.I Form 990 Department of the Treasury Internal Revenue Semca 2949330910003 8 2 0 1 8 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. Go to for instructions and the latest information. 4 EXTENDED TO NOVEMBER 15, Open; G'Ffublicr Inspection nlgt'; A For the 2017 calendar year, or tax year beginning and ending Check II Name of organization Employer identification number applicable mats CMENS FOR GOVERNANCE 21:313.; Domg busmess as CONVENTION OF STATES FOUNDAT ION 12933:: Number and street (or P.0. box if mail is not delivered to street address) Reem/smte Telephone number 723 213'", 5850 SAN FELIPE 575A 540?441?7227 ?gm- City or town, state or provmce, country, and ZIP or foreign postal code Gross receipts HOUSTON . TX 7 7 0 5 7 H(a) Is this a group return [3353?? Name and address of principal officer MARK MECKLER 0? for subordinates? I: Yes No SAME AS ABOVE :Hib) emanates .ncmde Yes No I Tax-exempt status 501(c)(3) 501(c)( )4 (insert no.) I: 4947(a)(1) 0r If attach a list (see instructions) Website: - SELFGOVERN - COM H(c) Group exemption number Form otorganization? ELI Corporation TFUSI Assomation Other} IL Year of formation 2 0 10) State of legal domicde. TX Watt? Summary 1 Briefly describe the organization's or most Significant activmes TO PHROVIDE COMMUNI CATION I EDUCATION AND TRAINING ON MATTERS RELATED TO SELF-GOVERNANCE . 2 Check this box if the organization discontinued its operations or disposed of more than 25% of its net assets 3 3 Number of voting members of the governing body (Part VI, line 1a) 3 4 ES- 4 Number of independent voting members of the governing body (Part VI, line 1b) 4 3 3w 5 Total number of IndIVlduaIS employed in calendar year 2017 (Part V, line 2a) 5 3 4 6 Total number of volunteers (estimate if necessaryTotal unrelated busmess revenue from Part column (C), line 12 7a 0 . 9: Net unrelated busmess taxable income from Form 990-T, line 34 7b 0 . Prior Year Current Year 3 8 Contributions and grants (Part line 1hProgram serwci line 29) 0 . 0 . 10 Investment income (Par't colm (A), lines 3A, ,land 7dOther revenue (?Part- 10c, and 11aTotal revenue add lines Batter ggthIIHI-?nust equalIPart column (A), line 12Grants and Similar:amounts p3781P?rt?lX'colum3JA) lines Benefits paid to or orumembers (Part IX column?1A, line Salaries, other compensatior?employee benefits _(F?art IX, column (A), lines 163 ProfeSSional 11e) - 0 - 3 Total fundraismg expenses (Part IX, column (D), line 25Other expenses (Part IX, column (A), lines 11a-11d, 11f-24eTotal expenses Add lines 13 17 (must equal Part IX, column (A), line 25Revenue lesmenses Subtract line 18 from line Beginning of Current Year End of Year 3" 20 Totalassets(PartX,line16) 1,625,541- 1.890.181- '3 21 Total IlablIItIeS (Part x, Ilne 26Net assets or fund balances Subtract line 21 from line Signature Block Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statementsknowledge and belief, it is true LHIIELI, and Leriiplete I .?r?wllier than ellicer) is based on all piepaier has ani,r PIIQWIBUUH iawazcg 9 Sign Dat! 7 ?9 Here KLER, CEO Oil Type or print name and title Print/Type preparer's name Pre arer' signage Date Check PTIN - ea' Paid DENNIS K. WEISS, CPA WW, P01330013 Preparer Firm's name D. K. WEISS ASSOCIATES, PLLC Firm'sElN, 30-0022324 Use 00W Firm's address 4 6 6 . BRETON COURT SUITE 1 0 2 4' KENTWOOD, MI 49508 Phenene.616-871-1233 3-0 May the IRS discuss this return With the preparer shown above'7 (see instructions) MYes No 732001 11-28-17 LHA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2017) Q. Form 990(2017) CITIZENS FOR 27?1657203 page-2 Part Statement of Program Service Accomplishments Check If Schedule 0 contains a response or note to any line In Part 1 Briefly describe the organization's missuon TO PROVIDE COMMUNICATION, EDUCATION, AND TRAINING ON MATTERS RELATED TO SELF-GOVERNANCE. 2 the organization undertake any Significant program semces during the year were not IlStEd on the prior Form 990 or If "Yes,? describe these new servnces on Schedule 0 3 the organization cease conducting, or make Significant changes In how It conducts, any program servnces" : Yes No EYes No If "Yes," describe these changes on Schedule 0 4 Descnbe the organization?s program serVIce accomplishments for each of Its three largest program sewlces, as measured by expenses Sectson 501(c)(3) and 501(c)(4) organizations are requnred to report the amount of grants and allocations to others, the total expenses, and revenue, If any. for each serVIce reported 43 (Code (Expensess Including grants ol$ (Flevenue$ COMIIUNICATION EDUCATION AND TRAINING RELATED TO . 4b (Code (Expenses 3 Including grants of (Revenue 46 (Code (Expenses Including grants 01$ (Revenue 3 4d Other program serVIces (Describe In Schedule 0) (Expenses mcludrng grants of (Revenue 5 4e Total program serwce expenses Form 990 (2017) 732002 3 10350912 798302 1156 2017 . 04011 CITIZENS FOR 1156?1 Form 99012011) CITIZENS FOR 2'7- 657203 pagea Part IV Checklist of Required Schedules Yes No 1 Is the organIzatIon descnbed In sectIon 501(c)(3) or 4947(a)(1) (other than a prIvate foundatIon)9 ll Yes, complete Schedule A 1 2 Is the organIzatIon reqwred to complete Schedule B, Schedule of Contributors? 2 3 the organIzatIon engage In dIrect or IndIrect polItIcal campaIgn actIVItIes on behalf of or In opposrtIon to candIdates for publIc office? lf "Yes, complete Schedule C, Part 3 4 SectIon 501(c)(3) orgamzations. the organIzatIon engage In lobbyIng actIVItIes, or have a SectIon 501 electIon In effect durIng the tax year? If "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 receres membershIp dues, assessments, or amounts as de?ned In Revenue Procedure 98-197 If "Yes, complete Schedule C, Part 5 6 the organrzatron maIntaIn any donor adVIsed funds or any srmIlar funds or accounts for donors have the rIght to prowde adVIce on the dIstrIbutIon or Investment of amounts In such funds or accounts? If "Yes, complete Schedule D, Partl 6 7 the organIzatIon recere 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 Old the organIzatIon maIntaIn collections of works of art, hIstorIcal treasures, or other assets? lf "Yes, complete Schedule D, Part a 9 the organIzatIon report an amount In Part X, km 21, for escrow or custodIal account serve as a custodran for amounts not lIsted In Part X, or provrde credIt counselIng, debt management, credIt repaIr, or debt negotIatIon serVIces'7 lf Yes, complete Schedule D, Part IV 9 10 the organIzatIon, dIrectly or through a related organIzatIon, hold assets In temporanly restrIcted endowments, permanent endowments, or quaSI-endowments'7 lf Yes, complete Schedule D, Part 10 11 If the orgamzatron's answer to any of the followmg questIons Is ?Yes," then complete Schedule D, Parts VI, VII, IX, or as appIIcabIe a the organIzatIon report an amount for land, and eqUIpment In Part X, Me 10'7 If "Yes, complete Schedule D, Part VI 1 13 the organIzatIon report an amount for Investments - other securItIes In Part X, IIne 12 that Is 5% or more of Its total assets reported In Part X, Me 169 If Yes, complete Schedule D, Part VII 11b the organIzatIon report an amount for Investments - program related In Part X, Me 13 that Is 5% or more of Its total assets reported In Part X, ?ne 16?? If "Yes, complete Schedule D, Part 11c the orgamzatIon report an amount for other assets In Part X, km 15 that Is 5% or more of Its total assets reported In Part X, lIne 16'? If "Yes, complete Schedule D, Part IX 11d the organIzatIon report an amount for other In Part X, ?ne 25'7 If ?Yes, complete Schedule D, Part 1 1e the organIzatIon's separate or consolrdated fInanCIal statements for the tax year Include a footnote that addresses the organIzatIon's for uncertam tax posmons under FIN 48 (A80 740)? ll "Yes, complete Schedule D, Part 11f 12a the organIzatIon obtaIn separate, Independent audIted fInanCIal statements for the tax year? If "Yes, complete Schedule 0, Parts XI and 123 Was the organIzatIon Included In consolldated, Independent audIted fInanCIal statements for the tax year? If ?Yes, and If the organrzahon answered ?No to the 723, then completIng Schedule D, Parts Xl and Is optronal 12b 13 Is the orgamzatron a school descnbed In sectIon lf "Yes, complete Schedule 13 14a the organrzatIon maIntaIn an of?ce, employees, or agents outsIde of the UnIted States? 14a the organrzatIon have aggregate revenues or expenses of more than $10,000 from grantmakIng, fundraIsmg, busmess, Investment, and program serVIce actIvItIes outSIde the UnIted States, or aggregate foreIgn Investments valued at $100,000 or more? If Yes, complete Schedule F, Parts I and IV 14b 15 the organIzatIon report on Part IX, column (A), Me 3, more than $5,000 of grants or other aSSIstance to or for any foreIgn organIzatIon? If "Yes,? complete Schedule F, Parts II and IV 15 16 the organIzatIon report on Part IX, column (A), NM 3, more than $5,000 of aggregate grants or other as5Istance to or for foreIgn IndIVIduals? If "Yes, complete Schedule F, Pan?s Ill and IV 16 17 the organIzatIon report a total of more than $15,000 of expenses for professmnal fundraIsmg serVIces on Part IX, column (A), ?ms 6 and 11e9 If "Yes, complete Schedule G, Partl 17 18 the organIzatIon report more than $15,000 total of fundraIsIng event gross Income and contrIbutIons on Part lInes 1c and 8&9 If Yes, complete Schedule G, Part ll 13 19 Old the organIzatIon report more than $15,000 of gross Income from gamIng actIVItIes on Part lIne 9a? If "Yes, complete Schedule G, Part 19 Form 990 (2017) 732003 11~28- l7 4 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 Form990(201Z)_ CITIZENS FOR 27?1657203 Paqe4 ?art IV Checklist of Required Schedules (continued) Yes No 20a Did the organization operate one or more hospital faculties" If "Yes, complete Schedule 20a If "Yes" to line 20a, did the organization attach a copy of its audited finanCIal statements to this return?7 20b 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 19 If "Yes, complete Schedule I, Parts I and ll 21 22 Did the organization report more than $5,000 of grants or other a53istance to or for domestic indiwduals on Part IX, column (A), line 29 If "Yes, complete Schedule I, Parts I and Ill 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? ll "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, 20029 ll Yes, answer llnes 24!) through 24d and complete Schedule If "No" go to line 25a 243 Did the organization invest any proceeds of tax-exempt 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 defease any tax-exempt bonds? 