Return of Organ ization Exempt From Income Tax AAD
Under section $01(c), 827, er 4947(a)(1) ohm ftermal ever Code ( (except black lung bon
> om
‘Segre ees am eee 20m
son may have tc arting is
ie Forte S5STendar ome rer an yom bagi vend oncieg
ou (0 Empioyor Wentiication member
Cie IRGINIANS FOR ALTERNATIVES TO THE
COs. 5 54= =1664106
Os, ‘Thombar and sireet (or P.O. box, # mail ls mot deltvared to street address) Gar
Cog P.O. BOX 4804 ‘t34 +960 7779
City oF town, state or country, and ZIP + 4 F Group Exemption
HARLOTTESVILLE, VA 22905 >
6 EXT cash TJ Accrual
Schedule A (Form $90 or 990-£2).
7 Wobste, > WWW. VADP.ORG HW Crock > LRT itthe organization is not
J Tax status (chack only ono) — nife}{ 4) <M finsert no) [J 4947;3){1) or | aquirgd to attach Schedule B gm sn 900€2 cc 290 FF,
X Chock AForm 990-€2 or
mm 990 return is not required, but it the ee meee |B retum, de sure to saturn.
uae povints: i $5 Form 980 arm 990-E2 .. 77,711.
1 77,771.
2
3. Mambership dues and assessments
4 Investment income
oe Gross aout or sole of apvets eter than avatar.
b Less
© Gain o
| 6 Special events
5 Gas
rmported on ine...
D Less: cy eae:
‘
Ta. Gross sales of inventory lass retums and atowances sie Th
b Less: cost of goods sol.
Geos prof or ss) from sales of ventory (Serat ne 7b rm te 7a) me
8 Omer Le
@ Total revenue. Add lings 1, 2,9, 4, 5c, 66, 7eand 8 m mame Cam) 77,771.
10 Grants 10
11 Banefts paid to or for members 1 =
2 Sia, oe compton an anooy bets isi : . Le 109,224.
3 - so . eae 8 10,874.
14 Occupancy, ront, utiles, i SEE STATEMENT 2. | 14 794.
18 Printing, publications, pastage, aed shipping - — sssne |1S. 2201.
6 > SEE STATEMENT 1 } | 16 11,093.
a ‘Add fines 10 through 16 7 124,186.
18 Excess or (dabeit) for the year {Subtract line 17 from fine 9), re wary ~<56,415.>
j 48 Net assts or fod bolances at beginning of you {trom fine 27, cclrn (A) ee
year's return) vos | 87,293.
heron as rh bn teh wo
30,878.
(8) End of year
22 Cash, savings, and investments. iia _— 86,011 «| 2 215.
23 Land and buildings il 3
24 Otwrassets (oxcrde> OTHER DEPRECIABLE ASSETS ) 1, 282.| 28 663.
25 Total assets a 87,293.| 25 30,878.
> ) 26 0.
87,293 [27] 30, B78.
Form @90-EZ (2009)
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP___1
A For the 2009 calendar year, or tax year beginning and ending B: Name of organization ID
Emplnyar Idenililcallun number
IRGINIANS FOR ALTERNATIVES TO THE
Revenue, Expenses, and Changes in Net Assets or Fund Balances (seems instructions forPart 1.) I I
Contributions,gilts,grants,and similaramounis received 1 77 , 77 1.
Program service revenue Including govemment fees and contracts dues and assessments
Invsstmentincome
Gross amount from sale ofassets olherthan inventory ]j
Gain or (loss) from sale of assets otherthan inventory (Subtract line 5b imm line 5a)
Special events and activities (complete applicable Schedule G). li any amount is from gamlnq, eheck
here PE
Less: direct expenses othertnan Yundraising expenses _ GE
Net income or (loss) from special evenis and activities (Subtract line 6b from llne 6a)
Gruss profit or(|oss)lrom sales of inventory (Subtract IIne 7b from line 7a)
Other revenue (describe i
13 14
15 1617
Grants and similar amounts paid (atiach schedule) Benefits paid to orformembers
Salaries.°"’°'0°f“pensarion,andemnloveeberwfits
Professinnalfees and otherpaymentsto independent contractors Occupancy. rent,utilities,and
maintenance
Printing, Publications, postage. and shipping Other expensas (describe P
109,224. 10,874. 1,794. 1,201. 11,093.
