18
Return of Organization Exempt From Income Tax ~oo Under section 601(e), 527, or 4847(a)(1) of the Internal Revenue Code (except black lung benefit bust or private foundartion) " The organization may have to use a copy of this return to Satisfy state reporting requirements r - in number A For the 2007 0 PI~~ G N2rt IRS label . T M+~ > Nurt spec! 0 Cl A ZIP i4 DOD Q- F AomY9 md1oQ f [~ Cs~n LI Pcmd 0 Ottia (spxaf~ ~ H end I aid not applicable M section 527 H(a) Is this a group return for affiliates? Yd WNo H(b) If 'Ya,' enter number of affiliates ai~ .. . . . . . . . . . . H(c) Are ell efFllstes included? 0 Y El 1b Of 'No," attach e list See instructions ) TA H(d) U thb a separate reran fled by en aoantraton turned W a amw ndro7 C1 Year , " No . Section 501(c)(3) organizations, and 4"7(a)(1) nonaxerript charitable trm ta mist attach a comPlabd ScheOLde A (Farm BBO or BBo-FZ) G K Check here " 0 II Na organization's gross receipts are normally not mike, Man $25 000 The apaNratbn need not file e return wit, the IRS, but R the orpsn¢nGm recdved a Form ON Package in the mail . 11 should file a !arum without financial Beta Some etaW require a complete neiun I Enter 4-dil M Check to attach to line 12 ll~ saes in Net Assets or Balances i Y3 s , z'T5 21 . 1 4-4 r-uR, 990 RaoA N h~ ) for the year (subtract line 17 from line 12) 6~d balances at beginning of year (from line 73, column (A)) n~ L rat assets or fund balances (attach explanation) mg balances at end of year (combine lines 18, 19, and 20) T !let Nodes, see the separate Instructions. Cat ND 11282Y Form 990 of Vy Trteuy B Cheek d ypYrade O neap, change 0 Name change 0 Initial return Final return 0 Amended return El Appilcartim Pending or tax veer Walnnlna TJNE 1 . 2001 . and d wgenlmCm s C~I1~~x~Jwoob FaWWnol,1 09 rc end street (w P O box M mal is net dalrverad to ebvet 4 (insert no) 1:1 4947(a)(1) or C1 5V 1 13 :31z983` RooMwke E Telephone number L N (D O Q t Contributions, gills, grants, and similar amounts received / a Died public support b Indirect public support c Government contributions (grants) 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 and temporary cash investments 5 Dividends and interest from securities Ba Gross rents 8e b Less rental expenses 8b c Net rental Income or (loss) (subtract line 6b from line 6a) 7 Other investment income (describe Be Gross amount from sales of assets other W Securities (13) Other than inventory b Less cost or other basis end sales expenses 8b c Gain or pons) (attach schedule) so d Net gar or pons) (combine line Bc, Columns (P) and (B)) 9 Special events and activities (attach schedule) e Gross revenue (not including $ of contributions reported on line Is) 1 98 b Less direct expenses other than fundraising expenses 9b e Net income or (loss) from special events (subtract line 9b from line 9a) 10e Gross sales of inventory, less returns and allowances 102 b Less cost of goods sold 10b c Gross profit or poss) from sales of inventory (attach schedule) (subtract line 10b horn line 10a) 71 Other revenue (from Part VII, line 103) 12 Total revenue (add lines 1 d . 2 . 3 . 4 . 5 . 6c. 7 . Bd . 9c . 10c . and 111 13 Program services (from line 44, column (B)) J4 ~vlanaaame~ f general (from line 44, column (C)) pabg (horn line 44, column (D)) A6`--~ihates (attach schedule) 17 Total saner (add lines 16 and 44 . column (Al) if the organ=3on Is not required (Forth 990, 99O¢, or 890-PFD Instructions on a e 16 O 8 A~ i i i I i

990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

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Page 1: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

Return of Organization Exempt From Income Tax ~oo Under section 601(e), 527, or 4847(a)(1) of the Internal Revenue Code (except black lung

benefit bust or private foundartion) " The organization may have to use a copy of this return to Satisfy state reporting requirements

r - in number

A For the 2007 0 PI~~ G N2rt

IRS label . T M+~ > Nurt

spec! 0

Cl

A ZIP i4 DOD Q-

F AomY9 md1oQ f [~ Cs~n LI Pcmd

0 Ottia (spxaf~ ~ H end I aid not applicable M section 527 H(a) Is this a group return for affiliates? Yd WNo H(b) If 'Ya,' enter number of affiliates ai~ . . . . . . . . . . . . H(c) Are ell efFllstes included? 0 Y El 1b

Of 'No," attach e list See instructions ) TA H(d) U thb a separate reran fled by en

aoantraton turned W a amw ndro7 C1 Year ," No

. Section 501(c)(3) organizations, and 4"7(a)(1) nonaxerript charitable trm ta mist attach a comPlabd ScheOLde A (Farm BBO or BBo-FZ)

G

K Check here " 0 II Na organization's gross receipts are normally not mike, Man $25 000 The apaNratbn need not file e return wit, the IRS, but R the orpsn¢nGm recdved a Form ON Package in the mail . 11 should file a !arum without financial Beta Some etaW require a complete neiun I Enter 4-dil

