.
Return of Private Foundation
990 -PF
Firm
OMB No 1545-0052
or Section 4947(aXl) Nonexempt Charitable Trust
Treated as a Private Foundation
2007
Note : The foundation may be able to use a copy of this return to satisfy state
reporting requirements
Department of the Treasury
Internal Revenue Service
For calendar year 2007, or tax year beg innin g
Initial return
G Check all that apply
, 2007 and endin g
Amended return
Final return
Address change
Use the ALTON WOMAN'S HOME ASSOCIATION
IRS label P 0 . BOX 552
Othp ntse,
ALTON, IL 62002
Name change
A
Employer identification number
B
Telephone number (see the instructions)
37-0799839
or type
See Specific
Instructions.
If exemption application is pending, check here
1 Foreign organizations, check here
Check type of organization
X Section 501(c)(3 exempt private foundation
2 Foreign organizations meeting the 85% test, check ❑
here and attach computation
Section 4947 (a)( 1 ) nonexem p t charitable trust
Other taxable p rivate foundation
E
If private foundation status was terminated
Fair market value of all assets at end of year
J Accounting method
Cash
X Accrual
under section 507(b)(1)(A), check here
(from Part fl, column (c), line 16)
Other (s p ecif y ) _ _ _ _ _ _ _ _ _ _ _ _ _
If the foundation is in a 60-month termination
F
$
3 , 883 , 566.
(Part I. colu mn (d) must be on cash basis )
under section 507(b)(1)(B), check here
I
H
Part I
C
D
Analysis of Revenue and
Expenses (The total of amounts in
columns (b), (c), and (d) may not neces sarily equal the amounts in column (a)
see the instructions
1
Contributions, gifts, grants, etc, received (att sch)
2
Ck I'
FX]
Interest on savings and temporary
3
(a) Revenue and
expenses per books
(b) Net investment
income
4 , 607.
'.
a
e
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
;
.
rc-
if the foundn is not req to att Sch B
cash investments
4 Dividends and interest from securities
85 , 471.
85 , 471.
85 , 471.
5a Gross rents
b Net rental income
or (loss)
6a Net gam/(loss) from sale of assets not on line 10
b Gross sales price for all
assets on line 6a
7 Capital gain net income (from Part IV, line 2)
R
E
V
E
N
U
E
Total. Add lines 1 throu g h 11
13
Compensation of officers, directors, trustees, etc
A
M
N
5
14
15
16a
b
c
17
Other employee salaries and wages
Pension plans, employee benefits
Legal fees (attach schedule)
Accounting fees (attach sch)
Other prof fees (attach sch)
SEE ST 1
Interest
ca E
T
18 Taxes (attach schedule)
A
A
T
19
v
20 Occupancy
E
21
cy^
N
G
A
X
D
0
Z
Z
0
* 'A
73, 596.
8 Net short-term capital gain
9 Income modifications
10a Gross sales less
returns and
allowances
b Less Cost of
goods sold
c Gross profit/(loss) (aft sch)
11 Other income (attach schedule)
12
0
73 , 596.
1, 232, 675.
SEE STMT 2
73 , 596.
163 674.
159 067.
159 , 067.
14, 739.
14, 739.
14,739.
1,443.
Depreciation (attach
sch) and depletion
Travel, conferences, and meetings
ato s
2R
I
(attac
schedule)
TEMENT 3
N
720.
720.
nistrative
ne
l
rough 23
, gifts, gran l
:
od PART XV
&
V6MVT nd
ursements.
25
16,902.
200 000.
14,739.
14,739.
720.
200 000 .
216, 902.
14,739.
14,739.
200,720.
u tract line 26 from line 12:
a Excess of revenue over expenses
and disbursements
-53,228. 1
b Net investment income (if negative, enter -0-)
C Adjusted net income (if negative, enter -0-)
BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions .
144,328.
144,328.
TEEA0504L 02/20/08
Form 990-PF (2007)
) i
37-0799839
Form 390-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
Part II
Balance Sheets
Beginning of year
(a) Book Value
Attached schedules and amounts in the description
column should be for end-of-year amounts only
(See instructions
1 Cash - non-Interest-bearing
2 Savings and temporary cash investments
3
4
5
6
7
S
E
T
S
8
9
Paae 2
End of year
(b) Book Value
(c) Fair Market Value
6, 582.
10, 565.
9,297.
107, 087.
9,297.
107,087.
2, 323, 755.
2, 861, 961.
2,861 , 961.
1, 087, 415.
905, 221.
905,221.
3, 428, 317.
3, 883, 566.
3, 883, 566.
83.
603.
83.
603.
3, 428, 234.
3,882, 963.
3, 428, 234.
3,882,963.
3, 428, 317.
3, 883, 566.
