Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 181 | 6,870 | 23,694 | 47,247 | 43,790 | 121,782 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 47,637 | 81,652 | 92,394 | 86,181 | 105,279 | 413,143 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | 47,818 | 88,522 | 116,088 | 133,428 | 149,069 | 534,925 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | 534,925 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 47,818 | 88,522 | 116,088 | 133,428 | 149,069 | 534,925 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 47,818 | 88,522 | 116,088 | 133,428 | 149,069 | 534,925 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS AT ITA PROVIDE SUPPORT FOR GROUP ACTIVITIES AND ARE SUPERVISED BY TRAINED AND CERTIFIED STAFF. ALL VOLUNTEERS MUST PASS A BACKGROUND CHECK. |
| FORM 990, PAGE 2, PART III, LINE 4A | MEMBERS, AND TO PROVIDE SUPPORT FOR THE FAMILIES OF THE PEOPLE WE SERVE IN OUR COMMUNITY. ADDITIONALLY, SOME OF OUR SPECIFIC GOALS INCLUDE: -ASSIST OUR MEMBERS IN DEVELOPING LIFE SKILLS TO ENHANCE THEIR INDEPENDENCE, -PROVIDE SOCIAL ACTIVITIES FOR OUR MEMBERS TO PARTICIPATE WITH THEIR PEERS, -CREATE OPPORTUNITIES FOR PHYSICAL ACTIVITY AND LEARNING HEALTHY CHOICES, -COORDINATE THE AVAILABILITY OF MUSIC, ART AND THEATER CLASSES FOR ADULTS WITH DISABILITIES, -OFFER ACADEMIC TUTORING IN AREAS SUCH AS READING, MATH AND WRITING, -ENGAGE IN REGULAR ACTIVITIES TO PARTICIPATE OUT IN OUR COMMUNITY, -ORGANIZE EVENTS TO INCLUDE ADULTS WITH DISABILITIES FROM OTHER GROUPS ON AND OFF ISLAND, -WORK COLLABORATIVELY WITH OTHER SERVICE PROVIDERS ON BAINBRIDGE ISLAND AND ELSEWHERE IN KITSAP COUNTY TO EXPAND AVAILABLE SERVICES, -SUPPORT PRIMARY CAREGIVERS WITH RESPITE AND COORDINATION OF COMMUNITY SERVICES. INDIVIDUALS WITH INTELLECTUAL DISABILITIES ARE INCLUDED IN THE STATISTICS AVAILABLE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES FROM THE WASHINGTON STATE DEVELOPMENTAL DISABILITIES COUNCIL (WSDDC). ACCORDING TO THE WSCCD, NEARLY 82% OF THE ESTIMATED 113,000 INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IN WASHINGTON LIVE WITH THEIR FAMILIES OR IN THEIR OWN HOMES WITH SOME KIND OF CAREGIVER SUPPORT. THESE CAREGIVERS AND FAMILIES REPORT THAT A LARGE PERCENTAGE OF THEIR FAMILY MEMBERS WITH DEVELOPMENTAL DISABILITIES SELDOM OR NEVER PARTICIPATE IN COMMUNITY ACTIVITIES; MANY INDIVIDUALS HAVE ALL OF THEIR SOCIAL INTERACTIONS AND ACTIVITIES PROVIDED BY THEIR IN-HOME CAREGIVERS. FEW SERVICES EXIST TO PROVIDE CONTINUED EDUCATION TO THESE ADULTS, LET ALONE SOCIAL INTERACTION. THESE DAILY LIMITS DON'T JUST IMPACT ADULTS WITH INTELLECTUAL DISABILITIES; THEIR FAMILY MEMBERS AND CAREGIVERS STRUGGLE TO BALANCE THE CONSTANT DEMANDS OF LIFE- LONG CAREGIVING WITH THEIR OWN WORK AND PERSONAL TIME. RESEARCH SHOWS THAT EVEN A SMALL AMOUNT OF RESPITE CARE HELPS FAMILIES CONTINUE TO PROVIDE CARE IN THE HOME, PREVENTING "BURN OUT" AND FAMILY DISINTEGRATION. IN ADDITION TO LIMITING THE GROWTH OF PEOPLE WITH INTELLECTUAL DISABILITIES AND INCREASING STRESS ON THEIR FAMILIES, THE IN-HOME ISOLATION OF SO MANY PEOPLE DENIES OUR COMMUNITIES THE PRESENCE OF THIS LONG-MARGINALIZED SEGMENT OF OUR POPULATION, WHOSE INTEGRATION INTO COMMUNITY LIFE BRINGS THE MANIFOLD BENEFITS OF INCREASED OF HUMAN DIVERSITY TO ALL OF US. OUR ITA STAFF KNOWS FROM RESEARCH AND EXPERIENCE THAT ALL PEOPLE CAN FIND A PATH TO PERSONAL FULFILLMENT AND INDEPENDENCE, AND THAT PEOPLE WITH INTELLECTUAL DISABILITIES OFTEN REQUIRE AN INDIVIDUALIZED INFRASTRUCTURE OF SUPPORT IN ORDER TO ACHIEVE THEIR DREAMS. COUNSEL WITH MANY INDIVIDUALS