M Check to attach to line 12 ll~

saes in Net Assets or Balances

i

Y3 s , z'T5

21. 1 4-4 r-uR, 990 RaoA

N h~ ) for the year (subtract line 17 from line 12) 6~d balances at beginning of year (from line 73, column (A)) n~L rat assets or fund balances (attach explanation) mg balances at end of year (combine lines 18, 19, and 20) T !let Nodes, see the separate Instructions. Cat ND 11282Y

Form 990 of Vy Trteuy

B Cheek d ypYrade

O neap, change 0 Name change

0 Initial return

Final return

0 Amended return

El Appilcartim Pending

or tax veer Walnnlna TJNE 1 . 2001 . and d wgenlmCm

s C~I1~~x~Jwoob FaWWnol,1 09 rc end street (w P O box M mal is net dalrverad to ebvet

4 (insert no) 1:1 4947(a)(1) or C1 5V

1 13 :31z983` RooMwke E Telephone number

L

O¢ N (D O

Q

t Contributions, gills, grants, and similar amounts received / a Died public support b Indirect public support c Government contributions (grants) 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 and temporary cash investments 5 Dividends and interest from securities Ba Gross rents 8e b Less rental expenses 8b c Net rental Income or (loss) (subtract line 6b from line 6a)

7 Other investment income (describe Be Gross amount from sales of assets other W Securities (13) Other

than inventory b Less cost or other basis end sales expenses 8b c Gain or pons) (attach schedule) so d Net gar or pons) (combine line Bc, Columns (P) and (B)) 9 Special events and activities (attach schedule) e Gross revenue (not including $ of

contributions reported on line Is) 1 98 b Less direct expenses other than fundraising expenses 9b e Net income or (loss) from special events (subtract line 9b from line 9a)

10e Gross sales of inventory, less returns and allowances 102 b Less cost of goods sold 10b

c Gross profit or poss) from sales of inventory (attach schedule) (subtract line 10b horn line 10a) 71 Other revenue (from Part VII, line 103) 12 Total revenue (add lines 1 d . 2 . 3 . 4 . 5 . 6c. 7 . Bd . 9c . 10c . and 111

13 Program services (from line 44, column (B)) J4 ~vlanaaame~ f general (from line 44, column (C)) pabg (horn line 44, column (D)) A6`--~ihates (attach schedule) 17 Total saner (add lines 16 and 44 . column (Al)

if the organ=3on Is not required (Forth 990, 99O¢, or 890-PFD Instructions on a e 16

O

8 A~

i

i i

I

i

Page 2: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

i

C

I 1 f f I 1

I r i

(Grants and allocations $

e

win 990 RMI)

Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm mst complete cohmn W Columns (B) . (l. erM P) era required for eecilm 501(c)(3) mM (<) aBer.

I zlbro

Functional Expenses And action <947(e1(t) nvwempt uminnele tuft do optional ror where. (see spedec V~vauenms m peas 211

Do not include amounts reported on line (e) Prop��, (c) M�,ap,n�� t 6b, 86, 9b, 106, of 16 0l Part 1 W soul elm Wd oerwai (D) Fundmbtrp

72 Grants and aljac Ions (attach schedule 6? ~oo (msh = ~oo noncash $ i 22 63500

23 Specific assistance to individuals (attach schedule) 23 -24 Benefits paid to or for members (attach schedule) 24 25 Compensation of officers, directors, etc 25 28 Other salaries and wages 26 27 Pension plan contributions 27 28 Other employee benefits , 28 29 Payroll taxes 29 30 Professional fundraising fees 30 31 Accounting fees 31 32 Legal fees 32 33 Supplies 33 34 Telephone 34 36 Postage and shipping -Ts-36 Occupancy 36 37 Equipment rental and maintenance 37 38 Punting and publications 38 Travel 39 40 Conferences, conventions, and meetings 40 41 Interest 41 42 Depreciation, depletion, etc . (attach schedule) 42 43 ONiu epertses rot covered above (rtem¢e) a --------- b ---------------°-°- --------------------°°----- 43b c 43c d 43d e . . . . . - ---------°-- -° --'--'------ ---° a rmwnurt:roweverm(aaas,a,nnhmoqa9vibams I I 6476.SI 635otb I I X265 MnA+ba caluirri+fBxPA am Miss mm, m mat; 1s-is as

Joint Coats. Check " 0 H you are following SOP 98-2 Are any Joint costs from a combined educational campaign and fundraising solicitation reported m (B) Program services? 10- E3 Yes [I No If 'Yes," enter n the aggregate amount of these joint costs $_,- u the amount allocated to Program services $ , &he amount allocated to Management end general $ , end (N) the amount allocated to Fundrsising S

Statement of Program Service Accishments See Specific Instructions on page 24 What is theorganizatlon'sprlmaryexempt purpose7om

l

". . . .--p.�:~LJ . .~-VE1D(~l1Ell'[_.,_ ._,______,_____,_____ Program Service

All organizations must describe their exempt purpose achievements m a clear and concise manner State the number ~pep,s�c~~c1 �,e of clients served, publications issued, etc Discuss achievements that ere not measurable . (Section 501(c)(3) and (4) NI~ ~ ~~f .1 ) organizations end 49470(1) nonexempt charitable thaw must also enter the amount of grants end allocations to others

" -- - t)tl ~~-- ~-P --- ~-T -- -- . . . . . . . . . . . . . . . . . . . . . . --------------------- - . . . . . . . . . . . . . . . --- ------- ------ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - ----- .i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~- ------i I 63 so