Accounts receivable
---------Less allowance for doubtful accounts 01
------- - -0- _ _ - _ _ - _ - _ _
Pledges receivable
Less allowance for doubtful accounts 01
---------Grants receivable
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see the instructions)
Other notes and loans receivable (attach sch) 01-_ _ _ _ _ _ _ _ _ _
Less allowance for doubtful accounts
Inventories for sale or use
Prepaid expenses and deferred charges
10a Investments - U S and state government
obligations (attach schedule)
b Investments - corporate stock (attach schedule)
c Investments - corporate bonds (attach schedule)
11
12
Investments - land, buildings, and
equipment basis
Less: accumulated depreciation
(attach schedule)
Investments - mortgage loans
----------
13 Investments - other (attach schedule)
14
15
16
L
AI
B
LI
1
T
E
S
N F
E U
T N
D
A
S B
17
18
19
20
21
22
23
O E
R S
Total liabilities (add lines 17 through 22)
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
25
26
Unrestricted
Temporarily restricted
Permanently restricted
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
28
29
Capital stock, trust principal, or current funds
Paid-in or capital surplus, or land, building, and equipment fund
Retained earnings, accumulated income, endowment, or other funds
S A
T A
L
T A
S N
Land, buildings, and equipment basis
01
---------Less: accumulated depreciation
0(attach schedule)
__________
Other assets (describe 0
----------------Total assets (to be completed by all filers see instructions Also, see p age 1, item I)
Accounts payable and accrued expenses
Grants payable
Deferred revenue
Loans from officers, directors, trustees, & other disqualified persons
Mortgages and other notes payable (attach schedule)
Other liabilities (describe )
X
30 Total net assets or fund balances (see the instructions)
31 Total liabilities and net assets/fund balances
(see the instructions)
Part III Anal y sis of Chan g es in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with
end-of-year figure reported on prior year's return)
1
2
Enter amount from Part I, line 27a
2
3 Other increases not included in line 2 (itemize)
4 Add lines 1, 2, and 3
5
6
BAA
NISEE STATEMENT- 4
----------------------------
Decreases not included in line 2 (itemize)
_
_____________________________
Total net assets or fund balances at end of y ear (line 4 minus line 5) - Part II column (b), line 30
TEEA0302L 07/25/07
3, 428 , 234.
-53, 228.
3
507, 957 .
4
3, 882, 963.
5
6
3, 882, 963.
Form 990-PF (2007)
Form 990-PF ' 2007 ALTON WOMAN'S HOME ASSOCIATION
Part IV Ca ip tal Gains and Losses for Tax on Investment Income
37-0799839
(b) How acqu i red
P - Purchase
D - Donation
(a) List and describe the kind (s) of property sold (e g , real estate,
2-story brick warehouse ; or common stock , 200 shares MLC Company)
(c) Date acquired
(month, day , year)
Pa g e 3
(d) Date sold
(month, day, year)
la SEE STATEMENT 5
b
c
d
e
(e) Gross sales price
(f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Com p lete onl y for assets showing gain in column (h) and owned by the foundation on 12/31/69
(I) Fair Market Value
(j) Adjusted basis
(k) Excess of column (i)
as of 12/31/69
as of 12 /31/69
over column (I), if any
(I) Gains (Column (h)
gain minus column ( k), but not less
than -0-) or Losses (from column (h))
a
b
c
d
e
If gain, also enter in Part I, line 7
^ If (loss), enter -0- in Part I , line 7
2
Capital gain net income or (net capital loss)
3
Net short - term capital gain or ( loss) as defined in sections 1222 (5) and (6)
}
2
73 , 596.
3
ParttV I Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
73, 596.
If gain, also enter in Part I , line 8, column (c) (see the instructions) If (loss), enter -0in Part I, line 8
If section 4940(d)(2) applies, leave this part blank
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
X] No
E]Yes
If 'Yes,' the foundation does not qualify under section 4940(e) Do not complete this part
1 Enter the appropriate amount in each column for each year , see the instructions before making any entries
)
(a)
Base period years
Adjusted qualifying distributions
Net value of
Distribution ratio
Calendar year (or tax year
(column (b) divided by column (c))
noncharitable-use assets
beginning in)
2006
2005
2004
2003
2002
180 162.
175,032.
170 025.
158,688.
112, 398.
0.052577
0.052436
0.051444
0.050358
0.034699
3 , 426 , 607.
3,338,029.
3,305 073.
3,151,218.
3, 239, 187.
2
Total of line 1, column (d)
2
0.241514
3
Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the
number of years the foundation has been in existence if less than 5 years
3
0.048303
4
Enter the net value of noncharitable-use assets for 2007 from Part X, line 5
4
3, 690,197.
5
Multiply line 4 by line 3
5
178 248.
6
Enter 1 % of net investment income (1 % of Part I, line 27b)
6
1 , 443.
7
Add lines 5 and 6
7
179, 691.
8
Enter qualifying distributions from Part XII, line 4
8
200,720.
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1 b, and complete that part using a 1 % tax rate See the
Part VI in s tructions
BAA
Form 990-PF (2007)
TEEA0303L
07/25/07
Form 990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
37-0799839
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see the instructions
' 1 a Exempt operating foundations described in section 4940(d)(2), check here
- [] and enter 'N/A' on line 1
_ _ _ _ _ _ (attach copy of ruling letter if necessary - see instructions)
Date of ruling letter
b Domestic foundations that meet the section 4940(e) requirements in Part V,
check here "'
and enter I% of Part I, line 27b
c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, column (b)
2
3
4
5
6
a
b
c
d
7
8
9
10
11
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable
foundations only Others enter -0-)
Add lines 1 and 2
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
Tax based on investment income . Subtract line 4 from line 3 If zero or less, enter -0Credits/Payments
840.
2007 estimated tax pmts and 2006 overpayment credited to 2007
6a
Exempt foreign organizations - tax withheld at source
6b
Tax paid with application for extension of time to file (Form 8868)
6c
603.
