I Information about Form 990 and its instructions is at Inspection

Transcription

1 Return of Orgniztion Exempt From ncome Tx OMB Form Under section 51(c), 527, or 4947()(1) of the nternl Revenue Code (except privte foundtions) 99 À¾µ Do not enter Socil Security numers on this form s it my e mde pulic. Open to Pulic Deprtment of the Tresury nternl Revenue Service nformtion out Form 99 nd its instructions is t nspection A For the 213 clendr yer, or tx yer eginning, 213, nd ending, 2 B J Check if pplicle: Address chnge Nme chnge nitil return C Nme of Doing Business As Numer nd street (or P.O. ox if mil is not delivered to street ddress) Room/suite D E Employer identifiction numer Telephone numer Terminted City or town, stte or province, country, nd ZP or foreign postl code Amended return DALLAS, T 7524 G Gross receipts $ 4,28,88. Appliction F Nme nd ddress of principl officer: H() s this group return for pending J MARC MYERS, CHAR suordintes? 2824 SWSS AVENUE DALLAS, T 7524 H() Are ll suordintes included? Tx-exempt sttus: 51(c)(3) 51(c) ( ) (insert no.) 4947()(1) or 527 f "," ttch list. (see instructions) J Wesite: H(c) Group exemption numer K Form of : Corportion Trust Assocition Other L Yer of formtion: M Stte of legl domicile: Summry Activities & Governnce Revenue Expenses Net Assets or Fund Blnces 2 Check this ox if the discontinued its opertions or disposed of more thn 25% of its net ssets. 3 Numer of voting memers of the governing ody (Prt V, line 1) 3 4 Numer of independent voting memers of the governing ody (Prt V, line 1) 4 5 Totl numer of individuls employed in clendr yer 213 (Prt V, line 2) 5 6 Totl numer of volunteers (estimte if necessry) m m m m m m m m 6 7 Totl un usiness revenue from Prt V, column (C), line 12 7 Net un usiness txle income from Form 99-T, line 34 m m m m m m m m m m m m m m m m m m m m m m m m 7 Prior Yer Prt SPECAL CAMPS FOR SPECAL KDS m m m m m m m m m m m m m m m m m m m m m m m Contriutions nd grnts (Prt V, line 1h) COPY FOR Progrm service revenue (Prt V, line 2g) m m m m m m m m m PUBLC NSPECTON nvestment income (Prt V, column (A), lines 3, 4, nd 7d) m m m m m Other revenue (Prt V, column (A), lines 5, 6d, 8c, 9c, 1c, nd 11e) Totl revenue - dd lines 8 through 11 (must equl Prt V, column (A), m m line m m 12) m Grnts nd similr mounts pid (Prt, column (A), lines 1-3) Benefits pid to or for memers (Prt, column (A), line 4) m m m m m m m m m m Slries, other, employee enefits (Prt, column (A), lines 5-1) Professionl fundrising fees (Prt, column (A), line 11e) m m m m m m m m m m m m m m m m m Totl fundrising expenses (Prt, column (D), line 25) 14,23. Other expenses (Prt, column (A), lines 11-11d, 11f-24e) m m m m m m Totl expenses. Add lines (must equl Prt, column (A), line 25) Revenue less expenses. Sutrct line 18 from line 12 m m m m m m m m m m m m m m m m m m m m Totl ssets (Prt, line 16) m Totl liilities (Prt, line 26) m m m m m m m m m m m m m Net ssets or fund lnces. Sutrct line 21 from line 2 m m m m m m m m m m m m m m m m m m Signture Block SWSS AVENUE (214) T Prt 1 Briefly descrie the 's mission or most significnt ctivities: CAMP JOHN MARC SERVES CHLDREN WTH CHRONC LLNESSES AND MAJOR PHYSCAL DSABLTES AND THER FAMLES BY MAKNG POSSBLE HGH QUALTY YEAR-ROUND CAMPNG EPERENCES. Beginning of Current Yer Current Yer End of Yer ,43. 1,911,824. 3,57, , ,149. 2, , ,49. -4,3. 2,481,68. 4,262,481. 5, , ,681. 1,18,279. 1,262,887. 1,13,596. 2,221,318. 2,78, ,362. 1,482,314. 8,272,164. 1,124, ,5. 796,625. 7,787,159. 9,327,638. Under penlties of perjury, declre tht hve exmined this return, including ccompnying schedules nd sttements, nd to the est of my knowledge nd elief, it is true, correct, nd complete. Declrtion of preprer (other thn officer) is sed on ll informtion of which preprer hs ny knowledge. Sign Here Pid M Signture of officer Dte M DEAN RENKES Type or print nme nd title Print/Type preprer's nme Preprer's signture Dte Check if PTN self-employed TREASURER WLLAM H SMS WLLAM H SMS P4539 Firm's EN Phone no. m m m m m m m m m m m m m m m m m m m m m m m m m Preprer Firm's nme SALMON SMS THOMAS & ASSOC PLLC Use Only Firm's ddress 1272 HLLCREST RD., SUTE 5 DALLAS, T My the RS discuss this return with the preprer shown ove? (see instructions) For Pperwork Reduction Act tice, see the seprte instructions. Form 99 (213) 3E165 2.