(Grants and allocations $ )

"' v and ts allocations $ ants and allocations $ )

Page 3: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

Form 890 (2001) page 3

ORM Balance Sheets (See Specific Instructions on page 24 )

Note Where required, attached schedules and amounts within the descrrption (B) column should be for end-of-year amounts only Beginning of year End o1 year

45 Cash--non-interest-bearing 45 48 Savings and temporary cash investments Q11

47a Accounts receivable 47a b lass allowance for doubtful accounts 47b 47c

489 48e Pledges receivable b Less allowance for doubtful accounts

49 Grants receivable 50 Recervables from officers, directors, trustees, and key employees

(attach schedule) 51a Other notes and loans receivable (attach

schedule) . 51a /// b Less allowance for doubtful accounts 51b 51c

52 Inventories for sale or use . 52 53 Prepaid expenses and deferred charges 53 54 Investments --securities (attach schedule) " El Cost [I FMV 64

SSa Investments--land, buildings, and equipment basis I 55a

b Less accumulated depreciation (attach schedule)

58 Investments-other (attach schedule) 56 57a Land, buildings, and equipment basis 57a

b Less accumulated depreciation (attach ///// schedule) 57b 670

58 Other assets (describe No 58

59 Total assets add lines 45 through 58 must equal line 74 b 2 59

80 Accounts payable and accrued expenses 60 87 Grants payable 61

62 Deferred revenue 62

63 Loans from officers, directors, trustees, and key employees (attach schedule) 63

64a Tax-exempt bond liabilities (attach schedule) b Mortgages and other notes payable (attach schedule)

BS Other liabilities (describe " 65

88 Total liabilities add lines 60 through 65

Organizations that follow SFAS 717, check here " C-1 and complete lines 67 through 69 and lines 73 and 74

67 Unrestricted 36 .E ei- 2 14+4 BB Temporary restricted 68

m 69 Permanently restricted 89

Organizations that do not follow SFAS 117, check here " 0 and a complete lines 70 through 74 o` 70 Capital stock trust principal, or current funds :%

70 71 Paid-in or capital surplus, or land, budding, and equipment fund 71 M Retained earnings, endowment, accumulated income, or other funds 72

73 Total net easels or fund balances (add lines 67 through 69 OR lines 70 through 72, column (A) must equal line 19, column (8) must equal line 21) 36.zr5 73 ~2g.'44

74 Total liabilities end set asset / fund balances (add lines 66 end 73 36 7 74 Form 990 is available for public inspection end, for some people, serves as the primary or sole source of Information about a

particular organ¢ation How the public perceives an organization m such cases may be determined by the information presented on Its return Therefore, please make sure the return Is complete and accurate and tiny describes, m Part III, the organization's programs and accomplishments

Page 4: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

r i

I

I i

Fam BBO 4 Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See Specific Instructions . oaae 26

Reconciliation of Expenses per Audited Financial Statements with Expenses per Return

(List eat one even K not compensated, see Specific

(M TIVe wderoted to hPm~~r waek I ~"knot

b

Form 990 Rood

a Total revenue, gams, and other support per audited financial statements

b Amounts Included on line a but not on line 12, Form 990

(1) Net unrealized gams an investments $

(2) Donated services end use of facilities

(3) Recoveries of prior year grants

(4) Other (specify)

$ Add amounts on lines (1) through (4)

c Line a minus line b d Amounts included on line 12,

Form 990 but not on line e:

(1) Investment expenses not included on line 6b, Form 990

(2) Other (specify)

--- - ---- --------- - Add amounts on lines (1) and (2)

e Total revenue per line 12, form 990 me c dus fine d " e

List of Officers, Directors, Trustees, a Instructions on page 26 )

(l) Name end address

EPVL~-~- -- . . . . . ----- -- . . . .--

a Total expenses and losses per audited financial statements lo.

b Amounts included on line a but not on line 17, Form 990

(1) Donated services and useotfacilities ,$

(2) Prior year adjustments reported on line 20, Form 990

(3) Losses reported an line 20, Forth 990

(4) Other (specify)

°----------° 9 Add amounts on fines (1) through (4y

c Line a minus line b d Amounts included on line 17,

Form 990 but not on line a:

(1) Investment expenses not included on fine 6b, Form 990

(2) Other (specify)

Add amounts on lines (1) and (2) 11~ e Total expenses per line 17, Form 990

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 horn your organization and all related organizations, of which more than $70,000 was provided by the related organ¢atlons7 " OYes X'No If "Yes," attach schedule see Specific Instructions on page 27

Page 5: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

c Dues, assessments, and similar amounts from members =Cr rc d Section 162(e) lobbying and political expenditures e Aggregate nondeductible amount of section 8033(e)(1)(P) dues notices f Taxable amount of lobbying end political expenditures (line BSd less 85e) g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7 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 yeah

86 507(c)(7) orgs Enter a Initiation fees and capital coMnbuhons included on line 12 18881 b Gross receipts, included on line 12, for public use of club facilities 88b N

87 501(c)(12) orgs Enter a Gross income from members or shareholders . 878

Form 990 (2001)

Form BBG

78 Did the organization engage m airy achvdy not previously reported to the IRS? If 'Yes,' attach a detailed description W each activity 77 Were any changes made in the organizing or governing documents but not reported to the IRS?

