FormDetiartmenl oi the Treasuryinternal Revenue ServiceTHIS IS A COPY OF A LIVE RETURN.A For the 2012 calendar year, or tax year beginningReturn of Organization Exempt From Income TaxUnder section 527, or 4947(a)(t) of the Internal Revenue Code(except black lung benefit trust or private foundation)The organization may have to use a copy of this return to satisfy state reporting requirements2012, and endingOFFICIAL USE ONLY.OMB No 3545-00472012 (Open to__ Publicinspection7Employer identification Number8 Check it applicable0 Nameoforoamzahon THE GOVERNMENT INTEGRITY FUND3 Address change Doing Business Name Change Number and street (or 0 box it mail is not delivered to street addr) Roomlsuite Telephone numbertnilialretum 5712 RIDPATH Rom) (614) 306~4690Temmaied City, town or country State ZIP code 4Amended return ITY Gross receipts 5 500 6 91 Application bendingName and address of principai officerTHOMAS NORRIS 6712 RIDPATH ROAD GROVE CITY 0 43123 H(a) is this a group return for attiliaies?Are all affiliates included?Yes NoYes Noif attach a list (see instructions) i rarexempi status lsoircim lit 50l(r:) 4 (insert no) or 1527Website: H(c) Group exemption number IForm or organization ?Corporation I lTrust 1 1 Association 1 1 Other LLC Year of Formation 2011 I State of legal domicile OHLrtart lSummary1 Briefly describe the organization's mission or most significant activities Egigiggr-ARE Eggcyi a -ET2 Chectr this box Ulf the organization discontinued its operations or disposed of more than 25% of its net assets.553 3 Number of voting members of the governing body (Part VI. line la) 3 3ad Number of independent voting members of the governing body (Part Vt, line 4 3 5 Total number of individuals employed in calendar year 20l2 (Part V, line a) 5 5 Total number of volunteers (estimate it necessary) 6 57a Total unrelated business revenue from Part column (C), line 1 ti Not unrelated business taxable income from Form 990-T, line 7bPrior Year Current Year3) 8 Contributions and grants (Part line th) 5, 500, 5 91 3 9 Program service revenue (Part line 2g)td lrvestment income (Part column (A), lines 3' ?it Other revenue (Part Vltl, column (A), lines cl. me, and lie)t2 Total revenue add lines 8 through it (must Part column (A), line 12) 5, 500, 591 '33 Grants and similar amounts paid (Part IX, column (A), lines l-3) 4 561, 7 50 .14 Benefits paid to or for members (Part column (A), line 4)?t5 Salaries, other compensation, employee be column (A), lines 5-l0)it ?l6a Professional fundraising fees (Part IX, colu 437, 37 6 .E: Total fundraising expenses (Part lX, colum line 531Other expenses (Part lX, column (A), line .1 237 058 18 Total expenses Add lines l3-t7 (muste at art lX. colu (l??tfge 2 5 236, 184 .t9 Revenue less expenses. Subtract line t8 rom 2 64 507 Beginning of Current Year End of Year20 Total assets (Part X, line l6) 70, 397 334, 904 Total liabilities (Part X, line 26) .23*? 22 Net assets or fund balances Subtract tine 21 from line 20 '70 397 334 904 Wart lt Signature BlockUnder penalties of perjury, declare that have examined this return. including accompanying schedules and statements, and to the best of my knowledge and beiiet. it is true, correct, andcomplete Declaration of preparer (other than officer) lS based on all information of which preparer has any knowledge Signature of officer DateHere c/4/17? 9379 Type or print name and titleax?? Print/Type preparers name Preparer? ignature Date Check [1 PTIN?e-aid BRAD ELGIN self-employed 901377405Preparer Firms name 1 7'9 L. igos?n 55) 30 5e Firm's address I PO 5 F"m'5 EW I GROVE CITY OH 43123 '10the ERS discuss this return with the preparer shown above? (see instructions)QBAA For Paperwork Reduction Act Notice, see the separate instructions.THIS IS A COPY OF A LIVE DATA RETURN.p5ro9ri3OFFICIAL USE ONLY.lX[Yes Tlhlo?37Form 990 (20l2) (KTHIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.F?rm 990 (2012) THE GOVERNMENT INTEGRITY FUND 45-20422? 4 Page 2Wart Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part 1 Briefly describe the organizations 2 Did the organization undertake any significant program services during the year which were not listed on the priorForm 990 or Yes Nolf ?Yes,? describe these new services on Schedule 03 Did the organization cease conducting, or make significant changes in how it conducts, any program services? Yes Nolf ?Yes; describe these changes on Schedule 4 Describe the or anization's program service accomplishments for each of its three largest program services, as measured by expensesSection 501 and 501(c)(4) organizations and section 4947(a)(l) trusts are required to report the amount of grants and allocations toothers, the total expenses, and revenue, if any, for each program service reportedea (Co:ie' (Expenses 101, 558 including grants of 0 (Revenue 0 (Code: (Expenses (Revenue 4d Other program services (Describe in Schedule 0 (?Expenses including grants of (Revenue 4e Total program service expenses 101 56 8 .BAA THIS IS A copy or A OFFICIAL USE ONLY. Form 990 <20l-2)OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA RETURN. Form $190 (2012) THE GOVERNMENT INTEGRITY FUND 45-2042274 Page 3[Part of Required SchedulesYes No1 ls the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? lf ?Yes,? complete Schedule A 12 ls the organization required to complete Schedule B, Schedule of Contributors (see instructions)? 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidatesfor public office? Ii? ?Yes,? complete Schedule C, Perl?! 3 it Section 501(c)(3) organizations Did the organization engage in lobbying activities, or have a section 501 electionin effect during the tax year? If 'Yes,' complete Schedule C, Part II 45 ts the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,assessments, or similar amounts as defined in Revenue Procedure 98-19? If ?Yes,? complete Schedule 0, Part 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the righttg provide advice on the distribution or investment of amounts in such funds or accounts? If ?Yes,' complete Schedule D, 6 art I7 Did the organization receive or hold a conservation easement, including easements to reserve open space, theenvironment, historic land areas or historic structures? If ?Yes,? complete Schedule D, art ll 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If ?Yes,?complete Schedule D, Part Ill 8 0 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodianfor amounts not listed in Part or provide credit counseling, debt management credit repair, or debt