Backup withholding erroneously withheld
6d
Total credits and payments Add lines 6a through 6d
Enter any penalty for underpayment of estimated tax Check here F] if Form 2220 is attached
Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed
Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid
Enter the amount of line 10 to be: Credited to 2008 estimated tax
Refunded
Pa g e 4
1
1,443.
2
3
4
5
0.
1,443.
0.
1,443.
7
1,443.
8
9
10
11
0.
Part VII -A I Statements Reg ardin g Activities
Yes
1 a D u rin g the tax y ear , did the foundation attem p t to infl u ence an y national , state , or local le g islation or did it
participate or intervene in any political campaign?
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes
(see the instructions for definition)
If the answer is 'Yes' to Ia or 7b, attach a detailed description of the activities and copies of any materials published
or distributed by the foundation in connection with the activities
c Did the foundation file Form 1120 -POL for this year?
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
B. $
(1) On the foundation
0.
(2) On foundation managers
$
0.
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on
I. $
foundation managers
0.
2 Has the foundation engaged in any activities that have not previously been reported to the IRS?
If 'Yes,' attach a detailed description of the activities
H as t h e f oun d ation made any c h anges, not previous l y reporte d to t h e IRS , in its governing instrument, artic l es
of incorporation, or bylaws, or other similar instruments? If 'Yes,' attach a conformed copy of the changes
4a Did the foundation have unrelated business gross income of $1,000 or more during the year?
b If 'Yes,' has it filed a tax return on Form 990-T for this year?
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year?
If 'Yes,' attach the statement required by General Instruction T
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
• By language in the governing instrument, or
1a
No
X
1b
X
1c
X
2
X
3
4a
4b
5
X
X
3
• B y state l egis l ation t h at e ff ective l y amen d s t h e governing instrument so th at no man d a t ory d irections t h a t con fl ic t
with the state law remain in the governing instrument?
7 Did the foundation have at least $5,000 in assets at any time during the year? If 'Yes,' complete Part ll, column (c), and PartXV
8a Enter the states to which the foundation reports or with which it is registered (see the instructions)
IL
b If th e answer is 'Y es ' t o l ine 7 , h as th e f oun d a t ion f urnis h e d a copy o f F orm 990 - PF t o th e Att orney G enera l
(or designate) of each state as required by General Instruction G? If 'No,' attach explanation
9
10
I s the fo u ndat i on c la iming s t a t us as a priva te o p eratin g fo u ndat io n wi th in the mea n i n g of section 4942( 1 )(3) or 4942( 1 )(5)
for calendar year 2007 or the taxable year beginning in 2007 (see instructions for Part XIV)'' If 'Yes,' complete Part XIV
Did any persons become substantial contributors during the tax year? If 'Yes,' attach a schedule listing their names
and addresses
BAA
TEEA0304L
07/26/07
N A
X
X
6
7
X
8b
X
9
X
- J
X
10
Form 990-PF (2007)
Form 990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
Part VII -A Statements Regarding Activities Continued
37-0799839
11 a At any time during the year, did the foundation, directly or indirectly, own a controlled entity
within the meaning of section 512(b)(13)' If 'Yes', attach schedule (see instructions)
Page 5
ha l
I X
b If 'Yes', did the foundation have a binding written contract in effect on August 17, 2006, covering the interest, rents,
royalties, an annuities described in the attachment for line 11a'
11 b
N A
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract?
12
X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
X
Website address
^ N/A
----------------------------------------14 The books are in care of ^ GABE TAUL
Telephone no
(314) 249-3922
-----------------------------------------
Locatedat ^ _P . O._
_ _ _552,
_ _ _ A_L_T_ON_,_ _IL____________ _
_ _BOX
15
___ _
ZIP+4 m,
_62002
_ _ _ _________
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the year
fl
N/A
N/A
-115 I
Part VII- B Statements Reg ardin g Activities for Which Form 4720 May Be Req uired
File Form 4720 if any item is checked in the'Yes' column, unless an exception applies.
1 a During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
DYes
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a
disqualified person?
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
Yes
Yes
M No
N No
(5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
Yes
N No
11 Y es
N No
(6) Agree to pay money or property to a government official? (Exception . Check 'No' if the
foundation agreed to make a grant to or to employ the official for a period after termination
o f governmen t service, i f t ermina t ing wi th in 90 d ays)
X No
b If any answer is 'Y es ' t o l a( 1 )-( 6 ), d i d any o f th e ac t s f ai l t o qua l i fy un d er th e excep t ions d escri b e d in
Regulations section 53 4941(d)-3 or in a current notice regarding disaster assistance (see the instructions)?
Organizations relying on a current notice regarding disaster assistance check here
4
1b
c D i d th e f oun d a t ion engage in a prior year in any o f th e ac t s d escri b e d in 1 a, o th er th an excep t e d ac t s,
that were not corrected before the first day of the tax year beginning in 20077
2
No
1c
N A
X
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a
private operating foundation defined in section 49420)(3) or 4942(1)(5))
a At the end of tax year 2007, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2007.
If 'Yes,' list the years
20
, 20
, 20
, 20 --
a
D Yes
No
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to
all years listed, answer 'No' and attach statement - see the instructions)
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
01 20
, 20
, 20
, 20
3a Did the foundation hold more than a 2% direct or indirect interest in any business
en t erprise a t any t ime d uring th e year ?
