Return of Organization Exempt From Income Tax OMB NO 154 5-0047 -8 Under section 501(c). 527, or 4947(a)(1) of the Internal Revenue Code (except black Iun I I benefit trust or private foundation) Open to Pubnc Department of the Treasury Iriemal Revenue service The organization may have to use a copy of this return to satisfy state reporting requirements Inspection A For the 2010 calendar year, or tax year beginning 2010, and ending 20 Name of organlzatmn Employer identification number INTERNATIONAL CONSERVATION CAUCUS FOUNDATION 83-044 917 6 23:3? Doing Business As Name change Number and street (or 0 box if mail is not delivered to street address) Roomlsuite Telephone number Iriitialrelu1'i 3250 PROSPECT STREET NW (202) 471-4222 City or town. state or country. and ZIP 4 WASHINGTON, DC 20007 Gross receipts 1, 082, 065. Name and address of pnncipal officer H13) return for Yes No H(b) Are all atli|ialesincluded501(c)(3) I I 501(c)( 1 (insert no) I I 4947(a)(1) or I I 527 3'5! (589 Website: . I CC FOUNDAT ION . US H(c) Group exemption number Form of organization I I Corporation I I TrustI I Association I I Other I Year of formation 200 6I State of legal domicile DC Summary 1 Briefly describe the organization's mission or most significant activities 0 THE FOUNDATION WAS ORGANI ZED TO EDUCATE THE PUBLIC ON GLOBAL 3 CONSERVATION ISSUES . THE MISSION IS TO ESTABLISH A NEW VISION FOR in THE SOUND MANAGEMANIE P539. 3 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 05 3 Number of voting members of the governing body (Part VI, line 1a) . 3 5 - 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 5 - 5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) 5 5 - 2 6 Total number of volunteers (estimate if necessary) 6 Ta Total gross unrelated business revenue from Part column (C), line 12 7a Net unrelated business taxable income from Form 990-T, line Prior Year Current Year a, 8 Contributions and grants (PartVl|l, line 1h) I . 1: 145: 450- 1: 082: 019- 9 Program service revenue (Part line 2gInvestment income (Part column (A), lines 3, 4, and 7dOther revenue (Part column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 - 0 . 12 Total revenue - add lines 8 through 11 (must equal Part column (A). line 12Grants and similar amounts paid (Part IX. column (A), lines 1-Benefits paid to or for members (Part IX, column (A), line Salaries, other compensation, employee benefits (Part IX. column (A), lines 5-1016a Professional fundraising fees (Part IX, column (A), line He) 0 - 0 . Total fundraising expenses (Parit IX. Lu 1 7 Other expenses (Part IX, columln 'Total expenses Add lines equal Part IX, column 25Revenue less expenses . -f_r_1I I Beginning of Current Year End of Year In I 271% 2? T0ta' assets (Part X. rune 16Total liabilities(PartX. |ine26)_ I 118,566. 109,484. 22 Net assets or fund balances Subtract line 21 from line Part II 2, Under penalties o_f per ry, I de are hatl have ined this um, ingluding acc a ying schedules and statements, and to the best of my knowledge and belief. it is tnie. correct. and comple Declara on preparer 'nth tha IS basefi form ion of which preparer has any knowledge I Sign Here Signature ofiicer Date ~39 IrcSiA(7~n5I2 Type or priI'it name and title Lu preparers name Pre er's si nature Date Check if PTIN self- oseeu it'. 50.4: cnm0?,4 sign. emwoved P000353 68 <3 use om BERLIN, RAMOS cqt51%NY, t5.A. Firrn'sE|N 52-13677-49 Z.-.- 8 address 5 11200 ROCKVILLE PIKE STE 400 ROCKVILLE, MD 20852 Phone no 301 . 58 9 . 9000 May the IRS discuss this return with the preparer shown above'? (see instructionsFor Paperwork Reduction Act Notice, see the separate instructions. Fomn 990 (2010) JSA -17 0E1010 1 000 I 1 6 142040 2Y72 433475-108 PAGE 2 Form 990 (2010) Page 2 Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part Ill . . . . . . . . . . . . . . . . . . . . . . . . 1 Briefly describe the organization's mission SEE PART I LINE I FOR A DESCIPTION OF THE MISSION. 2 Did the organization undertake any significant program services during the year which were not listed on the prlor Form 990 "Yes," describe these new services on Schedule 0 3 Did the organization cease conducting, or make significant changes In how it conducts, any program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |:|Yes No If "Yes," describe these changes on Schedule 0. 4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported 4a (Code )(Expenses 911,663. Including grants of$ )(Revenue TO EDUCATE THE PUBLIC ON GLOBAL CONSERVATION ISSUES. THIS IS DONE BY HOSTING EDUCATIONAL EVENTS SUCH AS MEETINGS, BRIEFINGS, AND PUBLIC SPEAKERS. 4b (Code (Expenses Including grants of (Revenue 4c (Code (Expenses including grants of (Revenue 4d Other program services (Describe in Schedule 0 (Expenses including grants of (Revenue 4e Total program service expenses 91 1 663 . JSA Form 990 (2010) OE1020 1 000 142040 2Y72 433475-108 PAGE 3 Form 990 (2010) I\_l Checklist of Required Schedules Page 3 Yes No Is the organization described in section 501(c)(3) or (other than a private foundation)? If "Yes," complete Schedule the organization required to complete Schedule B, Schedule of Contributors'? (see instructionsDid the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? lf "Yes,"complete Schedule C, PartSection 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year'? If "Yes,"complete Schedule C, Panthe organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19'? If "Yes," complete Schedule C, PanDid the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, PartDid the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures'? If "Yes," complete Schedule D, Part Did the organization maintain collections of works of art, historical treasures, or other similar assets'? If "Yes," complete Schedule D, Part . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Did the organization report an amount in Part X, line 21, serve as a custodian for amounts not listed in Pait X, or provide credit counseling, debt management, credit repair, or debt negotiation services'? If "Yes," complete Schedule D, Part Did the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments'? If complete Schedule D, Part 1 11 If the organization's answer to any of the following questions IS "Yes," then complete Schedule D, Parts VI, 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 D, Part 11a Did the organization report an amount for investments--other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16'? If "Yes, complete Schedule D, Pan' 1 1 Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16'? lf "Yes," complete Schedule D, Part 1 1 Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16'? If "Yes, complete Schedule D, Part IX 11d Did the organization report an amount for other liabilities in Part X, line 25'? If "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 (ASC 740)'? If "Yes,"complete Schedule D, Pan'X 1 1 1 2a Did the organization obtain separate, independent audited financial statements for the tax year? lf"Yes," complete Schedule D, Parts Xl, Xll12a Was the organization included in consolidated, independent audited financial statements for the tax year'? lf "Yes,"and if the organization answered "No" to line 12a, then completing Schedule D, Parts Xl, Xll, and is optional . . . . . . . . . . . . 12b 13 Is the organization a school described in section lf "Yes,"complele Schedule . . . . . . . . . . 1 3 14a Did the organization maintain an office, employees, or agents outside of the United States14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States'? If "Yes,"complete Schedule F, Parts land IV - - 14b 15 Did the organization report on Part IX. column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States'? If "Yes," complete Schedule F, Parts Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If "Yes," complete Schedule F, Parts Ill and 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 11e'? If "Yes,"complete Schedule G, Pan' I (see instructionsDid the organization report more than $15,000 total of fundraising event gross income and contributions on Part lines 1c and 8a? If "Yes, complete Schedule G, Part Did the organization report more than $15,000 of gross income from gaming activities on Part line 9a'? lf "Yes,"complete Schedule G, Part . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 9 20a Did the organization operate one or more hospitals'? lf "Yes,"complete Schedule . . . . . . . . . . . . . . . . . 