Return of Organization Exempt From Income Tax

990
Form
Return of Organization Exempt From Income Tax
2004
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black
lung benefit trust or private foundation)
Department of the Troasury
internal ROvonuo-Sorvko
0- The organization may have to use a copy of this return to satisfy state reporting requirern
A For the 2004 calendar )ar, or tax year beginning
, 2004, and ending
,10
g Chock 11
Name
of
organization,
number
and
street,
city,
town,
street,
end
ZIP code
Please
0 Employer identification number
opplieoDio:
nddrooo ononpo
Nome ononpo
Initial rolum
use IRS
label or
print or
type.
See
Final roiurn
Amended rolurn
Specific
Instruct
Application pondina
dons,
E Telephone number
2 ALPINE ST
F ACCtg .1110thOd :
Cash
Other (spocly) 1,
r J Organization
typo (chock only ono) 0,
501(C)( 6 ) t IIneort no .)
4947(o)(t)0r
aw. Y L Gross receipts : Add lines 6b, 8b, 9b, and 10b to line 12
b.
U Accrual
H and I ore not opplicoblo to section 527 organizaIlons.
its Section 601(c)(3) organizations and 4947(a)(1) nonexempt
charitable
t
trusts must attach a completed 3chodulo A
K Check here Iii,
If the organization's gross receipts ere normally not more than
$25,000 . The org ani zation need not file e return with the IRS ; but if the organization
received a Form 990 Package in the mail it should file a return without financial data
Some states re q uire a com p lete return.
s
617-776-9100
5UMEKV ILLE MA 02144-
o wobelto: ~ WWW~FS~~SC'IV~t~I~~,0L~'T'bHAMBER . ORG
o
09-2038139
SOMERVILLE CHAMBER OF COMMERCE
H(0)
327
,,
If "Y00," Onion numbOr Of AIIIIIH100
. . 1110
11
Y08
FM
nro ell ellllloioa Inoludod9
, ,
(If "NO," attach o list Sao InakucUOne .)
H(d)
to this n eopOrnto rolurn IIIOO by an
organization tovared by p group ruling? n yes R NO
M
Group Exec
Check 10
attach Sch .
Y09
NO
H(H(C)
I
165, 688 .
10 this p group r6turn for 0lfillgl0o7
NO
Number
if organization is not required to
(Fo rm 990, 990-EZ, or 990-P F) .
Revenue, Expenses, and Changes in Net Assets or Fund Balances See the Instructions.
r`
N
C\?
64
1 Contributions, gifts, grants, and similar amounts received :
a Direct public support
1a
b Indirect public support
.. . .. ... .. .. ... .. . .. ... .. . . . .. ..... . ... . .
1b
c Government contributions (grants) . . . . . . . . . . . . . . . . ., . . . . ., . . . . . . . . . . . . 1 c
d Total (add lines 1a through 1c) (cash $
noncash $
2 Program service revenue including government fees and contracts (from Part VII, line 93) . . . . .
3 Membership dues and assessments . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . , . . . ., . . . . . . ., . . . . . .
4 Interest on savings end temporary cash Investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . .,
5 Dividends and Interest from securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 a Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6a
b Less .rental expenses . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8b
c Net rental Income or (loss) (subtract line 6b from line 6a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_
come ascribe ~
(A) Securities
8 aKWs.dMdJAl~
f assets other
(B) Other
an Inventory . . . . . . . . .N . . . . . . . . . . . . . . . . . . . .
80
t~~.~~1 cqet pr ~~~os
elect expenses . . . .
8b
c~~ n or7losl) O110Chea
,
ule)
8C
bin line 8c, columns (A) and (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 ~~C~
sa
..
(attach schedule) . If any amount is from gaming, check here t 0
)
. ... .
. . .. .
. .. .
.. ... .
4
6
.. ... .
)
8c
7
.. ...
8d
ross revenue (not including $
of
contributions reported on line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a
b less : direct expenses other than fundraising expenses
. .. .. . . .. . . . . 9b
c Net income or (loss) from special events (subtract line 9b from line 9a) . . . . . . .
.. . . . .. . . ..
10 a Gross sales of Inventory, less returns and allowances . . . . . . . . . . . . . 10a
b less : cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . .
10b
. . . .. .. .
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) . . .
11 Other revenue (from Part VII, line 103) . . . . . . . . . . .
,.
,
12 Total revenue add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) . . . .
13
14
15
16
17
18
19
Program services (from line 44, column (B)) . . . . . . . . . . . .
.. .
