P.

02

..l!IiC'··r..... et '. ,"<

leu, S1CSCHV.<~:.'.):"~)'.
,to T" r.phO... NIl.b·.~ ,"j;':' .
:j,~~71C3);~.78 o-:~u (:l(tt~;;;,·; ~;:>":;"~'i4r~:',!!'ll"~~':::;i""
. Dtl~g' Period E1Idl'igl :'.
::'·::D.c••ber 31./"
Addudilit tlpp Iiosl' '.
, No
,,' i
.

~~. t • "', 'i~,,".J

,,'.,'

D••; Ap p I I , , "',:;:

....., Bue4 (111 'Dfora,·tle.ft aupplltd. and 4sSl.l.III~1 yout" op.r.t\o:\1 Mill bel u"··.·,::I~t:·':.:/i·:V:.
Ihtud II )I~lIr .~~pI'r:.t1o" for ,,Iu:oSJ.ltiul of eIC •• Ptlo.,.w. hi". detu.I ... d you,,",:, i.~ . j.::.~:k.·:'
.,e QXtlp·t frol reder.. ' l"cor•• tiX. u8dc:r 5~ct ion eOl Cal' 0" the tl1tlfn.J I . . . ...C;:"'f<:'''·:l:'l'~):.:
Re"enu Cod., It! DR oroanlutloll dtlscdbelJ .. nc::tloll 601(c:) (3). .' . . , ' .. .' '~;'!'f.>
.:.: ' • • ".; ~; "_."'l ,:,.~.04,.. ,':,' •• ~~::,
."'-". 't·~.."" i .. ;~ '" r;,.'
, We h4\Vf/ hrthr det.,..ned th4lt;, is I,d leated In you ilpp Ilr:lt 10'11' Y"""" .', ... i,~ :.:.,0.. .~. .~;.·.,·;.:'.·
,·~·ar'.11 prlvat. 10und .. tlon wlthl .. ttl.... nhg o'I.Ger:tloD 150'1(a) of the Codo. In'····;,.,)' .

..::!b~J;~~,i.t,~~;p;';!2~fIt g:'~ t>.ar ~: u·r. go:,.,:.;::~,. "'!~~ l.,~. i(.: l.',~·,.:'.~",.:~ .;

• ,,.. ,I" • . ':~ .. ".,

I, 'h oper, t i. f . ., ..•.'.:.'..

'. '{·:'~;;'~:~·~. :'::lt.~YC)it~.OIlt'r:••' of &lIpporta~, ),Ollr-,II"POUI, c:lur ,,:·hr. or l.th'3d of t " "
··.operat,on;~fi•• g.:."PI''''lIht III hou.• OUICi'li'coTllidu th.'.1fel:tof tIll. ,:~:,:-I'< .:;i<'
·':',t"n!J'."oD~V~ir.)c •• pt It.. tn it'd 10ulldl~lo( .• ·~.~~.UI. In the.cas.ott'ft lIaod­ .. ~~'\.'"" ',:;;~:
,.' .ent :.to y.~.r··org.'UlI%I·~'c.""1 doell.'lntor bVl11;ol... ·'pl.llI. " .. "d. us , c:opy 'or th• .'-:.;; .. ~;~. ''i~.,.<i4't,

"~!;:':;:~,;j;' ;t~r;;, :;.F, by1'•• ;1~!,A I .. ·.0~\~;~~!·J~'~ rr~~'~:1 '.•,1(;" <h"!:,~ I ~", ~'''':j'~f:~li,' ,
, .... ,,~,., 'AI 0' JUUI"Y 1, lye4, YOIl art II.bhl1or t4lVfS iUHler the Fad!,., tnur'"
~n,& Contributions Act (soclnl !~curlty t~xe.) ~n re~uft~'~tloft ~, 1100 Dr .D~e
":.,;,,.d
. 1i~.:
YOII pilY tl) 'Iach of YOllr . . ploy.n durl rig II Ci lerldH yur. You '1I'1it BO·t; Ilib I.. '
for the t~~ i.po~&d und~r tho F&d.r~J Uno.ploYI~nt T~x Act CFUTA). H~H~v~r.
~lncQ you are • prlv~te foun~~tion, YOij ftre .~bJect to ex~in. taKe~ v~d~r Ch~~~
ter ·12 or the Cod •• You .also lIoJ)' bill sub,Ject ,to othel" F..dl.trlli t)(clu 't.. XflS. If
you haYe .any ql.lftf,ti 0111 iJbout elCcii'H eap IOYlnt, or utili'r F,!dtr.1 tUIiSJ P 1••150.
1411 t 115. k n')H.

D01l0rs aay dltdvc·t cOlt,lblltio)lIli to '11011 .a'S provided hi 1i8ctlo. 17\)

of ther Co,j... Bfllll&tlh, I.g.c:i.s, df:vllltlh tr... nllhrs-r or gifts to you or tor
yo~r \I'D ~r~ deductible for Feder~1 •• t.ab. Ind alft: purp~le. It they ••• t t._
tht'iapplic:able pl"ovlslona of sections 2o~rh 210l., and ~522 Clf. tho Codlt• . ,'.
... '~,: . ,. " ,.:, ..:.,1:,:". ";' : ~ , ' ......... , ,I,. , ,," ' "'" , "~ .'
·Contrit..ut lo,~ d.dll~tlo'... ira .. lloH.b I. to dCtftors oily te.· the .xtut th.t .,
t.hell" cQn'trib"tlcDi He. gi'ftll' .,it" 10 C:Ol'Sidefbtloll rtCilrV(:d. lic:h't pllr­ 'I'~
c;hbes ;uta ul.lliJrpiyJIl:1Ita in cO'lJunttlol .. I'th fund,.... I.' .. g '• .,eaes •• ynot
. ·1I .. c;tllurlly qUlI 1(;'_' ... dtcluctibl8. c"ltrlb"tlolll;"dtD8IdliD o.~ the elreu,,'" ..... ",
'tiuC&i~Sf,. Rtvenu. Ruling 67-2"6.publlsh"d'("CllltuJ.ltlve hI16tID'1967 2, 4

On page 104. whlch .. b forth guid,"lus rtgard/ragth. d~ductioillty •.• n Char'.:­

tablu corrtrlhtlonaiof yaQl\h Iud_ by ,..aytt~ •. for .d"IIIII· e.th.r.·
 P.03

-:(:'r .
.8AJd3AAA Plr.:O"E~··

. .. ."., i·r~~:·:.~~~;'~~:~~i~>~;k~~» . ,: ";: .. ,'. ." ..' ;.:'.:; , .

Ie P" ClI:1I hld"l"." .ctlvltJ~,'or. chlrlty. .,'< ' .• 1:< '

.- ·\ft,::·,,{;··~:~ ,'.. '.;. F:' .'. :i£':;;~ .;;' . "··~.~:·tJ.::·:":· ';.::O::',/~. ..- :~.,.: ':~~"::.; ., .. '
'''''.·rtqulred to fl':" '~nl9tO-PF~ Rtiu'. of Prlv.. te fo.nddil)'IIor"·~~:.'\r·'
B.ctt'ol 4941(.. ) (1) Trll5t T,.at,ct oil • Pt'Vltl FOlilldattoD. ror. 990"Pf .,,,,t b• .
fJI.d.bV.'thlt 1I5th ct • .., of·the.flftllllO.th,.fttr,thl tnd ot VO., ."11111 .r:eoluat:.,.'.,'....
.,::.~"";"~,,., "ag .... f.l~d .. ?rAPQ... lty of .tOid.ay~l. chug" Hh.... uhrn is fJltd,~~.t.':.i· . :
.• ,.. ~ ~" .rfl I .......c1\ab 'I' cu•• for the d. Ity.· HOMav.,. 'hi .4)( In. ,--".1 t»' ..
~ :.nLot .Kc•• d IS,OOO or 6 parCOQt of your gro" "~t~fpt. for th6 v•• r • ...
~hICI~v.r Ifl IliB. Thl6 p.~altv ~'Y ,Iso b. chArged If • r.t~rQ II .~t .
coapl.• te, 1ICI pl.au bt.t lu&r. YOUI"' rlten'.," C.otlpltt. b.fo,... yc.:a fill' I t . , ~.. r•.,.::~.
. . ,~~ ;,': ~,r
. VOII <irfJ lOt rlqlllrt:d to fila Feder.' 11,,,••
t.Il·"'h"~.: inion Y.)It:i1".~. ;:/;D,~,;'"
" .ubJQc;t tIl t;bt on llirtht.d buslaen hC(jIt. Clade ... IfctlQQ e5U of ttw'f tod.... ""~\'~"C:
tCJl
If ),0" Ir\l IIIlbJI'c;t to thlr. hu V')II lut; fll •• n Inco•• t... nh...1 01 Fe.r. ," ....
'-'\. , 990-1. Ex-.apt Oruaniutlon 9u'iI"hiS InCOfl& Tue J::.hrn. II this lett.r .,. ~;
,",;.,. are not: dtltflnlall\g wlwth.r 411Y 0" yo,r ",relnt or p...opo~"d IIctivltle'S .r. "./.",;.

