Short Form Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the lntemal Revenue Code (except black lung benefit trust or private foundation) Sponsoring organizations of donor adwsed funds, organizations that operate one or mere hospital faCilities, and certain controlling organizations as defined In section 512(b)(13) must file Form 990 (see instructions) All other organizations With gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form The organization may have to use a copy of this return to satiety state reporting requrrements _Ql- Ql [2'31 '20? Check if 0 Name of organization Employer identification number Address change Name change Number and street (or 0 box, if mail is not delivered to street address) Telephone number 53:13:: 3.220 Tac 72291:. (cad 8?2- 15!? 3 5? 94 City or town, state or country, and ZIP ended return Group Exemption 97/? 4/04 Application pending Number Accounting Method: ash Other (speCIfy) Check El if the organization is not I Website: I reqmred to attach Schedule Tax-exempt status (check 'only one) [2601(c)(3) 501 4 (insert no.) El 4947(a)(1) or 527 (Form 990, 990-EZ, or 990-PF). Check if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are normally not more than $50,000 A Form 990-EZ or Form 990 return is not requ1red though Form 990-N (e-postcard) may be reqwred (see instructions). But if the organization chooses to file a return, be sure to file a complete return. Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts If gross receipts are $200,000 or more, or if total assets (Part ll, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ 3; Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part 1.) - Form Open to Public lnspec?on Department of the Treasury Internal Revenue Serwce 2011 and ending Oreo! Inc. Room/sums A For the 2011 calendar year, or tax year beginning El Accrual ANNED 0 8 2012? .9, Q. Check if the organization used Schedule 0 to respond to any question in this Part . . . . . . . . El 1 Contributions, gifts, gr nts, siiniiar eived . . 1 573 74 2 Program service revenue inc fees contracts 2 3 Membership dues anc am?? 3 4 Investmentincome . . . 4 0 5a Gross amount from 5 le if assets other than give 5a to Less: cost or other Gain or (loss) from of ngErNiarUiTento? (Subtract line 5b from line Gaming and fundraising events I a a Gross income from gaming (attach Schedule if greater than a $15,000Gross income from fundraismg events (not including 0 of contributions from fundraismg events reported on line 1) (attach Schedule if the sum of such gross income and contributions exceeds $15,000) . 6b 0 Less: direct expenses from gaming and fundraismg events 6c ?0 If Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line?c) .. 7a Gross sales of inventory, less returns and allowances . . . . . 7a 0 Less: cost of goods sold . . . . . . . . . . . . . . 7b 0 Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) 8 Other revenue (describe in Schedule 0) . . . 9 Total revenue. Add lines Grants and similar amounts paid (list in Schedule 0) 11 Benefits paid to or for members . . . . . . . 12 Salaries, other compensation, and employee benefits . . 2 13 Professional fees and other payments to independent contractors . 14 Occupancy, rent, utilities, and maintenance 0 15 Printing, publications, postage, and shipping . 7 16 Other expenses (describe in Schedule Total expenses. Add lines10through Excess or (defi0it) for the year (Subtract line 17 from line Net assets or fund balances at beginning of year (from line 27, column (must agree With E?Tiisz'. end-of?year figure reported on prior year?s returnOther changes in net assets or fund balances (explain in Schedule Net assets or fund balances at end oLyear. Combine lines 18 through For Paperwork Reduction Act Notice, see the separate instructions. Cat No 106421 Form (2011) Form 990-EZ (2011) Page 2 Balance Sheets. (see the instructions for Part II.) Check if the organization used Schedule 0 to respond to any question in this Part II . 1 El (A) Beginning of year (B) End of year 22 Cash, sayings, and investments 28490 22 /072 23 Land and buildings . 23 E) 24 Otherassets (describe in Schedule 25Totalassets. zgeo 25 /o73 26 Total liabilities (describe in ScheduleONet assets In fund balances (line 27 of column (B) must agree with line 21Statement of Program Service Accomplishments (see the instructions for Part Expenses Check if the organization used ScheduleOto respond to any question in this Part . . (Requwedforsectlon What is the organization's primary exempt purpose? 7.9% My}, mgr/,1, ?an 1 52mch Describe the organization?s program service accomplishments for each of Its three largest program services, as measured by expenses. In a clear and con0ise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title. a 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts, optional for others.) 28 -- (Grants$ 9/ If this amount includes for ign grants, check here . . . . El 28a 5 29 ?tnf??ezj "(Biggeg (Grants 3 is amount includes foreign grants, check here . . El 29a 20.2 3 3? Mensa/1: (Grants 3' If this amount inc?ides foreign grants, check re 133 30a 2. 5 31 Other program services (describe in Schedule (Grants$ If this amount includes foreign_grants, check here . El 31a 32 Total program service expenses (add lines 28a through 31 a) . 