Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung I OMB No 1545-0047 26308 .-990 Department hf the Treasury benefit trust or private foundation) The organization may have to use a copy of this return to satisfy state reporting requirements Open to Public Inspection lnlemal Revenue Service and endin A For the 2008 calendar year, or tax year beginr'1i--nL Checkirapplicabte Name of organization GOLDEN VISION OF YORKIPA Employer Identification number ll El Address change (am, 0, Doing Business As 53), El Name change Number and street (or 0 box if mail is not delivered to street address) Roomlsuite Telephone number QED Innat return see PO BOX 2534 717-354-7291 Termination City or town, state or country. and ZIP 4 gig retum tlons flax PA 17405 275,000 i:fi:i Name and address of principal officer H(a) Is this a group return for affiliates? |:lYes No RAY MILLER 4472 GREEN VALLEY ROAD, SEVEN VALLEYS, PA 1736 H(b) Are all affiliates included? No 2 I Tax-exempt status 501(c) 3 4 (insert no.) 4947(a)(1) or 527 attach a "st (see Instructions) 9 c< Website: 5 H(c) Grouigemption number Type of organization Corporation El EASSOCIBIIOH [3 Other IL Year of formation 2003 IM State of legal domicile PA 55 rt I Summary 1 Briefly describe the organization's mission or most significant activities: -- -- 2 Check this box 5 if the organization discontinued its operations or disposed of more than 25% of its assets. 3 3 Number of voting members of the governing body (Part VI, line 1aNumber of independent voting members of the governing body (Part VI. line 1b) . 4 5 Total number of employees (Part V, line 2aTotal number of volunteers (estimate if necessary) . 6 7a Total gross unrelated business revenue from 7a Net unrelated business taxable income from 130m 98Prior Year Current Year 8 Contributions and grants (Part line 1h) . . .1 . .2609 . 17,432 9 Program service revenue (Part line 2g(10 Investment income (Part column (A), line 5 3 53,824 27059 er revenue a co umn Ines . . . - 4 12 Total revenue-add lines 8 through 11 (must I12 -9,627 53,824 2% 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) . (mi 14 Benefits paid to or for members (Part IX, column (A), line Salaries, other compensation. employee benefits (Part IX, column (A), lines 5-10) 5% 16a Professional fundraising fees (Part IX, column (A), line 11e) . . Total fundraising expenses (Part IX, column (D). line 25) 1 er expenses a co umn ines -- . . . . . 17 0th rtIX I (A) 11 11d 11f 24f) 42 968 3689 18 Total expenses. Add lines 13-17 (must equal Part IX. column (A). line 25) . 42,968 3,689 5' 19 Revenue less expenses. Subtract line 18 from line -52.595 50,135 v? Beginning of Year End of Year gfig 20 Total assets (Part X, line 16) . 411.719 281,789 fig 21 Total liabilities (Part X, line 26359,901 355,046 3.2 22 Net assets or fund balances. Subtract line 21 from line 20 . 51,818 -3257 Part II Signature Block Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true, rrect, and complete Decl of preparer (other than oflicer) is based on all information of which preparer has any knowledge 1 if-741.3 /o I I Signature olofii Date 1 er>> Type or name and title Date Check if (Preparers iderlitilying number . slgnature se|f. see instructions Sam vs employed 5 El repa re Firrn's name (or yours Em 5 use oniy if self--employed). address, and ZIP 4 Phone no 5 Yes No May the IRS discuss this retum with the preparer shown above? (see instructions) . For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. (HTA) Form 990 (2005) 1,513 Form 990 (2008) GOLDEN VISION FOUNDATION or YORK.PA 23-2866058 Page 2 Statement of Progam Service Accomplishments (see Instructions) 1 Briefly describe the organization's mission: SEE E5: 2 Did the organization undertake any significant program services during the year which were not listed on thepriorForm990or990-EZI:]Yes No 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 Yes If "Yes," describe these changes on Schedule 0. 4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any. for each program service reported. 4a (Code: )(Expenses including grants of (Revenue TO PROVIDE HOUSING TO HOMELESS REFUGEES AND RELEASED 4b (Code: (Expenses including grants of (Revenue IMMIGRATION DETAINEES. ASSISTANCE WITH RELOCATION AND . . -- -- -- -- . . . . . . - - - - - - . - - - - - -- - - -- - - - - - - - -- - -- - - - -- - - - - -- - - . - - - - - -- -- . -- - . . . - - . - . . . . . . . . . -- - -- - . . - - - - - -- - -- - - - - - - - -- - - - - - - - - -- -- -- -- -- . . . . . . . -- . . -- -- -- - - . . . . . . . - - - - . - - - - - - -- - - - - - . -- - - -- -- - -- - - - - . . . . -- -- -- -- -- -- -- -- - - - - . . . . . . . . . - - - - - - - - - - -- . -- -- - -- - - -- -- -- - - -- - - - - - - -- - - - - - - - - . - - - - - - - - - - -- -- -- . . . . . . . . . . -- . -- . - - - - . - - - - - - - - - - - -- - -- - - -- -- - - - - - - - - - -- -- . - . - . . . - . . . - . - -- - - - - . . . -- -- . . . - - - - - - - - -- - . - . . -- - -- - - - - -- - - - . - - - - - - - - - - - - - - - -- -- . -- -- -- - - - . . . . . - . . . . . . . - - - - . - - - - - - . . . - - - - -- - - - - -- -- - - -- -- - - - - - - - - . . . -- - - -- - -- - . - . . . . . -- -- -- -- -- -- - - - - - - . - - . . . . - - - - - - - - - - - - - - . . -- - - -- -- -- -- -- -- - - -- -- - -- - - - - - - - - - - - - . . - - . - - . . . -- -- -- -- -- -- . . . . -- . . . . . . -- -- - - - - - - -- - - - -- -- - - -- - - -- -- -- - - -- - - - - - - - - - - - . - . - . . - . . . - . - . . . -- . . - - - - - - - -- -- . . . . . . . . - - - - - -- -- - - - - . - - - - - -- - - - . -- -- - - -- -- -- -- -- -- - - - - - . . . . . . . . . . . . . - - - - - - . . - - - - - -- - - -- - - - - - - - - - - - . - . . -- . -- . . - . - . . . . -- -- -- -- -- - . . . - . . . . . . . - - - . - -- - - - - - -- -- - -- - - - - - - - - - -- - - - - - - - - . - - - - - - - - . - - -- . -- -- -- . . . . . . . . -- . . . . . . . . . . . . - - - . -- -- -- -- - -- -- -- -- -- - - - - -- - . . . . -- -- -- -- . . . . . . - - - -- . . . . -- -- - -- -- . . - . . . . . . . . . - - - - . -- -- 4c (Code: (Expenses including grants of )(Revenue -- 4d Other program services. (Describe in Schedule 0.) (Expenses including grants of )(Revenue 4e Total service expenses (Must equal QC Line 25. COIUIWI Form 990 (2003) Form 990 (2009) GOLDEN VISION FOUNDATION OF 23-2866058 Page 3 Checklist of Required Schedules Yes No 1 Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If ''Yes, 1 2 Isthe organization required to complete Schedule 8, Schedule of ContributorsDid the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes,"complete Schedule C, Partl . 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If "Yes, complete Schedule C, Part 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 C, Part . . . . . . . . . . 5 6 Did the organization maintain any donor advised funds or any 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, Partl . . . . . . 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 Did the organization maintain collections of works of art, historical treasures, or other similar assets? lf "Yes, 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 IVDid the organization hold assets in term, permanent, or quasi-endowments? If "Yes," complete Schedule D, Part 10 11 Did the organization report an amount in Part X, lines 10"Yes, complete Schedule Did the organization receive an audited financial statement for the year for which it is completing this return that was prepared in accordance with If "Yes," complete Schedule D, Parts XI, XIIthe organization a school described in section If "Yes,"complete Schedule . . . . . . . . 13 14a Did the organization maintain an office, employees, or agents outside 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the If "Yes,"complete Schedule F, Partl . . . . . . . . . 14b 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If "Yes," complete Schedule F, Part 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 more than $15,000 on Part IX, column (A), line He? If "Yes, complete Schedule G, Partl 17 18 Did the organization report more than $15,000 total on Part lines 1c and 8a? If "Yes," complete Schedule G, Part II 18 19 Did the organization report more than $15,000 on Part line 9a? If "Yes," complete Schedule G, Part . . . 19 20 Did the organization operate one or more hospitals? If "Yes, complete Schedule . . . . . . . . . . . . . . 20 21 Did the organization report more than $5,000 on Part IX, column (A), line 1? ll' "Yes,"complete Schedule I, Parts Did the organization report more than $5,000 on Part IX, column (A), line 2? ll' "Yes,'complete Schedule I, Parts Did the organization answer "Yes" to Part VII, Section A, questions 3, 4, or 5? If "Yes, complete 23 24a Did the organization have a tax--exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes, answer questions 24b--24d and complete Schedule K. If "No, go to question 24a Did the organization invest any proceeds of tax--exempt bonds beyondatemporary period exception24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax--exempt bonds24c Did the organization act as an "on behalf of' issuer for bonds outstanding at any time during the year24d 25a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes,"complete Schedule L, Partl . . . . . . . . . . 25a Did the organization become aware that it had engaged in an excess benefit transaction with a disqualified person from a prior year'? If "Yes,"complete Schedule L, Partl . . . . . . . . . . . . . . . . . . . . . . 25b 26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes, complete Schedule L, Part II . . 26 27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, or substantial contributor, or to a person related to such an individual? If "Yes," complete Schedule L, PanForm 990 (2008) 7 Form 990 (2008GOLDEN VISION FOUNDATION OF 23-2866058 Page 4 Checklist of Required Schedules (continued) . Yes No During the tax year, did any person who is a current or former officer, director, trustee, or key employee: Have a direct business relationship with the organization (other than as an officer, director, trustee, or employee), or an indirect business relationship through ownership of more than 35% in another entity (individually or collectively with other person(s) listed in Part VII, Section If "Yes, complete Schedule L, 28a Have a family member who had a direct or indirect business relationship with the organization? If "Yes," 28b Serve as an officer, director, trustee, key employee, partner, or member of an entity (or a shareholder of a professional corporation) doing business with the organization? If "Yes," complete Schedule L, Part IV . 