TY 2018 Form 990

F Name and address of principal officer:
STEPHANIE YOCUM
730 E DAVIDSON STREET
BARTOW,FL33830

I

Tax-exempt status: 501(c)(3) 501(c) ( 5 ) LeftBullet

(insert no.) 4947(a)(1) or 527

J

Website:

WWW.POLKEA.ORG

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

3082

Part I

Summary

Part II

Signature Block

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

Form 990 (2018)

Page 2

Part III

Statement of Program Service Accomplishments

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

Form 990 (2018)

Page 3

Part IV

Checklist of Required Schedules

Form 990 (2018)

Page 4

Part IV

Checklist of Required Schedules (continued)

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Form 990 (2018)

Page 5

Form 990 (2018)

Page 6

Part VI

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

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

Section A. Governing Body and Management

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Section C. Disclosure

Form 990 (2018)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

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

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(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)		(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
(A) Name and Title
(1) STEPHANIE YOCUM...................................................................... PRESIDENT	40.00 .................	X	X	0	2,404	6,300
(2) SUSAN CAMERON...................................................................... VICE PRESIDENT	3.00 .................	X	X	0	0	25
(3) LORINDA UTTER...................................................................... SECRETARY / TREASURER	2.00 .................	X	X	0	0	25
(4) LAURA ALLGOOD...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(5) SANDRA DOYLE...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(6) JESSICA FARLER...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(7) ALTHEA HAGANS...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(8) BETH HINES...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(9) KIMBERLY MCDERMAID...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(10) JAMES NEAL III...................................................................... DIRECTOR	1.00 .................	X		649	0	0
(11) REBECCA PAINTER...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(12) JAMES PALMER...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(13) SYLVIA RICHARDSON...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(14) APRIL TANNER...................................................................... DIRECTOR	1.00 .................	X		0	0	25
(15) VENUS ACEVEDO...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(16) CATHERINE ACTON...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(17) JONYL ADAMS...................................................................... DIRECTOR	1.00 .................	X		0	0	0

