TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ANDREW J HAAS........................................................................ DIRECTOR	2.00 .......................	X
(2) ADAM T SHERMAN........................................................................ DIRECTOR	2.00 .......................	X
(3) NINA B STRYKER........................................................................ DIRECTOR	2.00 .......................	X
(4) EILEEN DOUGHERTY........................................................................ DIRECTOR	2.00 .......................	X
(5) SAMUEL T FREEMAN III........................................................................ DIRECTOR	2.00 .......................	X
(6) JOHN C HOOK........................................................................ DIRECTOR	2.00 .......................	X
(7) PHILIP V JODZ........................................................................ DIRECTOR	2.00 .......................	X
(8) MICHAEL PAUL........................................................................ DIRECTOR	2.00 .......................	X
(9) MARY LEFEVER........................................................................ DIRECTOR	2.00 .......................	X
(10) JOHN MCCABE........................................................................ DIRECTOR	2.00 .......................	X
(11) RICHARD SCHWARTZ........................................................................ DIRECTOR	2.00 .......................	X
(12) JOHN T BOXER........................................................................ DIRECTOR	2.00 .......................	X
(13) FRANCIS D BURKE JR........................................................................ DIRECTOR	2.00 .......................	X
(14) PEGGY ROBUS........................................................................ DIRECTOR	2.00 .......................	X
(15) WALTER H VAN BUREN........................................................................ DIRECTOR	2.00 .......................	X
(16) DEBORAH L CHIUMENTO........................................................................ DIRECTOR	2.00 .......................	X
(17) KATHLEEN S KINNE........................................................................ PRESIDENT	2.00 .......................		X

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(1) ANDREW J HAAS........................................................................
DIRECTOR

2.00
.......................

(2) ADAM T SHERMAN........................................................................
DIRECTOR

2.00
.......................

(3) NINA B STRYKER........................................................................
DIRECTOR

2.00
.......................

(4) EILEEN DOUGHERTY........................................................................
DIRECTOR

2.00
.......................

(5) SAMUEL T FREEMAN III........................................................................
DIRECTOR

2.00
.......................

(6) JOHN C HOOK........................................................................
DIRECTOR

2.00
.......................

(7) PHILIP V JODZ........................................................................
DIRECTOR

2.00
.......................

(8) MICHAEL PAUL........................................................................
DIRECTOR

2.00
.......................

(9) MARY LEFEVER........................................................................
DIRECTOR

2.00
.......................

(10) JOHN MCCABE........................................................................
DIRECTOR

2.00
.......................

(11) RICHARD SCHWARTZ........................................................................
DIRECTOR

2.00
.......................

(12) JOHN T BOXER........................................................................
DIRECTOR

2.00
.......................

(13) FRANCIS D BURKE JR........................................................................
DIRECTOR

2.00
.......................

(14) PEGGY ROBUS........................................................................
DIRECTOR

2.00
.......................

(15) WALTER H VAN BUREN........................................................................
DIRECTOR

2.00
.......................

(16) DEBORAH L CHIUMENTO........................................................................
DIRECTOR

2.00
.......................

(17) KATHLEEN S KINNE........................................................................
PRESIDENT

2.00
.......................

(A)
Name and Title

(B)
Average hours per week (list any hours for related organizations below dotted line)

(D)
Reportable compensation from the organization (W- 2/1099-MISC)

(E)
Reportable compensation from related organizations (W- 2/1099-MISC)

(F)
Estimated amount of other compensation from the organization and related organizations

(18) REBECCA ROSENBERGER SMOLEN........................................................................
VICE PRESIDENT

2.00
.......................

(19) DOUGLAS S SIMON........................................................................
TREASURER

2.00
.......................

(20) HULDAH ANDERSON ROBERTSON........................................................................
SECRETARY

2.00
.......................

(21) MARK R ESKIN........................................................................
IMMEDIATE PAST PRESIDENT

2.00
.......................

(A)
Name and business address

(B)
Description of services

Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet

Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.

