aIll f - Foundation Center

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F~ m
X90-EZ
Short Form
Return of Organization Exempt From Income Tax
OMB No
1545 1150
2002
Under section 501(c). 527, or 4947(a)(1) of the Internal Revenue Code (except black lung
benefit trust or prnate foundation)
P For organizations with gross receipts less than 5700000 end total asses less
than $250 ODO al the end of [he year
Drpanmmi a1inc r"easvy
imam ieen~ 5er..ce
No The organization ma have to use a co o! this return m satisfy state reporting re quirement
A For the Y002 caleW ^" ^-- -- "-- ---~-----""
"" ' """"" ' """""" ""6DIGIT13901
8 Clan Ail app4cade
I Employer identilc2ypn number
29 113 VK 16-0873608
200312
p AaalMicMnye
16 087$606
e ~,~
FENTON FREE LIBRARY ASSOCIATION
R
Telephone
number
VnWrmun
1062CHENANGOST
S
1 607 ~ 724-8649
Fon,ilreturn
BINGHAMTON NY 13901-1790
P-21 P21
Pm`nOM~elun
Enter 4 digit (GEN)
I uiI I nI I iI iI uI I uunI I I uI I I niI I iI uI I nu~~uuI iI niI I I
M* a wnpeiq vg
0 Section 501(c)(3) organizations end 1947/al(1) rione+empt charitable trusts must attach
e completed Schedule A (Form 990 or 990-E7)
I
G Accounting method
Other (speci fy )
H Check ~ D if the organization
is nod required to attach
Schedule B (Form 990 990 EZ or 990 PF)
Wc~b site " NBA
J Or ganization type (check only one)- 0 501(c)
3
[] 4947 (a)( 1 ) or 0 527
" insert no
0 Cash 0 Accrual
K Ch,cx W [D it the orgauaauon s gross receipts aye normally not more than E25 000 The organization need not fle a return vath the IRS but if the
orgenizauon received a Fwm 990 Package in the mail it should file a return without financial data Some states require a complete return
L Add ones Sb 6D and 7b to line 9 to determine gross receipts d $700000 or mae foe Form 990 instead of Form 990 EZ
" S
60609
Revenue Ex penses, and Changes in Net Assets or Fund Balances
1
2
3
i C
Special events and activities (attach schedule)
Gross revenue (not including 8
reported on line 1)
of contributions
_
j
c Net income or (loss) from special events and activities (line 6a less line 6b)
c Gross profit or (loss) from sales of inventory (line 7a less line 7b)
Other revenue (describe ll~
Total revenue (add lines 1 2 3, 4, Sc, 6c 7c and 8)
10
~N
y
c
a
"'
N
a
m
Z
11
Grants and similar amounts paid (attach schedule)
Benefits paid to or for members
i
"
Salaries ocher compensation and employee benefits
Professional fees and other payments to independent contra
15
16
17
Printing publications postage and shipping
Other expenses (describe "
Total ex penses (add lines 10through
through 16)
18
Excess or (deficit) for the year (line 9 less line 17)
19
Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year s return)
Other changes in net assets or fund balances (attach explanation)
Net assets or fund balances at end of ear (combine fines 18 through 20)
. "
1113 111M
Occupancy rent utilities and maintenance
a
0
9
qrs
~
~ 2003
MAY 1=2
~..
i=
~
~
'°
60609
0
0
36271
~I
1
13
1458
~
15
3327
0
Q )
14
16
77
11810
52866
18
»
19
0110/1
20
125547
21
0
133290
Balance Sheets-If Total assets on line 25, column (B) are E250 000 or more file Form 990 instead of Form 990-EZ
(A) Beginning 0f yew
Isl [W of yeas
(See page 39 0l the instructions)
22
Cash savings and investments
23
Land and buildings
_
41722 22
83825 24
84564
125547 25
135769
125547 ~27~
135169
24
Other assets (describe "
~
26
27
Total assets
Total liabilities (descnbe "
Net assets or fund balances (line 27 of column (B) must agree with line 21)
i
25
7c
8
~`$'C11
~'+
vCINtL7
I'
12
13
20
21
0
10
12
14
6c
Gross sales of inventory less returns and allowances
b Less cost of goods sold
8
9
0
Sc
~a
6b
b Less direct expenses other than fundraising expenses
7a
0
1130
Sb
c Gain or (loss) from sale of assets other than inventory (line Sa less line Sb) (attach schedule)
a
4247
Sa
Gross amount from sale of assets other than inventory
b Less cost or other basis and sales expenses
6
55232
4
Investment income
Sa
>
1
Program service revenue including government fees and contracts
Membership dues and assessments
3
4
>+3
a e 36 0( the instructions
Contributions gifts, grants and similar amounts received
2
0!
