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  • 8/3/2019 Pages from Save-A-Life Foundation IRS returns

    1/5

    2004

    FormS90tfeaar Save A L i f e Fou nda tion 36-3869459 Page

    Part IV-A | Recbnciliafion of Revenue per AuditedFinancial Statements with Revenueper Return (See instructions,)

    Part IV-B I Reconciliation of Expenses per AuditedFinancial Statements with Expensesper Return

    Total revenue, gams, and other supportper audited financial statements

    Amounts included on line a butnot on line 12, Form 990

    Recoveries of prioryear grants $_

    (4) Other (specify)

    See Attached

    72,500.

    1,100Add amounts en lines (5) through (4)

    Line a minus line b

    Amounts included on line 12,Form 990 but not on line a:

    0 ) Investment expensesnot included on line6b, Form 990 $_

    (2) Other (specify)

    Add amounts on lines (1) and (2)

    Total revenue per line 12, Form990 (line c plus line d)

    1,227,755.Total expenses and losses per auditedfinancial statements *

    Amounts included on line a but noton line 17, Form 990

    (1) Donated services and use

    of facili ties $_(2) Prior year adjust

    ments reported online 20, Form 990 $

    (3) Losses reported on

    line 20, Form 990 $_

    (4) Other (specify)'

    See Attached

    72,500

    1,100,73,600.

    1,154,155.

    Add amounts on lines (1) through (4)

    Line a minus line b

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

    0 ) Investment expensesnot included on line6b, Form 990 $_

    (2) Other (specify).

    $

    1,154,155

    Add amounts on lines (1) and (2)

    Total expenses per line 37, Form990 (Imec plus lined)

    253,807

    73,600.

    180,207.

    180,207.PartV [List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated, see instructions.)

    (8) Title and average hoursper week devoted

    to position(A) Name and address

    (C) Compensation(If not paid,

    enter -0-)

    (O) Contributions toemployee benefit

    plans and deferredcompensation

    (E) Expenseaccount and other

    allowances

    _Car_o_l_SpJ zz_i_rr i_

    Cha i rman/Exec D i r 40 20,000 1,334.

    Rita Mullins

    Chai rwoman

    1 nsy_ LrJ IDble_

    Vice Chai rwoman

    Nadine Levick

    Secretary

    -Po iL Browne _

    Treasurer

    See List of Officers, Etc Statement

    75 Did any officer, director, trustee, or key employee receive aggregate compensation of morethan $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 instructions

    Yes 0 No

    BAA

    TEEA0104 10/0203

    Form 99

  • 8/3/2019 Pages from Save-A-Life Foundation IRS returns

    2/5

    Form990 (2004) Save A L i f e F o u n d a t i o n 36-3869459 Pag

    Part IV-A Reconciliation of Revenue per AuditedFinancial Statements with Revenueper Return (See instructions.)

    Part IV-B Reconciliation of Expenses per Audited*

    Reconciliation of Revenue per AuditedFinancial Statements with Revenueper Return (See instructions.)

    Financial Statements with Expensesper Return

    a Total revenue, gams, and other supportper audited financial statements " a 1 , 9 3 7 , 2 2 0 .

    a Total expenses and losses per auditedfinancial statements . * a 2 , 0 3 3 , 0 4 3

    b Amountnot on 1

    (1) Net unr i -V *,

    b Amounts included onon line 17, Form 990

    (1) Donated services and useof facilities $

    (2 ) Prior year adjustments reported online 20, Form 990 $

    (3 ) Losses reported on

    line 20, Form 990 $

    (4) Other (specify):

    S e e A t t a c h e d

    $

    Add amounts on lines (1)

    line a but not

    1 9 0 , 7 9 5 .

    i *

    s*

    3

    X '

    -if. rf *

    . . . ' * - '

    b Amountnot on 1

    (1) Net unr