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 .. . . . . . . . . . 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 . . . . 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 . . . . . . ... ... ... ... ... ... ... ... ... .. .. .. .. .. .. .. .. .. ... ... ... ... ... ... . .. . .. . .. .. ... .. ... .. ... .. ... .. ... .. ... .. ... .. ... ... .. .. .. .. .. .. .. .. .. .. . .. . .. . .. ., . . .. . .. . .. . .. . .. .. ... .. .. . .. ... .. ... ..... ..... ..... ..... ..... .. .. .. . . .. .. .. .. . . . 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 .. .. .. .. . . .. .. . .. .. . .. . .. .. . .. . .. .. . .. .. .. .. .. .. .. . .. . 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)