Return of Organization Exempt From Income Tax Form Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department owls 'Treasury to Public nwmue sum. The organization may have to use a copy of this retum to satisfy state reporting requirements. nspecuon A For the 2009 calendar year, or tax year beginning mm 3 goog and ending um 31 2010 $32335 0 Name of organization Employer identification number Adams; label or ':lohfiI9e Tea Party Patriots Inc . Doing Business As 27-0470227 retum See Number and street (or P.O. box if mail is not delivered to street address) [Room/suite Telephone number 025 Rose Creek Dr Box 322 620 -104-593-0377 ??Tu?r"nd?d City or town, state or country. and ZIP 4 __G_?ross receipts 705 955 GA 30189 H(a) Is this a group retum Name and address of principal officerzuark Meckler for affiliates? Elves No sang as above I-l(b) Are all affiliates included? l:lves No I Tax-exempt stems: El 501 4 )4 (insert no.) :1 4947(a)(1) or Cl 527 If attach a list. (see instructions) Websit_e: ty'patriota.ora I-l(c) Group exemp"ion number 5 Formclorganizationi '3 Trust l:l Other} IL Year of formation: 2009 State of legal domicile: 95 Summary 1 Briefly describe the organization's mission or most significant activities: Encourage fiscal responsibility. constitutionally limited government and free markets . 2 Check this box I: lithe organization discontinued its operations or disposed of more than 25% of its net assets. 3 Number of voting members of the sovemins body (Part VI. tine Ia) .. 3 4 Number of independent voting members of the goveming body (Part VI, line 1b) 4 5 6 3- Total number of employees (Part V. line 2a) .. 5 Total number of volunteers (estimate if necessary) .. 6 7a Total 9r03S Unrelated (0). line 12 .. 7a 0 . Net unrelated business taxable income from Form line 34 .. 7b 0 Prior Year Current Year 8 Contributions and grants (Part Iine1h) .. 705 966. 9 Pt?9I'dm Service revenue (Part line 29) .. 10 Investment income (Part column (A), lines 3, 4, and 7d) 11 Other revenue (Part column (A), lines 5, 6d, 8c. 9c. 10c, and 11e) 12 Total revenue - add lines 8 through 11 (must equal Part column (A). line 12) 706. 966 . 13 Grants and similar amounts paid (Part IX, column (A), llnes 1-3) 14 Benefits paid to or for members (Part IX. column (A). line 4) .. 3 15 Salaries, other compensation. employee benefits (Part IX, column (A). lines 5-10) 149 450 2 16a Professional fundratelne fees (Part IX. column (A). Iine11e) .. 8 Total expenses (Part IX, column (D), line 25) 45 117 . 17 Other expenses (Part IX. column (A). lines 118-116. 11f-24f) .. 514 671 . 18 Total expenses. Add lines 13-17 (must equal Part IX. column (A), line 25) 554 _121 19 Revenue less expenses. Subtract line 18 from fine 12 .. 42 845 . fig. fl of current Year End of Year 20 Total assets (Part X. fine 16) .. 42 845. 21 Total liabilities (Part x, line 26) Activities 8; Governance 3 Revenue - - - . - . - . . . . . . . . . . . . . . . . . . . . . . . . - . - - . . - - . - - . - - . - - . . . - . . - . - . . . . . .- ZLL 22 Net assets or fund balances. Subtract line 21 from line 20 .. 43 345 I_P3rt ll Signature Block Under penalties at July. I declare that have examined this retum. including accompanying schedules and statements, and to the best 01 my knowledge and belief. it is true. correct. and complete. station of preparer (other than officer) is based on all information wh ch preparer has any knowledge. Hem Signature of ofir Date Mark Meckler National S: CFO Type or print name and title Pam Preparers Dam Prepams signature employed I: Fm capin Cr use EIN 5 Use Only 972 Emerson Parkway, zu=+4 Gree_nrLrood, IN 46143 Phone no. 317-885-2620 Ma the IRS discuss this retum with the re arer shown above? see instructions 932001 o2-o4-1o LHA For Privacy Act and Paperwork Reduction Act Notice. see the separate instructions. Fonn 990 (2009) Form 990 Patriots Inc. 27-0-170227 Page 2 IT'art ill I Statement of Program Service Accomplishments 1 Briefly describe the organization's mission: see Schedule 0 for Continuation The impetus for the Tea Party movement is excessive government spending and taxation, Our mission is to attract educate, organize and mobilize our fellow citizens to secure public poligg consistent with our three core values of fiscal responsibility, 2 Did the organization undertake any significant program services during the year which were not listed on tnepriorrorm 990 or 99022? .. Elves [Zinc If 'Yes.' describe these new services on Schedule 0. 3 Did the organization cease conducting, or make significant changes in how it conducts. any program services? Elves No if "Yes." describe these changes on Schedule 0. 4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organisations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any. for each program service reported. 4a (Code: (Expenses 458 ,929. including grants of 0 )(Ftevenue 0, In its initial gear the Patriots supported and organized numerous events and rallies, including over 850 Tax Day Tea Parties on April 15 2010 hundreds of Indepgndence Day events (picnics and parades). and co-organized the March on DC on September 12 2009 included approximately 1,7 million pgrticipants that convened on the National Mall, Educational and public awareness efforts included e~newsletters and appearances in various news outlets, including radio, television and print . 4b (Code: (Expenses including grants of (Revenue 4c (Code: (Expenses including grants of )(Revenue 4d Other program services. (Describe in Schedule 0.) (Expenses including grants of (Revenue 4e Total service 458 929 . (2009) 932002 02-04-10 990 2009 . . Paztv Patriots Inc. 27-0470227 Page3 Part IV Checklist of Required Schedules Yes No 1 is the organization described in section 501(c)(3) or (other than a private foundation)? If 'Yes. complete Schedule A .. 1 2 is the organization required to complete Schedule 3. Schedule of Contributors? .. 2 3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for pubic office? If 'Yes.' complete Schedule C. Pan! .. 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If 'Yes, complete Schedule C, Part II 4 5 Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations. is the organization subject to the section 6033(e) notice and reporting requirement and proxy tax? If 'Yes.' complete Schedule 0. Pent .. 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes, complete Schedule D, Part I 6 7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If 'Yes, complete Schedule D, Part II 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes, complete Schedule D. Part Ill .. 8 9 Did the organization report an amount in Part X. line 21; serve as a custodian for amounts not listed in Part or provide credit counseling, debt management, credit repair, or debt negotiation services? If 'Yes, complete Schedule D, Part IV 9 10 Did the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments? If 'Yes. complete Schedule D. Part .. 