negotiationservices? If ?Yes,? complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in temp ar restricted endowments,permanent endowments, or quasi-endowments? If 'Yes,'complete Schedule it ti 10 11 if the organization's answer to any of the following questions is ?Yes?, the pletle Schedule D, Parts Vl, Vll, or as applicable a Did the organization report an amount for land, buildings and 8C1 Part X. W7 /7 C0ml?le?9 ScheduleD, Part? Vl 113 Did the organization report an amount for investments urities in Part X, line 12 that is 5% or more of its totalassets reported in Part X, line 16? If ?Yes,'complete Sc Part VII 11 Did the organization report an amount for investm - ?gram related in Part X, line 13 that is 5% or more of its totalassets reported in Part X, line 16? If Sc, dule D, Part 11 Dir.? the organization report an amount for other in Part X, line 15 that is 5% or more of its total assets reportedin Part X, line 16? If 'Yes,'complete Schedule D, "Part IX 11 cl Did the organization report an amount for other liabilities in Part X, line 25? If ?Yes,? complete Schedule D, Part 11 Did the organizations separate or consolidated financial statements for the tax year include a footnote that addressesthe organization's liability for uncertain tax positions under 48 (ASC 740)? If 'Yes,' complete Schedule D, Part 11 12a Did the organization obtain separate, independent audited financial statements for the tax year? If ?Yes/completeSchedule D, Parts XI, and XII 12a ta Was the organization included in consolidated, independent audited financial statements for the tax year? If ?Yes/andif the organization answered ?No? to line 7.23, then completing Schedule D, Parts XI and XII is optional 12b 13 ls the organization a school described in section Ii? ?Yes,?complete Schedule 13 14a Did the organization maintain an office, employees, or agents outside of the United States? 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,business, investment, and program service activities outside the United States, or aggregate foreign investments valuedat $100,000 or more? If ?Yes,? complete Schedule F, Parts I and IV 14b 15 Did the organization report on Part lX, column (A), line 3, more than $5,000 of grants or assistance to any organizationor entity located outside the United States? Ii? ?Yes/complete Schedule F, Parts ll and IV 15 18 Did the organization report on Part lX, column (A), line 3, more than $5,000 of aggregate grants or assistance toindividuals located outside the United States? If 'Yes/complete Schedule F, Parts Ill and IV 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,column (A), lines 6 and He? If ?Yes,?complete Schedule G, Part I (see instructions) 17 ?la Did the organization report more than $15,000 total of tundraising event gross income and contributions on Part lines to and 8a? If ?Yes,? complete Schedule G, Part II 18 19 Did the organization report more than $15,000 of gross income from gaming activities on Part line 9a? If 'Yes,?complete Schedule G, Part 19 20 3 Did the organization operate one or more hospital facilities? If ?Yes,? complete Schedule 20 it Yes? to line 20a, did the organization attach a copy of its audited financial statements to this return? 20bSAA THIS IS A COPY OF A OFFICIAL USE ONLY.Form 990 (2012)THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.l:0l01999 (19,012) THE GOVERNMENT INTEGRITY FUND45-2042274Wart of Required Schedules (coritlnued)21 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in theUnited States on Part lX, column (A), line 1? If ?Yes,? complete Schedule I, Parts land ll22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Partcolumn (A), line 2? If ?Yes,'complete Schedule 1, Parts I and Ill23 Did the organization answer ?Yes? to Part Vll, Section A, line 3, 4, or 5 about compensation of the organization's currentand former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' completeSchedule Eda Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as ofthe last da of the year, and that was issued after December 31, 2002? If 'Yes,? answer lines 24b through 24d andcomplete chedule If ?No, ?go to line 25hi Did the organization invest any proceeds of taxexempt bonds beyond a temporary period exception?Did the organization maintain an escrow account other than a refunding escrow at any time during the year to deteaseany tax-exempt bonds?Did the organization act as an ?on behalf of? issuer for bonds outstanding at any time during the year?.2533 Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with adisqualified person during the year? If 'Yes,?complete Schedule L, Part!ls the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, andtgal the 1fEiD?CtlOn has not been reported on any of the organization's prior Forms 990 or If 'Yes, completechedule art 3310 Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated emplo ee, ordisqualified person outstanding as of the end of the organizations tax year? If ?Yes rriplete Schedule L, art ll employee, substantial2? Did the organization provide a grant or other assistance to an officer, director, eawcontrolled entity or family membercontributor or employee thereof, a grant selection committee memberthese persons? If ?Yes,? complete Schedule L, Part 28 Was the organization a party to a business transaction with oneinstructions for applicable filing thresholds, conditions, and excea A current or former officer, director, trustee, or key employee?? If Ais A family member of a current or former officer, director, key employee? If ?Yes,? completeSchedule 1., Part I An entity of which a current or former officer, directl It ee, or key employee (or a family member thereof) was anofficer, director, trustee, or direct or indirect ow r? if ?res, complete Schedule L, Part IV20 Did the organization receive more than $25,000 n-cash contributions? lf ?Yes,'complele Schedule 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservationcontributions? lf 'Yes, complete Schedule 31 Did the organization liquidate, terminate, or dissolve and cease operations? If ?Yes,? complete Schedule N, Part 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If ?Yes, completeSchedule N, Part II33 Die the organization own 100% of an entity disregarded as separate from the organization under Regulations sections30 7701-2 and 301 7701-3? If ?Yes,? complete Schedule R, Part 3d Was the; organization related to any tax-exempt or taxable entity? If ?Yes,?complete Schedule R, Parts ll, IV,and V, me 735a Did the organization have a controlled