134,186.
20 21
Excess or (deficit) Yorthe year(Subtract line 171rom line 9)
Nat assets orfund balances at beginning ofyear(1rom line 27, column (A)) (must agree with and-o1-
yearfigure reported on prioryear’s return)
Otherchangasin netassets orfund balances(atiach sxplanatlon)
N orfundDalanc: fvsar.Combine|ines18thr0ugh20 >
Balance Sheets. 11 assets on une 25, column (B)are $1,250,000 or mme, me Form 990 instead of
Form 990-Ez.
22 23 24 25 26 27
(gee the instructlons for Part ll.) | (A) Beginning of year |
(B) End of year
30,215.
uriunli balances (line 27 ofcolumn (Q) must agree with line 21)
LHA Fur Privacy Ant and Paperwork Reduction sae rhs separata Instructions. 1
L7170526 794671 VADP 2009.013030 VIRGINIANS FOR ALTERNATIVES VADP 1
VIRGINIANS FOR ALTERNATIVES TO THE
DEATH PENALTY, INC. 54-1664106 Pas?
[Part it | Statement of Program Service Accomplishments i th)
What is the organization's primary exempt purposa?_ SEE STATEMEN’
r descrbe
the services provided, the number of peryons benefited, and other relevant information for each program ttle. for otra),
26 VIRGINIANS FOR ALTERNATIVES TO THE DEATH PENALTY IS A STATE
WIDE CITIZEN'S ORGANIZATION DEDICATED TO EDUCATING THE
PUBLIC ABOUT ALTERNATIVES TO THE DEATH PENALTY
(Grants $ 1 chock here ca [) fens!
{Grants $ Lif thie heck here a > LO feo
(Grants $ ‘check here > [7 |s0a!
(Grants $ torsion check Mere = nenaananamnan® L139
32_Total program service ex, Snes 268 through 31a) >| 32 0.
[Part IV] List of Officers, Directors, Trustees, and Key Emy
Ti crans
(B) The and average hours | {8} Compansation Seco (e) Expense:
per week ceveted te | (tt not pald, enter | benefit olans & | account and
+) deterred otmer
(a) Name and adress
postion allowances:
HELENA COBBAN, P.O. BOX 4804 ‘TORS
CHARLOTTESVILLE, VA 22905 4.00 0. o. Oo.
BETTY GALLAHER, PHD, P.O. BOX 4804, BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 905 4.00 Oo.) o. oO.
GREG GELBURD, MD, P.O. BOX 4804, BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 22905 4.00 0. 0. 0.
JERRY GIVENS, P.O. BOX 4604, BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 22905 4.00 0. 0. oO.
LYNN GREER, P.O. BOX 4604, BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 22905 4.00 0. 0. 0.
REV. HUNTER MABRY, PHD, P.O. BOX BOARD OF DIRECTORS
4804, CHARLOTTESVILLE, VA_22905 4,00 0. 0. oO.
STEVE NORTHUP, ESQ, P.O. BOX 4804 BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 905 4.00 0. 0. oO.
LINELL PATTERSON, P.O. BOX 480 BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 22905 4.00 0. o. oO.
MARILYN STARK, P.O. BOX 4804 BOARD OF DIRECTORS
CHARLOTTESVILLE, VA 90 4.00 0.) 0. oO.
JONATHAN SHELDON, ESQ, P.O. BOX RESIDENT OF B
4804, CHARLOTTESVILLE, VA 905 0 Oo.
ELIZABETH PANILAITIS, P.O. BOX 4804, FXECUTIVE DIRECTOR {unhJ silo
CHARLOTTESVILLE, VA 22905 40.00 48,974.) 0. 0.
SCOTT VOLLUM, PHN, P.O. BOX 4804 BOARD OF DIRECTORS
CHARLOTTESVILEE, VA 22905 4.00 0. 0. 0.
Eile ; Form 990-EZ (2008)
7170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP__1
VIRGINIANS FOR ALTERNATIVES TO THE DEATH PENALTY, INC. 54-1664106 Paoe2
Statement of Program Service Accomplishments (Sea the instructions Part III.)
Expansss
What is the organizatiows primary exempt purpose? SEE STATEMENT
Describe what was achieved in carrying out the organizat|on’s exempt purposes. In a clear and
concise manner, describe the services provided, the number of persons beneiited, and other
relevant information for each program title.
