2009 1 5- `V - Foundation Center

Transcrição

2009 1 5- `V - Foundation Center
Short Form
Return of Organization Exempt From Income Tax
Form
2 009
Under section 501(c ), 527, or 4947( a)(1) of the internal Revenue Code ( except black lung benefit trust or
private foundation)
990-EZ
Department of the Treasury
Internal Revenue Service
OMB No 1545-1150
^ Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(bx13) must file Form 990 All
other organizations with gross receipts less than $500,000 and total assets less than $1,250,000 at the end of the year may use this form
A For the 2009 calendar year, or tax year beginning
Check if
B a pplicable
Please C Name of organization
JUL
1 ,
and ending
200 9
O r
jj j,
use IRS TAUNTON HIGH SCHOOL FACULTY AND
label or
print or C OMMUNITY SCHOLARSHIP FUND, INC.
Initial
return
aTTe^ln-
ryPC
04-3268662
Number and street (or P 0 box, if mail is not delivered to street address )
See
Specific
Instnu
tions
^Amended
return
0 WILLIAMS STREET
f Ra'iaeon
AUNTON
JU N 30, 2010
D Employer identification number
Room/suite E Telephone number
508-821-1163
City or town, state or country, and ZIP + 4
MA
F Group Exemption
02 7 80
Number ^
G Accounting method : ^X Cash
• Section 501(c)(3) organizations and 4947( a)(1) nonexempt charitable trusts must attach a completed
Schedule A (Form 990 or 990 - EZ).
I
= Accrual
Other (sneclfv) ^
Website : ^ N / A
I H Check ^ LJ If the organization is not
J Tax- exempt status ( check only one) -EK1 501( c) ( 3 ) 4 (insert no ) 0 4947(a)(1) or = 527 1
to attach Schedule B (Form 990, 990-EZ.a990-M
1
K Check ^ E1 if the organization is not a section 509(a )( 3) supporting organization and its gross receipts are normally not more than $25,000 A Form 990-EZ or
Form 990 return is not required , but if the organization chooses to file a return , be sure to file a complete return
79 , 241.
L Add lines 5b , 6b , and 7b , to line 9 to determine g ross recei pts* if $500 ,000 or more , file Form 990 instead of Form 990-EZ
00, $
Revenue . Expenses, and Chances in Net Assets or Fund Balances (See the instructions for Part I
Ps-r; I
1
2
C
3
Contributions , grits, grants , and similar amounts received
Program service revenue including government fees and contracts
Membership dues and assessments
...
4
Investment income
5a
b
c
6
a
Gross amount from sale of assets other than inventory
5a
Less : cost or other basis and sales expenses
5b
Gain or ( loss) from sale of assets other than inventory ( Subtract line 5b from line 5a)
Special events and activities (complete applicable parts of Schedule G) If any amoun t is from gaming , check here ^ 0
Gross revenue ( not including $
of contributions
reported on line 1)
6a
Less- direct expenses other than fundraising expenses
6b
Net income or (loss ) from special events and activities ( Subtract line 6b from line 6a)
Gross sales of inventory, less returns and allowances
7a
Less . cost of goods sold
. .
7b
Gross profit or (loss ) from sales of inventory ( Subtract line 7b from line 7a)
cc
b
c
7a
b
c
8
9
10
2
c
W
11
12
13
14
15
16
17
18
19
Z
20
21
Part
'Ql!
.
.. ...
Other revenue ( descnbe ^
1
2
3
71,517.
4
7,724.
5c
6c
7c
)
8
^
9
79,241
10
69,845.
11
12
13
14
15
4 , 1 17 .
16
3 , 148.
^
17
Total exp enses . Add lines 10 throu g h 16
18
Excess or (deficit ) for the year ( Subtract line 17 from line 9)
Net assets or fund balances at beginning of year (from line 27, column (A))
19
_
(must agree with end -of-year figure reported on prior year ' s return )
SEE STATEMENT 2
20
Other changes in net assets or fund balances ( attach explanation )
21
^
Net assets or fund balances at end of year Combine lines 18 throu g h 20
1 11 Balance Sheets . If Total assets on line 25, column ( B) are $1 ,250,000 or more, file Form 990 instead of Form 990- EZ
(See the Instructions for Part II)
(A) Beginning of year
77 , 154 .