11 Y es
b If 'Yes,' did it have excess business holdings in 2007 as a result of (1) any purchase by the foundation
or disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or
(3) the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to
determine if the foundation had excess business holdings in 2007)
4a Did the foundation invest during the year any amount in a manner that would jeopardize its
charitable purposes?
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could
j eo p ardize its charitable p ur p ose that had not been removed from j eo p ard y before the first da y of
the tax year beginning in 2007'
BAA
TEEA0305L
02/20/08
2b
N A
3b
N A
No
4a
X
4b
X
Form 990-PF (2007)
37-0799839
Form 990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
Part VII -B Statements Reg ardin g Activities for Which Form 4720 May Be Req uired (continued)
'5a During the year did the foundation pay or incur any amount to
(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))7
Yes
No
(2) Influence the outcome of any specific public election (see section 4955), or to carry
on, directly or indirectly, any voter registration drive?
(3) Provide a grant to an individual for travel, study, or other similar purposes?
B Yes
Yes
XX No
X No
(4) Provide a grant to an organization other than a charitable, etc, organization described
in section 509(a)(1), (2), or (3), or section 4940(d)(2)' (see instructions)
[] Yes
No
Yes
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
Pa ge 6
b If any answer is 'Yes' to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions
d escri b e d in R egu l a t ions sec t ion 53 4945 or in a curren t no t ice regar d ing d isas t er assis t ance
(see instructions)?
5b
Organizations relying on a current notice regarding disaster assistance check here
c If the answer is 'Yes' to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
If 'Yes,' attach the statement required by Regulations section 53 4945-5(d)
Yes
No
N/A
LJ Yes
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
If you answered 'Yes' to 6b, also file Form 8870
[ Yes
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
b If yes, did the foundation receive any p roceeds or have any net income attributable to the transaction?
X No
6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums
on a personal benefit contract'
Part VIII
1
N A
LI
6b
X
No
7b
N A
Information About Officers , Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
List all officers - directors . trustees . foundation managers and their compensation (see instructionsl.
(a) Name and address
(b) Title and average
hours per week
devoted to position
(c) Compensation
(If not paid, enter -0-)
(d) Contributions to
employee benefit
plans and deferred
com p ensation
(e) Expense account,
other allowances
SEE STATEMENT _6 _
0.
0.
0.
------------------------
------------------------
-------------------------
7
Cmmnencatinn of five hinhect-naid emnlnveec fnther than thnce included on line 1- see instructions'- If none. enter ' NONE-'
(a) Name and address of each employee
paid more than $50,000
(b) Title and average
hours per week
devoted to position
(c) Compensation
(d) Contributions to
employee benefit
plans and deferred
com p ensation
(e) Expense account,
other allowances
NONE --------------------
------------------------
------------------------
------------------------
-----------------------Total number of other em p loyees p aid over $50,000
BAA
TEEA0306L 02120/08
0
Form 990-PF (2007)
Form' 990-PF (2007) ALTON WOMAN' S HOME ASSOCIATION
Part VIII Information About Officers , Directors , Trustees, Fo
and Contractors
3
37-0799839
n Managers , Highly Paid Emplo;
Five highest-p aid independent contractors for professional services - (see instructions ). If none,
enter 'NONE.
(a) Name and address of each p erson p aid more than $50,000
(b) Typ e of service
(c) Com p ensation
NONE
--------------------------------------
--------------------------------------
--------------------------------------
--------------------------------------
--------------------------------------
Total number of others receiving over $50,000 for p rofessional services
0
Part iX-A Summary of Direct Charitable Activities
List the foundation's four largest direct charitable activities during the tax year Include relevant statistical information such as the number of
organizations and other beneficiaries served, conferences convened, research papers produced, etc.
1
2
3
Expenses
N/A
-- ------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------
4
- - -- ------ - --- - --- - -- - ----- - ---- - ---- -- - - - - - -- --------
Part IX- B Summary of Program - Related Investments (see instructions)
Describe the two larg est p rogram-related investments made by the foundation during the tax y ear on lines 1 and 2
1
2
Amount
N/A------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
All other program-related investments See instructions
3
-------------------------------------------------------- - - ------------------------ ------ -- --- ---- - - - ------Total . Add lines 1 through 3
0.
Form 990-PF (2007)
BAA
TEEA0307L
02/20/08
Form' 990-PF (200
ALTON WOMAN'S HOME ASSOCIATION
37-0799839
Page 8
Part X
Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc, purposes
a Average monthly fair market value of securities
b Average of monthly cash balances
c Fair market value of all other assets (see instructions)
dTotal (add lines la, b, and c)
e Reduction claimed for blockage or other factors reported on lines la and 1c
I 1e
(attach detailed explanation)
2 Acquisition indebtedness applicable to line 1 assets
3 Subtract line 2 from line ld
4
5
6
Cash deemed held for charitable activities Enter 1-1/2% of line 3
(for greater amount, see instructions)
Net value of noncharitable - use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4
Minimum investment return . Enter 5% of line 5
Part XI-
2,594,490.
56,707.
1,095,196.
3,746,393.
2
3
3, 746, 393.
0.
4
56, 196.
5
6
3,690,197.
184,510.
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations
and certain forei g n org anizations check here X and do not com p lete this art.