32 5' 35' List of Of?cers, Directors, Trustees, and Key Employees. List each one even if not compensated. (see the in structions'for Part IV.) Check if the organization used Schedule 0 to respond to any question in this Part IV Tme and average 3:33:33: tgegriglso'yee (0) Estimated amount of ?is'silvgfifz?t?'s?l 4- (?Jnar?lcslo-an IJU 50 inns Prv-srde ni- EM . 25?er -- chaciaSi?mm.rki - 0F Directors mmohis. 97/43 2M5. 0? 0?th llnemfhl?sirh} 47:13 1 {ed Risks?) 3Q- dag: - ?4 a 0 "mics vii/?: +t/7/2 4/ 0 lama 0F Di?ttrlog' Lo Ki/ ?0,207 2 Ms *0 r?O 9F 0"??ch i'l/e. Kt/ $0065 2 "magenta; Board Name: {f 97/72 Aid r" Form 990-EZ (2011) Form 990-EZ (2011) Page 3 ?Part Other Information (Note the Schedule A and personal benefit contract statement requirements in the instructions for Part V.) Check if the organization used Schedule 0 to respond to any question in this Part El Yes No 33 Did the organization engage In any significant activity not previously reported to the If "Yes," provide a detailed description of each actIVIty in Schedule Were any significant changes made to the organizmg or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization?s name. Othenivise, explain the change on Schedule 0 (see instructions35a Did the organization have unrelated business gross income of $1,000 or more during the year from business actiwties (such as those reported on lines 2, 6a, and 7a, among others?Yes,? to line 35a, has the organization filed a Form 990-T for the year? If provide an explanation in Schedule 0 35b Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax reqUirements during the year? If ?Yes,? complete Schedule C, Part . . 35c 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If "Yes," complete applicable parts of Schedule . . . . . . . . . . . 35 37a Enter amount of political expenditures, direct or indirect, as described in the instructions. 37al 2 Did the organization file Form 1120-POL for this year37b 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were i any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? 3?3; If ?Yes,? complete Schedule L, Part ll and enter the total amount involved 38b 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line9 . . . . 393 Gross receipts, included on line 9, for public use of club faCIlities . . . . . . . 39b 40a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 section 4912 section 4955 i Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or If "Yes," complete Schedule L, Part . 40b Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on a organization managers or disqualified persons during the year under sections 4912, Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c i reimbursed by the organization . . . . . . . . . . . . . . . . All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? if ?Yes,? complete Form 8886-List the states with which a copy of this return is filed. Ina/fa? 423 The organization's books are in care of :5 Telephone no. Located at "tennis." ZIP 4 ?512/? At any time during the calendar year, did the rganization Have an interest in or a signature or other authority over Yes No a financial account in a foreign country (such as a bank account, securities account, or other financial account)? 42b If ?Yes,? enter the name of the foreign country: See the instructions for exceptions and filing requirements for Form TD 90-22.1, Report of Foreign Bank i and Financial Accounts. At any time during the calendar year, did the organization maintain an office outside the . 42c If ?Yes,? enter the name of the foreign country: 43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ?Check here . and enter the amount of tax-exempt interest received or accrued during the tax year . 43 I Yes No 44a Did the organization maintain any donor advised funds during the year? If ?Yes,? Form 990- must be completed instead of Form 990-Did the organization operate one or more hOSpital faCIIities during the year? If "Yes," Form 990 must be completed instead of Form 990-44b Did the organization receive any payments for indoor tanning sewices during the year"Yes" to line 440, has the organization filed a Form 720 to report these payments? If provro'e an 1 explanation in Schedule 45a Did the organization have a controlled entity within the meaning of section 512(b)(1345a 45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If ?Yes,? Form 990 and Schedule may need to be completed instead of A it a; Form 990-EZ (see instructions) . 45b Form 990-EZ (2011) Form 990?Ez (2011) Page 4 Yes No 46 Did the organization engage, directly or indirectly, in political campaign actiVities on behalf of or in opposnion m" to candidates for public office? If ?Yes,? complete Schedule 0, Part . . . . . . . . . . . 46 Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501 organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 47?49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule 0 to respond to any question in this Part Did the organization engage in lobbying actIVities or have a section 501(h) election in effect during the tax year? If ?Yes,? complete Schedule C, Part II 48 Is the organization a school as described in section If ?Yes,? complete Schedule . . . . 