:~:,!f(,,· .... I:::d.:::d:.0:.:;::::.:,::t~::~::0:".:::::o:.::aI:1~~~:fI:. Mp loy L.:

. ,'II ." ••ploy.,. Id.ntlflc.t;on Blllblr HIS Dot IInt.flef 011 v'nl"' .ppllutlont ' ; j ,
i;'t~:. nU.bur Hili bi <lGfilgnljd to ',1011 Ind YOII HIli b':t adv{l(td of It. PI.ne Iltil th•• t ';:',;:-.iR
',~I:~:,~,.:·~.
nFi" 'Rnnbttr'o~ .11 n!;urns
:~;~?;; av,nu •. u~rvic:.. . ,
V(II!. fi Ie .~d II III l:orrefJPondonu ... ll;h tho htlirMI .....
.
-:.,~,;."~," '. ,.~."'. \',. '.~ I.: ".';

~'}~:~';'L:: p; Im;~~~~::d !:: ~~~!~:I~:,,:~ ~.h:~d: :~u;i,~ h!:~~.!~.~ h:!' ~.::.~~d"d'" .',":. ":.-', ~ ~·.~·:. ~ ;'. ·" 'L.~-e:'"~JI-,:
~:~l;y;t,<-!~~m... thl~ I:t~r ""~,.~ mid holp ~Pt·- ;;.~ I~
lOy q...tl... ,b••, V'" •••
.7,._,.....
,:..•...,:....•..":••._..:.,•. \•.••,,.:....
•.·.: ·.,: · •..••. ..·.l'.•";,.:.:.·.""."
.,' ..'_,•. . . •'. .-

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.,.:,'
•. .•••.'-.
•.,':.:••.'•;;:•. . .'...: ..·.,-
.,;.'.:
•.• ·!
.•.

':~~ti~,\~,::~~hr~.~,.~.d:. rOll1ldutIO~: It"tul'f you Iho"ld. kup It 11 ..¥our ptnu.nt rtcord,. I, .;' ~~.'~ij~~:.:~!r~itr:~

; 'V, t. I ~p~:',~o:u:~:~ :~! : :~:~ I ~ ::';..: I ~::: I ~~':;C!h~:. I :~~:;~ ~ho.. "". ..cI .- ' , ' ,t, '"~~
.. . ., '
.. ,'
~.,:~

UIii CUt I y your•• , ... !

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, -,

tugMh~ O. Alax~nddr
District Olract~r
 MRY-10-2001 11:14 CAS 513-263--3756
......,~--
Internal novunue Service
District uircctor
(i. r', :1. Ctl, 11,1.',;­
f;11 'Jill:, '01. Hr' ll.':O?

(I I t..~:: (l\pl'~y.r iill:'ntd,c"tl';.I, S\lI,born

13-..;n7043
. C~"ttc.t; Pi!rtul/t
PATRICIA STOSCHV
Contlct r.ltpho•• Nlabt'l
(71~) 180-6114 . ' , ',. :~ ~

Au:ont Ilg P.rt~d

Otc...t·.r 31"
AddnClUIl App HUll
1010

Sised ~n lofor•• tlon ,~ppJI.d, lid '&Iaaing ,o.~ oper.tio" wi II b~ II

.•tittod I. ye.\lr ltppllc.&tlon for "coQnltiol of tKe.ptlo", WI hive d.t.r.lud you",
.•'1 Clxup't fro. Fectt... ! l'Acoll. hx Uldt, 'I,\lon SOl (.)) 0" t:he Inti,... , .
Rn."1It CI')d,. at QI orSJirtiutio. dlilcrlbed I D Set:tioD \sOled (3) • <'.; ,

," W. h.. Y~ firth., d.t.r.lned th.t ••, iudle.t*d In your ~ppllc.tlo'A' vou
Ira a priVolte fouad.tioh withift tht •• nhlJ 0" uec:tion 50'H,.' of th. Code. I.
t:-'II Iltt.r NO Ira !lo·t deterrahlag •• htthf.I")"'I)1I Jlra In op.rltlng foud.tlOft III
... lief I Hl<d 11\ D.c;tlol 49..2(J) (3).. .'
: i. ~
J .
. . !;.' If V'lUr 10...C" of lupport. or ~ol.lr purp,)s'tj, cholr.C't.on or •• th.)d of . ",
oj.• rlltloR ch,n/g.. pi.., •• I.t " II-no•• 10 H. u .. eouid.r the .thr.t of th. \,

r.h.u1l9 011 ,CII.Ir' ')le.pt .t~h.

ud 10Uld.tlofl ,titus. h th. cu. of 1'0 utlld-'
....,lit to. Y')ur' orgllntu·tlonl' docu.".. t 0' bV"N", plene ,Ind copy.of;th.·' u, • 'I'. ",
., ~"

.'"'lId~d dO'UI'lt'.O~ by........ AI_ot ;YOII aMu.'d Info,. U(\", .. 11 chang.. h"your
or addr*".. ..•.. '.. .
Qr ~'ilnllil'Y 1, HIQ4, you ....It II .. bl~ (or t; .. Jlt'S undu
h t".
F,.d.r.1 l:nur"
.IIC9 Contrit,utloll!l Act (SOCha! S~(;I.I'·ity ttlJlfl)S) cln r"lI.Iner~tion of UO·~ (.r .OI"Q
you lay t.) f~.th of your eaplovees dUYlng .. "I~nd., you. YI-'Il "I'£, nCit II .. bln
fo~ th. t ... '.po!led \ll\(J~r tilt' F'1I!KI .. r;d Un1t.fjIOY.flllt Tilll Act (FUTA). !t'JWf1IJt ...
"JiB;' you H'e • priv.ito found.ticn" '1011 iff. ,~b.hpct to .lIei ... h):~5 'filCh, I' ChilP­
t.r ~2 (0( th. Cod~. Vou .Iso aoJV bIt • .,b';.ct ·to otl'l.'~ F_d.,ntl • .111:1 •• 'tun. If
yo~ ~.ye .n~ q~.~tlon. bbo~t •• cl~., Q.~lov •• nt. 0" oth~r F~d.r.1 t •• ~s, pl.~s.
Itt 'I~ "n.)w.

Dono .... .1y de:duc·t contribllti·)"10 to you .1. prollitJed h "Ie tlo.. 170
of th. Code. a.qu.,t" Jeg.tits. d~vl'e9, tr~nGfers. or gifts to YOY or for
your use .1r~ deductible for F.der.' .at.t. tnd gift tiX purposes If t~ey •••t
th. ~pplit.1bl. p~ovjllunl of s.ctlons 20~5, 2106, ••d 2~~l tho Cod•• ¢,
COltr ibllt Ion delS ue. t.ont. • r. ",II otub Ie to dC'Dors OIly teo tM r. tnt tn. t
their (ol\trlbltlon .,. gifts, with 10 could"r.tioa 'fc.ly"d. litk.t pI&r­
c:holIU•• nd al.llar plyUtllt .. il conJunctlo. NI1:h fund!".Ishg t*"Ollt. Ai'l ftot
1ICcct:;urlly qllAl ify ... cJtductlbl. cc.atrlll.tlou. dtp.lI~iftg on thfJ ctrCIlI\'­
.talc". S~ .. RevtlUl. Ruliftg 61-2-46. pl&blllhC'd ,. CM.ul.tl\l,· e.lletlll,1967-2.
 P,BS

VoU ."., not ,,~ui,.,~d to 1'11., F"der.al iIIco-.t· t .. r.tuns unllllil ';'.)11. .are , ",
nbjot~ t.) \~he tillf oft unrelat:ad illlsiftess iacOI•• under' udioll 1511 of th4t Code.
If YOIi Ult Ill,lbJ_c:t to thl. t'lle, V',IA alllt 1'11 •• n Inco•• tn ratlln 011 for.

"':I.'
990-T, [IUI.fAt Orunlution Bu,iaul hc:o,,,, T.x R.tlA'". h thfl lett.U' .... '~?,~·\r.,
".JI~'
;

• r. not dltt.r.lnlng wh.th.r «'V of your pr'll~t or propos~d .ctivltl.~ art .

';,i;,~;
unr.l.t_d tr.d. or bUlln." as defined 'n ••ctio_ ~1~ of th" Coda. .", ,.>~~~~ :
~' ,~
1> Vou lIted '" .. pl'lY'lr idmltif'r:..tloD ,ub", ......n if v""
h.. lle DO 1 I I f J I o v e e u . ' ·
t.:/:~;~,U ." UplOY8' ItJltntlflc:.tlon nab.,. ... .a'S lIot ""bred 011 -(')Il" applle/ltIOl'lI., ",,'~~;::;
t"
H~:~' .<, ~.; Iuullb,u· ~ 111 be ,la.1 gnltil to Vall .nd YOIl w bll :.dv I."d of It. P lin. uue that .',",' '~,J-i:'fr
k::: ::',"Ilu.llb.!f' 01 .t I return V,all f( It ud it .11 c:ol,,.upondoIlCtwlth thft ht~rr. .. ' , " ',',.{;':
~~'{~',,:, ,',R.".,"".
S..trvlce. ,,' :,' " , ' .",', -j'

~{;:..'::;~.'. U •• I,.v' I,d ; C .t.4 .'I. the h•• d;. g .f t h,. I, tt" t h. t .. • dd ..4 . , , · ' :',\:J;
~~',~~</'PPII." th~ .addQlldu "nclo,ud is .n latug.... 1 pArt of thi'1 lett.,.". "i\'i::~}
9.c:auu~ thi!I' '.H",.
c:ol&ld h.tlp I.nol". "'Y qlhlstloftS .. bout your l ) J ( f l . p t ; '
,tatoll'l n.j foundittlon lit;,ltUlh yQ\I should k.. "p It; In your IJ~,.unt"t re..:or'd,.