If "Yes," attach a conformed copy of the changes 78e 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 a tax return on Forth 990-7 for this year?

79 Was there a liquidation, dissolution, termination, or substantial contraction dunng the yeah If 'Yes," attach a statement BOe Is the organization related (other than by association with a statewide or nationwide organization) through common

membership, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization? b If "Yes," enter the name of the organization " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____ _ . . . . . . . . . . . . . . . . .

_ . . . . . . . . .

. . . . . . . . . . . . . . and check whether it is El exempt OR 0 nonexempt 81a Enter direct or indirect political expenditures See line 81 instructions . 1B1B ~ 1101E

b Did the organization file Form 1120-POL for this year? 82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge

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 Part III ) 182b

83a 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?

84a Did the organization solicit any contributions or gifts that were not tax 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 BSb, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year

b Gross income from other sources (Do not net amounts due or peed to other sources against amounts due or received from them ) 87b N

88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-37 If "Yes," complete Part IX as

88a 501(c)(3) organizations titer Amount of tax imposed on thef rgenization during the year under section 4911 " , section 4912 " N~A , section 4955

b 501(c)(3) and 507(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 a statement explaining each transaction 89b

c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 . 1SDAf5

d Enter Amount of tax on line 89c, above, reimbursed by the organization " u~E 90a List the states with which a copy of this return is filed " . . ... . . . . . ... . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .. . . . . . . . . . . . ...

~b D ~ b Number of employees employed in the pay period that includes March 12, 2001 (Sea instructions ) 91 me books are i care of "- . 7HDM,QS~_ 0 L~------ ---- -- ----- Telephone no "(_tts ' ~5

---- - _ --- Located ~ ~ ~ o..AoK .I?~1Z ?R~;N~, ------------ ----------- ZIP +a ~ ----- ~ooc4--gJ3i------------

92 Section 4947(a)(1) nonexempt charitable vests filing Form 990 in lieu of Form f041-Check here F , 11,

Page 6: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

i

f

I I

i

(e) Did the aganvaGOn, during the year, receive any hinds, directly or (b) Did the organization, during the year, pay premiums, Note 11 'Yes" to (b), file Form 8870 and Form 4720 (see

under penelues of papay I declare that I have ewsnilned the i end be0ef. rt b true. correct end canPleta Daclantlon of pre

Please Y Sign ' Here

SqnMre of ottrxr

1'h am A Type rn pool name

Pall Prepartr~s

PIlparCrB ~~re

Rrtn'e name CSC Only n aeMampb

Farm 990 Root) Peps 6 " . Ma is of Income-Producing Activrttes See S ecrfic Instructions on pa a 32 ) Note . Enter gloss amounts unless otherwise Unrelated business Income EWudeE Ay section 512 513, or 514 (E)

Related or indicated (A) (B) (C) (D) exempt function 93 Program service revenue Buvness code Amount Exclusion code Amount income

e b c d e f Medicare/Medicaid payments g Fees and contracts from government agencies

94 Membership dues end assessments 95 Interest on savings and temporary cash investments 98 Dividends and interest from securities 87 Net rental income or goes) from real estate

e debt-financed property b not debt-financed property

98 Net rental income or (loss) from personal property 99 Other Investment income 100 Gain or (loss) from sales of assets other than inventory 101 Net income or Qoss) from special events 102 Gross profit or Qoss) from sales of inventory 103 Other revenue a

b e d

104 Subtotal (add columns (B), (D), and (E)) 105 Total (add line 104, columns (B), (D), and (Q) 10. Note : Line 105 plus line id, Part l, should equal the amount on line 12, Part I

Relationship of Activities to the Accomplishment of Exempt Purposes See Specific Instructions on page 32 Lhro No. Explain how each act" for which income is reported m column (E) 01 Part VII contributed importantly to the aecomphShmeM

of the org I~tion's exempt purposes (other then by providing funds for such purposes)

FORM Information Regarding Taxable Subsidianes and Disregarded Entities (See Specrfic Instructions on page 33

Name, address, end EIN of corporation, Percentage of Nature ot~ecUVRies Total Pincome End-yaer partnership , .dis regarded en ownershi interest aueb

Page 7: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

OMB No 1519-0047

BBo-Q WenCMUCm number

z48.?9g .tors, and Trustees

Nans to (s) Expense :tit plans amount and other

firms) If there are none, enter "None ")

(b) Type of service (c) Compensation

professional tal number of

services othens receiving over $50.000 f~ I

A) OIJG

For paperwork Reduction Act NoUeq ass the Instructions; for Fonn 990 and Form 99p-Q, Cat No 11285E schedule A (Form 990 or 990-EZI 2001

SCHEDULE A Organization Exempt Under Section 501(c)(3) (Form 990 Of 99aEZ) (Except Private Foundation) and Section 501(e), W1M, 501(1c),

507(n), or Section 4967(e)(7) Nonexempt Charitable Trust Supplementary Information-(See separate instructions .)

mw,.+ n,..�~ ss..d b, MUST ha completed by the above orAanIraNOns end attached to their Form 980 or ante e~ arm erywivenon Ent

?NE SREE~Woop rwu~bAPVDJ OWL -Compensation of the Five Highest Paid Employees Other Than Officers, I

See page 1 of the instructions List each one If there are none, enter "None (e) Name end edaresa of each employee paid Mom (E) Title end everepe boon (d)

than E50 000 par weak devoted to position (c) Compensation mplat Eaten

nlo~l~

Total number of other employees peed over $50,000 "