. . .. .. . ..
Management and general (from line 44, column (C)) .
~r
Fundraising (from line 44, column (D))
.. .. . .. . . .. .
.. .
.. .
Payments to affiliates (attach schedule)
..
Total expenses (add lines 16 and 44, column (A))
. ..
. .. ... .
.. ..
Excess or (deficit) for the year (subtract fine 17 from line 12) .
. .
Net assets or fund balances at beginning of year (from line 73, column (A))
20 Other changes in net assets or fund balances (attach explanation)
21 Net assets or fund balances at end of year (combine lines 18, 19, and 20)
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions .
BCA Copyright term software any, 2004 Universal Tax Systems Inc All rights reserved
US990E51
..
.
.
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.
. . .
. .
1d
2
..
9c'
10c
»
12
13
14
6~ 195
165, G88
101, 282
73,810
tip18
1s
175,092 .(9, 404 . )
9, 996 .
15
16
20
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.
Forth 99U (2004)
Rev 1
3z
Form99o(2ooa) SOMERVILLE CHAMBER OF COMMERCE
liam
Statement of
Functional Ex p enses
Do not Inetudo amounts roportod on lino Bb, 8b, 8b. 10b, or 18 of Port 1.
(A) Total
22
Grants and allocations (attach schedule)
23
24
28
Specific assistance to Individuals (attach schedule) . . . .
Benefits paid to or for members (attach schedule) . . . . . .
Compensation of officers, directors, etc . . . . . . . . . . . . . . . .
(cosh $
28
2 5 0 0 . noncesh S
)
22
35
Pension plan contributions . .
Other employee benefits . . . .
Payroll taxes . . . . . . . . . . . . . .
Professional fundrolslng fees
Accounting tees . . . . . . . . . . . .
Legal fees . . . . . . . . . . . . . . . . . .
Supplies . . . . . . . . . . . . . . . . . .
Telephone . . . . . . . . . . . . . . . . . .
Postage and shipping . . . . . .
...
...
...
...
...
...
...
...
...
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37
38
Equipment rental and maintenance . . . . . . . . . . . . . . . . . . .
Printing and publications . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(B)
2500 .
23
24
s6
Other salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27
28
29
30
31
32
33
34
09-2038139
_
27
28
29
30
31
32
33
39 Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
70 .
. 35
37
38
43
44
Othar oxpanooa not COVOrOd
b M15l.
0
mlzo):
a
. .. .... .
I N S URANC E
42
a3a
1573 .
1573 .
9 40
240 .
9 41
240 .
35 .
3287 .
896 .
5532 .
35 .
27917 .
957 .
454 .
227 .
227 .
1292 .
43c
43d
43e
17 5
28874 .
692 .
41
43b
Tota l functional expenses (odd nnoe ss through aa),
35673 .
12 150 .
17 5
3287 .
895 .
5532 .
1881
480 .
40 Conferences, conventions, and meetings . . . . . . . . . . . . . . 40
Depreciation, depletion, etc (attach schedule)
2500 .
350
3s Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3s
42
(D) FundroitiIng
-f-2-5-f97
34
interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(C)
1-1-5-4-67 -3-5-6-7 3 .
2 476 .
1 1
3146 .
6574 .
1791 .
11064 .
411
Page 2
AI organiza tions mus t compl e te co l umn
, Co l umns
, en
are requi red for se ct ion
c
and (4) organizations and section 4947(x)(1) nonexempt charitable trusts but optional for others. (See
the instructions . )
692 .
1292 .
Organizations completing columns (B)-(Dg,
carry these tows to lines 13-16
44
175092 .
101282 .
73810 .
Joint Costs . Check 0,
if you ore following SOP 98-2 .
Are any joint costs from o combined educational campaign and fundraising solicitation reported in (B) Program services? . . . . . . 10.
Ii "Yes," enter (I) the aggregate amount of these Joint costs $
; (II) the amount allocated to Program services $
(III) the amount allocated to Mana g ement and g eneral $
; and Iv the amount allocated to Fundralsing
Yes
0 No
jj] Statement o Program Service Accompl i shments (See the Instructions.)
What Is the organization's primary exempt purposed
P.
CHAMBER OF COMMERCE
Kpensos (Roqulrod
r 60t(e)(J) 8 (4) orpo,.