WHO HAVE INTELLECTUAL DISABILITIES AND THEIR PARENTS AND CAREGIVERS MADE IT OBVIOUS TO OUR ITA FOUNDERS THAT THERE WAS AN UNMET NEED IN OUR COMMUNITY TO PROVIDE THIS LEVEL OF SUPPORT IN SEVEN DIFFERENT PERSONAL GROWTH AREAS, COMMUNICATION, HEALTH, RELATIONSHIPS, COMMUNITY, WORK, CONTINUED EDUCATION, AND LEISURE. SPECIFICALLY, ITA WAS FOUNDED TO MEET THE NEED FOR INDIVIDUALIZED, ONE-ON-ONE AND SMALL GROUP INSTRUCTION AND SUPPORT TO EMPOWER INDIVIDUALS WITH INTELLECTUAL DISABILITIES AND THEIR FAMILIES TO IDENTIFY PERSONAL GOALS IN THESE SEVEN AREAS, TO MAP OUT ACTION PLANS TO MEET THESE GOALS, AND TO DEVELOP PROGRAMMING THAT INTEGRATES THESE INDIVIDUAL GOALS INTO PEER GROUP SOCIAL AND EDUCATIONAL ACTIVITIES. ITA PROGRAMMING IS FOCUSED ON A NUMBER OF CLUBS AND INDIVIDUALIZED DAILY PROGRAMMING. EVERY FRIDAY IS ADVENTURE CLUB AT ITA. MEMBERS AND STAFF ATTEND COMMUNITY EVENTS, VISIT MUSEUMS, PRACTICE RIDING PUBLIC TRANSIT, ATTEND PLAYS, ETC. COMMUNITY NAVIGATION AND EXPLORATION INCREASE INDEPENDENCE, SOCIAL CONNECTIONS, AND EXPOSURE TO NEW OPPORTUNITIES FOR WORK AND FUN. ITA'S WEEKLY AFTERNOON ACTIVITY CLUB ON MONDAYS AND WEDNESDAYS PROVIDES SOCIAL INTERACTION AND INDIVIDUAL SKILL DEVELOPMENT THROUGH CRAFTING, COOKING, AND PREPARATION FOR PARTIES AND SEASONAL CELEBRATIONS. PHYSICAL ACTIVITIES AND GROUP GAMES ALSO ENCOURAGE IMPROVEMENT IN STRENGTH, BALANCE, MOTOR SKILLS, AND SOCIAL SKILLS. OUR HIKE AND SWIM CLUB MEETS EACH TUESDAY TO HIKE LOCAL TRAILS, EAT LUNCH TOGETHER, AND THEN ATTEND SEMI-PRIVATE SWIMMING LESSONS AT THE BAINBRIDGE ISLAND AQUATIC CENTER. THIS BRINGS A BLEND OF SOCIALIZING AND PHYSICAL ACTIVITY TO OUR MEMBERS, AS WELL AS TIME OUTSIDE YEAR-ROUND, CONNECTING THEM WITH THE NATURAL WORLD. IN ADDITION, ITA HAS A MONTHLY SATURDAY SUPPER CLUB. SUPPER CLUB SUPPORT NUTRITION AWARENESS AND MEAL PREPARATION SKILLS AS WELL AS SOCIAL AND LEISURE ACTIVITY DURING AN EVENING WHERE MEMBERS WORK TOGETHER TO MAKE DINNER, EAT FAMILY STYLE, AND PARTICIPATE IN GROUP ACTIVITIES (I.E. GAME NIGHT, KARAOKE, ETC.). SUPPER CLUB ALSO CREATES A HEALTHY SOCIAL ENVIRONMENT FOR OTHER PEOPLE IN OUR COMMUNITY WITH INTELLECTUAL DISABILITIES TO JOIN OUR REGULAR CLUB MEMBERS. ISLAND TIME ACTIVITIES STAFF TO MEMBER RATIO IS VERY LOW, TYPICALLY ONE STAFF TO TWO MEMBERS. DEPENDING ON INDIVIDUAL DISABILITY, A ONE-TO-ONE RATIO IS SOMETIMES REQUIRED. ITA'S GOAL IS TO CONTINUE TO EXPAND THE SERVICES PROVIDED AND THE MEMBERS OF THE COMMUNITY SERVED. |
| FORM 990, PAGE 5, PART V, LINE 3B | ISLAND TIME ACTIVITIES HAS NO INCOME FROM UNRELATED BUSINESS ACTIVITIES TO REPORT. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FINAL VERSION OF THE FORM 990 WAS EMAILED TO ALL BOARD MEMBERS FOR REVIEW. THE FORM 990 WAS THEN DISCUSSED AT THE FOLLOWING BOARD MEETING AND APPROVED BY UNANIMOUS CONSENT. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. 1. DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. 3. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. 4. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY A. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. |
| FORM 990, PAGE 6, PART VI, LINE 18 | PUBLIC INSPECTION OF ORGANIZATION'S BOOKS AND RECORDS IS AVAILABLE UPON REQUEST OF THE EXECUTIVE DIRECTOR: ELLEN BRIGGS PO BOX 10822 BAINBRIDGE ISLAND, WA 98110 206-212-0145 |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PAGE 7, PART VII | PARENT ORGANIZATION HAS FILED A SEPARATE RETURN |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE 1,286 |
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| Software Version: |