10 1 1 Is the organization's answer to any of the following questions 'Yes'? If so, complete Schedule D, Parts VI, VII, IX, orX as applicable .. 1 1 0 Did the organization report an amount for land, buildings, and equipment in Part X. line 10? If 'Yes, complete Schedule D, Part VI. 0 Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes, complete Schedule D, Part VII. 0 Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes, complete Schedule D, Part 0 Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes, complete Schedule D, Part IX 0 Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes, complete Schedule D, PartX. 0 Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48? If 'Yes, complete Schedule D, Part 12 Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes, complete Schedule D, Parts XI, XII, and 12 12A Was the organization included in consolidated, independent audited financial statements for the tax year? Yes No If 'Yes.' completing Schedule 0. Parts Xl. Xll. end is optional .. I 12A 13 Is the organization a school described in section 170(b)(1)(A)(iD? If 'Yes, complete Schedule 13 14a Did the organization maintain an office. employees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If 'Yes, complete Schedule F, Partl Jib 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? if 'Yes.' complete Schedule F. Part ll .. 15 16 Did the organization report on Part IX, column (A). line 3. more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If 'Yes.' complete Schedule F. Part .. 16 17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A). lines 6 and tie? If 'Yes.' complete Schedule G. Part! .. 17 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part lines to and 8a? If 'Yes.' complete Schedule 6. Part II .. 18 19 Did the organization report more than $15,000 of gross income from gaming activities on Part line 9a? If 'Yes, complete Schedule G. Part Ill .. 19 20 Did the organization operate one or more hospitals? If 'Yes, complete Schedule .. 23 JL Form 990 (2009) 932003 02-04-10 990 2009 Tea Partv Patriots Inc . 27-0470227 Page 4 Part IV Checklist of Required Schedules (continuew Yes No 21 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX. column (A), line 1? If 'Yes, complete Schedule I, Parts land ll 21 22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A). line 2? If 'Yes.' complete Schedule l. Parts lend .. 22 x) 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors. trustees. key employees. and highest compensated employees? If "Yes, complete Schedule .. _23 2; 24a Did the organtion have a tax-exempt bond issue with an outstanding principal amount of more than $1 00,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes, answer Ilnes 24b through 24d and complete Schedule K- If 90 to line 25 .. 353 Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 2:41; Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any taxexernct bonds? .. 24c cl Did the organization act as an 'on behalf 0 issuer for bonds outstanding at any time during the year'? 34d 253 Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage In an excess benefit transaction with a disqualified person during the year? If 'Yes. complete Schedule L. Part I .. is 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! .. 25b 26 Was a loan to or by a current or fonner officer, director, trustee, key employee. highly compensated employee. or disqualified person outstanding as of the end of the organization's tax year? If 'Yes, complete Schedule L, Part ll 26 27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If 'Yes, complete Schedule L. Pelt Ill .. 27 28 Was the organization a party to a business transaction with one of the following parties. (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): a A current or former officer, director, trustee. or key employee? If "Yes, complete Schedule L, Part IV A family member of a cunent or former officer, director. tmstee, or key employee? If 'Yes, complete Schedule L, Part IV 2_8b An entity of which a current or former officer, director. trustee, or key employee of the organization (or a family member) was an officer, director, tmstee. or direct or indirect owner? If 'Yes, complete Schedule L, Part IV 28c 29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes, complete Schedule _g 30 Did the organization receive contributions of art. historical treasures, or other similar assets, or qualified conservation contributions? lf 'Yes. complete Schedule .. 30 31 Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes.' complete Schedule N. Pertl .. 31 32 Did the organization sell. exchange, dispose of, or transfer more than 25% of its net assets? If "Yes. complete Schedule N. Part ll .. 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301 -7701-3? If 'Yes. complete Schedule H. Peril .. 33 34 Was the organization related to any tax-exempt or taxable entity'? If 'Yes. complete Schedule H. Parts ll. IV. and V. line 1 .. 34 35 is any related organization a controlled entity within the meaning of section 512(b)(13)? If 'Yes. complete Schedule B. Part V. line 2 .. 35 38 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt noncharitable related organization? If 'Yes. complete Schedule H. Part V. llne 2 .. 36 3/14 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If 'Yes, complete Schedule B, Part Vl 37 38 Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19? Note. All Form 990 filers are reguired to comglete Schedule 0. .. 38 Fonn 990 (2009) 932004 02-O4-10 Fonn 990 (2009) 27--o47o227 Pa9e5 mart Statements Regarding Other IRS Filings and Tax Compliance Yes No 1a Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of US- information Fieturns Enter 4} if not applicable .. 1a Enter the number of Fonns 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 lgarnbfingi 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 retum 2a 0 if at least one is reported on line 2a, did the organization file all required federal employment tax retums? 2b Note. If the sum of lines 'la and 2a is greater than 250, you may be required to e-file this return. (see instructions) 3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this retum? 3a 1; if 'Yes,' has it filed a Form 990-T for this year'? If 'No, provide an explanation In Schedule 0 3b 4a At any time during the calendar year, did the organization have an interest in. or a signature or other authority over, a financial account in a foreign country (such as a bank account. securities account, or other financial account)? 4a 1; If 'Yes,' enter the name of the foreign country: See the instructions for exceptions and filing requirements for Form TD 90-22.1, Report of Foreign Bank and Financial Accounts. 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? I: Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b If "Yes," to line 5a or 5D, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter Transaction? .. 