11 V,.)II h<l"'. 1ft}' qU:1I: iOIl., p rl!lI~~ C()l'It.,'t ';hit p"riQII 1411061 1'''la .. lid

t«:iltl,Iloll"" I\~~b.r ue -Sh(.IHU In the hfl4ldinn of thl, lol:hr.

4,//4
E.g •• ~ D. Aluk.nd~r
Oi.trict Dlroctof

n ~, ' ,~

"~~;,:~:f:.~ ~, <, '

 P.06

IS attOtn'y(Jrin.'ac:t to represent the tallpayer(s) t.tOf" any ottice of the Internal Aewnue SeMce tOl the followill& tall matt.r(l) ("*'11
til. type(s) of tal and vellt(s) or peoriodh) (0.1. of ~"Ih If C!$~ite tall»: .. ,.

Typ. ollA.
(11'IdIvidu.a1. COIII",...t •• tic.)
! (l~.
fl4efal '-­
forlft num*
1120.ltc.)
. . ;..,.i..
bt>elicaslon for Rec:ognl.tion of lQ.2:..:;;3~_+-_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~xom~tlon unde~__ 501(c)L1~)~o~f ~~ __________+-_________________________________
th\t IR.e
The altolnt'y(s)'ln,'act (or 81th., 01 them) ar, authM:ed. Illblect 10 revocation. to teCei~ confidenllat llltormation at'ld Ie perlorm any Ind '
allicts that ~ pnnclp;ll(s) can petiOlm with Jesptf:l to II\e a~J specIfied tal. Nn..... (ellCludlnl the power to teeell/tl refund checks and
the DOWer to slin the return. units, ~iric.alty I""nled below~ s..
Re;ulallOl'lS sec1lOl\ 1.6012·1(1)(5)'01 infOtl\'\il1ion on 'tturnl IN'"
by it,lnb. (Lilltac.ludlble POWtltl be'ow.lndic:.ate.' rou .tt lI'anbn& the PO"'" t~ tNt ttturn.) ' .,­ ,,' . ,"!;'
. ,; '::.:. wan ~
" . ,'" . '
-.............................................................'~'."""" .................. ­ ...........•..:..~..: ... ;~,;.
• _ ••••• _ ••• t •••••••• ~ • • • • • _ •• _ • • • _ _ _ • • • • _._.~._ • • • _ _ .~._~
w •••••• _ ••••••• •• _ ••••• ~ ••
& •• _ ••••
•• 4 & ••••••••••••• ,_ ••••• -.~:,'.

~ ...;;

., .J
"lIllal h"r~ II> ••••••••••• if 101./ life if anti", the PO"'~f 10 rf'<: !I~t'. buT not to el'ldOf~ 0«:01$11, refund, """'10.$ for the '00... tilX mlltets to :
J 0 the apP";lIntee I,'SI name<! illbowe, Ilt """,

.. 0 (nam. 01 onll of the lIbowe desAlo.tled apPcMten) .......... , •••••...•••..•••••.•.........•.•••.•••.••••••.••••• - _.

ThiS POWltf of alto/neoy flll/oke, iii earlier powerl 01 "tlornct~ ano lallnlOfmallon authorll.:JtlOn!. ()II hie .'11'1 IhelnttHla1 RlI\lenue ServICe fOl
lhe same lall malletS and )'I!!,)'s 01 pl!tlO<I$ COlltted bV '11~ powt'r of attorney. e ..ceplll'le 'ouow,"&:

....... _ .......... _ .. ~ . . . . . . . . . . . . . . . . "' . . . . . . . . . . . . . . . . . . . . . . '" . . . . . . . . . . '" • • • ~~ . . . . . . . . . '" . . . . . a •• ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

-....... -.......~~,:, i; ;.~ .;,;.;,;,~ ~.;.:;.;, .,.;,;.;.;.;~ il;";";;. ;.' ,:;,;.; ~ ~~ ~..o:.:. -;.;;;.;.;. ~ ~ ;.;.....~.;;.y •-...•.•••••. -••
,. _ ... -
Sicnature of or 'or tallp.y.r(l)
(It li8n~ by • corporale oUic.,. pannt!r, 01' houcllry QII beh.llf ot lhe lalPolyer. I ,.",,1) 1hat I NII't thl auttlOtrty to ••«ute thll pow., of
attOl'MY cn behalf cf tho tiUpiily.t.)
 P.07

NOt~tAl.. SEAL
Witne",: - - • • - - - - - •• - • -~,,:;,; 01 NOc,;.,y -- - - - - - -• - -­ (if rl'QUitld by ,bee Ia",,)

1@"1 neclarallon of Representative

I declar. that I am not currently under \Y$pen$ion Of disbannent lrom pr~ctice befott tI'Ie Inlemal R...... Service, tNt I am "war. of
Tt....ury Dep",tm,nt Cirelllilr No, 230 (31 Cf R. Part 10), as amended. regulatiOn: ~itli \he practice 01 aHorneys. c:enlfieo pliblle
.cco",nlants. enrolled agents. enrolled actuaries. and oll~fl: and tMt lam one of the 'oIIowIn&:
: . ., . '. .
• • mtmbet in &ood standinlof ttw ba, of the hi(lhest c:0I.U't of the jurisdiction shown below;

b duly qualified to practice as a certified publi"; a:coontant in the juri"'iCtion shown ~

C ,Nolleu as an alant und.r ltte feQuirenwnls or TJtillUry CepattIMRt CIrcular ~ 230; '';;~/;

• a hall~lim.
0'
If • bona fide oHic.er the taxpayer orpnization;
ernpltly.. of the Wttayer;
" '
,~., ' 'f . :;,'.?~~;;'~:!
; ;;;.;;/

f II member of Chit !allpaver's immediate f.mil~ (!>pOuse, PoIrent. cftitd. btother OJ' ~Ctf); , ,', ,,' ',~ .. ,' "i';:~',: •.,1
I • fiducia~ 'or the ~payer,' , >"'f:j
h an Intolled II(;tuary (the authofity of an enrolled adUilry to Dfi('tiCcI be'ON the SeMt.1S limited DV section lO.3~C:Xl)of ';;i~"'" >':~i.t;j
-V.,
, Tru$Ury OOp.lftmenl Clreultr tlo. 230): ",,;::~)~:':;':'/J,"Ji,

, Commiuion,,'llpeci.'luthotiutian (sa itl$ttuction.

-.---~~.--~~~.~~.---~~.--.-.~---~~--.~--
'01 P"rt..II. i1.tm I)
~-~~-".~---
~
- • •-•- -- -- • ---
... ~ ~~ a.
--~--~---.~.-- -~-- .. -..~ :..1:;;~ "',I- >'.~," :'. " :'. , :;', ~',I t;~'·",t'~ ,itl:., : ,;' ~,
·'7 • ;. - - - • - - • ....
.. ~.-.~
.fId thai I im aulhOtlled to reprtilCM'lt the ta.pa,~r Identified in P.." I fat the 1Ia: rnatlCtfS ,,*,f~ there.

l)Mliinahon
Jlllltd1cltOn

(In,..'\ .lpptu"Hdh' 14!!Ipt

(~!"'., .tc )
0.1.
110m .. b<>.. ~ h~!)
Of ('lIoumMI c.,.,a Numt..., ,
"

\
-----a N/I;w Ynrk

',' Now 'iorlc.

A
--·---~--·~~~'~~~~·----·------~I~~--------
"