2 Form 99 (213) Pge 2 Prt Sttement of Progrm Service Accomplishments Check if Schedule O contins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly descrie the 's mission: ATTACHMENT 1 SPECAL CAMPS FOR SPECAL KDS m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "," descrie these new services on Schedule O. 2 Did the undertke ny significnt progrm services during the yer which were not listed on the prior Form 99 or 99-EZ? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "," descrie these chnges on Schedule O. 3 Did the cese conducting, or mke significnt chnges in how it conducts, ny progrm services? 4 Descrie the 's progrm service ccomplishments for ech of its three lrgest progrm services, s mesured y expenses. Section 51(c)(3) nd 51(c)(4) re required to report the mount of grnts nd lloctions to others, the totl expenses, nd revenue, if ny, for ech progrm service reported. 4 (Code: ) (Expenses $ 2,429,279. including grnts of $ 631,292. ) (Revenue $ 679,149. ) SPECAL CAMPS FOR SPECAL KDS SERVES CHLDREN WTH CHRONC LLNESSES AND MAJOR PHYSCAL DSABLTES AND THE FAMLES OF THOSE CHLDREN, BY MAKNG POSSBLE HGH QUALTY, YEAR-ROUND CAMPNG EPERENCES AT CAMP JOHN MARC, A UNQUE CAMP FACLTY N BOSQUE COUNTY, TEAS. 4 (Code: ) (Expenses $ including grnts of $ ) (Revenue $ ) 4c (Code: ) (Expenses $ including grnts of $ ) (Revenue $ ) 4d Other progrm services (Descrie in Schedule O.) (Expenses $ including grnts of $ ) (Revenue $ ) 4e Totl progrm service expenses 2,429,279. 3E12 2. Form 99 (213)

3 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 3 Prt V Checklist of Required Schedules m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m s the required to complete Schedule B, Schedule of Contriutors (see instructions)? m m m m m m m m m Did the engge in direct or indirect politicl cmpign ctivities on ehlf of or in opposition to cndidtes for pulic office? f "," complete Schedule C, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m Section 51(c)(3). Did the engge in loying ctivities, or hve section 51(h) election in effect during the tx yer? f "," complete Schedule C, Prt m m m m m m m m m m m m m m m m m m m m m m s the descried in section 51(c)(3) or 4947()(1) (other thn privte foundtion)? f "," complete Schedule A 1 2 s the section 51(c)(4), 51(c)(5), or 51(c)(6) tht receives memership dues, ssessments, or similr mounts s defined in Revenue Procedure 98-19? f "," complete Schedule C, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the mintin ny donor dvised funds or ny similr funds or ccounts for which donors hve the right to provide dvice on the distriution or investment of mounts in such funds or ccounts? f "," complete Schedule D, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the receive or hold conservtion esement, including esements to preserve open spce, the environment, historic lnd res, or historic structures? f "," complete Schedule D, Prt m m m m m m m m m m Did the mintin collections of works of rt, historicl tresures, or other similr ssets? f "," complete Schedule D, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the report n mount in Prt, line 21, for escrow or custodil ccount liility; serve s custodin for mounts not listed in Prt ; or provide credit counseling, det mngement, credit repir, or det negotition services? f "," complete Schedule D, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the, directly or through, hold ssets in temporrily restricted endowments, permnent endowments, or qusi-endowments? f "," complete Schedule D, Prt V m m m m m m m 11 f the s nswer to ny of the following questions is "," then complete Schedule D, Prts V, V, V,, or s pplicle. Did the report n mount for lnd, uildings, nd equipment in Prt, line 1? f "," c d e f complete Schedule D, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the report n mount for investments-other securities in Prt, line 12 tht is 5% or more of its totl ssets reported in Prt, line 16? f "," complete Schedule D, Prt V m m m m m m m m m m m m m m m m m Did the report n mount for investments-progrm in Prt, line 13 tht is 5% or more of its totl ssets reported in Prt, line 16? f "," complete Schedule D, Prt V m m m m m m m m m m m m m m m m m Did the report n mount for other ssets in Prt, line 15 tht is 5% or more of its totl ssets reported in Prt, line 16? f "," complete Schedule D, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m Did the report n mount for other liilities in Prt, line 25? f "," complete Schedule D, Prt Did the s seprte or consolidted finncil sttements for the tx yer include footnote tht ddresses the 's liility for uncertin tx positions under FN 48 (ASC 74)? f "," complete Schedule D, Prt m m m m m m Did the otin seprte, independent udited finncil sttements for the tx yer? f "," complete Schedule D, Prts nd m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Ws the included in consolidted, independent udited finncil sttements for the tx yer? f "," nd if the nswered "" to line 12, then completing Schedule D, Prts nd is optionl m m m m s the school descried in section 17()(1)(A)(ii)? f "," complete Schedule E Did the mintin n office, employees, or gents outside of the United Sttes?m m m m m m m m m m m m m Did the hve ggregte revenues or expenses of more thn $1, from grntmking, fundrising, usiness, investment, nd progrm service ctivities outside the United Sttes, or ggregte foreign investments vlued t $1, or more? f "," complete Schedule F, Prts nd V m m m m m m m m m m m Did the report on Prt, column (A), line 3, more thn $5, of grnts or other ssistnce to or for ny foreign? f "," complete Schedule F, Prts nd V m m m m m m m m m m m m m m m m m m m m m m Did the report on Prt, column (A), line 3, more thn $5, of ggregte grnts or other ssistnce to or for foreign individuls? f "," complete Schedule F, Prts nd V m m m m m m m m m m m m m m m m Did the report totl of more thn $15, of expenses for professionl fundrising services on Prt, column (A), lines 6 nd 11e? f "," complete Schedule G, Prt (see instructions) m m m m m m m m m m m Did the report more thn $15, totl of fundrising event gross income nd contriutions on Prt V, lines 1c nd 8? f "," complete Schedule G, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the report more thn $15, of gross income from gming ctivities on Prt V, line 9? f "," complete Schedule G, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the operte one or more hospitl fcilities? f "," complete Schedule H m m m m m m m f "" to line 2, did the ttch copy of its udited finncil sttements to this return? m m m m m m c 11d 11e 11f Form 99 (213) 3E121 1.