5c Ba Does the organization have annual gross receipts that are normally greater than $100,000. and did the organization solicit any contributions that were not tax deductible? .. 6a 1: if "Yes.' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? .. 6b 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a paymerrt in excess of $75 made partly as a contribution and partly for goods and services provided to the payer? .. If 'Yes,' did the organization notify the donor of the value of the goods or services provided? 7b Did the organization sell, exchange. or otherwise dispose of tangible personal property for which it was required to tile Form 8282? .. 7c If 'Yes.' indicate the number of Forms 8282 filed during the year .. I 7d Did the organization. during the year. 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 9 For all contributions of qualified intellectual property, did the organization file Fonn 8899 as required? 7 For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Fonn 1098-C as required? ., 7h 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization. or a donor advised fund maintained by a sponsoring organization. have excess business holdings at any time during the year? ..rr/A .. 8 9 Sponsoring organizations maintaining donor advised funds. a bid the organization make any taxable distributions under section 4966? .. in Did the organization make a distribution to a donor, donor advisor, or related person? 9b 10 Section 501(c)(7) organizations. Enter. a initiation fees and capital contributions included on Part line 12 mg Gross receipts, included on Form 990, Part line 12, for public use of club facilities 10b 11 Section 501(c)(12) organizations. Enter: a Gross income from members or shareholders .. _11a Gross income from other sources (Do not not amounts due or paid to other sources against amounts due or received from them.) .. 11b 12a Section 4947(a)(1) non-exempt charitable trusts. is the organization filing Fonn 990 in lieu of Form 1041? 12a if "Yes," enter the amount of tax-exempt interest received or accrued during the year I 12b . Form 990 (2009) 932005 02-04- 10 Party Patriota_ Inc. 27-o47og27 Page6 I Part Vi I Govemance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and fora 'No' response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0. See instructions. Section A. Goverrtifi Body and Management Yes No 1a Enter the number or voting members or the governing body .. 1a 5] it Enter the number of Voting members that are independent .. 1b 3 2 Did any officer. director. trustee, or key employee have a family relationship or a business relationship with any other officer. director. trustee. or key employee? .. 2 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees. or key employees to a management company or other person? ., 3 4 Did the organization make any significant changes to its organizational documents since the prior Form 990 was filed? 4 5 Did the organization become aware during the year of a material diversion of the organization's assets? 5 6 Does the organization have members or stockholders? .. 6 2: 7a Does the organization have members, stockholders. or other persons who may elect one or more members of the governing body? .. 7a Are any decisions of the goveming body subject to approval by members, stockholders. or other persons? 7b 1: 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The eovemine body? .. Each committee with authority to act On behatf 01' the 9?VetTlin9 b?dY7 .. 8b 9 is there any oflicer. director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If 'Yes, provide the names and addresses in Schedule 0 .. 9 Section B. Policies (This Section requests information about policies not required by the lntemal Revenue Code.) Yes No we Does the organization have local chapters. branches. or affiliates? .. me if 'Yes,' does the organization have written policies and procedures goveming the activities of such chapters, afliliates. and branches to ensure their operations are consistent with those of the organization? 10b 1 1 Has the organization provided a copy of this Form 990 to all members of its goveming body before filing the fonn? 11 1 1A Describe in Schedule 0 the process. if any. used by the organization to review this Form 990. 12a Does the organization have a written conflict of interest policy? if 'No, go to line 13 Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to .. 12b Does the organization regularly and consistently monitor and enforce compliance with the policy? if 'Yes, describe . In Schedule 0 how this is done .. 12c 13 Does the organization have a written policy? .. 13 14 Does the organization have a Written document retention and destruction policy? .. 14 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data. and contemporaneous substantiation of the deliberation and decision? a The organization's CEO. Executive Director. ortop management official .. 15a Other officers or key employees of the organization .. if 'Yes' to line 15a or 15b. describe the process in Schedule 0. (See instructions.) 163 Did the organization invest in, contribute assets to, or participate in a ioint venture or similar arrangement with a taxable entity during the year'? .. 16a If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law. and taken steps to safeguard the organization's exempt status with resgect to such arrangements? .. 16b Section C. Disclosure 17 List the states with which a copy of this Form 990 is required to be filed Pen 18 Section 6104 requires an organization to make its Forms 1023 (or 1 024 if applicable). 990. and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply. I: Own website Ci Another's website Upon request 19 Describe in Schedule 0 whether (and if so. how), the organization makes its goveming documents, conflict of interest policy, and financial statements available to the public. 20 State the name, physical address. and telephone number of the person who possesses the books and records of the organization: Egg Party Patriots Inc. - 404-593-0877 1,025 gorse gox 322 39, 620 GA 30189 Form 990 (2009) 932006 02-04-10 F0rm990(2009) Tea gartx Patriots 27-0470227 Page7 |Part Vll| Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Section A. Officers, Directors, Trustees. Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Fleport compensation for the calendar year ending with or within the organization's tax year. Use Schedule J-2 if additional space is needed. 0 List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter-0- in columns (D), (E), and (F) if no compensation was paid. 0 List all of the organization's current key employees. 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 reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. 