)
27
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.^
^
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2a
96
Organizations described on line 12:
a For ampunls Included in fins 16 , 10, and 17 that were received barn a 'dlsquellfled
Wson,' prepare a Ilet for your records to show the r4m at. and total amounts received In each year from, each'di2t uaU001 person.'
Do not Ole We Gat with your r.ta,rn. Enter the sure of such amounts for each year.
(2003) ......... ...
......... aom ........
.......--- (20M) ------------------------- (2000) ..---..------------b For any amount Included In Ina 17 that was received tfom each parson (other then 'dequaGfled persons'), preparo a Bat fa your records to
thew the nuns of, and amount received for each year, that was may than the ism er of (1) the amount on one 25 for the year or Cq $5.000.
pndude in the Pat organizations described In lines 5 through 11, as well as IndWuala.) Do not file We Gat with your none After computing
the dferanoe between the amount received and the tiger amount deeafbed in (1) or M enter the sum of thaw dNfwames (th• excess
amili ts) for each yaw
^
(20(3) ........... ............. C2002) ......... ..9............ (2001) ----•-...d. ........... Q 0eq ........ ................
a
16
_ 639
o Add: Amounts from column (a) for line: I S 4 _00
17
20
21
d Add: Una 27a taint
and I no 27b total
e Public support 01ne 27c total minus fine 27d total)- _ .
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1l
, t`I %
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,^
27d
14
10
f Total support fork section 500(x)(2) teat Eder amougt from line 2& column (e) . . ^ I7f
uh M 1'2^
g Puma ■uppon P*1CW, op . pine 27e (numerator) divided by l as 27f (denominotor ) .
9
2f
S
_ ^
It b ostn^ .nt Incom e
pe Me 18, aft" a
divided
nine 27f d.nominalo . ^ imh
1.0
20 Unusual grants: For an organization described In kne 10, 11, or 12 that received any unmual grants durtnp 2000 thmuph 2003.
prepare a 29 for your records to show, for each ygar. the name of the oonbibutor, the date and amount of the grams, and a brief
description of the nattue o f the prwit. Do not file 1
I let with your return, Do not Include these grants In line 1 5.
sobrdir- A VWm Does NO-932 --
12/01/2008 18 01 FAX
fj 025/029
NAIL CITY PCG CINTI
513 639 1458
8dasb+le A form V O or aOO-M 2004
Paso 4
Private School Questionnaire (S
page 7 of the Inctructtona.)
ffo be completed ONLY by schools dwit checked the box on 11ne 0 In Part
29
30
Does the organization have a racially nondiscriminatory policy toward students by etalemgnt in I charter . bylaws ,
of it governing Instrument, or In a resolution of ^e governing body/? . . . . . . . . . . . . . .
Does the organization Include a statement of Its racially nondls s1 natory policy toward student In eN No
31
brochures , catalogues , and other wrftten comrhunlcaflona with to public dealing with sOident admissions.
pmgreme, and eeholarehlps7 . . . .
. . . . . . . . . . . . . . . . .
Has the organization publicized Its racially nondl*minatory policy through newspaper or bmadcaat made during
Ya me
29
the period of ooncitatlon for students. or during rig registration period II It has no eollclatbn gogrom, In a way
that makes the policy known to all parts of the general comrnunlty It serves? .
If 'Yes,' please describe; If 'No,' please explain M you need more apace. attach a separate stetement) .
.
...-----•--------------------------------------------. . ....................... . . . ........ . . .. .............................
----------------------•--....------------------...........................................................................
-------------------•-•----•--•-••----------•------•--......................................... ........ ....................
32
Does the organization maintain the following:
I
a Records Indicating the racial composition of the b. dent body. hourly. and administrative staff? . . . . .
b Records documenting that scholarships and otherlfinanclu1 easlatanos are awarded on a racially nondloAmirtatory
basis? . . . . . . . . . . . . . ...
o Copies of aG catalogues, brochures, announcer", and otheer written communlcatlone to the public dealhq
with student admiseior», program, and scholaraNpo?