1 Minimum investment return from Part X, line 6
N/A
2a Tax on investment income for 2007 from Part VI, line 5
2a
2b
b Income tax for 2007 (This does not include the tax from Part VI )
c Add lines 2a and 2b
3 Distributable amount before adjustments Subtract line 2c from line 1
4 Recoveries of amounts treated as qualifying distributions
5 Add lines 3 and 4
6 Deduction from distributable amount (see instructions)
7 Distributable amount as adj usted Subtract line 6 from line 5 Enter here and on Part XIII, line 1
Part XII
1a
1b
1c
1d
1
2c
3
4
5
6
7
Qualifying Distributions (see instructions)
Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes
a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26
b Program-related investments - total from Part IX-B
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc, purposes
- 1a
1b
2
Amounts set aside for s p ecific charitable p ro j ects that satisfy the
a Suitability test (prior IRS approval required)
b Cash distribution test (attach the required schedule)
4 Qualifying distributions . Add lines 1a through 3b Enter here and on Part V, line 8, and Part XIII, line 4
-3a
3b
4
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1 % of Part I, line 27b (see instructions)
Adjusted qualifying distributions . Subtract line 5 from line 4
5
1 ,443.
6
199,277.
1
3
5
6
Note :
BAA
200,720.
200,720.
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether th e foundation
qualifies for the section 4940(e) reduction of tax in those years
Form 990-PF (2007)
TEEA0308L
07/27/07
Form' 990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
37-0799839
FartXIII Undistributed Income (see instructions)
N/A
(a)
Corpus
1
2
a
b
3
a
b
c
d
e
f
4
a
Page 9
b
Years prior to 2006
(c)
2006
(d)
2007
Distributable amount for 2007 from Part XI,
line 7
Undistributed income, if any, as of the end of 2006
Enter amount for 2006 only
Total for prior years
20_, 20 _, 20
Excess distributions carryover, if any, to 2007.
From 2002
From 2003
From 2004
From 2005
From 2006
Total of lines 3a through e
Qualifying distributions for 2007 from Part
XII, line 4 11*
$
Applied to 2006, but not more than line 2a
b Applied to undistributed income of prior years
(Election required - see instructions)
c Treated as distributions out of corpus
(Election required - see instructions)
d Applied to 2007 distributable amount
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2007
(If an amount appears in column (d), the
same amount must be shown in column (a) )
6
Enter the net total of each column as
indicated below:
a Corpus. Add lines 3f, 4c, and 4e Subtract line 5
b Prior years' undistributed income Subtract
line 4b from line 2b
c Enter the amount of prior years' undistributed income for which a notice of deficiency
has been issued, or on which the section
4942(a) tax has been previously assessed
d Subtract line 6c from line 6b Taxable
amount - see instructions
e Undistributed income for 2006 Subtract line 4a from
line 2a Taxable amount - see instructions
f Undistributed income for 2007 Subtract lines
4d and 5 from line 1 This amount must be
distributed in 2008
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed
by section 170(b)(1)(F) or 4942(g)(3)
(see instructions)
8
Excess distributions carryover from 2002 not
applied on line 5 or line 7 (see instructions)
9
Excess distributions carryover to 2008.
Subtract lines 7 and 8 from line 6a
Analysis of line 9
10
a Excess from
b Excess from
c Excess from
d Excess from
e Excess from
41"
`I
2003
2004
2005
2006
2007
BAA
Form 990-PF (2007)
TEEA0309L
07/30/07
Form 990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
Part XIV Private Oneratina Foundations (see instructions and Part VII-A_ question 9)
37-0799839
1 a If the foundation has received a ruling or d etermination letter that it is a private o perating foundation , and the ruling
is effective for 2007, enter the date of the ruling
X 4942 0)(3) or
b Check box to indicate whether the foundat ion is a private o e rating foundation d escribed in section
Tax year
Prior 3 years
2a Enter the lesser of the adjusted net
income from Part I or the minimum
(d) 2004
(a) 2007
(b) 2006
c 2005
investment return from Part X for
each year listed
b85% of line 2a
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amounts included in line 2c not used directly
for active conduct of exempt activities
e Qualifying distributions made directly
for active conduct of exempt activities
Subtract line 2d from line 2c
3 Complete 3a, b, or c for the
alternative test relied upon* 'Assets' alternative test - enter
(1) Value of all assets
(2) Value of assets qualifying under
section 49420)(3)(8)(1)
b 'Endowment' alternative test - enter 2/3 of
minimum investment return shown in Part X,
line 6 for each year listed
c 'Support' alternative test - enter
(1) Total support other than gross
Page 10
4942
(5
(e) Total
144, 328.
122, 679.
80,344.
68,292.
68,368.
58,113.
73,739.
62,678.
366, 779.
311,762.
200 720.
180 965.
175 716.
,
170, 762.
728 163.
0.
200 720.
180 r 965.
175, 716.
170, 762.
728 163.
123, 007.
114, 220.
111, 267.
110, 169.
458,663.
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
(2) Support from general public and 5 or
more exempt organizations as provided
in section 4942(I)(3)(B)(m)
(3) Largest amount of support from
an exempt organization
(4) Gross investment income
(Part XV I Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year - see instructions.)