20a If "Yes" to line 20a, did the organization attach its audited financial statements to this return'? Note. Some Form 990 filers that operate one or more hospitals must attach audited financial statements (see instructions) . . . . . 20b JSA Fomi 990 (2010) 0E1021 1 000 142040 2Y72 433475-108 Form 990 (2010) Page 4 Checklist of Required Schedules (continued) Yes No 21 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If "Yes,"complete Schedule I, Parts land Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts land . . . . . . . . . . . . . . . . . . . . . . 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? If "Y9S."C0mplete ScheduleJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 23 24a 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? If "Yes," answer lines 24b through 24d and complete Schedule If "No,"go to line 24a Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds246 Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year2461 25a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part the organization aware that it engaged in an excess benefit transaction a drsquallfied person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or If "Yes," complete Schedule L, Part loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes, "complete Schedule L, Part ll . 25 27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? lf "Yes,"complete Schedule L, Part . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 28 Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV Instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Par1lV . . . . . . . . 288 A family member of a current or former officer, drrector, trustee, or key employee? If "Yes," complete Schedule Panentity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part Did the organization receive more than $25,000 in non--cash contributions? If "Yes," complete Schedule 29 30 Did the organization receive contributions of art, hlStOl'|Ca| treasures, or other simllar assets, or qualified conservation contributions? If "Yes," complete Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 31 Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Partl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 T701--2 and If "Yes," complete Schedule R, Partl . . . . . . . . . . . . . . . . . . . . . 33 34 Was the organization related to any tax-exempt or taxable If "Yes," complete Schedule R, Parts II, IV, and V, lrne any related organrzation a controlled entity Within the meaning of section 512(b)(13)? 35 a Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, PaSection 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes,"complete Schedule R, Part V, llne 2 36 37 Did the organization conduct more than 5% of its aCt|VltIeS through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule Partvl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19? Note. All Form 990 frlers are required to complete Schedule Fonn 990 (2010) JSA 0E10301000 142040 2Y72 433475-108 PAGE 5 Form 990 (2010) Page 5 Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response to any question in this Part . . . . . . . . . . . . . . . . . . . . . . Yes No 1'a Enter the number reported In Box 3 of Form 1096 Enter -0- if not applicable 1a 0 Enter the number of Forms W-2G included in line 1a Enter -0- if not applicable 1b 0 Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? 1 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements. filed for the calendar year ending with or within the year covered by this return 2a 5 If at least one is reported on line 2a. did the organization file all required federal employment tax returns? 2b Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see Instructions) I 3a Did the organization have unrelated business gross Income of $1 or more during the year? 3a If "Yes," has It filed a Form 990-T for this year? If "No,"provide an explanation In Schedule 0 3b 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 financial account"Yes," enter the name of the foreign country See instructions for filing requirements for Form TD 90-22 1, Report of Foreign Bank and Financial Accounts 5a Was the organization a party to a prohibited tax shelter transaction at anytime during the tax year? 5a Did any taxable party notify the organization that It was or is a party to a prohibited tax shelter transaction? 5b If "Yes," to line 5a or 5b, did the organization file Form 5c 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? 6a If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductibleOrganizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment In excess of $75 made partly as a contribution and partly for goods and services provided to the payer"Yes," did the organization notify the donor of the value of the goods or services provided? 7b Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282"Yes," Indicate the number of Forms 8282 filed during the year I 7d I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? Te Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7 If the organization received a contribution of cars, boats. airplanes, or other vehicles, did the organization file a Form Th 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting 9' organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring .3 organization, have excess business holdings at any time during the yeai'? 8 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions under section 4966? 9a Did the organization make a distribution to a donor, donor advisor, or related person? 9b 10 Section 501(c)(7) organizations. Enter' a Initiation fees and capital contributions Included on Part line 12 10a Gross receipts, Included on Form 990. Part line 12, for public use of club facilities 10b 11 Section 5D1(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 11b I 12a Section 494T(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? 12a If "Yes," enter the amount of tax--exempt interest received or accrued during the year 1 2b 13 Section 501 qualified nonprofit health insurance issuers. I a Is the organization licensed to Issue qualified health plans In more than one state? 13a 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 licensed to issue qualified health plans 13b I Enter the amount of reserves on hand 13c ti 14a Did the organization receive any payments for indoor tanning services during the tax year? 1 4a If "Yes," has It filed a Form 720 to report these payments? If provide an explanation in Schedule 14b 990 (2010) 142040 2Y72 433475-108 PAGE 6 Form 990 (2010) Page 6 Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response to any question in this Part Section A. Governing Body and Management I Yes No 1a Enter the number of voting members of the governing body at the end of the tax year . . . - - . 13 6 Enter the number of voting members included in line 'la, above, who are independent . . . . . . 1b 5 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 employeeDid the organization delegate 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 filedDid the organization become aware during the year of a significant diversion of the organization's assetsDoes the organization have members or stockholders'Ia Does the organization have members, stockholders. or other persons who may elect one or more members of the governing bodyAre any decisions of the governing body subject to approval by members, stockholders, or other personsDid the organization contemporaneously document the meetings held or written actions undertaken during the year by the following a The governing bodyEach committee with authority to act on behalf of the governing bodythere any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's maili_ng address'? if "Yes," provide the names and addresses in Schedule Section B. Policies (This Section requests information about policies not recmred by the Internal Revenue Code.) Yes No 10a Does the organization have local chapters, branches, or affiliates"Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization11a Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form118 Describe in Schedule 0 the process, if any. used by the organization to review this Form 990. 1 2a Does the organization have a written conflict of interest policy'? If go to line 123 Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts213 Does the organization regularly and consistently monitor and enforce compliance with the policy'? if "Yes," describe in Schedule 0 how this is done . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 26 13 Does the organization have a written whistleblower policyDoes the organization have a written document retention and destruction policyDid the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision'? a The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15b If "Yes" to line 15a or 15b, describe the process in Schedule 0. (See instructions 1 6a Did the organization invest in, contribute assets to, or participate in a Joint venture or similar arrangement with a taxable entity during the year"Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in Joint venture arrangements under applicable federal tax law, and taken steps to safeguard the oroanization's exempt status with respect to such arrangements16b Section C. Disclosure 1 7 List the states with which a copy of this Form 990 is required to be filed 1 3 Section 6104 requires an organization to make its Forms 1023 (or 1024 -- available for public ins ection. Indicate how you make these available Check all that apply. Own website Another's website Upon request 19 Describe in Schedule 0 whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public 20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization l'lEl__W_A_5 202-471-4222 Form 990 (2010) 142040 2Y72 433475-108 PAGE 7 JSA OE1042 1 000 Form 990 (2010) Page 7 Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule 0 contains a response to any question in this Part VII . . . . . . . . . . . . . . . . . . . . . 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 calendar year ending with or within the organization's tax year 0 List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any See instructions for definition of "key employee" List the organization's five current highest compensated employees (other than an officer, director, trustee. or key employee) who received reportable compensation (Box 5 of Form W-2 andlor Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations 0 List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations 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. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (Al (Bl (C) (D) (E) (F) Name and Title Average Position (check all that apply) Reportable Reportable Estimated hours per 9, 3' 5 3 ":3t 3 compensation compensation amounlof week E_f 5 :7 T, :r from from related other (describe 3 9 *2 cg 9% the organizations compensation hours lor -- :i -- W- 1 "Med 3 2 :3 3 2/ 099 MISC) from thte organizations 8 orgamza in Schedule 3 5- E3 and related 0) 0' organizations 0. DIRECTOR 0. 0 DIRECTOR 0. 0 DIRECTOR 0. 0 DIRECTOR 109,828. 0 DIRECTOR 0. 0 DIRECTOR 0. 0 ll; 3 134, 664 . 0 114, 203. 0 -119) -111) -113.) -114.) -115) -119 JSA Form 990 (2010) 0E10411000 142040 ZY72 433475-108 PAGE 8 . Form 990 (2010) Page 3 Section A. Officers, Directors, Trustees, Ke Employees, and Highest Compensated Employees (continued) (A) (B) (C) . (D) (E) (F) Name and title Average Position (check all that apply) Reportable Reportable Estimated hours per 9. 5 1" compensation compensation amount of Week 5 '3 3 from from related 01067 (describe 3 3 9 3 9- 2 the organizations hoursfor 9 2,7' 8 3 organization feIa[ed - Organization organizations 3 and related in schedule 0) g. organizations D. (.13). (.13). -- (.13). (.21). El. (39. l_2?l_ (3.7). L23). Sub-totaI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 358r595- 0- Total from continuation sheets to Part VII, Section A Total (add lines 358. 695. 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization 3 '9 Yes No 3.4 3 Did list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . 4 For any individual listed on line 1a, IS the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000'? If "Yes," complete Schedule for such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Did any person listed on line 'la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule for such person . . . . . . . . . . . . . . . . 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 (A) Name and business address (3) Description of services (C) Compensation NONE 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 ln compensation from the organization JSA 0510501000 142040 ZY72 433475-108 -1Fomi 990 (2010) PAGE 9 Form 990 (2010) Statement of Revenue Page 9 (A) (B) (C) (D) Total revenue Related Of Unrelated Revenue exempt business excluded from tax function revenue under sections I revenue 512, 513. or 514 -:33 1a Federatedcampaigns . . . . . . . . 13 fig Membershipdues . . . . . . . . . 1b Fundraising events . . . . . . . . 1c as 3 Related organizations . . . . . . 1d fig? 3% 3 Government grants (contributionsAll other contnbutions, gifts. grants, i 1 and similar amounts not included above . 17 1r?32r?19- A 52 fifi' ,2 1,032,019Business Code 3} we 2a to 8' All other program service revenue . . . . . 3 Investment income (including dividends, interest. and othersimilaramountsIncome from investment of tax-exempt bond proceeds . . . 5 Real (ii) Personal 6a GrossRentsLess rental expenses . . . i: Rental incomeor (loss) . . (I) Securities (ii) Other 7a Gross amount from sales of assets other than inventory Less cost or other basis and sales expenses . . . . Gain or(|ossGross income from fundraising events (not including 5 of contributions reported on line 1c) a 2 Less direct expenses . . . . . . . . . . 5 Net income or (loss) from fundraising events . . . . . . . . 9a Gross income from gaming activities See Part|V.line19 . Less direct expenses . . . . . . . . . . Net income or (loss) from gaming activities. . . . . 10a Gross sales of inventory, less returns and allowances . vg Less costofgoods sold . . . . . . . . . Net income or salesofinventogrMiscellaneous Revenue Business Code mm Mia 11a 513% 12 Totglgenue. See instructions . . . . . . . . . . . . JSA 0E10512 000 Fonn 990 (2010) Form 990 (2010) Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. Ail other organizations must complete column (A) but are not required to complete columns (8), (C), and (D) Page10 D6 not indude amounts reported on fines 6b' Total ggenses Prog Managgr:ri)ent and 7b, 8b, 9b, and 10b of Part expenses general expenses expenses 1 Grants and other assistance to governments and organizations in the 8 See Part IV, line 21 0 - 2 Grants and other assistance to individuals in the US See Part IV, line Grants and other assistance to governments, organizations, and individuals outside the US SeePart IV, |ines15 and16 0. 4 Benefits paid to or for members 0 . 5 Compensation of current officers. directors, trustees,andkeyempIoyees 110: 200- 99: 138- 5: 510- 5:510- 6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons descnbed in section 4958(c)(3)(B) 0 . Othersalariesandwages . . 301,502. 253,243. 20,035. 28,224. Pension plan contributions (include section 401(k) and section 403(b) employer contributionsOther employeebenefits . . . . . . . . . . . . 26r300- 22r501- 1: 535- 2:153Fees for services (non-employees) a Management . . . . . . . . . . . . . . . . . 0 - Legal . . . . . . . . . . . . . . . . . . . .. 1r851- 1:051- Accounting . . . . . . . . . . . . . . . . . . 30r633- 30: 533- Lobbying . . . . . . . . . . . . . . . . . . . 0 - Professional fundraising sennces See Part IV, line 17 0 - 1' Investment management fees . . . . . . . . . 0 - 9 Other . . . . . . . . . . . . . . . . . . . . . 0 1 2 Advertising and promotion . . . . . . . . . . . 0 - 13 Officeexpenses . . . . . . . . . . . . . . . . 53r942- 38r943- 14:999- 1 4 Information technology . . . . . . . . . . . . . 0 - 1 5 Royalt-Occupancy . . . . . . . . . . . . . . . . . . 50r910- 50:910- 17 Travel . . . . . . . . . . . . . . . . . . . . . 74r497- 741497- 1 8 Payments of travel or entertainment expenses for any federal, state, or local public officials 0 - 1 9 Conferences, conventions. and meetings . . . 0 - 20 Interest . . . . . . . . . . . . . . . . . . . . 1:571- 21 Payments to affiliates . . . . . . . 0 - 22 Depreciation, depletion, and amortization . . . . Insurance 2: 835- 2: 885- 24 Other expenses Itemize expenses not covered above (List miscellaneous expenses in line 24f If line 24f amount exceeds 10% of line 25, column (A) amount. list line 24f expenses on Schedule 0) 144,967. 144,517. 450Allotherexpenses 29: 27: 2; 25 Total functional expenses. Add lines 1 through 24f 1r047:399- 911:603- 96:036- 30:900- zs Joint Costs. Check here it following SOP 98-2 (ASC 958-720) Complete this line only if the organization reported in column (B) ]O|l"ll costs from a combined educational campaign and fundraising solicitation 0510152') 00,, Form 990 (2010) 142040 ZY72 433475-108 PAGE 11 Form 990 (2010) Balance Sheet Page 1 1 (Al (3) Beginning of year End of year 1 Cash - non-interest--bearing . 