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 capacity as a fonner director or trustee of the organization. more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. l:I Check this box if the organization did not compensate an current officer. director, or trustee. (A) (B) (C) (D) (E) (F) Name and Title Average Position Reportable Reportable Estimated hours (check all that apply) compensation compensation amount of per from from related other week the organizations compensation :5 organization from the 3 organization 3 -g g; and related E1 organizations Mark Heckler Net, co-coordinator/CPO 60.00 0. 0. 0, Jenny Beth Martin Nat, co-coordinator 60.00 06 800. 0. 0. Dawn Wildman Board member 40.00 0. 0. 0, Sally O1 jar Board xguber 40.00 0. 0. 0. Rob Gaudet Board member 40.00 0. 0. 0. Debbie Dooley Board member 10.00 0. 0. 0. 932001 o2-o4-1o 990 (2009) "%fl'fl Patriots Inc . 27-0470227 Page 8 an I Section A. Officers, Directors, Trustees, Key Highest Compe_r?ated Employees (continued) (A) (B) (C) (D) (E) (F) Name and title Average Position Reportable Reportable Estimated hours (check all that apply) compensation compensation amount of P97 - from from related other Week the organizations compensation organization from the i organization '8 5 and related 2 5. 3 organizations 3 5 an: 1b Toti. .. 36,800. 0. o, 2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization 0 Yes No 3 Did the organization list any former officer. director or trustee. key employee. or highest compensated employee on line 1 a? If 'Yes.' complete Schedule for such individual .. 3 4 For any individual listed on Fine 1a. is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? if 'Yes, complete Schedule for such individual 4 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for services rendered to the organization? If 'Yes, complete Schedule for suchpeison .. 5 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. izoga (A) (0) Name and business address Description of services Compensation 2 Total number of independent contractors (including but not limited to those listed above) who received more than ?100,000 in comgensation from the organization 0 Form 990 (2009) 932008 02-04-10 Form 99g(_2009) Part .Statement of Revenue Tea. gatriote Inc. Page 9 (A) Total revenue (3) Related or exempt function revenue (0) Unrelated business revenue Revenue excluded from . un or sections 512, . 513. or 514 1a Contributions, 'gifts, grants and other ar amounts en 'co to Program avenue a 3 4 5 6a 0 Other Revenue 10a Federated campaigns Membership dues .. Fundraising events .. Related organizations .. - - - - - - - . . - .- Govemment grants (contributions) All other contributions, gifts, grants, and similar amounts not included above 706 .966. Noncash conbibutlons included In lines 1a-1f: 8 Total. Add lines 1a-706 966. Business Code All other program service revenue 9 Total.Add lines 2a-2f Investment income fincluding dividends, interest. and other similar amounts) .. Income from investment of tax-exempt bond proceeds Royalties .. 60 Personal Gross Rents .. Less: rental expenses Rental income or (loss) Net rental income or (lossGross amount from sales of Securities assets other than inventory Less: cost or other basis and sales expenses Gain or (loss) .. contributions reported on line 1c). See Part IV. line 18 .. a .. Net income or (loss) from events 9 a Gross income from gaming activities. See Part IV. line 19 .. a Less: direct expenses Gross sales of inventory. less retums and allowances .. a Loss: cost of goods sold .. Net gain or (loss) .. 8 :3 Gross income from events (not including Net income or (loss) from gaming activities .. Net income or loss from sales of inventory .. Miscellaneous Revenue Business Code 11a 12 932009 02-04-to All other revenue .. TotaI.AddIines11a-11d .. Total revenue. See instructions. .. 706 .966 . 0 3 Form 990 (2009) Form 990 (2009) tr1ote Inc . 27-04-70227 Page 10 I Part IX Statement of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (8), (C), and (D). Do not include amounts reported on lines Bbotal expenses 1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 2 Grants and other assistance to individuals in the US. See Part IV. line 22 .. 3 Grants and other assistance to govemments. organizations, and individuals outside the U.S. See Part IV. lines 15 and 16 .. Benefits paid to or for members .. Compensation of current officers, directors, trustees. and key employees .. 112,114. 89,691. 5 606. 16.817. compensation not included above, to disqualified persons (as defined under section 4958(i)(1)) and persons described in section 4958(c)(3)(B) Otherselarlesond Wages .. 37,336. 29,869. 1,867. 5.600. Pension plan contributions (include section 401(k) and section 403(b) employer contributions) 9 other employee benefits .. 10 Payroll taxes .. 1 1 Fees for services (non-employees): OI-B a Management .. l-oeal .. 113,254. 113,254. Accounting .. 5,648. 5.648. Lobbying .. Professional iundraising services. See Part IV, line 17 lnvostlnontfnanagonlonttoos .. 9 Other .. 12 Advertising and Promotion .. 60 388. 60 388. 13 Officeexpenses .. 63 591. 51 091. 6 388. 6,112. 14 lnformationtechnoiogy .. 37.556. 35 655. 1; 1,886. 15 Royaittes .. 16 0o?l-lP3nCY .. 17 Travel .. 183,767. 165,390. 3.675. 14.702. 18 Payments of travel or entertainment expenses for any federal, state. or local public officials 19 Conferences, conventions. and meetings 1 575 . 1.575 . 20 tntonost .. 21 Payments to affiliates .. 22 Depreciation. depletion, and amortization 23 Insurance .. 2,786. 2 229. 557. 24 Other enses. itemize expenses not covered above. xpenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.) .. a event costs 23.041. 23 041. Bank merchant fees 18 065. 18.065. 0 8 All other expenses gs 664 121. 458,929. 160,075. 45,11; 26 Joint costs. Check here it following SOP 98-2. Complete this line only it the organization reported in column (B) joint costs from a combined educational campaign and fundraislng solicitation 932010 O2-O4-10 Fonn 990 (2009) Form 990 2009 ea Partv Patriots Inc. 27-0470227 Page 11 Part Balance Sheet (A) (8) Beginning of year End of year 1 Cash - non-interest-bearing .. 1 42 . 845 . 2 Savings and temporary cash investments .. 2 3 Pledges and 9l8l'lt3 Y9G9lV9~bl9. I191 .. 3 4 Accounts receivable. net .. 4 5 Receivables from current and fonner officers. directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule .. 5 6 Receivables from other disqualified persons (as defined under section and persons described in section 4958(c)(3)(B). Complete Part ll of Schedule .. 6 1-3 7 Notes and loans receivable. net .. 7 8 inventories for sale or use .. 8 9 Prepaid 9XPell383 and defetted 0ll8l'99S .. 9 10a Land. bufldings, and equipment: cost or other basis. Complete Part Vi of Schedule 10a Less: accumulated depreciation 10b 10c 1 1 Publicly tladed .. 