Form 990 (2018)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(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)		(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
(A) Name and Title
(18) DONNA ADAMS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(19) SEAN ALDERMAN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(20) TERRENNA ARBOLAEZ........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(21) SHELLY ARCHAMBAULT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(22) LIS ARISPE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(23) LISA ARNDT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(24) CHRISTINE AUTEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(25) GREG AVERY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(26) MARY BAISION........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(27) ROBERT BALL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(28) KELLY BARROW........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(29) CELESE BARTLETT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(30) WISDOM FRED BATTLE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(31) PATRICK BENSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(32) LOLITA BERRIEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(33) JANA BILLMAN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(34) HOLLY BISHOP........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(35) MICHELE BOBO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(36) SHAWANDA BONNER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(37) EDD BOWERS JR........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(38) TANDY BRAID........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(39) JUDY BROTHERTON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(40) WRENITA BRUNDIDGE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(41) LORRAINE BRUNKHORST........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(42) KATHRYN BURCH NEUMON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(43) MARIA BURGOS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(44) ANITA CARSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(45) RAQUEL N CASTILLO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(46) ELAINE CHILSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(47) SUSAN COLLINS-WOOLS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(48) PENNY COOPER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(49) LORI CROSS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(50) LINDA CRUTCHFIELD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(51) LORI DAVIS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(52) MARY ANN DECENT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(53) NICOLE DIAMANTAS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(54) GRACIELA DICKSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(55) TAMARA DILLON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(56) HEATHER DOLL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(57) LOU EDWARDS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(58) PAMELA ELROD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(59) KATIA ESPAILLAT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(60) JIMA FAMULARO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(61) KRISTA FIKE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(62) NANCY FISH........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(63) CARLA FLOURNOY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(64) ALAN FONTANA........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(65) ALETHIA FREDERICK........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(66) DANIEL FRENCH........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(67) JAMES FURNO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(68) AMY GARGUS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(69) SHALEEN GOERS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(70) BRANDIE GOGEL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(71) TIM GOGEL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(72) ERICA GOTSHALL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(73) VERONICA GREEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(74) STEPHANIE GREENE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(75) KELLEY GRIFFIN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(76) DOUGLAS HAHL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(77) REBEKAH HALSTEAD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(78) KIRK HANSEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(79) KATHRYN HOLMES........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(80) ANNE HOPPER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(81) TAMESIA IRWIN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(82) CHARLIE JAMES JR........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(83) DAISY JEREZ........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(84) COURTNEY JERGENSEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(85) STACEY JESSEE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(86) SAUNDRA JIMMERSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(87) SHEILA KEITH........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(88) PREDETTE KENNEDY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(89) KENNETH KENNON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(90) JENNIFER KINDLE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(91) PATRICIA KOWALSKE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(92) ELIZABETH KOZLOWSKI........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(93) MONALI KUNDU........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(94) THERESE LACROIX........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(95) AMANDA LAMONT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(96) BRANDEN LANE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(97) EMMA LAWSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(98) AMANDA LEACH........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(99) DELDRICK LEONARD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(100) KIMBERLY LEWIS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(101) SHANNON LIMA-JONES........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(102) STACIE LONG........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(103) FRANCES MALFA........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(104) THERESA MALLETTE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(105) CARRIE MANGELS-BOSSMAN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(106) KAYLEE MANGOLD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(107) CATHERINE DIANE MARTIN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(108) RYAN MATE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(109) SHERRI MAYNARD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(110) DAWN MAYO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(111) HELENA MAYS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(112) HERBERT MAYSONET........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(113) AIMEE MAZUCA........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(114) PAMELA MCCLAIN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(115) FELICIA MCKENNON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(116) SONDRA STOCKHOLM MCPHAIL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(117) ROBERT MILLER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(118) WANDA MILLER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(119) SHAKIRA MOORE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(120) LINDA MOORE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(121) ROBERT MOSZENBERG........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(122) KIMBERLY MOTTA........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(123) PAMELA MUSGROVE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(124) KATHERINE NICKELL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(125) DONNA OLIVER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(126) SHANE OLSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(127) TAMARA OPALEK........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(128) KAILA PAIGE-CULMER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(129) SIMONE PAOLERCIO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(130) LESLIE PAQUETTE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(131) LAURA PARODY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(132) BROOK PEABODY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(133) EMELIA PEREZ........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(134) LINDA PETERSON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(135) VICKIE PHARES........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(136) RACHEL PIKARSKY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(137) TERISA POTTER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(138) NINA PRENTICE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(139) DEBORAH PRINE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(140) EVELYN RAINEY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(141) JEAN REGAN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(142) JENNIFER REGLING........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(143) KYNDRA REIN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(144) RHONDA RICE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(145) CARYMIL RIVERA PEREZ........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(146) BARBARA ROSE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(147) JENNIFER ROSEBOOM........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(148) BRUCE SABIN JR........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(149) CHRISTINA SAINT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(150) TAMARA SALGADO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(151) ANTONIO SANTOS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(152) ERIC SAPORITO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(153) FRANK SHARIK........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(154) SARAH SHIFLEY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(155) JOYCE SHRACK........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(156) ROBYN SILVA........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(157) ORINTHIUS SIMMONS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(158) BROOKSIE SMITH........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(159) TAMALYN SOBEY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(160) KATHRYN SPARR........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(161) BOBBIE SPRADLEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(162) ANTHONY STANCIU........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(163) WENDY STEWMAN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(164) JERRILEE STRAIN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(165) JOELLEN STRANGER-THORSEN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(166) DAWN STRICKLAND........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(167) APRIL STUBBS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(168) KATIE STUDDARD........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(169) JUDITH SYMES........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(170) CHRISTOPHER TAYLOR........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(171) RENARD THOMAS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(172) JACQUELINE THOMAS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(173) DAVID THORPE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(174) MARIA TRIGO........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(175) PATTY TROXTEL........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(176) COURTNEY UPTON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(177) MAYRA VELEZ PAGAN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(178) NIKKI WALLACE........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(179) VICKY WALTERS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(180) BERNARD WELLS JR........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(181) GUY WHITTINGTON........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(182) DEBORAH WIDNER........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(183) DEBORAH WILEY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(184) TARA WILLIAMS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(185) DENISE WILLOUGHBY........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(186) TRISTI WREN........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(187) DANIELLE WRIGHT........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(188) STEPHANIE YOCUM........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(189) AMANDA YOUNGS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(190) ROXANNE YOUNGS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(191) LESLIE ZEEGERS........................................................................ DIRECTOR	1.00 .......................	X		0	0	0
(192) MARIANNE CAPOZIELLO........................................................................ PRESIDENT THROUGH 6/30/19	40.00 .......................		X	48,962	13,959	32,743