-~~-.----
MAY-10-2001 11:18 Ci=!S 513-2E.3-375(, P.08
~~~---.

..ico",er

10022
hereby appoint(s) the follo~,"& indillidlJ.lll($)·
'.I.~e
N.IIm. .. CAr NumMr
0\44'.15
Ii NuMIlel
William D. Zab.. l 2005-12444R 900 Third Ave •• NY, NY 10022 (212) 758-0404
'Susan C. Frunzi 200S-J2930R 900 Third NY. NY "v•. 10022 (212) 758-0404
.'\'"

as anornl!y(~)·in.fact 10 represent the tlltp:lye,(s) be'Ole any QHice of the Internal Re"tnue SeMee for the foilowinS tal matttt(s) (.pecil)' ','
the type{s) of tal and yUr(s) ~ ptriod(:.) (allte of dtllllh if Mla!e tAl)' ,

, T)pI 01 Lt.
. (Individual. ~t.•• I.e..)
red(tall.all
form IlUl'l'lbtt y.. r{., or c;eriO(J(s,
(Dale of du1tl " HUla tal) : ~:
"
~::!

(11)40, 1120.ttc.) :'~'!

"PPliCA til)n for Rec:oqnitioll of 1023

t:xome tion undet' SOlfe)IJl ot
the IRC
The Ittorney(s)·in·fact (01 either of lIIem) are authorued. sub,ect to r~tic". (0 tee.."" confldentLlIIl'l'otmItion and to pericwm any and
, all acLs that the princi"al(s) Cln perform with res".ct to the above specified tax matters (lPdudlnl the powtf to ,eceive (elund chec:ks Ind
the power to sign the return. \lnlft~' spocific.all), grnnted belOW). See Reaul.ations section 1.6012·1(aX5) 'OIlnlotmation on fttulnS mad,
by aaonLs, (Ust excludAble powoiS below. Indicate if you &fJAtII'Ic the powe, to sign the tetum.)
•••••••••••••••••••••••••••• _••••••••••••••••••••••••••• ~ •••••••••••••• ~ ••••••••••••••••••••••••••••••••••••••••• 4.
. .,. ',1' .tt
,. • •·• • • • • ~a~~ • • • ~ • • • • • • • • • • • • • • • _.~ • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • a • • • • • • • • • • • • • • • • • • • ~ • • • • • • _ • • • • ~ • • •
• '.1

I!l Send ori~lnals 0' all noaCts anC! .11 oUle, written communications in proceedl,1' inYOlvinl the above tax matters to tile appoint.. til'll
nlmtxl' above. arid a duplic:.al.a copy of .U notices .and .all olhtf written commut.ic:ations to theta_pave, named above. or
Cl Send eopios of ,II notices and all othe, written communications addrlliSold 10 the tup,ayet(s) i~ ptoc.atdinas In'lohlin, the
~M~~
.bov., t.u
1 D the appointee I,'/'St n..med above, Ot
2 0 (names 0' not /tiore tholn two of the appoinl~ fI.lm.c:t abo~) •••••••••••• " ., •.•.•.•••.••••••••••••• , ••••••••••••••••

Inltl.at here __ ............ if you are ~'anttn8 tNr powel to receive. bvl not 10 endorse 01 US". ,_fund el'lec:k.S for '!'Ie above ta. matters to'
3 0 the jUlpOlntee lirst named above, Of
, ;
4 0 (name 01 one oHhe above desil&l\ilted appointefl$) .................... _........................................... .

Ttus power of ,ll\orney revoke! all eai1H1r powers of anorn~ and In InformatIOn aulhO'~hOI'\" on file wllh tn,lntelnal Revenl.l' Servic. loT
ttte same lali maUers al\~ )'13/'S at pen04S covered by thl5 ~ef o. anomey. eJlcept the lollowml: .

.... .. .. . . . . .. .. . . . . .. •

I~I" \0 _ _ .. _I"', ....,•. __..... ""'t...,.,.lIP c_,,,..,..

.. .. "' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ .......................... " ....... _ ............. " .... _ to . . . . . . . . . . . "

",.IUoI:;- ( _ . " ...... -........, twI_'UflO'~

................... " .......... " -!,,,, ..............
...

)
'OIl . . . . . . . . *' .. ..

--------~---~~~---~
SIC,,;jtu,. of Of 10f t.upayer(I'
(If signoo by .. corporate office'. partner.« liduc:iary on behalf 0' tn~ tallpayer.1 CC!rtlfy tN11 h.111. ~he .ut)lotlty to flllCutt
attorney on bellOlll 0' U\e t,a.apayer,)
th.s power 0'
..7/~!r.1.
(o...f-: ...,
.7./~3'.
(a".)
'1.... •"
 CAS 513·-263-·3756 P.09

..:'"
"

;:
- _-_a_"_-_-_-_es.._-_A.._~I_U._'_OI_N._Ot.l_·..,.;.-I_·_·_·_·_·_·_·_-_.._·_-_-_·___-_-_-.-_-_-.-..;-~_·_i•.;.'i_-_-_"_-_
_ _ _W_it_n_e_ss.:_-.-_-_-_-_"_"..

IlUll' Dcclannlon of RepruentaU\tt'

NOTARIAL SEAL
.._-_-___(I.h.eq.U.i'.".br_lta_ta-II_Yl_' -Jkr
w s
I de<;lire lhall am not eurrenU:; under suspension or dis.batment 'rom practice before the Intemal Rewanut Slrvlee; that 11m .ware of I

T,usury Department Clrct.llar No. 230 {ll erR, Pat110)••s amended. reKUlatlons goveminS the pr.. tiee of attorneys. ,~1Cd Pl.lbliej~'

aecountanb. enrolled Igenls•• nro!led actuaries, and othen; Ind that I am one 01 the followil'l(: . , - , ',-: '.;" "

.. " • • ' • , '. oJ .:~ •• ' (t. ~'il"

• • mom~t In 800d $tandinqol the bator the hiaheSt coort of the Jurisdiction Ihawn tIdOw; , ,:, ',:,. ~';l''''i:~
b duly qu.11tltKJ to practice IS. certified pvblic .)C.CCUntant In the jurisdiction shawn below; ," , :'.;,~:' ":t",
;:;, C enrolled as an alent under the requirements of r,u:s,u'1 Department Ci.rcular No, 230; : I'!! .~:.~ '~i!:
.7 d. botll fideofficer of \M tup.i),.r orpnil4lion: . (:': ;'.:;::i~j' J
• a full-lime .mplo~" of tN!I taxpayer. - .,' ::';,;!f',:";'::.i:;;
I a mem~r 0' lhl ta~ayer·llmmedilt. family CSPOUS4, parent. dlild, btolhtt 01 wtef); .' ,', - " ';'." .I'~~' :~~
• I liducia'1'or lh.t.Ppayer; . ,:, ,~, ' ,'<-r:
h .n enrDIlc4 "ctuary (th.,...thority ol.n enrolled .ac:tuaty to ptactice btfOtt the ::,etvke;S limited by Mdion lO.3CdXl) of, ' ' ' ',:r.,',' .~.~,'::t,\,'
Trusu'1 Oep,tttment Clrcula, No. 230)~.: " '".';'}:' ',~~::
Commlulone,'s ,pecililuthorilatioft (5H instrudion$ 101 Part II, item i) .• _.... __ .. __ • _. _..... __ ........... _... _••• _ ~ ~ _.', ::-::-'
. ',.' -'~'i~
...... -- ........... ---... --- . . -- . . ----._ . . " -- -............... -- -_.... -----...... -.................................. __ . . -...."':' ;'l ,I'!r":
.nd that I.m authorized 10 reptesent the taxpayer identilied in Plrt I for the til' mlttlt$ sPII¢.Ili.od Nr.. ' 'i

~,illnallon JUII\dictIOll
(in",,, _IiPloprlllt I'lttl ('Call'. elc,)
from abollo 1111) or £",ollmlll'll Calc:! Num~

New York
 t-' .111

Sa Adl'f"IU (num~f tnd .trMU

950 ~hlrd Avenuo - 3~\~
.~b City Of lOW';' ,Lat., and ZIP codtt -~------------""'-:--:':"--tnd'-t~_~ph0n4-~/IcjImIMIf"""-"'oI'!"""-f1OII~·1D-!"'bt",-on";;'t.I-'~ltCI'""'"'-,,­
,M. P.tc'tW;:~

=
'. New York, Nnw York (12) 935-:/860'':':
tht;;;:;"~""u.aI;;-;.ccoun~IinC;;;I*;;j;IoIiIj;;cncb;------rin:;;-;=r,;;;;;;;~~
•....-u:;;wanillth
r7 Ac\~'L~' .
]:' -.,
Dec:el!\ber [Goa: • OJ' 029 :- :059 :

• Has the 'lrglinilatiOtl filed Federal income tax returns 01 uempt ofj£aniUlioI! infOlm.ation retu",,'. • • 0 Yes CEl No
If· Ves.• .tato the form numbtr($), yeatS filed. and Intt(nal Revel'lUe offlCA! where f d e 4 ., " "
,~', . '<'01:
t',:'

: :
ChKIc tho applicable entity box belO\l' and attach .. tonlotmad copy Df the OfiolIniution'l OtJlniZing document and byLaws II indlcatud
foreac:henlity. A copy ot t.he Trust Agreement. i8 Attachod heret.o aa Exhibit: A. .
D Cot'poraUon-Micles of inc:orpotltion and bylaws. [!} TNst-TN" ifld./tIIKl'. 0 Olhef-Cotu.tilution OI".rtieles of usociatiQn
r~ ~:t - ~ ~ ~ • •• : : and bc..;;;l'I,;.;.;;I!.S:._ _ _ _ _ _ _ _ __
.ili$1lI As:lvlt!ennd 02er~tlonallnf0i!!'aJJ.!ln: ~. or _ _ _ _ _ _ _ _ _ _ _ __

1 Wh.1t are of wUl be /.he oraanlation" SoOUrCH of f.nancial support} Ust In Older 0' sla. ";:... :~ . ":~;(c~',
The Poundation' a prilllary source of Unancial aupl?Ort, will be contributions frOll":"1",~k­
Mr. and Mn. Jdfry ~J.cowe1" 4nd l'ellltac1 perlona. Tho Foundation do., nl)t;', \:It:: .",,1'
antiCipAte, at thh t1i.i;'L%fii::alVL.o<J;,H~~~al ,upport from an:;, ot.ber ,oure.. '}i'/:~:;~;

,~ .' ' .' ,

11I ;··,.",' .~
I J f'
... 1 " ~:-o
L: ,.,

DIn. r;r, ~~V. [r"..;,,~::i1

'·.' .; t~· · ':«
..f\.:}'~
'I:-';:I~',
"'!,~:F.
:

6.:,JJ:·~L'r·N. N~c '1l I

:y: ?

-
2 Ol!$cribe the Of£lniz.:lIion', lund·raising pt0v.,;,m, both aelual and pIOlnM'd. "nd eIp'ain to \/fh,3t ell\e"1 It hu beM put Into effect.
(Intlude CI~I.lil'!o 01 fund·"..!.ing ... c:tivlh~5. 'I/eh i!!o ~I«h~@ m.liling~. 10fm.lIlOn of h.tnd·ra.~ing commIttees. u,C! 01 ptO'rwOf\oa' luNf
raise". ele,) Attach leplll5.enloJlive (oples o'1>Ohclt.atiOlllo 'Of 'llaneLlI luppOll.

The I-'ound.ltion ncit.hel:' has nor .lnticipatcB h.:avinq fund raising pro9rarns.

'.

• ,~~........ ,,,. Pf'<"l/Ioon of ~ ."" I .... WI......".., I. t.'I" ,"" .~"'''''. Of! &.ft.II1 of .,.. ........,.".,..;;.... , ...... "............ "" ~I-. ..............
,.,c_"'~ •.••_1". _141.... IInl 01 ",. _"""'" .. __ ,,-. (00"4<'1. - <---... : ~,
 f'IAY-10-2001 11: 20

--:-----
...
- ---~---
'he! I""'f'lbefl.llIf 011111 ootj,mUhon'!o ti0.."rnIflC bodr u.
.' - - .. _--_ .. . __ . ---_.------­
"- -.. M _ _ _ _ _ _ _ _ __

~, .,,'

----------------------~--. -----_.. -_.. ..... ---------­

.,._
Jeffry H. And Barbara PLcowar None
Trusteell
9S0 Third Avenue - 30th Floor

New York, Naw York 10022

;:, ,,~.
 MAY--10-2001 11: 21 CAS 513--2[,3-·3756

lithe orpni:.ltion • ~p Otp.N.atlOft' • • • • • • • • • • • , • • • • • • •

If ·Ya.." to."pItt~ the 'oIlowi~
• ~ the OIIaNzatioft'5 ~ reQ\.liftt'htntS and .ttach • :rlwNIuIt 01 ~ feet. aN dueL . "'~;:"'.::'.:;.:

;:.:~ .i,i'{', ·~."i! • ........ _ _,.... _ ...... '0 ..."'_........._ ....,-._......... . ,_~': .;J

;:),'
:.:,\..~~~~,' .:
.-" ..,,_.........................-"~~, ~.\
•.

:~f;:~: ;:;\1 . , .

c :,'!N~~~~~ts.OI.,.oduWlimit.s'O~' • . . . ". ..•...• ~0 Ya ~ ,NO'r'~:~

·'..".i.... ,...,J,. ..
.'. <"f' . . .
~~~i:~ -1-1--OoeI--Of-wiII--...-orp-.uu-Uoft--....
--In-~-·-··
-~-·-lo-InAuIflc.a---Ie&i.sla--liOIl-,-W-in\-IIIWInt--In-""-Y4'I--In-,- - . - - . -.•-.-..;. •,i'··,·
:j::~~,~:(~<,