11 12 Investments - other securities. See Part IV, line 11 12 13 Pt09l3m't9l3t6d~ 399 Pall IV. "lie 11 .. 13 14 Intangible assets .. 14 15 Other assets. See Part IV. line 11 .. 15 16 Total assets. Add lines through '15 (must egual line 34Accounts payable and accrued expenses .. 17 18 Grants payable .. 1a 19 Deferred revenue .. 19 20 Tax-exempt bond liabilities .. 20 3 21 Escrow or custodial account liability. Complete Part IV of Schedule 21 22 Payables to current and fonner officers. directors. trustees, key employees, 3 highest compensated employees, and disqualified persons. Complete Part II of Schedule .. 22 23 Secured mortgages and notes payable to unrelated third parties 23 24 Unsecured notes and loans payable to unrelated third parties g4 25 Other liabilities. Complete Part of Schedule .. 25 26 Tag! liabilities. Add lines 17 through 25 .. 0 . 26 Organizations that follow SFAS 117, check here Exj and complete 3 lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets .. . Temporarily restricted net assets .. as; -g 29 Permanently restricted net assets .. 29 3 Organizations that do not follow SFAS 117, check here :1 and 8 complete lines 30 through 34. 13 30 Capital stock or trust principal. or current funds .. 30 31 Paid-in or capital surplus, or land, building. or equipment fund 31 5 32 Retained eamings. endowment, accumulated income, or other funds 32 2 33 Total net assets or fund balances .. . 33 42 345. 34 Total liabilities and net assets/fund balances .. 0 . 34 42 345 Four: 990 (2009) 932011 995112009) Party Patriots Inc . 27 -- 047 0 227 [Fart XI I Financial Statements and Reporting 1 Accounting method used to prepare the Form 990: El Cash Accrual El Other If the organization 'changed its method of accounting from a prior year or checked "Other," explain in Schedule 0. Were the organization's financial statements compiled or reviewed by an independent accountant? Were the organization's financial statements audited by an independent accountant? .. If 'Yes'' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compflation of its financial statements and selection of an independent accountant? if the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0. if 'Yes' to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a consolidated basis, separate basis, or both: Separate basis Consolidated basis [3 Both consolidated and separate basis As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and 0MB .. If 'Yes.' did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits lain wh in Schedule 0 and describe an ste taken to unde 0 such audits932012 10 Page Form990(2oos) SCHEDULE 0 Political Campaign and Lobbying Activities We 15454"? (Form 990 or g9o'Ez) For Organizations Exempt From income Tax Under section 501(c) and section 527 Depatment oithe Treasury Complete if the organization is described below. Open to Public mm' 5 Attach to Form 990 or Form 990-52. 2 See sgparate instrufigns. if the organization answered "Yes," to Fonn 990, Part IV, line 3, or Form 990-EZ, Part VI, line 46 (Political Campaign Activities), then 0 Section 501(c)(3) organizations: Complete Parts l-A and 8. Do not complete Part I-C. 0 Section 501 (other than section 501(c)(3)) organizations: Complete Parts I-A and below. Do not complete Part I-B. 9 Section 527 organizations: Complete Part I-A only. If the organization answered "Yes," to Form 990, Part IV, line 4, or Form 990-EZ, Part Vi, line 47 (Lobbying Activities), then 0 Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part ll-A. Do not complete Part ll-B. 0 Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part ll-B. Do not complete Part ll-A. If the organization answered "Yes," to Form 990, Part IV, line 5 (Proxy Tax), then 0 Section 501(c)(4), (5), or (6) organ_i?tlons: Complete Part Name of organization Employer identification number Tea Partzv Patriots Inc . 17-0470127 (Part Complete if the organization is exempt under section 501 or is a section 527 organization. 1 Provide a description of the organization's direct and indirect political campaign activities in Part IV. 2 Political expenditures .. 3 Volunteer hows .. 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 It the organization incurred a section 4955 tax. did it no ronn motor this yearcorrection made? .. Cl Yes No If 'Yes describe in Part IV. I Part I-CI Complete if the organization is exempt under section 501(c), except section 501(c)(3i. 1 Enter the amount directly expended by the filing organization for section 527 exempt function activities 2 Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities .. 3 Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b .. 4 Did the tiling organization file Form 1120-POL for this year? .. Cl Yes No 5 Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which payments were made. For each organization listed, enter the amount paid from the filing organization's funds. Also enter the amount of political contributions received that were and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). if additional space is needed, provide information in Part IV. Name Address EIN (cl) Amount paid from Amount of political tiling organization's contributions received and funds. if none. enter -0-. and dli9CW delivered to a separate political organization. If none, enter -0-. For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule (Form 990 or 990-EZ) 2009 932041 02-04-10 Schedule Form 990 or 990- 2009 Tea Part at iota Inc 27- 0 Pa 9 2 I Part ll-A Complete if the organization is exempt under section 501 and filed Form 5768 (election under section 501 A Check if the filing organization belongs to an affiliated group. Check I: if the tiling organization checked box A and "limited control" provisions apply. Limits on Lobbying Expenditures 9r?"p (The term "expenditures" means amounts paid or incurred.) rg totals 1 a Total lobbying expenditures to influence public opinion (grass roots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines ta and 1b) .. 0319' 9X?mPt PUTP089 Oxpfinditures .. Total exempt purpose expenditures (add lines lithe amount on line to, column or is: The lobbying nontaxable amount is: the not 9 Grassroots nontaxable amount (enter 25% of line 10 .. I1 Subtract line 1g from line 1a. If zero or less. enter -0- i Subtract line 1f from tine 10- If zero or loss. enter ti .. 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? .. :1 Yes 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 instructions for lines 2a through 2f on page 4.) Lobbying Expenditures During 4-Year Averaging Period . . . . . . . . . . . . . . - . - . . - - - . Calendar year (3) 2006 200 0 09 (or fiscal year beginning in) 7 (C) 2 08 20 (9)1-om 2a Lobbfing nontaxable amount Lobbying amount (150% of line 2a, coiumn(e)) Total lobbying expenditures Grassroots nontaxable amount Grassroots ceiling amount (150% of line 2d, column Grassroots lobbying expenditures Schedule 0 (Form 990 or 990-EZ) 2009 982042 O2-04-10 Schedule 0 Part ll-B '-'orm 990 or 990- 2009 Tea Part Pat ote (election under section 501 complete if the organization is exempt under section 501(c)(3) and has NOT filed 27 -0470 Fonn 5768 Pa 03 (8) lb) Yes No Amount 1 During the year. did the filing organization attempt to influence foreign. national. state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum. through the use of: Volunteers? .. 