I I~0

lil Compensation of the Eve Highest Paid Independei (See page 2 of the instructions List each one (whether i

(s) Name and address or own maepenaene convector papa more men $50,000

*A(

for Professional

Page 8: 990 Return of Organization Exempt From Income Tax ~oo · 2017-06-21 · i C I 1 f f I 1 I r i (Grants and allocations $ e win 990 RMI) Fam BDD (20011 Pope 2 Sf8ifiT8I1t O} M organ¢stbm

3 Does the organization make grants for scholarships, fellowships, student loans, etc ? (See Note below ) 3 X

4 Do you have a section 403(b) annuity plan for your employees? 4 Note: Attach a statement to explain how the organization determines that indmduals or organizations receiving grants or loans from it m furtherance of its charitable orvarems 'aualAv' to receive oevments

74 0 M organization organized and operated to test for public safety Section 509(e)(4) (See page 6 of the instructions ) Schedule A (Form 68D or 90bEZ) 2007

f,UndWa A (Farm 990 or 98D-FA 2001 Pope

Statements About Activities (See page 2 of the instructions ) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid ,/ or Incurred in connection with the lobbying actmLes li~ $ (Must equal amounts on line 38, n Pert VI-, w lm I of Part VI-B ) Organizations that made an election under section 501(h) by filing Forth 5768 must complete Part VI-A. Other organizations checking "Yes," must complete Part VI-B AND attach a statement giving a detailed description of we lobbying activities

2 During the year, ties the organization, either directly or indirectly, engaged in any of the following acLS with any substantial contributors, trustees, directors, officers, creators, key employees, or members of then families, or with arty taxable organization with which arty such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? Of the answer to any question is 'Yes,' attach a defiled statement explaining the transactions)

e Sale, exchange, or leasing of property/!

b Lending of money or other extension of credit?

e Furnishing of goods, services, or facilities?

d Payment of compensation (or payment or reimbursement of expenses d more than $1,000)?

e Transfer of any part of its income or assets?

Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions )

The organization is not a private foundation because rt Is (Please check only ONE applicable box ) 6 0 A church, convention of churches, or association of churches Section 770(b)(1)(A)() 8 C1 A school Section 170(b)(1)(P)a (Also complete Part V ) 7 0 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)Qi) 8 D A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 C3 A medical research organization operated in conjunction with e hospital Section 170(b)(1)(A)(i) Enter the hospital's name, city,

and state " --°-- ------------~----- --°°-'-'------------------------°-- - - -- °---°°- ------- - --------------------------°----10 0 M organization operated for the benefit of e college or university owned or operated by a governmental unit Section 170(b)(1)(A)(rv)

(Also complete the Support Schedule in Part IV-A ) 71a M organization that normally receives a substantial part of its support from a governmental and or horn the general public

Section 170(b)(1)(P)(A (Also complete we Support Schedule In Part IV-A) 11b 0 A community trust Section 170(b)(1)(A)(h) (Also complete the Support Schedule in Part IV-A.) 72 0 M organization that normally receives (1) more than 33K°/. of its support from contributions, membership fees, end gross

receipts from activities related to its charitable, etc , functions -subject to certain exceptions, and (2) no more then 33K°h of its support from gross Investment income end unrelated business taxable income (less section 511 tax) horn businesses acquired by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A)

13 0 M organization that Is not controlled by any disqualified persons (other than foundation managers) and supports organizations deathbed in (1) lines 5 through 12 above, or (T.) section 501(c)(4), (5), or (6), i1 they meet the test of section 509(a)(2) (See section 509(a)13) )

(a) Name(s) of supported organizations) I (b) Line number from above

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Schedule A (Form BBO a BB0.EA 2001 Pope 3

Support Schedule (Complete only N you checked a box online 10, 11, or 12 ) Use cash method of accounting. Note: You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting Calendar year (w fiscal year beginning In) " (a) 2000 (b) 1999 (c).1998 (d) 1997 (e) Total 15 Gifts, grants, and contributions received (Do

not include unusual grants See line 28 ) t 33 D $7 110 ¢ 4tf /41/0 335 78 Membership fees received 77 Gross receipts from admissions, merchandise

sold or services performed, or furnishing of facilities In any activity that is related to the omenvaLOn's cFwrteble, etc . purpose

18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(e)(5)), rents, royalties, and unrelated business taxable income pass section 511 taxes) from businesses acquired by we organization after June 30, 1975 x.52 /7'/ 9

TD Tax revenues levied for the organization's benefit end either paid to M or expended on ~, Ks behalf

21 The value of services or facilities famished to the organization by a governmental unit without charge Do not include the value of services or facii1itles generally furnished to the public without charge

22 Other Income Attach a schedule Do not I - I . I

e Add Amounts from column (e) for lines 15 16 17 20 21 1110

d Add Line 27a total and line 27b total 10 a Public support pine 27c total minus line 27d total) r row support for section sos(e)(2) test Enter amount nom line 23, column (e) mo I 27+ I g Public support percentage Pine 27a (numerator) dtWded by line 27f (denominator)) h Investment Income oercentsae (line 18 . column (e) Inumeretnrl divmded W line 271 (danomlnatorll.