entity within the meaning of section 512(b)(13)?lf to line 35a, did the organization receive any payment from or engage in any transaction with a controlledentity within the meaning of section 512(b)(13)? If ?Yes,? complete Schedule H, Part V, line 235 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable relatedorganization? If ?Yes, complete Schedule R, Part V, line 237 Diclthe organization conduct more than 5% of its activities through an entity that is not a related organization and that istreated as a partnership for federal income tax purposes? If ?Yes,? complete Schedule R, Part VI38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11b and l9?Note. All Form 990 filers are required to complete Schedule 0Page 4Yes No21 22 23 24a 24b24EAATHIS IS A copy or? A OFFICIAL use ONLY.Form 990 (2012)THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.999 @012) THE GOVERNMENT INTEGRITY FUNDljtakrt lstatements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule 0 contains a response to any question in this Part 45-2042274Page 5El Yes No?l a Enter the number reported in Box 3 of Form 1096 Enter it not applicable 1 aEnter the number of Forms W-2G included in line la. Enter 0 if not applicable 1 it Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming .- .- (gambling) winnings to prize winners? 1 2a Enter the number of employees reported on Form W-3. Transmittal of Wage and Tax State-ments, filed for the calendar year ending with or within the year covered by this return 2a if at least one is reported on line 2a, did the organization file all required federal employment tax returns? 2biiotie. it the sum of lines la and 2a is greater than 250, you may be required to e-file (see instructions) 321 Did the organization have unrelated business gross income of $l .000 or more during the year? 3a it ?Yes? has it filed a Form 990-T for this year? if provide an explanation in Schedule 0 3 tie At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, afine account in a foreign country (such as a bank account, securities account, or other financial account)? 4a it ?Yes,' enter the name of the foreign country? See instructions for filing requirements for Form TD 90-22 1, Report of Foreign Bank and Financial Accounts WW5a was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a Did any taxable party notify the organization that it was or lS a party to a prohibited tax shelter transaction? Sb it ?Yes,? to line 5a or Sb, did the organization file Form 5c6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organizationsolicit any contributions that were not tax deductible as charitable contributions? . 6a lo if 'Yes,? did the organization include with every solicitation an express stateme th su contributions or gifts werenot tax deductible? 7 Organizations that may receive deductible contributions under section ia Did the organization receive a payment in excess of $75 made partly co iibution and partly for goods and WW1services provided to the payor? '73 is if ?Yes,? did the organization notify the donor of the value of th go services provided? 7bDid the organization sell, exchange, or otherwise dispose of . personal property for which it was required to fileForm 8282? 7 if ?Yes,? indicate the number of Forms 8282 filed dur-rm I 7dl Did the organization receive any funds, ir? 4/re ly, to pay premiums on a personal benefit contract? 7e Did the organization, during the year, pay prediiui irectly or indirectly, on a personal benefit contract? 7t if the organization received a contribution of quali intellectual property, did the organization file Form 8899as required? 7g it the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file aForm 1098-0? 7 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? 8 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions under section 4966? 9a Did the organization make a distribution to a donor, donor advisor, or related person? 10 Section 501(c)(7) organizations. Enter 5,a initiation fees and capital contributions included on Part line l2 10a la Gross receipts, included on Form 990, Part line 12, for public use of club facilities 10!: Iit Section 501 organizations. Enter? a Gross income from members or shareholders 11 a in Gross income from other sources (Do not net amounts due or paid to other sources iagainst amounts due or received from them 11 312a f?ection non - exempt charitable trusts. is the organization filing Form 990 in lieu of Form 1041? 'l2ait ?Yes,? enter the amount of tax?exempt interest received or accrued during the year 12b? 913 Section 501 qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? 133Note. See the instructions for additional information the organization must report on Schedule 0 iin Enter the amount of reserves the organization is required to maintain by the states in 3which the organization is licensed to issue qualified health plans ?l3b Enter the amount of reserves on hand 13c?ids Did the organization receive any payments for indoor tanning services during the tax year? 14a it ?Yes,? has it filed a Form 720 to report these payments? If provide an explanation in Schedule 0 14bTHIS IS A COPY OF A OFFICIAL USE ONLY.Form 990 (2012)THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.Flitll? 933 E201-2) THE GOVERNMENT INTEGRITY FUNDIeovernance, Managementa ?No? response to line 8a,Schedule 0. See instructions.Check if Schedule 0 contains a response to any question in this Part VlSection A. Governing Body and Management45-2042274and Disclosure For each ?Yes? response to lines 2 through 7b below, and for813, or 70b below, describe the circumstances, processes, or changes inPage 6El Yes No1 a Enter the number of voting members of the governing body at the end of the tax year 1 a 3if there are material differences in voting rights among members iof the governing body, or if the governing body delegated broadauthority to an executive committee or similar committee, explain in Schedule 0 1,to Enter the number of voting members included in line la, above, who are independent 1 3 2 Did any officer, director, trustee, or key employee have a family reiationship or a business relationship with any other ..M. -- ofticer, director, trustee or key employee? 23 Did the organization delegate control over management duties customarily performed by or under the direct supervisionof officers, directors or trustees, or key employees to a management company or other person? 3 4 Did the organization make any significant changes to its governing documentssince the prior Form 990 was filed? 