IRS 501c3 Application Finances, 2013 November 17

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Form 1023 2006) Nar EIN: = Page 9
Financial Data
For purposes of this schedule, years in refer to tax years. If in 4 or more years, complete the

schedule for the most recent 4 tax years. If in existence more than 1 year but less than 4 years, complete the statements for
each year in existence and provide projections of your likely revenues and expenses based on a reasonable and good faith
estimate of your future finances for a total of 3 years of financial information. If in existence less than 1 year, provide projections
of your likely revenues and expenses for the current year and the 2 following years, based on a reasonable and good faith
estimate of your future finances for a total of 3 years of financial information. (See instructions.)

A. Statement of and Expenses
‘Type of revenue or expense Current tax year 3 prior tax years or 2 tax years
(a) From.2(102.| (by From... LiL..] te) From... 712] (@ From.f11129] (e) Provide Total for
to VRSANIA to (Z/3ML] to (A(R Me] to 12EBi Log] @) through @)

1 Gifts, grants, and
tributi ived (do not : : = oy
gapurumene recetved (ont | 74 363 | Ge, 098 [128,607 | 77,77! | 305,836

2 Membership fees received

3__Gross investment income

4 Net unrelated business
income

5__Taxes levied for your benefit

6 Value of services or facilities
furnished by a governmental
unit without charge (not
including the value of services
generally furnished to the
public without charge)

7 Any revenue not otherwise
listed above or in lines 9-12
below (attach an itemized list)

8 Total of lines 1 through 7 79, 363 |Fe, ees 128, Ge7 | 77,771 1265, 836

9 Gross receipts from admissions, :
merchandise sold or services
performed, or furnishing of
facilities in any activity that is
related to your exempt

urposes (attach itemized list)
10 Total of lines 8 and 9 79, 363 6,095 [128 ce7 | 37,771 [3657 836
11 Net gain or loss on sale of
capital assets (attach
schedule and see instructions)

12 Unusual grants

13 Total R ; = ; Fe
Add lines 10 through 12 79, 363 |%o, O95 128, co7 |77,771_| 365, 636

44 Fundraising expenses ISSA. 12,6338 Z 163 Zadeos beh

15 Contributions, gifts, grants,
and similar amounts paid out
(attach an itemized list)

16 Disbursements to or for the
benefit of members (attach an

Revenues

itemized list)
17 Compensation of offi ,
avoctors, and wustees’ G22 G9 £6[ | 44,042 | log a2y

18 Other salaries and wages

19 Interest expense
20 Occupancy (rent, utilities, ete) | 2, C9F | G75 3 GNF [7 924.

21__Depreciation and depletion
22 Professional fees 4), o SF AA2e 27E5 (0, 474

23 Any expense not otherwise

classified, such as program 4,499 | G,G60 R32) | 6 087

services (attach itemized list)
24 Total Expenses

Add lines 14 through 23 113,136 [119,325 | SE, 728 [134 IVS HAS, STH

Form 1023 (Rev. 6-2006)

Expenses


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