OMB No. 1545-0047 Form 99 0 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Do not enter social security numbers on this form as it may be made public. Department of the Treasury internal Revenue Service Information about Form 990 and its instructions is at mg Petiti?i? A For the 2014 calendar year, or tax year beginning 07/01 2014, and ending j_5 Name of organization I I Empi: id i? b9! 5 "with?: MORE THAN ME FOUN DAT ION INCDoing business as Name change Number and street (or PO. box if mail is not deiivered to street address) Roomisuite Telephone number initialreturn 150 MORRISTOWN ROAD, SUITE 110 (415} 343?5632 :mr?g??i City or town. state or province. cou ntry, and ZIP or foreign postal code 3mm BERNARDSVILLE NJ 07 92 4 6 Gross receipts 2 877 i 1 92- 3223;?? Name and address of principai of?cer: SAUL PRESIDENT 15322353205? return ?if Yes N0 1 50 MORRISTOWN ROAD, SUITE 110 BERNARDSVI LLE, NJ 07 9 Hib) an Yes - No I Tax-exempt status: I I 501(c)(3) I I 501(c)( {insert noaliachaiist. (see instructions) Website: MORETHANME . ORG - Group exemption number Form of organization: I I Corporation I I TrustI IAssociation I I Other I Year of formation: 2008I State oflegal domiciie: NJ . rt Summary 1 Brie?y describe the organization's mission or most significant activities: 319.3% ?13991, ?gig; 3 its? 931399153 ?955 3911?? ?11915 9% F93. 2 Check this box CI if the organization discontinued its operations or disposed of more than 25% of its net assets. 8 3 Number of voting members of the governing body (Part VI, line ta) 3 4 - 2: 4 Number of independent voting members of the governing body (Part VI. line 1b) 4 4 - :3 5 Total number of individuals employed in calendar year 2014 (Part V. line 2a) 5 7 . 6 Total number of volunteers (estimate if necessary) 6 10 - 4: 7a Total unreiated business revenue from Part column (8). line 12 Ta 0 Net unrelated business taxable income from Form line 34 7b 0 Prior Year Current Year a, 3 Contributions and grants (Part line 1hProgram service revenue (Part Vill, line 2ginvestment income (Part cotumn (A), lines 3, 4, and 7d) 0 11 Other revenue (Part Vill, column (A), lines 5, 6d, SC. SC. 100, and 11sTotal revenue - add lines 8 through 11 (must equal Part coiumn (A), line 12Grants and similar amounts paid (Part iX, column (A), lines 1-Benefits paid to or for members (Part IX, column (A), line 4) 0 8 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) 256163 Professions! fundraising fees (Part IX, coiumn (A), iine 11e) 0 0 Total fundraising expenses (Part Ix, column (13). line 25) .. .. _1_6 15 17 Other expenses (Part column (A), lines 11a-11d, 11f~24eTotal expenses. Add tines 13-17 (must equal Part IX, column (A), iine 25) 706Revenue iess expenses. Subtract line 18from line 12 117: 494 - 1: 269: 038 . 25g Beginning of Current Year End of Year is 20 TotaiassetsrPaer.Iine16) 581:580- 1:883'185- 21 rota: :iabisities (Part x. tine 26Net assets or fund balances. Subtract line 21 from line 7-1 Signature Block Under penalties of perjury. deciare that i have examined this return. including accompanying schedules and statements, and to the best of my knowtedge 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 Signature ofoi?cer Date Here Type or print name and titie . Print-Type preparers name Preparer?s signature Date Check if PTIN am JAMES RE ILLY self-employed UsepOnly Firm's name MEARA MCGINTY DONNELLY Firm's 13?3 62 32 55 Firm's address BATTERY PARK PLAZA, NEW YORK, NY 10 4-?1405 Phone noMay the discuss this return with the preparer shown above? (see instructionsFor Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2014) JSA 4E10101.000 0238KA M261 PAGE 2 MORE THAN ME FOUNDATION, INC. Form 990 (2014) Iii-1'31" Statement of Program Service Accomplishments Check if Schedule 0 contains a response or note to any line in this Part 111 26?2599199 Page2 1 Briefly describe the organization's mission: SEE SCHEDULE 0. 2 Did the organization undertake any significant program services during the year which were not listed on the Prior Form 990 ?Yes," describe these new services on Schedule 0. .Yes END 3 Did the organization cease conducting, or make significant changes in how it conducts, any program semices'? Yes El ?0 lf "Yes," describe these changes on Schedufe O. 4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 43 (Code: (Expenses 934,139. including grants of 291,556. (Revenue EBOLA RESPONSE PARTNER - THE FOUNDATION RESPONDED TO EBOLA WITH THE FOLLOWING FOUR INTERVENTIONS: l) FILLING GAPS WITH REGARD TO VULNERABLE 2) ENABLING LOCAL LEADERS WHO ARE IDENTIFYING PROBABLE EBOLA CASES AND ASSISTING THEM IN TRANSFERRING THOSE CASES TO EBOLA TREATMENT UNITS (ETUS) 3) SUPPORTING DOCTORS IN THEIR FIGHT AGAINST AND 4) REINTEGRATING SURVIVORS BACK INTO THEIR COMMUNITIES. 4b (Code: (Expenses 15 300,510. including grants of 3, 512. )(Revenue MTM ACADEMY - THE FOUNDATION PROVIDES PRIMARY EDUCATION PROGRAMS AT THE MTM ACADEMY TO GIRLS AND YOUNG WOMEN FROM THE WEST POINT COMMUNITY IN MONROVIA, LIBERIA. THE MTM ACADEMY ALSO OFFERS EXTRACURRICULAR CLASSES, A SCHOOL CLINIC AND NURSE, COUNSELING AND SOCIAL WORK ASSISTANCE, LIBRARY, COMPUTER LAB, AND 2 DAILY MEALS. THESE SUPPLEMENTAL PROGRAMS ARE DESIGNED TO KEEP GIRLS IN SCHOOL AND SUCCEEDING ACADEMICALLY . 4c (Code: (Expenses including grants of (Revenue 4d Other program services (Describe inSchedu?e O.) (Expenses including grants of (Revenue 4e Total program service expenses 1 314 64 9. JSA 4E1020 1.000 0238KA M261 Form 990 (2014} PAGE 3 MORE THAN ME FOUNDATION, INC. 26?2599199 rm99(2014) Page 3 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private toundatio ll ?Yes," complete Schedule/i .COPW 2 is the organization required to complete ScheduleB, Schedule of Contributors (see instructions)?_ 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in inosition to candidates for public of?ce? lf "Yes, complete Schedule Patti 3 4 Section 501(c)(3) organizations. Did the organization engage in iobbying activities or have a section 501(h) election in effect during the tax year? lf ?Yes, complete Schedule C, Part ll 4 5 is 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? lf ?Yes," complete Schedule C, Part 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? lf ?Yes, complete Schedule D, Patti 6 7 Did the organization receive or hold a conservation easement. including easements to preserve open space, the environment, historic land areas, or historic structures? it ?Yes, complete Schedule D, Part ll 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? it "Yes," complete Schedule D, Part 8 9 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability; serve as a custodian for amounts not listed in Part or provide credit counseling, debt management. credit repair, or debt negotiation services? it "Yes," complete Schedule D, Part ll/ 9 10 Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments permanent endowments or quaSI endowments? lf "Yes complete Schedule Part V, 11 if the organization's answer to any of the following questions is "Yes." then complete Schedule D, Parts Vt, VII, IX, or as applicable. a Did the organization report an amount for land buildings and equipment in Part X, line 10? ll "Yes," complete Schedule Part Vt 11a Did the organization report an amount for investments-other securities in Part line 12 that is 5% or more of its total assets reported in Part X, tine 18? ll "Yes, complete Schedule D, Part 1113 Did the organization report an amount for investments-program related in Part X, iine 13 that is 5% or more of its totai assets reported in Part X, line 16? it "Yes, complete Schedule Part 11c Did the organization report an amount for other assets in Part X, line is that is 5% or more of its total assets reported in Part X, line 16? ll ?Yes, complete Schedule D, Part lX 11d Did the organization report an amount for other liabilities in Part X, line 25? ll ?Yes, complete Schedule D, PartX 11e Did the organization?s separate or consolidated financial statements for the tax year include a footnote that addresses the organization?s liability for uncertain tax positions under FIN 48 (A80 740)? ll "Yes, complete Schedule D, Pan?X 111? 12a Did the organization obtain separate, independent audited financial statements for the tax year? lt "Yes," complete Schedule D, Pan?s Xl and 12a 1) Was the organization included in consolidated, independent audited financiat statements for the tax year? lf Wes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts Xl and is optional 1 2b 13 is the organization a school described in section ll ?Yes, complete Schedule 13 14a Did the organization maintain an office, employees, or agents outside of the United States? 143 Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, tundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $1 00,000 or more? it ?Yes," complete Schedule F, Parts and iv 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? lf ?Yes,? complete Schedule F, Parts ll and iv 15 16 Did the organization report on Part lX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? lt "Yes, complete Schedule F, Parts 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 11s? lf "Yes, complete Schedule G, Part (see instructions) 17 18 Did the organization report more than $15, 000 total of fundraising event gross income and contributions on Part lines to and Be? it "Yes, complete Schedule G, Part ll 18 19 Did the organization report more than $15, 000 of gross income from gaming activities on Part Vill, tine 9a? ll "Yes, complete Schedule G, Part 19 20a Did the organization operate one or more hospital facilities? lf "Yes, complete Schedule 20a if ?Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? 20b JSA Form 990 (2014} 4E1021 1,000 0238KA M261 PAGE 4 MORE THAN ME FOUNDATION, INC. 26-2599199 Form 990 (2014) Page 4 Checklist of Required Schedules (continued) Yes No 21 Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part iX, column (A), line 1? it ?Yes, complete Schedule l, PanDid the organization report more than $5,000 of grants or other assistance to or for domestic Part IX, column (A), line 2? it ?Yes,? complete Schedule l, Pan?s and . 22 23 Did the organization answer ?Yes" to Part VII, Section A, line 3, 4. or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? lf "Yes, complete Schedule 23 24a Did the organization have a tax?exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?? it ?Yes," answer lines 24b through 24d and complete Schedule K. if go to line 25a 24a Did the organization invest any proceeds of tax-exam pt bonds beyond a temporary period exception? 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to detease any tax-exem pt bonds? 24c Did the organization act as an "on behalf oi" issuer for bonds outstanding at any time during the year? 246 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disquaiified person during the year? it ?Yes,? complete Schedule L, Partl 25a Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or it "Yes, complete Schedule L, Part 25b 26 Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key empioyees, highest compensated employees, or disqualified persons? it "Yes, complete Schedule L, Part ll 26 27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? it "Yes, complete Schedule L, Part 28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, I Part IV instructions for appiicabie filing threshoids, conditions, and exceptions): a A current or former officer, director, trustee. or key employee? lf ?Yes, complete Schedule L, Part lV 28a A family member of a current or former officer, director, trustee, or key employee? lf "Yes," complete Schedule L, Part lV 28b An entity of which a current or former officer, director. trustee, or key empioyee (or a famiiy member thereof) was an officer, director, trustee, or direct or indirect owner? it ?Yes, complete Schedule L, Part lV. 23c 29 Did the organization receive more than $25,000 in non?cash contributions? lf "Yes, complete Schedule lVl. . . . 