69Savings and temporary cash investments 2 3 Pledges and grants receivable, net 3 4 Accounts receivable272- 5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Receivables from other disqualified persons (as defined under section 4958(f)(1)). persons descnbed in section 4958(c)(3)(B), and contributing employers and sponsonng organizations of 0, section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) 6 7 Notes and loans receivable, net 7 2 8 Inventories for sale or use 8 9 Prepaid expenses and deferred charges Land, buildings, and equipment cost or other basis Complete Part VI of Schedule 10a 40 . 54 8 . Less' accumulated depreciation 10b 32. 153- 13; 525- 10c 3. 395. 11 Investments -- publicly traded securities . . . . . . . . . . . . . . . . . . . . . 11 12 Investments -- other securities See Part IV. line Investments - program--re|ated See Part IV, line Intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Otherassets SeePartlV.line11 . . . . . . . . . . . . . . . . . . . . . . .. 2r000- 15 2: 000- 16 Total assets. Add lines 1 through 15 (must equal line 34Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 8 1 9 Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 3 21 Escrow or custodial account liability. Complete Part IV of Schedule 21 22 Payables to current and former officers, directors, trustees. key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule . . . . . . . . . . . . . . . . . . . . . . . . . 22 23 Secured mortgages and notes payable to unrelated third parties . . . . . . . 23 24 Unsecured notes and loans payable to unrelated third parties 24 25 Other liabilities. Complete Part of Schedule . . . . . . . . . . . . . . . . Total liabilities. Add lines 17 through 118. 566 . 26 109. 4 84 . Organizations that follow SFAS 117, check here and complete 3 lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -Temporarily restricted net assets . . 28 'g 29 Permanently restricted net assets . . . . . . . . . . . . . . . . . . . . . . . . 29 Organizations that do not follow SFAS 117, check here and -5 complete lines 30 through 34. .3 30 Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . 30 3 31 Paid-in or capital surplus, or land, building, or equipment fund 31 32 Retained earnings, endowment, accumulated income, or other funds 32 33 Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . -31Total liabilities and net assets/fund balances . . . . . . . . . . . . . . . . . . 86Fonn 990 (2010) JSA 0E'l053 1 000 142040 2Y72 433475-108 PAGE 12 Form 990 (2010) Reconciliation of Net Assets Check if Schedule 0 contains a response to any question in this Part Mne12 El Oitflb-b0N--| Total revenue (must equal Part column (A), line 121,082,065. 1,047,399. Total expenses (must equal Part IX, column (A), lune 25Revenue less expenses Subtract lune 2 from line 34,666. Net assets or fund balances at beginning of year (must equal Part X, line 33. column . . . . . . . . '31r638. Other changes in net assets or fund balances (explain in Schedule Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column 3,028. Financial Statements and Reporting Check if Schedule 0 contains a response to any question in this Part XII . . . . . . . . . . . . . . . . . . . . . . 2a 3a Accounting method used to prepare the Form 990 I: Cash Accrual 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'? Were the organization's financial statements audited by an independent accountant'? If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation 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, explain in Schedule 0 If "Yes" to line 2a or 2b, check a box below to Indicate whether the financial statements for the year were issued on a separate basis, consolidated basis. or both Separate ba5,S El Consohdated [3355 Both consolidated and separate basis 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 audit or audits, explain why in Schedule 0 and describe any steps taken to undergo such auditsJSA OE1054 1000 142040 ZY72 433475-108 Form 990 (2010) PAGE 13 SCHEDULEA . . . - (Form ego O, 9e,,_ez, Public Charity Status and Public Support 1545 Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Open to Public Department of the Treasury Internal Revenue Semee Attach to Form 990 or Form 990--EZ. See separate instructions. Inspection Name of the organization Employer identification number INTERNATIONAL CONSERVATION CAUCUS FOUNDATION 83-0449176 part 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 A school described in section (Attach Schedule A hospital or a cooperative hospital service organization described in section A medical research organization operated in conjunction with a hospital described in section Enter the hospital's name, city, and state An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section (Complete Part ll A federal, state. or local 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 II A community trust described in section (Complete Part II.) An organization that normally receives (1) more than 331/3 of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subiect 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 An organization organized and operated exclusively to test for public safety See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h. a Type I Type II Type - Functionally integrated El Type Ill - Other By checking this box. certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(Cci?uactm If the organization received a written determination from the IRS that it is a Type I, Type ll, or Type supporting Check bSince August 17. 2006, has the organization accepted any gift or contribution from any of the following persons'? A person who directly or indirectly controls, either alone or together with persons described in (ii) Yes No and below, the governing body of the supported organization? 1190) (ii) A family member of a person described in above'? 1190!) A 35% controlled entity of a person described in or (ii) above? Provide the following information about the supported organization(s) Name of supported (ii) EIN Type of organization (iv) Is the Did you notify (vi) Is the (vii) Amount of organization (described on lines 1-9 Organization In the organization organization in support above or IRC section in col of col (1) organized (see instructions)) decfimenr, 9 your support(A) (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the Instructions for Schedule A (Fon1'i 990 or 990-Ez) 2010 Form 990 or 990-EZ. JSA OE12103D0O 142040 ZY72 433475-108 PAGE 14 Schedule A (Form 990 or 990-EZ) 2010 Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part If the organization fails to qualify under the tests listed below, please complete Part Section A. Public Support Page 2 Calendar year (or fiscal year beginning in) 2006 2007 (C) 2003 id) 2009 (9) 2010 (0 Total 1 Gifts, grants, contributions, and membership fees received (Do not Include any--unusualgrams--) 534,522. 1,013,641. 876,486. 1,146,451. 1,082,019. 4,653,119. 2 Tax revenues levied for the organization's benefit and either paid to or expended on nsbehafl . . . . . . . . . . . . . . .. 3 The value of services or facilities furnished by a governmental unit to the organization without charge . . . . . . . 534,522. 1,013,641. 376,485. 1,146,451. 1,082,019. 4,653,119. The portion of total contributions by each 0 person (other than a governmental unit or 3 publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column 585. 804 . 6 Public support. Subtract line 5 from line 4 4, 067, 315. Section B. Total Support Calendar year (or fiscal year beginning in) (3) 2005 2007 (C) 2003 (0) 2009 (E) 2010 Tolal 7 Amounts from 534,522. 1,013,641. 876,486. 1,146,451. 1,032,019. 4,653,119. 8 Gross income from interest, dividends. pawnenw recewed on secunhesloans rents, royalties and income from similar sources 460. 973. 46. 1,479. 9 Net income from unrelated business activities, whether or not the business IS regularly carried Other income Do not include gain or loss from the sale of capital assets (Explain in Part IVTotal support. Add lines 7 through 10 . . 