1
Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the
close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )
NONE
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of
a partnership or other entity) of which the foundation has a 10% or greater interest
NONE
2
Information Regarding Contribution , Grant , Gift, Loan , Scholarship , etc, Programs:
Check here 1, F1 if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited
requests for funds If the foundation makes gifts, grants, etc, (see instructions) to individuals or organizations under other conditions,
complete items 2a, b, c, and d
a The name, address, and telephone number of the person to whom applications should be addressed
SEE STATEMENT 7
b The form in which applications should be submitted and information and materials they should include
SEE STATEMENT FOR LINE 2A
c Any submission deadlines
SEE STATEMENT FOR LINE 2A
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors
SEE STATEMENT FOR LINE 2A
BAA
TEEA0310L 07/31/07
Form 990-PF (2007)
Form 990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
Part XV Supplementary Information (continued)
3
Grants and Contributions Paid Durina the Year or Aooroved for Future Payment
If recipient is an individual,
Recipient
show any relationship to Foundation
ds of
any foundation manager or status
recipient
substantial contributor
Name and address (home or business)
37-0799839
Purpose of grant or
contribution
Page 11
Amount
a Paid during the year
SEE STATEMENT 8
Total
^
3a
0-
3bl
200, 000.
b Approved for future payment
Total
BAA
TEEaosoiL 07/26/07
Form 990-PF (2007)
Form 990-PF j2007)
Part XVI -A
ALTON WOMAN'S HOME ASSOCIATION
Page 12
Analysis of Income - Producing Activities
Enter gross amounts unless otherwise indicated
1
37-0799839
Unrelated business income
(a)
(b)
Business
Amount
code
rogram service revenue-
C Fees and contracts from government agencies
Membership dues and assessments
Interest on savings and temporary cash investments
Dividends and interest from securities
Net rental income or (loss) from real estate
Debt-financed property
Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income
8 Gain or (loss) from sales of assets other than inventory
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue
2
3
4
5
Excluded b section 512, 513, or 514
(d)
(C)
ExcluAmount
sion
code
14
85, 471.
18
73 , 596
(e)
Related or exempt
function income
(see the instructions )
d
e
12 Subtotal Add columns (b), (d), and (e)
13 Total . Add line 12, columns (b), (d), and (e)
(See worksheet in the instructions for line 13 to verify calculations )
Part XVI - B
BAA
159,067.
13
159,067.
Relationship of Activities to the Accomplishment of Exempt Purposes
TEEA0502L 07/26/07
Form 990-PF (2007)
Form'990-PF (2007) ALTON WOMAN'S HOME ASSOCIATION
37-0799839
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
Page 13
Yes
1
Did the organization directly or indirectly engage in any of the following with any other organization
described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527,
relating to political organizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of
(1) Cash
(2) Other assets
b Other transactions
(1) Sales of assets to a noncharitable exempt organization
(2) Purchases of assets from a noncharitable exempt organization
(3) Rental of facilities, equipment, or other assets
(4) Reimbursement arrangements
(5) Loans or loan guarantees
(6) Performance of services or membership or fundraising solicitations
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
1a 1
1 a (2)
No
X
X
41
1
1
1
1
1
1
1
b
b
b
b
b
b
(1 )
(2)
(3)
(4)
X
X
X
X
X
X
X
(5)
(6)
C
d If the answer to any of the above is 'Yes,' complete the following schedule. Column (b) should always show the fair m arket value of
the goods, other assets, or services given by the reporting foundation If the foundation received less than fair marke t value in
any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services receive d
(a) Line no
(b) Amount involved
c Name of noncharltable exempt organization
(d) Descri ption of transfers, transactions, and sharing arrangements
N/A
2a Is the foundation directl y or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501 (c) of the Code (other than section 501(c)(3)) or in section 5277
E Yes
b If 'Yes .' complete the following schedule
(a) Name of organization
( b) Typ e of org anization
N/A
Under penalties of p ury, I declare that I have examined this return , includ i ng accompanyin
complete De
on
prep rer ( other than taxpayer or fiduciary) is based on a ll informati
s
0of oX
is
G
N
N
E
Paid
or tr
tee
(or
SCHEFFEL &
MPANY PC
322 STATE ST
Preparer's
signature
R PreE
rer's Firm ' s name
U
se
Oe°rurovdif
O nly
e
ad dress , and
ZIP code
BAA
ALTON,
IL 62002-6135
(c) Descri p tion of relationshi p
X No
2007
FEDERAL STATEMENTS
PAGE 1
ALTON WOMAN ' S HOME ASSOCIATION
37-0799839
STATEMENT 1
FORM 990- PF, PART I , LINE 16C
OTHER PROFESSIONAL FEES
(A)
INVESTMENT FEES
$
TOTAL $
(B)
(C)
(D)
EXPENSES
INVESTMENT
ADJUSTED
CHARITABLE
PER BOOKS
INCOME
NET INCOME
PURPOSES
14,739.
14,739.
$
$
NET
14,739.
14,739.
$
$
14,739.
14,739.
$
0.
STATEMENT 2
FORM 990 - PF, PART I , LINE 18
TAXES
(A)
EXPENSES
PER BOOKS
2007 EXCISE TAX
$
TOTAL $
1,443.
1,443.
(B) NET
INVESTMENT
INCOME
$
0.
(C)
ADJUSTED
NET INCOME
$
0.
(D)
CHARITABLE
PURPOSES
$
0.
STATEMENT 3
FORM 990 - PF, PART I , LINE 23
OTHER EXPENSES
(A)
EXPENSES
PER BOOKS
IL FILING FEE
PO BOX RENTAL
$
POSTAGE
TAX PREPARATION
TOTAL $
(B) NET
INVESTMENT
INCOME
(C)
ADJUSTED
NET INCOME
15.
92.