32c
.
d Copies of all material used by the organization o. on its behaM to solicit oontilbutiona? .
If you anowored
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32d
NO' to any of the above, plame ^tplaln. Of you rood more mac. attach a separate St cement,)
.................................................... .
33
329
Dose the organization dlsorfrrdnate by race In
.............. ..........•---..........--............-•----..--....
Way with moped to . ............ ........... ..... ..............
a SWdents', rights or pdvpeges7 .
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b Admissions policies? .
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33m
o Employment of faculty or administrative stafH •
d Schatershlps or other lirianolal nasletanoe? .
a Educational policies? .
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1 Use of tacWtias7
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g AlNetlc programs?.
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h Other exlrocunlcular actMtIea?.
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It you answered Yee- to any at the above, plsaae
n• (if you need more apace, ntta h a separate emmr+srd )
......................................................
---.-_.........-----....-__.--------..........--. --..-_--..--...
i
-------------- --------------------------------------4. -__-_.-----............---...--•---........ --.---_-•----.--_---..
i
34e Doers the organization racefo any financial aid or ambtanoa from a govermlantal agency?
.
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. . . .
b Has the organI adon's right to each aid over bead revoked or suapondod 7 . . . . .
If you answered Yea' to either 346 or b, please explain using an amscrod atatwnent
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.
36
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.
Does the orgsr z.adon certify that It has compiled w th the applicable requirements of sections 4.01 through 4.05
of Rev. Prop- 76-60,1976-2 C,B6687. covering ra Il nondiscrlmhoon? If 'No., attach an exojana ion
.
,
30
8810" A Osm YYe s p0^6a
12/01/2006
16 02 FAX
1j026/029
NAIL CITY PCG CINTI
513 639 1458
eemaW@ A F«m ISo ar e10-Z) 2004
I
ply
Lobbying Expend iture' by EJeatln Pub" Charftlev (See page 9 of the Instructlons.)
(lb be completed ONLY by an e1i91w9eniratlon that tiled Form 5769)
Check ^ e
to an &Nllleted gmp,
If the
Check ^
b
It you d ecW %, and -Ymil.d cor^trW' PVAJOM
Umits an Lobbying E"tturea
•
Min^^
(The tern 'ependlture4' mans arrounta paid or hoard.)
30
37
38
39
4o
41
42
43
44
Total lobbying expenditure to Influence public oplnl^n (proaeroota Iobb1Mg) . . . .
TOW bbbying expenditures to Influence a legislative body (direct lobbying). . . .
Total lobbying eependitutee (add linen 38 and 37). I. . . . . . . . . . .
OW exempt purpm expendfwrea . . . . . I. . . . . . . . . . . .
Total exempt purpose expendltiree (add Iln•I 38 er1Q 3B) . . . . . . . . . .
Lobbying nontakab!e amount Enter the amount Iron{ the following tableIf tho amount on line 40 Is.The 1obbyi
nontaxable enhount IrNot over 5500,000. . . . . . . 20% of the amount on Una 40 . . . . .
0 X000 but not war $1AOO,000 . $100,000 pigs 1596 of the Maws over $500,000
Oran $1x,000 but not over *1,600.000 . $175,000 pt 10% Of ft MUSS over 61.000,000
Over i1,600,000 but not over =17,000,000. $226,000 plp 5% of the axe's aver $1,600.000
Ora V
. . . . . . . $1,000,000 . . .
Gra roots nontaxable amount (enter 26% of line 41) . . .
Subtract Im 42 from Ilno 96. Fitter -o- If Una 42 Is n'iore than
Subtrsol line 41 from Nne 38. Enter -0- H One 41 to mono then
CaWlon: if there Is an amount an 'filer Ilse 43 or
. .
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. . .
Wo 36.
One 38.
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To be oQvr^ed
for Nl ehNlh
&Wwbau-
30
so
40
41
41
49
44
.
44, you neat Be Form 4720
4-Year AveragIng Period Under Section 601(h)
(Same organizations that made a auction 501N election do not have to aomptele all of the five column' below.
See the Inavuctlona for Line' 45 iMm ugh 50 on page 11 of the Inc uctlons.