Section B. Independent Contractors

1

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

Form 990 (2018)

Page 9

Part VIII

Statement of Revenue

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

Form 990 (2018)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............

Form 990 (2018)

Page 11

Part X

Balance Sheet

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

Form 990 (2018)

Page 12

Part XI

Reconcilliation of Net Assets

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

Part XII

Financial Statements and Reporting

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

Form 990 (2018)

1	Briefly describe the organization’s mission or most significant activities: LABOR UNION FOR PUBLIC SCHOOL EMPLOYEES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	191
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	189
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	5
6	Total number of volunteers (estimate if necessary) .............	6	177
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	8,200
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	2,628

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	212,615	212,810
9	Program service revenue (Part VIII, line 2g) .........	761,975	711,078
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	7,005	16,353
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	981,595	940,241
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	43,000	66,000
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)	693,158	628,277
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	156,171	150,748
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	892,329	845,025
19	Revenue less expenses. Subtract line 18 from line 12.......	89,266	95,216
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,224,127	1,335,735
21	Total liabilities (Part X, line 26).............	978,308	967,158
22	Net assets or fund balances. Subtract line 21 from line 20.....	245,819	368,577

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE CONTRACT NEGOTIATIONS AND COLLECTIVE BARGAINING SUPPORT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE PROFESSIONAL COMMUNICATIONS, NEWSLETTERS, AND INFORMATIVE MAIL-OUTS.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE PROFESSIONAL DEVELOPMENT SCHOLARSHIPS AND MEMBER SUPPORT.

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

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	49,611	16,363	39,343

(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

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 above		1f	212,810

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		212,810

		Business Code
2a	MEMBER DUES	900099	691,525	691,525
b	REIMBURSEMENTS	900099	11,353	11,353
c	ADVERTISING	900099	8,200		8,200
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		711,078

3 Investment income (including dividends, interest, and othersimilar amounts) ......			16,353			16,353
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
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
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
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..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			940,241	702,878	8,200	16,353

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	66,000
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	101,999
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	263,747
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	150,203
9	Other employee benefits .......	89,868
10	Payroll taxes ...........	22,460
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	14,411
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......	24,586
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	21,306
17	Travel ............	5,187
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	28,943
20	Interest ...........	1,119
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	18,026
23	Insurance ...	4,796
24	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.)
a	ALL OTHER EXPENSES	16,694
b	MEMBERSHIP	15,680
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	845,025
26	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			58,733	1	66,575
2	Savings and temporary cash investments .........			884,236	2	1,007,466
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			58,555	4	59,464
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 ......			99,280	9	79,627
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	257,634
b	Less: accumulated depreciation	10b	138,030	120,506	10c	119,604
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			2,817	12	2,999
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)...			1,224,127	16	1,335,735

17	Accounts payable and accrued expenses .....	78,274	17	58,758
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	900,034	25	908,400
26	Total liabilities. Add lines 17 through 25..	978,308	26	967,158

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	245,819	27	368,577
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 .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	245,819	33	368,577
34	Total liabilities and net assets/fund balances ........	1,224,127	34	1,335,735