(D)
CHARITABLE
PURPOSES
$
15.
92.
63.
63.
550.
550.
720. $
0. $
0. $
720.
STATEMENT 4
FORM 990-PF , PART III, LINE 3
OTHER INCREASES
INCREASE IN INVESTMENT VALUE
$
TOTAL $
507,957.
507,957.
2007
FEDERAL STATEMENTS
PAGE
ALTON WOMAN 'S HOME ASSOCIATION
STATEMENT 5
FORM 990-PF, PART IV, LINE 1
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
ITEM
(A) DESCRIPTION
1
2000 HALLIBURTON COMPANY
2
3
4
5
1000 EMERSON ELECTRIC
500 LOWES
2000 ORACLE CORPORATION
2000 SCHERING-PLOUGH CORP
6
7
8
9
10
11
12
13
14
15
16
17
18
19
1000 COMPASS BANCSHARES INC
1000 GENERAL ELECTRIC
1000 INTERNET ARCHITECTURE
500 EXXON MOBIL CORP.
500 SCHLUMBERGER LTD.
1500 LOWES
1000 VALERO REFINING
1000 CITIGROUP
25M FEDERAL HOME LOAN BANK
150M FEDERAL NATIONAL MORTGAGE ASSOCIATION
1000 GLOBAL SANTA FE CORP
1000 TRANSOCEAN INC
500 CAMERON INTL CORP
.3 TRANSOCEAN INC
ITEM
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
(E)
GROSS
SALES
59, 918.
43, 999.
16,160.
33,299.
47,101.
69,199.
35,099.
42,339.
39,044.
37, 659.
48, 689.
64,399.
46,152.
250,000.
150,000.
85,230.
114,930.
49, 417.
41.
(F)
DEPREC.
ALLOWED
(G)
COST
BASIS
62,100.
44,090.
15,575.
34,280.
47,280.
59,650.
37,210.
42,700.
38,315.
31,580.
46,725.
51,160.
55,030.
248,478.
147,516.
62,770.
81,900.
52, 683.
37.
(H)
GAIN
(LOSS)
-2,182.
-91.
585.
-981.
-179.
9, 549.
-2,111.
-361.
729.
6,079.
1,964.
13,239.
-8,878.
1,522.
2,484.
22,460.
33,030.
-3,266.
4.
(B) HOW
ACQUIRED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
PURCHASED
(C) DATE
ACQUIRED
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
VARIOUS
(I)
FMV
(J)
ADJ . BAS.
(K)
EXCESS
12/31/ 69
12 / 31/69
(I)-(J)
(D)
DATE
1/08/2007
1/18/2007
3/14/2007
3/14/2007
3/23/2007
4/12/2007
4/17/2007
4/17/2007
4/23/2007
4/23/2007
5/23/2007
8/07/2007
10/18/2007
11/30/2007
11/15/2007
11/29/2007
11/30/2007
12/13/2007
12/04/2007
(L)
GAIN
$
-2,182.
-91.
585.
-981.
-179.
9,549.
-2,111.
-361.
729.
6,079.
1,964.
13,239.
-8, 878.
1,522.
2,484.
22,460.
33,030.
-3,266.
TOTAL
2007
FEDERAL STATEME NTS
PAGE 3
ALTON WOMAN'S HOME ASSOCIATION
37-07998391
STATEMENT 6
FORM 990-PF, PART VIII, LINE 1
LIST OF OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES
TITLE AND
NAME AND ADDRESS
CONTRI-
EXPENSE
AVERAGE HOURS
COMPEN-
BUTION TO
ACCOUNT/
PER WEEK DEVOTED
SATION
EBP & DC
OTHER
MRS. ED TAUL
1708 BLU FOUNTAIN CT.
GODFREY, IL 62035
TREASURER
0
MRS. MELVIN BRISTOW
3005 DORAL DRIVE
PRESIDENT
0
0.
0.
0.
MARY RUTH KETTENBACH
VICE PRESIDENT
0.
0.
0.
206 S. CHARLES STREET
0
0.
0.
0.
GODFREY,
$
0.
$
0.
$
0.
IL 62035
EDWARDSVILLE,
IL 62025
SHERRI ASH-HENSON
REC.
2908 THIRD ST.
0
FOSTERBURG,
SECRETARY
IL 62002
MRS. JIM CERBIE
3403 RIVERVIEW COURT
GODFREY, IL 62035
CORR.
0
SECRETARY
0.
0.
0.
MRS. JERRY THOMAS
2106 NORTHWOOD
GODFREY, IL 62035
CORR.
0
SECRETARY
0.
0.
0.
TOTAL $
0.
$
0.
$
STATEMENT 7
FORM 990 - PF, PART XV , LINE 2A-D
APPLICATION SUBMISSION INFORMATION
NAME OF GRANT PROGRAM:
NAME :
CARE OF:
STREET ADDRESS:
CITY, STATE, ZIP CODE:
TELEPHONE:
FORM AND CONTENT:
SUBMISSION DEADLINES:
RESTRICTIONS ON AWARDS:
ALTON WOMAN'S HOME ASSOCIATION
PO BOX 552
ALTON, IL 62002
REQUEST FOR FUNDS APPLICATION & COPY OF IRS TAX EXEMPT
STATUS LETTER
FUNDS ARE DISTRIBUTED ONLY TO ORGANIZATIONS SERVING NEEDY
WOMEN AND CHILDREN WHO ARE RESIDENTS OF MADISON COUNTY,
ILLINOIS.