4 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 5 6 Did the organization have members or stockholders? 6 7 a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or moremembers of the governing body? 7a in Are any governance decisions of the organization reserved to (or subject to approval by) members,stockholders, or other persons other than the governing body? 7b 8 Did the organization contemporaneously document the meetings held or written act ndertaken during the year by Ithe following? Mi,a The governing body? 8a to Each committee with authority to act on behalf of the governing body? 8b 9 ls there any officer, director or trustee, or key employee listed in Par {Section A, who cannot be reached at theorganizations mailing address? If ?Yes,? provide the names and ac} esses in Schedule 0 9 ?e-ction B. Policies (This Section requests informa ut policies not required by the internal Revenue Code.)Yes Notliia Did the organization have local chapters, branches 10a It 'Yes,? did the organization have written policies and procedures ing the activities oi? such chapters, affiliates, and branches to ensure theiroperations are consistent with the Ofgal'llZEltl0l1'S exempt per ses? 10b11 a Has the organization provided a complete copy of this Form 990 all members of its governing body before filing the form? 11 a to Describe in Schedule 0 the process, if any, used by the organization to review this Form 99012a Die the organization have a written conflict of interest policy? If We,? go to line 73 12a Were officers, directors or trustees, and key employees required to disclose annually interests that could give riseto conflicts? 12b 4: Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes, describe inSchedule 0 how this is done . 12c 13 Did the organization have a written whistleblower policy? 13 14 Did the organization have a written document retention and destruction policy? 14 15 Did the process for determining compensation of the following persons include a review and approval by independent 1persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official 153 Other officers of key employees of the organization 15b it Yes? to line 15a or 15b, describe the process in Schedule 0 (See instructions i16a Did the organization invest in, contribute assets to, or participate in a Joint venture or similar arrangement with a 4tax able entity during the year? 16a it ?Yes.? did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organizations exempt status with respect to such arrangements? 16bSection C. DisclosureList the states with which a copy of this Form 990 is required to be filed 18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990. and 990-T (501(c)(3)s only) available for publicinspection. lndicate how you make these available Check all that applyEl Own website Another?s website Upon request Other (explain in Schedule 0)t9 in Schedule 0 whether (and if so, how) the organization makes its governing documents, conflict of interest policy, and financial statements available tothe public during the tax year.20 State thename, physical address, and telephone number of the person who possesses the books and records of the organization:?TiioMAs NORRIS on 43123one THIS IS A COPY OF A OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA OFFICIAL USE ONLY.POFW 990 (?30l2) THE GOVERNMENT INTEGRITY FUND 45-2042274 Page 7Wart lcompensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, andIndependent ContractorsCheck if Schedule 0 contains a response to any question in this Part Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees7 a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within theorganizations tax year.re List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amoucompensation Enter -0- in columns (D), (E), and (F) if no compensation was paida List all of the organization's current key employees, if any See instructions for definition of ?key employee as List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form of more than $100,000 from theorganization and any related organizationsList all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000of reportable compensation from the organization and any related organizationsa List all of the organizations former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $l0,000 of reportable compensation from the organization and any related organizationsList persons in the following order individual trustees or directors, institutional trustees; officers, key employees: highest compensatedemployees, and former such persons.Check this box if neither the organization nor any related organization compensated any current officer, director, or trusteent of (C)(A) (8) Position (do not check more than (D) 1- ti one box, unless person is both anwe 3? 8 error? and 8 week (list the organization related or anizations compensationany hours 9 3 a 3 3 (W-2/l0 -MISC) ff0m thefor related g. c: as 1; 3- 3 organizationorganize (and relatedg. :3 -Q 3 "1 organizations'1 dotted 5 9- lineIHQMAS . . ..PR I DENT 0 . 095.3 .. TR USTEE 0 . 0 ?43. BQLBEBE .35 Tl? USTEE . . .. lid} - ?51? (E) ?19? ?33) . 0 THIS IS A COPY OF A OFFICIAL USE ONLY.Form 990 (20l 2)THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.Porn 990 (2012) THE GOVERNMENT INTEGRITY FUND 45-2042274 Page 8lPaTrt lsection A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (cont)(3) (C)(A) Agerage ?do notlchecllfiirme thtacnmorge (D) (E) (F)OUYS OX, un 85$ DGYSOH l5 fl 1 (1Name and We Peelk am 3 amoifriltmoal (otherorganizationfor 3 5 9 53 U1 (1) and relatedrelated *3 5 0 53 3 organizationsorganize 3 5? ~tions below adotted 3 3line) 2% ?Pg.Cl1 Sub-total 0 0 . 