4r 554: 599- 1 2 Gross receipts from related activities, etc (see instructionsFirst five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Section C. Computation of Public Support Percentage 14 Public support percentage for 2010 (line 6, column divided byline 11, column 14 15 Public support percentage from 2009 Schedule A, Part ll, line 14 15 1 16a 331i3% support test - 2010. If the organization did not check the box on line 13, and line 14 IS 331/3% or more. check 17a this box and stop here. The organization qualifies as a publicly supported organization 33173"/o support test - 2009. If the organization did not check a box on line 13 or 16a, and line 15 is 33113 or more, check this box and stop here. The organization qualifies as a publicly supported organization 10%-facts-and-circumstances test -2010. If the organization did not check a box on line 13, 16a or 16b, and line 14 is 10% or more, and if the organization meets the "facts--and--circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10%-facts-and-circumstances test - 2009. 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 IV how the organzation meets the "facts-and--circumstances" test. The organization qualifies as a publicly 1 supported Organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule A (Form 990 or 990-EZ) 2010 asp. 0E1220 1 000 142040 2Y72 433475-108 PAGE 15 Schedule A (Form 990 or 990-EZ) 2010 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) S--erction A. Public Support Page 3 Calendar year (or fiscai year beginning in) 1 73 Gifts. grants. contributions. and membership fees received (Do not include any "unusual grants Gross receipts from admissions. merchandise sold or sennces performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 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 . . . . . . . . . . . . . . . . The value of services or facilities furnished by a governmental 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 disqualified Eersons that exceed the greater of 5,000 or 1% of the amount on line 13 for the year . . . . . . . . . . . . . . . Add lines Public support (Subtract line 7c from line6Section B. Total Support (a}2006 2007 2008 2009 (e)2010 (fl Total Calendar year (or fiscal year beginning inSection C. Computation of Public Support Percentage Amounts from line6 . . . . . . . . . . . Gross income from interest, dividends. payments received on securities loans, rents. royalties and income from similar sources . . . . . . . . . . . . . . . . . Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 Add lines 10a and 10b Net income from unrelated business activities not included in line 10b. whether or not the business is regularly carried on Other income Do not include gain or loss from the sale of capital assets (Explain in Part IV) Total support. (Add lines 9, 10c2006 (b)2007 2008 2009 (e)2010 Total 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Public support percentage for 2010 (line 8. column divided byline 13. column 15 16 Public support percentage from 2009 Schedule A. Part line Section D. ComJ>utation of Investment Income Percentage 17 18 19a 20 JSA 0E1221 1000 Investment income percentage for 2010 (line 10c, column divided byline 13. column 17 Investment income percentage from 2009 Schedule A. Part line 17 1 8 331I3?/o support tests - 2010. If the organization did not check the box on line 14, and line 15 is more than 331/3 and line 17 is not more than 331/3 check this box and stop here The organization qualifies as a publicly supported organization 33113"/o support tests - 2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3"/o. and line 18 is not more than 33113 check this box and stop here The organization qualifies as a publicly supported organization 5 142040 ZY72 Private foundation. If the organization did not check a box on line 14, 19a, or 19b. check this box and see instructions Schedule A (Form 990 or 990-EZ) 2010 PAGE 1 5 433475-108 83-0449176 Schedule A (Form 990 or 990-EZ) 2010 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 173 or 17b. or Part line 12. Also complete this part for any additional information. (See instructions) Page 4 JSA Schedule A (Form 990 or 990-EZ) 2010 OE1225 2 000 142040 ZY72 433475-108 PAGE 17 Political Campaign and Lobbying Activities For Organizations Exempt From Income Tax Under section 501(c) and section 527 SCHEDULE (Form 990 or 990-EZ) OMB No 1545-0047 Complete if the organization is described below. Depanment Treasw Attach to Form 990 or Form 990-EZ. Open to Public Intemal Revenue Service Inspection If the organization answered "Yes," to Form 990, Part IV, line 3, or Form 990-EZ, Part VI, line 46 (Political Campaign Activities), then 0 Section 501 organizations Complete Parts l-A and Do not complete Part I-C 0 Section 501 (other than section 501(c)(3)) organizations Complete Parts I-A and below Do not complete Part l-B 0 Section 527 organizations Complete Part I-A only If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 4? (Lobbying Activities). then 0 Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part ll-A Do not complete Part II-B 0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)) Complete Part II-B Do not complete Part ll-A If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then 0 Section 501(c)(4), (5), or (6) organizations Complete Pan Name of organization Employer identification number INTERNATIONAL CONSERVATION CAUCUS FOUNDATION 83-0 4 4 9 17 6 omplete if the organization is exempt under section 501(0) or is a section 527 organization. 1 Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV 2 Political expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Volunteer hours psee separate instructions. Complete if the organization is exempt under section 501(c)(3). 1 Enter the amount of any excise tax incurred by the organization under section 4955 . . . . . 5 2 Enter the amount of any excise tax incurred by organization managers under section 4955 3 If the organization incurred a section 4955 tax, did it file Form 4720 for this yearcorrection made"Yes," describe in Part IV Complete if the organization is exempt under section 501(c), except section 501(c)(3). 1 Enter the amount directly expended by the filing organization for section 527 exempt function activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Total exempt function expenditures Add lines 1 and 2 Enter here and on Form 1120-POL. line 17b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4 Did the filing organization file Form 1120-POL for this year'? El Yes No 5 Enter the names. addresses and employer identification number (EIN) of all section 527 political organizations to which filing organization made payments For each organization listed, enter the amount paid from the filing organization's funds Also enter the amount of political contributions received that were and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC) If additional space is needed, provide information in Part IV Name Address EIN Amount paid from filing organization's funds If none. enter -0- Amount of political contributions received and and directly delivered to a separate political organization If none, enter -For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2010 JSA 0E1264 0 040 142040 ZY72 433475-108 chedule Form 990 or 990-EZ) 2010 iarml section 501(h)). Page 2 Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under A Check if the filing organization belongs to an affiliated group. Check if the filing organization checked box A and "limited control" provisions apply. Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.) Filing organization's totals Affiliated group totals Total lobbying expenditures to influence public opinion (grass roots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 1a and 1b) . Other exempt purpose expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total exempt purpose expenditures (add lines 1c and 1d) Lobbying nontaxable amount. Enter the amount from the following table in both columns If the amount on line 1e, column or is: The lobbying nontaxable amount is: Not over $500,000 20% of the amount on line 1e Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 Over $1 but not over $1,500,000 $175,000 plus 10% of the excess over $1 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000 in In Grassroots nontaxable amount (enter 25% of line 1f) Subtract line 1g from line 1a If zero or less, enter -0- Subtract line 1f from line 1c If zero or less, enter -0- If there is an amount other than zero on either line 1h or line did the organization file Form 4720 reporting section 4911 tax for this year4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 21 on page 4.) flYes No Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal year beginning in) 2007 (b)2008 (c)2009 (d)2010 Total 2a Lobbying nontaxable amount Lobbying ceiling amount (150% of line 2a, column Total lobbying expenditures Grassroots nontaxable amount Grassroots ceiling amount (150% of line 2d, column Grassroots lobbying expenditures JSA OE 1265 0 020 142040 2Y72 Schedule (Fonn 990 or 990-EZ) 2010 433475-108 PAGE 2 4 Schedule (Form 990 or 990-EZ) 2010 Part ll-B Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)). Page 3 (3) (bl Yes No Amount 0 Part Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section During the year, did the filing organization attempt to Influence foreign, national, state or local legislation, Including any attempt to Influence public opinion on a legislative matter or referendum, through the use ofPaid staff or management (include compensation in expenses reported on lines 1c through Media advertisements'? Publications, or published or broadcast statements? . Grants to other organizations for lobbying purposes'? Direct contact with legislators, their staffs, government officials, or a legislative body'? 769. Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?_ Other activities? If "Yes." describe in Part IV I Add ""95 15 through Did the activities in line 1 cause the organization to be not described in section If "Yes." enter the amount of any tax incurred under section 4912 If "Yes," enter the amount of any tax Incurred by organization managers under section 4912 If the filing organization incurred a section 4912 tax, did it file Form 4720 forthis year'?. . . . . 769. 501(c)(6). 1 2 3 Part Ill-B Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section Were substantially all (90% or more) dues received nondeductible by members'? Did the organization agree to carryover lobbying and political expenditures from the prior yeai'? . Yes No 3 501(c)(6) if BOTH Part Ill-A, lines 1 and 2 are answered "No" OR if Part line 3 is answered "Yes." 5 Dues, assessments and similar amounts from members Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid). Current year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . carryover from last year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . - . . . . . - . - . . . - . . . - - . - - - . - . . . . . . . . . - - - - - . . . . . . . Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues If notices were sent and the amount on line 20 exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next yearTaxable amount of lobbying and political expenditures (see instructions) . . . . Supplemental Information Complete this part to provide the descriptions required for Part I-A, line 1, Part I-B, line 4. Part I-C, line 5, and Part ll-B, line 1i. Also. complete this part for any additional Information. JSA Schedule (Fonn 990 or 990-EZ) 2010 DE1266 020 142040 2Y72 433475-108 PAGE 2 5 Schedu|e_C (Form 990 or 990-E2) 2010 Part IV Supplemental Information (continued) 83-0449176 Page 4 JSA 0E15OO 1 000 142040 ZY72 433475-108 Schedule (Fonn 990 or 990-EZ) 2010 PAGE 26 SCHEDULE (Form.990) Supplemental Financial Statements Complete if the organization answered "Yes," to Form 990, Part IV, line 6, 7, 8,9, 10, 11, or 12. Attach to Form 990. See separate instructions. Open to Public Inspection Employer identification number Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, Irne 6. Donor advised funds Department of the Treasury lnte mal Revenue Semce Name of the organization INTERNATIONAL CONSERVATION CAUCUS FOUNDATION Funds and other accounts Total number at end of year . . . . . . . . . . . Aggregate contributrons to (durrng year) . . . . Aggregate grants from (during year) Aggregate value at end of year Did the organrzation inform all donors and donor advisors in writrng that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal controlDid the organization inform all grantees, donors, and donor advrsors 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 private benefitConservation Easements. Complete if the organizatron answered "Yes" to Form 990, Part IV, line 7 1 Pur ose(s) of conservation easements held by the organizatron (check all that apply) Preservation of land for publrc use (e.g recreation or education) Protection of natural habitat Preservation of open space 2 Complete lrnes 2a through 2d if the organization held a qualified conservation in the form of a conservatron easement on the last day of the tax year Preservation of an historically important land area Preservation of a certified historic structure *3 Held at the End of the Tax Year a Total number of conservatron easements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a Total acreage by conservation easements . . . . . . . . . . . . . . . . . . . . . . 2b Number of conservation easements on a certified historic structure Included Number of conservation easements included in acquired after 8/17/06, and not on a hrstoric structure lrsted In the National Register . . . . . . . . . . . . . . . . . . . . . . . . . 2d 3 Number of conservation easements modified. transferred, released, extinguished, or terminated by the organrzation during the tax year 4 Number of states where property subject to conservation easement is located 5 Does the organizatron have a written policy the periodic monitoring, inspectron, 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 conservatron easements during the year 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(Part XIV, how the organization reports conservatron 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 organizatron's for conservation easements Organizations Maintaining Collections of Art, Historical 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 SFAS 116 958), not to re ort in its revenue statement and balance sheet works 0 art, historical treasures, or other similar assets eld for publrc exhi rtion, education, or research in furtherance of public service, provrde, in Part XIV, the text of the footnote to its financial statements that these items. If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other sirnrlar assets held for publrc exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: Revenues included In Form 990, Part line (ii) Assets included in Form 990, Part 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 1 16 (ASC 958) relatrng to these items: a Revenues included in Form 990, Part line Assets included in Form 990, Part . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 For Paperwork Reduction Act Notice, see the Instructions for Fomi 990. Schedule (Form 990) 2010 JSA 0E1268 1 000 142040 2Y72 433475-108 PAGE 27 Schedule (Form 990) 2010 5 Page 2 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply) Public exhibition Scholarly research Preservation for future generations Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV. During the year. did the organization solicit or receive donations of art, historical treasures. or other similar assets to be sold to raise funds ratherthan to be maintained as part of the organization's collectionEscrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. Loan or exchange programs Other 1a -0100.0 2a 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 XIV and complete the following table: Amount Beginning balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Additions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distributions during the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Ending balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f Did the organization include an amount on Form 990, Part X. line 21? If "Yes," explain the arrangement in Part XIV. Endowment Funds. Complete if organization answered "Yes" to Form 990, Part IV, line 10. 1a 4 i Current year Prior year (C) Two years back Three years back (13) Four years back Beginning of year balance . . Contributions . . . . . . . . . . . Net investment earnings, gains, and losses . . . . . . . . . . . . . Grants or scholarships . . . . . . Other expenditures for facilities . and programs . . . . . . . . . . . Administrative expenses . . . . . End of year balance . . . . . . . . Provide the estimated percentage of the year end balance held as Board designated or quasi-endowment Permanent endowment Term endowment 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(ii) If "Yes" to 3a(ii), are the related organizations listed as required on Schedule . . . . . . . . . . . . . . . . . . 