I
Calendar year (or
fl
I
nIn in) ^
46
Lobbying nontexobte amount
46
Lobbying oelnng amount (150% of Ire 45(e))
47
Total lobbying expenditure'
4A
Grassroots nor xablo amount .
4e
Grawoom ceiling amount (150% of One 49(e))
60
lobbying expendto
Lobbying
ndlihzee During 4-Yoar Averaging Period
(a)
(b)
(c)
(d)
(e7
2004
2009
2002
2001
Tota!
s .
Lobbying ACiI I V by Nonelectfid Public Chant"
or reporting only
lzetlona that did not com plete P9A M-/) (See a
During the year, did the organization attempt to Influ•rne na lord, state or local legislation , Induding any
attempt to Influence public opinion on a legislative mett•1' or rot rsndum, ttvuugh fho use of-
a Volunteese . . . . . . . . . .
b Pad staff or maneporrent (Include compensation in expenses reported on lines a through h.).
a Media advertleements .
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.
11 of the Instructions.
Yes No
Amount
.
d MafIngs to members, leglelazors , or the public .
. .
• Pubucatlone , or published or broadcast etaternwU l . .
. . .
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f manta to other organization for lobbying purpose
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o Direct contact with leglelators . their •teffo, govom r ert officials, or a lapialatfv body.
.
hI Rallies, demonstndions, a•min. e, Convention , e
lectures, or any other means
.
p".
Total lobbying expenditur (Add Iln o through h . .
.
If 'Yes' to any of the above , also attach a sit temeM aMno ■ detailed dsacrtotlon of the Iobbv* a •ctvWes.
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0C11
4. A /bow 000 or MO.RIQ _
6
12/01/2006 18 03 FAX
it
IA027/029
NATL CITY PCG CINTI
513 639 1456
Ii
SditAe A Foes 900 or 88 -f 2004
I
pow 6
Informetlon Regerding Trensfei To mod Transactlona and Relatlon.hlpa Walt Noncherftsble Exempt
OrganltaUone (See page 11 of the Instructbns,)
DId to reporting organkaUon directly or Indkectly engaps In any of the following with any other orpanlatlon doaatthsd in seabn
501(c) of the Code (other than section 601 (,)(3) oripnI atlcna) or In section GZT, relating to political organizetlow
61
Yes No
a Tranelere from the reporting OrganMon to a nonch0r11abte exempt organization at
Mcamh .............
(IQ other assets . . . . . . . . . _ .
b Other Vanea0tlona:
,
.................
. . . . . . . . . . . . . . . . .
M Sales or
ngee of moats with a Iwrdwtlabb exempt apaniation .
Q9 Puchase4 of assets from v not amiable xempt10MOrdnetion . . . .
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OIQ Rent of
. equipment. or other asses ...
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0^) R.Imbursenwnt arrano.n.
. . . .
. . . . . . . . . . . . . . . . .
M Loeb or loan guarantor .
.
bon
bOM
. i .
(Vq Performance of services or mamb«wNp or fundrel&rg souataeon
. . . . . . . . . . .
o SWna of fadlttl s, equipment, mailing Uste, other asset, or paid employees .
d
sts
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o
M the mailer to any of the above Is 'Yes; complete the Wolb sing echsdda Column (b ) should uhwaye snow the fair market value of we
goods, other assets or eaivbea given by the repoAing; organization . II the orgenPrtlon received less th
fair market value in any
transaction or shat ng artanomunt, show In column (d) the value of the goods, ott a
b, or esnkea received:
We Is the o%wft ion directly or Indirectly WTIlated with, for related to, one or more taxozsmpt orations
de=dbed In section 501(c) of the Code (other than salon 601(c)p)) or In section 0277
.
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p Ye.
D No
12/01/2006 16 03 FAX
12029/029
NAIL CITY PCG CINTI
513 639 1456
Ran !MA (tsQ0a01
.
^^ tqp 2
. If you we 1Nbp for an Addltlorml (not and ms
3 M,Ah bmma m ow*io% any Pars it and oheolc this box .
C3.