48 493 Did the organization make any transfers to an exempt non-charitable related organization"Yes," was the related organization a section 527 organization? . . 49b 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None." Title and avera He ortable Id) Heanh benef'ts' Name and address of each employee kg En contributions to employee Estimated amount of paid more than $100,000 ol?t'ri?e weet 0 (F0 benefit plans, and deferred other compensation evoe oposii compensatlon A/ama M?c Mme, Total number of other employees paid over $100,000 . . . . 51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization If there is none, enter ?None.? Name and address of each independent contractor paid more than $100,000 Type of serwce Compensation #606. Total number of other independent contractors each receiving over $100,000 . . 52 Did the organization complete Schedule Note: All section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule Under penalties of perjury, I declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true. correct, and complete Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge 4e ?gn Signat ofofficer' ?7 IDate Here 5W4 Secretary Treastimr Typ'e'o'r print name and title Paid Print/Type preparer's name Preparer 5 Slgnature Date Check If Preparer self-employed Use Only F'rm's name Firm's EIN address no Yes El No Form 990-EZ (2011) May the discuss this return With the preparer shown above? See instructions Printed on recyclodpaper 5 GOVERNMENT PRINTING OFFICE 2012?372?532/61026 I SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury lntemal Revenue Service New, 6' MAME 0w, 2m. min/l OMB No. 1545-0047 Public Charity Status and Public Support Complete if the organization is a section 501 organization or a section 4947(a)(1) nonexempt charitable trust. Attach to Form 990 or Form 990-EZ. See separate instructions. Open to Public Inspection Employer identi?cation number 3 5 2. 7 954. 2 Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 El A church, convention of churches, or association of churches described in section 2 El A school described in section (Attach Schedule E.) 3 El A hospital or a cooperative hospital service organization described in section 4 El A medical research organization operated in conjunction with a hospital described in section Enter the hospital's name, city, and state: 5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section (Complete Part II.) 8 A community trust described in section (Complete Part II.) 9 An organization that normally receives: (1) more than 33?/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions?subject to certain exceptions, and (2) no more than 331/a% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part 10 [3 An organization organized and operated excluswely to test for public safety. See section 509(a)(4). 11 organization organized and operated excluswely for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 1 1e through 11h. a El Typel El Type ll Type Ill?Functionally integrated Type Ill?Other By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). If the organization received a written determination from the IRS that it is a Type I, Type II, or Type supporting 9 Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? A person who directly or indirectly controls, either alone or together with persons described in (ii) and Yes No below, the governing body of the supported organization? . 119a) (ii) Afamily member ofa person described in above? . . . . . 119(ii) A 35% controlled entity of a person described in or (ii) above? . 119m Provide the following information about the supported organization(s). Name of supported (ii) EIN Type of organization (iv) Is the organization Did you notify (vi) Is the (vii) Amount of organization (described on lines 1?9 In col listed in your the organization in organization in col. support above or me sectlon governing document? col. of your organized in the (see instructions? supp(A) (8) (Cl (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Cat No 11285F Schedule A (Form 990 or 990-EZ) 2011 Form 990 or 990-EZ. Ver5ion A, cycle 1 Schedule A (Form 990 or 990-52) 2011 Page 2 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part or if the organization failed to qualify under Part if the organization fails to qualify under the tests listed below, please complete Part Section A. Public Support Calendar year (or fiscal year beginning in) 2007 2008 2009 2010 2011 Total 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants") . 2 Tax revenues levied for the organization?s benefit and either paid to or expended on its behalf 3 The value of services or faculties furnished by a governmental unit to the organization without charge . 4 Total. Add lines 1 through 3 . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column . 6 Public support. Subtract line 5 from line 4. Section B. Total Support Calendar year (or fiscal year beginning in) 2007 2008 2009 2010 2011 Total 7 Amounts from line 4 . . 8 Gross income from interest, dividends, payments received on securities loans. rents, royalties and income from similar sources 9 Net income from unrelated business actIVities, whether or not the busmess is regularly carried on . . 