4947(o)(i) trusts : but
All organizations must describe their exempt purpose achievemen t s n o c lear an conci se manner, St a te e num ber o c lien t s
served publications issued, etc. Discuss achievements that are not measurable . (Section 501(c)S3) and (4) organizations and
4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to o hers .)
o MEETINGS WITH LOCAL BUSINESS AND LOCAL GOVERNMENT OFFICIALS
IN OPEN FORUM
95368 .
(Grants and allocations $
2500 . )
n BUSINESS DIRECTORY TO ALLOW RESIDENTS TO MAINTAIN A BETTER
UNDERSTANDING OF BUSINESSES WITHIN THEIR COMMUNITY
and allocations
$
and allocations
$
(Grants and allocations
and allocations
$
$
c
d
e Other program services (ettac
f Total of Program Service Ex
should equ al line 44, column I
BCA Copyright form software any, 2004 Universal Tea Systems, Inc All rights reserved
>
I
5919 .
Form 990 (2004)
US9905S2
Rev 1
Form990(zo04) SOMERVILLE CHAMBER OF COMMERCE
09-2038139 Fege3
Balance Sheets (Seethe instructions.)
Note :
Where required, attached schedules and amounts within the description
column should be for end-of-year amounts only.
(A)
Beginning of year
Cash - non-Interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Savings end temporary cash Investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45
48
22 , 3 4 6 .
47 a Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47a
b Loao : ollowonco for doubtful accounts . . . . . . . . . . . . 47b
47c
Plodgoa rocetvoblo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480 - --- ---- -----Loss : allowanco for doubtful accounts . . . . . . . . . . . . 48b
Grants receivable . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Recelvobles from officers, directors, trustees, and key employees
(attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
51 a Other notes and loans receivable (attach
schedule) . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51a
b less : allowance for doubtful accounts . . . . . . . . . . . . Sib
52 Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
53 Prepaid expenses and deterred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . .
54 Investments - securities (attach schedule) . . . . . . . . . . . . 111, a Cost 0 FMV
55 a Investments - land, buildings, and
equipment : basis . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . SSa
48 o
b
48
50
°'
b Less: accumulated depreciation (attach
schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
56 Investments- other (attach schedule)
57 a Land, buildings, and equipment : basis
b Less: accumulated depreciation (attach
schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
58
othor
45
48
-(B)
End of year
9,133 .
48C
49
60
51c
55b
. .. .. .. .. .
. . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . 57a
55t
58
. .. .. .... .
57C
67b
Decals (doscribo
59
80
81
82
83
Total assote odd tines 45 throu gh 58 must e q ual line 74 ) . . . . . . .
Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . .
Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . .
Loans from officers, directors, trustees, and key employees (attach
schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
64 a Tax-exempt bond liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . .
b Mortgages end other notes payable (attach schedule) . . . . . . . . . . . . .
85 oinor
P- TAX WITHHOLDINGS
..
..
..
..
. . .. .. .
.. .. .
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.. . .. .. .
..
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22, 396 . I ss
.. .. . .. .. . .. . ..
.. ... .. .. . .. ...
2 , 350 .
ss
5 , 629 .
2 912 .
1-2 , 250 .
ss
8
9 996 .
67
Ilnblliiioo (aoaaribo
66 Total Ilabilitlos add lines 60 throu gh 65 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Organizations that follow SFAS 117, check here . . . . ~ ~ and complete lines 67
through 69 and lines 73 and 74 .
67 Unrestricted . . . . . . . . . . . . . .
. . .. . .. .
. . . .. ..
68 Temporarily restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .. . . . . .. .. ... .
69 Permanently restricted . . . . . . . . . . . . . . . . .
. .
. . ...
. . .. .. ... .
Organizations that do not follow SFAS 117, check here . . ~ a , and complete
o`
70
71
72
c,
z
73
lines 70 through 74 .
.. .. . . .
.. .
..
Capital stock, trust principal, or current funds
Paid-in or capital surplus, or land, building, and equipment fund
.. . . .
Retained earnings, endowment, accumulated income, or other funds .
Total net assets or fund balances (add lines 67 through 69 or lines
..
9 , 133 .
..
.
..
.. . . .
.. ..
68
69
591 .
592 .
70
70 through 72 ;
9 , 996 .
73
592
column (A) must equal line 19, column (B) must equal line 21)
2
2
,
3
4
6
.
74
1
9,
net
assetsHund
balances
add
lines
66
and
73
74 Total liabilities and
Form 990 is available for public inspection and, for some people, serves as the prima ry or sole source of information about a particular
3anization . How the public perceives an organization in such cases may be determined by the information presented on its return . Therefore,
ease make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments
A
Copynght form software only . 2004 Unrveroel Tax Systems, Inc All rights reserved
US990SS3
Rev 1
.