24c Did the organization act as an "on behalf of" Issuer for bonds outstanding at any time during the year?7 24d 25a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction With a disqualified person during the year? If "Yes, complete Schedule L, Part I 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 If "Yes, complete Schedule L, Part I 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 employees, highest compensated employees, or disqualified persons? If "Yes, complete Schedule L, Part ll 26 27 Did the organization prowde 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? lf Yes, complete Schedule L, Part 27 28 Was the organization a party to a busmess transaction With one of the followmg parties (see Schedule L, Part IV instructions for applicable tiling thresholds, conditions, and exceptions) a A current or former officer, director, trustee, or key employee? If "Yes, complete Schedule L, Part IV 28a A family member of a current or former officer, director, trustee, or key employee?7 lf "Yes, complete Schedule L. Part lV 28b An entity 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 Part IV 28c 29 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, historical treasures, or other similar assets. or qualified conservation contributions9 If "Yes, complete Schedule 30 31 Did the organization qumdate, terminate, or dissolve and cease operations? lf Yes, complete Schedule N, Part I 31 32 Did the organization sell. exchange, dispose of, or transfer more than 25% of its net assets'7llt ?Yes, complete Schedule N, Part II 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 7701 -2 and 301 7701 -3'7 If "Yes, complete Schedule Fl, Part 33 34 Was the organization related to any tax-exempt or taxable entity? If ?Yes, complete Schedule H, Part ll, or IV, and Part V, llne 1 34 35a Did the organization have a controlled entity Within the meaning of section 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)" If "Yes, complete Schedule Fl, Part V, line 2 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes, complete Schedule Fl, Part V, line 2 36 37 Did the organization conduct more than 5% of its actiwties 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 Fl, Part VI 37 38 Did the organization complete Schedule 0 and prowde explanations in Schedule 0 for Part VI, lines 11b and 19?7 Note. All Form 990 filers are reqwred to complete Schedule 0 38 Form 990 (2017) 732004 1 1-28- 17 5 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 Form 990(2017) CITIZENS FOR 27*1657203 .4 Part Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response or note to any line in this Part Page 5 Yes No 1a Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable 1a 2 2 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? 1c 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 23 3 4 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-frle (see instructions) 3a Did the organization have unrelated busmess gross income of $1,000 or more during the year?7 3a If "Yes," has it filed a Form 990-T for this year? If ?No, to line so, prowde 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 Manual account in a foreign country (such as a bank account, securities account, or other finanCial account)9 43 If "Yes," enter the name of the foreign country See Instructions for filing reqwrements for Form 114, Report of Foreign Bank and FinanCial Accounts (FBAR) 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a Did any taxable party notify the organizatron 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 what any contributions that were not tax deductible as charitable contributions? 6a If "Yes," did the organization include With every soliCitation an express statement that such contributions or gifts were not tax deductible9 6b 7 Organizations that may receive deductible contributions under section 170(0). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and serVices prowded to the payor? 7a If "Yes,? did the organization notify the donor of the value of the goods or servrces prowded? 7b Did the organization sell, exchange, or otherWise dispose of tangible personal property for which it was reqUIred to file Form 8282'? 7c (I If "Yes,? indicate the number of Forms 8282 filed during the year I I 7d I Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e 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 reqwred" 79 If the organizatron received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-0? 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess busmess holdings at any time during the year?? 8 9 Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxable distributions under section 4966'? 9a Did the sponsoring 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 12 103 Gross receipts, included on Form 990, Part line 12, for public use of club 10b 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) 11b 128 Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 '7 12a If "Yes," enter the amount of tax-exempt interest received or accrued during the year 12b 13 Section 501(c)(29) qualified nonprofit health insurance issuers. a Is the organization licensed to issue qualified health plans in more than one state? 133 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 0 Enter the amount of reserves on hand 13c 14a Did the organization receive any payments for indoor tanning sewices during the tax year? 143 If "Yes," has it filed a Form 720 to report these payments? If "No, "prowde an explanation in Schedule 0 14b Form 990 (2017) 732005 I1-28-17 10350912 798302 1156 6 2017.04011 CITIZENS FOR 1156 1 Formsqo (2017) CITIZENS FOR 27?1657203 PageG I Part VI Governance, Management, and Disclosure For each "Yes" response to lrnes 2 through 7b below, and fora ?No" response to lrne Ba, SD, or TDD below, the crrcumstances, processes, or' changes In Schedule 0 See Check If Schedule 0 contaIns a response or note to any IIne In the 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 13 4 If there are materIal dIflerences In votIng rughts among members of the governing body, or If the body delegated broad authonty to an executwe commItlee or Slmlial' commIttee, explaIn In Schedule 0 Enter the number of votIng members Included In Me 1a, above, who are Independent 1b 3 2 any of?cer, dIrector, trustee, or key employee have a family relatIonshIp or a busmess relatIonshIp WIth any other offIcer, dIrector, trustee, or key employee? 2 3 the organIzatIon delegate control over management dutIes customanly performed by or under the dIrect superVISIon of of?cers, dIrectors, or trustees. or key employees to a management company or other person? 3 4 the organIzatIon make any SIgnIfIcant changes to Its documents smce the prIor Form 990 was ?led" 4 5 Old the organIzatIon become aware durIng the year of a SIgnIfIcant dIverSIon of the organizatlon's assets7 5 6 Old the organIzatIon have members or stockholders? 6 7a the organIzatIon have members, stockholders, or other persons who had the power to elect or appoInt one or more members of the governIng body? Ta Are any governance deCISIons of the organIzatIon reserved to (or subject to approval by) members, stockholders, or persons other than the governIng body'7 7b a the organIzatIon contemporaneously document the meetIngs held or wntten actIons undertaken dunng the year by the followmg: a The body? 8a Each WIth authorIty to act on behalf of the governIng body? 8b 9 Is there any of?cer, dIrector, trustee, or key employee lIsted In Part VII, SectIon A, who cannot be reached at the I organIzatIon?s maIlIng address? If ?Yes, prowde the names and addresses In Schedule 0 9 Section B. Policies (T Sectron requests InformatIon about polrcres not requrred by the Internal Revenue Code) Yes No 10a the organIzatIon have local chapters, branches, or 10a If "Yes," dId the organIzatIon have wntten polICIes and procedures governIng the actIvItIes of such chapters. affIlIates, and branches to ensure thetr operatrons are conSIstent the organIzatIon's exempt purposes? 10b 1 1a Has the organIzatIon prowded a complete cepy of INS Form 990 to all members of Its governIng body before fIlIng the form? 1 13 Descnbe In Schedule 0 the process. If any, used by the organIzatIon to reVIew Form 990 12a the organIzatIon have a when coanIct of Interest poIIcy? If ?No, go to ?ne 13 123 Were offIcers, dIrectors, or trustees, and key employees wound to dIsclose annually Interests that could we use to conflIcts?7 12b the organIzatIon regularly and conSIstently monItor and enforce complIance WIth the poIIcy?P lf Yes, describe In Schedule 0 how the was done 12c 13 Old the organIzatIon have a when poIIcy'7 13 14 Old the organIzatIon have a when document retentIon and destructlon polIcy'7 14 15 the process for determInIng compensatIon of the followmg persons Include a revrew and approval by Independent persons, comparabIlIty data, and contemporaneous substantIatIon of the deIIberatIon and deCISIon?7 a The organIzatIon's CEO, ExecutIve DIrector, or top management offICIal 15a Other of?cers or key employees of the organIzatIon 15b it "Yes" to We 15a or 151), descnbe the process In Schedule 0 (see InstructIons) 16a the organIzatIon Invest In, contrIbute assets to, or partICIpate In a jomt vent?re or arrangement WIth a taxable entIty durIng the year? 16a If "Yes," dId the organIzatIon follow a when polIcy or procedure requmng the organIzatIon to evaluate Its partICIpatIon In Iomt 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 um the states WIth a copy of the Form 990 Is reqUIred to be ?led FAR SectIon 6104 reqUIres an organIzatIon to make Its Forms 1023 (or 1024 If applIcable), 990, and 990T (SectIon 501 only) avaIlable for public InspectIon how you made these aVaIlable Check all that apply Own webSIte i:i Another?s webSIte Upon request Other (explarn In Schedule 0) 19 Descnbe In Schedule 0 whether (and If so, how) the organIzatIon made Its governIng documents, conflIct of Interest policy, and Manual statements avaIIable 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 CLIFTON LARSON ALLEN LLP - 317-574-9100 9365 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240 73200611-28-17 SEE SCHEDULE 0 FOR FULL LIST OF STATES Form990(2017) 7 10350912 798302 1155 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 1 I Form 990 2017 CITIZENS FOR 27?1657203 Page_7 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 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons requ1red 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 indiv1duals Or organizations), regardless of amount of compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid 0 List all of the organization's current key employees, if any See instructions for definition of "key employee 0 List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received report- able 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 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 0 List all of the organization?s former directors or trustees that received, in the capac1ty 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 followmg order IndIVldual 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 (A) (B) (C) (D) (E) (F) Name and Title Average (do no, one Reportable Reportable Estimated hours per box, unless person is both an compensation compensation amount of week of?cer and a director/trustee) from from related other (list any 5 the organizations compensation hours for organization from the related .. organization organizations 3 g. g? and related below 3 3 ES 3-. organizations line) (1) TIM DUNN 1.00 DIRECTOR 0 . 0 . 0 . (2) MARK MECKLER 40.00 223,588. 