29 30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? it ?Yes, complete Schedule 30 31 Did the organization liquidate, terminate, or dissolve and cease operations? lf "Yes," complete Schedule N, Patti 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? lf "Yes,? complete Schedule N, Part ll 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 30177019 and 301.7701-3? it ?Yes, complete Schedule R, Partl 33 34 Was the organization related to any tax-exempt or taxable entity? lf "Yes,? complete Schedule R, Part ll, oer, and Part V, line 1 34 35a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 353 if "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)( 13)? lf ?Yes, complete Schedule R, Part V, line 2 35b 36 Section 501(c}(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? it "Yes, complete Schedule R, Part V, line 2 35 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? it "Yes, complete Schedule R, Part Vl . . 37 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines iib and '19? Note. Ali Form 990 filers are required to complete Schedule 0 33 Form 990 (2014) JSA 4E1030 1.000 0238KA M261 PAGE 5 MORE THAN ME FOUNDATION, INC. 26-2599199 ch999<9914> 1a Enter the number reported in Box 3 of Form 1096. Enter~0~ if not appiicable 1a 1) Enter the number of Forms inctuded in line 1a. Enter -0- if not applicable Did the organization compiy with backup withhoiding rules for reportable payments to reportable gaming (gambling) winnings to prize winners? 2a Enter the number of employees reported on Form Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . I 2a if at ieast one is reported on line 23. did the organization file all required federal employment tax returns? Note. if the sum of lines 1a and 2a is greater than 250. you may be required to e?fiie (see instructions) 3a Did the organization have unrelated business gross income of $1 .000 or more during the year? if "Yes," has it filed a Form QSO-T for this year? if "No" to fine 3b. provide an expianation in Schedule 0 4a 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 tinanciat account)? it "Yes enter the name of the foreign country See instructions for filing requirements for Form 114. Report of Foreign Bank and Financial Accounts 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? if "Yes" to tine 5a or St). did the organization file Form . 6a Does the organization have annual gross receipts that are normally greater than $100,000. and did the organization solicit any contributions that were not tax deductible as charitabie contributions? if ?Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax ded uctibie? 7 Organizations that may receive deductible contributions under section 170(0). it Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the pastor? If ?Yes. did the organization notify the donor of the value of the goods or services provided? Did the organization sell. exchange or otherwise dispose of tangible persona! property for which it was Statements Regarding Other IRS Filings and Tax Compliance Check if Scheduie 0 contains a response or note to any line in this Part . . . . . . Page 5 required to fiie Form 8282? it "Yes," indicate the number of Forms 8282 filed during the year I Did the organization receive any funds, directly or indirectiy. to pay premiums on a personai benefit contract? Did the organization. during the year. pay premiums. directly or indirectly. on a personal benefit contract? If the organization received a contribution of quaiified intellectual property, did the organization file Form 8899 as required? If the organization received a contribution of cars, boats. airptanes. or other vehicles. did the organization fife a Form 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business hoidings at any time during the year? 9 Sponsoring organizations maintaining donor advised funds. 3 Did the sponsoring organization make any taxable distributions under section 4966? Did the sponsoring organization make a distribution to a donor. donor advisor. or related person? 10 Section 501(c)(7) organizations. Enter: a initiation tees and capital contributions included on Part Vili. line 12 108 Gross receipts. included on Form 990. Part Vili. line 12. for public use of ctub facilities . 123 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders . . . 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) 11 12a Section 4947(a)(1) non-exempt charitable trusts. is the organization filing Form 990 in of Form 1041? If "Yes." enter the amount of tax?exam pt interest received or accrued during the year 12b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a is the organization iicensed to issue quaiitted heaith plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule 0. Enter the amount of reserves the organization is required to maintain by the states in which the organization is ticensed to issue quaiifted health plans 13b Enter the amount of reserves on hand 130 14a Did the organization receive any payments for indoor tanning services during the tax year? 14a if "Yes." has it fited a Form 720 to report these payments? if "No. provide an expianation in Schedule 0 14b JSA 4E1U40 1.000 O238KA M261 Form 990 {2014) PAGE 6 For 990 (2014) MORE THAN ME FOUNDATION INC . 2 5?25 9 91 99 Page 6 RartVl Governance, Management, and Disclosure For each "Yes? response to iines 2 through 7b beiow, and for a "No? reaponse to iine 8a, 8b, or 10b beiow, describe the circumstances, processes, or changes in Scheduie 0. See instructions. Check if Schedule 0 contains a response or note to any tine in this Part VI Section A. Governing Body and Management Yes No 1a Enter the number of voting members of the governing body at the end of the tax year If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, expiain in Schedule 0. Enter the number of voting members included in line 1a, above, who are independent 1b 2 Did any officer, director, trustee. or key employee have a family relationship or a business relationship with any other officer. director. trustee, or key employee? 3 Did the organization deiegate control over management duties customarily performed by or under the direct supervision of 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 documents since 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 7a Did the organization have members, stockhoiders. or other persons who had the power to eiect or appoint one or more members of the governing body? Ya Are any governance decisions of the organization reserved to (or subject to approvat by) members, stockholders. or persons other than the governing body? 8 Did the organization contemporaneousiy document the meetings held or written actions undertaken during the year by the foltowing: a The governing body? D4 Each committee with authority to act on behalf of the governing body? 8b 9 Is there any officer. director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? it "Yes,? provide the names and addresses in Schedule 0 9 Section B. Policies (This Section 5? requests information about policies not required by the internai Revenue Code.) Yes No 10a Did the organization have local chapters, branches, or at?iiates? 10a if "Yes." did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? . . . 10b 11a Has the organization provided a complete copy of this Form 990 to sit members of its governing body before filing the form? . 11a Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. 12a Did the organization have a written conflict of interest policy? it "No, go to tine 13 123 Were officers, directors, or trustees. and key employees required to disclose annually interests that could give rise to con?icts? 12b Did the organization regularly and consistently monitor and enforce compliance with the policy? it ?Yes," describe in Scheduie 0 how this was done 120 13 Did the organization have a written whistleblower policy? 14 Did the organization have a written document retention and destruction policy? 15 Did the process for determining compensation of the fotiowing persons include a review and approvai by independent persons, corn data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management of?cial 15a 13 Other officers or key employees of the organization 1513 If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions). 16a Did the organization invest in, contribute assets to. or participate in a joint venture or similar arrangement with a taxable entity during the year? it ?Yes," did the organization follow a written poiicy or procedure requiring the organization to evaluate its participation in joint venture arrangements under appiicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? 16b Section C. Disclosure 17 List 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 (Section 501(c)(3)s only) avaiiabie for public inspection. indicate how you made these available. Check all that apply. Cl Own website I: Another's website Upon request Other (expiain in Scheduie O) 19 Describe in Schedule 0 whether (and it so. how) the organization made its governing documents, conflict of interest policy, and financial statements available to the pubiic during the tax year. 20 State the name, address, and telephone number of the person who possesses the organization's books and records: MJ MONK, SAUL GARLICK, 50 S. STEELE ST., SUITE 328, DENVER, CO 80209 415-343?5632 JSA Form 990 (2014) 0238M PAGE 7 Form 990 (2014) MORE THAN ME FOUNDATION, INC. 26?2599199 Page? 1 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response or note to any line in this Part VII 1: Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the caiendar organization?s tax year. a List all of the organization's current officers, directors, trustees (whether individuais or organizrtimv), regards? 0 amount of compensation. Enter in coiumns (D), (E), and (F) if no compensation was paid. 0 List alt of the organization's current key employees, if any. See instructions for de?nition of "key employee.? 0 List the organization's ?ve 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 1099-MISC) of more than $100,000 from the organization and any related organizations. - List alt of the organization's former officers, key employees, and highest compensated empioyees who received more than $100,000 of reportable compensation from the organization and any related organizations. a List all of the organization's former directors or trustees that received. in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. within the Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A) Paint? (Di (El (F) Name and Title Average (d0 ?Gt Checti more than one Reportable Reportable Estimated hours per box, unless Person is both an compensation compensation from amount of week (list any officer and adirectorttrustee) from related Other hours for 5? 5 -.-. the organizations compensation raged g: a ?2 .3 organization iron} organizations a ?2 a organization 1, 3* a 8 3 and related elow dotted .1 . . ?ne} :53 organizations it? 3 0.. LDKATIE BORGHESE 7' 00 CHAIR 0 0 GARLICK 5 00 TREASURER 0 0 LQSCIPIONE BORGHESE 5. 00 BOARD MEMBER 0 LQMANISH PATEL 5 . 