28c Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule . 29 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes,"complete ScheduleMDid the organization liquidate, terminate, or dissolve and cease operations? If "Yes, complete Schedule N, Partl. 31X Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assetsDid the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and Schedule R,PartlWas the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts ll, 34 Is any related organization a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes,"compIete Schedule R, Part V, line2Did 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 R, PanForm 990 (2003) Fm 990 (20033 GOLDEN VISION FOUNDATION OF 23-2866058 Page 5 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 Information Returns. Enter -0- if not applicable . . . . . . . . . . . . 1a Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . . . 1b Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winnersEnter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return . 2a 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--fiIe this return. (see instructions) 3a Did the organization have unrelated business gross income of $1 .000 or more during the year covered by 3a If "Yes," has it filed a Form 990-T for this year? If provide an explanation in Schedule 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 4a If "Yes," enter the name of the foreign country: 5 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 yearDid any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . 5b If "Yes," to question 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter TransactionDid the organization solicit any contributions that were nottax deductible"Yes." did the organization include with every solicitation an express statement that such contributions or giflswerenottaxdeductibleOrganizations that may receive deductible contributions under section 170(c). a Did the organization provide goods or services in exchange for any quid pro quo contribution of more than 7a lf"Yes." did the organization notify the donor of the value ofthe goods or services providedDid the organization sell, exchange, or othenivise dispose of tangible personal property for which it was 7c lf"Yes." indicatethe numberof Forms 8282fi|ed during the yearDid the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal Did the organization, during the year, pay premiums. directly or indirectly. onapersonal benefit contract?. . . . 7f For all contributions of qualified intellectual property, did the organization file Form 8899 as required?. . . . . _7g For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as 7h 8 Section 501(c)(3) and other sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at anytime during theyearSection 501(c)(3) and other sponsoring organizations maintaining donor advised funds. a Did the organization make any taxable distributions undersection 4966Did 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 PartVl|l, |ine1210a 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 . . . . . . . . . . . . . . . . . 11a Gross income from other sources (Do not net amounts due or paid to other sources . . . . . . . . . . . . . . . . . . 11b 12a Section charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?. . 12a If "Yesi" enterthe amount of tax-exempt interest received or accrued during the year. . . 12b I Form 990 (2003) Form 990 (2008) GOLDEN VISION FOUNDATION OF 23-2355053 Page 6 Governance, Management. and Disclosure (Sections A, B, and request information about policies not . required by the Internal Revenue Code.) Section A. Governirg Body and Management Yes No For each "Yes" response to lines 2--7b below, and for a "No" response to lines 8 or 9b below, descnbe the circumstances, processes, or changes in Schedule 0. See instructions. 1a Enter the number of voting members of the governing body . . . . . . . . . . . . 1a Enter the number of voting members that are independent . . . . . . . . . . . . . 1b 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employeeDid the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? . 3 4 Did the organization make any significant changes to its organizational documents since the prior 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 stockholdersDoes the organization have members. stockholders, or other persons who may elect one or more members 7a Are any decisions of the governing body subject to approval by members, stockholders, or other persons? . 7b 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: 8a Each committee with authority to act on behalf of the governing body? . 8b 9a Does the organization have local chapters, branches, or affiliates"Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organizationcopy of the Form 990 provided to the organization's governing body before it was filed? All organizations must describe in Schedule 0 the process, if any, the organization uses to review the Form 990 . . . . . . . 