4 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 4 Prt V Checklist of Required Schedules (continued) d c c m m m m m m m m m m m m m m m on Prt, column (A), line 2? f "," complete Schedule, Prts nd m m m m m m m m m m m m m m m m m m m m m m Did the report more thn $5, of grnts or other ssistnce to ny domestic or government on Prt, column (A), line 1? f "," complete Schedule, Prts nd 21 Did the report more thn $5, of grnts or other ssistnce to individuls in the United Sttes 22 Did the nswer "" to Prt V, Section A, line 3, 4, or 5 out of the 's current nd former officers, directors, trustees, key employees, nd highest compensted employees? f "," complete Schedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the hve tx-exempt ond issue with n outstnding principl mount of more thn $1, s of the lst dy of the yer, tht ws issued fter Decemer 31, 22? f "," nswer lines 24 through 24d nd complete Schedule K. f, go to line 25 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the invest ny proceeds of tx-exempt onds eyond temporry period exception?m m m m m m m Did the mintin n escrow ccount other thn refunding escrow t ny time during the yer to defese ny tx-exempt onds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the ct s n "on ehlf of" issuer for onds outstnding t ny time during the yer?m m m m m m m Section 51(c)(3) nd 51(c)(4). Did the engge in n excess enefit trnsction with disqulified person during the yer? f "," complete Schedule L, Prt m m m m m m m m m m m m m m m m m m m s the wre tht it engged in n excess enefit trnsction with disqulified person in prior yer, nd tht the trnsction hs not een reported on ny of the 's prior Forms 99 or 99-EZ? f "," complete Schedule L, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the report ny mount on Prt, line 5, 6, or 22 for receivles from or pyle to ny current or former officers, directors, trustees, key employees, highest compensted employees, or disqulified persons? f so, complete Schedule L, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the provide grnt or other ssistnce to n officer, director, trustee, key employee, sustntil contriutor or employee thereof, grnt selection committee memer, or to 35% controlled entity or fmily memer of ny of these persons? f "," complete Schedule L, Prt m m m m m m m m m m m m m m m Ws the prty to usiness trnsction with one of the following prties (see Schedule L, Prt V instructions for pplicle filing thresholds, conditions, nd exceptions): A current or former officer, director, trustee, or key employee? f "," complete Schedule L, Prt Vm m m m m m m m A fmily memer of current or former officer, director, trustee, or key employee? f "," complete Schedule L, Prt Vm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m An entity of which current or former officer, director, trustee, or key employee (or fmily memer thereof) ws n officer, director, trustee, or direct or indirect owner? f "," complete Schedule L, Prt V m m m m m m m m m Did the receive more thn $25, in non-csh contriutions? f "," complete Schedule M Did the receive contriutions of rt, historicl tresures, or other similr ssets, or qulified conservtion contriutions? f "," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the liquidte, terminte, or dissolve nd cese opertions? f "," complete Schedule N, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the sell, exchnge, dispose of, or trnsfer more thn 25% of its net ssets? f "," complete Schedule N, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the own 1% of n entity disregrded s seprte from the under Regultions sections nd ? f "," complete Schedule R, Prt m m m m m m m m m m m m m m m m m m m m Ws the to ny tx-exempt or txle entity? f "," complete Schedule R, Prt,, or V, nd Prt V, line 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the hve controlled entity within the mening of section 512()(13)? m m m m m m m m m m m m m m f "" to line 35, did the receive ny pyment from or engge in ny trnsction with controlled entity within the mening of section 512()(13)? f "," complete Schedule R, Prt V, line 2m m m m m m Section 51(c)(3). Did the mke ny trnsfers to n exempt non-chritle? f "," complete Schedule R, Prt V, line 2 m m m m m m m m m m m m m m m m m m m m m m m m m m Did the conduct more thn 5% of its ctivities through n entity tht is not nd tht is treted s prtnership for federl income tx purposes? f "," complete Schedule R, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 19? te. All Form 99 filers re required to complete Schedule O m m m m m m m m m m m m m m m m m m m m m m m m m Did the complete Schedule O nd provide explntions in Schedule O for Prt V, lines 11 nd c 24d c Form 99 (213) 3E13 1.

