-e
I
OMB
Return of Organization Exempt From Income Tax
Fcrrn 990
Depar ment of the Treasury
Internal Revenue Service
2011
Under section 501 ( c), 527 , or 4947( a)(1) of the Internal Revenue Code ( except black
lung benefit trust or private foundation )
Ott to PUNIC
^ The organization may have to use a copy of this return to satisfy state reporting requirements .
Inspe^'n
A
For the 2011 calendar year, or tax year beginning
, 2011, and ending
, 20
Check if
C
Name
of
organization
BROTHERS
IN
BLUE
REENTRY
PROGRAM
IIS
Employer
Identification
CD
number
B a pplicable
Address change
Doing Business As BROTHERS IN BLUE REENTRY INC
1 5-2807687
Name change
Number and street (or P O box if mail is not delivered to street address )
Amended return
ans ing
Application pending
F
J Website : ^ N
E
V
E
N
E
E
X
E
N
S
E
attachment
J 501(C)(3)
501(c)(7
)t (insert no.)
4947(a)(1) or
Yes
527
Trust
Association
Other ^
No
If "No," attach a list (see instructions)
Group exemption number
L Year of formation
2 011
^
M State of legal domicile
2
3
4
5
6
7a
b
Check this box ^ 1 1 It the organization discontinued its operations or disposed of more than 25% of its net assets.
Number of voting members of the governing body (Part VI, line 1 a) , , , , , , ,
, , , , , , ,
3
..
Number of independent voting members of the governing body (Part VI, line 1 b)
... .
......
4
Total number of individuals employed in calendar year 2011 (Part V , line 2a) .. , . , . , ..
, , , ,
5
Total number of volunteers (estimate if necessary) .........
... ..................
6
Total unrelated business revenue from Part VIII, column (C), line 12 .
. ...............
7a
Net unrelated business taxable income from Form 990 -T, line 34 ........
.... . .........
7b
Prior Year
8
Contributions and giants (Part VIII , line 1h) ...... , . ,
9
Program service revenue (Part VIII , line 2g) ..........
10 Investment income (Part VIII , column (A), lines 3 , 4, and 7d)
.............. .
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c , 9c, 10c, and 1le)....
12 Total revenue -- add lines 8 through 11 (must equal Part VIII, column (A), line 12)
13 Grants and similar amounts paid (Part IX , column (A), lines 1-3 ) ......... ......
14 Benefits paid to or for members (Part IX, column (A), line 4) .. .
15 Salaries , other compensation , employe
snafu ( Part ix rn
5-10)
16a Professional fundraising fees (Part IX ,
Iumn (qR;Ve AVE.D ..... .........
b Total fundraising expenses (Part IX, col m
V
17 Other expenses (Part IX, column (A), II
1 a-1 j^11J: 4e))
. _________________
18 Total expenses Add Imes 13 - 17 (must
al Pa^Xcolumrf
,?1Ine
19 Revenue less expenses . Subtract line 8 from-ltnsa2 .. ... ... , .^
Beginning of Current Year
_
#-art it
Total assets ( Part X , line 16) ,,,,,,
^,,,,,,,,,,
Total liabilities (Part X, line 26)
........
. . . ......... . .
Net assets or fund balances Subtract line 21 from line 20 , , , , , , , , , , , ,
KS
Sign
Here
ND
Type or punt name and title
Print/Type preparer' s name
J
Preparer's slg
HOWARD B DYER
Preparer
Firm's name ^ HR Block
Firm's address ^ 390 ASH
Use Only
EAVENWORTH KS 66048
May the IRS discuss this return with the preparer shown above? (see
For Paperwork Reduction Act Notice, see the separate Instructions.
11
125
0
Current Year
74 , 117
74 , 117
19,989
11, 4 0 0
31 , 3 8 9
42 , 728
End of Year
42,728
42 , 728
at I have examined this return , including accompanying schedules and statements , and to the best of my knowledge and"lief , it is true,
preparer ( other tha
fficer ) is 4esed on all information of which preparer has any knowledge.
nature of officer
DONALD E RA
Paid
........
, , , , , , , ,
7
Signature Block
Under penalties of perjury , I de
a
correct, and complete De
ation
JVA
Yes M No
H(b) Are all affiliatesincluded"
1
Briefly describe the organization ' s mission or most significant activities
ee attachment #2
RA 20
U C 21
N E
s D s 22
W
#1
74 , 117
H(a) Is this771
a group return for affiliates'
H(C )
Corporation
NOB
N
receipts $
A
K Form of organ ization
N
E A
N
S C
E
&
G Gross
66043
Name and address of principal officer :
S ee
I Tax-exempt status
KS
E Telephone number
(913) 250-2621
City or town, state or country, and ZIP + 4
Terminated
A
CG
T O
1 V
V E
Room/ Suite
01 E KANSAS STREET
Initial return
9901
TWF 990
Copyright Forms ( Software Only)- 2011 TW
^^T Data As Of :
T
Pending Rejects -- System:
990
Selection :
Rejects
Account:
HF16679
Firm Name :
HR Block
4/19/2012
9 37•AM
EFIN: 481523
SSN
Name
687
BROTHERS IN BLUE REENTRY PROGRAM IN,,
Form :
0000
Rej Code :
F990-902
-
Status
Ack Date
Type
R
4/17/2012
US
The EIN in the return must have been established as an exempt organization return filer in the e-file database.
V
-
Field:
-
-
Multiple:
Form :
0000
Rej Code :
F990- 906
The return, type indicated in the return header must match the return type established with the IRS for the EIN
V
-
-
-
Field:
Multi p le:
Form :
Rej Code :
-
_
'
0000
If ' Terminated " checkbox is not checked , then in the Return Header, the tax period end date must match data in the
F990-911
e-file database.
Field:
Multiple:
-
Form :
4
Rej-Code :
F990-913
V
-
Tax-exempt status specified in Item I, must match- data in the efile database
-
-
Field:
Multiple:
Ack Status Key.
f;, .- t = S
A = Accepted
P = Pending
R = Rejected
X = Fed Rejected - State not sent
D = Duplicated
Y = Fed Duplicated - State not sent
E = Exception
O = Overwritten ( Retransmitted )
C = Conditional
S = Removed From Filing Center
(
t
0
➢
'r ^ - R
t ^^ -~
E
•` ^ F
j
/^a
1 ^ 9^
N = Notification
Page 1