28 VIRGINIANS FOR ALTERNATIVES TO THE DEATH PENALTY IS A STATE
WIDE CITIZEN'S ORGANIZATION DEDICATED TO EDUCATING THE
PUBLIC ABOUT ALTERNATIVES TO THE DEATH PENALTY _
(Grants )Ifthis amount includesforeiglgrants.check here P 28|
(Grants ) If this amount includes forei@_grants, check here
30
31 Other program services (attach schedule)
(a) Name and address 1 perwesk devoted to (Il nn! palu, enter han
HELENA COBBAN, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
OARD OF 4 .00
DIRE
CTORS
0. 0. 0.
OARD OF 4 .00
DIRE
CTORS
GREG GELBURD, MD, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
OARD OF 4 .00
DIRE
CTORS
JERRY GIVENS, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
OARD OF 4 .00
DIRE
CTORS
LYNN GREER, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
OARD OF 4 .00
DIRE
CTORS
REV. HUNTER MABRY, PHD, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
OARD OF 4.00
DIRE
CTORS
OARD OF 4 .00
DIRE
CTORS
LINELL PATTERSON, P.O. Box 4804, CHARLQTTESVILLE, VA 22905
OARD OF 4 .00
DIRE
CTORS
MARILYN STARK, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
OARD OF 4 .00
DIRE
CTORS
JONATHAN SHELDON, ESQ, P.O. BOX 4804, CHARLOTTESVILLE, VA 22905
RES I DENT OF
4.00
BOARD
ELIZABETH PANILAITIS, P.O. BOX 4804, EXECUTIVE DI
ELIZABETH PANILAITIS, P.O. BOX 4804, XECUTIV CHARLOTTESVILLE, VA 22905 40.00
SCOTT VOLLUM, PHN, P.O. BOX 4804, ‘BOARD OF DIRE CHARLOTTESVILLE, VA 22905 4.00
CTORS
7170526 794671 VADP 2009.053030 VIRGINIANS FOR ALTERNATIVES VADP 1
VIRGINIANS FOR ALTERNATIVES TO THE
Form 990-€2(2009)_ DEATH PENALTY, INC. 54-1664106 __ Paged
(BatV] Other Pan ¥)
33 ‘es, vty
4 Yes;
38 63,304 but not
. o reporting,
bb H-Yashas tod tax retum on Form BOOT or WS YOO? eens ee
Fy futon, teemination, ves.
NM ivi i"
m OF nokect, as described in the instructions... > (a7 |
1120-POL for this year?
m Oi te ganization borrow from, or rake any ans tay oer, drctr, ta yoy ry ea a
“N/A
* Sin 7 mis, Ete:
wisi N/A
: tee men cad on te bps cee a N/A
403 ng eye
section 4971 N/A sanction 4992 D> N/A vsaction 4985 _N/A.
®
year
‘Yes, Pati x
' 5S
4955, and 4958 : > 0.
‘ :
‘organization > oO. < 4
, peed
‘wansection? "Yes," complate Form 8886-7 400 x
41 List the status with which a copy of this return Is fed.
421 Toe organizatlon’s books arein carsot THE CORPORATION ____—Toispnons no. B 434-263-8148
Located at PB P.O. BOX x 4804, _CHARLOFTESVILLE, A = CHARLOTTESVILLE, VA UP +4
b Atany
account}?
ves;
ives? >»
8 1041 ~ Check hors...
4S any
Bho 4
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP__ 1
VIRGINIANS FOR ALTERNATIVES TO THE FWF” 990'EZ(20U9) DEATH PENALTY , INC . P3053
Informaiion (Note the statement requirements in the instructions for Part V.)