5 Form 99 (213) Pge 5 Prt V Sttements Regrding Other RS Filings nd Tx Complince Check if Schedule O contins response or note to ny line in this Prt V m m m m m m m m m m m m m m m m m m m m m c Did the comply with ckup withholding rules for reportle pyments to vendors nd reportle gming (gmling) winnings to prize winners? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 1c 2 Enter the numer of employees reported on Form W-3, Trnsmittl of Wge nd Tx Sttements, filed for the clendr yer ending with or within the yer covered y this return m 2 68 f t lest one is reported on line 2, did the file ll required federl employment tx returns? f, enter the nme of the foreign country: See instructions for filing requirements for Form TD F , Report of Foreign Bnk nd Finncil Accounts. 5 Ws the prty to prohiited tx shelter trnsction t ny time during the tx yer? m m m m m m m m Did ny txle prty notify the tht it ws or is prty to prohiited tx shelter trnsction? c f "" to line 5 or 5, did the file Form 8886-T? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6 Does the hve nnul gross receipts tht re normlly greter thn $1,, nd did the c d e f g h c 14 Enter the numer reported in Box 3 of Form 196. Enter -- if not pplicle m Enter the numer of Forms W-2G included in line 1. Enter -- if not pplicle m m m m m m m m m te. f the sum of lines 1 nd 2 is greter thn 25, you my e required to e-file (see instructions) Did the hve un usiness gross income of $1, or more during the yer? m m m f "," hs it filed Form 99-T for this yer? f "" to line 3, provide n explntion in Schedule O m m m m m m m At ny time during the clendr yer, did the hve n interest in, or signture or other uthority over, finncil ccount in foreign country (such s nk ccount, securities ccount, or other finncil ccount)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m solicit ny contriutions tht were not tx deductile s chritle contriutions? m m m m m m m m m m m f "," did the include with every solicittion n express sttement tht such contriutions or gifts were not tx deductile? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Orgniztions tht my receive deductile contriutions under section 17(c). Did the receive pyment in excess of $75 mde prtly s contriution nd prtly for goods nd services provided to the pyor? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "," did the notify the donor of the vlue of the goods or services provided? m m m m m m m m m m m m Did the sell, exchnge, or otherwise dispose of tngile personl property for which it ws required to file Form 8282? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "," indicte the numer of Forms 8282 filed during the yer m m m m m m m m m m m m m m m m 7d Did the receive ny funds, directly or indirectly, to py premiums on personl enefit contrct? Did the, during the yer, py premiums, directly or indirectly, on personl enefit contrct? m m m m m f the received contriution of qulified intellectul property, did the file Form 8899 s required? f the received contriution of crs, ots, irplnes, or other vehicles, did the file Form 198-C? Sponsoring mintining donor dvised funds nd section 59()(3) supporting. Did the supporting, or donor dvised fund mintined y sponsoring, hve excess usiness holdings t ny time during the yer? m m m m m m m m m m m m m m m m m m m m m m m Sponsoring mintining donor dvised funds. Did the mke ny txle distriutions under section 4966? m m m m m m m Did the mke distriution to donor, donor dvisor, or person? m m m m m m m m m m m m m m m m Section 51(c)(7). Enter: nitition fees nd cpitl contriutions included on Prt V, line 12 m m m m m m m m m m 1 Gross receipts, included on Form 99, Prt V, line 12, for pulic use of clu fcilities m m m m 1 Section 51(c)(12). Enter: Gross income from memers or shreholders m m m m m m m m m m m m m m m m m m m m m m m m m m 11 Gross income from other sources (Do not net mounts due or pid to other sources ginst mounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m m 11 Section 4947()(1) non-exempt chritle trusts. s the filing Form 99 in lieu of Form 141? f "," enter the mount of tx-exempt interest received or ccrued during the yer m m m m m 12 Section 51(c)(29) qulified nonprofit helth insurnce issuers. s the licensed to issue qulified helth plns in more thn one stte? m m m m m m m m m m m m m m m m m m 13 te. See the instructions for dditionl informtion the must report on Schedule O. Enter the mount of reserves the is required to mintin y the sttes in which 3E14 1. SPECAL CAMPS FOR SPECAL KDS the is licensed to issue qulified helth plns 13 Enter the mount of reserves on hnd m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 13c Did the receive ny pyments for indoor tnning services during the tx yer? m m m m m m m f "," hs it filed Form 72 to report these pyments? f "," provide n explntion in Schedule O m m m m m m c c 7e 7f 7g 7h Form 99 (213)