00 BOARD MEMBER 0 0 0 LQKATIE MEYEEIR . 40. 00 CHIEF EXECUTIVE OFFICER 64 873 . 0 JE) -173 s13) JED 11.0.) 111) 112) 113J 11:8 JSA Form 990 {2014) 4510411000 O238KA M261 PAGE 8 MORE THAN ME FOUNDATION, INC. 26-2599199 F_mor p.99 (2014) Page 3 Section A. Officers, Directors, Trustees, Key Empioyees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (El (Fl Name and title Average Position Reportable Reportable stimated hours per (do not check more than one compensation C0 n- . amount of week?istany box, unless person is both an from 1 other hours for Officer and a difeCton?trUStee) the organiza CU npensa?on ?We? 33: 3 3% 3 organization (V 231000 th'? organizations a F: 3 a organization below dotted 5.1 5' a? and related line) 2 3 3 2 0 organizations SUb-tOtail - I 64,873. 0 0 Total from continuation sheets to Part Section A 0 I Total (add iines 1b and 1c) a? 64 i 873- 0 2 Total number of individuals (inciuding but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 3 Did the organization list any former officer, director, or trustee, key empioyee, or highest compensated em ployee on line 1a? if ?Yes, complete Schedule for such individual 4 For any individual listed on line is, is the sum of reportabie compensation and other compensation from the organization and rotated organizations greater than $150,000? it ?Yes," complete Schedule for such individual. . .- .. 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? if "Yes,? complete Schedule for such person Section B. independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (B) (C) Name and business address Description of services Compensation 2 Total number of independent contractors .(including but not iirnited to those listed above) who received more than $100,000 in compensation from the organization 0 JSA 4510551000 Form 990 (2014) 0238KA M261 PAGE 9 Form 990 (2014) Contributions, Gifts, Grants and Other Similar Amounts rog ram Service Reven Other Revenue JSA 4E1051 L000 12 9 Statement of Revenue Check if Schedule 0 contains a res or note to a Federated campaigns 132: 94? Membership dues 1b Fundraising events 1 Related organizations 1d Government grants (contributions). . '1 509100? AEI other contributions, gifts, grants, and similar amounts not inciuded above . 1 2 1? 9' 966 Noncash contributions inciuded in lines ta-tf: Business Code Ali other program service revenue Total. Add tines 2a-2f Investment income (including dividends, interest. and other similar amounts) Income from investment of tax?exempt bond proceeds . Royalties Real (ii) Personal Gross rents l. 425- Less: rental expenses . . . Rental income or (loss) . . Net rental income or (loss Gross amount from sates of 0) Securities (ii) Other assets other than inventory Less: cost or other basis and sales expenses . Gain or (loss) Net gain or (loss) Gross income from fundraising events (not inctuding of contributions reported on line 10). See Part IV, line ?18 a Less: direct expenses Net income or (loss) from fundraising events Gross income from gaming activities. See Part 2V. line 19 a Less: direct expenses Net income or (loss) from gaming activities Gross sales of inventory. less returns and allowances Less: cost of goods sold Net income or loss from sales of invent Miscellaneous Revenue Business Code SPEAKING ENGAGEMENTS 900099 MISC. INCOME 900099 GUEST HOME INCOME 900099 All other revenue Total. Add lines ?Ha-1 1d Total revenue. See in O238KA M261 MORE THAN ME FOUNDATION, INC. lineinthis Partvm . . . Total revenue 2,862,806. 3,700. 5,000. 2,538. 1,723. 9,261. 2 877,192. elated or exam pt to nation revenue 12, 961. (C) US business ed from tax sections 1 2 -5 1 4 1,425. Form 990 (2014) PAGE 3. 0 Form 990 (2014) MORE THAN ME FOUNDATION, INC. 2 raw-2599199 P239910 PartIX Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must compiete coiurnns. other organizations must compiete column (A): 5 Check if Schedule 0 contains a response or note to any line in this Part IX i 95 . 1 Grants and other assistance to domestic organizations I i and domestic governments. See Part iV, line Grants and other assistance to domestic in?vMuaB.SeePan?h?ne22 0 3 Grants and other assistance tO foreign organizations, foreign governments, and foreign individuals. See Part IV, lines BenemspaMtoormrmembas 0 5 Compensation of current Officers, directors, trustees, and keyemptoyees 75,717. 55,968. 8,287. 11,462. 6 Compensation not inctuded above, to disquali?ed persons (as defined under section 4958(f)(t)) and persons described in section 4958(c)(3)(l3) 0 7 357,197. 261,434. 39,095. 56,668. 8 Pension plan accruals and contributions (inciude 0 9 33'47l' 25?623' 7'848' 18 PawOHmMm 32'317' 26?503' 2'907' 2'907' 11 a Management 0 bl?egal 2'652' 2'652' cAmmumMQ 5,846. 4,676. 585. 585. ci Lobbying Professional tundraising services. See Part IV, line 17, 05% [nvestmentmanagement fees 0 9 Other. (if line 119 amount exceeds 10% of tine 25, column 46' 612' 15'382' 15,382' 15' 848' 12 Advertising and promotion 0 13 O?bemmawes 89'974' 83?850' 3?062? 3?062' 14 information technology 14,843. 1,484. 1,484. 11,875. 15 Roya?es 0 15 122,666. 64,229. 32,973. 25,464. 17 104,152. 56,023. 15,853. 32,276. 18 Payments of travel or entertainment expenses for any federal. state. or local public Officiais 0 19 20 interest 0 21 Payments to 22 Depreciation, depletion, and amortization . 15: 832 - 3-5: 832 - 23 Insurance 24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of iine 25. column . (A) amount, tist line 24a expenses on Scheduie O.) 10,357. 10,357. 18, 680. 18, 680. @2409}, gyesgyensyi 1, 54 9. 1. 54 9. 99311545513555 2 6r 715' 26v 715- i 354,406. 351,176. 1,615. 1,615. 25 Total functional expenses. Add lines 1 through 24e 1: 608,154. 1: 3l4r 649- l3lr743- 1611'762? 26 Joint costs. Complete this tine only if the organization reported in column (B) joint costs ?cnt a cond?ned educa?onal campairt and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720) 0 JSA 4E10521.800 0238KA M261 Form 990 (2014) PAGE 1 MORE THAN ME FOUNDATION, INC. 26?2599199 Form 990 (.2014) Page 11 PartX Balance Sheet Check if Schedule 0 contains a response or note to any line in this Part I XI (Al (E) Beginning ofyeer 0 year . 1 Cash - non?interest?bearlng Savings and temporary casn investments Pledges and grants receivable, net . 3 0 4 Accounts receivabte, net 702 4 0 5 Loans and other receivables from current and former officers, directors, trustees. key employees, and highest compensated employees. Complete Part It of Schedule 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(8), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees? beneficiary - -- organizations (see instructions). Complete Part of Schedule 5 0 ?31, 7 Notes and loans receivable. net 7 0 2 8 Inventories for sate or use 3 9 Prepaid expenses and deferred charges 9 0 10a Land. buildings, and equipment: cost or other basis. Comptete Part VI of Schedule 10a 1 88 4 63 - Less: accumulated depreciation 10b 273- 11 investments - publicty traded securities 0 11 0 12 investments - other securities. See Part 1V. line 11 12 0 13 investments - program-related. See Part 1V, line 11 13 0 14 lntangibte assets ?3 14 0 15 Other assets. See Part IV. line 11 15 4 500 - 16 Total assets. Add tines 1 through 15 (must equal line 34) 581 580 - 16 1: 383: 185 . 17 Accounts payable and accrued expenses Grants payable 0 18 0 19 Deferred revenue 19 0 20 Tax-exempt bond liabilities 20 0 3 21 Escrow or custodial account liability. Complete Part of Schedute 21 0 22 Loans and other payables to current and former officers, directors, 33 trustees, key employees, highest compensated employees, and *4 disqualified persons. Complete Part ll of Schedule 22 0 23 Secured mortgages and notes payable to unrelated third parties 23 0 24 Unsecured notes and loans payable to unrelated third parties .. . 24 0 25 Other liabitlties (including federal income tax, payables to rotated third parties, and other liabitities not included on lines 17-24). Complete Part of Schedule 25 0 26 Total liabilities. Add lines 17 through 25 2 114- 26 25, 415- Organizations that follow SFAS 117 (A30 958), check here [El and 3 complete lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets . 1? 350, 234. 27 1, 857, 770. 28 Temporarily restricted net assets 229, 232 . 23 0 29 Permanently restricted net assets 29 0 5 Organizations that do not follow SFAS 117 (A80 953), check here and ?5 complete lines 30 through 34. 30 Capital stock or trust principal, or current funds I 30 31 Paid-in or capital surplus, or tand, building, or equipment fund 31 32 Retained earnings. endowment. accumulated income. or other funds 32 2 33 Total net assets or fund balances 579, 4 66 . 33 l, 857' 770 . 34 Total liabilities and net assetslfund balances. . .. 581, 580. 34 l, 883: 185- JSA 4E1053 1.000 02 BBKA M2 61 Form 990 (2014) PAGE 2 MORE THAN ME FOUNDATION, INC. 26-2599199 Form 990 (.2014) Page 12 Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line In this Part XI 1 Totat revenue (must equal Part Vlil, coiumn (A), line 12) . . 1 2 8 192. _2 Totai expenses (must equal Part IX, column (A), tine 25) . 154 . 3 Revenue less expenses. Subtract line 2 from fine 1 2 39: 038 - 4 Net assets or fund baiances at beginning of year (must equat Part X, line 33, column 5 t9: 466- 5 Net unrealized gains (losses) on investments 5 344 - Donated services and use of facilities 6 0 7 Investment expenses 7 8 Prior period adjustments 8 0 9 Other changes in net assets or fund baiances (explain in Scheduie Net assets or fund balances at end of year. Combine lines 3 through 9 (must equat Part X, line 33, coiumn 10 1:857:770. ?Part Xii Financial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part XII 2a 3a Accounting method used to prepare the Form 990: Cash Accruai I:l Other If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule 0. Were the organization?s financial statements compiled or reviewed by an independent accountant? If "Yes," check a box below to indicate whether the financial statements fo;r the year were compiied or reviewed on a separate basis, consolidated basis, or both: Separate basis i:l Consolidated basis I: Both consolidated and separate basis Were the organization's financiai statements audited by an independent accountant? it ?Yes," check a box below to indicate whether the financial statements for the year were audited on a separate basis, consoiidated basis, or both: Separate basis Ci Consolidated basis Both consolidated and separate basis If "Yes" to tine 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compiiation of its financial statements and selection of an independent accountant? if the organization changed either its oversight process or selection process during the tax year, expiain in Schedute 0. As a result of a federal award was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular if "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required auditor audits. explain why in Schedule 0 and describe any steps taken to undergo such audits. Yes No 3a 3b JSA 0238KA M261 Form 990 (2014} PAGE 1 3 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury internal Revenue Service Public Charity Status and Public Support Complete if the organization is a section 501(c)(3) organization or a section OMB No. 1545-0047 4947(a)(1) nonexempt charitable trust. 2? 1 4 DD Attach to Form 990 or Form 990-52. 