Form sso (zooa) 50MERVILLE CHAMBER OF COMMERCE
LVEM
Reconciliation of Revenue per Audited
Financial Statements with Revenue per
Return (see the Instructions .)
71
a
b
(1)
(2)
(3)
(4)
Total revenue, gains, and other support
per audited financial statements . . . . . . . 0Amounts included on line a but not on
.
line 12, Form 990:
Net unrealized gains
on Invoatmonta . . . . $
Donated services
8. use of facilities . . $
Rocoverloa of prior
year grunts . . . . . . . . 5
Other (specify) :
S
Add amounts on lines (1) through (4) . . . . 0,
c
d
Line a minus line b . . . . . . . . . . . . . . . . . . . .,
Amounts Included on line 12,
Form 990 but not on line a :
(1) Investment expenses
not included on
line 6b, Form 990
$
(2) Other (specify) :
e
5
Add amounts on lines (1) and (2) . . . . . . . . to,
Total revenue per line 12, Form 990
( line c p lus line d
. 10,
a N/A
04-203 8139 Page 4
Reconciliation of Expenses per Audited
Financial Statements with Expenses per
Return
o
Total expenses end losses per audited
financial statements . . . . . . . . . . . . . . . . . . . . 1111b Amounts included on line a but not
on line 17, Form 990;
(1) Donated services
& U80 01 facilities
$
(2) Prior year odJuntmonto roportod on
$
Ono 20, Form 890
(3) Lossoo reported on
line 20, Form 990
(4) Other (specify) :
$
b
c
d
e
Add amounts on lines (1) through (4) . . . 00
Line a minus line b . . . . . . . . . . . . . . . . .
Amounts included on line 17,
Form 990 but not on line a :
(1) Investment expenses
not included on
line 6b, Form 990
$
(2) Other (specify) .
c
d
e
5
Add amounts on lines (11) and (2) . . . . . . . . 10,
Total expenses per line 17, Form 990
( line c p lus line d
,t
d
e
List of Officers, Directors, Trustees, and Key Employees (use each one even If not compensated: seethe
instructions .)
75 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 provided by the related organizations?
If "Yes," attach schedule - see the instructions
0- 0 Yes
0 No
Form 990 (2004)
BC/r
Copyright form software only . 2004 Universal Tax Systems, Inc All rights reserved
US990E54
Rev 1
Form99o(200a) SOMERVILLE CHAMBER OF COMMERCE
Other Information (Seethe instructions.)
78
77
04-2038139 Pages
Yes No
Did the organization engage in any activity not previously reported to the IRS? II `Yon .' attach o detailed description of each activity
. .. ... .. ... ...
Were any changes made in the organizing or governing documents but not reported to the IRS? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I( "Yes ;" attach a conformed copy of the changes.
78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? . . . . . . . . . .
b if "Yes," has it filed e tax return on Form 990 "T for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,
79
Was there a liquidation, dissolution, termination, or substantial contraction during the year? It "Yes," attach o statement . . . . . . . .
80 0 la the organization related (other than by association with o statewide or nationwide organization) through common
membership, governing bodies, trustees, officers, etc,, to any other exempt or nonexempt organization? . . . . . . . . . . . . . . . . . . . . . .
b If "Yes," onlor " ho name of tho organization 1110,
and chock whether It Is . . . . oxompt or
nonozompt .
81 o Enter direct or Indlroct political oxpenditures, Sao line 81 Instructions . . . . . . . . . . . . . . . . . . . . . . 1 810 1
b Old the organization file Form 1120" POL for this year? . . . . . . . . . . . . . . . , . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . , , , , , , , , , , ,
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no chargo or at
substantially 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 expense in Part II . (See Instructions in Pen III .) . . . . . . . . . . . . . . . . 82b
83 a 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 contributions? . . .
. . .. .. . . . . .. . . .
84 a Did the organization solicit any contributions or gifts that were not lax deductible?
. .. . .. . . .. .. . .. . .. .. . . . .. .. . .. .. . .. .
b If "Yes," did the organization Include with every solicitation an express statement that such contributions or gifts were not
tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
85
501(c)(4), (5), or (6) organizations .a Were substantially all dues nondeductible by members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Did the organization make only in-house lobbying expenditures of $2,000 or less? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a
waiver (or proxy tax owed for the prior year .
c Dues, assessments, end similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85c
d Section 162(e) lobbying and political expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85d
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices . . . . . . . . . . . . . . . . . . . . . . . . 850
t Taxable amount o1 lobbying and political expenditures (line 85d less 85e) . . . . . . . . . . . . . . . . . . . 85f
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to Its
reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? . . . . . . . .