6 Form 99 (213) Pge 6 Prt V Governnce, Mngement, nd Disclosure For ech "" response to lines 2 through 7 elow, nd for "" response to line 8, 8, or 1 elow, descrie the circumstnces, processes, or chnges in Schedule O. See instructions. Check if Schedule O contins response or note to ny line in this Prt V Section A. Governing Body nd Mngement Enter the numer of voting memers of the governing ody t the end of the tx yer m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f there re mteril differences in voting rights mong memers of the governing ody, or if the governing ody delegted rod uthority to n executive committee or similr committee, explin in Schedule O. Enter the numer of voting memers included in line 1, ove, who re independent m m m m m 1 ny other officer, director, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m supervision of officers, directors, or trustees, or key employees to mngement compny or other person? Did the mke ny significnt chnges to its governing documents since the prior Form 99 ws filed? m m Did the ecome wre during the yer of significnt diversion of the 's ssets? Did the hve memers or stockholders? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m one or more memers of the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m stockholders, or persons other thn the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did ny officer, director, trustee, or key employee hve fmily reltionship or usiness reltionship with Did the delegte control over mngement duties customrily performed y or under the direct Did the hve memers, stockholders, or other persons who hd the power to elect or ppoint Are ny governnce decisions of the reserved to (or suject to pprovl y) memers, 8 Did the contemporneously document the meetings held or written ctions undertken during the yer y the following: The governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m 8 Ech committee with uthority to ct on ehlf of the governing ody? m m m m m m m m m m m m m m m m m m m m m m 8 9 s there ny officer, director, trustee, or key employee listed in Prt V, Section A, who cnnot e reched t the 's miling ddress? f "," provide the nmes nd ddresses in Schedule O m m m m m m m m m m m 9 Section B. Policies (This Section B requests informtion out policies not required y the nternl Revenue Code.) c 16 Did the hve locl chpters, rnches, or ffilites? m m m m m m m m m m m m m m m m m m m m m m m m m m f "," did the hve written policies nd procedures governing the ctivities of such chpters, ffilites, nd rnches to ensure their opertions re consistent with the 's exempt purposes? m m m Hs the provided complete copy of this Form 99 to ll memers of its governing ody efore filing the form? m Descrie in Schedule O the process, if ny, used y the to review this Form 99. Did the hve written conflict of interest policy? f "," go to line 13 m m m m m m m m m m m m m m m m rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m descrie in Schedule O how this ws done m m m m m m m m Did the hve written whistlelower policy? m m m m m m m m m m m m Did the hve written document retention nd destruction policy? m m m m m m m m m m m m m m m m m m Were officers, directors, or trustees, nd key employees required to disclose nnully interests tht could give Did the regulrly nd consistently monitor nd enforce complince with the policy? f "," Did the process for determining of the following persons include review nd pprovl y independent persons, comprility dt, nd contemporneous sustntition of the deliertion nd decision? The 's CEO, Executive Director, or top mngement officil m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other officers or key employees of the f "" to line 15 or 15, descrie the process in Schedule O (see instructions). Did the invest in, contriute ssets to, or prticipte in joint venture or similr rrngement with txle entity during the yer? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "," did the follow written policy or procedure requiring the to evlute its prticiption in joint venture rrngements under pplicle federl tx lw, nd tke steps to sfegurd the 's exempt sttus with respect to such rrngements? m m m m m m m m m m m m m m m m m m m m m m m m m List the sttes with which copy of this Form 99 is required to e filed NONE REQURED Section C. Disclosure Section 614 requires n to mke its Forms 123 (or 124 if pplicle), 99, nd 99-T (Section 51(c)(3)s only) ville for pulic inspection. ndicte how you mde these ville. Check ll tht pply. Own wesite Another's wesite Upon request Other (explin in Schedule O) Descrie in Schedule O whether (nd if so, how) the mde its governing documents, conflict of interest policy, nd finncil sttements ville to the pulic during the tx yer. Stte the nme, physicl ddress, nd telephone numer of the person who possesses the ooks nd records of the : VANCE GLMORE, EEC. DR SWSS AVENUE DALLAS, T Form 99 (213) 3E SPECAL CAMPS FOR SPECAL KDS c