0 - - . >lnformation about Schedule A (Form 990 or 990-EZ) and its instructions is at . . Name of the organization Empi tio MORE THAN ME FOUNDATION, INC. ber 26*259919 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 A church, convention of churches, or association of churches described in section 2 A school described in section (Attach Schedule E.) 3 A hospitai or a c00perative hospital service organization described in section - 4 A medical research organization Operated in conjunction with a hospitai described in section Enter the hospital?s name, city, and state: 5 I: An organization operated for the benefituof a college or university owned or operated by a governmental?unit design?bad} section (Complete Part ll.) 6 - A federal, state, or iocal government or governmental unit described in section 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 El.) 8 A community trust described in section (Complete Part ll.) 9 An organization that normally receives: (1) more than 331i3% 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 331i3% 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 ill.) 10 An organization organized and operated exclusively to test for pubiic safety. See section 509(a)(4). 11 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 11a through 11d that describes the type of supporting organization and compieteiines ?Me, Hi, and 119. a Type 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. Type if. 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 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. Type ill non?functionally integrated. A supporting organization operated in connectidn 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 RS that it is a Type l, Type ll, Type functionally integrated, or Type ill non-functionally integrated supporting organization. Enter the number of supported organizations 9 Provide the following information about the supported organization(s). Name of supported organization (ii) Type of organization (iv) Is the organization Amount of monetary (vi) Amount of (described on lines 1-9 listed in your governing support (see other support (see above or section document? instructions) instructions) (see instruction Yes No (A) (B) (C) (0) (El Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or SQO-EZ. JSA 4E12102.000 OZBBKA M261 Schedule A {Form 990 or QQO-EZ) 2014 PAGE 1 4 MORE THAN ME FOUNDATION, Schedule (Form 990 or 990432} 2014 INC . 26-2599199 Support Schedule 'for Organizations Described in Sections and 170(b)(1)(A)(vi) Page 2 (Complete only if you checked the box on tine 5 7, or 8 of Part 1 or if the organization failed to duaiify under Part Ell if the organization faiis to quaiify under the tests listed beiovv please compie Part Section A. Public Support Calendar year (or fiscal year beginning in) 2010 2011 2012 2013 1 Gifts, grants, contributions, and membership fees received. (Do not - - . include any u"n.usuaigrants") 110,337. 244,855. 74,483. 811,125. 2,862,806. 4,103,606. 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 9 3 The value of services or facilities furnished by a governmentat unit to the organization without charge - . . 0 TotaLAddiines 1 through?) 110,337. 244,355. 74,433. 811,125. 2,362,306. 4,103,606. 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 ine11,co umn 1:315:394- 6 Public support. Subtract line 5 from tine 4. 2,287,722. Section B. Total Support Calendar year (or fiscal year beginning in) 2010 2011 2012 2013 2014 Total 7 Amounts fromIineAI110,337. 244,855. 74,483. 811,125. 2,862,806. 4,103,606. 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from simiiar sources 120. 120. 9 Net income from unrelated business activities whether or not the business is regularly carried on 600. 1, 425. 2, 025. 10 Other income. Do not inctude gain or loss from the sale of capitai assets (Explain in Part VI.) .ATCH. 9:251- 11 Total support. Add tines 7 through 115:912' 12 Gross receipts from related activities, etc. (see instructions) 12 27: 151- 13 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 0238KA M261 14 Public support percentage for 2014 (line 6, coiumn (0 divided byline 11, column (13) 14 55 59% 15 Public support percentage from 2013 Schedule A, Part II, line 14 15 74-17 163 331i3% support test- 2014. if the organization did not check the box on tine t3, and tine 14 is 331i3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 331nm: support test - 2013. If the organization did not check a box on tine 13 or 16a, and line 15 is 331i3% or more, check this box and stop here. The organization qualifies as a pubticiy supported organization El 17a 10%-facts-and-circumstances test 2014. If the organization did not check a box on tine 13, 16a, or too, and line 14 is 10% or more, and if the organization meets the ?facts- and-circumstances? test check this box and stop here. Exptain in Part how the organization meets the ?facts- and? circumstances" test The organization as a publicly supported organization 10%-facts- and-circumstances test - 2013. 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 VI how the organization meets the test. The organization qualifies as a publicly sunported organization 18 Private foundation. if the organization did not check a box on iine 23.16a,16b,17a,or 17b, check this box and see instructions . . . .. .. . 5? Schedule A {Form 990 or 2014 JSA 4E1220 2.000 PAGE 1 5 MORE THAN ME FOUNDATION, INC. 26?2599199 ScheduleA (Form 990 or 990 E2) 2014 Page 3 Part ili Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part 1 or if the organization failed to qualify under Part ll. if the organization fails to qualify under the tests iisted below, please complete Part I.) Section A Public Support Calendar year (or fiscai year beginning in) 2010 . 2011 (0)2012 2013 Total 1 7a Gifts, grants, contributions, and membership fees I received. (00 not include any "unusual grants") Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the org an ization's ta xnexem pt rp ose Gross receipts from activities that are not an unrelated trade or business under section 513 Tax revenues levied for the organization?s benefit and either paid to or expended on its behalf Tine vaiue of services or facilities furnished by a governmentai unit to the organization without charge Total. Add lines 1 through 5 Amounts included on lines 1, 2, and 3 received from disqualified persons . . . . Amounts included on lines 2 and 3 received from other than disquali?ed persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year Add tines 7a and 7b Public support (Subtract line To from I line 6.) Section B. Total Support Catendar year (or fiscal year beginning in) in 2010 2011 2012 {(112053 2014 (3 Total 9 10a Amounts from line 6 Gross income from interest, dividends, payments received on securities ioans, rents, royalties and income from similar sources Unrelated business taxabie income (less section 511 taxes) from businesses Add IInes 10a and 10b 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) 13 Total support. (Add lines 9, 100, 11, and 12.) 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 Pubiic support perCentage for 2014 (line 8, coiumn (1) divided byline 13. column 15 16 Public support percentage from 2013 Schedule A, Part tine 15 16 Section D. Computation of investment income Percentage 17 Investment income percentage for 2014 (tine 10c, column divided by line 13, column (0) 17 18 investment income percentage from 2013 Schedule A, Part Ill, line 17 18 19a 33113% support tests - 2014. If the organization did not check the box on line 14, and line 15 is more than 331i3 and line 17 is not more than 331:3 check this box and stop here. The organization quali?es as a publicly supported organization 331r3% support tests - 2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331l3 and line 18 is not more than 331r3%, check this box and stop here. The organization qualifies as a publicly supported organization 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions 4515513000 Scheduie A (Form 990 or sso-Ez} 2014 0238KA M261 PAGE 16 MORE THAN ME FOUNDATION, INC. 26-2599199 Schedule A (Form 990 or 990- EZ) 2014 Page 4 Supporting Organizations (Complete only if you checked a box on line 11 of Part I. it you checked 11a of Part I complete Sections A and If you checked tib of Partl, complete Sections A and C. It you checked 11C or Patti, complete Sections A D, and If you checked 11d of Part I complete Sections A and and - - Section A. All Supporting Organizations {as .No 1 Are all of the organization?s supported organizations listed by name in the organization?s governing. documents? it describe in Part Vi how the supported organizations are designated. it designated by class or purpose, describe the designation. it historic and continuing relationship, explain. 2 Did the organization have any supported organization that does not have an determination of status under section 509(a)(1) or it ?Yes," explain in Part Vl how the organization determined that the supported organization was described in section 509(a)(1) or (2). 3a Did the organization have a supported organization described in section 501(c)(4), (5). or it "Yes," answer and (0) below. Did the organization confirm that each supported organization qualified under section 501(c)(4). (5), or (6) and satis?ed the public support tests under section 509(a)(2)? it "Yes," describe in Part Vi when and how the organization made the determination. Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2) (B) purposes? it "Yes," explain in Part Vi what controls the organization put in' place to ensure such use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? it "Yes" and it you checked ?lie or it in Part l, answer and (0) below. Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? it "Yes," describe in Part Vi how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations. 6 Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(t) or it "Yes," explain in Part_Vi what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section purposes. 5a Did the organization add, substitute, or remove any supported organizations during the tax year? it "Yes," answer and below {if applicable). Also, provide detail in Part Vi, including (I) the names and EN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, the authority under the organization?s organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document). Type I or Type ll only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Substitutions only. Was the substitution the result of an event beyond the organization's Control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than its supported organizations; individuals that are part of the charitable class benefited by one or more of its supported organizations; or other supporting organizations that also support or benefit one or more of the filing organization?s supported organizations? it "Yes,? provide detail in Part Vt. 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC a family member of a substantial contributor, or a 35?percent controiled entity with regard to a substantial contributor? it "Yes," complete Part of Schedule l. (Form 990). 8 Did the organization make a loan to a disquali?ed person (as defined in section 4958) not described in line 7? it "Yes," complete Part of Schedule i. (Form 990). 