~
See
For Paperwork Reduction Act Notice, see the separate instructions
0 23
_
~--
Cal No 106421
0 26
50605
0
0
Fun, 990"EZ 120021
aIll f
Form 990
.EZ (2002)
Statement of Pro g ram Service Accom plishments See pa g e 39 of the instructions
LE'ND RooKS
What is the organization's primary exempt purpose?
Describe what was achieved in carrying out the organization's exempt purposes In a clear end concise manner,
describe the services provided, the number of persons benefited, or other relevant information for each program tide
e.pensesif
page Z
(Requires for 501(c)(3)
and (4) or g?nv2UOns
and 49a7(a)(1) trusts,
optional for others)
28
29
30
Grants E
28a
Grants
29a
Grants $
30a
31 Other program services (attach schedule)
Grants S
31a
32 Total ro ram service ex penses (ads lines 2Ba through 31 a)
" 32
List of Officers, Directors, Trustees, and Key Em to ees (List each one even d not com ensated See page 40 of the instructions
(N Name and address
SEE
33
36
35
an'l~<NEO
LAST
B1no~BnO e~kge
pa
deviled b
p osition
(C) Co rtqlmuatron
(~ Contributions to
Qt rot palq
employee benefit plain
entef -0- ~
deferred compensation
(q Expense
account and
other allowances
Other Information Note the attachment re quirement in General Instruction V, page 14 )
Did the organization engage m any activity not previously reported to the IRS If 'Yes,' attach a detailed description of each activity
Wye any changes made to the agonizing a governing documents but not reported to the IRS II 'Yes; attach a conformed copy of the charges
Yes No
I/ the organisation had income from business activities, such as those reported on lines 2, 6, and 7 (among others, but not
reported on Form 990-T attach a statement explaining your reason (or not reporting the income on Form 990-T
Pool
a Did the organization have unrelated business gross income of $ 1,000 or more or 6033(e) notice, reporting, and proxy tax requirements?
b If "Yes' has it filed a tax return on Form 990-T for this year'!
36 Was there a liquidation, dissolution, termination, or substantial contraction during the years (If 'Yes,' attach a statement )
37a Enter amount of polnical expenditures, direct or indirect, as described in the instructions " 37a
b Did the organization file Form 1120-POL for this years
38a Did the organization borrow (torn, or make any loans to, any officer, director, trustee or key employee or were tiny
such loans made in a prior year and still unpaid at the start of the period covered by this retum"?
38b
b If 'Yes,' attach the schedule specified in the brie 38 instructions and enter the amount involved
39a
39 507(c)(7) organizations Enter a Initiation (ties and capital contributions included on line 9
39b
b Gross receipts included on line 9 for public use of club facilities
IOa 507(c)13) organizations Enter Amount of lax imposed on the organization during the year under
section 4911 "
, section 4912 "
, section 4955 "
b 501(c)(3) and (4) organizations 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 yea( If 'Yes, attach an explanation
e Amount o1 tax imposed on organization managers or disqualified persons during the year under 4912 4955, and 4958 10,
d Enter Amount of tax on line 40c, above reimbursed by [he organization
41 List the states with which a copy of this return is filed
42
43
The books are in care of " F&N'M H F:4t.F6 L-1 0, 11e11
Located at " 1o `Z <NENLNbU ST RI NC-46,
Section 4947(a)(1) nonexempt charitable trusts filing Form 9
and enter the amount of tax-exempt interest received or a cc
Under penaNes d perjury I declare that I haw examined this realm
end ballet it .s !rile cared end complete Declamuon of prepare
Please
Sign
Here
I's.
or brim name aria title
Pald
PI2E12fCf'5
Use Only
Preparefs,
Signature
Firm s name (a yours
d sell employM)
address and ZIP + 4
" `
~
^
,i
Tale hone no " ( be'1 )'tip- 4645
SCH~ DUDE A
Organization Exempt Under Section 501(c) (3)
peparlrreni of IM Trcasuh
mo~ w. ~~o, s.
Supplementary Information-(See separate instructions.)