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. govemment officials, or a legislative body? Rallies, demonstrations, seminars. conventions, speeches. lectures. or any similar means? Other activities? If "Yes." describe in Part IV .. Total Add lines to through 1i .. Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? 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 to if the filing org anization incurred a section 4912 tax, did it file Form 4720 for this year'? 111$ Complete if the organization is exempt under section 501(c)(4); 'section 501(c)(5), or section 501 Yes No 1 Were substantially all (90% or more) dues received nondeductible by members? 1 2 Did the organization make only in-house lobbying expenditures of $2,000 or lessanizatlona ree to ca overlobb in and olltical ex enditures from the rior ear? [Part Complete if the organization is exempt under section 501(c)(4 section 501(c)(5), or section 501(c)(6) if BOTH Part Ill-A, lines 1 and 2 are answered "No" OR if Part line 3 is answered "Yes." 1 Dues. assessments and similar amounts from members .. 1 Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(1) tax was paid). 8 Current .. _21_ 11 Call'Y0V?l' 90'" last Veal .. Total .. 2c 3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues 3 4 If notices were sent and the amount on line 2c 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? .. 4 Taxable amount of lobbying and political expenditures (see instructions) .. 5 5 [T-'art IV I Supplemental lnforrnation Complete this part to provide the descriptions required for Part I-A, line 1; Part l-B, line 4; Part I-C, line 5: and Part ll-B. line 1i. Also, complete this part for any additional lnforrnatlon. Schedule (Form 990 or 990-EZ) 2009 932043 02-O4-10 Schedule Supplemental Financial Statements (Form 990) 5 Complete if the organization answered "Yes," to Form 990, Part IV, line 12. Qpen to public Attach to Form 990. See separate instructions. Ins on Name of the organization Employer identification number Tea Partv Patriots Inc . 27-0410227 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Fonn 990. Part IV. line 6. Donor advised funds Funds and other accounts Total number at end of year .. Aggregate contributions to (during year) .. Aggregate grants from (during year) .. Aggregate value at end of year .. Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property. subject to the organization's exclusive legal control? CI Yes :1 No Did the organization inform all grantees. donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advlsor. or for any other purpose conferring lm' mtissible rivate benefitPart II I Conservation Easements. Complete if the organization answered 'Yes" to Fonn 990. Part IV. line 7. 1 ~10 Purpose(s) of conservation easements held by the organization (check all that apply). Preservation of land for public use recreation or pleasure) Preservation of an historically important land area Protection of natural habitat Preservation of a certified historic structure El 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. Total number of conservation easements .. Total acreage restricted by conservation easements .. Number of conservation easements on a certified historic structure included in Number of conservation easements included in acquired after 8/17/06 Number of conservation easements modified, transferred, released, extinguished. 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 9"f0fC8m9"'t Of the C?l139fVa'tl0" easements it .. I: Yes Staff and volunteer hours devoted to monitoring. inspecting. and enforcing conservation easements during the year Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year Does each conservation easement reported on line 2(d) above satisfy the requirements of section and section .. Yes [3 No in Part XIV. describe how the organization reports conservation easements in its revenue and expense statement. and balance sheet, and include. if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. - Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. 1a Complete if the organization answered "Yes' to Form 990. Part IV, line 8. if the organization elected. as permitted under SFAS 116. 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 service. provide, in Part XIV, the text of the footnote to its financial statements that describes these items. if the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (I) Revenues included in Form 990. Part line 1 .. (It) Assets included in Form 990. Part .. 2 if the organization received or held works of art. historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 relating to these items: a Revenues included in Form 990. Part linei .. Assets included in Fonn 990. Part .. For Privacy Act and Paperwork Reduction Act Notice. see the instructions for Form 990. Schedule (Form 990) 2009 1 93205 02-01- 10 Schedule '3 (FOTTU 990) 2009 '1'e_a Partv Patriots Inc . 27-0-170227 Page 2 I 'Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assetsfiontinued) 3 Using the organization's acquisition, accession. and other records, check any of the following that are a significant use of its collection items (check all that apply): a CI Public exhibition I: Loan or exchange programs CI Scholarly research Other I: Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as - art of the - anization's collection? . . .. Yes in Escrow and custodial Arrangements. Complete if organization answered "Yes" to 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 explain the arrangement in Part XIV and complete the following table: Amount Beginning balance .. Additions during the year .. Distributions during the year .. Ending balance .. 2a Did the organization include an amount on Form 990. Part X. line 21? .. Yes If 'Yes,' explain the arrangement in Part XIV. I Part Endowment Funds. Complete if the organization answered "Yes" to Form 990. Part IV, line 10. Current year Prior year Two years back Three years back 19) Four years back is Beginning of year balance .. Contributions .. Net investment gains, and losses Giants 0? 3Cn?18l3nlP3 .. Other expenditures for facilities and Pl'?9l3ln3 .. Administrative expenses .. End Oi Veal' balance .. 2 Provide the estimated percentage of the year end balance held as: Board designated or quasi-endowrnent Permanent endowment Term endowment Are there endowment funds not in the possession of the organization that are held and administered for the organization by: unrelated organizations .. (ll) related Otsanlzatiens .. If "Yes" to Salli). are the related organizations listed as required on Schedule Fl? .. 