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IVTotal support. Add lines 7 through 10 12 Gross receipts from related activities, etc. (see instructionsFirst five years. If the Form 990 is for the organization?s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . Section C. Computation of Public Support Percentage i 14 Public support percentage for 2011 (line 6, column divided by line 11, column . . . . 14 15 Public support percentage from 2010 Schedule A, Part II, line 16a 331/3% support test?2011. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . 331/a?/o support test?2010. If the organization did not check a box on line 13 or 163, and line 15 is 331/3% or more, check this box and stOp here. The organization qualifies as a publicly supported organization . . . . . . . [j 17a 10%-facts-and-circumstances test?2011. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the ?facts-and-Circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the ?facts-and-circumstances? test The organization qualifies as a publicly supported test?~2010. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the ?facts-and?circumstances? test, check this box and stop here Explain in Part lV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a. 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . El Schedule A (Form 990 or 990-EZ) 2011 Schedule A (Form 990 or 990-EZ) 2011 Page 3 Part Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part or if the organization failed to qualify under Part ii. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Support Calendar year (or fiscal year beginning in) 2007 2008 2009 2010 2011 Total 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants 52) 831 [45 7,27 791 57574 2 Gross recelpts from admissions, merchandise lie??llwascni?i??'l?fi?i' rel?te?a?il'l?? organization?s tlalix-exempt purpose . 3 Gross receipts from actiwties that are not an unrelated trade or business under sectlon 513 4 Tax revenues leVIed for the organization's benefit and either paid to or expended on its behalf 0 5 The value of serwces or facilitles furnished by a governmental unit to the organization Without charge . 6 Total. Add lines 1 throughs. :3qu 9d 837 Lis 7.27 9?1 7?71 575791 53?. 7 7a Amounts included on lines 1, 2, and 3 received from disqualified persons 3700 ?:Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year 0 0 Add lines 7aand 7b . . 3700 [[550 1703 '3 325/2. 8 Public support (Subtract line 70 from iinee). 225571 Section B. Total Suppo Calendar year (or fiscal year beginning in) 2007 2008 2009 2010 2011 Total ?41337 99 792 57 515/ 24 53a7 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from simllar sources 0 Unrelated business taxable income (less section 511 taxes) from businesses achIred after June 30, 1975 . Add lines 10a and 10b . . E) 0 0 0 11 Net income from unrelated busmess activities not included in line 10b, whether or not the business is regularly carried on f) 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part lVTotal support. (Add lines 9, 10c, 11, mm.) . . . . 50937 41731 ?15717 7? 51574 295367 14 First five years. If the Form 990 is for the organization?s first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . Section C. Computation of Public Support Percentage 15 Public support percentage for 2011 (line 8, column dIVided by line 13, column 15 .76 16 Public support percentage from 2010 Schedule A, Part line 15 16 96 Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2011 (line 10c, column diwded by line 13, column . 17 18 Investment income percentage from 2010 Schedule A, Part line 19a 331/a% support tests?2011. If the organization did not check the box on line 14, and line 15 is more than Sal/3%, and line 17 is not more than 33l/a%, check this box and stop here. The organization qualifies as a publicly supported organization 33?/3% support tests?2010. if the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%. and line 18 is not more than 331/a%, check this box and stop here. The organization qualifies as a publicly supported organization [1 20 Private foundation. If the organization did not check a box on line 14, 193, or 19b, check this box and see instructions Schedule A (Form 990 or 990-EZ) 2011 Schedule A (Form 990 or 990-152) 2011 Page 4 . Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part line 12. Also complete this part for any additional information. (See instructions). Schedule A (Form 990 or 990-132) 2011 MUM 0" Wm GOVERNMENT PRINTING OFFICE 2012?372?532/61013 SCHEDULE 0 I OMB No 1545?0047 - (Form 990 or990_Ez, Supplemental Information to Form 990 or 990-EZ Complete to provide information for_ responses}? speci?c questions on Department of the Treasury Form 990 or 990-EZ or to prowde any additional Information. Open to public lntemal Revenue Sennce Attach to Form 990 or 990-EZ. n5pection Name of the organlzatlon 7 Employer identi?cation number Wig?M? Form 990 ~52 Pact; /4 41/ 07/2761; f4? For Papemork Reduction Act Notice, see the instructions for Form 990 or 990-EZ. Cat No 51056K Schedule 0 (Form 990 or 990-EZ) (2011) Schedule 0 (Form 990 or 990-EZ) (2011) Name of the organization 'Page 2 Employer identi?cation number . Schedule 0 (Form 990 or 990-EZ) (2011)