88
501(c)(7) orgs . Enter: o Initiation fees and capital contributions Included on line 12
. . . . . . . . . 88a
b Gross receipts, Included on line 12, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86b
501(c)(12) orgs . Enter : o Gross Income from members or shareholders . . . . . . . . . . . . . . . . . . . . . . . . 87a
b Gross Income from other sources . (Do not net amounts due or paid to other sources
against amounts due or received from them .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87b
88
At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or
partnership, or en entity disregarded as separate from the organization under Regulations sections
301 .7701-2 and 301 .7701-3? If "Yes," complete Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
89 a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under :
, section 4955 0,
section 4911 "
; section 4912 lo,
b 501(c)(3) 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
X
76
X
77
780
78b
79
X
X
X
-80a ,
-
X ,
81 b
X
82a
X
83e
83b
84a
84b
85a
85b
X
X
X
X
X
X
85g
X
85h
X
88
X
87
a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . .
. . . .. . .. .
c Enter : Amount of tax Imposed on the organization managers or disqualified persons during the year
sections 4912, 4955, and 4958 . . . .
..
. . .
. .. . . . .
.. .
. . . . .
. .. . .
d Enter Amount of tax on line 89c, above, reimbursed by the organization
filed
a
the
with
which
of
this
return
is
01,
90
List
states
a copy
. .. . . .
under
.
. . .. .
. . . . . . ..
L
. . . . . 89b
b Number of employees employed in the pay period that includes March 12, 2004 (See instructions .) . .
. ..
~ 90b
Telephone
617
-77 6-4 10 0
The
fn
0CHAMBER
no
0,
91
books are care of
92
BCA
Locatedat 0, 2 ALPINE ST SOMERVILLE MA
ZAP+a0-
Section 4947(a)(1) nonexempt charitable trusts filing Forth 990 in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the tax year
Copyright loan software only . 2004 Universal Tax Systems, Inc Alt rtphle reserved
US990E55
Rev 1
02194. .. .
0,
. .
I .92 I .
..
Form 990 (2004)
Form99o(2ooa) SOMERVILLE CHAMBER OF COMMERCE
Anal ysis of Income-Producin g, Activities (Seethe tnstruatons .
ExGuded b section 512, 513, or 514
Unrelated business income
Note : Enter gross amounts unless
otherwise indicated.
97 Program service revenue :
oMEETINGS & OUTINGS
bNEW GROUP
(A)
Business
code
09-2038139 Page 6
(C)
Exclusion code
(B)
Amount
(E)
Related or exempt
function income
(D)
Amount
59,307 .
28,000 .
c
d
e
f Medlcore/Medicold payments
. ... ... .
94
g Foos a controcta from govt . ogencloa . .
77,
Momborshlp duos & nsaosamonts . . . . . .
moroet on savings end temporary croon
96
Invoelmonte
98
97
$
. . . . . . . . . . """ . "" . . . " . """"
98
Dividends 8. Interest from securities . . . .
Not rental income or (loss) from real estate :
a debt-financed property . . . . . . . . . . . . . .
b not debt-financed property
.. .. . .. . . .
Not rental income or (lose) from personal
proporty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
99
100
Other investment Income . . . . . . . . . . . . . .
Gain or (loss) prom 50103 Of 050018 other
than Inventory . .
... .. .. . .. ..
. .. .. . .. . . .
.. . .
101
Not Income or (lose) from special events
102
Gross profit or (loco) from solos of Inventory , ,
103 Ott,errevenue: aMEMB DIR
b
591800
6,195 .
c
d
e
104 Subtotal (odd columns (e), (D), and (E)) . . ,
r 19 5
104,
(D),
and
(E))
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
. .. .. . . . .. . .. .. .. .. .. . .. . .. .. . . .. .
105 Total (add fine
columns (8),
Note: Line 105 p lus line 1d Part I should eq ual the amount on line 12 Part I .
Line No .
..
159,4
~
,8
Relationshi p of Activities to the Accom p lishment of Exem pt Pur p oses ( Seethe Instructions .)
Explain how each activity for which Income la reported In column (E) of Pan VII contributed Importantly to the accomplishment of the
organization's exempt purposes (other than by providing funds for such purposes) .