4 Descr be in Part XIV the intended uses of the organization's endowment funds. I Part Vi Investments - Land, Buildings, and Equipment. see Form 990. Part X. line 10. "l 0000' $003) Description of investment Cost or other Cost or other Accumulated Book value basis (investment) basis (other) depreciation 1a Land .. Buildings .. Leasehold improvements .. Equipment .. Other .. Total. Add lines iathrou 1e. Column must ual Form 990 PartX column 8 line Schedule (Form 990) 2009 932052 02-01-10 Schedule 2009 Investments - Securities. See Form Description of security or category ancludlng name of security) Part line 12. Book value Method of valuation: Cost or end-of-year market value Financial derivatives .. Closely-held equity interests Other . Related. Description of investment type Investments - Method of valuation: Cost or end-of-year market value Book value Other Assets. See Form Part line 15. Description Book value See Form Part line 25. Description of liability Amount 2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. Schedule (Form 990) 2009 Schedule (Form 990) 2009 IgLBartv Patriots Inc. 27-0470227 Page 4 I Part Xi I Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements 1 Total revenue (Fcnn 990. Part column (A). line 12) .. 1 706 .966 . 2 Total expenses (Fcnn 990. Part IX. column (A). fine 25) .. 2 664 -121 . 3 Excess or (deficit) for the year. Subtract line 2 from line Net unrealized gains (losses) on investments .. 4 5 Donated services and use of facilities .. 5 6 Investment expenses .. 6 7 Prior period adiustments .. 7 8 Other (Describe in Part XIV.) .. 8 9 Total adjustments (net). Add lines 4 through 8 .. 9' o. 10 Excess or deficit forthe ear er audited financial statements. Combine lines3 and 9 .. 10 42 845. Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 1 TOW l'9V9ill-I9. 99503. and Othel' Pei audited financial Statements .. 1 706 966 . 2 Amounts included on line 1 but not on Fonn 990. Part line 12: a Net unrealized gains on investments .. 2a Donated services and use of facilities .. 2b 0 Fl600V9fl93 Of Pll0l' Giants .. Other (Describe in Part XIV.) .. 2d Add llnes 2a through 2d .. _2e 0 . 3 Subtract line 2efrorn line 1 .. 3 706.966. 4 Amounts included on Form 990, Part line 12, but not on line 1: a investment expenses not included on Form 990, Part line 7b 4a Other (Describe in Part XIV.) .. 4b Add lines Total revenue. Add lines 3 and 4c. is must 9 ual Form 990 Part! line 12.) 5 705 955 I Part Reconciliation of Expenses per Audited Financial Statements With Expenses per Retum 1 Total expenses and losses per audited financial statements .. 1 664 .121 . 2 Amounts included on line 1 but not on Form 990. Part IX, line 25: a Donated services and use of .. 2a Prior year adlustments .. 2b Other losses .. 2c Other (Describe in Part XIV.) .. 2d Add lines 28 through 2d .. 2:e o, 3 Subtract line 2e from line 1 .. 3 664 121. 4 Amounts Included on Form 990, Part IX, line 25. but not on line 1: a Investment expenses not included on Fonn 990, Part line 7b 4a Other (Describe In Part XIV-) .. 4b Add llnes4aal'ld4b .. 4c o. 5 Total ex enses. Add lines 3 and 4c. is muste ual Form 990 Part! line 18.) .. 5 554 I Part XIVI Supplemental lnfonnation Complete this part to provide the descriptions required for Part II. lines 3. 5. and 9; Part lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b: and Part lines 2d and 4b. Also complete this part to provide any additional infonnation. Schedule (Form 990) 2009 932054 o2-o1-1o SCHEDULE Transactions With Interested Persons (Form 990 or 990-EZ) Complete if the organization answered "Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a. 281:, or 28c, or Form Part V, line 38a or 40b. 0 1- b" lntansl Attach to Form 990 or Form 990-EZ. See separate instructions. Name of the organization Employer identification number free gatgiots Inc . 27-0470227 Part I Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only). on Form Part IV Name of disqualified person Description of transaction 2 Enter the amount of tax imposed on 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 Part Loans to and/or From Interested Persons. Part line Name of interested Loan to or from Original principal Balance due in board or (9) Written person and purpose the organization? amount default? agreement? if answered Name of interested person Relationship between interested person and Amount and type of the organization assistance "Yes" on Form IV Relationship between interested person and the organization Name of interested person Amount of transaction Description of . . transaction organizations LHA For Privacy Act and Paperwork Reduction Act Notice, see the Schedule (Form 990 or 990-E2) 2009 instructions for Form 990 or 990-EZ. See Schedule 0 for schedule Continuations 932131 02-01-10 SCHEDULE 0 Supplemental Information to Form 990 990) Complete to provide information for responses to specific quesfions on 2 Form 990 or to provide any additional information. Open to Public Attach to Form 990. Inspection Name of the organization Employer identification number Partv Patriots Inc. 27-0470227 Form 990 Part Line 1 Description of Organization yission: limited government, and free markets. Form 990 Part VI Section line 11: Form 990 was prepared by an independent certified public accountant and reviewed by the organization's top management. The reviewed Form 990 was then forwarded to the Board of Directors prior to filing. Form 990 Part VI. section Lines 15a 15b: subsequent to gay 31_ 2010. a compensation committee was established that used comparable data including salary surveys to set of top management. Form 990 Part VI Section C, Line 19: The Tea Party Patriots makes any documents that are statutorily mandated be made available to the public_ available upgn written reggest. If the document_ such as the Form 990, is not yet available online at it will be provided electronically to the individual reggesting the document. Form 990. Part XI Ling_2c B:_c21anation of Responsibility The organization assumes responsibility for oversight of the audit of its financial statements and selection of its independent accountant. Part IV 8 ct Involvin Interested Persons: l_l-IA For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990. Schedule 0 (Form 990) 2009 932211 oz-oa-1o SCHEDULE 0 Supplemental Information to Form 990 990) Complete to provide information for responses to specific questions on Form 990 or to provide any additional information. Open to Public Attach to Form 990. inspection Name of the organization Employer identification number Partv Patriots Inc. 27-0470227 of Person: Rob Gaudet {bl Relationship Between Interested Person and organization: Board member Amount of Transaction 23500. Description of Transaction: See 0 1099 Wages reported during the 2010 calendar year gel Sharing of Organization Revenues? No 990, Part VII, Section A Explangtion of Officer During the reporting period Tea Party Patriots was in its organizational developpent phase. The organization was establighing its infrastructure to provide for employpent of workers operational structure, and growth through fund-raising activities. Accordina1v_ contracted services by directors and officers were utilized to facilitate this phase that included speaking and representation at functions and events, and other services. LHA For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990. Schedule 0 (Form 990) 2009 Form 8868 (Rev. 4-2009) Page 2 0 If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part ii and check this box Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868. 