0.
2007
FEDERAL STATEMENTS
PAGE
ALTON WOMAN'S HOME ASSOCIATION
37
STATEMENT 8
FORM 990-PF, PART XV, LINE 3A
RECIPIENT PAID DURING THE YEAR
NAME AND ADDRESS
DONEE
RELATIONSHIP
FOUNDATION
STATUS
PURPOSE OF
GRANT
AMOUNT
COORD. YOUTH & HUMAN DEV
NONE
EXEMPT
WOMEN/CHILDREN
CRISIS FOOD CENTER
NONE
EXEMPT
WOMEN/CHILDREN
22,000.
FAITH IN ACTION,
EDWARDSVILLE
NONE
EXEMPT
WOMEN/CHILDREN
10,000.
LAND OF LINCOLN ASSIST.
FOUND
NONE
EXEMPT
WOMEN/CHILDREN
20,000.
LCCC EMERGENCY FUND
NONE
EXEMPT
WOMEN/CHILDREN
6,000.
OPERATION BLESSING
NONE
EXEMPT
WOMEN/CHILDREN
25,000.
RIVERBEND HEAD START
NONE
EXEMPT
WOMEN/CHILDREN
12,000.
YMCA
NONE
EXEMPT
WOMEN/CHILDREN
20,000.
THE SALVATION ARMY
NONE
EXEMPT
WOMEN/CHILDREN
8,000.
PRIDE BUCKET BRIGADE
NONE
EXEMPT
WOMEN/CHILDREN
3,000.
URBAN LEAGUE
NONE
EXEMPT
WOMEN/CHILDREN
10,000.
OASIS WOMEN'S CENTER
NONE
EXEMPT
WOMEN
15,000.
CHASI
NONE
EXEMPT
WOMEN/CHILDREN
12,000.
AMERICAN RED CROSS
NONE
EXEMPT
WOMEN/CHILDREN
3,000.
HIGHLAND AREA CHRISTIAN
MINISTRIES
NONE
EXEMPT
WOMEN/CHILDREN
4,000.
SENIOR SERVICES PLUS
NONE
EXEMPT
WOMEN/CHILDREN
9,000.
ALTON MEMORIAL HOSPITAL
NONE
EXEMPT
WOMEN/CHILDREN
15,000.
TOTAL
$
6,000.
Form $868
Application for Extension of Time To File an
Exempt Organization Return
I
(Rev April 2007)
Department of the Treasury
I
OMB No 1545.1709
^ Fil e a sepa rate appli cati on for each return.
Internal Revenue Service
• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box .
• If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part 11 (on page 2 of this form).
^ X
Do not complete Part // unless you have already been granted an automatic 3-month extension on a previously filed Form 8868
. Automatic 3-Month Extension of Time. Only submit original (no copies needed).
11 Par`tel
Section 501(c) corporations required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete Part
onlyY
^
All other corporations (including 1120-C filers), partnerships, REMICS, and trusts must use Form 7004 to request an extension of time to file
income tax returns.
Electronic Filing (e-rle). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file one of the
returns noted below (6 months for section 501(c) corporations required to file Form 990-T) However, you cannot file Form 8868 electronically if
(1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group returns, or a composite or
consolidated Form 990-T. Instead, you must submit the fully completed and signed page 2 (Part II) of Form 8868 For more details on the
electronic filing of this form, visit www irs gov/efile and click on e-file for Charities & Nonprofits.
Name of Exempt Organization
Employer identification number
ALTON WOMAN ' S HOME ASSOC IATION
37-0799839
Type or
print
File by the
due date for
filing your
return See
instructions
Number, street, and room or suite number If a P 0 box, see instructions
P.O. BOX 552
City, town or post office , state, and ZIP code For a foreign address, see instructions
ALTON,
IL 62002
Check type of return to be filed (file a separate application for each return):
Form 990
Form 990-T (corporation)
Form 990-BL
Form 990-T (section 401(a) or 408(a) trust)
Form 990-EZ
Form 990-T (trust other than above)
X Form 990-PF
Form 1041-A
I
• The books are in the care of
Form
Form
Form
Form
4720
5227
6069
8870
^ GABE TAUL
Telephone No ^ (314) 249-3922
FAX No 01
-------------------------------• If the organization does not have an office or place of business in the United States , check this box
^ Li
• If this is for a Group Return, enter the organization ' s four digit Group Exemption Number (GEN)
If this is for the whole group,
check this box ^ El If it is for part of the group , check this box ^
1-1 and attach a list with the names and EINs of all members
the extension will cover
1 I request an automatic 3-month (6 months for a section 501 (c) corporation required to file Form 990 - T) extension of time
until - 8/15 _ _ , 20 08 - , to file the exempt organization return for the organization named above
The extension -is for the organization ' s return for
^
^
2
XX calendar year 20 07
tax y ear be g innin g
or
, 20
If this tax year is for less than 12 months , check reason
and endin g
11 Initial return
20
Final return
Li Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits See instructions
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments
made Include an p rior year over p a y ment allowed as a credit
c Balance Due. Subtract line 3b from line 3a Include your payment with this form, or, if required,
deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System)
See instructions
3a $
1 , 443.
3b$
840.
3c $
Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for
payment instructions
BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions .
603.
Form 8868 (Rev 4-2007
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FIFZ0501L 05/01/07