FORUM FOR OPEN DISCUSSION AMONG BUSINESS LEADERS REGARDING CURRENT
ISSUES AFFECTING BUSINESS AND ECONOMIC ACTIVITY
EETINGS AND PRESS RELEASES REVOLVING AROUND ECONOMIC DEVELOPMENT
F THE CITY AND ITS BUSINESS RESIDENTS
Information Regarding Taxable Subsidiaries and Disregarded Entities (Seethe Instructions . )
93A
93B
S( ,
. Name, address, andAEIN of corporation,
paAnership or diare arded emit
NONE
C
Nature of activities
Percentage of
ownershi p Inl .
~D
Total (Income
E
End-of-year
assets
o
o
o
Information Regarding Transfers Associated with Personal Benefit contracts see Specific Instructions)
(a) Did the organization, during the yr ., receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . .
. .
(b) Did the organization, during the year, pay premiums, direly or indirectly, on a personal benefit contract?
Note : If "Yes" to ( b ) , file Form 8870 and F
472
e instructions
Please
Sign
Here
P a ld
'~
'
Signat
T
y
V
o
xor~
lion o
opor
is et
I ,
41 ~~rf'~1~~'
or print name and title
Firm's name (or yours
it calf-employed) .
address andZIP-4
pen~m~ efr heuea pnd sloto enpts
090 ~o o (n ormot on of which re
~A o
o its
f officer
signature
Preparer's
Use Only
BC{\
n Cr P4n0
s o ~or u
beliol, 1
uo, eo oe ,
the b
Res en
1 0l mY
now19E
-ledge and
Date
/°X~fta~71>T~L~E"n
Check if
self-
_7D t
`7
employed 0
PAUL B BA.0 JR - CPA
17 COLLEGE AVE
~SOMERVIL-aMA 02144-0001
Copyright form software any, 2004 universal Tax Syete.jp. .\F All rights reserved
nd t
are,
Yes {X~ No
Yes ~ No
US990E56
Preparer's SSN or PTIN (See Gen Inst W)
-
010
EIN
Phonano ~
Rev 1
-34-3630
04-2630604
617-666-9759
Form 990 (2004)
04-2038139
us 990
Class of Activi
RANT
Grants and Allocations
990 : Paae 2 . Line 22 : 990-EZ : Paae
Donee's Name end Address
HOME FIRST CORP
SOMERVILLE MA
Copyright form software only, 2004 Universal Tax Systems . Inc
All rights reserved
Line 10
2004
NE
2, 500 .
USSTX221
04-2038139
us 990
Lenders Name and Title
and Relationship to Any
Officer, Director, or Other
Dis qualified Person
Mortgages and Other Notes Payable as of Year End
990: Pa g e 3 Line 64b; 990-PF : Page 2 Line 21
Repayment Terms, Interest
Rate, Security Provided, Loan
Purpose, Description and
FMV of the consideration
WINTER HILL BANINTEREST MONTHLY
Copyright form software only, 2004 universal Tax Systems . Inc
All rights reserved
Original Amount
of Note
10,000 .
10,000 .
USSTX64B
Bolonce Due
2004
Data of Note
Mat rit Date
5,629 .11/15/200902/1672006
5,629 .
Form
8868
S~d
9/~ ,
Application for Extension of Time to File an
(December 2004)
Exem P t Or 9 anization Return
DaDOrlmpnl of the Treasury
File a separate application for each return .
iniainal Revenue Service
1s45-17o9~
OMB N0 .
[(you are filing for an Automatic 3-Month Extension complete only Port I end check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
.
If you ore filing for an Additional (not automatic) 3-Month Extension, complete only Port II (on page 2 of this form) .
Do not complete Part II unless you have alread y been granted on automatic 3-month extension of o previousl y filed Form 8888 .
Automatic 3-Month Extension of Time - Only submit original (no copies needed)
Form 89u-7 corporations requesting on automatic 6-month extension - chock this box and complete Pun 1 only
. .. . .. .. .. . . . .. . .. .. .. .. . . . .. .. .
Au other corporations (including Form 990-C filoro) must use Form 7004 to roquoot an extension of time to I'llo Income tax returns . Partnerships,
REnniCo rind trusts must use Form 8738 to request an extension of limo to file Form 1085, 1086, or 1041 .