35 Did the organization engage in any activity not previously reported tothe IRS? If ‘Yes.' attach a
detailed description of each activity _ 34 Ware any changes made to the organizing orqoverning
documents? li "Yes," attach a conformed copy ofthe changes
35 If the organization had income from business activities, such as those reported on lines 2, 6a,
and 7a (among others), but noi
reported on Form attach a statement explaining why the organization did not repen the income on
Form 990-T. a Did the organization have unrelated business gross income of$1,000 or more orwas
it subiect to section 6033(e) notice, reporting, andDrvxvviaxwuuirements? 35a X D
lf"V@S,'haSitfiledataxreturnon E* 36 Did the organization undergo a liquidation, dissolution,
termination, or signiticant disposition of net assets during the year? completeapplicablepansofScn.N
38a Did the organization borrow from, or make any loans to, any u1licer,director,trusiee. or key
employee nr were any such loans made In a prioryearand still outstanding aitne end ofthe period
covered by this return? » _
39 Section 501 (c)(7) organizations. Enter: Q nnivmann fm »nn miv» mmrinminns inundan nn une 9
, 39a N/A
a Initiati capitalcontributionsi nnilnea 39a N/A D
40a Section 501(c)(3) organizations. amount oitax imposed during the year under: Y section 4911 P
N/A ;seclion 4912 P N/A ;section 4955 > N/A
n secuon ma me excess benefit trzgrintion during me year ur is it aware that it engaged in an
excess bensfit transaction with a disqualified person in a prioryoar, and that the transaciion has not
been reported on any ofthe organization's prior Forms 990 or complete Schedule n Section 501(c)
(3) and 501(c)(4) organizations. Enter amount of tax i on ort ization
of uisquaiifieu persons anfing me year under sections 4912, 4955, ano 4958 > 0 . d Section 501(c)
(3) and 501(c)(4) organizations. Enter amount of tax online 40c reimbursed bythe
organization P 0 . s All organizations. At any time during the tax year, was the organization a pany
to a prohibited tax shelter
409 X 41 List the states with which a copy of this return is filed. > VA 42a &rqanizatiows books are
of F THE CORPORATION Telephone no, P 4 34-2 6 3-8 1 4 8 Located at > P .O . BOX 4804 ,
CHARLOTTESVILLE, VA > 22905
h At anytime during the calendaryear, dici the organization have an interest in or a signature or
otherauthority
over a financial account in a foreign couniry (such as a bank account. securities accouni, or other
financial account)? If "Yes.' enter the name ofthe foreign country: P
See the instructions tor exceptions and filing requirements for Form TD F 90-22.1, Hspun ai
Fnralgn Bank and Financial Accounts. c At any time during the caiendaryear, did the organization
maintain an office outside ofthe U.S.? 42]:
962173 02-05-10 3
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP 1
VIRGINIANS FOR ALTERNATIVES TO THE
54-1664106 Page 4
Form 990-€2 (2003) __ DEATH PENALTY, INC.
Part Vi Section 501(c)(3) organizations and section 4947(a)(1) trusts only.
and 51.
[Yes| No
office? if "Yes," complete Schedule ©, Patt hon nesnntinnennnnnnnennnn cI
a Yes," , Pat i a7
ry Yea," . La
or ra 490
b if°Y¥e5," was the rotated organization 2 section 527 organization? . Lae
0 dirctors, r
tar Wore?
(6) Contributions]
(0) Title and average hours | (¢) Compensation | to employee | (0) Expense
(a) Name and adoress of gach en per benefit plans & | account:
‘than $100,000 position daterred | other silowsnces
compensation
1 Total number of other employees paid Over $100.00 os csssscensennnenonnnvene >
organituation. 1 tere is none, enter “Non.”
N/A
(ey Name and $100,000 0) Type of servo
Tenethan Shaldery
Pala Preparer’s sigratus Date |Crveck it salt [Preparers isentitying numnow (See instr)
Paper a . ere
liwwwe wan» BAR & HART, P-L-L.C. a
= 5
no. 757-220-6626
> i?
Form 990-E2 (2009)
Bi
pil SAvBERRY LANE
com vse | WILLIAMSBURG, VA 23185
May the
eho
7170526 794671 VADP
4
2009.03030 VIRGINIANS FOR ALTERNATIVES VADP__ 1
__ __ |\(d)Contributions (IJ) Title and average hours (c) Compensation 'go (e) Expense la) Name and
address of each employee paid more | perweek devoted te benefit nlans & @Hd than $100,000 I
position | | deferred luther allowances N /A | | | compensation
1 Total number of otheremployees paid over$100,000 P 51 Complete this table tortne organization's
five highest compensated Independent contractors who each received more than $100,000
oicompensatlon trom the
organization. lf there is none, en(er"None." N /A Q) Name and address oteach independent
contractor paid more than $100,000 th) Type ofservice I (g) Compensation
tl Totalnumbevofotherindspandentcontractorseachreceivingover$100,000 i
7170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP 1
VIRGINIANS FOR ALTERNATIVES TO THE DEATH 54-1664106
ORM 990-EZ OTHER EXPENSES STATEMENT 1
ESCRIPTION AMOUNT
RAVEL 1,524.