0 ?total from continuation sheets to Part Vll, Section A Total (add lines ?lb and ic) 0 o.2 Tota? number of individuals (including but not limited to those listed above) who received more than $lO0,000 of reportable compensationfrom the organization Yes No3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee mmon line la? If 'Yes,?complete Schedule for such individual A 3 M15 A For any individual listed on line la, is the sum of reportable compensation and other compensation from the organization and related organizations greater than If ?Yes? complete Schedule for such individual 4 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If ?Yes,? complete Schedule for such person 5 Section 8. independent Contractors1 Complete this table for your five highest compensated independent contractors that received more than $l00.000 ofcompensation from the organization Report compensation for the calendar year ending with or within the organizations tax year(A) (B) (C)Name and business address Description of services Compensation2 Total number of independent contractors (including but not limited to those listed above) who received more than $lO0,000 in compensation from the organization BAA Ol/24Il3 Form 990 (2012)THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA RETURN.OFFICIAL USE ONLY. 7.2: Gross amount from sales of assets other than inventoryLess cost or other basisand sales expensesGain or (loss)3% @012) THE GOVERNMENT INTEGRITY FUND 4 5-2 0 4227 4 Page 9lPa??i't: Vltl_l Statement of RevenueCheck it Schedule 0 contains a response to any question in this Part (A) (B) (C) (D)Total revenue Related or Unrelated Revenueexempt business excluded from taxfunction revenue under sectionsIn revenue 512, 5l3, or SM?ig 1 a Federated campaigns 1 a tr dues 1 5: Fundraising events 1 it Related organizations 1 23; Government grants (contributions) 1 -M it All other contributions, gifts, grants, and 1simrlar amounts not included above It 5, 500 I 591 Noncash contributions included in ms la-lt 5,500,591, 3Business Code are 2 a se - en All other program service revenuee? Total. Add lines 2a-2f 3 Investment income (inctuding dividends, interest andother similar amounts)lncome from investment of tax-exempt bond proceeds 5 Royalties Real (ii) Personal 53 Gross rents I Less? rental expenses 5Rental income or (loss) a A w_ cl Net rental income or (loss)Securities 12 Total revenue. See instructions5. 500, 691.ct Net gain or (loss) 82i Gross income from fundraising events {not including 5; 1of contributions reported on line lc) 1See Part lV, line 18 a l;i Less: direct expenses - 4: Net income or (loss) from fundraising events Gross income from gaming activitiesI See Part lV. line 19 ala Less: direct expenses 13 a is Net income or (loss) from gaming activities 10.3 Gross sales of mventory, less returns and altowances a i?b Less? cost of goods sold i: Net income or (loss) from sales of inventory Misceltaneous Revenue ?usmess codeFevenue I 0 . I Total. Add lines lla-ltdBAATHIS IS A COPY OF A OFFICIAL USE ONLY.Form 990 (2012)THIS IS A copy OF A LIVE DATA RETURN. OFFICIAL USE ONLY. THE GOVERNMENT INTEGRITY FUND 4 5-204227 4 Page {Part IX Statement of Functional ExpensesSection 503(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)Check if Schedule 0 contains a response to any question in this Part I A (3) (C) (D)gr] not i,--iclude amounts reported on lines ?rota; ?xgenses program semce Management and i:und,a,5,ng"bi 9/3: and 705 of Part expenses qeneral expenses expenses1 Giants and other assistance to governments and organizations in the United States See iPa'?Vi'l?e27 4,561,750. 4,561,750.2 Grants and other assistance to individuals inthe United States See Part IV, line 22 3 Grants and other assistance to governments, organizations, and individuals outside theUn:ted States See Part IV. lines 15 and l64 Benefits paid to or for members i5 Compensation of current officers, directors,trustees, and key employees5 Conpensation not included above, todisqualified persons (as defined undersection 4958(f)(l)) and persons describedin section 4958(c)(3)(B)Other salaries and wagesPension plan accruals and contributions(include section 40l and section 403(b)err ployer contributions)9 Other employee benefits10 Payroll taxes1} Fees for services (nonvemployeesy101,568. . 0. 101,568.lGl?B*2?3l 35,0003 0. 35,000. 0.Accounting 200 0. 200. 0.cl Lobbying 1Professional fundraising services See Part W, line investment management fees9 Other. (lf line amt exceeds 10% of line 25, col-umn (A) amt, list line expenses on 0)12 Advertising and promotion Ofticeexpenses 6.840. O. 6.840. 0.?la technology15 Rcyalties'15 Occupancy 2.200. 2.200. 0. 0.17 TravelPayments of travel or entertainmentexpenses for any federal, state, or localpublic officials19 Conferences, conventions, and meetings20 lnlerest21 Payments to affiliates22 Depreciation, depletion, and amortization23 lnsurance24 Other expenses ltemize expenses not covered above (List miscellaneous expenses in line 24e lf line 24a amount exceeds lO% of line 25, column (A) amount, list line 24e expenses on Schedule 0.) 1,918. 0. 1,918. 0.667. o. 667. o.c: cl All other expenses25 Total functional expenses. Add linesltlirough 246 5,236, 184. 4, 652, 615. 44, 625. 538, 944.26 Joint costs. Complete this line only ifthe organization reported in column (B)ioint costs from a combined educationalcampaigniand fundraising solicitationCheck here in if followingSOP 98-2 (A80 958-720)BAA THIS IS A COPY OF A OFFICIAL USE ONLY. Form 990 (2012)THIS IS A COPY OF A LIVE DATA RETURN.OFFICIAL USE ONLY. l-?orini 99il?<20l2) THE GOVERNMENT INTEGRITY FUND 4 5-204227 4 Page 11{Part Balance SheetCheck if Schedule 0 contains a response to any question in this Part (A) (3)Beginning of year End of year1 Cash non~interest~bearing 70Savings and temporary cash investments 23 Pledges and grants receivable, net 34 Accounts receivable, net 45 Loans and other receivables from current and former officers, directors,trustees, ke employees, and highest compensated employees Complete - Part ll of Sc edule 5Loans and other receivables from other disqualified persons (as defined under section 4958(t)(l)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 50l(c)(9) voluntary employees? Wm? beneficiary organizations (see instructions) Complete Part ll of Schedule 57 Notes and loans receivable, net 78 lnventories for sale or use 89 Prepaid expenses and deferred charges 9ma Land, buildings, and equipment: cost or other basis4 Complete Part Vl of Schedule 10a 1 1) Less accumulated depreciation 1013 10?11 investments publicly traded securities 1112 lnvestments other securities See Part lV, line ll 1213 lnvestments program-related See Part IV, line 1314 Intangible assets 1415 Other assets. See Part lV, line 1516 Total assets. Add lines through l5 (must equal line 34) 70, 397 16 334, 904 17 Accounts payable and accrued expenses 1713 Grants payable 1319 Deferred revenue 1920 Taxexempt bond liabilities 2021 Escrow or custodial account liability Complete at of Schedule 211'3 22 Loans and other payables to current and directors, trustees,key emplo ees, highest compensated emplo and disqualified persons. - A Complete art ll of Schedule 22lg 23 Secured mortgages and notes payable to unrelated third parties 235 24 Unsecured notes and loans payable to unrelated third parties 2425 Other liabilities (including federal income tax, payables to related third parties,and other liabilities not included on lines 17-24) Complete Part of Schedule 2526 Total liabilities. Add lines l7 through 25 0 26 0 El Organizations that follow SPAS 117 (ASC 958). check here Hand completelines 27 through 29, and lines 33 and 34. lg 27 Unrestricted net assets 2723 temporarily restricted net assets 2829 Permanently restricted net assets 299; Organizations that do not follow SFAS 958), check here and complete lines 30 through 34.3 33 Capital stock or trust principal, or current funds 302 31 Paidvin or capital surplus, or land, building, or equipment fund 3132 Retained earnings, endowment, accumulated income, or other funds 70Total net assets or fund balances 70 I 397 . 