^
Neff O* oonlpbd Pr,t U If YOU has. &§U * been penW an wAom ft 0-amth aabmuon an a ptirlo
Ilfid!coon 698
• If you ax, Ono for an Atdomallo S-Manh jai
n. mndre. duft Peai I Mn .,.
i
Tfim or
prim .
liana d 6r^lipf 01pa^itlo 1
F^. ey fr
NWON, sb . an0
`^Mf°i°aa a
aw
lmpl6ww Mormt odlon nan{bor
rw. If q P.O. boot, as
sAj^t
For M use only
o g 0%
iQ a fmo admsN, S ivInmoom
ow. to un or pod co* .m, aid ap
houmom
ySy
'
Cheek try. of n and to be 1.d OU e aapaab aWical n
each rs4um)e
C •dn+ goo
❑ Firm ST (. a. r01W or 4OW " O Fenn 1ot1 ,A
^] win 99O❑ Farm X61. U Fort 900.PR ❑ Fam 69C^T Most oar 9m !"
13 Emoo
BTTOP. Do not oompl.S. Part 111 pw w" =a
NO
•
O Form 6227 ❑ Form e8To
g=
Q
k d an moils $ ma,l
on ■ pnvlomsI% food Form 888&
mift^
• It the oipartat an does not have an o/Na or plalm of bueinesa in tltla Unlbed eteia , I
this boor . .
. . . ^ ❑
• M this U fare Group Ro n% inter tM
Wtlonti !bur dl9R Qvup DwPtn mama
. If this is '
for In MboM gfoW. c;hwklhls -boxbIf k h for par! of the Woup , oh.cfc t is box
and attach a 0st with the
4
e
•
1 request an addMlaia! 3irmth odwalori of Wmm
uaMA.,....'4^_I ...._...........
Fa odel,ear yaarZ ?. or co w UK year
Wdn0 ....
.... .:..• 213... . n a
If No to year to for rasa tfwn.12 montlw,
res= . 13 WUsl whin
FIn .
tl^^4" "y yyou need as.lwA.lo
..........
.
•....«•........ ................. .............
.
......
Be If he applaatlon to for F«m 990-6L. wo t
nonefund.bti c odits. She Iruv a on. .
d• If this aoprod,on Is for Roan 000-P1 660. I
ua payments nmdo. InCkJ
airy prior
WarW* vft Form 8868
o • BWuwe Duo. BubI - I One eb
coupon or, If opal
lud
arm
by
4 he
1e pew
...................
•
.. 8 g, elAer the
• •
. .
t
inch
ow
as a credit w
O
O
,arc, low any
;
.
ano ..m,^atad
amount paid
i
a4oa
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❑
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end Virlfbatlon
f^. ^
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r pgment with We form. or, It roQuk d, dapodt
nb Fedsrd Tax payw . &,own . boa
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•
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1 Is be, oo. oek ed as I l I ^ ord tp I .m amh
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............... 20.
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we how Wperod w..vpen&& Pl.....lban,ft tarn 1o er.pw* ioe'.
,n,
W. Mm net q*rw.d a+1..pp1eallm However, fir. has go led a,D4W g-ft p.1 04 Alon+ to how d to dam 8100
show or to am
dw of t aowftmdon's roan anCA
IV
1
DWO V.od Is ooti14to to a mid worAoi at tame for d.etlons
oth. he r ked to be nwdo on a W+&r ram Pbw O 5. am b" oromen' . rep%
5* ppkieWR Alter oor^d^elrp
Wi Arm not ippi
n.^ar NrMdln then 7, aw oarr+d W^q poia i u to ^n od^^lon OI tlme
to 8a W. we not pnvft a 1 0-ft 0roo0 Pori*
WI eWfM m+mr er..p~on b.em.. It lia. OW Ow o» *a dm. Of W.'wWM for riven In
we nam.e.a
WY
............................. M----- w ...... .......... ........ «............... w...................._....