3b Describe in Part XIV the intended uses of the organization's endowment funds Land, Buildings, and Equipment. See Form 990, Part X, line 10. 01' Investment Cost or other basis Cost or other basis Accumulated Book value (investment) (other) depreciation 1 a Land . . . . . . . . . . . . . . . . . . . . . Buildings . . . . . . . . . . . . . . . . . . Leasehold improvements . . . . . . . . . . Equipment . . . . . . . . . . . . . . . .. 0. 40,548. 32,153. 8,395. Other . . . . . . . . . . . . . . . . . . . . 0 . 0 . 0 . Total. Add lines 1a through 1e (Column must equal Form 990, Pa-rtX, column (B), line 10(c) . 8 395 . Schedule (Form 990) 2010 JSA 0E1269 1 we 142040 2Y72 433475-108 PAGE 28 Schedule (Form 990) 2010 Investments - Other Securities. See Form 990, Part X, line 12. Page 3 Description of security or category (including name of security) Book value Method of valuation Cost or end-of-year market value (1)'Financia| derivatives (2) Closely-held equity interests . . (3) Total (Column mus! equal Form 990, Part X, col (B) line 12) Part Investments - Program Related. See Form 990, Part X, line 13. Description of investment type Book value Method of valuation Cost or end-of-year market value (10) Total (Column must equal Form 990, Part X, col (B) line 13 Other Assets. See Form 990, Part X, line 15. Description (1) (2) (3) Book value (4) (5) (5) (7) (8) (9) (10) Total. (Column must equal Form 990, Part X, col (B) line 15 Other Liabilities. See Form 990, Part x, Ilne 25. 1 Description of liability (1) Federal income taxes (2) LINE OF CREDIT (3) (4) (5) (5) (7) (3) (9) (10) (11) Total. (Column must equal Form 990, Part X, col (8) line 25 Amount 27, 000 . 5x kg': 27, 000. 2. FIN 48 (ASC 740) Footnote In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). JSA 0E12701000 142040 ZY72 433475-108 Schedule (Form 990) 2010 PAGE 2 9 1 Schedule (Form 990) 2010 Page 4 Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements Total revenue (Form 990, Part column (A), line 12) 1 1: 032: 055 . Total expenses (Form 990, Part IX, column (A), line 25) 2 1: 047 I 399- Excess or (deficit) for the year. Subtract line 2 from line 1 . 3 34 566 - Net unrealized gains (losses) on investments . . 4 Donated services and use of facilities 5 Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Prior period adiustriierits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Other (Describe In Part . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Total adjustments (net). Add lines 4 through 8 . 9 Excess or (deficit) for the year per audited financial statements Combine lines Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Total revenue, gains, and other support per audited financial statements 1 1: 032: 065 - Amounts included on line 1 but not on Form 990, Part line 12' Net unrealized gains on investments 2a Donated services and use of facilities 2b Recoveries of prior year grants 2c Other (Describe in Part XIVAdd lines 2a through Subtract line 2e from line 032: 055- Amounts included on Form 990, Part line 12, but not on line 1: Investment expenses not included on Form 990. Part line 7b 4a Other (Describe in Part XIVAdd liries 43 arid 4Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12Reconciliation of Expenses per Audited Financial Statements With Expenses per Return Total expenses and losses per audited financial statements 1 1 04 7 399 - Amounts included on line 1 but not on Form 990, Part IX, line 25: Donated services and use of facilities 2a Prior veer adiustrrierits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ioescribe in Part xiv Add lines 23 through Subtract line 2e from lineAmounts included on Form 990. Part IX, line 25, but not on line 1 Investment expenses not included on Form 990, Part line 7b 4a Other tDeS?r'b9 Part . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18Part XIV Supplemental Information Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part lines 1a and 4; Part IV, lines 1b and 2b, Part V. line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b. and Part lines 2d and 4b Also complete this part to provide any additional information JSA OE12T11000 142040 433475-108 Schedule (Form 990) 2010 PAGE 30 Schedule (Form 990) 2010 Supplemental Information (continued) 83-0449176 Pme5 JSA 0E1226 1000 142040 ZY72 433475-108 Schedule (Form 990) 2010 PAGE 31 OMB No 1545-0047 SCHEDULE Supplemental Information to Form 990 or 990-EZ (Form 990 or 990-EZ) Complete to provide information for responses to specific questions on Depmmemmhe Treasury Form 990 or 990-EZ or to provide any additional information. Open to Public lntemal Revenue Service Attach IO FOTITI |n5peCtiOn Name of the organization Employer identification number INTERNATIONAL CONSERVATION CAUCUS FOUNDATION 83-0449176 PART STATEMENTS REGARDING OTHER IRS FILINGS PART V, LINE 1C THE ORGANIZATION DID NOT HAVE ANY FILINGS THAT REQUIRED THEM TO COMPLY WITH BACKUP WITHHOLDING RULES. IT WOULD HAVE OTHERWISE COMPLIED IF IT DID. PART VI GOVERNANCE, MANAGEMENT AND DISCLOSURES PART VI, SECTION A, LINE 8A 8B DURING 2010 THE ORGANIZATION DID NOT DOCUMENT ANY MEETINGS. PART VI GOVERNANCE, MANAGEMENT AND DISCLOSURES PART VI, SECTION B, LINE THE ORGANIZATION DID NOT HAVE ANY POLICIES IN PLACE FOR REVIEWING THE FORM 990. PART VI GOVERNANCE, MANAGEMENT, AND DISCLOSURE PART VI SECTION DISCLOSURE LINE 19 THE ORGANIZATION DID NOT HAVE GOVERNING DOCUMENTS A CONFLICT OF INTEREST POLICY. IF THE ORGANIZATION DID IT WOULD MAKE THEM AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI GOVERNANCE, MANAGEMENT AND DISCLOSURES For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Fonn 990 or 990-EZ. Schedule 0 (Form 990 or 990-EZ) (2010) 142040 23:72 433475-103 PAGE 32 Schedule 0 (Form 990 or 990-EZ) 2010 Page 2 Employer identification number Name of t_he organization INTERNATIONAL CONSERVATION CAUCUS FOUNDATION - SECTION - POLICIES LINE 11A JOHN GANTT REVIEWS AND DISCUSSES WITH THE BOARD OF DIRECTORS THE ANNUAL FORM 990 FOR FINAL APPROVAL BEFORE FILING THE RETURN. ATTACHMENT 1 FORM 990, PART - PREPAID EXPENSES AND DEFERRED CHARGES ENDING DESCRIPTION BOOK VALUE PREPAID EXPENSES 19,733. 19,733. TOTALS Schedule 0 (Form 990 or 990-EZ) 2010 JSA 0E122B2000 433475-108 PAGE 33 142040 ZY72 om mufi 8TmZm2. ~28 Semi azuzmucaam coo. wmomxo umzawm mfimmqma .. .. .. .. .. .. .. .. ..m4 game .mmv.m gm .mom.oa .onm.m .mom.ofl .mom.oH moo~\fio\Ho .mm~ 5 xx Enoom .mom.fi .mHm.~ .mHm.m hoomxmfixofi ?mm:?u w: mnoom .?ob .mnm .m~o.H .m~o.H mmzozm .mv u: mnoou .fimm u>Hmn exam a: mnoom .umm.H .moq.~ noomxpfixqo muapmzou .hm a: mnoom .pmu hoo~\m~\~o .~mH mnoom .n~p .mmo.H .wmo.H hoomxomxfifi zmau u>H .moo a: mnoow .vHH.m .~mh.m mxmos .onw am mnoom .Hmm.m .Hov.m .vmo.m .umo.m moomxnaxmfi mama ozm munm .Hon a: mason .aon.m .m~m.m .m~m.m moomxfimxmo um:aHzmom .mH an .moa .m~H mmaoom .mm um .a~m .om~ .omu .omv moo~\mH\~H azmzmaoom muHmmo .mn a: .vm? .mo? .oom .oom .o?H w: .hmm mmanmzou game co:m_owEmb mmcmaxm Zoo uofi :o:m_om:amu cozuzumm mama axe mama .0 :o_E_..omm.u Bmwt. mt $6 $9 -22 uBm_:E:oo< u2m_:E:oo< ._2m_mm.m_ mam .80 uouma mcficm 98 mi uofiafimca Ema zo_.E_ommn_mo ezmzmomaam flauzmo 3.32.. 33 Depreciation and Amortization (Including Information on Listed Property) mm4562 Department of the Treasury Internal Revenue Service (99) Name(s) shown on retum INTERNATIONAL CONSERVATION CAUCUS FOUNDATION Business or activity to which this fonn relates GENERAL DE PRECIATION Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part before you complete Pan' I. See separate instructions. Attach to your tax retum. OMB No 1545-0172 2010 Attachment Sequence No 67 Identifying number 83-0449176 1 Maximum amount (see instructions) 1 2 Total cost of section 179 property placed in service (see instructions) 2 3 Threshold cost of section 179 property before reduction in limitation (see instructions) 3 4 Reduction in limitation Subtract line 3 from line 2 If zero or less, enter -0- 4 5 Dollar limitation for tax year Subtract line 4 from line 1 ll zero or less. enter -0- if married filing sgialely, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Description of property Cost (business use only) Elected cost 7 Listed property Enter the amount from line 29 7 8 Total elected cost of section 179 property Add amounts in column lines 6 and 7 3 9 Tentative deduction Enter the smaller of line 5 or line 8 9 1 0 Carryover of disallowed deduction from line 13 of your 2009 Form 4562 10 11 Business income limitation Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11 1 2 Section 179 expense deduction Add lines 9 and 10. but do not enter more than line 11 ..12 13 Carryover of disallowed deduction to 2011 Add lines 9 and 10. less line 12 . . . . Note: Do not use Part ll or Pan' below for listed property Instead, use Part Special Depreciation Allowance and Other Depreciation (Do not include listed property) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax Year (599 ii'i5iFUCti0ii5Property subject to section 168(f)(1) election 15 16 Other depreciation (including ACRSMACRS Depreciation (Do not include listed property) (See instructions) Section A 1 7 MACRS deductions for assets placed in service in tax years beginning before 2010 you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section - Assets Placed in Service During 2010 Tax Year Using the General Depreciation System Month and year Basis for depreciation Recovew Classification of property placed in (businesslinveslment use Convention Method Depreciation deduction service only - see instructions) penod 19a 3-year property SEE 5-year property DETAIL 1, 697. 