0. 22,221. (3) ERIC 3.00 DIRECTOR 0 . 0 . 0 . (4) MARK ROLLINS 1 . 00 DIRECTOR 0 . 0 . 0 . (5) MICHAEL RUTHENBERG 4 0 . 0 0 SECRETARY 100,800. 0. 25,749. (6) TIMOTHY MURPHY (7) MICHAEL TRANCHINA 40 . 0 0 CHIEF TECHNOLOGY OFFICER 73200? 11-23-17 Form 990 (2017) 8 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 Form990(2017) CITIZENS FOR . 27?1657203 Page8 [Part Section A. Officers, Directors, Trustees, Key Em algees, and Highest Compensated Employees (continuedName and title Average (do no, $33333? one Reportable Reportable Estimated hours per box, unless person l5 both an compensation compensation amount of week of?cer and a director/trustee) from from related other (llst any the organizations compensation hours for '15 organization MISC) from the related organization organizations a; and related below a g; a organizations 'me) :2 as 1b Sub-total 455,637. 0. 67,122. Total from continuation sheets to Part VII, Section Total(addlines1band1c) 455,537. 0. 67,122. 2 Total number of indIVIduals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 3 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line 1a? lf Yes, complete Schedule for such indiwdual 4 For any indiwdual 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 indiwdual 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or indiwdual for serVIces rendered to the olggnizationO If ?Yes, complete Schedule for such person 5 Yes No 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 (A) (B) (C) Name and busmess address Description of serwces Compensation GRAVES GARRETT LLC 1 10 0 MAIN ST SUITE 2700, KANSAS CITY, MO 64105 LEGAL SERVICES 1,838,728. BAKER HOSTETLER LLP 1 2 7 PUBLIC SQUARE SUITE 2000, CLEVELAND, OH 44114-1214 LEGAL SERVICES 630,791. CLIFTONLARSONALLEN LLP 9 3 6 5 COUNSELORS ROW, STE 200, INDIANAPOLIS, IN 46240 ACCOUNTING SERVICES 116,054. 2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 3 Form 990 (2017) 732008 11-28-17 10350912 798802 1156 2017.04011 9 FOR SELF-GOVERNANC 1156 1 Form 990 (2017) I Part Statement of Revenue Check If Schedule 0 contaIns a responSe or note to any Me In thIs Part CITI ZENS FOR 27?1657203 Page 9 IL (A) (B) (Cl (13} Total revenue Related or Unrelated exempt functIon busmess sectIons revenue revenue 512 - 514 ?13 1 a Federated campalgns 1a MembershIp dues 1b FundraISIng events 1c 35 Related organizatIons 1d 31% Government grants (contrIbutIons) 1e All other contnbutlons, gItts, grants, and 5E SImIlar amounts not Included above Noncash contributions Included In lInes 1a-1f 0% Total.AddlInes1a-1f 4,657,910. Business Cadet I .3 2 a 9' All other program serVIce revenue 9 Total. Add lInes 2a-2f I 3 Investment Income (IncludIng dIVIdends, Interest, and I other sumIIar amounts) 4 Income from Investment of tax-exempt bond proceeds 5 RoyaltIes (I) Real (10 Personal 6 3 Gross rents Less rental expenses Rental Income or (loss) Net rental Income or (loss) 7 a Gross amount from sales of (I) SecurItIes (ll) Other assets other than Inventory Less cost or other baSlS and sales expenses GaIn or (loss) Net gram or (loss) q, 8 a Gross Income from fundraISIng events (not IncludIng Of contrIbutIons reported on Me 1c) See E1 Part IV, Me 18 a E53 Less dIrect expenses 1: Net Income or (loss) from fundraISIng events 9 a Gross Income from gamIng actIVItIes See Part IV, km 19 a I Less dIrect expenses Net Income or (loss) from gamIng actIVItIes 10 a Gross sales of Inventory, less returns and allowances a Less cost of goods sold Net Income or (loss) from sales of Inventog MIscellaneous Revenue BusIness Code I 11a 900099 27,981. 27,981. All other revenue Total.AddIInes11a-11d 27,981. I 12 Total revenue.See Instructlons732009 11-23-11r Form 990 (2017) 10350912 798302 1156 10 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 1 Fonn990(2017) [Part IX [Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organrzahons must complete all columns All other organizatlons must complete column (A) CITI ZENS FOR SELF -GOVERNANCE 27-1657203 Paqe10 Check 1f Schedule 0 contalns a response or note to any llne 1n Part IX 00 not include amounts reported on ?"85 6b' Total (Eganses Progra(r17)serwce Manag??ent and 7b' 8b, 9b: and 10" Of Part WI- expenses general expenses expenses 1 Grants and other to domestlc organizations and domestic governments. See Part IV, 21 I 2 Grants and other assustance to domestlc See Part IV. l1ne 22 3 Grants and other asSIStance to forelgn organlzatlons, foreign governments, and forelgn I 1nd1v1dua s See Part IV, llnes 15 and 16 4 Bene?ts pad to or for members 1 5 Compensatlon of current of?cers, drrectors, trustees,andkeyemployees 455,637. 259,713. 127,578. 68,346. 6 Compensatlon not Included above, to disqualmed persons (as delmed under sectlon 4958(t)(1)) and persons descnbed 1n sectlon 7 Othersalanesandwages 232,684. 106,805. 35,167. 90,712. 8 Pensmn plan accruals and contnbullons (1nclude sectlon 401(k) and 4030)) employer contnbutlons) 9 Other employee bene?ts 10 Payrolltaxes 76,843. 40,918. 18,168. 17,757. 11 Fees for servuces (non-employees) a Management Legal 2,512,425. 2,408,859. 103,566. Accounting 123,452. 123,452. Professronal fundralsmg servrces. See Part IV, llne 17 1 Investment management fees 9 Other (ll l1ne 11g amount exceeds 10% of 25, . 242,615. 148,366. 71,474. 22,775. 12 ,749,725. 668,260. 59,766. 21,699. 13 Of?ce expenses 14 Informatlon technology 15 Royaltles 16 Occupancy 17,541. 9,341. 4,147. 4,053- 17 Travel 18 Payments of travel or entertainment expenses for any federal. state, or local public 19 Conferences, conventlonsInterest 21 Payments to 22 Deprecratlon, depletlon, and amortization Insurance 58,245. 30,689. 14,307. 13,249. 24 Other expenses. llemlze expenses not covered above. (Llst muscellaneous expenses In llne 24e ltl1ne 24e amount exceeds 10% of lune 25, column (A) amount, llne 24a expenses on Schedule 0) a DUES SUBSCRIPTIONS 14,566. 7,756. 3,444. 3,366. MISCELLANEOUS 8,342. 12,804. <2,717.> POSTAGE 7,414. 1,934. 2,333. 3,147. MEALS 8: ENTERTAINMENT 4,533. 4,002. 313. 218. All other expenses 25 4,634,915. 3,773,721. 597,650. 263,544. 26 Joint costs. Complete lIne only If the organization reported In column (B) 101m costs lrom a comblned educational campa1gn and tundralsmg sol1c1tatlon. Check here 11 lollowmg SOP 98-2 (A50 958-720) 732010 11-23-17 Form 990 (2017) 10350912 798302 1156 11 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 Form 990 (2017) CITI ZENS FOR SELF-GOVERNANCE [Part I Balance Sheet Check if Schedule 0 contains a response or note to any line in this Part 27~1657203 Page11 (A) Beginning of year (B) End of year 1 Cash - non-interest-bearlng Savmgs and temporary cash investments 2 3 Pledges and grants receivable, net 3 4 Accounts receivableLoans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees Complete Part II of Schedule 5 6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary ,3 employees' benefiClary organizations (see instr) Complete Part II of 6 7 Notes and loans receivable, net 7 8 Inventories for sale or use 8 9 Prepaid expenses and deferred charges 10a Land, and eqUipment cost or other Complete Part VI of Schedule 10a Less accumulated depreClatlon 10b Investments - publicly traded securities 11 12 investments - other securities See Part IV, line 11 12 13 Investments - program'related See Part IV, line 11 13 14 Intangible assets 14 15 Other assets See Part IV, line 11 15 16 Total assets. Add lines 1 through 15 (must equal line 34Accounts payable and accrued expenses Grants payable 18 19 Deferred revenue 19 20 Tax-exempt bond liabilities 20 21 Escrow or custodial account liability Complete Part IV of Schedule 21 22 Loans and other payables to current and former officers, directors, trustees. 3 key employees, highest compensated employees, and disqualified persons 3 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 (includtng federal income tax, payables to related third parties, and other liabilities not included on lines 17-24) Complete Part of ScheduleD 62,267. 25 11,126. 26 Total liabilities. Add lines 17 throuqh Organizations that follow SFAS 1 17 (A30 958), check here and 3 complete lines 27 through 29, and lines 33 and 34. 7 27 Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets 29 .3 Organizations that do not follow SFAS 117 (A80 958), check here El I 3 and complete lines 30 through 34. +3 30 Capital stock or trust or current funds 30 E1 31 Paid-in or capital surplus. or land, bollding, or equpment fund 31 32 Retained earnings, endowment, accumulated income, or other funds 32 33 Totalnetassetsorfundbalances 1,251,374. 33 1,302,349. 34 Total liabilities and net assets/fund balances Form 990 (2017) 732011 11-23.17 10350912 798302 1156 12 2017 . 04011 CITIZENS FOR SELF-GOVERNANC 1156 1 10350912 798302 1156 Form990(2017) CITIZENS FOR SELF-GOVERNANCE 27?1657203 Paqe12 Part XI Reconciliation of Net Assets Check if Schedule 0 contains a response or note to any line in this Part XI 4,685,891. 4,634,915. 50,976. 1,251,374. 0. 1 Total revenue (must equal Part column (A), line 12) 1 2 Total expenses (must equal Part IX. column (A), line 25) 2 3 Revenue less expenses Subtract line 2 from line 1 3 4 Net assets or fund balances at beginning of year (must equal Part X. line 33, column 4 5 Net unrealized gains (losses) on investments 5 6 Donated semces and use of faculities 6 7 Investment expenses 7 8 Prior period adiustments 8 9 Other changes in net assets or fund balances (explain in Schedule 0) 9 10 Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33, column 10 1,302,350. Part Financial Statements and Reporting Check if Schedule 0 contains a response or note to any line in this Part Cl 1 Accounting method used to prepare the Form 990 CI Cash Accrual Other If the organization changed Its method of accounting from a prior year or checked "Other," explain in Schedule 0 23 Were the organization's finanCial statements compiled or revrewed by an independent accountant? If "Yes." check a box below to indicate whether the finanCIal statements for the year were compiled or rewewed on a separate ba5is. consolidated ba5is, or both Separate ba5is El Consolidated ba5is 1: Both consolidated and separate basis Were the organization's finanCIal statements audited by ah independent accountant? If "Yes." check a box below to indicate whether the finanCIal statements for the year were audited on a separate basis, consolidated ba3is, or both Separate ba5is Consolidated ba3is I: Both consolidated and separate ba5is 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 33 As a result of a federal award, viras the organization requnred to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-1339 If "Yes,? did the organization undergo the requued audit or audits?7 If the organization did not undergo the reqUIred audit 0r audits, explain why in Schedule 0 and describe any steps taken to undergo such audits Yes No 2bX 2cX 3a 3b 732012 11-28-17 13 Form 990 (2017) 2017.04011 CITIZENS FOR 1156 1 332330159352, Public Charity Status and PUb'ic supp? Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. a Department of the Treasury Attach to Form 990 or Form 990-52, Open to Public 1 meme? Revenue Go to for instructions and the latest information. Name of the organization Employer identification number CITIZENS FOR SELF-GOVERNANCE 27?1657203 Part I 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 12. check only one box) 1 A church, convention of churches, or assomation of churches described in section . 2 :1 A school described in section (Attach Schedule (Form 990 or 3 A hospital or a cooperative hospital serVice organization described in section 4 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 II 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 agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction With a land-grant college or univerSIty or a non-land-grant college of agriculture (see instructions) Enter the name, City, and state of the college or univerSity An organization that normally receives (1) more than 33 1/3% of its support from contributions, membership fees. and gross receipts from actiVities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated busmess taxable income (less section 511 tax) from busmesses achired by the organization after June 30, 1975 See section 509(a)(2). (Complete Part An organization organized and operated excluswely to test for public safety See section 509(a)(4). An organization organized and Operated excluswely for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)( 1) or section 509(a)(2) See section 509(a)(3). Check the box in lines 123 through 12d that describes the type of supporting organization and?complete lines 12e, 12f, and 129 a Type I. A supporting organization operated, superVised, or controlled by its supported organization(s), typically by givmg the supported organization(s) the power to regularly appomt or elect a mayority of the directors or trustees of the supporting organization You must complete Part IV, Sections A and B. I: Type II. A supporting organization superVised or controlled in connection With its supported organization(s), by havmg control or management of the supporting organization vested in the same persons that control or manage the supported organization(s) You must complete Part IV, Sections A and C. :1 Type functionally integrated. A supporting organization operated in connection With, and functionally integrated With, 0 going 10 11 12 its supported organization(s) (see instructions) You must complete Part IV, Sections A, D, and E. Type non-functionally integrated. A supporting organization operated in connection With its supported organization(s) that is not functionally integrated The organization generally must satisfy a distribution reqwrement and an attentiveness reqLiirement (see instructions) You must complete Part IV, Sections A and D, and Part V. Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type functionally integrated, or Type non?functionally integrated supporting organization 1? Enter the number of supported organizations Prowde the followmg information about the supported organization(s) Name of supported (ii) EIN Type of organization Amount of monetary (Vi) Amount of other . organization Siting: Eggn?gnl?) Yes? No support (see instructions) support (see instructions) Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 732021 10-05-17 Schedule A (Form 990 or 990-EZ) 2017 14 10350912 798302 1156 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 1 me A Form 990 or 990. 2017 CITI ZENS FOR ?upport - ue or Organizations I escri - . in ections 170 . (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 Calendaryear(orliscal year beginning in)> 2013 2014 2015 2016 2017 Total 1 Gifts, grants, contributions, and membership fees received (Do not includeany"unusualgrants 2254206 . 4804191 . 5711098 . 4018603 . 4557910 . 21446008 . 2 Tax revenues lewed for the organ- ization's benefit and either paid to or expended on its behalf 3 The value of sewices or fac?ities furnished by a governmental unit to the organization Without charge 4 2254206 . 4804191 . 5711098 . 4018603 . 4657910 . 21446008 . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, columnm . 5562628. 6 Public sumt. Subtract Ilne 5 from line Section B. Total Support I Calendar year (or fiscal year beginning in) 2013 2014 2015 2016 2017 Total 7 2254206. 4804191. 5711098. 4018603. 4657910.21446008. 8 Gross income from interest, diVidends, payments received on securities loans, rents, royalties, and income from Similar sources 9 Net income from unrelated busmess actiwties, whether or not the busmess is regularly carried on 10 Other income Do not include gain or loss from the sale of capital assets(ExplaininPartVl) 605. 2,089. 25,300. 229,441. 27,981. 285,416. 1 1 Total support. Add lines 7 through Gross receipts from related actiwties, etc (see instructions) 12 I 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 14 Public support percentage for 2017 (line 6, column leIded by line 11, column 14 7 3 - 9 15 Public support percentage from 2016 Schedule A, Part II, line 1/3% support test - 2017. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 33 113% support test - 2016. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a 10% -facts?and-cwcumstances test - 2017. if the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-Circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-crrcumstances" test The organization qualifies as a publicly supported organization 10% -facts-and-circumstances test - 2016. 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 "facts-and-Circumstances" test The organization qualifies as a publicly supported organization :1 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) 2017 732022 10-06-17 15 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 Sche- ule A Form 990 or 990- upport (Complete only if you checked the box on line 10 of Part or if the organization failed to qualify under Part II If the organization fails to qualify under the tests listed below, please complete Part II) Section A. Public Support 27711657203 Paqe3 Calendar year (or fiscal year beginning in) 2013 2014 2015 2016 I 2017 Total 1 Gifts, grants, contributions, and membership fees received (Do not include any "unusual grants 2 Gross receipts from merchandise sold or sewices per- formed, or faCIlities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from actiVIties that are not an unrelated trade or bus- iness under section 513 4 Tax revenues leVIed for the organ- ization's benefit and either paid to or expended on its behalf 5 The value of sewices or faculties furnished by a governmental unit to the organization Without charge 6 Total. Add lines 1 through 5 Ta Amounts included on lines 1, 2, and 3 received from disqualified persons Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year Add lines 7a and 7b 8 Public su ort. lines.) Section B. Total Support Calendaryear(orfiscal year beginning in)> 2013 2014 2015 2015 2017 Total 9 Amounts from line 6 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties. and income from Similar sources 3- Unrelated busmess taxable income (less section 511 taxes) from busmesses acquved after June 30, 1975 Add lines 10a and 10b 11 Net income from unrelated busmess activities not included In line 10b, whether or not the busmess 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, 10c, ii, and 12) I 14 First five years. If the Form 990 is for the organization?s first! second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here Section C. Computation of Public Support Percentage 15 Public support percentage for 2017 (line 8, column diVi?ed by line 13, column 15 16 Public support percentage from 2016 Schedule A, Part line 15 16 Section D. Computation of Investment Incom? Percentage 17 Investment income percentage for 2017 (line 100, colu?rin dwided by line 13, column 17 18 Investment income percentage from 2016 Schedule A, Part line 17 18 19a 33 113% support tests - 2017. If the organization dl?J not check the box on line 14, and line 15 is more than 33 and line 17 is not more than 33 check this box and stop here. The organization qualifies as a publicly supported organization 33 1/3% support tests - 2016. If the organization not check a box on line 14 or line 19a, and line 16 is more than 33 and line 18 is not more than 33 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 Schedule A (Form 990 or 2017 732023 10-06-17 . 16 10350912 798302 1156 >Cl M: 201-7.04011 CITIZENS FOR SELF-GOVERNANC 1156 Schedule A (Form 990 or 990-52) 2017 I TI ZENS FOR SELF GOVERNANCE I Part IV I Supporting Organizations (Complete only if you checked a box in line 12 on Part I If you checked 12a of Part I, complete Sections A and If you checked 12b of Part I, complete Sections A and If you checked 12c of Part I, complete Sections A, D, and If you checked 12d of Part I, complete Sections A and D, and complete Part V) Section A. All Supporting Organizations 27?1657203 Paqe4 the organization's supported organizations listed by name in the organization's governing documents? If "No, describe in Part VI how the supported organizations are desrgnated lf deSignated by class or purpose, describe the deSignatron lf historic and continumg relationship, explain Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)9 If "Yes, explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2) Did the organization have a supported organization described in section 501 (5), or (6)9 ll "Yes," answer and (0) below Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section If "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 exclusrvely for section 170(c)(2)(B) purposes? If "Yes, explain in Part VI what controls the organization put in place to ensure such use Was any supported organization not organized in the United States ("foreign supported organization")? If Yes, and if you checked 123 or 12b in Part I, answer and below Did the organization have ultimate control and discretion in deCIding whether to make grants to the foreign supported organization? If Yes, describe in Part VI how the organization had such control and discretion despite being controlled or supervrsed by or in connection With its supported organizations Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)9 If "Yes, explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusrvely for section 170(c)(2)(B) purposes Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes, answer and below (if applicable) Also, prowde detail in Part VI, including 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 organizmg document authorizmg such action, and (iv) how the action was accomplished (such as by amendment to the organiZing document) Type I or Type II only. Was any added or substituted supported organization part of a class already deSignated in the organization's organizmg document? Substitutions only. Was the substitution the result of an event beyond the organization's control? Did the organization prowde support (whether in the form of grants or the provmion of servrces or facrlities) to anyone other than its supported organizations, (It) indniiduals 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? If "Yes, prowde detail in Part VI. Did the organization provide a grant, loan, compensation, or other Similar payment to a substantial contributor (defined in section a family member of a substantial contributor, or a 35% controlled entity With regard to a substantial contributor??r "Yes, complete Part I of Schedule (Form 990 or QQO-EZ) Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7" If Yes, complete Part I of Schedule (Form 990 or Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or If "Yes, prowde detail in Part VI. Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest?7 If "Yes, prowde detail in Part VI. Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interes19lf Yes, provide detail in Part VI. Was the organization subject to the excess busmess holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type non-functionally integrated supporting organizations)? If ?Yes, answer 1 Ob below Did the organization have any excess busmess holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess busrness hold?ings Yes 103 10b 732024 10-06-17 10350912 798302 1156 17 Schedule A (Form 990 or 990-EZ) 2017 2017.04011 CITIZENS FOR 1156 1 Schedule A (Form 990 or 990 52) 2017 ITI ZENS FOR SELF- GOVERNANCE Page 5 fart IVI Supporting Organizations (continued) Yes No 11 Has the organization accepted a gift or contribution from any of the followmg persons? a A person who directly or Indirectly controls, either alone or together With persons described in and below, the governing body of a supported organization? He A family member of a person described In above" 11b A 35% controlled entity of a person described in or ?above?h'f "Yes" to a, b. or 0. prowde detail in Part VI. 11c Section B. Type I Supporting Organizations 2 Yes No 1 Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appornt or elect at least a majority of the organization's directors or trustees at all times during the tax year? If "No, describe in Part VI how the supported organization(s) effectively operated, superwsed, or controlled the organization 's If the organization had more than one supported organization, describe how the powers to appornt and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year 1 2 Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, superwsed, or controlled the supporting organization?? "Yes, explain in Part VI how prowding such benefit carried out the purposes of the supported organization(s) that operated, superwsed, or controlled the supporting organization 2 Section C. Type II Supporting Organizations Yes No 1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? If ?No, describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s) 1 Section D. All Type Supporting Organizations Yes No 1 Did the organization provrde to each of its supported organizations, by the last day of the fifth month of the organization's tax year, (0 a written notice describing the type and amount of support prowded during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and copies of the organization?s governing documents in effect on the date of notification, to the extent not preViously prowded? 1 2 Were any of the organization's officers, directors, or trustees either appomted or elected by the supported organization(s) or (ii) servmg on the governing body of a supported organization? If "No, explain in Part VI how the organization maintained a close and continuous working relationship With the supported organization(s) 2 3 By reason of the relationship described in (2), did the organization's supported organizations have a Significant mice 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? If "Yes, describe in Part VI the role the organization's supported organizations played in this regard 3 Section E. Type Functionally Integrated Supporti_ng Organizations 1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the yeafsee instructions). a The organization satisfied the ActiVities Test Complete line 2 below The organization is the parent of each of its supported organizations Complete line 3 below The organization supported a governmental entity Describe in Part VI how you supported a government entity (see instructions) 2 ActIVities Test Answer and below. Yes No a Did substantially all of the organization's actiwties during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responswe? If "Yes, then in Part VI identify those supported organizations and explain how these actiwties directly furthered their exempt purposes, how the organization was responSive to those supported organrzations, and how the organization determined that these actiwties constituted substantially all of its activmes 2a 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? If "Yes, explain in Part VI the reasons for the organization's pOSItion that its supported organization(s) would have engaged in these actiwties but for the organization's involvement 2b 3 Parent of Supported Organizations Answer and below. 1 a Did the organization have the power to regularly appomt or elect a majority of the officers, directors, or trustees of each of the supported organizations? Prowde details in Part VI. 3a Did the organization exercrse a substantial degree of direction over the poliCies, programs, and actiVIties of each of its supported organizations? If "Yes, describe in Part VI the role played by the organization in this regard 3b 732025 10-06-17 Schedule A (Form 990 or 990-EZ) 2017 1 8 10350912 798302 1156 2017 . 04011 CITIZENS FOR SELF-GOVERNANC 1156?1 Schedule A (Form 990 or 990-EZ) 2017 ITI ZENS FOR SELF Type Non-Functionally lntegiated 509(a)(3) Supporting Organizations Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov 20. 1970 (explain in Part VI )See instructions. All [Part 1 27?1657203 Pages other Type non-functionally integrated supporting organizations must complete Sections A through Section A - Adjusted Net Income A (B) Current Year rior ear (optional) Net short-term capital gain Recoveries of prior-year distributions Other gross income (see Instructions) Add lines 1 through 3 DepreCiation and depletion mall-QM; 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) 8 Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) Section - Minimum Asset Amount (B) Current Year (A) Prior Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instructions f0ir short tax year or assets held for part of year) Average value of securities 1a Average cash balances 1b Fair market value of other non-exempt-use assets 1c Total (add lines 1a, 1b, and 1c) 1d $13.05? Discount claimed for blockage or other factors (explain in detail in Part VI) AchISition indebtedness applicable to non-exempt-use assets Subtract line 2 from line 1d Cash deemed held for exempt use Enter 1-1/2% of line 3 (for greater amount, see instructions) Net value of non-exempt-use assets (subtract line 4 from line 3) Multiply line 5 by 035 Recoveries of prior-year distributions Minimum Asset Amount (add line 7 to line 6) Q'Nldiu'l-h Section Distributable Amount Current Year Adjusted net income for prior year (from Section A, line 8, Column A) Enter 85% of line 1 Minimum asset amount for prior year (from Section B, line 8, Column A) Enter greater of line 2 or line 3 Income tax imposed in prior year (?-5de Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6 Check here if the current year is the organization's first as a non-functionally integrated Type supporting organization (see instructions) 732026 10-06- I 7 10350912 798302 1156 19 Schedule A (Form 990 or 990-EZ) 2017 2017.04011 CITIZENS FOR 1156 1 Schedule A (Form 990 or 990-52) 2017 CIT I ZENS FOR SELF GOVERNANCE [Part I Type Non-Functionally Integrated 509(a)(3) Supporting Organizations Section - Distributions 1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform that directly furthers exempt purposes of supported organizations, in excess of Income from actiVIty Amounts paid to acqurre exempt-use assets 00-40:th (prowde details in Part VI) See instructions (.0 10 Line 8 amount dwided by line 9 amount Qualified set-asrde amounts (prior IRS approval reqUIred) Other distributions (describe in Part VI) See instructions Total annual distributions. Add lines 1 through 6 Distributions to attentive supported organizations to which the organization is responsrve Distributable amount for 2017 from Section C, line 6 Administrative expenses paid to accomplish exempt purposes of supported organizations 27-1657203 Page? Current Year Section - Distribution Allocations (see instructions) Excess Distributions (m Underdistributions Pre-2017 Distributable Amount for 2017 1 Distributable amount for 2017 from Section C, line 6 2 Underdistributions. if any, for years prior to 2017 (reason- able cause requrred- explain in Part VI) See instructions 3 Excess distributions carryover, if am, to 2017 I From 2013 From 2014 From 2015 From 2016 Total of lines 3a through Applied to underdistributions ofprior years Applied to 2017 distributable am0unt Carryover from 2012 not applied (see instructions) Remainder Subtract lines 39, 3h, and Si from 3f A Distributions for 2017 from Section D, line 7 Applied to underdistributions of prior years 0' Applied to 2017 distributable amount Remainder Subtract lines 4a and 4b from 4 5 Remaining underdistributions for years prior to 2017, if any Subtract lines 39 and 4a from line 2 For result greater than zero, explain in Part VI. See instructions 6 Remaining underdistributions for 2017 Subtract lines 3h and 4b from line 1 For result greater than zero. explain in Part VI See instructions 7 Excess distributions carryover to 2018. Add lines 3] and 4c 8 Breakdown of line 7 Excess from 2013 Excess from 2014 Excess from 2015 Excess from 2016 00.059) Excess from 2017 732027 10-06- 17 10350912 798302 1156 20 Schedule A (Form 990 or 990-EZ) 2017 2017-04011 CITIZENS FOR SELF-GOVERNANC 1156 1 ScheduleA(Form 990 or QQO-EZ) 2017 CITIZENS FOR SELF-GOVERNANCE .. 27-1657 203 Pages I Part I Supplemental Information. Provnde the expianatlons requnred by Part II, We 10. Part II, line 17a or 17b, Part line 12, Part IV. Section A, lines 9a, 9b, 90, 11a, 11b, and 11c, Part IV, B, lines 1 and 2, Part IV, Section C, lune 1, Part IV, D, Innes 2 and 3, Part IV, Section E, lines 1c, 2a, 2b, 3a, and 3b. Part V, lune 1, Part V, Section B, llne 1e, Part V, Section D, lunes 5, 6. and 8. and?Part V, Section E, tunes 2. 