Form

990-EZ
..

Department of the Treasury
Internal Revenue Service

Short Form
Return of Organization Exempt From Income Tax

OMB No.1545-1150

~@15

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Open to Public
Inspection

.,. Do not enter social security numbers on this form as it may be made public.
.,. Information about Form 990-EZ and Its Instructions Is at www.lrs.go11/fonn990.
I

A For the 2015 calendar year, or tax year beginning
C Name of organization
B Check If applicable·

O Address change
O Name change
O lnrt!al return
O Final retumftarmmatad
O Amended return
n Application pending

SSFL Cag Foundation
Number and street (or P.O. box, If mall ls not delivered to street address)

, 2015, and ending

I

Roomtsurte

P.O. Box 940537
City or town, state or province, country, and ZIP or foreign postal code

,20
D Employer Identification number
47-2219588
E Telephone number
805-842-1088
F Group Exemption
Number

...

Simi Vallev. Cahfornia 93094
O Accrual Other (specify) .,.
G Accounting Method: !;d Cash
H Check .,. Gd If the organization Is not
I Website:.,.
required to attach Schedule B
Www.Dtsc-Ssfl.Com
(Form 990, 990-EZ, or 990-PF).
J Tax-exempt status (check only one) - GA 501 (c)(3l D so1(c)(
) ~ (insert no.) 0 4947(a)(1) or 0527
K Fonn of organization: !;d Corporation
O Trust
O Association
O Other
L Add lines Sb, 6c, end 7b to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or 1f total assets
(Part II, column (8) below) ere $500,000 or more, file Form 990 Instead of Form 990-EZ •
.,. $
38,600

i@il
1

2
3
4
5a
b

c
6
a
Cl)

:I

c

I
a:

b

c
d
7a
b

c
~

Cj

w

~~

2:'. 111

<(i
oeen w

8
9
10
11
12
13

14
15
16
17
J!l 18
; 19

c(

j1

20
21

Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
Check If the or anlzation used Schedule O to res ond to an
uestlon In this Part I
D
Contributions, gifts, grants, and similar amounts received .
1
38,600
Program service revenue including government fees and contracts
2
Membership dues and assessments .
Investment income
Gross amount from sale of assets other than inventory
5a
1--"..;.;_+--------Less: cost or other basis and sales expenses .
..._5_b_.__ _ _ _ _ __
Gain or (loss) from sale of assets other than inventory (Subtract line Sb from line Sa)
Gaming and fundraising events
Gross income from gaming (attach Schedule G if greater than
$15,000) . .
. . . .
Sa
Gross income from fundraising events (not including $
of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) .
6b
Less: direct expenses from gaming and fundraising events
..._6_c_.________
Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract
line 6c)
Gross sales of inventory, less returns and allowances .
,__1_a________
Less: cost of goods sold
L....:..7b;;;,....i_ _ _ _ _ _--i,
Gross profit or Ooss} from sales of inventory (Subtract line 7b from line 7a)
,__7_c_ _ _ _ _ _ __
Other revenue (describe in Schedule 0) .
8
Total revenue. Add lines 1, 2, 3, 4, Sc, 6d, 7c, and 8
., ,"
.;. I!,:
9
38,600
Grants and similar amounts paid Oist in Schedule 0)
. ~""'-~ . . ..
1--1_0_________
Benefits paid to or for members . .
. . ~B· i·i ~
1--1_1_________
1
Salaries, other compensation, and employee benefits
_J. t--1_2_________
Professional fees and other payments to independent contractors
~~
,:i \J
i--1_3_ _ _ _ _ _ _ _a""'o~o
1
Occupancy, rent, utilities, and maintenance
.
_1_4-+-------'1-"o,:;..o
Printing, publications, postage, and shipping
15
I---+-------~
Other expenses (describe in Schedule 0) .
i--1_6_________
24~2
Total ex enses. Add lines 10 throu h 16 .
11Ji,,
17
1,742
Excess or (deficit} for the year (Subtract line 17 from line 9)
18
36,858
Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year's return)
19
0
20
Other changes in net assets or fund balances (explain in Schedule 0) . .
0
Net assets or fund balances at end of ear. Combine lines 18 throu h 20
IIJi,,
21
36,858

For Paperwork Reduction Act Notice, see the separate Instructions.

~-~-------

1---+--------

1---+-------~

V
.1,, · :,

'.L.r .- ·. ·. ·. . ~.