33 334 904 3.4 Total liabilities and net assets/fund balances 70 I 397 34 334 1 904 BAA Form 990 (2012) THIS IS A COPY OF A OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY. 99l3I.(20l 2) THE GOVERNMENT INTEGRITY FUND Page 12l_P2?irt Reconciliation of Net Assets Check if Schedule 0 contains a response to any question in this Part Xi ?l Tolal revenue (must equal Part column (A), line l2) 1 5 500, 691 2 Tolal expenses (must equal Part lX, column (A), line 25) 2 5 236, 184 .3 Revenue less expenses Subtract line 2 from line 3 2 54 507 4 Ne assets or fund balances at beginning of year (must equal Part X, line 33, column 4 70 I 397 5 Ne. unrealized gains (losses) on investments 56 Donated services and use of facilities 67 lnvestment expenses 78 Prior period adiustments 89 Other changes in net assets or fund balances (explain in Schedule 0) 9in Nel assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,A column 10 334 904 Financial Statements and ReportingChecli it Schedule 0 contains a response to any question in this Part [1Yes No1 Accounting method used to prepare the Form 990 Elcash DAccrual mother lf the organization changed its method of accounting from a prior year or checked 'Other,? explainin Schedule 0. 2 a Were the organization's financial statements compiled or reviewed by an independent accountant? 2 a lf check a box below to indicate whether the financial statements for the year were compiled or reviewed on aseparate basis, consolidated basis, or both Separate basis Dconsolidated basis UBoth consolidated an sepa asisWeie the organization's financial statements audited by an independent acgo tan 2b lf ?Yes,? check a box below to indicate whether the financial statements for tear" were audited on a separate basis, consolidated basis, or both . )3 Separate basis BConsoIidated basis DBoth co idatefl and separate basis If es? to line 2a or 2b, does the organization have a committ? tt ssumes responsibility for oversight of the audit,review, or compilation of its financial statements and selecti?sin an independent accountant? 2 It the organization changed either its oversight process selection process during the tax year, explain in Schedule 13 a As .3 result of a federal award, was the organization eq red to undergo an audit or audits as set forth in the SingleAudit Act and OMB Circular . 133 lf ?Yes,? did the organization undergo the required Audit or audits? lf the organization did not undergo the required auditor audits, explain why in Schedule 0 and describe any steps taken to undergo such audits 3bBAATHIS IS A COPY OF A LIVEEHAWJEA OEICEIPURN. OFFICIAL USE ONLY.Form 990 (20l 2)scHEciuLi: (Form 990 or 990-EZ)Department oi the Treasuryinternal Revenue ServiceTHIS IS A COPY OF A LIVE DATA RETURN.Political Campaign and Lobbying ActivitiesFor Organizations Exempt From Income Tax Under section 501 and section 527Complete if the organization is described below. Attach to Form 990 or Form 996-E2.See separate instructions.OFFICIAL USE ONLY.OMB No i545-00472012 Open to PublicinspectionIf the organization answered ?Yes; to Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then9 Section SCH organizations? Complete Parts l-A and 8 Do not complete Part l?Cin Section 50t(c) (other than section 501(c)(3)) organizations? Complete Parts IA and below Do not complete Part l-BSection 527 organizations? Complete Part l-A only.if the organization answered ?Yes; to Form 990, Part IV, line 4, or Form 998-Section 50l organizations that have filed Form 5768 (election under section 5E2, Part Vl, line 47 (Lobbying Activities), then01 Complete Part ll-A. Do not complete Part ll-B.Section 50l organizations that have NOT filed Form 5768 (election under section 50l Complete Part ll-B Do not completePart ll-Ait the organization answered ?Yes,? to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), thena Section 50l (5), or (6) organizations? Complete Part Name of organizationTHE GOVERNMENT INTEGRITY FUND{Part i-?A lcomplete if the organization is exempt un?l Provide a description of the organization's direct and indirect political campaign activities in Part IVEmptoyer identification numberder section 501 or is a section 527 organization. 2 Political expenditures 0 3 Volunteer hours 5 0M3 lComplete if the organization is exempt under section 501(c)(3).1 Enter the amount of any excise tax incurred by the organization under section 4955_; Aa Was a correction made?:3 if ?Yes,? describe in Part IV.[Part l-43 lcomplete if the organization is exempt under?i Enter the amount directly expended by the tiling organiz2 Enter the amount of the filing organization's funds function activities3 Total exempt function expenditures Add lines line '1 7b Did the filing organization file Form 1120-POL foruthis year75 Enter the names, addresses and employer identification number organization made payments For each organization listed, enter the amount paid from the filing organizatiodelivered to a separate political oramount of political contributions received that were and directlsegregated fund or a poec ion 527 exempt function activitiesit togother organizations for section 527 exemptiznter here and on Form H20-POL,litical action committee (PAC) lf additional space is needed, provide information inion 501(c) except section 501(c)(3).>5art lV Uh.-s UYes DNO0.2,007,250.2,007,250.EYes ENDof all section 527 political organizations to which the filingn's funds Atso enter theanization, such as a separateName Address EIN Amount pad from (2) Amount of politicalorganization's funds If contributions received andnon,e_ enter 0. promptl and dlf?Cilydelivere to a separatepolitical organization ifnone. enter 0, GI FAN ..B3oaD_ - - .. COLUMBUS 45-2713804 1.907.250. O.