5, and 6 Also complete thus part for any addmonal Information @ee Instructions) 31L 1: 732028 10-06-17 Schedule A (Form 990 or 990-EZ) 2017 21 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 2 I SCHEDULE 0 Political Campaign and Lobbying Activities 645-00" (Form 990 or 990-EZ) 20 1 7 For Organizations Exempt From Income Tax Under section 501(c) and section 527 Departmentof ma Trea5ury Complete if the organization is described below. Attach to Form 990 or Form 990-EZ. Open tg-Pu-bI-ic I Internal Revenue Serwce Go to for instructions and the latest information. Inspection If the organization answered "Yes," on Form 990, Part IV, line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Actiwties), then 0 Section 501(c)(3) organizations Complete Parts HA and Do not complete Part IO 0 Section 501(c) (other than section 501(c)(3)) organizations Complete Parts I-A and below Do not complete Part I-B 0 Section 527 organizations Complete Part I-A only If the organization answered "Yes," on Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then 0 Section 501(c)(3) organizations that have filed Form 5768 (election under section 501 Complete Part Do not complete Part 0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)) Complete Part Do not complete Part II-A If the organization answered "Yes," on Form 990, Part IV, line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then 0 Section 501(c)(4), (5), or (6) organizations Complete Part Name of organization Employer identification number CITIZENS FOR SELF-GOVERNANCE 27?1657203 [Part l-A] Complete if the organization is exempt under section 501(c) or is a section 527 organization. 1 Prowde a description of the organization's direct and indirect political campaign actiwties in Part IV 2 Political campaign actiwty expenditures 3 Voiunteer hours for political campaign activ1ties I Part I-BI 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 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 year? Yes No 4a Was a correction made'7 I: Yes I: No If "Yes," describe in Part IV I Part 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, Ilne 17b 4 Did the filing organization file Form 1120-POL for this year?) Yes No 5 Enter the names, addresses and employer identification number (EIN) of all section 52? political organizations to which the 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, prov1de information in Part IV Name Address EIN Amount paid from Amount of political filing organization's contributions received and funds If none, enter -0- and directly delivered to a separate political organization If none, enter -0- For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 .or 990-EZ) 2017 LHA 732041 11-09-17 27 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 Schedule (Form 990 or 990-EZ) 2017 CIT I ZENS FOR ELF GOVERNANCE section 501(h)). 2L1657203 Page2 [Part ll-A CompleteTf the organization is exempt under section 501(c)(3) and fired Form 5768 (election under A Check LJ if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member?s name, address, EIN, expenses, and share of excess lobbying expenditures) Check if the filing organization checked box A and "limited control" apply Limits on Lobbying Expenditures . or group (The term "expenditures" means amounts paid or incurred.) totals 1 a Total lobbying expenditures to influence public opinion (grass roots lobbyingTotal lobbying expenditures to influence a legislative body (direct lobbying) 0 - Total lobbying expenditures (add lines Other exempt purpose expenditures Total exempt purpose expenditures (add lines Lobbying nontaxable amount Enter the amount from the followmg table in both columns 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 $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 1 Over $17,000,000 $1,000,000 Grassroots nontaxable amount (enter 25% of line 11Subtract line 19 from line 13 If zero or less, enter -0- 0 - I Subtract line 1f from line 1c If zero or less, enter -0- 0 . If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year?7 Yes I: No 4-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 separate instructions for lines 2a through 2f.) Lobbying Expenditures During 4-Year Averaging Period (or fiscgf??gf?geggamg m) 2014 201 5 2016 2017 Total 2a Lobbyingnontaxableamount 328,265. 336,891. 383,627. 363,957. 1,412,740. Lobbying ceiling amount (150% of line 2a, column(e)) 2 9 1 0 . Totallobbyingexpenditures 67,987. 15,060. 5,096. 10,806. 98,949. Grassrootsnontaxableamount 82,066. 84,223. 95,907. 90,989. 353,185. Grassroots ceiling amount (150% of line 2d, column Grassrootslobbyingexpenditures 61.479~ 15:060- 5:096- 10:805- 92:441- 732042 11-09-17 28 10350912 798302 1156 Schedule (Form 990 or 990-EZ) 2017 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 1 ScheduleC(Form 990 or 990-EZ) 2017 CITIZENS FOR 27-1657203 Page3 I Part I Complet?f the organization is exempt under section 501(c)(3) and has NOT mat Form 5768 (election under section 501(h)). For each Yes, response on Irnes ?la through 1r below, provrde rn Part detarled (bl of the lobbying actiwty Yes No Amount 1 During the year, did the filing organization attempt to influence forergn, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of Volu nteers" Paid staff or management (include compensation in expenses reported on lines 1c through 10" Media advertisements? Mailings to members, legislators, or the public? Publications, or published or broadcast statements? Grants to other organizations for lobbying purposes? . Direct contact With legislators, their staffs, government offICIals, or a legislative body? Rallies, demonstrations, seminars, conventions, speeches, lectures, or any srmilar means? i Other actiwties? i Total Add lines 1c through 1i 2a Did the actiwties in line 1 cause the organization to be not described in section 501 - 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 for this year?? Part Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section? 501 1 Were substantially all (90% or more) dues received nondeductible by members? 2 Did the organization make only in-house lobbying expenditures of $2,000 or less? 3 Did the organization agree to carry over lobbying and political campaign actiwty expenditures from the prior year? Yes No 1 2 3 [Part Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either BOTH Part lines 1 and 2, are answered GB Part Ill-A, line 3, is answered "Yes. 1 Dues, assessments and Similar amounts from members 2 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid). a Current year Carryover from last year Total it 3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 4 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 year" Taxable amount of lobbying and political expenditures (see instructions) 2a 2b 2c 5 [Part Supplemental Information Provide the descriptions requrred for Part I-A, line 1, Part I-B, line 4, Part I-C, line 5, Part II-A (affiliated group list), Part II-A, lines 1 and 2 (see instructions), and Part line 1 Also, complete this part for any additional information 732043 11-09-17 29 10350912 798302 1156 Schedule (Form 990 or 990-EZ) 2017 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 1 OMB No 1545-0047 SCHEDULE Supplemental Financial Statements (Form 990) Complete if the organization answered "Yes" on Form 990, 20 1 7 Part IV, line 6, 7,8, 9, 10, 11a. 11b, 11c, 11d, 11E, 11f, 12a, or 12b. . Department of the Treasury AttaCh to Form 990- Open to Internal Revenue Service )Go to for instructions and the latest Information. Name of the organization Employer identification number CITIZENS FOR SELF-GOVERNANCE 27-1657203 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.CompIete If the organization answered "Yes" on Form 990, Part IV, line 6 thMA Donor adVIsed funds Funds and other accounts Total number at end of year Aggregate value of contributions to (during year) Aggregate value of grants from (during year) Aggregate value at end of year Did the organization inform all donors and donor adwsors in writing that the assets held in donor advrsed funds are the organization's property, subject to the organization's excluswe legal control? Yes CI No Did the organization inform all grantees, donors, and donor adwsors 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? El Yes No I Part II I Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7 1 Purpose(s) of conservation easements held by the organization (check all that apply) Preservation of land for public use (e recreation or education) Preservation of a historically important land area El Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year Held at the End of the Tax Year Total number of conservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in 2c Number of conservation easements included in achIred after 7/25/06, and not on a historic structure listed in the National Register 2d Number of conservation easements modified, transferred, released, or terminated by the organization during the tax year Number of states where property subject to conservation easement is located Does the organization have a written policy regarding the periodic monitoring, inspection, handling of Violations, and enforcement of the conservation easements rt holds? I: Yes El No Staff and volunteer hours devoted to monitoring, inspecting, handling of Violations, and enforCing conservation easements during the year Amount of expenses incurred in monitoring, inspecting, handling of Violations, and enforcmg conservation easements during the year 55 Does each conservation easement reported on line 2(d) above satisfy the reqUirements of section and section 170(h)(4)(e)(n)9 Cl Yes El No In Part 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 I Part Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" on Form 990, Part IV, line 8 1a If the organization elected, as permitted under SFAS 116 (A80 958), not 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 sewice, prowde, in Part the text of the footnote to its finanCiaI statements that describes these items If the organization elected, as permitted under SFAS 116 (A80 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 sennce, prowde the followmg amounts relating to these items Revenue included on Form 990, Part line 1 (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, prowde the followmg amounts requwed to be reported under SFAS 116 (A80 958) relating to these items a Revenue included on Form 990, Part line 1 Assets included in Form 990, Part LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2017 132051 10-09-17 30 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 ScheduleD(Form 990) 2017 CITIZENS FOR SELF-GOVERNANCE 27? 1657203 pagez [Part I Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assetqcontinued) 3 Usmg the organization's accessmn, and other records, check any of the followmg that are a Significant use of Its collection Items (check all that apply) a 1: Public exhibition Scholarly research Preservation for future generations [3 Loan or exchange programs Other 4 Prowde a description of the organization's collections and explain how they further the organization's exempt purpose in Part 5 During the year, did the organization 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's collection? Yes Part IV Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21 1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X9 Yes El No ?