(A)
Total expenses

(B)
Program service expenses

(D)
Fundraising expenses

Grants and other assistance to governments and organizations in the United States. See Part IV, line 21

Grants and other assistance to individuals in the United States. See Part IV, line 22

Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16

Benefits paid to or for members

Compensation of current officers, directors, trustees, and key employees ....

Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....

Other salaries and wages

Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....

Other employee benefits .......

Payroll taxes ...........

Fees for services (non-employees):

Management ......

82,294

24,688

41,147

16,459

Legal .........

Accounting ...........

Lobbying ...........

Professional fundraising services. See Part IV, line 17

Investment management fees ......

Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........

Advertising and promotion ....

Office expenses .......

Information technology ......

Royalties ..

Occupancy ...........

Travel ............

Payments of travel or entertainment expenses for any federal, state, or local public officials ......

Conferences, conventions, and meetings ....

96,074

Interest ...........

Payments to affiliates .......

Depreciation, depletion, and amortization .....

Insurance ..............

Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)

POSTAGE & PRINTING

14,449

SPEAKER FEES

10,000

CREDIT CARD CHARGES

7,183

SPEAKER EXP/HANDOUTS

4,264

All other expenses

29,929

9,531

20,398

Total functional expenses. Add lines 1 through 24e

244,193

151,740

75,994

16,459

Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet

if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	100,939	1	106,702
2	Savings and temporary cash investments .........	35,978	2	35,978
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............		4
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ..........		9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation .....	10b			10c
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........		15
16	Total assets. Add lines 1 through 15 (must equal line 34)......	136,917	16	142,680
	17	Accounts payable and accrued expenses .........		17
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................		25
26	Total liabilities. Add lines 17 through 25.........	0	26	0
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund .....	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	136,917	32	142,680
33	Total net assets or fund balances ...........	136,917	33	142,680
34	Total liabilities and net assets/fund balances ........	136,917	34	142,680

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............

(A)
Beginning of year

(B)
End of year

Cash–non-interest-bearing .............

100,939

106,702

Savings and temporary cash investments .........

35,978

Pledges and grants receivable, net ...........

Accounts receivable, net .............

Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................

Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L

Notes and loans receivable, net .............

Inventories for sale or use ..............

Prepaid expenses and deferred charges ..........

10a

Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D

10a

Less: accumulated depreciation .....

10b

10c

Investments—publicly traded securities ..........

Investments—other securities. See Part IV, line 11 .....

Investments—program-related. See Part IV, line 11 .....

Intangible assets ...............

Other assets. See Part IV, line 11 ...........

Total assets. Add lines 1 through 15 (must equal line 34)......

136,917

142,680

Accounts payable and accrued expenses .........

Grants payable .................

Deferred revenue ................

Tax-exempt bond liabilities .............

Escrow or custodial account liability. Complete Part IV of Schedule D..

Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified

persons. Complete Part II of Schedule L..........

Secured mortgages and notes payable to unrelated third parties ..

Unsecured notes and loans payable to unrelated third parties ....

Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................

Total liabilities. Add lines 17 through 25.........

Organizations that follow SFAS 117 (ASC 958), check here MediumBullet

and complete lines 27 through 29, and lines 33 and 34.

Unrestricted net assets ..............

Temporarily restricted net assets ...........

Permanently restricted net assets ...........

Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet

and complete lines 30 through 34.

Capital stock or trust principal, or current funds ........

Paid-in or capital surplus, or land, building or equipment fund .....

Retained earnings, endowment, accumulated income, or other funds

136,917

142,680

Total net assets or fund balances ...........

136,917

142,680

Total liabilities and net assets/fund balances ........