(2) LOUSIANA PROSPERITY jl_5_4_2_ LAFAYETTE LA70503 27-0585219 100.000. 0.(3) - (4) (5) (6) BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-E2.THIS IS A COPY OF A Schedule (Form 990 or 990-EZ) 20l2OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL .USE ONLY.Schedule C0010 990 0? 99052) 30?? THE GOVERNMENT INTEGRITY FUND 4 5?2042274 Page -7-Hz?) lcomplete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election undersection 501 A Check it the filing organization belongs to an affiliated group (and list in Part lV each affiliated group member?s name,address, EIN, expenses, and share of excess lobbying expenditures)8 Check i? it the filing organization checked box A and ?limited control? provisions applyLimits on Lobbying Expenditures ofganfgtafgg?g toms . (The term ?expenditures? means amounts paid or incurred.)?i a Total lobbying expenditures to influence public opinion (grass roots lobbying)Total lobbying expenditures to influence a legislative body (direct lobbying)<3 Tolai lobbying expenditures (add lines la and lb)Other exempt purpose expendituresTotal exempt purpose expenditures (add lines 1c and id)Lobbying nontaxable amount Enter the amount from the following table inboth columnsit the amount on line le, column or is? The ?Obi?-lying "?nt3X3bie amount 55- Nut over $500,000 20% of the amount on line le ifOver $500,000 but not over Si 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 $1,000,000Grassroots nontaxable amount (enter 25% of line if)Subtract line lg from line la. if zero or less, enter -0-i Subtract line if from line ic if zero or less, enter -0- tion file Form 4720 reporting if more is an amount other than zero on either line 1h or line ii, did thsection 4911 tax for this,year7 4-Year Averaging Per? Jnder Section 501 (Some organizations that made a sectio ts) election do not have to complete all of the fivecolumns below. See hem motions for lines 2a through 2f.)QijgEiTil'DYes EH0 Lobbying Eiuring 4~Year Averaging PeriodCalendar year (Or fiscal 2009 2010 2oii (cl) 2012 Totalyear beginning in) 2a Lobbying non-taxableamountto Lobbying ceilingamount (i5O?/2 of line2a. column Total lobbyingexpendituresol Grassroots nontaxableamountGrassroots ceilingamount 050% of line2d, Grassroots lobbyingexpendituresEAA Schedule (Form 990 or 20i2THIS IS A COPY OF A LIVEEQRABQA OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.Schedule ?Cf-'iJrm 990 or 20l2 THE GOVERNMENT INTEGRITY FUND Page 3Part if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768(election under section 50101)).(8) For each ?Yes? response to lines Ia through 7/ below, provide in Part a detailed descriptionof the lobbying activity Yes No Amount1 During the year, did the tiling organization attempt to influence foreign, national, state or localleg slation, including any attempt to influence public opinion on a legislative matter or referendum,through the use of?a Volunteers?Paid staff or management (include compensation in expenses reported on lines lc through ii)?:2 lvledia advertisements?l\/lailingsto members, legislators, or the public?:2 Publications, or published or broadcast statements?Grants to other organizations for lobbying purposes?Direct contact with legislators, their staffs, government officials, or a legislative body?Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?5 Other activities?Total Add lines lc through ll23 Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?If ?Yes,' enter the amount of any tax incurred under section 4932 .it ?Yes,' enter the amount of any tax incurred by organization managers under section 4912ct lf the filing organization incurred a section 49l2 tax, did it file Form 4720 for this ye[P?tt if the organization is exempt under section 5 t(c section 501(c)(5), or section 501(c)(6). i Yes No?l Were substantially all (90% or more) dues received nondeductible,bylmeilinbeirs? 1 2 Did the organization make only in-house lobbying expenditures ofwi? 00 or less? 2 3 Did the organization agree to carry over lobbying and from the prior year? 3 if the organization is exam(5) and it either BOTH Part answered 'Yes.' I inder section 501(c)(4), section 501(c)(5), or section 50l(c)A and 2, are answered ?No? OR Part line 3, is1 Duos, assessments and similar amounts froml?ufmz?. 12 Section l62(e) nondeductible lobbying and political expenditures (do not include amounts of politicalexpenses for which the section 527(f) tax was paid).a Current year 2aCarryover from last year 2 Total 2c3 Aggregate amount reported in section 6033(e)(l)(A) notices of nondeductible section l62(e) dues 34 it notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excessdoes the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political ma.expenditure next year? 45 Taxable amount of lobbying and political expenditures (see instructions) 5[Port lsupplemental InformationComplete this part to provide the descriptions required for Part l-A, line l: Part l-B, line 4; Part l-C, line 5; Part ll-A (affiliated group list);Part ll-A, line 2, and Part ll-B, line Also, complete this part for any additional informationBAA Schedule (Form 990 or 2032THIS IS A COPY OF A RN. OFFICIAL USE ONLY.THIS IS A copy OF A LIVE DATA RETURN. OFFICIAL USE ummz.GOVERNMENT INTEGRITY FUND 45?2042274 P6964Supple-manta! Information (continued) BAA Schedule (Form 990 or 990-132) 2012THIS IS A COPY OF A OBIETIJRN. OFFICIAL USE ONLY. rs(Form SE30 or 990-EZ)Department of the Treasuryinternal Revenue ServiceName of the organizationSupplemental lnformatiori RegardingFundraising or Gaming ActivitiesComplete if the organization answered ?Yes? or 19, or if the organization entered more this: IAttach to Form 990 or Form THE GOVERNMENT INTEGRITY FUNDIITHIS IS A COPY OF A LIVE DATA RETURN.OFFICIAL USE ONLY.0 Form 990. Part iv, lines 17, is,? 6,000 on Form 990-E2, line 6a.??ee separate instructions.OMEQOO Open to Publiclnspection Employer identification riumbe45-2042274Fundraislrig Activities. Complete if the organization answered ?Yes? to Form 990, Part lV, line l7.Form 990-EZ filers are not required to complete this part1 lndicate whether the organization raised funds through any of the following activities Check all that apply.a Mail solicitations Solicitation of non-government grants:3 lnternet and email solicitations fa] Solicitation of government grantsc; Phone solicitations Special fundraising eventsat ln-person solicitationsDid the organization have a written or oral agreement with any individual (including officers, directors trustees or keyemployees listed in Form 990, Part Vll) or entity in connection with professional fundraising services?? Yes BN05 tr ?Yes,? list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to becompensated at least $5,000 by the organization Name and address of individual (ii) Activity (Hi) gig fundraisei (iv) Gross receipts (V) Amount paid to (vi) Amount paid toor entity (fundraiser) have ?mod 0, Como; from activity (or retained by) (or retained by)ofcontn muons? fundraiser listed in organizationcolumn Yes No1cs CREATIVE CONSULTING FUNDRAISING 200, 000. -200, 000.:2CORNER FUNDRAISING FUNDRAISING 151 . 