" MUST be completed 6v the above orvanlzstbns and attached to their Forth 890 a 9B0-EZ
(Except Private Foundation) and Sedan 501(e), 501(Q, 501(1c),
501(n), or Section 4917(a)(1) Nonexempt charitable Trust
(Form 990 or 990" EZ)
Nam of me organi :euon
QMB No 1545 0047
200
2
Employer ul*ntil'i"tron number
1 b 1 o11115 (oob
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See page 1 of the instructions List each one If there are none, enter "None ")
FENTO^1
FREE
L- 64 .d2
(e) Nome and address d each cmpayee paid mare
Iran $50 000
~) TN
. and average hours
per week ae+oted to possum
(c) Comqnsatron
(4) ConvIONlms
mplogee benefit Pill,
10
(e) Expense
au .wn^t yno otn,;i
Now1E
Total number of other employees paid over
$50,000
10,
Compensation of the Five Highest Paid It
(See oaae 2 of the instructions List each one
(e) Name and address of each Independent contractor peso more than $50 000
:nt Contractors (or Professional Services
individuals or firmsl if there are none enter "None
(b) Type al service
I
(<) Compensation
!N C) N 45
Total number of others receiAnq over $50,000 for
proles ",ional services
For Paparrat Reduction Act Notee, see the ImNCUOns la Form 990 and Farm 99o-EZ
Cap No 112fl5F
Schodule A (form 990 a B90-EZ) 2002
Schedule A (Form 990 or 990-EZ) 2002
Page 2
Statements About Activities (See page 2 0( the instructions )
t
Yes
2
During the year has the organization attempted to influence national, state, or local legislation including any
attempt to influence public opinion on a legislative matter or referendum? If 'Yes,' enter the total expenses paid
or incurred in connection with the lobbying activities " S
(Must equal amounts on line 38,
Part VI-A or line 1 of Part VI-B )
Organizations that made an election under section 501(h) by filing Form 5768 must complete Pan VI-A Other
organizations checking "Yes, must complete Part VI-B AND attach a statement giving a detailed description of
the lobbying activities
No
1
During the year, has the organization, ether directly or indirectly, engaged in any of the following acts with any
substantial contributors, trustees, directors, officers, creators, key employees, or members of then families or
with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority
owner or principal beneficiary? (If the answer to any question is "Yes,"attach a detailed statement explaining the
transactions )
a Safe exchange or leasing of property?
b
Lending of money or other extension of credit?
c
Furnishing of goods serviLes, or facilities?
d
Payment of compensation (or payment or reimbursement of expenses if more than $1 0007
e Transfer of any part of its income or assets?
3
Does the organization make grants for scholarships fellowships, student loans, etc ? (See Note below)
4
Do you have a section 403(b) annuity plan for your employees?
Note Attach a statement to explain how the organization determines that individuals or organizations receiving grants
w loans from R m furtherance of it charitable programs "quality' to receive payments
4
Reason (a Non-Private Foundation Status (See pages 3 through 5 of the instructions )
the organization is not a private foundation because it is (Please check only ONE applicable box
5
6
7
8
9
10
0
El
0
0
El
A
A
A
A
church, convention of churches, or association of churches Section 170(b)(1)(A)()
school Section 170(b)(1)(A)(n) (Also complete Part V )
hospital or a cooperative hospital sernce organization Section 170(b)(1)(A)Qn)
Federal tiara, or local government or governmental unit Section 170(b)(1)(A)(v)
A medical research organization operated in conjunction with a hospital Section 1 JO(b)(1)(A)(ni) Enter the hospital's name city,
and state
El An organization operated for the benefit of a college or unrvervty owned or operated by a governmental unit Section 110(b)(1)(A)(iv)
(Also complete the Support Schedule in Part MA )
11a 0 An organization that normalcy receives a substantial pan of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(v) (Also complete the Support Schedule ri Part IV-A )
11b 0 A community trust Section 170(b)(1)(A)(h) (Also complete the Support Schedule in Part IV-A )
12
0 An organization that normally receives (1) more wan 33'/,9'a of its support from contributions, membership fees and gross
receipts from activities related to it chantabte, etc functions-subject to certain exceptions, and (Z) no more than 33Y,% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Pen IV A )
13
El An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
described in (1) lines 5 through 12 above, or (2) section 501(c)(4) (5) or (6), d they meet the lest of section 509(a)(2) (See
section .̀A91a1(3))
Provide the following information about the
(a) Name(s) of supported organlzation(s)
14
(b) Line number
from above
0 An organization organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions )
SchsdWe A (Form 990 0 99o-EZ) 2a02
Schedule A (Form 990 or 990 EZ) 2002
Page
Support Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of accounting
Note You ma use the worksheet in the instructions for convertvi from the accrual to the cash method of accounting
Calendar year (or fiscal year beginning ui)
"
(a) 2001
(b) 2000
(c) 1999
(e) Total
(d) 1998
15
Gifts, grants, and contributions received (Do
563`F2
nrninclude unusual grants Seeline 28)
SSB%o
55 4(64~
2I q'752.