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disguaiified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or it"Yes, provide detail in Part Vl. Did one or more disqualified persons (as defined in line hold a controlling interest in any entity in which the supporting organization had an interest? it"Yes," provide detail in Part Vi. 0 Did a disqualified person (as defined in line have an ownership interest in, or derive any personai benefit from, assets in which the supporting organization also had an interest? it ?Yes," provide detail in Part Vi. 10a Was the organization subject to the excess business holdings rules of RC 4943 because of 4943(0 (regarding certain Type ll supporting organizations, and sit Type lli non-functionally integrated supporting organizations)? if Yes," answer below. 1 0a Did the organization have any excess business holdings in the tax yeaI? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings.) 1 Db . 45A . Schedule A (Form 990 or 990-152) 2014 451229 2.000 0238KA M261 PAGE 17 MORE THAN ME FOUNDATION, INC. 26-2599199 (Form 990 or 990-EZ) 2014 Page 5 Supporting Organizations (continued) 11 Has the organization accepted a gift or contribution from any of the foilowing persons? a A person who directly or indirectiy controls, either alone or together with persons described in a beiow, the governing body of a supported organization? 60 A family member of a person described in above? 11b A 35% controlled entity of a person described in or above? it "Yes" to a, b, or 0, provide detaii in Part Vi. 11c - Section B. Type 1 Supporting Organizations Yes No 1 Did the directors, trustees, or membership of one or more supported organizations have the power to regulariy appoint or elect at least a majority of the organization's directors or trustees at ali times during the tax year? it "No, describe in Part Vi how the supported organization (3) effectiveiy operated, supervised, or controiied the organization?s activities. it the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were aiiocated among the supported organizations and what conditions or restrictions, it any, appiied to such powers during the tax year. 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised. or controlled the supporting organization? it ?Yes, expiain in Part Vi how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised, or controiied the supporting organization. Section C. Type it Supporting Organizations Yes No 1 Were a majority of the organization's directors or trustees during the tax year aiso a majority of the directors or trustees of each of the organization's supported organization(s)? it "No, describe in Part Vi how controi or management of the supporting organization was vested in the same persons that controiied or managed the supported organization(s). Section D. All Type ill Supporting Organizations Yes No 1 Did the organization provide to each of its supported organizations, by the last day of the ?fth month of the organization?s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of noti?cation, and (3) copies of the organization?s governing documents in effect on the date of notification, to the extent not previously provided? 2 Were any of the organization's officers, directors, or trustees either appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? it "No, expiain in Part Vi how the organization maintained a ciose and continuous working reiationship with the supported organization(s). 3 By reason of the reiationship described in (2), did the organization?s supported organizations have a significant voice in the organization?s investment policies and in directing the use of the Organization's income or assets at all times during the tax year? it "Yes," describe in Part Vi the roie the organization?s supported organizations piayed in this regard. Section E. Type Functionaiiy-integrated Supporting Organizations 1 Check the box next to the method that the organization used to satisfy the integrai Part Test during the year (see instructions): a The organization satisfied the Activities Test. Compiete fine 2 beiow. The organization is the parent of each of its supported organizations. Compiete time 3 beiow. The organization supported a governmental entity. Describe in Part Vi how you supported a government entity (see instructions). 2 Activities Test. Answer and beiow. a Did substantiaiiy all of the organization?s activities during the tax year directiy further the exempt purposes of the supported organization(s) to which the organization was responsive? it ?Yes, then in Part Vi identity those supported organizations and expiain how these activities directiy furthered their exempt purposes, how the organization was responsive to these supported organizations, and how the organization determined that these activities constituted substantiaiiy of its activities. Did the activities described in constitute activities that, but for the organization?s involvement, one or more of the organization?s supported organization(s) would have been engaged in? it "Yes, expiain in Part Vi the reasons for the organization?s position that its supported organization(s) wouid have engaged in these activities but for the organization?s in voivernent . 3 Parent of Supported Organizations. Answer and 'beiow. a Did the organization have the power to regularly appoint or elect a majority of the of?cers, directors, or trustees of each of the supported organizations? Provide detaiis in Part Vi. 1) Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of its supported organizations? it "Yes, describe in Part Vi the roie played by the organization in this regard. 3b JSA Schedule A (Form 990 or 990?52} 2014 4E1230 2.000 0238KA M261 PAGE 18 MORE THAN ME FOUNDATION, INC. 26-2599199 (Form 990 or 990 EZ) 2014 Page 6 Type Non- Functionally integrated 509(a)(3) Supporting Organizations 1 I Check here if the organization satisfied the integral Part Test as a qualifying trust on Nov. 20 ??970. See instructions. All other Type non- functionatiy integrated supporting organizations must corn ptete Sections Ath ugh E. Section A Adjusted Net Income - (A) Pric (@rO Wotan Year . - pt one!) 1 Net short-term capital gain 2 Recoveries of prior?year distributions 3 Other gross income (see instructions) 4 Add lines 1 through 3 5 Depreciation and depletion 6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 7 Other expenses (see instructions) 7 8 Adjusted Net income (subtract lines 5, 6 and 7 from tine 4) 8 (8) Current Year Section Minimum Asset Amount (A) Prior Year . (optzonai) 1 Aggregate fair market value of all non?exem pt-?use assets (see instructions for short tax year or assets held for part of year): a Average value of securities Average oash balances Fair market valueot other non?exempt-use assets Total (add lines ?ia, 1b, and 1c) Discount claimed for blockage or other factors (expiain in detait in Part Vi): 2 Acquisition indebtedness applicable to non-exempt?use assets 2 3 Subtract line 2 from line 1d 3 4 Cash deemed held for exempt use. Enter 1-'ii2% of line 3 (for greater amount. see instructions). 5 Net value of non?exempt-use assets (subtract tine 4 from line 3) 6 Muitipiy line 5 by .085 7 Recoveries of prior-year distributions 8 Minimum Asset Amount (add line 7 to line 8) Section - Distributable Amount Current Year 1 Adjusted net income for prior year (from Section A, tine 8, Cotumn A) 2 Enter 85% of line 1 3 Minimum asset amount for prior year (from Section B, line 8,_Cotumn A) 4 Enter greater of line 2 or line 3 5 income tax imposed in prior year 6 Distributable Amount. Subtract line 5 from line 4, untess subject to emergency temporary reduction (see instructions) 6 7 Check here if the current year is the organization's first as a non-functionalIy?integrated Type supporting organization (see instructions). (h-th??L Schedule A (Form 990 or 2014 JSA 4E12312DOD . M261 PAGE 19 i. :51 MORE THAN ME (Form 990 or BSD-E2) 2014 Type lli Non-Functionality integrated 509(a)(3) Supporting Organizations (continued) V3. INC . 26-2599199 Page 7 Secton Distributions Current Year 1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform activity that direCtly furthers exempt purposes of supported organizations, in excess of income from activity Administrative expenses paid to accomplish exempt purposes of supported organizations COPY Amounts paid to acquire exempt-use assets Quaiified set?aside amounts (prior approval required) Other distributions (describe in Part Vi). See instructions. 0040:me (D Total annual distributions. Add lines 1 through 6. Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions. Distributabte amount for 2014 from Section C, tine 6 Line 8 amount divided by Line 9 amount Section - Distribution Allocations (see instructions) (0 Excess Distributions (ii) Underdistributions Fire-2014 Distributable Amount for 2014 Distributable amount for 2014 from Section C. line 6 Underdistributions, if any, for years prior to 2014 (reasonabie cause required-see instructions) 0) Excess distributions carryover, if any, to 2014: From 2013 Total of lines 3a through 9 Applied to underdistributions of prior years Applied to 2014 distributable amount Carryover from 2009 not applied (see instructions) Remainder. Subtract tines 39, 3h, and Bi from St. Distributions for 2014 from Section D, line 7: Applied to underdistributions of prior years Applied to 2014 distributable amount Remainder. Subtract lines 4a and 4b from 4. Remaining underdistributions for years prior to 2014, if any. Subtract lines 39 and 4a from iine 2 (if amount greater than zero, see instructions). Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greaterthan zero, see instructions). Excess distributions carryover to 2015. Add lines 3] and 4c. Breakdown of tine 7' Excess from 2013 . Excess from 2014 JSA 4E1232 3.000 0238KA M261 Schedule A {Form 990 or 990-EZ) 2014 PAGE 2 0 MORE THAN ME FOUNDATION, INC. 26~2599199 ScheduleA (Form 990 or 990- E2) 2014 Page 8 Supplemental information. Provide the explanations required by Part Ii, line 10; Part II iine 1751 or 17b; and Part fine 12 A130 compiete this part for any additionai information (See instructions). I COPY THE AUDIT OF THE BOOKS AND RECORDS OF THE FOUNDATION IS NOT YET COMPLETE BECAUSE OF A CHANGE IN ACCOUNTING THE INFORMATION CONTAINED IN SCHEDULE A, PART II MAY CHANGE AS A RESULT OF THE AUDIT. IT IS THE INTENTION OF THE FOUNDATION TO FILE AN AMENDED FORM 990, AS NECESSARY. ATTACHMENT 1 SCHEDULE A, PART II - OTHER INCOME DESCRIPTION 2010 2011 2012 2013 2014 TOTAL SFEAKING ENGAGEMENTS . . 5, 000 . 5, 000 . MISC. INCOME . I 2,538. 2,538. GUEST HOME INCOMETOTALS I I 9,261. 9.261. JSA Schedule A {Form 990 or 990-EZ) 2014 451225 3000 0238KA M261 PAGE 21 SCth?'9 3 . Schedule of Contributors mom 1545'0047' {Form 990, QQU-EZ, . . mm 0" Attach to Form 990, Form seo-Ez, or Form 990-PFartment of the Treasu . . . . . Mtg-ml Revenue Service information about Schedule (Form 990, or BSD-PF) and Its Instructions :5 at Name of the organization 1 number MORE THAN ME FOUNDATION, INC. 26?2599199 Organization type (check one): Filers of: Section:- Form 990 or 990-EZ 501(c)( 3 (enter number) organization 4947(a)(1) nonexem pt charitable trust not treated as a private foundation El 52'? political organization - Form BSD-PF 501(c)(3) exempt private foundation Cl 4947(a)(1) nonexempt charitable trust treated as a private foundation l:i 501(c)(3) taxable private foundation Check if your organization is covered by the General Rule or a Special Rule. Note. Only a section 501(c)(7). (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. Genera! Rule For an organization filing Form 990, QSO-EZ, or SQO-PF that received. during the year. contributions totaling $5.000 or more (in money or property) from any one contributor. Complete Parts I and il. See instructions for determining a contributor's total contributions. Special Ruies For an organization described in section 501(c)(3) Form 990 or that met the 33 its support test of the regulations under sections and that checked Schedule A (Form 990 or 990-EZ). Part ii. line 13. 