.g0\9~

Cat. No. 106421

Fonm

990-EZ

(2015)

 Form 990-EZ (2015)

ifiill

Page

Balance Sheets (see the Instructions for Part II)
Check If the organization used Schedule O to respond to any question In this Part II
(A) Beginning of year

Cash, savings, and investments
22
O
23
Land and buildings.
24
Other assets (describe in Schedule 0)
Total assets .
25
Total liabilities (describe in Schedule 0)
26
Net assets or fund balances Oine 27 of column (B) must agree with line 21)
o
27
•�mi11111
Statement of Program Service Accomplishments (see the instructions for Part Ill)
Check If the organization used Schedule Oto respond to any question In this Part Ill
D
O.;;;u.;;;..tre�ac.cch""'---------------­
What is the organization's primary exempt purpose?
_c_o_m..;.m_u_n"---"
_ity
Describe the organization's program service accomplishments for each of its three largest program services,
as measured by expenses. In a clear and concise manner, describe the services provided, the number of
persons benefited, and other relevant information for each program title.
28 _ Formed to establish a direct line of communication between the local communify�nd Department of Toxic Substances--------- Control, other regylators and respcmslble e_artles Involved In the envi ronmental overs!ght or clean u_p of the SSFL site._________
29

30

(BJ End of year
22

23
24
25
26
27

2

0

36,858

36,858

Expenses
(Required for sec tion
501 (c)(3) and 501 (c)(4)
organizat ions; optional for
others)

(Grants$

} If this amount includes foreign grants, check here

..,..

D

28a

(Grants$

) If this amount includes foreiQn Qrants, check here

..,..

D

29a

0

) If this amount includes foreign grants, check here
(Grants$
30a
..,.. O
31 Other program services (describe in Schedule 0)
(Grants$
} If this amount includes foreian arants check here
..,.. 0
31a
..,..
32 Total program service expenses (add lines 28a through 31 a)
32
l:.F.Tiiilll••
List of Officers, Directors, Trustees, and Key Employees Oist each one even if not compensated-see the instructions for Part IV)
Check If the organization used Schedule Oto respond to any question in this Part IV
. . 0
(cl) Health benefrts,
(c) Reportable
(b) Average
compensation
contnbutions to employee (e) Estimated amount of
hours per week
(11) Name Md title
W-V1099-MISC)
benefit plans, and
other c ompensation
devoted to pos1t1on (Forms
(If not p11ld, enter -0-)
deferred compensation
Ronald Ziman
--------------·---------------------

President
Alec Uzemeck
----------------·---·---------------------------------Sec r et ary/Treasurer
_Abe Weitzb�ra.••••••••---·--------·------------·----------D1rector
_John Luker ---------------------------------Director
Tom
Nachtrab
-------------------------...-------------·---Di rector

05
10

05
05
05

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Fenn

990-EZ

(2015)

 Form 990-EZ (2015)

i@l!I

Page

3

Other Information (Note the Schedule A and personal benefit contract statement requirements in the

Instructions for Part V) Check if the organization used Schedule O to respond to any question In this Part V
D
•
Yes No
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
33
detailed description of each activity in Schedule O . . . . . . . . . . . . . . . . . . .

33

1-=.::....1-----11-.:!~

34

35a

Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed
copy of the amended documents if they reflect a change to the organization's name. Otherwise, explain the
. . . . . . . . . . . . . . . . . . . . .
change on Schedule O (see instructions)
Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)? . . . . . . . . . . . .

34

1-=..:....1-----11-.:!~

358

1--+-----,f--:K-

b
c
36
37a
b
38a
b
39
a
b
40a
b

c

d
e
41
42a
b

c

43

44a
b
c
d
45a
b

If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
i....::35=b:...i-_-1,......,¥-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 Ill . . . . .
35c
1-=~-~_::!ljL..
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets
. . . . . .
. . . .
during the year? If "Yes," complete applicable parts of Schedule N
Enter amount of political expenditures, direct or indirect, as described in the instructions....
37a
~c....;.;..J'------Did the organization file Form 1120-POL for this year? . • . . . . . . . . .
. . . .
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
If "Yes," complete Schedule L, Part II and enter the total amount involved
38b
,f-----Section 501 (c)(7) organizations. Enter:
Initiation fees and capital contributions included on line 9 . . . . . .
Gross receipts, included on line 9, for public use of club facilities
Section 501 (c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 .,..
; section 4912..,..
; section 4955..,..
------Section 501 (c)(3), 501 (c)(4), and 501 (c)(29) 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 990-EZ? If "Yes," complete Schedule L, Part I
Section 501 (c)(3), 501 (c)(4), and 501 (c)(29) organizations. Enter amount of tax imposed
on organization managers or disqualified persons during the year under sections 4912,
4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . .,..
Section 501 (c)(3), 501 (c)(4), and 501 (c)(29) organizations. Enter amount of tax on line
40c 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-T . . . .
List the states with which a copy of this return is filed.,.. ..>QU.W.,u..LW.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