OARD EXPENSES 1,358.
UNDRAISING 7,205.
THER EXPENSE 1,006.
OTAL TO FORM 990-EZ, LINE 16 11,093.
—=—
ORM 990-EZ OCCUPANCY, RENT, UTILITIES AND MAINTENANCE STATEMENT 2
‘ESCRIPTION AMOUNT
‘'EPRECIATION 619.
‘THER EXPENSES 1,175.
‘OTAL TO FORM 990-EZ, LINE 14 1,794.
——
STATEMENT(S) 1, ”
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP___1
‘VIRGINIANS FOR ALTERNATIVES TO THE DEATH 54-1664106
ORM 990-EZ OTHER EXPENSES STATEMENT 1
ESCRIPTION AMOUNT
RAVEL 1,524. OARD EXPENSES 1,358. UNDRAISING 7 , 205 . THER EXPENSE 1 , 006.
OTAL TO FORM 990-EZ, LINE 16 11,093.
‘ORM OCCUPANCY, RENT, UTILITIES AND MAINTENANCE STATEMENT 2
*ESCRIPTION AMOUNT
IEPRECIATION 619 . PTHER EXPENSES 1,175.
‘OTAL TO FORM 990-EZ, LINE 14 1,794.
5 STATEMENT(S) 1, 2 17170526 794671 VADP 2009.030130 VIRGINIANS FOR ALTERNATIVES
VADP 1
VIRGINIANS FOR ALTERNATIVES TO THE DEATH
54-1664106
ORM 990-EZ INFORMATION REGARDING TRANSFERS
ASSOCIATED WITH PERSONAL BENEFIT CONTRACTS
STATEMENT 3
DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS,
DIRECTLY OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL
BENEFIT CONTRACT? «2 6 ee eh ee ee ee ee eee
DID THE ORGANIZATION, DURING THE YEAR, PAY PREMIUMS,
DIRECTLY OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT? .
[ ] YES [X] NO
+ [ ] YES [X) NO
sv TATEMENT(S) | 3
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP___|
‘VIRGINIANS FOR ALTERNATIVES TO THE DEATH 54-1664106
ORM 990-EZ INFORMATION REGARDING TRANSFERS STATEMENT 3 ASSOCIATED WITH
PERSONAL BENEFIT CONTRACTS
.) DID THE ORGANIZATION, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY OR
INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFITCONTRACT?... (IYES[X]NO
I) DID THE ORGANIZATION, DURING THE YEAR, PAY PREMIUMS, DIRECTLY OR
INOIRECTLY, ON A PERSONAL BENEFIT CONTRACT? . . [ 1 YES [x] No
6 STATEMENT(S) 3 L7170526 794671 VADP 2009.015030 VIRGINIANS FOR ALTERNATIVES VADP
1
. VIRGINIANS FOR ALTERNATIVES TO THE DEATH 54-1664106
‘90-EZ PG 2 STATEMENT 4
\DUCATING VIRGINIANS ABOUT ALTERNATIVES TO THE DEATH PENALTY
7 STATEMENT(S) 4
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP__1
VIREINIANS FOR ALTERNATIVES TO THE DEATH 511-1664106
IDUCATING VIRGINIANS ABOUT ALTERNATIVES TO THE DEATH PENALTY
7 STATEMENT(S) 4 17170526 794671 VADP 2009.03030 VIRGINIANS FOR
ALTERNATIVES VADP 1
Form 8868 Application for Extension of Time To File an
ev. Apel 2000) Exempt Organization Return (OMB No. 16451708
© If you are filing for ues
© It you are fling for (on page:
Form 8868.
(EBA Automatic 3-Month Extension of Time. Only submit orginal (no copies needed).
Part only sevens o = » O
Al of 1: partnerships, REMICs,
to file income tax returns.
iting Generaly, you can Form 8888 f you
6 90-7. Teepe remnant ema cee ae
2) you or 8870, . Instead,
ry Pat of Form 8868.