7 SPECAL CAMPS FOR SPECAL KDS Compenstion of Officers, Directors, Trustees, Key Employees, Highest Compensted Employees, nd ndependent Contrctors Form 99 (213) Pge 7 Prt V Section A. Check if Schedule O contins response or note to ny line in this Prt V m m m m m m m m m m m m m m m m m m m m m m Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees 1 Complete this tle for ll persons required to e listed. Report for the clendr yer ending with or within the 's % tx yer. List ll of the 's current officers, directors, trustees (whether individuls or ), regrdless of mount of. Enter -- in columns (D), (E), nd (F) if no ws pid. % List ll of the 's current key employees, if ny. See instructions for definition of "key employee." List the 's five current highest compensted employees (other thn n officer, director, trustee, or key employee) who received reportle (Box 5 of Form W-2 nd/or Box 7 of Form 199-MSC) of more thn $1, from the nd ny. % List ll of the 's former officers, key employees, nd highest compensted employees who received more thn $1, of reportle from the nd ny. % List ll of the 's former directors or trustees tht received, in the cpcity s former director or trustee of the, more thn $1, of reportle from the nd ny. List persons in the following order: individul trustees or directors; institutionl trustees; officers; key employees; highest compensted employees; nd former such persons. Check this ox if neither the nor ny compensted ny current officer, director, or trustee. (C) (A) (B) Position (D) (E) (F) Nme nd Title Averge hours per week (list ny (do not check more thn one ox, unless person is oth n officer nd director/trustee) hours for elow dotted line) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) Estimted mount of other from the nd (1) DR RCHARD ADAMS 1. DRECTOR (2) DAVE ANDERSON 2. DRECTOR (3) DAVD BELL 4. DRECTOR (4) GREG BGGS 2. DRECTOR (5) STEPHANE BRGGER 1. DRECTOR (6) VEREE BROWN 2. DRECTOR (7) DR GEORGE BUCHANAN 1. DRECTOR (8) WLL CLNTON 2. DRECTOR (9) MARE COLLNS 1. DRECTOR (1) DONNA CRUMP 2. DRECTOR (11) BROOKS CULLUM 2. DRECTOR (12) LEVY CURRY 2. DRECTOR (13) MARE DEAN 2. DRECTOR (14) ELLEN DEARMAN 2. DRECTOR Form 99 (213) 3E141 1.

8 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. Estimted mount of other from the nd ( 15) CHRSTNA DUROVCH 2. DRECTOR ( 16) ROB FARRELL 2. DRECTOR ( 17) LESLE FCKE 2. DRECTOR ( 18) JOANN MYERS GATES 2. DRECTOR ( 19) MKE GEORGE 1. DRECTOR ( 2) JOE GRAHAM 4. DRECTOR ( 21) DANNE HAWKNS 4. DRECTOR ( 22) SARAH HAWN 2. DRECTOR ( 23) JOANNE HURTEKANT 2. DRECTOR ( 24) GARY HUSELTON 2. DRECTOR ( 25) CRAG NNES 4. DRECTOR 172, , , ,99. (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

9 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. Estimted mount of other from the nd ( 26) SANDRA KARRMANN 4. DRECTOR ( 27) SALLY FRANCS-KEHAYES 3. DRECTOR ( 28) STEWART KELLER 2. DRECTOR ( 29) COREY LADD 2. DRECTOR ( 3) HUDSON LOCKETT 2. DRECTOR ( 31) JANET MCCARTY 2. DRECTOR ( 32) ELLEN MCSTAY 3. DRECTOR ( 33) REGNA MERSON-GOLDBERG 2. DRECTOR ( 34) J MARC MYERS 4. CHARMAN/DRECTOR ( 35) JAN MYERS 3. DRECTOR ( 36) DR HSASH NKADOH 1. DRECTOR (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

10 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. Estimted mount of other from the nd ( 37) CARRE PARSONS 1. DRECTOR ( 38) RANDY PERRY 3. DRECTOR ( 39) SUZZ PERRY 3. DRECTOR ( 4) MCHAEL PCKENS 2. DRECTOR ( 41) MCHAL POWELL 2. DRECTOR ( 42) DR CLAUDE PRESTDGE 1. DRECTOR ( 43) DR KARL RATHJEN 4. DRECTOR ( 44) DEAN A RENKES 4. TREASURER/DRECTOR ( 45) DARREL RCE 4. DRECTOR ( 46) MCHAEL D RCHARDS 2. DRECTOR ( 47) FLORENCE RCKS 2. DRECTOR (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