16a. or 16b. and that received from any one contributor. during the year. total contributions of the greater of (1) $5.000 or (2) 2% of the amount on Form 990. Part Vlil, line 1h. or (ii) Forrn 990-EZ. line 1. Complete Parts land II. E, For an organization described in section 501(c)(7). (8). or (10) filing Form 990 or that received from any one contributor, during the year. total contributions of more than $1,000 exclusively for religious. charitable. scienti?c. literary. or educational purposes. or the prevention of crueity to children or animals. Complete Parts i, ll, and ill. For an organization described in section 501(c)(7). (8). or (10) filing Form 990 or QQO-EZ that received from any one contributor, during the year. contributions exclusively for religious. charitabie, etc. purposes. but no such contributions totaled more than $1,000. If this box is checked, enter here the totai contributions that were received during the year for an exclusively religious. charitable. etc. purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusiveiy religious. charitable, etc. contributions totaling $5.000 or more during the year 35 Caution. An organization that is not covered by the General Rule and/or the Special Ruies does not ?le Schedule (Form 990, 990-EZ. or BSD-PF). but it must answer "No" on Part 1V, tine 2, of its Form 990; or check the box on iine of its Form QQO-EZ or on its Form Part line 2. to certify that it does not meet the requirements of Schedule (Form 990. or sec-PF). For Paperwork Reduction Act Notice, see the instructions for Form 990, BSD-E2, or 990-PF. Schedule 13 (Form 990, 990-52, or BSD-PF) (2014) JSA 4E1251 2.000 0238KA M261 PAGE 22 Schedule (Form 990, SQO-EZ, or BSD-PF) (2014) Page 2 Name of organization MORE THAN ME FOUNDATION, INC . Employer identification number No. Name, address, and ZIP 4 Total contributions Type of conmution MOONDANCE FOUNDATION UNITED KINGDOM Noncash Person Payroll (Compiete Part II for n'oncash contributions.) No. Name, address, and ZIP 4 Total contributions Type of contribution Person Payroll - 2201 STREET NW 500,009; Noncash I WASHINGTON, DC 20520 (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 Totai contributions Type? of contribution I. 3? I EPPFPETE9F Person Payrotl I PO BOX 9910 316,839; Noncash RANCHO SANTA FE, CA 92067 (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 Total contributions Type of contribution 4 FIRE EYE CORAL GABLES, FL 33156 Noncash Person Payroll (Complete Part ii for noncash contributions.) No. Name, address, and ZIP 4 Total contributions Type of contribution 5? 99.013551 Person Payroll 3'923Noncash WASHINGTON DC 2 0 0 5 (Complete Part II for noncash contributions.) No. Name, address, and ZIP 4 Totai contributions Type of contribution ?3 9.1533459]. FELIPE: Person Payroll - 3730 WALNUT STREET 125,000: Noncash (Complete Part II for noncash contributions.) JSA 4512531000 0238KA M261 Schedule (Form 990, 990-22, or (2014} PAGE 2 3 Schedule a (Form 990, 990?52, or {2014) - page 2 Name of organization MORE THAN ME FOUNDATION INC . Empioyer identification number Contributors (see instructions). Use duplicate copies of Part I if additional space is nee - . - .-. No. Name, address, and ZIP 4 Total contributions Type of contrigution 7 CHRIS HOAR Person Payroll 2000 Noncash (Complete Part II for 99,. _8_0_2_1_0 noncash contributions.) (8) (C) No. Name, address, and ZIP 4 Total contributions Type of contribution 8 NOVO FOUN Person Payroll 5.3.5. 93?. 100 0 00 Noncash (Compiete Part 2! for 9193?: PE 3-99}? noncash contributions.) (C) No. Name, address, and 4 Total contributions Type of contribution Person -- Payroii EEPPEFWEPEFLAEYRW Noncash (Complete Part II for noncash contributions.) (8) (C) No. Name, address, and ZIP 4 Total contributions Type of contribution .19 931 FEE. FEED Person Payroll STE 350 Noncash (Compiete Part for 993 PEEL 999,51? noncash contributions.) (3) (C) No. Name, address, and ZIP 4 Total contributions Type of contribution . 11 NPS Person Payroll P533 PEEKNoncash (Compiete Part ii for 139995;? ?r 3?15: 922?}- noncash contributions.) (8) (C) No. Name, address, and 2113 4 Total contributions Type of contribution 12 SARA Person Payroll 4 000; Noncash (Complete Part II for FEEL 3993-3 noncash contributions.) JSA Schedule {Form 990, QSD-EZ, or SQD-PF) (2014} 4512531000 - 0238KA M261 PAGE 24 Schedule (Form 990, BSD-E2, or 990-PF) (2014) Name of organization MORE THAN ME FOUNDATION, INC. Page 3 Employer identification number 26~2599199 Noncash PrOperty (see instructions). Use duplicate copies of Part if additional space No. from Descri tion of - FMV (or estimatcj ct Part! noncas pr rty given (see instructions) a receive No. from Descri tion ofn I iv 11 FMV (or estimate) Part] oncas operty 9 (see instructions) a receive . No. (C) from Descri tion . FMV (or estimate) Part i noncas property given (see instructions) a receive NO. from Descri tion of FMV (or estimate) Date iv Part1 noncas property given (see instructions) ce No. from Descri ti :1 of FMV (or estimate) Date :Sie'ved Part I noncas property given (see instructions) I No. from Descri tion FMV (or estimate) Date :Sieived Part noncas property given (see instructions) JSA Schedule {Form 990, 990-EZ, or BSD-PF) (2014) 4E12541.000 0238M M261 PAGE 2 5 Schedule {Form 990. 990-EZ. or QQO-PF) (2014) Page 4 Name of?organization MORE THAN ME FOUNDATION, INC Employer identification number 26?2599199 Exclusivefy religious, charitabie, etc,, contributions to organizations described in section 501(c)(7), (8), or (1.0) that total more than $1,000 for the year from any one contributor. Complete columns through and the following line entry. For organizations completing Part enter the total of exclusively??FYb e, etc.,? contributions of $1,000 or less for the year. (Enter this information once. See instructi . Use dupiicate copies of Part lli if additional space is needed. No. froml Purpose of gift Use of gift Description of how gift is held Part Transfer ofgift Transferee's name, address, and ZIP 4 Relationship of transferor to transferee No. from Purpose of gift - Use of gift Description of how gift is held Part No. from Purpose of gift Use of gift Part 1 No. from Purpose of gift Use of gift Part I JSA Schedule (Form 990, 990-122, or {2014) 4E1255 1.000 0238KA M261 PAGE 26 SCHEDULE (Form 990) Department ofthe Treasury . . . . . Internal Revenue Service Information about Scheduie (Form 990) and Its Instructions 15 at - . OMB Supplemental Financial Statements >Complete if the organization answered "Yes" to Form 990, Part IV, line 8,7, 5* Attach to Form 990. Name of the organization Empi . . MORE ME FOUNDATION, INC. 26"2599199 Part! Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered ?Yes" to Form 990, Part iV, line 6. Donor advised funds Flinds and other accounts 1 Total number at end of year 2 Aggregate value of contributions to (during year) 3 ,Aggregatevalue of grants from (during year) . . 4 Aggregate value at end of year 5 Did the organization inform alt donors and donor advisers in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive iegai controlDid the organization inform all grantees, donors, and donor advisers in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? Cl Yes E, No Conservation Easements. Compiete if the organization answered "Yes? to Form 990, Part lV, tine 7. 't Pur ese(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use (eg, recreation or education) Preservation of a historicaliy important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space 2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in fe easement on the last day of the tax year. ?9'3 at the En? Om?! Tax Year a Total number of conservation easements Total acreage restricted by conservation easements Number of conservation easements on a certified historic structure included in 20 Number of conservation easements included in acquired after 8117i06, and not on a historic structure iisted in the National Register 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year 4 Number of states where property subject to conservation easement is located 5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holdsStaff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year . . 7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section and section 170thit4)(3)(ii)? Yes El No 9 in Part Xill, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization?s financial statements that describes the organization's accounting for conservation easements. Organizations Maintaining Collections of Art, Historicai Treasures, or Other Similar Assets. Complete if the organization answered ?Yes? to Form 990, Part IV, line 8. 1a if the organization elected, as permitted under SPAS 116 SASC 958), not to re pit in its revenue statement and balance sheet worlts 0 art, historical. treasures, or other Similar assets eld for pubtlc exhr tthh, education, or research In furtherance of public service, provide, in Part Xilt, the text of the footnote to its finanCIal statements that describes these Items. it the organization elected, as permitted under SFAS 118 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: Revenue included in Form 990, Part Vitt, line 1 (ii) Assets included in Form 990, PartX._ 3* 2 if the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS t16 (ASC 958) reiating to these items: 2 Revenue included in Form 990, Part line 1 3" Assets inciuded in Form 990, Part is? Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2014 4E1258 1.000 0238KA M261 PAGE 27 MORE THAN ME FOUNDATION, INC. 26-2599199 IU-Schedul {Form 990) 2014 Page 2 Part!? Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization?s acquisition, accession, and other records, check any of the following at are a significant use of its collection items (check all that apply): COP a? a Public exhibition Loan or exchange programs Schoiarty research Other Preservation for future generations 4 Provide a description of the organization's coilections and explain how they further the organization's exempt purpose in Part Xllt. 5 During the year did the organization solicit or receive donations of art historical treasures or other similar assets to be sold to raise funds rather than to be maintained as part of the organization? 8 collection? l?l Yes l?l No f'iParl: IV Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, PartX, line 21. 1a is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990. Part Yes No if "Yes." explain the arrangement in Part Xlil and complete the following table: Amount 0 Beginning balance 10 Additions during the year Distributions during the year 1e Ending balance 1f 2a Did the organization include an amount on Form 990 Part X, line 21, for escrow or custodial account liability? Yes No if "Yes explain the arrangement in Part Check here if the explanation has been provided in Part Endowment Funds Complete if the organization answered "Yes" to Form 990 Part IV line 10. Current year Prior year Two years back Three years back (9) Four years back 1a Beginning of year balance Contributions 0 Net investment earnings, gains, and losses 2 Provide the estimated percentage of the current year end balance (line 1g. column held'as: a Board designated or quasi-endowment Permanent endowment Temporarily restricted endowment The percentages in tines 2a, 2b, and 20 should equal 100%. 