'~;1~1
.~.~ ~£ u
:0;;&\.; 'i~~1;
~=~= ~~~ De<~~.,E~..,Dr .. ~··~~~[~t.~
DoeIlhe
orpn .YI.
IuUon I
.
poIiWJ'*'IPI"'; .' • . • •-. " • • • • • • • • • , • • • • • • .~ . . . . . . .

. pia f
potISIOn It
.., r
Of~. • • •
O
• • • • • •
M
• • • • ••
' ."."
Vet t..::1 No·'~.'·"·
0 ya' [~FN~1'. T

;~;)~;..~': U. :;:.,f~~O::~.;::u!:=:..=~~=~~.Cf~~I~~~... til ~..'. ~. ·. ,'•.'• :.·.~_:;. o..~:.~ ;.~. ,·•,.~.,:;".·:

t;~;,-;:'h;.~~ .. you III ,oil rlun ~ the
If NQLdf.ftletl~
.n"WIt 'No: (0 .nd ~:
doIlm tNt )QJ to notiot ,,"<let MdIoR • '
, 'J ;f; i4S~' $08(1), .ltlch.n •..,a.anaUon of 'fONI boll. for IN c.s.imId t~1on. ' ..~' .'.:. .: ;<;:~.\~('±A.:, ,',
~:t.~~:;<:'
. :~~ :i'~; :,' ::'.~.:~:
'C :~;:l::-~Oi:;~~~o!"!.:=:'·~.~~~~m:f='~::~.~-. Oy~ .[(~~~ ' ' >:
." . "', , . , ~ou anlwet 'YIS,-lo lle, .1!.XJt I dttliled Io"lement INt utilrlft the tequiftmenlr.QI R.v. Proc. 79·63. ~.
• ., you .n,we( "No.· 1o both 131 end llc.wnd MCt.iGn $08(.) daft apply 10 rou. ~ quall'lC.IlioII I' I WC1jon ·f'
501(,)(3) Of,ll'liulion un be rKocniliHJ on.,. I,om the ~It this .ppli(:.alion il frMd with JOUt' IIq OW.". :',
.• Di,edor. TheflIOl•• do )'011 wlnt US to con~r)'OcJf .pplic.lLiotI as Ilequer.t '01 rc.cocnihon 01 elPlPbon as a
Mdlon 50 HeXl) Of,l&nLUlion ttwn tM ~t. II'l4t ap~tion Is leuiWld .nd not tet/IU(Uvety l..... d.ale ~ou
....ere 'o'me1J (~in"'lKtion:)l • • • • • • • • • , • •• ••••••••.•••
10 0
Yes 0 No
.;:

In Ul Statement U to P,ln~e roundatlon S"tus (see Inlt/uctlonr.)

1 II the OI'&aniz..at*" I p,.vale fOl.llVilllOnl. • • • • • • • • • • • • • .....,.,. tEl Yet. 0 No
2 II roo ans;we, ·YH.· 101 qUC!Ition 1 and the Ofr~·~'ton cbims to ..... print. 0",",.1.".. 10:..nd.lllOI1, c.hedI
hell" • I3J .1'14 ~omplolt P~tt VII. .
3 at you '1'I1Mf .f.I4: 10 QUe$lion I. ~,. L"wt ~ 01 ruli"l you aI. teqc.mtinc fepdi"llhe OIpW.atiol'l'S
"'~h" undt1' sect*" !)()9 by dlKNnc ttle bo.i(IH) belOw tNt "pply; ,
• ecrioitive tulina U~I ~'ion 509('XJ), (2), (3). 01 (4) ... Comj'll.rlt 0 p"" VI•
..... ' . .. A.dvln(e n.:Ii.'\I ~t ~ w:c:tiOl1$ ~I)( 1) Mi 110(bX lXAXvi) 01 •
0 0 ~ S09(.X2)-Ne in$Lr\lCtIOl'lI•
....
(Not.; " you w.lllt .." ,dv.IIICe IUIitte. ~ must comp/c'IIt,1)(1 ~tudl:.o f«rns B12C 10 ,fir ~PI1hution.J
.. :,..
 ... an, ~n of "" orpniral...·' ~ '*'It ·-"'r.. ..
rtlPld ...... ~_ .
.';,;;L ~ • 1M,,*" 01 IhI .....tWc badr) Of do .., 01 ................. 4riUaIM: .::"" ,
(Ou. lh.JR bJ ....... -
. _ .."or _.-.....__..........
. • &,,_1__ • .....a.. ••• _..._
'--I.:...........A:.._ I;r..... ....._
__ ..,.~._~
,_ .... ___..
.... I~ __
_...: . . - ..... c....._, "i1i'~'
-.,,'.,i:;."!' uu .Ya

..... ,/.,r='!

. II-Vd" • ."."in.. ·,(t~· . . . '•. ;'ti ,,-; '. "";

Jeffry N. P1cQwer 1•• d1.qUAILf1•• per.on •• b. 1•• ·Sub.t.attal Conttlbutor­
undar 54946(4)(1) of tho lRC. Barbara ~Lcov.r 18 • dl.qual1tle4 f.r.on un4.~
S4~46(a)(1)(D) of the IRC a. ahe i . the .pau•• ot Jeffry M. P1QOWe~.

11 th~ orpniulioR fiNnc~UJ' KCOUoLabie 1.0 11"1 1M!\« OtJ,ani.ution? • • • • • • • • •.• • • •

II ·V n.• '.,in .nd id.nlif, lilt elhtf OI,.anluttoft, IntkM deuils COtlC....... aa:ount.lbilitJ' or .ltIc.h ~piH of
reports If an~ hawc ~n sutMnitled.