28 Unusual Grants: For an organization described in line 10, 17, or 72 Mat received any unusual grants during 1997 through 2000, prepare e tut for your records to show, for each year, the name W Me contributor. the date end amount of the grant, and e boat descripti o n m the nature of the grant. Do not file this list with your realm Do not include these grants in line 15

SCrdWe A (Form 900 Or 9004M 20011

18 Net Income from unrelated business achviGes not included in line 18

28 OrgenIssNone described on lines 10 or 11' a Enter 2% of amount in column (e), line 24 . b Prepare a hit for your records to show the name of and amount contributed by each person (other than a

governmental and or publicly supported organization) whose total gifts for 1997 through 2000 exceeded the amount shown m line 28e. Do not file fhb list with your return . Enter the total of ell these excess amounts ll~

c Total support for section 509(x)(1) test Enter line 24, column (e) d Add Amounts from column (e) for hoes 18 R9~ 19

231-9 0 ,

22 ~ 26b e Public support pine 28c minus line 26d total) ~ 10, f Public euooort oarcerteae lime 26e (numerator) dlWdsd W line 25c idenominatoril 111~

ZI Organtratbns described on line 12 a For amounts included m hoes 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received m each year from, each "disqualified person Do not file this list with your realm. Enter the sum of such amounts for each year

(2000) --------------------------- (isss) . . . . . . . . . . . . . . . . . . . . . . . . . . . (issa) . . . . . . . . . . . . . . . . . . . . . . . . . . . (isan ---------- ------ --------b For any amount included In line 17 that was received from each person (other then 'disqualified persons', prepare a list for your records to

show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include m the list organizations descnbed m hoes 5 through 11, as well as individuals ) Do not file this list with your retain . After computing the difference between the amount received and the larger amount described m (1) or (2), enter the sum of these differences (the excess amounts) for tea, year (2000) --------------------------- (isss) -- ----- -------°-- ----- (1998) -. . . . . . . . . . . . . . . . . . . . ------ (1997) -. . . . . . . . . . . . . . . . . . . . . . . . . .

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i

g Athletic programs?

I

35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 OS

91110 w 900.EZ) 700t

Schedule A (Form 990 w 090.E7) 2001 Page 4

RPM Private School Questionnaire (See page 7 of the instructions ) ~-(To be completed ONLY by schools that checked the box on line 6 in Part IV)

28 Does the organization have a racially nondiscnminatory policy toward students by statement in it charter, bylaws, Yes No I other governing instrument, or in a resolution of its governing bodes 29 i

30 Does the organization include a statement of its racially nondiscriminatory policy toward students m all its j brochures, catalogues, and other written communications with Me public dealing with student' admissions, programs, and scholarships? 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to ell parts of the general community it serves? 31 If "Yes," please describe, if "NO," please explain (If you need more space, attach e separate statement ) i

--- -° -- -------------------------------- ------°----------- -- ---- - °------------ ------------ °----- ----------' ~ I

'° ' ° °' "-""--"""""'---"'°"""""° " '-' '-""-' ' --" ' r 32 Does the organization maintain the following

a Records indicating the racial composition of the student body, faculty, and administrative stafr? 32a ;111 b Records documenting that scholarships and other financial assistance ere awarded on a racially nondiscriminatory

32b basis? c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student admissions, programs, and scholarships? 32c d Copies of alt material used by the organization or on its behatl to solicit contributions?

1

If you answered "NO" to any of the above, please explain (If you need more space, attach a separate statement )

33 Does the organization discriminate by race in any way with respect to I]/////,

a Students' rights or privileges?

b Admissions policies?

c Employment of faculty or administrative staff?

d Scholarships or other financial assistance?

e Educational policies?

f Use of facilities?

h Other extracurricular activities?

If you answered "Yes" to any of the above, please explain (If you need more space, attach e separate statement )

34a Does the organization receive any financial aid or assistance from a governmental agency?

b Has the organization's right to such aid ever been revoked or suspended? If you answered 'Yes" to either 34a or b, please explain using en attached statement

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W Affflabed Wwo to i totals for

Caution : I/ there is en amount on either line 43 or hoe 44, you must file Form 4720

Lobbying ExpsndlUasa Daring 4-Year Averaging Period

tai I (b) I cci 001 2000 1988 1998 Tots

Calendar year (or

50 Grassroots

that did not complete Part 12 of the Instructions

d Mailings to members, legislators, or the public e Publications, or published or broadcast statements T Grants to other organizations for lobbying purposes g Direct contact with legislators, their stefls, 9overfimerA officials, or a legrstadve body . h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means I Total lobbying expenditures (Add lines c through h.)

If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying ec6whes. Schedule A (gym BBD or 90o-Z)7 7DD7

Schedule n yam eeo w seam zoos Lobbying Expenditures by Electing PubIIC Gharttles (See page ! To be completed ONLY by an eligible organization that filed Form M the organization belongs to en affiliated group Check " b [ :) M you eheel

Lamits on Lobbying Expenditures

(The term 'expenditures' means amounts paid or incurred )

38 Total lobbying expenditures to influence public opinion (gra4sroot9 lobbying) 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 38 Told lobbying expenditures (add boas 36 end 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add hoes 38 end 39) 41 Lobbying nontaxable amount Enter the amount from the following table-