158 . -151 . 158 .3so STRATEGIC CONSULTING FUNDRAISING 8 6, 188 . -86437.346. ~437,346.3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registrationor licensingBAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.Schedule (Form 990 or 990-EZ) 20l2THIS IS A COPY OF A ORCEIJEURN. OFFICIAL USE ONLY. 99oor990-I-:z> 2oI2 was sovmzraam INTEGRITY rum:[fart It jFundraisin organlzatlon answered ?Yes? toTHIS IS A COPY A LIVE DATA RETURN.Events. Complete If theOFFICIAL USE ONLY.45-2042274Form 990, Part IV, Ilne l8, or reportedPage 2more than ?l5,000 of event contnbuhons and gross Income on Form 990-EZ, lInes and 6b.l_Ist events gross recelpts greater than $5,000.11Net Income summary Comblne lIne 3, column and llne 10 Event #1 Event #2 Other events TOW 9?/ents(add column through column 2 (event type) (event type) (total number)1 Gross recelpts2 Less? Chantable 3 Gross Income (llne I rnlnus llne 2)4 Cash prlzes5 Noncash prIzesIt 6 costs7 Food and beverages8 Entertaznment9 Other dlrect expensesIt-:10 DIrect expense summary. Add llnes 4 through 9 In column (cl) Complete If the orgamzatlon answered ?Yes 0 "m 1:990, Part IV, line l9, or reported more than $l5,000 on Form 990-EZ, line 6a. 8? Net gaming Income summary Combme llnes 1, column and lIne 7Pull tabs/lnstant Other gamrng Total gammgblngo/progresswe (add column II bmgo through column 1 Gross revenue2 Cash prlzes3 Non~cash pnzes9% A Rent/facIlIty costs.5 Other dIrect expensesYes Yes Yes 5 Volunteer labor No No No7? Dlrect expense summary. Add llnes 2 through 5 In column 9 Enter the state(s) In the organIzatIon operates gamlng a ls the organlzatlon llcensed to operate gammg actIvItIes In each of these states?if explaIn'to If 'Yes,? explam: BAATHIS IS A COPY OF A LIVE DATA RETURN.TEEA3702 03107/l3Schedule (Form 990 or 990-EZ) 20l2OFFICIAL USE ONLY.THIS IS A COPY OFWA LIVE DATA RETURN. OFFICIAL USE ONLY.Schedul??t (Form 990 or 990-EZ) 2012 THE GOVERNMENT INTEGRITY FUND 45-2042274 Page 3IT Does the organization operate gaming activities with nonmembers? Yes UNO12 ls the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed toadminister charitable gaming? Yes DN013 Indicate the percentage of gaming activity operated in? ?Baa The organization?s facility to An outside facility I 13131 9514 Enter the name and address of the person who prepares the organizations gaming/special events books and records"Name Address 0 15a Does the organization have a Contact with a third party from whom the organization receives gaming revenue? BNOto If enter the amount of gaming revenue received by the organization and the amountoi? gaming revenue retained by the third party If Yes,? enter name and address of the third party Name iAddress 16 Gaming manager information? Name Gaming manager compensation Description of services provided Director/officer EmpIoyee_ Independent contractor I7 Mandatory distributionsa Is the organization required under state law to make charitable distributions from the gaming proceeds to retain thestate gaming license? DYes ljlvota Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in theori;anization?s own exempt activities during the tax year lPart iv ISuppIementaI Information. Complete this art to provide the explanations required by Part I, line 2b,columns and and Part lines 9, b, IOI3, I5b, l5c, I6, and I7b, as applicable. Also completethis part to provide any additional information (see instructions).BAA TEEA3703 oi/07/i3 Schedule (Form 990 or 990-EZ) ZOI2THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.THIS IS A COPY OF A LIVE DATA RETURN. OFFICIAL USE ONLY.ANSNV 88 czob E?uwzumI 4|Emm?m?stem .5. mcosuabmc. 9: ?mm .3302 U4 cozuzuwm xgoihmamm 9: no.2. 650 ..mnE3c :32 _mEm w3S ac; 9: U?mz wcozmN_cmm5 EwEEm>om. Amxurom cozumm We 638:: E9 ..2cm AAnC950.0 mucm??mm zmmo?o: ..mm.maam. 2008 wuc?m?mm. ..w_nmo__Qam EmEEm>oo 5 . :55 vmonrnm Ev .0 cosacumuo A3 co:m2m> wo?22 9 nmmu?o: A3 Ema ammo 23 cosomm Om. now z_m Ev 8 ucm arcmz A3 .. m. momam zmcoeuvm 2 U?mozasn an E8 tan. m:oE Umzmomt E5 Emaamc >cm .8 rm mc: ?Eon. 9. mm? 9: 2 9.m.aEoO .wBEm umzcn 2: 2 muc?m?md 550 ucm mucmtw tn.OZDmo>Qmmw?m Umtc? 9: mwc? E90 V8 mm: 9: mc:9EoE .9 mm?omuoa m.co:mN.cm.m.o 9: tan. mnzumma mm5 magma 9: Emkm 9 uwm: mc?co cosb?mm m? new 5 wwcma 9: .mwm.Em_m m? .0 mEm._m may 3 E:oEm. 9: 8 mEoum. c.mE:m.E cozmmEm9o 9: mmoo pmooc?m?ma co Emcmmi tam.ozam ?.Smwm:.zH m.zm2zmm>ow ES..5353: co?wuazcau. 9: mEmz25$ 3 Ego- ?ao.mwm_ DZ m2o 5% aka 2 $5n?mimcm Quw_nmEOUm??m w? mam 3 E?m mam muzcom m:cm>wm_ _mc?c_2: EwEtmawQ3% E85.OFFICIAL USE ONLY.THIS IS A copy OF A LIVE RETURN.ANSNV Ema E505 . gzum?m. momm?m?550 >cm ucm A8 :E:_oo .mu_>oE 2 :8 $m_aEoo do:.:o:.mE5E. mE..o.E_ _mu:mEw_nE:m* C050 ..mm_maam. cwmu?oc .0 8 ?008 coam:_m> uo?mE mocmumamm cwmo co:6 E80 gmmuho CV5:998..5 .8532 SW'1:-Iits ?35 mucm?awm .6 Ema Mo 83 mw mumam WMCOSLUUN umwmogann mg cmo mu; tam Show Ow ?mm? umcw?mcm comm?cmgo B.mEEoo .m$mwm w? gm Qw muz?mx Q23 E3.mam amm SEE ws??mTHIS IS A COPY OF A LIVE RETURN.(Foim 990 or 990-EZ)Form 990 or 990-E2 or to provide any additional information.Deparlmenl Of the or lnternal Re /enue ServiceSupplemental Information to Form 990 or 990-E2Complete to provide information for responses to specific questions onOFFICIAL USE ONLY.OMB No l545~O047Open to PublicInspection201 2IName of lhe orgamzalnonTHE GOVERNMENT INTEGRITY FUNDEmployer number45-2042274THIS IS A COPY OF A LIVE DAEA RETURN.THE GOVERNMENT INTEGRITY FUND 45-2042274OFFICIAL USE ONLY.Supporting Statement of:Form 990 10/Line 1 col (B) Description AmountGRANTS 1,143,500.PUBLIC EDUCATION 1,511,000.SUPER PAC DONATIONS 1,907,250.Total 4,561,750.Supporting Statement of:Form 990 10/Line 12 C01 (B)Description AmountADVERTISING 45,506.SOCIAL MEDIA 17,500.RESEARCH 25,659.Total 8 8 665.Supporting Statement of:Form 990 Description AmountOFFICE EXPENSE 2,894.PRINTING 3,946.Total 6 8 4 .THIS IS A COPY OF A LIVE DATA RETURN.OFFICIAL USE ONLY.