5.000 HY 200DB 339. 7-year property 10-year property 15-year property 20-year property 25-year property 25 SIL Residential rental 27 5 YT5 property 27 5 i Nonresidential real 39 V75 31L property Section - Assets Placed in Service During 2010 Tax Year Using_the Alternative De reciation System 20a Class life SIL 12-year 12 40-year 40 Summary (See instructions.) 21 Listed property Enter amount from line 28 21 22 Total. Add amounts from line 12, lines 14 through 17. lines 19 and 20 in column and line 21 Enter here and on the appropriate lines of your return Partnerships and corporations - see instructions . . . . For assets shown above and placed in service during the current year. enter the portion of the basis attributable to section 263A costs 23 JSA For Paperwork Reduction Act Notice, see separate instructions. (M21300 3 000 142040 ZY72 433475--l08 Form 4562 (2010) PAGE 35 Form 4562 (2010) Listed Property (Include automobiles, certain other vehicles, certain computers, and property used for entertain- ment, recreation, or amusement.) B3-0449176 Page 2 Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns through of Section A, all of Section B, and Section if applicable Section A - Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a Do you have evidence to support the businesslinvestment use claimed'?"Yes," is the evidence writtenTYPE 0' DFODBITY (list Date placed in Busmessf 33" Recovery Methodl Depreciation EIBCTBU 59'-21'0" vehicles firsl) service cost or other has Period Convention deduction 179 cost 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use (see instructionsProperty used more than 50% in a qualified business use 27 Property used 50% or less in a qualified business use SIL - SIL - SIL - 28 Add amounts in column lines 25 through 27 Enter here and on line 21, page 1 29 Add amounts in column line 26 Enter here and on line 7, page 1 29 Section - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person If you provided vehicles to your employees, first answer the questions in Section to see if you meet an exception to completing this section for those vehicles Total busrnesslinvestment miles driven during the year (do not include commuting milesTotal commuting miles driven during the year Total other personal (noncommuting) miles driven . . . . . . . . . . . . . . . . . . . . Total miles driven during the year Add lines 30 through 32 Was the vehicle available use during off-duty hours'? Was the vehicle more than 5% Is another for personal used primarily by a owner or vehicle available for personal related person'?_ useVehicle 1 (bl Vehicle 2 (cl Id) tel Vehicle 3 Vehicle 4 Vehicle 5 (fl Vehicle Section - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section for vehicles used by employees who are not more than 5% owners or related persons (see instructions) 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes your employeesyou maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees'? See the instructions for vehicles used by corporate officers. directors, or 1% or more owners 39 Do you treat all use of vehicles by employees as personal use'? . 40 Do you provide more than five vehicles to your employees. obtain information from your employees about the use of the vehicles, and retain the information received'? 41 Do you meet the requirements concerning qualified automobile demonstration use'? (See instructions) Note: if your answer "Yes," do not complete Section for the covered vehicles Part VI Amortization (6) lb) (3) (C) Amortization If) Description of costs Dam amomzauon Amortizable amount Code section period or Amortization for this year begms percentage 42 Amortization of costs that begins during your 2010 tax year (see instructions) 43 Amortization of costs that began before your 2010 tax year 43 44 Total. Add amounts in column See the instructions for where to report 44 '?Sxg3-I0 4 000 FOTITI 142040 2Y72 433475-108 PAGE 36 SE ~28 Sow: So -- Suoaxo amEww_ mice :o__m~_toEm mama u2m_:E:oo< 8 umoma msucm .80 Ban Emma .m3_~m 63.3 4.3>tmaoE o2m_.m__2oEmmtfizoo .2: coca am .93 .3 .22 892: .3m moofimimo mmonc .2: .23 25.93 .S.m com oE.mo> Sun o8.m .8 .mon.3 .mom.3 moomhoho .23 .~mm.H don; 25.93 fimzmu E3 .. maoom .2: .93 .39; o8.o3 68; mmzomm mnoom AR .23 Somxmiuo Emma Em: .93; 62.; mmaamzoo .3 .. J2 So~\mN\~o Ema; 63; Eom$m\2 EB mi mnoom mxmos uzfim .93 .. .Hmm.n 43;" moofimifi mama 22 mason Emma .m~m.m .m~m.m moomimxmo uE:.HzmE .3 Soon 4.: A3 62 62 uoofiomxfi mmanom an 5mm .22. 52. moflmo Econ 42. 63 don 26.03 don uoomxmfimo 55:5 .3m.H Goomxmoxmo Ema cozflomaou mmcmaxm 2.50 .85 cozmamamu :ozm_owaou :o:m_umawu cozuaumm mama axe mama 5 oozcom cozazomou Emma. at mmo mmo< 8?=E8u< u2m_=E=8< mamm cozoanmz mam .30 883 5. mcficm 93 mt. Ema . damzmo Sou Form 8868 (Rev 1-2011) Page 2 0 If you are flling for an Additional (Not Automatic) 3-Month Extension, complete only Part II 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 0 lf ou are filing for an Automatic 3-Month Extension, complete only Part I (on page 1) Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed). Type of Name of exempt organization Employer identification number print INTERNATIONAL CONSERVATION CAUCUS FOUNDATION 8 3-04 4 917 6 File by the Number, street, and room or suite no If a 0 box, see instructions 3250 PROSPECT STREET NW filing your City, town or post office. state, and ZIP code For a foreign address, see instructions ret See WASHINGTON, DC 2 0007 Enter the Return code for the return that thus application is for (file a separate application for each return) Application Return Application Return Is For Code Is For Code Form 990 01 Form 990-BL 02 Form 1041-A 08 Form 990-EZ 0 3 Form 4720 0 9 Form 990-PF 04 Form 5227 10 Form 990-T (sec 401(a) or 408(a) trust) 05 Form 6069 1 1 Form 990-T (trust other than above) 06 Form 8870 1 2 Do not complete Part 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 INTL CONSERVATION CAUCUS FDTN TelephoneNo 202 471'4222 FAXNO 0 If the organization does not have an office or place of business In the United States, check this box I: 0 If this IS for a Group Return, enter the organization's four diglt Group Exemptlon Number (GEN) . If this is for the whole group, check this box If it is for part of the group, check this box and attach a list with the names and of all members the extension IS for 4 I request an additional 3-month extension of time until 11/15 20 ll 5 For calendar year 2010 or other tax year beginning 20 and ending 20 6 If the tax year entered In line 5 is for less than 12 months. check reason: Initial return Flnal return Change In accounting period 7 State in detail why you need the extension 8a If this applicatlon is for Form 990-BL, 990-PF, 990-T, 4720, or 6069. enter the tentatlve tax, less any nonrefundable credlts See instructions 33 5 If this application is for Form 990--PF, 990-T. 4720, or 6069, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit and any amount paid prevlously with Form 8868. ab Balance Due. Subtract line 8b from line 8a Include your payment with form, If required, by using (Electronic Federal Tax Payment System). See instructions. sc 5 Signature and Verification Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true. correct. and complete, and that I am authonzed to prepare this form Signature Title Date Form 8868 (Rev 1-2011) JSA OF 8055 3 000 142040 ZY72 433475-108 PAGE 1