It the amount on line 40 Is.- The lobbying nontaxable amount Is-No[ over $500,000 20% of the amount on line 40 Over E500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 Over $ .000,000 but not ova E1,500,OOD $175,000 plug 10% M the excess over $7,000,000 Over $,500,000 but not over $17.000,000 E225,000 plus 5% of the excess war E7,500,000 Over 517,000,000 $1,090,000

42 Grassroots nontaxable amount (enter 25% of line 47) 43 Subtract line 42 from line 36 Enter -0- If line 42 is more then line 36 44 Subtract hoe 41 from hoe 38 Enter -0- If hoe 41 Is more than line 38

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete ell of the five columns below

See the instructions for lines 45 through SO on pave S t of the mstructbns

PIP

45 Lobbying nontaxable amount

48 Lobbying ceiling amount (150% 01 hoe

47 Total

48 Grassroots nontaxable amount

49 Grassroots telling amount (150% of line

During the year, did the organization attempt to influence national, state or local legislation, including any Yes No Amount attempt to influence public opinion on e legislative matter or referendum, through the use of- I ~ ~~---~~~~ a Volunteers ~F//// b Paid staff or management pnclude compensation in expenses reported on hoes a through h .) c Media advertisements

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i

1

i 980 a 990-E.Z) 2001

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See Daoe 12 of the instructions .)

Did the reporting organization directly or indirectly engage in any of the following with any other organization described m section 501(c) of we Code (other than section 501(c)(3) organizations) or m section 527, relating to poldical organ¢ationa4

e Transfers from the reporting organization to a nonchanteble exempt organization of FYes No (t) Cash Main 'K QI) Other assets

6 Other transactions () Sales or exchanges of assets with a nonchantsble exempt organization bni (i) Purchases of assets from a noncharrteble exempt organization (i) Rental of facilities, equipment, or other assets bijil) (v) Reimbursement arrangements bflv) (v) Loans or loan guarantees , (vq Performance of services or membership or fundraising solicitations _

e Sharing of facilities, equipment, marling lists, other assets, or paid employees d n the answer to any o1 the above is 'Yes,* complete the following schedule Column (b) should always show the fair market value of the

goads, other assets, or services given by the reporting organization If we organization received lava than fair market value m any transaction or sharing arrangement, show m column (d) the value of the goods, other assets, or sernces received

51

52a Is the organization directly or Indirectly affiliated with, or related to, one or more tax-exempt organizations

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Schedule B (Form eeo, 990ez or 99G-PF)

omwo.a m " T.ae.y ImUmel Rwaue Sevke

Schedule of Contributors I FMB No 1505-0047

Supplementary Into . . . is on for line 1 of Form 980, 990-Q end 990-PF (aee Instructions) 2001

number

E (;RCt~LJuob Fou~

Cal No 30613% ScfieAub B (Form 000 OBO-F7, Of YBDPF) (2DM)

Organization type (check one)

Fliers of: Section:

Form 990 or 990-Q 2/501(c)( 3 ) (enter number) organization

0 4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF C3 501(c)(3) exempt private foundation

4947(x)(1) nonexempt charitable trust tested as a private foundation

501(c)(3) taxable private foundation

Check K your organization is covered by the General rule or a Special rule. (Note: Only a section 501(c)(n, Bl. or (f0) organization can check boxes) for both the General rule and a Special rule-seem instructions )

General Rules

lYl For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more on money or property) from any one contributor (Complete Parts I and II .)

Special Rules--

Far a section 501(c)(3) organization filing Form 990, or Form 990-Q, that met the 331h% support test of the regulations under sections 509(x)(1)/170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms (Complete Parts I end 11 )

For a section 501(c)(n, (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, aggregate contributions or bequests of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals (Complete Parts I, II, and 111 )

For a section 501(c)(n, (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, some contributions far use exclusively for religious, charitable, etc , purposes, but these contributions did not aggregate to more than $1,000 (if this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc , purpose Do not complete any of the Parts unless the General rule applies to this organization because it received nonexclusivety religious, charitable, etc , contributions of $5,000 or more during the year ) " $

Caution: Organizations that are not covered 6y the General rule and/or the Special rules do not rile Schedule B (Form 990, 990.Q, or 99o-PF), but they must check the box in the heading of their Form 990, Form 990.¢, or on line 1 of then Form 990.PF, to car* that they do not meet the filing requirements of Schedule B (Form 990, 990-¢, or 990-Ph)

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to I of Pert I

1~1 I (d) contributions Type of contribution

Person U Payroll 0 Noncash a

(Complete Part II if there is a noncash contnbuhon )

$-- - --- '1~0' DOD,

(9) No .

""-

contributions type of contribution_

Person L'J Payroll D

$ . . . ._.1~ . . . . Noncash o (Complete Part II H there is a noncash contribution)

(e) (b) (c) (d) No Name, address and ZIP + 4 Aggregate contributions Type of contribution

'-- -"- -°-°- - - -°--°-'°-- °----- - ---- ---°- °-- - Person Payroll D

----- ----- - ------ ---- --- ---- - ---- - ---- ---- --- ---- Nonwsh D $---- - ---- ----- - (Complete Part 11 it there is a noncash contribution)

(e) (b) (cl (d) No. Name, address and ZIP + 4 Astsrreaate contributions 71rpe of contribution

--------°- ----- ' ------ ------ -- ---- ---- ---------- - - . . Person Payroll D

. .-- --- -- -------- '------ ----- . . . . . . . . . . . . . . . . . . . - . . . . . . --~-- $-- --- - ------- - Noncash (Complete Part II if there is