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: Yes No unrelated organizations 3a(i) (ii) related organizations aalii) if ?Yes" to Baal), are the related organizations listed as required on Schedule 3b Describe in Part Xill the intended uses of the organization's endowment funds. Land, Buildings, and Egui ment . Complete ift organizatpon answered "Yes" to Form 990, Part IV, line Me. See Form 990 Part X, line 10. Description Of property Cost or other basis Cost or other basis Accumulated Book value (investment) (other) de reciation '33 Land 1? Leasehold improvements 61, 250 . 61, 250 . Equipment 35,818. 35,818. Other 91,395. 19,190. 72,205. Total. Add Iines ?la through te. (Column must equal Form 990, PartX, column (8), line Br 169: 273 - Schedule (Form 990} 2014 JSA 4512591000 0238KA M261 PAGE 28 MORE THAN ME FOUNDATION, INC. 26*2599199 Shuedle .0 (Form 990) 2014 Page 3 PartVtE investments Other Securities. Complete if the organization answered "Yes" to Form 990, Part IV, line 11b. See Form 990, Part X, Iine 12. Description of security or category Book value - Methcd of valuation: (including name of security) Cost or end~o ~y - (1) Financial derivatives (2) Closely?held equity interests (3) Other Total. (Column must equal Form 990, Pan?X, col. (B) line 12.) Part Investments Program Related. Com piete if the organization answered "Yes" to Form 990, Part IV, line 110. See Form 990, Part X, line 13. Description of investment Book value Method of valuation: Cost or end~of~year market value (9) Total. (Cotumn mustequaIFon-n 990, Pan?X, cot (B) ?ne 13.) 'Part :x Other Assets. Com lete if the organization answered "Yes" to Form 990, Part IV, line 11:21. See Form 990, Part X, line 15. a Descri Book value 8 9 Total. Column I: must ual Form 990, PartX, cot 5 fine 15 Other Liabilities. Comptete if the organization answered "Yes" to Form 990, Part IV, tine He or 11f. See Form 990, Part X, Iine 25. (a Descri on of Ii (b Book value Federal income taxes 8 9 Total. Column must Form 990, Pan?X, col. line 25. 2. Liability for uncertain tax positions. In Part provide the text of the footnote to the organization's financial statements that reports the organization's liabitity for uncertain tax positions under FIN 48 (A80 740). Check here if the text of the footnote has been provided in Part I 1%?279 1000 Schedule (Form 990) 2014 0238KA M261 PAGE 29 MORE THAN ME FOUNDATION, INC. 2 hedule (Form 990)2014 I: Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered "Yes" to Form 990 Part IV. line 12a. 6-2599199 Page4 1 Total revenue, gains, and other support per audited ?nancial statements Amounts inciuded on Iine 1 but not on Form 990, Part line 12: Net unrealized gains (tosses) on investments 2a Donated services and use of facilities 2h Recoveries of prior year grants 2c Other (Describe in Part . Add lines 2a through 2d {139.059.} 4 Amounts included on Form 990, Part 12, but not on line 1: a Investment expenses not included on Form 990, Part Iine 7b 4a Other (Describe in Part 4b Add tines 4a and 4b 4c 5 Patti-XII Reconciliation of Expenses per Audited Financiai Statements With Expenses per Return. Complete If the organization answered "Yes? to Form 990, Part IV. line 12a. 1 Totai expenses and losses per audited ?nancial statements 1 Amounts included on line 1 but not on Form 990, Part iX, line 25: Donated services and use of facilities Prior year adjustments Other losses Other (Describe In Part Add lines 2a through 2d to Subtractlinezefromlinet 4 Amounts included on Form 990 Part 1X line 25. but not on line a Investment expenses not included on Form 990, Part tine 75 Other (Describe in Part I Add lines 4a and 4b Provide the descriptions required for Part Ii, lines 3 5 and 9; Part tines 1a and 4; Part IV lines 1b and 2b; line 4; PartX line 2; Part XI, lines 2d and 4p; and Part XII tines 2d and 4b Also complete this part to provide any additional information PART - LINE 2 COMMENCED. THEREFORE, THE TAX FOOTNOTE IS NOT YET COMPLETE. JSA 4E1271 1.000 0238KA M261 Schedule (Form 990) 2014 PAGE 3 0 wchdul (Form 990) 2014 MORE THAN ME FOUNDATION INC . Page 5 Partx?i Suppiementai information (continued) COPY Scheduie {Form.990} 2014 JSA 4512251000 02381303 M261 PAGE 31 OMB No. 1545-0047 2?14 SCHEDULE (Form 990) Statement of Activities Outside the United States Complete if the organization answered "Yes" on Form 990, Part IV, line 14b, 15, or 16. Attach to Form 990. Information about Schedule (Form 990) and its instructions is at Department of the Treasury Internal Revenue Service Name of the organization Em MORE THAN ME FOUNDATION, INC. 26?2599199 General information on Activities Outside the United States. Compiete if the organization answered ?Yes" on Form 990. Part IV, line 14b. 1 For grantmakers. Does the organization maintain records to substantiate the amount of its grants and other assistance, the grantees' eligibility for the grants or assistance, and the seiection criteria used to award the grants or assistance? .Yes END 2 For grantmakers. Describe in Part the organization's procedures for monitoring the use of its grants and other assistance outside the United States. 3 Activities per Region. (The following Part l, line 3 table can be duplicated if additional space is needed.) Region Number of Number of Activities conducted in If activity listed in is it} Total offices in the empioyees. region (by type) a program service. expenditures for region agents, and fundraising, program services, describe speci?c type of and investments independent investments, service(s) in region in region contractors grants to recipients in region located in the region) (1) AFRICA 1. 26. PROGRAM SERVICES 955, 366. AFRICA GRANTMAKING 295, 168 . (3) (4) (5) (6) (7) (3) (9) (10) (11) (12) (13) (14) (15) (16) {17) 33 Sub-total 1. 26. 1, 250r 534. Total from continuation sheets to Part I Totals (add lines 3a and 3b) 1. 26. 1.250, 534. For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2014 JSA 4E1274 1.000 0238KA M261 PAGE 32 MORE THAN ME FOUNDATION, INC. 26?2599199 (Form 990} 2014 Page? '5 Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part lV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed. Schedule . Method of 1 Name of (in) IRS code Region Purpose of Amount of if) Manner of Amount of (hi valuation organization section and EIN grant cash grant . 033? 0f non-cash (book. FMV, (if applicable) disbursement asSIstance assastance appraisal, other) 215, 839. ?e ?33. sex-see 2 Enter total number of recipient organizations iisted above that are recognized as charities by the foreign country, recognized as tax-exempt by the 1R3. or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter. ?2 - 3 3* Schedule {Form 990} 2014 JSA . 0238M M261 PAGE 33 MORE THAN INC. 26?2599199 Schedule (Form 990) 2014 Page?) rt ?Ill? Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes? on Form 990, Part 1V line 16. Part can be duplicated if additional space is needed Manner of Amount of (9) Description Method of Type of grant or assistance Region to} Num her of Amount of cash non-cash of non-cash valuation recipients cash grant disbursement assistance assistance (book, FMV. appraisal. other) (1) STUDENT UNIFORMS AFRICA 2,737. (2) GRANTS AFRICA 456. (3) STUDENT SHOES AFRICA 369. (4) (5) (3) (7) (3) (9) (10) (11) (12) (13) {14) (15) (15) (17) COPY (13) Schedule {Form 990) 2014 JSA 4E12761.000 0238KA M261 PAGE 34 MORE THAN ME FOUNDATION, INC. 26"2599199 (Form 990) 2014 Page 4 Foreign Forms 1 Was the organization a US. transferor of property to a foreign corporation during the tax year? it "Yes,' the organization may be required to ?le Form 926, Return by a US. Transferor of Property to a Foreign Corporation (see instructions for Form 92 6) No 2 Did the organization have an interest in a foreign trust during the tax year? if "Yes," the organization may be required to fiie Form 3520, Annuai Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annuai information Return of Foreign Trust With a US. Owner (see instructions for Forms 3520 and do not fiie with Form 990) E, Yes No 3 Did the organization have an ownership interest in a foreign corporation during the tax year? if "Yes, the organization may be required to fiie Form 54 7t information Return of US. Persons With Respect To Certain Foreign Corporations (see instructions for Form 5471 Yes No 4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? it "Yes, the organization may be required to fiie Form 8621, information Return by a Sharehoider of a Passive Foreign investment Company or Quaiified Eiecting Fund (see instructions forForm 8621) Yes No 5 Did the organization have an ownership interest in a foreign partnership during the tax year? if "Yes," the organization may be required to fiie Form 8865, Return of US. Persons With Respect To Certain Foreign Partnerships {see instructions for Form 8865) Yes No 6 Did the organization have any operations in or related to any boycotting countries during the tax year? if ?Yes," the organization may be required to fiie Form 5713, internationai Boycott Report (see instructions for Form 5713; do not fiie with Form 990) Yes No Schedule (Form 990} 2014 JSA 4512771000 238KA M261 PAGE 35 MORE THAN ME FOUNDATION, INC. 26?2599199 Schedule-F (Form 990) 2014 Page 5 Supplemental Information Compiete this part to provide the information required by Part I line 2 (monitoring of funds); Part] line 3 column (accounting method; amounts of expenditures per regIon) Part II ine1 (acc nn?ring method) Pa Ili (accounting method); and Part column (0) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions). . . PART I LINE 2 THE FOUNDATION HAD TWO AGENTS IN LIBERIA WHO MONITORED THE SCHOLARSHIP RECIPIENTS TO ENSURE THEY WERE ATTENDING SCHOOL. THE AUDIT OF THE BOOKS AND RECORDS OF THE FOUNDATION IS NOT YET COMPLETE BECAUSE OF A CHANGE IN ACCOUNTING THE INFORMATION CONTAINED WITHIN SCHEDULE MAY CHANGE UPON COMPLETION OF THE AUDIT. IT IS THE INTENTION OF THE FOUNDATION TO FILE AN AMENDED FORM 990, AS NECESSARY. .ISA Scheduie {Form 990) 2014 4515021?000 0238KA M261 PAGE 36 SCHEDULEI Grants and Other Assistance to Organizations, I OMB No 1545-0047 (Form 990) . Governments, and Individuals in the United States 2?14 Complete if the organization answered ?Yes" to Form 990, Part 1V, line 21 or 22. Attach to Form 990. Open to Public Department of the Treasury . . Internal Revenue Service information about Schedule (Form 990) and its instructions is at I?Spectmn Name of the organization Employer identi?cation number MORE THAN ME FOUNDATEON, INC. . 26-2599199 General Information on Grants and Assistance 1 Does the organization maintain records to substantiate the. amount of the grants or assistance. the grantees? eligibility for the grants or assistance?Yes _[:iN0 2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States. Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered ?Yes? to Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part It can be duplicated if additional space is needed. 