10 11 Is there any officer, director or 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. 11 Section B. Policies Yes No 12a Does the organization have a written conflict of interest policy? If "No,"go to line 1312a Are officers, directors or trustees. and key employees required to disclose annually interests that could give risetoconflicts?. 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 whistleblower policyDoes the organization have a written document retention and destruction policyDid the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision: a The organization's CEO, Executive Director, or top management official? . 15a Other officers or key employees of the organization? . 15b Describe the process in Schedule 0. (see instructions). 16a Did the organization invest in. contribute assets to, or participate in a joint venture or similar arrangement . . . . . . . . . . . . . . . . . . . . .. 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 respect to such arrangements? . 16b Section C. Disclosure 17 18 19 20 List the states with which a copy of this Form 990 is required to be filed 5 PA Section 6104 requires an organization to make its Forms 1023 (or 1024 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. El Own website Another's website Upon request Describe in Schedule 0 whether (and if so, how). the organization makes its governing documents, conflict of interest policy, and financial statements available to the public. State the name, physical address, and telephone number of the person who possesses the books and records of the organization: 5 4472 GREEN VALLEY ROAD, SEVEN VALLEYS, PA 17360 717-229-2131 Form 990 (2008) 99? (2005) GOLDEN VISION FOUNDATION OF 23-2866058 Page 7 Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated . Employees, and Independent Contractors Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated 1a Complete this table for all persons required to be listed. Use Schedule J-2 if additional space is needed. I List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid. 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 andlor Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. 0 List all of the organization's former officers, key employees. and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. 0 List all of the organization's fomier directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees, officers; key employees; highest compensated employees; and former such persons. Check this box if the organization did not compensate any officer, director, trustee, or key employee. (AI (3) (C) (D) (E) (F) Name and Title Average (check 3" ma' app") Reportable Reportable Estimated hours per 9_ 5- (D an compensation compensation amount of week 9 2. 53 3 from from related other 25 3' 3 ?g the organizations compensation g_ organization (W-211099-MISC) from the 5 n_i .2 3 organization 2 5 3 and related 0 as :3 organizaions CD 3 ca 0 O. MIU.-EB - . PRESIDENT 25. B9 51'] EB - - VICE PRESIDENT 5. N. SIBINE. - . SECRETARY 5. -- TREASURER 5. EI MILLER. - - DIRECTOR -- -- -- . . . . . -- - - - - - - - - -- Form 990 (2003) 99? (2008) GOLDEN VISION FOUNDATION OF 23-2866058 Page 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Em loyees (continued) . (A) (B) (C) (D) (E) (F) Name and title Average (check 3" that app") Reportable Reportable Estimated hours per 9 5 0 gut in 31 compensation compensation amount of week 9 3- 3 3 from from related other 3 E, .. 3 :3 the organizations compensation 8 8 organization from the 5 2 .2 3 (W-211099-MISC) organization 55 5 8 3 and related 9, :1 organizations 3 5. D. 1bTotal. 2 Total number of individuals (including those in 1a) who received more than $100,000 in reportable compensation from the organization Yes No 3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes, complete Schedule for such individual . . . 3 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes, complete Schedule for such individual . . . . . . . 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 Scheduie for such person . 5 Section B. Independent Contractors 1 Com Iete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. (A) (B) (C) Name and business address of services Compensation 2 Total number of independent contractors (including those in 1) who received more than $100,000 in compensation from the organization Form 990 (2008) Form 990 (2008) GOLDEN VISION FOUNDATION OF 23-2866058 Page 9 Statemenfof Revenue (A) Total revenue (3) Related or exempt function revenue (Cl Unrelated business revenue (D) Revenue excluded from tax under sections 512, 513, or 514 Contributions. gifts, grants I and other similar amounts Federated campaignsMembershipduesFundraisingeventsRelated organizationsGovernment grants (contributions) . . 1e All other contributions. gifts. grants, and similar amounts not included above . . 1f Noncash contributions included in lines 1a-1f: Total. Add lines 1a--1f . Program Service Revenue Business Code - . All other program service revenue . Total. Add lines 2a--2f. Other Revenue Investment income (including dividends, interest. and othersimilaramounts). . . . . Income from investment oftax-exempt bond proceeds. . . Royalties . 