(00.0 If "Yes," explain the arrangement in Part and complete the followmg table Beginning balance Additions during the year Distributions during the year Ending balance Amount 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? No If the arrangement in Part Check here if the explanation has been prowded on Part CI I Part Endowment Funds. Complete if the organization answered ?Yes" on Form 990, Part IV, line 10 Current year Prior year Two years back Three years back Four years back 1a Beginning of year balance Contributions Net investment earnings, gains, and losses Grants or scholarships Other expenditures for faculties and programs Ad ministrative expenses End of year balance Provrde the estimated percentage of the current year end balance (line 19, column held as Board de5ignated or quaSI-endowment Permanent endowment Temporarily restricted endowment The percentages on lines 2a, 2b, and 20 should equal 100% Are there endowment funds not in the possessmn of the organization that are held and administered for the organization 3a by unrelated organizations (ii) related organizations If ?Yes" on line 3a(ii), are the related organizations listed as requrred on Schedule R9 Describe in Part the intended us_es of the organization' 5 endowment funds Part VI Land Buildings, and Equipment. Complete if the organization answered' Y'es" on Form 990, Part IV, line 11a See Form 990, Part X, line 10 Description of property Cost or other Cost or other Accumulated Book value ba5is (investment) baSIs (other) depreCIation 1a Land BUIldings Leasehold improvements 75, 370- 73,933. 1, 437. Equipment 201,447. 197,327. 4,120. Other Total. Add lines 1a through 1e (Column must equal Form 990, Part X, column (8), line 10c) 5 5 5 7 . 732052 10419-17 10350912 798302 1156 31 Schedule (Form 990) 2017 2017.04011 CITIZENS FOR 1156 1 ScheduleD(Form 990) 2017 CITIZENS FOR SELF-GOVERNANCE 27?1657203 Paqe3 Part Investments - Other Securities. If the answered "Yes" on Form 990. Part IV. line 11b See Form 990. Part X. line 12 or Book value Method of valuatlon Cost or end-of-year market value (1) Fmancralderlvatrves (2) Closely-held eqwty Interests (3) Other (Including name 01 security) Total. COI art must Form 990 Part col. Irne 12 Investments - Program Related. If the answered "Yes" on Form 990 Part IV IIne 11c See Form 990 Part Ilne 13 of Investment Book value Method of valuatron Cost or end-ol?year market value Total Col must lForm Part col. Me 13 rt er Assets. If the answered "Yes" on Form 990, Part IV, lme 11d See Form 990, Part X. lrne 15 Book value must Form 990 Part col line 15 er . Complete If the organizatlon answered "Yes" on Form 990, Part IV, line He or 11f See Form 990, Part X. line 25 1_ Description of Book value (1) Federal Income taxes (2) ACCRUED EXPENSES AND OTHER 11 126 . (3) (4) (5) (6) (7) (8) (9) Total. (Column must equal Form 990, Part x, col (8) line 25for uncerlaln tax posntrons In Part provrde the text of the footnote to the organization's flnanCIal statements that reports the orqanlzatlon?s for uncertarn tax Esmons under FIN 48 (A80 740) Check here If the text of the footnote has been provrded In Schedule (Form 990) 2017 732053 10-09-17 32 10350912 798302 1156 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 smameomeemaznr CITIZENS FOR GOVERNANCE 27?1657203 p?w4 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete If the organIzatIon answered "Yes" on Form 990, Part IV, IIne 12a 1 Total revenue, gems, and other support per audIted fInancIal statements Amounts Included on km 1 but not on Form 990, Part lune 12 a Net unrealIzed gaIns (losses) on Investments 2a Donated serVIces and use of 2b RecoverIes of mm year grants 2c Other (Describe In Part 2d Add lines 23 through 2d 2e 0 - 3 Subtract IIne 2e from line Amounts Included on Form 990, Part IIne 12Investment expenses not Included on Form 990. Part lIne 7b 4a Other (Describe In Part 4b 0 Add lines 4a and 4b 4c 0 . Total revenue Add IInes 3 and 4c. (ThIs must equal Form 990-Part XI Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete If the organIzatIon answered "Yes" on Form 990, Part IV, IIne 12a 1 Total expenses and losses per audIted fInanCIal statements Amounts Included on Me 1 but not on Form 990, Part IX, IIne 25 a Donated sennces and use of 2a PrIor year adjustments 2b Other losses 2c Other In Part 2d Add IInes 2a through 2d 2e 0 . 3 Subtract IIne 2e from lIne1 Amounts Included on Form 990, Part IX, lune 25Investment expenses not Included on Form 990, Part IIne 7b 4a Other (DescrIbe In Part 4b Add Ines 4a and 4b 4c 0 . Total expenses Add Ilnes 3 and 4c. (ThIs must equal Form 990Part Supplemental Information. Prowde the descrIptIons reqUIred for Part II, ?ms 3, 5, and 9, Part lInes 1a and 4. Part IV, IInes 1b and 2b, Part V, me 4, Part X, We 2, Part XI, IInes 2d and 4b, and Part XII, IInes 2d and 4b Also complete thIs part to provude any addItIonal InformatIon PART X, LINE 2: NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. 732054 10-09-17 Schedule (Form 990) 2017 33 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 SCHEDULE Compensation Information (Form 990) For certain Officers. Directors, Trustees, Key Employees, and Highest Department of the Treasury Internal Revenue Serwce Go to for instructions and the latest information. Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line 23. Attach to Form 990. OMB No 1545-0047 2017 Open to Public Inspection Name of the organization CITIZENS FOR SELF-GOVERNANCE _Partl I Questions Regarding Compensation Employer identification number 1a Check the appropriate box(es) if the organization prowded any of the followmg to or for a person listed on Form 990, 9 Part VII, Section A, line 1a Complete Part to prowde any relevant information regarding these items I: First-class or charter travel Housmg allowance or reSidence for personal use Travel for companions Payments for busmess use of personal re5idence El Tax Indemnification and gross-up payments Health or seeial club dues or initiation fees El Discretionary spending account Personal sewices (such as, maid, chauffeur, chef) If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or prowsmn of all of the expenses described above? If complete Part to explain Did the organization requ1re substantiation prior to reimbursmg or allowmg expenses incurred by all directors, trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a'7 Indicate which, if any, of the followmg the filing organization used to establish the compensation of the organization's CEO/Executive Director Check all that apply Do not check any boxes for methods used by a related organrzation to establish compensation of the CEO/Executive Director, but explain in Part Compensation committee I: Written employment contract Compensation survey or study Independent compensation consultant Approval by the board or compensation committee Form 990 of other organizations During the year, did any person listed on Form 990, Part VII, Section A, line 1a, With respect to the filing organization or a related organization Fleceive a severance payment or change-of-control payment? Partic1pate in, or receive payment from, a supplemental nonqualified retirement plan? PartICIpate in, or receive payment from, an equ1ty-based compensation arrangement?? If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part Only section 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9. For persons listed on Form 990, Part VII, Section A. line 1a, did the organization pay or acane any compensation contingent on the revenues of The organization? Any related organization? If "Yes" on line 5a or 5b, describe in Part For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of The organization? Any related organization'> If "Yes" on line 6a or 6b. describe in Part For persons listed on Form 990, Part VII, Section A, line 1a, did the organization prowde any nonfixed payments not described on lines 5 and 6" If "Yes," describe in Part Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53 If "Yes," describe in Part If "Yes" on line 8. did the organization also follow the rebuttable presumption procedure described in Regulations section LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 732111 10-17-17 10350912 798302 1156 34 Schedule (Form 990) 2017 2017.04011 CITIZENS FOR 1156 1 Schedule .J (Form 990) 2017 CITIZENS FOR SELF-GOVERNANCE 27?1657203 I Part II I Officers, Directors, Trustees, Key Employees. and Highest Compensated Employees. Use duplicate copies if additional space is needed. Page 2 I For each indiwdual whose compensation must be reported on Schedule J, report compensation from the organization on row and from related organizations, described In the instructions, on row (ii) Do not list any indiwduals that aren't listed on Form 990, Part VII Note: The sum of columns for each listed InlelduaI must equal the total amount of Form 990, Part VII, Section A, line 1a. applicable column (D) and (E) amounts for that InleldUEtl (A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation Base compensation (ii) Bonus incentive compensation Other reportable compensation (C) Retirement and other deferred compensatIOn (D) Nontaxable benefits (E) Total of columns ewum (F) Compensation in column (B) reported as deferred on prior Form 990 (1) MARK MECKLER 223,588. 22,221. 245,809. (ii) 0 . 0. O. (2) MICHAEL TRANCHINA CHIEF TECHNOLOGY OFFICER 131,249. 19,152. 150,401. (ii) 0 . CDC) CD CD I CJCDIZICD CD CD 0. 0. CD CDC732112 10-17-17 35 Schedule (Form 990) 2017 Schedule (Form 990) 2017 CIT I ZENS FOR SELF page 3 I Part I Supplemental Information Provnde the Informatlon. explanation, or descriptions requnred for Part I, lines 13and for Part II Also complete part for any additional Information Schedule (Form 990) 2017 732113 10-17-17 4 36 SCBEDULE Transactions With Interested Persons 0MB (Form 990 or 990452) Complete if the organization answered ?Yes" on Form 990, Part IV, line 25a. 25b, 26, 27, 28a, 20 17 28b, or 280, or Form 990-EZ, Part V, line 38a or 40b. Depanmem ?the Treasury Attach to Form 990 or Form 990-EZ. Open To Public internal Revenue Samoa 5 Go to for instructions and the latest information. Inspection Name of the organization Employer identification number CITIZENS FOR SELF-GOVERNANCE 27-1657203 I Part Excess Bene?t Transactions (section 501 section 501(c)(4), and 501 organizations only) Complete if the organization answered "Yes" on Form 990, Part IV. line 25a or 25b, or Form QQO-EZ, Part V, line 40b (3) Name of disqualified person Relationship between disqualified Description of transaction Corrected? person and organization Yes No 2 Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958 3 Enter the amount of tax, if any, on line 2, above. reimbursed by the organization I Part II Loans to and/or From Interested Persons. Complete if the organization answered "Yes" on Form QQO-EZ. Part V, line 38a or Form 990, Part IV, line 26, or if the organization an amount on Form 990 Part line 5 6 or 22 Name of Relationship Purpose 1? Original Balance due (9) In by board or (I) Wr'?en from lhe interested person With organization of loan organization? prinCipaI amount default9 committee? agreement? To From Yes ersons. if the ization answered "Yes" on Form 990 Part IV line 27 Name of interested person Relationship between Amount of Type of (9) Purpose of interested person and asmstance a55istance aSSistance the