2 , 087
Total revenue . Add lines 1 , 2
5c
Grants and similar amounts p r
d (a
Benefits paid to or for membe
mplg^,\ertefft 2Y I I
Salaries , other compensation ,
Professional fees and other pis to independent contractors
Occupancy , rent, utilities , and amte
f^Ap
[I 0^[
LU) 11
LSpd
g^p
Pnntmg , publications , postage ,
Other expenses ( describe ^
RMVED
U
22
Cash, savings, and investments
23
Land and buildings
Other assets (describe ^
24
_..
STMT 3
SEE STATEMENT
1
44 .
565 , 919 .
<12 , 789 .
555 217 .
(B) End of year
555,217.
565,919 . 22
23
)
24
565,919 . 25
25 Total assets
)
Total liabilities (describe ^
27 Net assets or fund balances ( line 27 of column ( B ) must a g ree with line 21
LHA For Privacy Act and Paperwork Reduction Act Notice , see the separate Instructions .
>zos-10
26
1
n757172R 714791 6886
.
-
555,217.
0 . 26
0.
565 , 919 . 27
555 , 217.
5-
Form 990-EZ (2009)
2009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
1
'V
'
TAUNTON HIGH SCHOOL FACULTY AND
Form 990-EZ (2009 )
COMMUNITY SCHOLAR SHIP FUND, INC.
Part lU Statement of Program Service Accomplishments (See the instructions for Part lll)
What is the organization ' s primary exempt purpose? SEE
STATEMENT
04-3268662
Paget
Expenses
(Required for section 501(c)(3)
4
and 501 (cX4) organizations and
section 4947(aX1) trusts ; optional
Describe what was achieved in carrying out the organization ' s exempt purposes . In a clear and concise manner , describe
the services provided , the number of persons benefited , and other relevant information for each program title .
for others )
28 TO PROVIDE STUDENTS WITH FINANCIAL ASSISTANCE AS THEY ENTER
INTO POST SECONDARY EDUCATION
(Grants $
If this amount includes forei g n g rants , check here
^ 0 28a
Grants $
If this amount includes forei g n rants check here
^ 0 29a
77,154.
29
30
Grants $
If this amount includes forei g n rants , check here
Other program services (attach schedule)
Grants
If this amount includes forei g n rants check here
32 Total ro ram service ex penses (add lines 28a throu g h 31 a)
^
30a
^
31 a
^ 32
31
art iv I List of Officers, Directors, Trustees, and Key Employees .
(a) Name and address
77 , 154.
List each one even If not compensated (See the Instructions for Part rV)
(b) Title and average hours
per week devoted to
position
PAUL BOCHMAN
DIRECTOR
30 PROSPECT STREET, TAUNTON, MA 02780
0.00
JULIEANN BARBOUR
DIRECTOR
18 OCEAN AVENUE, FAIRHAVEN, MA 02719
0.00
LAURINDO DAGRACA
DIRECTOR
61 JOANNE DRIVE, TAUNTON, MA 02780
0.00
MARIA DESOUZA, 3 NEWTON STREET, S.
- DIRECTOR
DARTMOUTH, MA 02748
0.00
MICHAEL RAPOSA, 26 HUMMINGBIRD
- DIRECTOR
TERRACE, DARTMOUTH, MA 02747
0.00
BRENDA MOYNIHAN, 522 ESTHERBROOK
RESIDENT
AVENUE, DIGHTON, MA 02715
0.00
LORI SAMMARCO
TREASURER
8 DANIELLE STREET, NORTON, MA 02766
0.00
GINA CORBO, 166 WILLIAMS STREET,
CLERK
TAUNTON, MA 02780
0.00
( c) Compensation
(If not paid , enter
-0-.)
(d) Contributions
(e) Expense
to employee
account and
benefit plans &
other allowances
deferred
compensation
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
Form 990-EZ (2009)
m-nnnn
2
07571928
714793 6886
2009 . 04050 TAUNTON HIGH SCHOOL FACULTY 6886
Form 990-EZ (2009 )
TAUNTON HIGH SCHOOL FACULTY AND
COMM UNITY SCHOLARSHIP FUND, INC.
04-326866 2
Page3
Part V I Other Information ( Note the statement requirements in the instructions for Part V.)