Name of organization FLORIDA EDUCATION ASSOCIATION POLK EDUCATION ASSOCIATION INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Name of organization FLORIDA EDUCATION ASSOCIATION POLK EDUCATION ASSOCIATION INC		Employer identification number 59-1152677

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Software ID:
Software Version:

Software ID:
Software Version:

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No


Name of organization FLORIDA EDUCATION ASSOCIATION POLK EDUCATION ASSOCIATION INC			Employer identification number 59-1152677
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land .....	14,700		14,700
b	Buildings ....	116,356	34,536	81,820
c	Leasehold improvements
d	Equipment ....	47,377	45,307	2,070
e	Other .....	79,201	58,187	21,014
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				119,604

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
POSTRETIREMENT BENEFIT OBLIGATION	886,315
CAPITAL LEASES PAYABLE	22,085
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	908,400
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	956,983
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	182
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	16,560
e	Add lines 2a through 2d .....................			2e	16,742
3	Subtract line 2e from line 1..................			3	940,241
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	940,241

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	861,585
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	16,560
e	Add lines 2a through 2d....................			2e	16,560
3	Subtract line 2e from line 1...................			3	845,025
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	845,025

Return Reference	Explanation
PART X, LINE 2:	THE UNION FOLLOWS THE AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE UNION PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED AUGUST 31, 2019, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE AN EFFECT ON ITS TAX EXEMPT STATUS. AS OF AUGUST 31, 2019, THE STATUTE OF LIMITATIONS FOR TAX YEARS 2015 THROUGH 2017 REMAINS OPEN WITH THE U.S. FEDERAL JURSIDICTION AND THE VARIOUS STATES AND LOCAL JURISDICTIONS IN WHICH THE UNION FILES RETURNS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	SERVICES RECEIVED FROM PERSONNEL OF AN AFFILIATE AT NO COST 16,560.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SERVICES RECEIVED FROM PERSONNEL OF AN AFFILIATE AT NO COST 16,560.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) FLORIDA AFL-CIO 135 SOUTH MONROE STREET TALLAHASSEE,FL32301	59-0832847	501(C)(5)	5,000				WORKERS RELIEF FUND CONTRIBUTION
(2) POLK COUNTY SCHOOL BOARD 1915 SOUTH FLORAL AVENUE BARTOW,FL33830	59-6000807	509(A)(1)	60,000				STUDENT ACHIEVEMENT GRANT

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MARIANNE CAPOZIELLO PRESIDENT THROUGH 6/30/19	(i) (ii)	48,262 ------------- 13,959	0 ------------- 0	700 ------------- 0	0 ------------- 0	0 ------------- 0	48,962 ------------- 13,959	0 ------------- 0

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	EMPLOYEES ARE UNION EMPLOYEES PART OF THE BARGAINED FLORIDA STAFF ORGANIZATION CONTRACT ADMINISTERED BY FLORIDA EDUCATION ASSOCIATION, WHO ALSO PROVIDES ACCOUNTING OVERSIGHT.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS
FORM 990, PART VI, SECTION A, LINE 7B	MEMBERS
FORM 990, PART VI, SECTION B, LINE 11B	THE 990, 990-T, AND RELATED SCHEDULES ARE PREPARED BY A CPA AND ARE REVIEWED BY FLORIDA EDUCATION ASSOCIATION AND STAFF BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 15A	THE PRESIDENT OF THE ASSOCIATION IS COMPENSATED UPON A PREDETERMINED, BOARD-APPROVED FORMULA.
FORM 990, PART VI, SECTION C, LINE 18	AVAILABLE UPON REQUEST
FORM 990, PART VI, SECTION C, LINE 19	AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 9:	POSTRETIREMENT BENEFIT INCOME CHANGES 10,800.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)PEA-PAC 730 EAST DAVIDSON STREET BARTOW,FL33830 30-0698572	POLITICAL COMMITTEE	FL	527		N/A		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No