11 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. Estimted mount of other from the nd ( 48) LEE RURY 2. DRECTOR ( 49) DR JOANN SANDERS 1. DRECTOR ( 5) KAREN SARGENT 2. DRECTOR ( 51) ROBERT SCULLY 2. DRECTOR ( 52) DR KAREN SCHULTZ 1. DRECTOR ( 53) LYNN SEARS 3. DRECTOR ( 54) CAROL SEAY 2. DRECTOR ( 55) DENS SMON 2. DRECTOR ( 56) BETTYE SLAVEN 4. VCE CHAR/DRECTOR ( 57) DONALD SNELL 2. DRECTOR ( 58) BOB SPURGN 4. DRECTOR (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

12 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. Estimted mount of other from the nd ( 59) MCHAEL TANNER 2. DRECTOR ( 6) CHERYL THOMAS 2. DRECTOR ( 61) CAROL TOUCHSTONE 3. DRECTOR ( 62) GFFORD TOUCHSTONE 3. DRECTOR ( 63) CHP WAGGONER 2. DRECTOR ( 64) LEY WAGGONER 4. PAST CHARMAN/DRECTOR ( 65) ROBERT WALKER 1. DRECTOR ( 66) JOHN WALTER 2. DRECTOR ( 67) PAULA WEBB 2. DRECTOR ( 68) DARLA WHTAKER 2. DRECTOR ( 69) SUSAN WLLAMS 3. DRECTOR (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

13 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. Estimted mount of other from the nd ( 7) KMBERLY YAMANOUCH 2. DRECTOR ( 71) DR THOMAS ZELLERS 2. DRECTOR ( 72) MARK GOGLA 4. GENERAL COUNSEL/DRECTOR ( 73) JOHN HOWARD 2. DRECTOR ( 74) SCOTT MLLER 2. DRECTOR ( 75) MCHAEL CAFFEY 2. DRECTOR ( 76) KENYA S. FREEMAN 2. DRECTOR ( 77) BRLL GARRETT 2. DRECTOR ( 78) PAUL E. HOFFMAN 2. DRECTOR ( 79) MARGARET H. KELLEY 2. DRECTOR ( 8) JUDGE MCSTAY 2. DRECTOR (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

14 SPECAL CAMPS FOR SPECAL KDS Form 99 (213) Pge 8 Prt V Section A. Officers, Directors, Trustees, Key Employees, nd Highest Compensted Employees (continued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for elow dotted line) Position (do not check more thn one ox, unless person is oth n officer nd director/trustee) ndividul trustee or director nstitutionl trustee Officer Key employee Highest compensted employee Former Reportle from the (W-2/199-MSC) Reportle from (W-2/199-MSC) Estimted mount of other from the nd ( 81) MARY MONTGOMERY 2. DRECTOR ( 82) W. SPENCER PERRY 2. DRECTOR ( 83) NELL TOUCHSTONE 2. DRECTOR ( 84) KRS BUNN 2. DRECTOR ( 85) BARBARA MCDERMOTT 2. DRECTOR ( 86) JM PRTCHARD 2. DRECTOR ( 87) TREY SHANNON 2. DRECTOR ( 88) VANCE G GLMORE 4. EECUTVE DRECTOR 172, ,99. 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m c Totl from continution sheets to Prt V, Section A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1c) 2 Totl numer of individuls (including ut not limited to those listed ove) who received more thn $1, of reportle from the 1 3 Did the list ny former officer, director, or trustee, key employee, or highest compensted employee on line 1? f "," complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m 3 4 For ny individul listed on line 1, is the sum of reportle nd other from the nd greter thn $15,? f, complete Schedule J for such individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 5 Did ny person listed on line 1 receive or ccrue from ny un or individul for services rendered to the? f, complete Schedule J for such person m m m m m m m m m m m m m m m m 5 Section B. ndependent Contrctors 1 Complete this tle for your five highest compensted independent contrctors tht received more thn $1, of from the. Report for the clendr yer ending with or within the 's tx yer. (A) Nme nd usiness ddress (B) Description of services (C) Compenstion 2 Totl numer of independent contrctors (including ut not limited to those listed ove) who received more thn $1, in from the 3E Form 99 (213)