~-~

The organization's books are in care of..,. .t-J!!:.<2.lJ?.l![!!:!f.~.----------------------------------------· Telephone no. ..,.. -------~-q?~?:)_q~!! .....•
Located at .... _m Cranmont CtL Simi Valle~--------------------------------------------ZIP+ 4 ..,..
-----·------~~~09_4_ __
At any time during the calendar year, did the organization have an interest in or a signature or other authority over
a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
If "Yes," enter the name of the foreign country: .,..
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and
Financial Accounts (FBAR).
At any time during the calendar year, did the organization maintain an office outside the U.S.? . . .
If "Yes," enter the name of the foreign country: .,..
.... 0
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~,____-~-~-Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be
completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization operate one or more hospital facilities during the year? If "Yes,• Form 990 must be
completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization receive any payments for indoor tanning services during the year? . . . . . . .
If "Yes• to line 44c, has the organization filed a Fonn 720 to report these payments? If "No,• provide an
explanation in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . .
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 R may need to be completed instead of
Form 990-EZ (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . .
Form

990-EZ

(2015)

 Form 990-EZ (2015)

Page

4

Yes No
46

Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition
to candidates for public office? If "Yes," complete Schedule C, Part I .

Section 501 (c)(3) organizations only
All section 501 (c}(3} organizations must answer questions 47-49b and 52, and complete the tables for lines
50 and 51.
uestion in this Part VI
0
47
48
49a
b
50

Yes No
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
. . . .
47
1----1---------Is the organization a school as described in section 170(b)(1)(A)OQ? If "Yes," complete Schedule E
48
1----11----ll--"Did the organization make any transfers to an exempt non-charitable related organization? .
49a
1----lr---lr-If "Yes," was the related organization a section 527 organization?
49b
.____..__
.___
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."

__

(a) Name and title of each employee

(b) Average
hours per week
devoted to position

(cl) Health benefits,
(c) Reportable
contributions to employee
compensation
(Forms w- 211 OBQ-MISC) benefit plans, and deferred
compensation

(el Estimated amount of
other compensation

------------------------------------------------------------------------------------------------------------------------·-----·-----------------

-------------------------------------------------------------------------------------f Total number of other employees paid over $100,000 . . . . ....
o
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."
(a) Name and business address of each Independent contractor

(b) Type of service

(c) Compensation

----------------- ...---------... ---·--------------------- ...---. -----------------

52

d Total number of other independent contractors each receiving over $100,000
. ....
o
Did the organization complete Schedule A? Note: All section 501 (c){3) organizations must attach a
completed Schedule A
. . . . . .
. . ..... G;4 Yes

O

No

Under penalties of perjury, I declare that I 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.

Sign
Here

Date
~ Alec Uzemeck. SecretaryfTreasurer

02/15/2016

r Type or print name and title

2/12/2016
Preparer ~~Pn~·n~VT~ype~p~re~p~ar~e=~s~n~am~e~~~~~~~Pire~p~~·~s1g~n=a~tu:re~~:::::::::=:=~D=~=e~~~~~C~h~e~ck~[]~ff~~P~T~IN~~~====
Marc J. Stivers
seIf-amp loyed
?00389098
Paid
Use Only Firm's name ~ Silvers Accountan
Firm's EIN ~
95-4678800
Firm's address ~

21730 Dev

eel, Chatsworth, Ca 91311

May the IRS discuss this return with the preparer shown above? See instructions

81 5-7184643

Phone no.
1J11,-

[;it Yes O
Form

No

990-EZ

(2015)

 SCHEDULE A
(Form 990 or 990-EZ)

Department of the Tn!asury
Internal Revenue Service

OMB No. 1545-0047

Public Charity Status and Public Support

~©15

Complete If the organization Is a section 501 (c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
~ Information

~ Attach to Form 990 or Form 990-EZ.
about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/fonn990.

Name of tha organization

Open to Public
Inspection

Employer ldantificatlon number

SSFL Cag Foundation

47-2219588

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1 0 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 0 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)
3 0 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(lii).
4 O A medical research organization operated in conjunction with a hospital described In section 170(b)(1)(A)(iii). Enter the
hospital's name, city, and state:
5 0 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(lv). (Complete Part 11.)