Electronic Filing (o "fllo) . Form 8888 Con be filed electronically II you want o 3-month automatic extension of time to Illo ono of the returns naiad
below (8 months for corporate Form 890 " T fliers) . However, you cannot 1110 It electronically II you wont the additional (not automatic) 3-month
extension, instead you must submit the fully Completed signed pogo 2 (Pan II) of Form 8888 . For morn details on the electronic filling of this
Typo or
print
File oy the
cue do[o log
filing your
return . $oe
instructions
Name of Exempt Organization
Employer Identification number
04-2038139
SOMERVILLE CHAMBER OF COMMERCE
Number, street, and room or suite n0. If a P 0. box, see instructions .
2 ALPINE ST
City, town or post office, state, and ZIP code . For a foreign address, see instructions .
SOMERVILLE MA 02144
Check type of return to be filed (file a separate application for each return):
Form 990
Form 990-T (corporation)
Form 990-8L
Form 990-T (sec . 401(a) or 408(a) trust)
Form 990-EZ
Form 990-T (trust other than above)
Form 990-PF
Form 1041-A
10
The books ere
will cover.
2
4720
5227
6069
8870
to the care of * CHAMBER
Telephone No . 0, 617-77 6 - 4 100
FAX N0 .
II the organization dons not have an office or place of business in the United Slates, check this box
II this is for Group Return, enter the organization's four digit Group Exemption Number (GEN)
Check this box 0, a. II II IS for port of the group. check this box
1
Form
Form
Form
Form
Ili-
0
... .
. .. . .. .. . .. .. . .. . . .. . .. . .. .. .
If this is fog the whole group,
and attach e list with the names and EINa of all members the extension
I request on automatic 3-month (6-month, for o Form 990-T corporation) extension of time until
AUG
to file the exempt organization return for the organization named above . The extension is for the organization's return for :
calendar year 20 0 9
or
P. 8 pox year beginning
. 20
and ending
II this tax year is for less than 12 months, check reason :
0 Initial return
a Final return
1
,
20
,
20
Q Change in accounting period
7 a II this application is for Form 990-BL . 990" PF, 990" T, 4720, or 6089, enter the tentative tax, less any nonrefundable
credits See instructions
. .. .. .. .. . .. ... . . . . . . .
.
. . . . .. .. .. . . . . . . . ..
b I( this application is for Form 990"PF or 990-T, enter any refundable credits and estimated lax payments made . Include any
prior year overpayment allowed as a credit
. . . .. . .. . . . .. . .. .
. . .. .
. .
, . , .
. ..
c Balance Due. Subtract line 3b from line 3a . Include your payment with this form, or, d required, deposit with FTD Coupon or,
$
$
C
if required. by using EFTPS (Electronic Federal Tax Payment System) See instructions
..
.. .. .
. . ..
. $
O
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
For Privacy Act and Paperwork Reduction Act Notice, see instructions .
BCA Cooy',Qni Corm software only 2004 Universal Tax Systems . inc
All rights reserved
Form 8868 (12-2004)
USB8881t
Rev
t
.S00+
c ItY 1L_t.E
Somerville Chamber of Commerce Board of
Directors 11/O1/OS
Officers
Chairman Adam Dash, Adam Dash & Associates
Treasurer Richard rlahcrty
Clerk Arnold J. Knox
John Cole, Arrowstrect
Kevin Douglas, Langton & Douglas
Cheryl Faulkner Ciardi, Walnut Hill Mgt
George Uonnclly, Boston Business Journal
Mary Frascr, Citizens Bank
Charles McKenzie, Hamlen & Company
"timothy 0'Malley, Winter Hill Bank
(to be announced), Ikea
William Zamparelli, Nstar
Class of 2006
David Blumsack, Rockmont Management
Susan Callahan, Attorney
Pauline D'Aurora, Winter Hill Bank
Rui Domingos, Cambridge Portuguese CU
Brett Henry, Mt. Vernon Restaurant
William Herman, J .J . Vaccaro
Barbara Rubel, Tufts University
Domenic Siraco Jr, Siraco Sharpening
Ray 7_onghetti, Consultant
Michelle Mulvena, Dardeno
CO #* /A 4,c 4-C
C Ff An' 66i;,Lff
7w 0011
2.09139
Class of 2007
Joseph Benoit, Benoit Consulting
Joe Bianco, Central Bank
Nancy Busnach, Busnach Associates
James Conforti, Gargoyles on the Square
Pat Crombie, Somerville Hospital
Kirk Ftamsaucr, Mmes Safety Envelope Co.