52.066
o
a
16
Membershi p fees received
V
0
o
17
Gross receipts from admissions, merchandise
sold or services performed, or furnishing of
facilities in any acuwty that is related to the
X9(.4
oranizaWnscharrtable,ecc,
rpose
~0(05
296
2999
ZSb'=-k
18
Gross income from interest, dividends,
amounts received from payments on securities
loans (section 512(a)/5)/, rents, royalties, and
unrelated business taxable income (less
section 511 taxes) from businesses acquired
by the organization after June 30, 1975
1 96-1
?--141
2 0 53
i S 07
at-70
19
Net income from unrelated
business
activities not included in line 18
10
o
e
~
O
20
lax revenues levied for we organization's
benefit and ether paid to it a expended on
its behalf
21
o
1 he value of services a facilities furnished to
the organization by a governmental unit
without charge Do not include the value of
" ,ervices or facilities generally furnished to we
public without charge
22
Yo w k
Other income Attach a schedule Do not
include g ain or (loss) from sale of ca p ital assets
fotalotlines t5throu g h 22
Line 23 minus line 17
23
24
25
26
Organizations described on laws 10 a 11 "
a
uF
FE-t,~
O
N
O w )v 5
~
O
o
65T%3
G4I `P8
0$3
boI I 3
5"1 Si
5~
Enter 1% of line 23
O
y-9
65'7
bS I
60 1
p
o
HU ~ ~,p i k V
0
5572
5
Enter 2% of amount in column (e), line 24
573
5,40 l,
.
Prepare a list for your records to show the name o1 and amount contributed by each person (other than a
governmental unit or publicly supported organization) whose total grits (or 1998 through 2001 exceeded the
amount shown in line 26a Do not file thb list with your return. Enter the total of all these excess amounts "
c Total support for section 509(a)(1) test Enter line 24, column (e) ,
"
d Add Amounts from column (e) for lines
18
19
22
26b
"
a Public support (line 26c minus line 26d total)
"
1 Public support percentage (line 26e (nurneratw) divided by line 26c .(denorrunator))
"
0
25~5~6
t 2l
22
26a
y SS$
2~
Z6C
o
o
9V1111711117111711-,
0O
O%
b
x,f
Organizations described on line 12
a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified
person," prepare a list (or your records to show the name of, and total amounts received in each year from, each 'disqualified person "
Do not file this fist with your return. Ester the sum of such amounts for each year
27
b
c
d
e
f
g
h
28
WE
26O
26e
(2001)
(2000)
(1999)
(1998)
For any amount included in line 17 chat was received from each person (other then 'disqualified persons', prepare a list fog your records [o
show the name o(, and amount received for each year, that was more than the larger of (1) we amount on line 25 for [he year or (2) $5,000
(include in the list organizations described in lines 5 through 11, as well as individuals ) Do not Me this list with your return After computing
the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess
amounts) (or each year
(2001
(2000)
(1999)
(1998)
Add Amounts from column (e) for lines
17
15
20
16
21
Add Line 27a total
and hne 27b total .
Public support (Lne 27c total minus Lne 27d total),
27f
Total support for section 509(a)(2) test Enter amount horn hoe 23, column (e),
"
percentage
pine
27e
Public support
(numerator) divided by hoe 271 (denominator))
Investment income
canto
pine 18, column (0) (numerator) dMded b line 27f (denomuwLOr))
"
"
27c
zed
Zee
"
"
27
27h
.
%
°.6
Unusual Grants For an organization described m line 10, 11, a 12 that received any unusual grants during 1998 through 2001
prepare a list for your records to show, for earn year, the name of thr contributor the date end amount of tie grant and a brie)
description of the n a ture of the gram Do not file this Iht with your return Do not include these grams in line 15
Schedule A fFVm 990 v 990423 2002
Fenton Free Library
4'9-9~w
ATTACHMENT TO SCHEDULE A (FORM 990EZ)
Moody Memorial Budding
1062 Chenango Street, Binghamton, New York 13901
Telephone (607) 724-8649
Page 2
2002
PART IV LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES
A NAME/ADDRESS/TITLE
Vice President
Jim Castelme
11 Matthew Dr
Binghamton, NY 13901
B HRSIWK
C COMP
D CONTRIB
F EXP
U
,
Cindy Perkms
247 Nowlan Road
Binghamton, NY 13904
Secretary
Willow Garvey
124 Theresa Blvd
Binghamton, NY 13901
~
O
Loren Guy
3 Barry Way
Binghamton, NY 13901
Susan Pierce
3 Hartley Rd
Binghamton, NY 13901
o~-
Edward Corcoran
719 Chenango St
Binghamton, NY 13901
Mary Ellen Salanger, President
805 River Rd
Binghamton, NY 13901
o2
~
O
O
T heodora Bryant
218 Poplar Hill Rd
Binghamton, NY 13901
o)-
0
D
O
Janice Holcomb
FO Box 150
Fort Crane, NY 13833
,~
D
Treasurer
John Dionne
1244 Chenango St
ESuighamton, NY 13901
Pamela Klesse Dvector
12 Towpath St
Fort Crane, NY 13833
D
SDO
O
D
0
C)
O
D
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