'Real - Rersonal Gross Rents . Less: rental expenses . Rental income or (loss) . Net rental income or (loss) . Gross amount from sales of (I) Secunlles - (II) other assets other than inventory . 275,000 Less: cost or other basis and sales expenses . 221,176 Gain or (loss) . 53,824 Netgain or(loss). . . . . . 53,824 Gross income from fundraising events (not including of contributions reported on line 1c). SeePartlV.|ine18Less: direct expensesNet income or (loss) from fundraising events . Gross income from gaming activities. SeePartlV,line19Less: directexpensesNet income or (loss) from gaming activities . Gross sales of inventory. less returnsandallowancesLesstcostofgoodssoldNet income or (loss) from sales of inventory . Miscellaneous Revenue Business Code 11a CDQO 12 All other revenue . Total. Add lines 11a--11d'. . Total Revenue. Add lines 1h, 2g. 3, 4, 5, 6d. 7d, 8c, 9c,10c, and 11e. 53,824 Form 990 (2003) 99? (2003) GOLDEN VISION FOUNDATION or 23-2866058 Page 10 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 (Part vm. 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 U.S. See Part IV, line 22Grants and other assistance to governments. organizations, and individuals outside the U.S. See Part IV, lines 15 and 16. 4 Benefits paid to or for members . . . . . 5 Compensation of current officers. directors. trustees. and key employees . 6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) . Other salaries and wages . . . . . and section 403(b) employer contributions) . 9 Other employee benefits . 10 PayrolltaxesFees for services (non-employees): Management. Legal. Accounting. Lobbying. Investment management fees . OtherAdvertising and promotion . 13 Office expenses . 14 information technology . 15 Royalties . 16 Occupancy . 17 Travel . 18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 19 Conferences, conventions, and meetings . 20 Interest . . . . . . . 21 Payments to affiliates . . . . . . . . . 22 Depreciation. depletion, and amortization . 23 Insurance. 24 Other expenses. ltemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.) Pension plan contributions (include section 401(k) Professional fundraising services. Gee Part IV, line 12 a -. 31389 All other expenses 25 Total functional expenses. Add lines 1 through24f 3,689 26 Joint Costs. Check here if following SOP 98-2. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation . Form 990 (2003) 990 (2008) GOLDEN VISION FOUNDATION or 23--2aseo5a Page 11 mBaIance Sheet . (A) (3) Beginning of year End of year Cash--non-interest-bearing . . . . 2 1 1,499 2 Savings and temporary cash investments . . 2 3 Pledges and grants receivable, net . 3 4 Accounts receivable, netReceivables from current and former officers, directors. trustees, key employees, or other related parties. Complete Part II of Schedule . 5 6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete PartllofScheduleLNotes and loans receivable. net . 7 3 8 Inventories for sale Prepaid expenses and deferred charges . . . . . . 9 10a Land, buildings, and equipment: cost basis 10a 516,313 Less: accumulated depreciation. Complete g, Part VI of Schedule . . . 10b 411,717 10c 274,290 11 Investments--public|y 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 6,000 16 Total assets. Add lines 1 through 15 (must equal line 34) . . 411,719 16 281,789 17 Accounts payable and accrued expenses . 17 18 Grants payable . 18 19 Deferred revenue . . . . . 19 20 Tax-exempt bond liabilities . . . . . . . . . . . . . . 20 3 21 Escrow account liability. Complete Part IV of Schedule . . 21 22 Payables to current and fonner officers, directors, trustees, key 3 employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule . . . . . . . 22 23 Secured mortgages and notes payable to unrelated third parties . 301,095 23 301,095 24 Unsecured notes and loans payable . . . 24 25 Other liabilities. Complete Part of Schedule . 58,806 25 53,951 26 Total liabilities. Add lines 17 through 359,901 26 355,046 0, Organizations that follow SFAS 117, check here and 3 complete lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets . 51 ,818 27 51 ,a1a 3 28 Temporarily restricted net assets . 28 29 Permanently restricted net assets . . . . . . . . . . . 29 IE Organizations that do not follow SFAS 117, check hereb 5 and complete lines 30 through 34. 30 Capital stock or trust principal, or current funds . . . . . 30 31 Paid-in or capital surplus, or land, building, or equipment fund . . 31 15 32 Retained earnings, endowment. accumulated income, or other funds . 32 2 33 Total net assets or fund balances . . . . . . 51,818 33 51,818 34 Total liabilities and net assetsffund balances . 411,719 34 406,864 Financial Statements and Reporting Yes No 1 Accounting method used to prepare the Form 990: Cash Accrual Other 2a Were the organization's financial statements compiled or reviewed by an independent accountant? . 2a Were the organization's financial statements audited by an independent accountant"Yes" to lines 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? . 2c 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular . . . . . . . 3a If "Yes," did the organization undergo the required audit or audits? . . 3b Fonn 990 (2003) Part Line 4d (990) - Program Service Accomplishments (Code: (Expenses including grants of (Revenue