136,917

142,680

		(a) Event #1 GOLF OUTING (event type)	(b) Event #2 HOLIDAY PARTY (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
	1	Gross receipts . . .	39,145	9,880	11,860	60,885
2	Less: Contributions . .
3	Gross income (line 1 minus line 2) . . .	39,145	9,880	11,860	60,885
	4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .
7	Food and beverages .
8	Entertainment . . .
9	Other direct expenses .	36,911	7,243	13,979	58,133
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........	58,133
11	Net income summary. Subtract line 10 from line 3, column (d)...........	2,752

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

PHILADELPHIA ESTATE PLANNING COUNCIL

Employer identification number

23-2006494

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION USES A MANAGEMENT COMPANY TO KEEP THEIR BOOKS AND RECORDS AND PREPARE INTERNAL FINANCIAL STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 11	THE FINAL DRAFT OF THE FORM 990 WAS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS FOR COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION RECEIVES A SIGNED CONFLICT OF INTEREST STATEMENT ANNUALLY FROM THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS REQUIRED TO READ, AND SIGN AN ACKNOWLEDGEMENT INDICATING THAT THEY HAVE READ AND UNDERSTAND THE CONFLICT OF INTEREST POLICIES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES ITS 990 AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST
FORM 990, PART IX, LINE 24E	NAEPC DUES AND CONFERENCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,242. CONTINUING EDUCATION CREDITS: PROGRAM SERVICE EXPENSES 3,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,616. PHOTOGRAPHY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,430. ANNUAL MEETING SPEAKER: PROGRAM SERVICE EXPENSES 3,334. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,334. AWARDS/BOARD GIFTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,801. BOARD MEETINGS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,654. INSURANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,334. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,334. DROP INS: PROGRAM SERVICE EXPENSES 2,048. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,048. PHOTOCOPIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,256. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,256. STAFF EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,034. WEBSITE DEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,030. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,030. EMAIL BLAST: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 721. SPONSOR SIGNS: PROGRAM SERVICE EXPENSES 533. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 533. FEDERAL TAX EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 447. POSTAGE & PRINTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 244. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244. SURVEY EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 110. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110. OFFICE SUPPLIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 106. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106. CHARITABLE DONATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 80. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80. CONTINGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -91. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -91.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE PROFESSIONALS INVOLVED IN ESTATE PLANNING, BOTH MEMBERS AND NON-MEMBERS, WITH OPPORTUNITIES TO ENHANCE THEIR SKILLS AND EXPAND THEIR NETWORK THROUGH PROGRAMS AND INTERACTION.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	21
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	14,610
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	4,016

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	258,100	232,587
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	422	7
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	20,643	17,362
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	279,165	249,956
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 16,459
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	254,159	244,193
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	254,159	244,193
19	Revenue less expenses. Subtract line 18 from line 12.......	25,006	5,763
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	136,917	142,680
21	Total liabilities (Part X, line 26).............	0	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	136,917	142,680

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 151,740 including grants of $ ) (Revenue $ 232,587 )
	TO PROVIDE PROFESSIONALS INVOLVED IN ESTATE PLANNING, BOTH MEMBERS AND NON-MEMBERS, WITH OPPORTUNITIES TO ENHANCE THEIR SKILLS AND EXPAND THEIR NETWORK THROUGH PROGRAMS AND INTERACTION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses151,740

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......
			Business Code
2a	MEETINGS		900099	91,920	91,920
b	MEMBERSHIP DUES		900099	82,052	82,052
c	COUNCIL SPONSORSHIPS		900099	26,700	26,700
d	SPONSORS		900099	21,000	21,000
e	CONTINUING EDUCATION		900099	7,915	7,915
f	All other program service revenue .			3,000	3,000
g	Total. Add lines 2a–2f........			232,587
3	Investment income (including dividends, interest, and other similar amounts).......			7			7
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a		60,885
b	Less: direct expenses ...b		58,133
c	Net income or (loss) from fundraising events..			2,752			2,752
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	SPONSORSHIP		519100	7,500		7,500
b	NEWSLETTER INCOME		511120	5,910		5,910
c	WEBSITE CLASSIFIED ADS		519100	1,200		1,200
d	All other revenue ....
e	Total. Add lines 11a–11d ......			14,610
12	Total revenue. See Instructions......			249,956	232,587	14,610	2,759

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................