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GY or Wm% peM.i i or 1004 .nd OmmW
PAh best ftmbew
,vaW er Zw ood.l
ram 8868 t13-3M
12/01/2006 16 03 FAX
028/029
NAIL CITY PCG CINTI
513 639 1456
Application for Extenelon of Time To File an
F,•b 8868
Exempt Or
owre^.idO.1
wnrl nu•^r 9^erw
i
nisetlon Retunt
P. F" so" Ili lO bn Ibr aabh nasty
• If yro i ass ®In fbr an Aa mNio b*OEM gdws one oaiYplola a* Pat I and clock this box . .
. . ^ O
• M you am IWng for an MdMan (rwt auton+ado) 3-Mo, i EmbrAWN oanpist any Part 11 (on pip 2 of this form).
Nate Do nit asnpl^to PAW ll
a P9 h.ra *bus* biro yaebd are kdwna( 3.moneh arftmMm an a pIYNolW Mod
>
a^a
Automa* 3-Month E*t.nalon of Timo---0i
submit original (no copies needed)
Note Fane'Oo .T=WwbV n. mgmvdV an aubvis c &e,onth atwmfars - iock a*bar and cm,
to Pled I of* . . . ^ O
AN oth w
a st an axl^g^talon of eons to if. Mcanv tm
flaaa PWLVSV Form 990-0 NNV mutt usa } rm 7W4 b I
mtwna
R9AIr and dumb nngf use Form ^ fu' req'sat an adenelon of tons to No Form 1 085 ioea of 1041.
Now d Bobo Oi
ian
I
^nploYar Idsn}Acsfoa maabir
IV" or
SI:08165 1
dW 5
Eff •
f^ p yelr
MM*W•
10M w WuM M K a P.O. Eimr.
I.
jp6 tog
q
Y. Gras a Pat ollloa, ow and wP owe, Far
Crock ". d .hm
4abo fbd po a avpor+ab oppdco m
• If Me o
M vamem.
aoh mbzl.
Fcwm 900-T Owpowk4
® Form 000-T Oen. 401(Qor 4Ze
Fam Osi-T cwt c6w Ban
7
U-16M No
Form MBL•
O Form !04EZ
i
dd,
cn dow not have an off a arp1.oe
of
V,V
chock thlo boot
4
-• M oft to fora aroma Raiff, tf8^ar the ofpe^t1o&a lour
pinup, ahedc V* box Do- E3 . It It Is for
for to w!
names
d
I
I mquSS1 an ato(T
3-rrwII (6-month , tar
to ft Ow a mpt oipinm!!on return for the
we
,wined
^ C7 1 yew begWa o ................................. , ....
2
M 00 toy year Is for leave than 12 monllw1 check raosa+
Form 4720
S Forth X27
+ 609D
. . .
oa s1on of tlme and ..........7-/15..... , 200
The wbrsdon Is for the o 9madlogti m0urn tor:
■ dII
................................... so ....
❑ In d& mbim (7 RW I hen ❑ Chance In aoow*V perbd
98 If 9 &p9U don b to Form 98a8L, A9G..Pf 99T, 4m, Cr moe9, enw. the tentative ta^c. Ives any
nomftaxt is cNd See Inftiualo a . . . .
. . . . . . . . . . . . . . .
b M this uppYeatlon Is for Form 990-PF or 990.T, enter uy'l9funda0h crodlb and os*mted tin paymort
made. Uarada W7
Year owo,payewA vowed an a oAdt .
. . . . . . . . . .
parnrr>t with fhb form. or. If mqubo4 dapoett
a found Vv& SU*md Ikn 3b from One U Include r
w#ikvd. ' by, u09 • FFTPB°( .alronlo PadwW T" PoWnw. e~, Ben
on or, H
I fth F loneOmp
IAW (ow %w d PwW. I donut trt 11w• w=*wd Qi Isw 5 aatrl- ^pmop^r ^oA^dlr ad ^tr^ri^, a
ad owls.. ad O 1 w m*abd is pWm oft b
A b bin as
Or 5
b,
For P.pwusit P- ' i Ain Nods., Ma ^li11o1{Ofl
•
I
. . . ^ ❑
(OEM `_., . M Ihk Is
^ 13 and aUaoh a gat with the
e
O_
bMt d ^r IeioMrlp. rd bdA,
Dd• P.