Type or | Name of Exerret Organization Employer identification number
print VIRGINIANS FOR ALTERNATIVES TO THE
DEATH PENALTY, INC 54-1664106
‘morte. T umber, soot, and room erate na Fa P.O, ban ooo baivclone
‘trove | Pe O. Box" 4804
mu Bee
Tancaters | Cty, town ‘oeis, ma; Fora foreign address
CHARLOTTESVILLE, VA__22905
return to each retum):
TF Form 990 1 Ferm 990-7 (corporation) Co Form 4720
1 Form s90-8t. (2 Form 990+ tse. 401(a) or 408%a) trust) CO Ferm 5227
CX) Form 990-62 (1 Form 990-7 (trust other than above) Fee 6069
CO Form se0pr Form 1041.8 (2) Form 8870
THE CORPORATION
© ‘The books are inthe careof B P.O. BOX 4804 - CHARLOTTESVILLE, VA 22905
> 434-263-8148
en - se -O
© tiie 0 (GEN) if this is forthe whole group, check thia
box B® (_]. itis for per > LJ andattach
lrequest ion of tne until
AUGUST 15, 2010 "
33 for the organization's return for:
> [X) ears row 2009 o
‘tax year baginning and ending
2 It this tax year is for less than 12 months, check reason; [—) Inia raturn To Prat return 7) Change in accounting period
‘Be i this application is for Form B90-BL, 990-PF, 990°T, 4720, or 6089, enter the tentative tax, less any
Sea Instructions. sels
> Hf Form 990-PF or 990-7, ay
moins wacom s
© 3 payment wath Wrequred,
deposit with FTD coupon of, If required, | 1g
sols N/A
Caution. if is Form 8888,
Ha 7 ion Act Notice, Form 8888 (Rev. 42008)
8
17170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP___1
17
Farm 8868 Application for Extension of Time To File an (Rev.Apli|2009) Exempt organization
Return i OMB No.15451709
0 Ifyou arefiling for an Automatic Extensiomcumplete onlyPartland checkthis box P N 0 If you are
filing for an Additional (Not Automatic) 3-Month Extension, complete only Part Il (on page 2 of this
form). Do not complete Part Il unless you have already been granted an automatic extension on a
previously filed Form B868.
A corporation required to file Form 990-T and requesting an automatic 6-month extension - check
this box and complete
Parilonly
All other corporations 1120-C filers), partnerships, REMICS. and trusts mus! use Form 7004 to
request an extension of time
to file income tax returns.
Electronic Filing Generally, you can electronically file Form 8868 if you want a automatic extension
of time to one of the returns noted below (6 months for a corporation required to file Form
Hovyeyer, you cannot tile Form B868 electronically if (1) you want the additional (E) file Forms
990~BL, 6069. or B870, Qroup ratums, or a composite or consolidated Form Instead, you must
submit the fully completed and signed page 2 II) of Form B868. For more details on the electronic
filing of this form. visit
print | VIRGINIANS FOR ALTERNATIVES TO THE
DEATH PENALTY, INC. | 511-1664106
CHARLOTTESVILLE, VA 22905
Check type of return to be filed(f||e a separate application for each retum):
Form 4720 Il Form 5227 E Form eues E Form asvo
THE CORPORATION
1 I request an automatic (6months for a corporation required to file Form 990-T) extension of time
until
AUGUST 15, 2010
is for the organizaiion's return for: i calendar year 2 0 0 9 ar
iil tax year beginning , and ending
, to the exempt organization retum for Ihe organization named above. The exiension
2 lf this tax year is for less than 12 months, check reason: E Initial return E Final return
E Change in accounting period
3a If this application is for Form 990-T, 4720, or 6069, enter the tentative tax. less any
nonreiundable credits. See instructions.
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax
@ymems made. Include anygorior year overgyment allowed as a credit.
c Balance Due. Subtract line 3b from line Sa. Include your payment with this form, or, if required.
deposit with FTD coupon or, if required, by using EFFPS (Electronis Federal Tax Payment System).
See Instructions.
Caution. li you are going to make an electronic fund withdrawal with this Form 8868, ses Fomi and
Form 8579-EO for payment instructions.
LHA For Privacy Act and Paperwork Reduction Act Notice, ses Instmctions. Form 8868 (Rev. 4-
2009)
170526 794671 VADP 2009.03030 VIRGINIANS FOR ALTERNATIVES VADP 1
CC BY-NC-SA 4.0