15 SPECAL CAMPS FOR SPECAL KDS Sttement of Revenue Check if Schedule O contins response or note to ny line in this Prt V Form 99 (213) Pge 9 Prt V Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Service Revenue Other Revenue m m m m m m m m m 1 Federted cmpigns 1 Memership dues 1 c Fundrising events m 1c 234,633. d Relted m m m m m m 1d e Government grnts (contriutions) m m 1e f All other contriutions, gifts, grnts, nd similr mounts not included ove m 1f 3,335,881. g ncsh contriutions included in lines 1-1f: $ 124,845. h Totl. Add lines 1-1f m m m m m m m m m m m m m m m m m m m Business Code 2 c d e f All other progrm service revenue g Totl. Add lines 2-2f m m m m m m m m m m m m m m m m m m m nvestment income (including dividends, interest, nd other similr mounts) m m m m m m m m m m m m m m m m ncome from investment of tx-exempt ond proceeds Roylties m m m m m m m m m m m m m m m m m m m m m m m m m (i) Rel (ii) Personl Gross rents m m m m m Less: rentl expenses m c Rentl income or (loss) m m d Net rentl income or (loss) m m m m m m m m m m m m m m m Gross mount from sles of ssets other thn inventory (i) Securities (ii) Other Less: cost or other sis nd sles expenses 14,27. c Gin or (loss) m m 2,157. d Net gin or (loss) m m m m m m m m m m m m m m m m m m m m m Gross income from fundrising events (not including $ of contriutions reported on line 1c). See Prt V, line 18 m Less: direct expenses m m m m m m m m m m 4,3. c Net income or (loss) from fundrising events m m m m m m m m Gross income from gming ctivities. See Prt V, line 19 m Less: direct expenses m m m m m m m m m m c Net income or (loss) from gming ctivities m m m m m m m m m Gross sles of inventory, less returns nd llownces Less: cost of goods sold m m m m m m m m m c Net income or (loss) from sles of inventorym m m m m m m m m Miscellneous Revenue Business Code (A) Totl revenue 3,57,514. m m m m m m m m m m m m m m m m m m m m m m m m (B) Relted or exempt function revenue CAMP FEES , , , , ,149. (C) Un usiness revenue (D) Revenue excluded from tx under sections , ,961. 2,157. 2, ,3. -4,3. 11 c m m m m m m m m m m m m m m m m m m m m m d All other revenue e Totl. Add lines 11-11d 12 Totl revenue. See instructions m m m m m m m m m m m m m m 3E ,262, , ,818. Form 99 (213)

16 SPECAL CAMPS FOR SPECAL KDS Prt Sttement of Functionl Expenses Section 51(c)(3) nd 51(c)(4) must complete ll columns. All other must complete column (A). Form 99 (213) Pge 1 Check if Schedule O contins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m Do not include mounts reported on lines 6, 7, 8, 9, nd 1 of Prt V. 1 Grnts nd other ssistnce to governments nd in the United Sttes. See Prt V, line 21 m 2 Grnts nd other ssistnce to individuls in the United Sttes. See Prt V, line 22 m m m m m m 3 Grnts nd other ssistnce to governments,, nd individuls outside the United Sttes. See Prt V, lines 15 nd 16m m m m 4 Benefits pid to or for memers m m m m m m m m m 5 Compenstion of current officers, directors, trustees, nd key employees m m m m m m m m m m 6 Compenstion not included ove, to disqulified persons (s defined under section 4958(f)(1)) nd persons descried in section 4958(c)(3)(B) 7 Other slries nd wges m m m m m m m m m m m m 8 Pension pln ccruls nd contriutions (include section 41(k) nd 43() employer contriutions) 9 Other employee enefits m m m m m m m m m m m m 1 11 Fees for services (non-employees): Mngement Legl c Accounting d Loying e Professionl fundrising services. See Prt V, line 17 m f g c d Pyroll txes m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m nvestment mngement fees m m m m m m m m m Other. (f line 11g mount exceeds 1% of line 25, column (A) mount, list line 11g expenses on Schedule O.) Advertising nd promotion m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Office expenses nformtion technology Roylties Occupncy Trvel Pyments of trvel or entertinment expenses for ny federl, stte, or locl pulic officils Conferences, conventions, nd meetings nterest Pyments to ffilites Deprecition, depletion, nd mortiztion nsurnce m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other expenses. temize expenses not covered ove (List miscellneous expenses in line 24e. f line 24e mount exceeds 1% of line 25, column (A) mount, list line 24e expenses on Schedule O.) e All other expenses 25 Totl functionl expenses. Add lines 1 through 24e 26 Joint costs. Complete this line only if the reported in column (B) joint costs from comined eductionl cmpign nd fundrising solicittion. Check here if following SOP 98-2 (ASC ) m m m m m m m (A) (B) (C) (D) Totl expenses Progrm service Mngement nd Fundrising expenses generl expenses expenses 628, ,292. 3,. 3,. Form 99 (213) 3E , , , , , , , , , , , , , , ,72. 61,881. 3,885. 2, ,95. 45,735. 5,18. 5,18. 33, ,439. 5,434. 5,434. 6,433. 6, , , ,791. 7, , ,81. 3,965. 2,143. 1,166. 8,81. 1, , , , , ,22. 7,253. CAMP EPENSES 34, ,374. OTHER CAMPAGN EPENSES 13, ,626. BRCK COSTS 1,326. 1,326. BAD DEBTS 9,9. 9,9. 2,78,167. 2,429, , ,23.