7. WII<II inc"1.)"" the.' ol.eatllUWcl hoi.. INt .I't' u~ til ,he Pt'tiIlIlN"'" 01,,, tMmpt lunc:tlOlll (Do not inc'''''''
plflpet1, p,QdUC:"'f:,
1t\w~\!lMflll"'Oll\eo,) II .n,
.I'wt1. .lIe nollullr GpeI.U.an.aI, .apl.l" th~ir ,'.1111$. wb.tl oldcMaon.al ste~ 'eRUIfl 10 be completed. and
wlW!/I IU'" flNI ltep\ will be u"-ef'l.
None

• To wtl.1t e.t"n' h""'e J'OY ~, or do )'00 pi.ll'llo UW:. cont,~b~honl ,n ;"In el'ldowmcnt funes. U" hold contr.bullons to produce inc;OIl\f
fOrlhUupporto'~outelempuctjy"le'I>? only to the extent thal; contrlbudona are in exeo••
of planned qt4nt. and expanses lot a particular year.
----------------------------------------------------------------------------
a Will any ollhe o""niubon'fo ""'*hn ~ 1n.1~ by
"noll",. orcanilolllOR or illdMdu.li UI'Idef .. c;ont,.du.al ,.,
'1-,.,.'
'~'ftment~ , • . • . • . • • . . , • • • • • • • • • • • • • • • • '. . • • • 0 Yes w No
If ·Ye,.,· ~\l.~h .. cop~ ol.x" (onll~d and e.pI..)'l"I lhe' feUI400mJVp between Ihtt .pplicanllnd tM.h 01 tNt otlWf
p.lttil!J..
 M~W-10-2001

fit'" lhe ~t_1ImiI1b ~tu.. ........... prodYdJ IolCICCikdorlMS

- ~ how the I~ or benefid.llia .." OIl wiI be JelKUd.:'::;(,..'.,:..
, ,-
;~; " ,. 5t~:~:;;;r;tf:i ;::;iif. ~ ,,;..' .. ~.
I, U.. OoIC~'li.t.ItlOft • tnembC',lIItp OfCMWlbOft' • • • • • • • •
.. ·Ya." complet. t~ 'oIlowtrc:
• IAKflbe lhe OI1ani.l.;a"QoI\', mtmben.hip It'qlolilltmHlb and an..rd\ .. KNd* of rnem~p 'f'H.and dues.
'., l~. • .,'

,\:(.:~~:~:t~;
"'""'~: ,,~.*,

C All bellerits. Ief'lfttH. Of ptodud$limited 10 membeft.l

If "No.· e.,pLIion.
.......... 0 Vu ~NI~f~!~
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,_ _ _ _ _ _'_'
i ,:
rt
11 Don 01 -'II &hi orpnaatkift ~ In IdIvitia tend"qt4 Influence "lion or inteMIM In "'1 wa1 In . .. . :i.;~;:
.....,;,1•• ' ...
.,..,..\~ ~m.pIw"
1-.",'
• • .. "
.. • • 111 ,_. •
. • •
.
• .. .'.
. • • • • 111 • • •
":0
• .. , • .. •• III
f'i'!:N'~
yes L.::.I a 't'. ','
tf -YeI,'; ~11l. (Hote: YOI;' ;,..,; .w.' to " . FfI!'" ,11", £.reakNvRftOCaliion 01 £1«IJon by ~ £Jidttl. s.dkNt '$Ol(()(JJ', "~)
Orpnlr.lti«l 1o MIlt, £rprnditll,., fa 1n/lulMctr Urp;I.tti04) . , ' . , '. . " (":'~'
,. ,'. ':;~!;. ,
Does the Otg..nlution hi.,. .. pet'ISIon pll" for ~1. • • • • • • • • • •• • • • • 0 YOI' ~ Nol: ,..
u. Iote rou fillllcfon'll10Zl ~ 15 months from Iht end 01 thcunonlh 1nwNc.:h~ ..... Cfultd orfonnedas . .."Jf.t}·'~/
nqulted byl4lCtlon 5Oe(.) and thlltl.t.d repu.., (SM GenualInsttuC:tionI.). • • • • • : • • Vea 0 No ~r~:;::~, "lil
" If J'O!Ill\SWItl 1140.-14 13... and rou dlim that)<IU r(an UCllption '" IN notke requlr.mcl\~ ",-.J., wc.1.iGft, ," l' :,,':';"
508(,). IttAch In Q.q)I.an.atioft 0' ytNf b&tIs foe tht daImId u::epllon. , ;'" -1;.- ':.: :.
c I'"., Answtt -No" 10 13.1 and MdIon 508(1) does
rtl:'JbllonUtdlon 1.9100 fram thuppllc.llJon 01 ~ S08(.). ~)'OU
.ppt,
10 yW. rou ma1 be *li&ib&. ''': I . ' under
rtquat .den • • . • .
'. ' '":;~.,, ':'.;;.~
.Nh""
Yn ONo ,~;'::, 0 r
d If YIl'Ilni...r -Yel,- 10 lle••1t.'W:ft. deUiled ILilemtnC tNt ..lisr.., the requkern.nb of Rev. f'wcc. 79,63. )
• 1f)'O!J 11'11_' ·No." to both 1.....nd 13<: and MCtiot\ 508(..) doeli apply to JOII. yo",' QU.lIif'gUon.s. ~
SOl(c)(3) Q!'E'nlutioft un be recacNzld only fr~~ \he d.ate this Ipp6c.ation " hid with )~f ~, D"bicl
•• Oirec1Of, Theft'C4e. do you w.nl UlIO con,i~el ~ .aptlliulion " ...equest (01 rocO£fti\ion of iHmption .as. ..
l«1ion S01(cX3) Or£ll'Iiul;o., f,om the c:i.lte ~ IPpUc,atJon b ,e<.eived.nd nat f.tro.aCliwel, to tM d,I. feu 0
wre lo'm~ (seoe instruction'" • • • • • • • • • • • • • • • • • • • • • • • • • • Ves 0 NO

[:1'!i!tl Statement u tg Prlute found.ltlon St.-lUI (.ce InlitrucllonJ)

J Is. the OlCll1lulion, PlN.te fOl.lfl>CbtlOl\f. • • • • • • • • • • • • • • , • • . l!J' YII C1 No
2 If rOU'"lW<er "Vel," to QUC'Ifolion land tMo,&ani.utioncLtims 10 ~ ... PU"ltl optntbnC lOI.INS.ation. u..ck
l\ele II> C and c~le p,,, vu. " . _
3 If rou .n,.« eNo: 10 que1.Iion I, Indic.ate lhe type of tulire )'OU ~e ffq\leS\i.nc fe,.ardiIIC the OfpniuliOlff> ­
", ~t.ahJS und« s.ec\ion S09 b!" Che<:k.in& tl'lC boa(n) ~ INt appl,:

• OctWtMi rulincuMef $«11On $09(.aX1). (2). (l), or (4) II' Cotn~Ic'e"'¥t V1.0 . •

.... .. A4"..ancl! rulit\l undef II'0Il«tionl5U9(.. Xl) ~nd 170(IlX1XAXyj) Of II> s.«tton ~'X2)-," inWuc:1ionf>•

0
(Nole: /I lOU ...111 <In .th..nc.~ lOV",ulll coms*'t'~ <ltUdI 'w<! r"lIftS 812-1: '0 ltv .lppl.uli..Jtt,J
 MAY-10-2001 11; 24 CAS

. 1.~:( Gtou ~
¥..
,2 i;J"OU dua.II'd ~"IS oIlI'III'mbttS .
.ftI.....anu.Md 1imiI.It....
'"',,.­
...~!~:',· i .~ ..,.,.J:.••~,
UIIU

". GtOII III'IOI.It\ts cIeriIIed IronI ~ '.""ed ........,:auc..n

<~:t;:"~(lrtachKMcSu") :'~< ~':\:,::~.~,~,.~~';". '.<'•.: ,
';"7/" 4

,.•~." ."""'" COlt uIet

'• • ·GtOSIllftOQnll
0' ,",,­ ",'1' .::. ,,,, ,
•• '.. ~ :..~. -.'. • • .. ............. i" .,... .. " ; .t-'-'~"'7~~~r~r:::~~~~;:
'1Om
UN1&aled ~ tdMties (l'bld"dI"'~' • • ..•I-_ _ _ _ _~
. .. "'in"" COlt ., ..Ia • • • • • • • • • • • • .. • .. • • •
•• Gtou trnOUnl tK.Md 110m ..Ie 01 .u.ts. eadudlnc irMIldorr bmt
(.....ch loChtdulc).
.. Minus COlI 01 otber tN.
• • • • • • • •••.• • • •
aNI ulet . . .n.... oI.u..ts aoId • .:' •
• • .t-------..
,
7
~nt Incomt (.... IN.tructiona)
~f f~U4t {attlch schedule, • • •
• •• '.'
• ..
... .
T
.:.: ........ f UltdI.itinc l.prenMl. • • •
··;r
Contribution•• citlt..I' anti. INf IoiniIat 'tn.)utlU £).tiel (Il~h ~)
Dis.bu~ments 10 01 for be,..'"
of mtmben. (_tudI Sdledule)
Com~nwlion 01 officers. dltedOl$., and Iru$lMS (.~ KMdule) •
" •
.......
Otl'll uLirie:l ,nd .'Iflo • • • . • . . • • • •
-it~.,.
~"

.:... '
.. ,
. 'nte".t . . . . . • " .. ... . ...
;,~ Rent .. • • " It " ..