Rod Laurenx, Edward Jones
Gail Simms, Holiday Inn
Joseph Taglicntc, '1'Aglicntc
Class of 2008
Ronald I3onney, Arlcx Yellow Cab
Paul Connolly, Federal Realty
Anthony Cota, Sr, Cota-Struzziero Funeral Home
Cyndie K. Femino, KK Realty
Nora Gomez-Diaz, Atellier Pilates
Patricia Harty, Verizon
Ken Kelly, The Independent
Peter Kwass, Mt . Auburn Associates
Frank Privitera Jr., Attorney
Delio Susi, Amelia's Kitchen
Past Chairs
Sandra McGoldrick, Winter Hill Bank
Thomas p . Bent, Dent Electrical Contractors
Arnold J . Knox (Clerk)
Frank Scimone
Nicholas Salerno, U .S . Travel World
Robert Arnold, Ames Safety Envelope Company
Form 8868 (Rev . 12-2004)
Pa e 2
If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box
.. . .. .. . .. .. .. .. . ... .. .. ..
Note : Only complete Part II if you have already been granted en automatic 3-month extension on a previously filed Form 8888.
If you are fiiin for an Automatic 3-Month Extension com loto only Part I on pa ge 1 ) .
FO, Mit
Additional not automatic ) 3-Month Extension of Time " Must File Orig inal and Ono Co
Typo or
Name of Exempt Organization
Employur Identification number
print
Pilo oy ma
extended
filing Ana
.ow..+ . Goo
instructions .
SOMERVILLE CHAMBER 0F COMMERCE
Number, street . and room or suite no. If o P.O . box, see Instructions.
~2 ALPINE ST
I
I
09-2038139
For IRS use only
- _
City, town or post office . state . and YIP code . For o foreign address, see Instructions .
SOMFRVILLE MA 02194
Chock typo of return to be filed (File a separate application for ouch return):
Form 990
Form 990" T (sec . 401(0) or 408(0) trust)
Form 990.91.
Form 990-T (trust other then above)
Form 990-E2
Form 1041 " A
~~ Form 990-PF
n Form 4720
Form 5227
Form 8088
Form 0870
STOP : Do not complete Port II If you were not already granted an automatic 3-month extension on o previously filed Form 8868 .
The books ore in the care of P- CHAMBER
TelephoneNo.0, 617-776-4100
FAX NO .0,
If the organization does not have an office or place of business in the United States, check this box
. .. .
. ... .. . . .. . . . .. ... .. . . . .
I( this is (or a Group Return enter the organization's (our digit Grou Ezemptlon Number (GEN)
It this is for the whole group,
check this box ~ n . If It Is for part of the group, check this box ~ ~ and attach a list with the names and EINS of ell members the extension is for .
4 I request on additional 3-month extension of time until
NOV 1
, 20
5 For calendar year
2 0 0 4 or other lax year beginning
, 20
, 20
and ending
6 If this tax year is for loss than 12 months, chock reason :
Final
Initial return
return
Change in accounting period
0
7 State indetail whyyouneed thoextension
TAXPAYER REQUIRES ADDITIONAL TIME TO
COMPLETE RECORDS
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative fox, less any nonrefundable credits .
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
b If this application is for Form 990-PF, 990-T, 4720, or 8089, enter any refundable credits and estimated tax payments mode .
Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8888
... .. .. . .. . .. .. .. .
c Balance Duo . Subtract line 8b from line 8a . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Signature and Verification
Q~
(7
Under penalties of perjury. I declare that 1 have examined this form, Including accompanying schedules and statements, and to the bast of my knowledge
and belief, it Is true, co ct, and mpl to, and at I am authorized to prepare this form .
Si noture ~
~
TIUe ~
- /~!/~'
Date ~ 7/2_x /ms s
of ce to Applicant - To Be Completed by the IRS
We have approved this application . Please attach this form to she oiganicetion's rulurn .
We hove not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the due date
of the organization's return (including any prior extensions). This grace period 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 lime to file
We are not granting a 10-day grace period .
We cannot consider this application because it was filed after the extended due data of the return for which an extension was requested
Other
.,
By:
r
Date
Director
the
copy
of
this
application
for
an
additional
3-month
extension
returne
to`ars?adCress
Alternate Mailing Address - Enter we address if you want
" 1 L
different than the one entered above .
Name
PAUL B BAIN, JR - CPA
Type or
Number, street (include suite, room, or apt . no ) or a P.0 box number
print
`- pOBOX 440040
City or town, province or state, and country (including postal or ZIP code)
SOMERVILLE MA 02149 -0 001
BCA
Copyright form software only, 2004 Universal Tax Systems Inc
All rights reserved
US886852
Rev
1
_ ti Form 8868(12-2004)