tM N.. !'MID
Foaw 8888 r 34ooq
0
,
12/01/2006
15 57 FAX
513 639
NAIL CITY PCG
1456
2015/029
CINTI
Form SSsS fl2-oooi
page 2
• 11 you or e filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box
^ ❑
Not. Only complete Part Il If you have already bee ,, granted an automatic 9-month exrenalon on a pvsv/oualr NW Form aM
• If ou are fin for an Automatic 3-Month ExteIlon , complete only Part I (on a
type or
print
File by the
sdendsd
du. dale for
All
'rwwuuo
tfl r .See
+s
Additional (not automatic 3-Month Extension of Time-Must
Name of Exempt Organization
UjAM
Number , street , and
or
ftem
0 g OV
1 ).
to Original and One Copy,
Employer Identification number
no no. It a P.O box , see instnutione
For tRS use only
City, town
post office, state, and ZIP
. O a foreign address, we IneWction9,
^de
wr^c^.... stiff. in w ^iS
t
r^+ -
a
y o `.• - ,
Check type of nrium to be filed (File a separate application for each return):
Lone 900
❑ Farm 990-BL
0 Form 990-EZ
❑ Form 990-PF
❑ Form 990-T (sec. 401 (8) or 406(a) butt)
❑ Form 990-T (trust other than above)
❑ Form 1041-A
❑ Form 4720
❑ Form 5227 ❑ Form BB70
❑ Form 6069
STOP: Do not complete Part 11 If you were not alrea dy granted an automatic 3-month extension on a previously filed Form 9865.
• If the organization does not have an office or place of business In the United States, check this box
• If this 15 for a Group Return , enter the organization 's tour digit Group Exemption Number (GENE
.
.
.
.
. . ^ ❑
. If this is
for the whole group , chock this box W ❑ . It it Is for part of the group, check this box W ❑ and attach a list with the
names an EIMs of all mem rs the extension 1s for.
4 I request an addlttonal 3-month extension of time until .......
........................... 20Q.
5
For calendar year
6
7
If this tax yew Is for less than 12 months, check reason : ❑ Initial return ❑ Final return ❑ Change in accounting period
State In detail w y you need the extension ....... .. „ .
...
.....
i.... ^.". .....--!' .......................................••-.........................
........... .I
.'
, or other tax year beginning .................... . 20... and ending ..................... , 20.....
as If this application Is for Form 990-8L, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, leas any
nonrefundable credits. See Instructions . . . . . . . . . . . . . . . . . . . . . .
If this application Is for Form 990-PF. 990-T, 4720 . or 6069, enter any refundable credits and estimated
tax payments made . Include any prior year overpayment all
s a credit and any amount paid
pmviously with Form 8868
. . . . . . . . . .
. .
, . . .
Balance Due. Subtract line Bb from line Ba. Include your pa
nt w h is form , or. It requii ed, deposit
with FTD coupon or, If required , by using EFTPS
tc F
a
9
S
Tax Payment System). See
ra
S
Under pennies of penury, I declare Qw I have exarntn•d ills
neluAi
h Ie sire. correct, and complete. and that I AM AWaUsd to preftM
' the
SlAneture .
❑
❑
❑
❑
❑
aCoompjr^ inp soh
v
lee
d atatemente, and to the beet of my hwwtadge and bsner.
Tide ^
Data •
Notice to Applicant-To Be Completed by the IRS
We have approved this application, Please attach this form to the organtzatlon'e return.
We have not approved thin application However, we have granted a 10day grace period from the [star of the date shown below or the due
date of the organizat on's return (inck,dmg any prior extensions). This grace penod is considered to be a valid extension of time for elections
otherwise required to be made on a timely return. Please attach this form to the organization's return.
We have not approved this application. After considering the reasons stated in Item 7, we cannot grant your request for an extension of time
to file. We are not granting a 10-day grace period
We cannot consider this application because it was sled after the due We or the return for which an extension was requested.
Other .........................................................................................................................................
By
ate.