0

6

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)

IiJ An

7

8 0 A community trust described in section 170(b}(1)(A)(vi). (Complete Part II.)
9

0

An organization that normally receives: (1) more than 33 1/3% 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 33 113% of its
support from gross investment income and unrelated business taxable income Oess section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a){2). (Complete Part Ill.)

10
11

0
0

An organization organized and operated exclusively to test for public safety. See s.ection 509(a)(4).
An organization organized and operated exclusively 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 in lines 11 a through 11 d that describes the type of supporting organization and complete lines 11 e, 11 f, and 11 g.

a

O Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
organization. You must complete Part IV, Sections A and B.

b

O Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s). You must complete Part IV, Sections A and C.
Type Ill functionally Integrated. A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

c

O

d

O Type Ill non-functionally integrated. A supporting organization operated in connection with its supported organization(s)
that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness
requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type Ill
functionally integrated, or Type Ill non-functionally integrated supporting organization.

e

D

f
g

Enter the number of supported organizations . . . . . . . . .
Provide the following information about the supported organization(s).
(I) Name of supported organization

(IQ EIN

(Ill} Type of organization

(described on lines 1-9
above (see instructions))

.

.

.

.

. l~_o___.

.

(Iv) Is the organization (v) Amount of monetary
Usted In your governing
support (see
document?
Instructions)

Yes

(vi} Amount of
other support (see
instructions)

No

(A)
(B)
(C)

(D)

(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for
Fonn 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

 Schedule A (Form 990 or 990-EZ} 2015

Page

UffiHIN

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 I or If the organization failed to qualify under
Part Ill. If the organization fails to qualify under the tests listed below, please complete Part 111.)
Section A. Public Su ort
Calendar year (or fiscal year beginning in} ..,..
Gifts, grants,
contributions,
and
1
membership fees received. (Do not
include any "unusual grants.")
2
Tax
the
revenues
levied
for
organization's benefit and either paid
to or expended on its behalf
3
The value of services or facilities
furnished by a governmental unit to the
organization without charge .
4
Total. Add lines 1 through 3 .

2012

Total

3,000

38,600

Toe 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 (f) •
Publicsu ort. Subtract line 5 from line 4.

5

6

41,600

41 600

Section B. Total Support
Calendar year (or fiscal year beginning In} ..,..
(a) 2011
(b) 2012
(c) 2013
(d) 2014
(e) 2015
7
Amounts from line 4
3 000
38 600
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 business
is regularly carried on
• . . . .
10
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . .
11
Total support. Add lines 7 through 10
12
Gross receipts from related activities, etc. (see instructions)
13
First five years. If the Fonn 990 is for the organization's first, second, third, fourth, or fifth tax year as a section
organization, check this box and stop here
. . . . . . . . . . . . .
. . .

(t) Total

41 600

501 (c)(3)
. . ..,..

~

Section C. Computation of Publlc Support Percentage
14
Public support percentage for 2015 Oine 6, column (f) divided by line 11, column (f))
14
15
Public support percentage from 2014 Schedule A, Part II, line 14 . . . . . .
15
16a 33113% support test-2015. If the organization did not check the box on line 13, and line 14 is 33 113% or more, check this
..,..
box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . .
b 33113% support test-2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 113% or more,
check this box and stop here. The organization qualifies as a publicly supported organization
. . . . . . .
~
17a

10%-facts-and-clrcumstances test-2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
..,..
organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b

10%-facts-and-circumstances test-2014. lfthe 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..,..
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..,..

18

%
%

O
O

0

O
O

Schedule A (Form 990 or 990-EZ) 2015

 SCHEDULEO
{Fonn 990 or 990-EZ)
Department of the Treasury

Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

OMB No. 1545-0047

Complete to provide information for responses to specific questions on
Fonn 990 or 990-EZ or to provide any additional infonnation.

~©15

~

Attach to Form 990 or 990-EZ.
.-. Information about Schedule O (Form 990 or 990-EZ) and its instructions is at www.irs.gov/fonn990.

Name of the organization

Open to Public
Inspection

Employer Identification number

SSFL Ca Foundation

47-2219588

_Part_ 1-Line 16- Other Expenses- Franchise _Tax & _Fees - _170 ------------------------------------------------------------------------------------·
__________ ----------- _-------·---------------- ____ - Website Management - ___ ~ _?________________________________________________________________ ···-________________ _
- Bank Service Charge - 60

---------... -.................. ---- ........... ---- ..................................................... -------...... ------ ........ ---------- ------------· -- ------ ......... ------ --- ----... -............... ----- ----·------ -... -.................. ------ --- ------ -...... ----- .. ----- ---Total

-242

For Paperwork Reduction Act Notice, see the lnstNctions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) (2015)