1 Name and address of organization EIN to) RC section Amount of cash Amount of non- Description of Purpose ofgrant or government if applicable grant cash assistance other} non-cash assistance or assistance (1) MERCY CORPS 45 SW ANKENY ST. PORTLAND, OR 97204 911148123 501m) 75,717. GENERAL SUPPORT l2) (4) (5i (6) (7) (3) (9) {10} (11} (12) - "6 2 Enter total number of section 501(c)(3) and government organizations listed in the line?itable . . . . . . For Paperwork Reduction Act Notice, see the instructions for Form 5190. Schedule I {Form 990} {2014} JSA 4E12881.0DG OZBBKA M261 PAGE 37 MORE THAN ME FOUNDATION, INC. 26?2599199 Schedule I (Form 990) (2014) Page 2 IfP-art'ill'i' Grants and Other Assistance to Individuals in the United States. Complete if the organization answered ?Yes? on Form 990, Part IV, line 22. Part can be duplicated if additional space is needed. Type of grant or assistance Member of Amount of Amount of Method of valuation (book. Description of non-cash assistance cash grant non?cash assistance FMV. appraisal, other) Supplemental Information. Complete this part to provide the information required in Part 1, line 2, Part ill, column and any other additional- information. PART I LINE 2 THE AUDIT OF THE BOOKS AND RECORDS OF THE FOUNDATION IS NOT YET COMPLETE BECAUSE OF A CHANGE IN ACCOUNTING THE INFORMATION CONTAINED WITHIN SCHEDULE I MAY CHANGE UPON COMPLETION OF THE AUDIT. IT IS THE INTENTION OF THE FOUNDATION TO FILE AN AMENDED FORM 990, AS NECESSARY. COPY Schedule I {Form 990) {2014} JSA 4E1504 Loon . 0238KA M261 PAGE 38 SCHEDULE 0 OMB No. 1545?0047 Supplemental Information to Form 990 or 990-EZ (Forn1990 or990-EZ) Complete to provide information for responses to specific questions on Departmemme Treasury Form 990 or 990-EZ or to provide any additional information. lnternai Revenue Service . >Attach to Form 990 Of 990-EZ. Name of the organization MORE THAN ME FOUNDATION, INC. 26 PART - LINE 1 MORE THAN ME FOUNDATION, INC. PRIMARY CHARITABLE PURPOSE IS TO MAKE SURE EDUCATION AND OPPORTUNITY, NOT EXPLOITATION AND POVERTY, DEFINE THE LIVES OF THE MOST VULNERABLE GIRLS FROM LIBERIA. THE FOUNDATION PROVIDES EDUCATION AND EDUCATION RELATED SERVICES TO VULNERABLE GIRLS AND YOUNG WOMEN IN MONROVIA, LIBERIA. PART - LINE 2 LINE 3 THE EBOLA EPIDEMIC FORCED ALL SCHOOLS TO CLOSE, SO THE FOUNDATION TRANSFORMED INTO AN EBOLA RESPONSE PARTNER ON THE GROUND, PROVIDING FUNDING, AN OUTREACH CENTER AND CRISIS SHELTER FOR CHILDREN ORPHANED WITHOUT OPPORTUNITY TO BE CARED FOR BY OTHER SERVICES. THE FOUNDATION REORENED IN MARCH 2015 WHEN THE EPIDEMIC SUBSIDED AND EBOLA RELATED SERVICES CAME TO AN END. PART VI, SECTION A. QUESTION 2 KATIE BORGHESE (CHAIR) AND SCIPIONE BORGHESE (BOARD MEMBER) HAVE A FAMILY RELATIONSHIP. PART VI, SECTION B. QUESTION 11B NO REVIEW WAS OR WILL BE PERFORMED BY THE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. PART VI, SECTION B. - QUESTION 12C For Privacy Act and Papemork Reduction Act Notice, see the Instructions for Form 990 or BSD-E2. Schedule 0 (Form 990 or 990-EZ) {2014} 4 E1 .000 0238KA M261 PAGE 39 Schedule 0 (Form 990 or QQO-EZ) 2014 Page 2 Name of the organization Employer identi?cation number MORE THAN ME FOUNDATION, INC. 26-2599199 THE FOUNDATION CONDUCTS REGULAR BOARD MEETINGS TO DISCUSS ITEMS OF i IMPORTANCE, INCLUDING POTENTIAL BUSINESS TRANSACTIONS THAT MAY RESULT IN CONFLICTS OF INTEREST. PART VI, SECTION B. - QUESTIONS 15A 15B COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS DETERMINED BASED ON COMPARISON WITH OTHER SALARIES AND DOCUMENTED VIA BOARD RESOLUTION. PART VI, SECTION C. QUESTION I9 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII THE AUDIT OF THE BOOKS AND RECORDS OF THE FOUNDATION IS NOT YET COMPLETE BECAUSE OF A CHANGE IN ACCOUNTING THE INFORMATION CONTAINED MAY CHANGE UPON COMPLETION OF THE AUDIT. PART XI - LINE 9 UNRECONCILED DIFFERENCE DUE TO UNAUDITED FIGURES: 10,610. PART THROUGH PART XII THE FINANCIAL STATEMENTS OF THE FOUNDATION ARE PRESENTLY BEING AUDITED BY A CERTIFIED PUBLIC ACCOUNTING FIRM. FINANCIAL INFORMATION CONTAINED IN THIS FORM 990 HAS BEEN PREPARED EXCLUSIVELY BASED ON UNAUDITED INFORMATION PROVIDED BY THE FOUNDATION AS THE AUDIT HAS NOT YET JSA Schedule 0 (Form 990 or 2014 4E1228 1.000 0238KA M261 PAGE 40 Schedule 0 (Form 990 or QQO-EZ) 2014 Page 2 Name of the organization Employer identi?cation number MORE THAN ME FOUNDATION, INC. 26-2599199 BEEN COMPLETED. TO THE EXTENT THAT THE PRESENTEDCOI i HEREIN IS REVISED BECAUSE OF THE AUDIT OR THE AUDIT RESULTS IN A CHANGE TO ANY PORTION OF THIS FORM 990, IT IS INTENTION OF THE FOUNDATION TO FILE AN AMENDED FORM 990, AS NECESSARY. ATTACHMENT 1 FORM 990, PART IX - OTHER EXPENSES (A) (B) (C) (D) TOTAL PROGRAM MANAGEMENT FUNDRAISING DESCRIPTION EXPENSES SERVICE EXP. AND GENERAL EXPENSES VEHICLES EXPENSE 98,412. 95,182. 1,615. 1,615. AMBULANCE 36,021. 36,021. EMERGENCY RESPONSE 60,484. 60,484. HOME HEALTH CARE 34,180. 34,180. HOUSEHOLD COMMUNICATION 4,019. 4,019. OUTREACH 58,146. 58,146. VOLUNTEER STAFF FEEDING 12,844. 12,844. CONSTRUCTION 24,159. 24,159. FEEDING PROGRAM '7,850. 7,850. OTHER EXPENSES 18,291. 18,291. TOTALS 354,406. 351,176. 1,615. 1,615. JSA Schedule 0 (Form 990 or 2014 4E12281.000 0238KA M261 PAGE 41 Form sass (Rev. 1-2014} Page 2 if you are for an Additional (Not Automatic) 3-Month Extension, complete only Part and check this box Note. Only complete Part ii if you have already been granted an automatic 3?month extension on a previously filed Form 8868. if ou are filing for an Automatic 3-Month Extension, complete only Part 1 (on page 1). Part ii Additional (Not Automatic) 3-Month Extension of Time. Oniy file the original (no cit . Enter filer's 20mm Name of exempt organization or other filer, see instructions. Employer i ientification number (Elli) or Type or print . MORE THAN ME FOUNDATION, INC. 26?2599199 Number, street, and room or suite no. if a PO. box, see instructions. Social security number (SSN) SE: 150 ROAD 218952; City. town or post office, state. and ZIP code. For a foreign address. see instructions. instructions. BERNARDSVILLE, NJ 07 924 Enter the Return code for the return that this application is for (file a separate application for each return) I 0 I I Application Return Application Return is For . Code I Form 990 or Form QQO-EZ 01 Form 990-81. 02 Form 08 Form 4720 (individuai) 03 Form 4720 (other than individual) 09 Form 990-PF 04 Form 522? 10 Form 990-1" (sec. 401(3) or 408(a) trust) 05 Form 6069 ?l 1 Form 990-?? (trust other than above) 06 Form 8870 12 Do not compiete Part ii if you were not already granted an automatic 3-month extension on a previously filed Form 8868. 0 The books are in the care of Telephone No. . Fax No. a if the organization does not have an office or place of business in the United States, check this box it? if this is for a Group Return, enter the organization?s four digit Group Exemption Number (GEN) . if this is for the whole group, check this box . if it is for part of the group, check this box i and attach a list with the names and EiNs of ail members the extension is for. .I 4 1 request an additional 3-month extension of time until 05/ 15 20 16 5 For caiendar year or other tax year beginning 07/01 20 14 . and ending 06/30 20 15 6 if the tax year entered in iine 5 is for less than 12 months, check reason: Initial return Final return Change in accounting period 7 State in detail why you need the extension ALL THE INFORMATION NECESSARY TO COMPLETE THE RETURN IS NOT AND WILL NOT BE AVAILABLE BY THE DUE DATE. THEREFORE WE RESPECTIVELY REQUEST ADDITIONAL TIME TO COMPLETE THE RETURN. 8a if this application is for Forms 990-BL, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. 0 It this application is for Forms 990-PF, sec?T. 4720, or 6069, enter any refundable credits and estimated tax payments made. include any prior year overpayment aiiowed as a credit and any amount paid previousiy with Form 8868. 0 Baiance Due. Subtract line 8b from line 8a. inciude your payment with this form, if required, by using (Electronic Federal Tax Payment System). See instructions. 8c 0 Signature and Verification must be compieted for Part II oniy. Under penalties of perjury. deciare that I have examined this form. inciuding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct. and complete. and that I am authorized to prepare this form. Signature 5 Title Date Form 8868 (Rev. 1-2014) JSA 4F3055 1.000 PAGE 3. Fm 8868 Application for Extension _of Time To File an (Rev. January 2014) Exempt Organization Return OMB No.1545_1709 Department of the Treasury File a separate applicatiqn for each return. internal Revenue Service Information about Form 8863 and its instructions Automatic 3~Month Extension, comptete only Part I and check this box . a If you are for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 1 i . Do not compiete Part ii uniess you have already been granted an automatic 3-month extension on a previi usly ?led Form 8868. Electronic filing (e-tiie). You can electronicaily file Form 8868 if you need a 3-month automatic extension of time to fiie (6 months for a corporation required to file Form 990?1?), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension of time to fiie any of the forms tisted in Part 1 or Part il with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the RS in paper format (see instructions). For more details on the electronic filing of this form. visit and click on for Charities Nonprofits. Automatic 3-Month Extension of Time. Oniy submit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete Part I only -. At! other corporations (inciuding 1120-0 titers), partnerships, and trusts must use Form 7004 to request an extension of time to his income tax returns. Enter ?ler's identifying number, see instructions Name of exempt organization or other filer, see instructions. Employer identification number or Type or Print MORE THAN ME FOUNDATION, INC. 26?2599199 Egg?? Number, street, and room or suite no. If a PO. box, see instructions. 300533 security number {334) ? ing you, 150 MORRISTOWN ROAD ?gmc?frfs. City, town or post office, state, and code. For a foreign address, see instructions. BERNARDSVILLE, NJ 07924 Enter the Return code for the return that this application is for (file a separate application for each returnApplication Return Appiication Return Is For Code is For Code Form 990 or Form 990-EZ 01 Form 990-T (corporation) 07 Form 990-BL 02 Form 1041-A 08 Form 4720 (individual) 03 Form?4720 (other than individuat) 09 Form 04 Form 5227 10 Form 990-T (sec. 401(a) or 408(a) trust) 05 Form 6069 . 11 Form 990-T (trust other than above) 06 Form 8870 12 - CATHERINE MITCHELL, 415-343-5632 - The books are in the core of ?ssure are assays. assays. nonsense: Telephone No. FAX No. Q. If the organization does not have an office or piece of business in the United States. check this box if this is for a Group Return, enter the organization?s four digit Group Exemption Number (GEN) . If this is for the whole group, check this box . If it is for part of the group, check this box I I and attach a list with the names and am of ail members the extension is for. 1 i request an automatic 3?month (6 months for a corporation required to file Form 990-T) extension of time 20 to file the exempt organization return for the organization named above. The extension is for the organization's return for: I calendar year 20 or tax year beginning 0_ 1/31", 203.4: and 20}? 2 if the tax year entered in line 1 is for less than 12. months, check reason: initial return [3 Fine! return Change in accounting period 3a if this application is for Form 990-81.. 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions. 3a . 0 If this application is for Form BSD-PF, 4720, or 6069, enter any retundabie credits and estimated tax payments made. lnciude any prior year overpayment allowed as a credit. 31) 0 Balance due. Subtract line 3b from tine 3a. include your payment with this form, if required, by using EFTPS (Electronic Federai Tax Payment System). See instructions. - 3c 0 Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2014) JSA 4F8054 icon 0238KA M261 PAGE 1