Data
Alternate Melling Address - Enter the address if you want the copy of this application for an additional 3-month extension
returned to an address different than the one entered above.
Name
Type or
print
I Number and etnset (Include suite. room, or apt no.) Or a P.O. box number
City or town, province or state, and country (including postal or ZIP
roes 88$8 (12.2000)
12/01/2006 15 57 FAX
8666
ember 20001
[J 014/029
NAIL CITY PCG CINTI
513 639 1456
Application for Extension of Time To File an
Exempt Organization Return
Deper"" d to T
UMWM p^,w 80,,,a
OMB 140. I&4S-1709
^ Rio a separate application for each return.
• If you are filing for an Automatic 3-Month Extension , oompl•ta only Part I and check this box . . . . . . , . ^ ❑
• If you are Ong for an Additional (rot
) 3-Month Extension, complete only Part 11 (on page 2 of this form).
Mote: Do not complete Part U unless you have abeedy been granted an automatic 3-month extwu/on on a pnevlously Sited
Form am
Automatic 3-Month Extension of Time-Only submit original (no copies needed)
-
Now; Form 890-T oorporatbna requeatktp on eitomeb'c 6-month wctonslon-check this box and complete Part I only . . . ^ ❑
All other corporations gncbding Form 990-C filers) must use Form 7004 to request an exdenslon of time to file (ncoma tax
returner Pan'nersh' , REMICS and trusts must use Form 6736 to request an extension of time to file Form 1065, 1066, or 1041.
Type or
Name of EXVnpt Organization
1 Fmptoyrer Identification number
31:O81B51 I
print
File by the
a9 Qse9for
RIk,Q yov.
nern ese
tnstn,etlons
Ntmbsr, streett, end)room or suns no. If a P.O. box, see
City. town or post office, state, and LP code. For a foralpn address, we Instructions.
Check type of retum to be Ned (file a separate application for each m t un):
R^forrn 990
U Form 99D-8L
0 Form 990-EZ
❑ Form 990-T (corporation)
❑ Form 990-T (sec. 401(a) or 409(e) trust)
Q Form 990-T (trust other than above)
❑ Form 4720
❑ Form 5227
❑ Form 6069
• If the organization does not have an office or p4m of business In the United States, check this box
. . . . . . ^ ❑
• If this is for a Group Retum, enter the organization's four digit Group Fxem ion Number (GEN)
. If this is
for the whole group. check this box ^ ❑ . If It Is for part of the group. ch c\tpls box ^ ❑ and attach a list with the
I request an automatic 3-month (6-month , for 990-T co
xte
to file the exempt organization return for the organization n
Th
^ Q'calendar year 20 93 or
2
of time until .. ........ J )S.....-,-20-0
nsion Is la the organh^tion 's return for.
^ ❑ tax year beginning ..........................
2 -g
tandin
It this tax year Is for loan than 12 months , check 101aW
❑ Initial return
........ , 20
❑ Final return ❑ Change in accounting period
3a If this applicallon Is for Form 990-BL 990-PF, 990-T. 4720, or 6069, enter the tentative
nonrefundable credits. See Instructions . . . . . . . . . . . . . . . . .
b If this application Is for Form 990-PF or 990 -T, enter any refundable credits and estimated
made . Include any prior year overpaymern allowed as a credit . . . . . . . . .
tax, lose any
. . . . .
tax payments
. . . . .
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form , or, If required, deposit
with FID coupon or, If required , by using EFTPS (Elect, mo Federal Tax Payment System). See
Instructions
. . . . . . . . . . . . . . . . .
$
• - o
Signature and Verification
UnOrr pSnlt
of penury, I dschrs'sgt I how emuntneo VW Fpm, Ir uerU accent anyiy sehedulas and stOMmsnts, and 1o Ole
K is MA. cm w and oanpbte. end gat I am audtwt[ad to orlpsre This form.
81oisturs I
For Paperwork Reduction Act Notice , see Insbuctlon
TMe P
`
Cat No. 27519D
it of my laowledQe and ballet
Oats ^
Form 8869 (I2.2Oxt