OtpIKi.ltion II'Id "e~'.lion •

O1hel (.Iltxh Id'oltdl.lle) •
To~lupln' ..
...
Balanc. Sheret
(I' tP\jt 1M of ll\t potf'lOd ~ IboW)

20 CAsh: • be.,in, ICCOUo"'tL

b Oltl.,. • .
'nl.IIS'
...
21 Act:ounts fK.ilf,bl«. "er • • • ....................- - - - -...... 'i; ,
22 !nlftnloneJ. • • • . • • • ----',{ ,~
23 Bonda ,nd nol"~ Ctltt.acn Khed,ue,
".
Z4 c."portlle ,lOCi., (IU.Jdl1,Cl'ledule)
25 Mo~:\celo.snl,.:aU.Jc::IH,CI'le(!ulll),.
::
26 Other ,"""slmer'l' (IU.ac:" s.c.ne<ll.ll.t).
27 ~"rKI.bI~ .Jnd dcpM.abl. u:.clS. (,altacn I.I:/'It:!u~'
21 l.1nd. • • . . • . . •
2!J OIhe' ",!deIS (alUch s.ch-.Jyl",
30 Tol.ll ~Ullt~

31 Ac;c:ounu. ~y .. bl••
,~. I
32 ContlibuliOrtI. &Ittl. ,'.ants. elc.: f),)Y.at)l.e
II Mo;1&.t&,,$ and nolft j)ai'abl4 (:altolch :r.cIIe(I1.I1c-) •
34 Olhe, li.abililiel (,tl.llCh Khedule). • • . •
35 Tolalll.abIllU........... " • " flo.

" '\ 36 Toc.llund twol.Jnce"S Of MF wort". • • . . " . . . . . . . . . . . . . . .

J1 T0'.11 U.ablhll." And fund b.al.ancn Of Ad _OI1h (I~ liM 36), . ' . . • ••
;;."

..,
if Ih~"! ".n Dc~" ~n, "utl~l.anll.ll (J\.l~. in......, "'&;Ie..:t al J'OUI flt\.lncl.ll ,)(tf\lllld sanec U'Ie pttlOd ~wm ~bo.e ('n~H. cl'l«k ,1\41 bol ..,
,
, ,Ad ~n.'lc:h .a d~U.IN ('_t>Un.at-on. • • • . • • • • • • • • • • • • • • • . • • • • • . • • • • • • '_J
J ~ , ••
".
 CRS 513-263-3756 P.16

fIr.:'!t'I.. .1h ....._Mwi# .1Ub;':!.Inti.t1 part .... :t'". tuIICIOd Itom • ~ UII4,., ......,Ii.
,--t~~------.-----~.---~
~., flC4tMnC IWIC fftUf.e ""'""
..~·dWcI
------------~--~~-----~~~~ ,--~.~-~~~~~~~~~~~~
',}.

of its SUWOI1 ".11'1\ ero... ln~ ~ .."" ;

" ,,'
. J.. ,
f'I'OI.l~ OM·ltwId oj itJ ~ 'f(:oir..e~,iOOIlOM., ~,...,. .,.1.>:", ~
.........:·71
•
hClll'n aclnlltllltt ,.la,Itd
14 itt. ItUft'lQlf 1unc.!.'OftS (IU~ 1Oc.v.- '1I:etCtcwl';:~,>;", ;......."' . .) . Section 509(.X'2)

,..,..-

btitC ClpHlled t.oIeIV 101 'hi bentllt 01 Of WI cann.ctio:1 \WIh c.r.. or ,'nOt• .: u. ~
,. I

,
d41tctlbedinllhlOU&tl ... 0f6.7.MdS.bCMt . . . ' ,' •. ;,l' " Sec1irA5(»,''''Xl)
"~i:.' '1,*: ....
~.~.'~.":' .
N;~~:~:
,~.~.~~;,f,:: ,
" \ i
';;/' ..
"''l.. -;
~'::;'"''''
.' '~"
,,'
)"

nt" " ~
'Ii ., ...... C'IIlJt ••• ~ •• (ell' .•••.• at ••••••
,.)TIIItaI

~ • • • • • • • • • t------""""If-------+-------"'--""
. 1 GIlts. ••
'6,'f/ ,.
~~:./ ~<.
,t.~':..,' ",
·.it,.,~~,f·. :':"",:,
II
,
~ r... 1--------+--------4------.-..---------11------­
NClIMd • • •
Gtosa ,tc""'- ftom e d l Y V & l _ ' " i
wlt,oIm...ch..lftd"'OI~OI ':,

~,~~t:, '~.':, ::~'Z':o~f~;~rv-:la~~'t:

r t.
,".-.'

~~~": ,'t IIfIthift th.t ~ olleC:Oon!lll • I ­ _ _ _ _ _

'f" ".':':'.':'.
~-_--_._ .....- - - -_ _....- - - - - _..... _ ..
____...n "',~~.,.

'i. / " . GtOiol 1n",11N~ Income (we ..

1~:·~;~~:,' lWdioM d.'ltIitiGn) • • • •
~W";.­ 5 H., '01
lnc:omt I,om Cllfll"'IIU. . .·'
. . -----40----.--t-------+-------~---'.':;,.'· .,__
. '_';·.\t~~~·

~:':"~:/', .
~, UNeYtfd ~t.i.,.,\ .ctitl\!4H not in­
du.Jcod 011 Ittlt.. • . . • . . ~---f - - " - ' .--+--,-.."---~~----.­
6 Tn 'ft'4Pn,,~. ~.tt'd COf ..nd •• the<
~..s 10 01 ~nl ~" be,,",lf of U\cr
Oft:.I,"1"tlOn
, \/.lIlue 01
.
""••t(n Of '.v.ll.tln
-,---.,,~-.~.- ..- - .._..-_..- --~."--'- -.-_._----;-----­
''''flu~h.i!d b, ,) ,o~'''nwl\l.tllln;IIO
'h~ 01 .:.,,,,.:,.1100 "",.II~I eMIL!!!'
(nol 1I'I(1'''!1I1( trw. ".II..,. of kmc.C'1o
01 f.&(d 11It\ £tfltllr.JUt fUIn.lolwd Irw
p.,tbUc: willwvt (I~rk")' . • . .
I Q:rw-r ~OfM eM! IIl(hASln(;. ~­ Of
Ion I,om 1J~ 01 (nlltill "$~t\)­
..tt.ach ,dledu~. . •
9 1Qt.' o. Io~ lll",nu.:t\ 8 .
10 l_9n~lIIoL~3. • •
H (nlt!'f2~1)n.1W10.(ofu'ml~")~,.;_.:......:... . .~-.-:-' . • . " . . • ' . ' . • , •
12 If t~ .. GA'1!lf'llJ.d'M !'t.n ,tt:<f""'~ ":I, . .
"'~. ,.....
n',.~""C .a", 01 If.!!!' It-"' .... re-",,.. .IU.)(,. ......t IOf • .ac;h .~II \too""'C 1~ n.lm. of
II...,. (0/111.1",10'. IIIIt d.ll-e ... I'IIJ ..........". of ",""1.• nd .. t..ocl de-\(I.",OIJ(J o~ 11I~ rull;lft' ~ IUCh ...,nl I.)g roof ...:,,. "W(1I C· .....u. on •• 011 I
... I;(>wt· --(So",' .11\11 ud .....U50).
 P.l?
CAS SB-2E,3-375E,

..•....•.•......•.-..•••....••.... -.••........•..• ..,:' ~ '... ' "'t-:

~- .........-.•..•.•.....•......

• • • • • • • • • • • • • • • • • • • • • ~ • • _ • • • • • • • • • _._ • • • • • • • • • ~_ • • • • • ~._ • • • -.~ • • 4 • • • • • • • • • • • • • • •

.•....••......•••...•••. .••......• ••.•....••...•............•••..•.............

~ ~

~ ••••••••••••••••••••••••••••• ~~ •••••••••••• _ ••••••••• • A •••••••••••••••••••••••••

NI)

' ...... :
, "
/.'
, ',-'
.' ' ...~

4
,
'. -
.'
. r::' "

~J~'. .,,.
,~ t·, ',," "
"
/:" . .- 1
,.,! ("",
~1·;
i\I'.: '.
.". .,..'.
·:::~~:f~t;i '\" "J
'?' .~ J

• o

6
--------_._---- ----------------------.­
Wn.u ~IOI'I o.
rOut incom. "0)'011 p.aJ t.") ".dl w~poI\«I
Clte"n.:.alion.N2
. ... __._---._-----_.__.­
.
Mw SCNfal'11$ thl 5UPPOI'\ to "acta?

7 To \ifNI ••tent do ~ou condU'tlK.tivitie5 lhoat MMICd otht'1'WM be Gamed c:M II)' the SIJPfJO~ed Of~ntl.a'ion(,)? (.N.n wf1~ tl__..­
"Uvil.es. WCM.t&d otht'nlWiy .. CMfled on t>y the klCICJOI\C'4 OI£_rw.aban,s.). .
),
 t1A'(-10-200l 11: 27 CAS 513-263--3756 P.1S

I'QII~'IU net iI'II:.oma.lS 4tflftt'd'" f'ltUlllioftI MCtion 5.;I.·'SoIi2(,}i(IIH~::~~:':'

It t.tlnlmum lmarm.aa fllUn\ u Otfined In .......tions sectioft ~4'~~U}o.l.(CJ
~-Q".lilul"""i"'':'''''''''''.':'';'"t':~·;,
I,':"" ~ .,. • • " . . . ." " ,. . . . . . '.,h.1
,'<;"il.·'~:>if,~, c';'"";"·,.,·,::J.,c,,
-'/:-.·~'~.X'~I':'=.t!'~.· ,:;':. ",,:'.;.w' "",
_.... '.' ","
"
",:."',"
' ," ': .' ,': ,
10 I.n\oUftts (indLM:fin& 1IdmInIstntu... ~) Plid .ectI)' for flo ~ COIIdud oI .... 1IdMtieI1ot
Whh:h O!1.nl'MUnd OPlf.led undtt Met_
501(c)(3l(.t'lKIUc.hedule) 0';.'. • ';'. .."... • '.
" It Amounts paid to .:quIr••uets to be used (01 held '01 usa) diNdIJ .... c::.tf1}\nC 0t.4 ~ describecI
In s.ections l' O(cl( 1) or 17(Xc)(2XB)(&ttacJuchecUt). .. • • ..~' • • . • .• .;. • • • • 1-=-=:.;-----­
" ,c Amounts Ht "Ide 'ot
tpecdc pt'Ojects U\lt ..e fQl purposes dc:wibe4 In Mdiarn 17O(cXl) r.;
',,.,:",'" , 170(c)(2)(9H.n.:JChsdledYle) • • • • • • • • • • '~' . . . .;<.:, '. . . . ' • • • ,.' .. '0' r--=-:-+-----­
d Tc.laIqUllj~il'll~ut_(IddIina2a.,b••ndc) • • ' . ; ' • • -~ .t:• .-,.
,0 . . . . . . .'

3 Percotlt.qts: '- '

,';. • Perclntace of qualifyl", dl.s.trftlutiona to ~e4 ntl intornt (~ ine 2d by line 11) .' "• •
. II ~erc.n(a8e of di::tributiollS to mltIlmum invest.metd ilium (dMde line 24 by line Ib)
hOI
. '
., Aa..!1o Ttlt
.. ,Vllue or Otllnlzallon's assets Used In ldivitift tNt dlredy CII1J out'the uempl putpDSeS. Do not -
, 'nclud~ assets heJd merel, for iDdstment or ",od\lCtiol'& o( inc:tomt (.tt.dudledule) ' . , . . ... i,~ I-M.....- - - - - ­
,S , V,I\Jt 0-'" .n., ltock O' • corpoqtion &halls c:ont.rolIed bf ."iic.anl
~tioa Iftd cam. out is
tuft'PI pU,&lOIH (attadutlttmenl dc:JcribIn& COI'pOfItian). ~'.. .. , ..... :..... ;J-": '.' ~:-+_ _ _ _ _ __ .>. '
:, • • V.lue .:If alll.'Ulllt,,,,, ISSCts (tdd Mel 4 and 5) • • • ~'. • :. -... ~. .. ..... • ';~ •
'7 V.:UI ohppilGul tDtIJ aueb • .'. "":..~: ~t~ . ' : .; "
.uets
'. .' (ndoWllllft,Ttll ." ,
",', Value of ..~ts IlOt \I:Iitd (f./f held fOt usc) ditictl, In out IJM1Pl purposes:
',,: : I MonlhJ)' IVe'lee of lnV.ltrntnl MCl.ri!1eI. .HIlt market ~. • •
wrru-e i. .
. b Monthly 'Vtr",. of c.tl1 tlLLnc:a. • .'. • • • • • .. .". ,'~'" •
c Fair m.l,kel vallHl " ••11 ather imntment ptopef1V Khedule) • ,.rt.1c:h
4 rQUi (~dd hoed.., b.,nd c). • • . . . • . • • • • • •
10 Subtr.act .cquWtion i'\C.ieblfdl\l'U ft!~ll!!d 10 liN 9 Items ,al\Kh Khedule).
11 B.llanc:o ('ioIblr~'t line 10 (tom" 9d) • • • • • . • • • • • •
U MulbDI~ liM 11 3~" (¥" 01 thit &)ercen~Ge 'Of
Ow minimum jn\l~$lment return compuUlion uf\dft
. "', s,-t('i~nJ the ollhi!.
Support h&'
il i\ppllcant OI£,niution'ssuPPOIU$ c.:e'u~d in section 509(d) • • . • • • •
14 Subltacl.al1lount 01 £'0"" in~tmelll income .u 6elllVd III SoeClion S09(d. . •
! ::::~!~,\, . 15 SupPOrt IOf purposes of MC~ 4942U)(J)(BXill)(subtl4C11u1e 14 hom 1il\8 13, •
?':"::: 16 SuPPOrt received f,om aM &eMfai public. fIVe 01 mew. tMmpt orpni.zalions. CI a ~tion of thes.e

"~~il,;; ~!.~i=':::~I~):~"~~~~:'~.~~~5.:~:~~' ~::...J.-----~~

. %~:~t . ,;:;: 20
J~';.':"lr o:.::.-=:.::.:::.;:.;;;.;.;;...::..;:;..;;.=;:;.;:.!~~:.!!ll~!!!'!!!!J2~~!!.!!!!!.!I!!!!!"!!';~:!..!!~~~:!!:!~=~~:':"!:!.....::..-=--'-.L....:~~~~
21
 P.19

" .. ~' ,.

:I eo.s the OIBuUl.l1Jo.n Include .slLlteMenl in Its c.harter.Ir;laW$" Of' OIher ~ Ntrutneftt. OIiR Ilcr.oIulion o f , - ,
Its coYerNna ~.lhallt hK. raciaIJ nonaiscriminItoIy ~ as 10 Itudenll' .'. ••• • "., • • • • • 0 Va
~ ~hlIC¥If QWpoqae I'IISOIc.ItiaAI Of OCher offidaI J.1.I~ the orpnizatioft
.' ... _1Ndt
on this IUbiect '\ '
.
•• Has the Ctllnlzation mlde ita rKIaIJ nond~tory pok,in IcnowQ 1A.1I\lftrIIr that brir1p U. ~ 10 "
Che.tt.n1io1ofdseamentsollbt......,..convrwnit1whlc:hltuavcsl.' ~ .~:~. '•• ~' . . . . . . \ 0

",

If ·Vos,- dtwibe how INse po&:ies have been ~.nd NI.the rte-lU4ncy with which ,.lednt notice '

Of announcements "'" bMn nt.IGe. If no ~ Of brOldCasol media no&ic:es have been used.1Jl)LIift.

,'~; .
"

b If .ppliabl••• ltac.tI clippitlp of 1111 relolMnt new$p,per ftOtlc:.. 01 adWltltIsin&. or copies of Llpes ot scripts used for medIa'
btollQc.uls. AI$O .hlttI coPes of bRlchurH.nd c.aUlLct&ues de.I,,,,, with Itudent IdrMosiont. ptcIKraml.IM $Cho"-l'Ihips. IS well",
.epfesenut/Yt copin of aU wrlneft 1Id~ UMCS.,.
mea", 01 infonnina pt~Ptdiv. I,,"nb of your f)lCI8I'.sms.';~·' '
5 Attlch ,i nutne,ic~1 td'oedul. Ihowinc UIe racial compOt.ltion. '8J of the curtenl academic )'flf••nd projected IS flf II lNy be f,,,lble
q._ .
for the next IlGldtmic year, 0': (.) It.. sludent bo<Iy. (b) ,he a.
faculty

and .dmini,tt.Jt",. tI,lf. ",.
"
, A(t.lCh II hll showing lhe .mount of .n~ schuLa~, MId loa" funds Iw.udlt4 to IludMt$ enrolled ,tid the 'fC~1 comPlAltlQq 0' lh,
students who ~vt! rec.;vt'<! the Iw,m',­
7. Att.... c:h ..
OI'G"niutioN.
-
I~t at It. Otpni!l.lion', inc;.ofpal.1tOlIo, lounders, bo.ltd memlwtl. oIftd ~ of /.Ind 0# buJl4'f'II$. wtutlNtr iMlvidu"S Of
.
It Statu ""'I~thtr any ollhe OI'i~nll.a"o"s listed in • h .. 1Ie .n .In ob,.CIlVe Ihtt rNlnle""nc. o. sec,eC.lttd public Of ptivne $ChooI
o'''e..-,
education. 'Rd. iI so. _hether "1'1101 the Indl"'dIl,I1.Irs.le<! In • Jfe or acti... II'W!mt><ef, 01 $ll(It Oft!;lnlllt.OI"".
8 Indicate the pvbilC ~hool d".llIct and count)' in whdl the O'':.Jnialoo'. IS Ioc:.1led.

, Ha$ th, or,')nilitlion ihef been delermiMd by I SUle 0( reder" ~f"t.ive acerq 0( ju<'ci.ll bodt to be 0 Va 0 No :~r~~ ~
rlCl.1lff diKrimin.l~l • • • • . • • • • • • , • • . • • • • • • • • • • , • • . • : .'-.!';,~:
If • Yn.· "UoiIch .. deUik'd ellpl.)lQlion identifying lhe pa~ 10 the suit. «fie 'orum in ..hjch :he- c;.)se W~$ heard. the . ~J
.q"',-';;
c;.)U~ of achon, lhe holdina in the a$e.,nd tho c:.ilallOM (" an)'} .forINt a~. Ako dftcllOe 1ft cWL1i1 ~I ch.iI'1geS
in yout ('po' .)ti; '1'1.11 "0),. h.J~ occuue4 $ince u~n. """1]
 P.20

• U$llhe NInH. addreues. 4uties. and ,eleQftl backcfound tithe membet$ 01 ~ seIec1ioft eommitt".1f you base your selectioN In
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