___ a noncash contnbuhon )

(a) I (b) ~ (c) (d) No Name, address and ZIP + 4 Aggregate contributions type of contribution

Person Payroll D Noncash

(Complete Part 11 If them is a noncash contribution )

(d) type of contribution_

Person 0 Payroll Nonpsh

(Complete Part II If them is e noncash contribution)

-- - °---- '--'-' ---- --- - $°' -- ' --- --- ----- - -- - - --'--

- ------ -------- ------ - --------- Schedule 8 (Form BBO, 900.q or WOPFI 0001)

Schedule B (Form BBO, 990-EZ a 99(FPF) (2001)

Name of organization ~ sQr~L~10DD FDU~DA'tjooJ ~~- Contributors (See Specific Instructions )

(a) (b) No. Name, address and ZIP + 4

"-" "' '- ' '-" ' --- "'--- ' ' $ "' --' ' --'

(e) (b) (C) No . Name, address and ZIP + 4 Aq9reaate contribution

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For Paperwork Reduction Act Notice, She Instruction Cat No Y7B76D Forth ~$M (72-2000)

Fe �� $$s$ Application for Extension of Time To File an (December 2000) Exempt Organization Return OMB No 1545-1708 Department of Line Treas.iri, internal Revenue service " File e separate application for each return

" N you e2 filing for an Automa4c 3-Month Extension, complete only Part I and check this box t L~J " If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form) Note : Do not complete Part 11 unless you have already been granted an automatic 3-month extension on a previously (lied Forth 886

Automatic 3-Month Extension of Time--Only submit original (no copies needed) Note . Forth 990.T corporations requesting an eutomaGC 6-month extension--check this box and complete Part I only " D All other corporations rincludmg Form 990-C filers) must use Form 7004 to request an extension of time to file income [ax returns Partnershios . REMICs end trusts must use Form 8736 to 2auest an extension o) lime to file Form 1065 . 1066. or 7041 Type or Name of Exempt dOrganI-z~`lion y~

u7U~flAo

Emplo~j'er lost print ~ CN ~V : J.File by the Num ~r, stmAt, and room at suite no H a P O box. see instructions due date for filing you! lAorenrn See city t n see instructions instructions , qw gr pos office . state, and ZIP code For

MA R k~ F 4V 10047M71 ; Ch type of return to be Illed (file a'separhte application for each return) Ch type

990 El Forth 990-T (corporation) 0 Form 4720 C' Form 990.8L El Forth 990-T (sec 401(a) or 408(a) trust) 13 Form 5227 Forth 990-EZ El Form 990-T (trust other than above) 0 Forth 6069 Form 990-PFD D Form 1041-A D Form 8870

" If the organization does not have en office or place of business in the United Stares, check this box ii~ C3 " If this is for a Group Return, enter we organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this box " 0 if rt is for part of the group, check this box " [3 and attach a list with the names and EINs of all members the extension will cover 1 I request an automatic 3-month (6-month, for 990.T corporation) extension of time until . . . . 2003

to file the exempt organization return for the organization named above lice extension is for the organization's return for 0 calendar year 20 . . or ~~

tax year beginning .__ . ..d!N ifl . .. . . . . . . , 20p I, and ending .. . . . . KAj-1A_f .__ . . . . . _ , 20OL

2 If this tax year is for less than 12 months, check reason C1 Initial return 0 Final return D 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 Sea instructions

b It this application is for Form 994-PF or 990-T, enter arty refundable credits and estimated tax payments - B 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, if required, deposit with FM coupon or, If required, by using EFTPS (Electronic Federal Tax Payment System) See .̂ v instructions S

Signature and Verification under oenenlro or Pedury I declare that I nave ~med this fog . including eccanPVMnC echaaulm end statements . and a the best of my kn"bdge end beau. K n we whet[, and cojnPlete and iMtjismi euMOrtzed W prepare the form

Title ~ Nl Date 0~ !0

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Names and Addresses of each Greenwood Board Member

Barbara Wil1kie 7634 Pineglen Drive Cincinnati, Ohio 45224

Part v

Bowie K. KLhn, President 136 Teal Pointe Drive Pante Vedrr Beach, Florida 32082

Thomas M. Doyie, Treasurer P.O. Box 101 357 First Avenue New York, New York 10010

Kevin T. O'Reilfy, Secretary 5272 Post Road Bronx New York 10471

Joseph A. Catiiano, Jr. MI 6th Avenue New York, New York 10019

William M. Ellmghaus 35 Crows Nest Road Bron:ville, New York 10708

OGvia Gars 419 7t6 Stmt NW Suite 402 -Washington, DC 20004

T. Wellington Mara New York Giants Stadium East Rntherford, New Jersey 07631

Dams McInerney, Esq. 80 Pine Street New York, New York 10005

Martin Moran 1 Pennsylvania Plaza New York, New York 10019

Rev. Richard J. Nenhaus Religion & Public Life 156 Fifth Avenue New York, Now York 14010

Sargent Shriver 1001 Pennsylvania Avenue Washington, DC 20004

Eugene J. Sullivan 463 hlanhasset Woods Head ManLssset, New York 11Q30

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Aoc,e ".a 81

t~rt ~~wea ~~ ~o A 4~~ 2 - Puck

Ms~ In USA 3; P-pared By