organization LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2017 732131 10-18-17 37 10350912 798302 1156 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 Schedule (Form 990 or 990-52) 2017 CITIZENS FOR SELF Page 2 I Part I Business Transactions Involving interested Persons. Complete If the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c Name of Interested person Relationship between Interested Amount of Description of Egig?gngg person and the organization transaction transactron Igevenues" Yes No PATRICIA MECKLER WIFE OF 81 571 . EMPLOYED I Part Supplemental Information Provrde additional Information for responses to questions on Schedule (see Instructions) SCH PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: PATRICIA MECKLER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANI ZATION: WIFE OF MARK MECKLER .J ?Schedule (Form 990 or 990-52) 2017 732132 10-18-17 38 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 SCHEDULE Noncash Contributions (Form 990) Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30. Department of the Treasury Attach to Form 990. OMB No 1545-0047 2017 Open To Public mma' Revenue Go to for the latest information. Inspection Name of the organization Employer identification number CITIZENS FOR 27?1657203 [Part I I Types of Property (8) lb) (6) Check if Number of Noncash contribution Method of determining applicable contributions 0? amounts reported on noncash contribution amounts . Items contributed Form 990, Part line 19 1 Art - Works of art 2 Art - Historical treasures 3 Art - Fractional interests 4 Books and publications 5 Clothing and household goods 6 Cars and other vehicles 7 Boats and planes 8 Intellectual property - 9 Securities - Publicly traded FAIR MARKET VALUE 10 Securities - Closely held stock - 1 1 Securities - Partnership, LLC, or trust interests 12 Securities - Miscellaneous 1 13 Qualified conservation contribution - Historic structures 14 Qualified conservation contribution - Other 15 Real estate - ReSIdential 16 Real estate - CommerCIal 17 Real estate - Other 18 Collectibles 19 Food inventory 20 Drugs and medical supplies 21 TaXIdermy 22 Historical artilacts 23 Soientific speCImens 24 Archeological artifacts . 25 Other '26 Other 27 Other 28 Other 29 Number of Forms 8283 received by the organization during the tax year for contributions for which the organization completed Form 8283, Part IV, Donee Acknowledgement 29 Yes No 30a During the year. did the organization recetve by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't reqUIred to be used for exempt purposes for the entire holding period? 303 If "Yes," describe the arrangement in Part II 31 Does the organization have a gift acceptance policy that reqUIres the rewew of any nonstandard contributions? 31 32a Does the organization hire or use third parties or related organizations to solicn, process, or sell noncash contributions? 32a If "Yes," describe in Part II 33 If the organization didn't report an amount in column for a type of property for which column is checked, describe in Part II LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule (Form 990) 2017 732141 09-07-17 39, 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 Ii ScheduleM(Form990)2017 CITIZENS FOR 27?1657203 Page-2 . I Part II I Supplemental Information. Prowde the information reqwred by Part I, lines 30b, 32b, and 33. and whether the organization is reporting in Part I, column the number of contributions, the number of items received, or a combination of both Also complete this part for any additional information 732142 09-07-17 Schedule lForm 990) 2017 40 10350912 798302 1156 2017.04011 CITIZENS FOR SELF-GOVERNANC 1156 1 OMB No 1545-0047 SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ (Forrn 990 or 990-EZ) Complete to provide information for responses to SpeCIfic questions on Form 990 or 990-EZ or to prowde any additional information. . Departmeni oi the Treasury Attach to Form 990 or 990-EZ. Open to Public Inlernal Revenue Serwce Go to for the latest information. Inspection Name of the organization Employer identification number CITIZENS FOR 27-1657203 FORM 990, PART VI, SECTION B, LINE 11B: THE RETURN IS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C: OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE ANNUAL BOARD MEETING. LEGAL COUNSEL ROUTINELY MONITORS ORGANIZATIONAL EXPENSES FOR POSSIBLE CONFLICTS OF INTEREST AND DIRECTS SUCH CONFLICTS TO THE ATTENTION OF THE BOARD FOR RESOLUTION IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15: THE BOARD HAS APPOINTED LEGAL COUNSEL TO PERIODICALLY REVIEW AND REPORT ON THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES IN LIGHT OF THE COMPENSATION OFFERED TO SIMILARLY SITUATED ORGANIZATIONS. THE BOARD REVIEWS AND ADJUSTS THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES BASED ON FINDINGS. NO DIRECTORS WITH A CONFLICT OF INTEREST ARE ALLOWED TO PARTICIPATE IN THE DECISION. REPORT AND THE DECISIONS THEREON ARE DOCUMENTED IN THE MINUTES. FORM 990, PART VI, LINE 17, LIST OF STATES RECEIVING COPY OF FORM 990: FORM 990, PART VI, SECTION C, LINE 19: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON REQUEST. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or BSD-E2. Schedule 0 (Form 990 or 990-EZ) (2017) 732211 09-07-17 41 10350912 798302 1156 2017.04011 CITIZENS FOR 1156 1 SCHEDULE (Form 990) I Department of the Treasury Internal Revenue Servrce Related Organizations and Unrelated Partnerships Complete if the organization answered "Yes" on Form 990, Part line 33, 34, 35b, 36, or 37. Attach to Form 990. Go to for instructions and the latest information. OMB No 1545-0047 2017' _?Open to PbeIic 1 Inspection Name of the organization CITIZENS FOR Identification of Disregarded Entities. Complete if the organization answered "Yes" on form 990, Part IV, line 33 Employer identi?cation number 27?1657203 Name, address. and EIN (if applicable) Primary actIVity of disregarded entity (6) Legal domICiIe (state or foreign country) Total income End-of-year assets (0 Direct controlling organizations during the tax year Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because rt had one or more related tax-exempt (bi Name. address, and EIN Primary of related organization (C) Legal domicile (state or Exempt Code foreign country) section lel Public charity status (if section 501(c)(3)) Direct controlling entity controlled entity? Yes No CSG ACTION - 27r4648506 5850 SAN FELIPE, SUITE 585 HOUSTON, Tx 77057 ADVOCACY TEXAS 501(c)(4) CONVENTION 0F STATES ACTION 5350 SAN FELIPE, SUITE 580A HOUSTON, Tx 77057 47?2245708 ADVOCACY TEXAS 501(c)(4) DEFENDING LIBERTY INC - 1464 MORENA BLVD SAN DIEGO, CA 92110 81?2322002 ADVOCACY MISSOURI For Paperwork Reduction Act Notice, see the Instructions for Form 990. 732161 09-11-17 LHA 42 Schedule (Form 990) 2017 Schedule (Form 990) 2017 CITIZENS FOR SELF-GOVERNANCE 27-165720 3 Page2 Part Identification of Related Organizations Taxable as a Partnership. Complete if the Organization answered "Yes" on Form 990, Part IV. line 34, because it had one or more related organizations treated as a partnership during the tax year (C) (9) Name. address, and EIN Primary actwuty dl?g?lie Direct controlling Predominant Income Share of total Share of D 5propumonale Code V-UBI General or Percentage of related organization (state or entity unrelated, income . end-of-year allocalions? amount In box ownership foreign EXC uded from tax under assets 20 Of Schedule pa ner country) sectlon5512-514) Yes No K-1(Form1065) art IV Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a corporation or during the tax year (hi to) id) (6) if) (9) Selcitllan Name, address, and EIN Primary actiwty Legal domICIla Direct controlling Type of entity Share of total Share of Percentage of related organization (state 0' entity (C corp, corp, income end-of-year ownership Congollgd ?333) or assets ?3 "y A Yes No 732162 09-11-17 4 3 Schedule (Form 990) 2017 CITIZENS FOR SELF-GOVERNANCE [Part I Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36. 27-1557203 Pages Note Complete line 1 if any entity is listed in Parts ll, ill, or IV of this schedule. During the tax year. did the organization engage in any of the followmg transactions With one or more related organizations listed in Parts ll Receipt of interest, (ii) annUIties, (Iii) royalties. or (iv) rent from a controlled Gift, grant, or capital contribution to related organization(s) Gift, grant, or capital contribution from related organization(s) Loans or loan guarantees to or for related organization(s) Loans or loan guarantees by related organization(s) Diiridends from related organization(s) Sale of assets to related organization(s) Purchase of assets from related organization(s) Exchange of assets With related organization(s) Lease of faculties. equrpment, or other assets to related organization(s) Lease of faculties, eqmpment, or other assets from related organization(s) Performance of seNices or membership or fundraismg solicnations for related organization(s) Performance of serwces or membership or fundraismg solicnations by related organization(s) Sharing of faculties, equment, mailing lists, or other assets With related organization(s) Sharing of paid employees With related organization(s) Reimbursement paid to related organization(s) for expenses Reimbursement paid by related organization(s) for expenses Other transfer of cash or property to related organization(s) Other transfer of cash or property from related organization(the answer to any of the above is "Yes," see the instructions for information on who must complete this line. including covered relationships and transaction thresholds (8) lb) Name of related organization Transaction type (as) (m Amount involved N) Method of determining amount involved DEFENDING LIBERTY INC 570. ACTUAL AMOUNT INVOICED (3 CONVENTION OF STATES ACTION 1,469,913. ACTUAL AMOUNT INVOICED l3 CSG ACTION 31,776. ACTUAL AMOUNT INVOICED (S (Q 732163 09-11-17 44 SChedule (Form 990) 2017 Schedule (Form 990) 2017 CITIZENS FOR 27-1657203 Page4 Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37 Prowde the followmg information for each entity taxed as a partnership through which the organization conducted more than five percent of Its actiwties (measured by total assets or gross revenue) that was not a related organization See Instructions regarding exclu3ion for certain investment partnerships (C) (9) (I) Name. address, and EIN Primary actiwty Legal domic?e Pretliotmanant para"? ago Share of Share of DIEWOEOP Code 20 generalnor percentage - 5 1 ona anagi of entity (state or foreign ex?lrt?ladg find er total end-of-year allocamns? Dame? ownership country) sectlons 512- -514) Yes No Income assets Yes No (Form 1055) Yes No Schedule (Form 990) 2017 732164 09-11-17 4:5 Schedule R(Form 990) 2017 CITIZENS FOR 27?1657203 Pages Part [Supplemental Information. Prowde additional Information for responses to questions on Schedule See Instructions 732165 09-11-17 10350912 798302 1156 Schedule (Form 990) 2017 4 6 2017.04011 CITIZENS FOR 1156 1