0 If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1). I Part II Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed). Name of Exempt Organization Employer identification number Type or TEA PARTY PATRIOTS Number. street. and room or suite no. If a P.O. box, see instructions. For IRS use only 1025 ROSE CREEK DR, STE 620--3g2 retum Sac City, town or post office, state. and ZIP code. For a foreign address. see instructions. oopswocx GA 3 1 8 9 Check type of return to be filed (l-'lie a separate application for each retum): Fonn 990 I3 Form 990-EZ Form eeor (sec. 401 or 408(a) trust) Cl Form1041-A Form 5227 Form 3370 El Fonn 990-BL Form 990-PF Form 990-T (trust other than above) Fonn 4720 Form 6069 Do not complete Part II it you were not already granted an automatic 3-month extension on a previously filed Form 8868. THE ORGANIZATION 0 Thebooksareinthecareof> 1025 ROSE CREEK DR, STE 520-322 - WOODSTOCK, GA 30189 TelephoneNo.} 404-Q25-0935 0 if the organization does not have an office or place of business in the United States, check this box 0 lfthis is for a Group Retum. enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box 3 . If it is for part of the group, check this box and attach a list with the names and ElNs of all members the extension is for. 4 I request an additional 3-month extension of time until APRIL For calendar year . or other tax year beginning JUN 1 2 0 0 9 . and ending MAY this tax year is for less than 12 months, check reason: Initial retum I Final retum El Change in accounting period 7 State in detail why you need the extension ADDITIONAL TINE IS NEEDED TO GATHER AND ANALYZE ACCOUNTING DATA TO PREPARE AN ACCURATE RETURN. 8a If this application is for Form 990-BL, QQOPF, 990-T, 4720. or 6069, enter the tentative tax. less any nonrefundable credits. See instructions. 33 If this application is for Form 990-PF. 990-T, 4720. or 6069, enter any refundable credits and estimated tax payments made. include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868. ab 3 Balance Due. Subtract line 8b from line 8a. include your payment with this fonn. or. if required, deposit with coupon or. if required, by using (Electronic Federal Tax Payment System). See 80 A Signature and Verification Under penalties of periury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and omp te, and that I am authorized to prepare this form. Date) 7 - Form ease (Rev. 4-2009) 92238322 05-26-09 A piication for Extension of Time To File an Fonn zoos) Exempt Organization Return OMB No.1545-1709 9 File a separate application for each retum. If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . . . . If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part ii (on page 2 of this form). Do not com late Part it unless ou have airead been ranted an automatic 3-month extension on a previously filed Fonn 8868. Automatic 3-Month Extension of Time. Only submit original (no copies needed). A corporation required to tile Fonn 990-T and requesting an automatic 6-month extension--check this box and complete Partloniy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DD All other corporations (including 1 120-0 filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax retums. Electronic Filing (e-tile). Generally. you can electronically file Fonn 8868 if you want a 3-month automatic extension of time to tile one of the retums noted below (6 months for a corporation required to tile Form 990-T). However. you cannot tile Form 8868 electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Fonns 990-BL. 6069. or 8870. group returns. or a composite or consolidated Form 990-T. instead. you must submit the fully completed and signed page 2 (Part II) of Fonn 8868. For more details on the electronic filing of this fonn. visit and click on e--fiIe for Charities Nonprofits. Type or Name of Exempt Organization Employer identification number print Tea Party Patriots. inc. 27-0470227 Fkwm. Number, street, and room orsuite no. if a P.0. box. see instructions. . 1025 Rose Creek Dr. Room No. 620-184 City. town or post office. state, and ZIP code. For a foreign address. see instructions. Woodstock . GA 30189 Check type of retum to be filed (tile a separate application for each return): Fonn 990 Form 990-T (corporation) 4- Form 4720 Form 990-BL lj Fonn 990-T (sec. 401 or 408(a) trust) Form 5227 Fonn 990-EZ Fonn 990-T (tmst other than above) Form 6069 Fonn 990-PF Fonn 1041-A Form 3370 The books are in the care of _L_e_e Telephone No, FAX No. If the organization does not have an cities or place of business in the United States, check this box . . . . . . . . . DD '0 If this is for a Group Retum. enter the organization's four digit Group Exemption Number (GEN) . if this is for the whole group, check this box . . . . . . . . DD . If it is for part of the group. check this box . . . . . .D and attach a list with the names and ElNs of all members the extension will cover. 1 I request an automatic 3-month (6 months for a corporation required to file Fonn 990-T) extension of time until 51293 _1 to file the exempt organization retum for the organization named above. The extension is for the organization's retum for: calendar year or taxyearbeginning .and ending 2 If this tax year is for less than 12 months. check reason: initial return El Final retum Change in accounting period 3 a if this application is for Fonn 990-BL, 990-PF. 990-T. 4720, or 6069. enter the tentative tax, less any nonrefundable credits. See instructions. 33 if this application is for Fonn 990--PF or 990-T. enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit. . 3b Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FT coupon or, if required. by using EFTPS (Electronic Federal Tax Payment System). see Instructions. . 3c 5 Caution. if you are going to make an electronic fund withdrawal with this Fonn 8868. see Form and Form 8879430 for payment instructions. For Privacy Act and Paperwork Reduction Act Notice, see instructions. (HM) Form 8868 (Rev. 4-zoos)