33
34
Did the organization engage in any activity not previously reported to the IRS? If'Yes ; attach a detailed description of each activity
Were any changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the changes
35 If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not
reported on Form 990-T, attach a statement explaining why the organization did not report the income on Form 990-T
a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice, reporting,
and proxy tax requirements?
-b If 'Yes," has it filed a tax return on Form 990-T for this year?
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If'Yes,
complete applicable parts of Sch. N
37a Enter amount of political expenditures, direct or indirect, as described in the instructions
. ^ ^ 37a
b Did the organization file Form 1120-POL for this year?
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made
in a prior year and still outstanding at the end of the period covered by this return?
N/A
b If 'Yes,' complete Schedule L, Part II and enter the total amount involved
38b
39 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on line 9 - .
N/A
39a
N/A
b Gross receipts, included on line 9, for public use of club facilities
39b
40a Section 501(c)(3) organizations Enter amount of tax imposed on the organization during the year under
0 . ;section 4912 ^
section 491110,
0 . ;section 4955 ^
b Section 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction during the
year or is it 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 990-EZ? If 'Yes,' complete Schedule L, Part I
c Section 501 (c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers
or disqualified persons during the year under sections 4912, 4955, and 4958
.
^
d Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax on line 40c reimbursed by the
organization
- .- ^
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If 'Yes,' complete Form 8886-T
-.
41 List the states with which a copy of this return is filed. ^ MA
42a The organization ' s books are in care of ^ MICHAEL RAPOSA
Locatedat ^ 50 WILLIAMS STREET, TAUNTON,
MA
45
X
34
X
35a
35b
X
N/
36
X
37b
X
38a
X
40b
X
40e
X
0.
0.-
0.
0.
Telephoneno ^ 508-821-1163
ZIP+4 ^ 02780
b 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)?
If 'Yes," enter the name of the foreign country ^
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c At any time during the calendar year, did the organization maintain an office outside of the U S?
If'Yes ; enter the name of the foreign country ^
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the tax year
^ 1 43 1
44
33
Did the organization maintain any donor advised funds? If 'Yes,' Form 990 must be completed instead of
Form 990-EZ
Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If 'Yes, Form 990 must be
comoleted instead of Form 990-EZ
42b
Yes No
X
42c
X
N/A
X
45 1
1 X
Form 990-EZ (2009)
932173
02-08-10
07571778
714791 6886
3
2009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
1
TAUNTON HIGH SCHOOL FACULTY AND
Form 990-EZ ( 2009 )
part V)
COMMUNITY SCHOLARSHIP FUND , INC.
Page4
04-3268662
Section 501(c)(3) organizations and section 4947 (a)(1) nonexempt charitable trusts only. All section 501(c)(3)
organizations and section 4947(a)(1) nonexempt chantable trusts must answer questions 46.49b and complete the tables for lines 50
and 51.
46
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public
Yes No
office' If 'Yes,' complete Schedule C, Part I
X
46
_
47 Did the organization engage in lobbying activities? If 'Yes,' complete Schedule C, Part II
X
47
48 Is the organization a school as described in section 170 (b)(1)(A)(n)) If 'Yes,' complete Schedule E
X
48
49a Did the organization make any transfers to an exempt non-charitable related organizations
X
49a
.
b If 'Yes ,' was the related organization a section 527 organization'
49b
_
50 Complete this table for the organization's five highest compensated employees ( other than officers, directors , trustees and key employees ) who each received more
than $100 ,000 of compensation from the organization. If there is none , enter'None '
(a) Name and address of each employee paid more
than $100 ,000
NONE
f
51
( b) Title and average hours
per week devoted to
position
butiens
(c) Compensation to(d) employee
( a) Expense
account and
benefit plans &
other allowances
deferred
compensation
Total number of other employees paid over $100,000
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the
organization . If there is none , enter None
NONE
07571228
SCHEDULE A
OMB No 1545-0047
Public Charity Status and Public Support
(Form 990 or 990-EZ)
Complete if the organization is a section 501 (c)(3) organization or a section
2009
4947(a)(1) nonexempt charitable trust .
^ Attach to Form 990 or Form 990-EZ. ^ See separate instructions .
Open to Pdhio
I nspection
Department of the Treasury
Internal Revenue Service
Name of the organization
Pert
TAUNTON
HIGH
SCHOOL
FACULTY
Employer identification number
AND
COMMUNITY SCHOLARSHIP FUND , INC.
Reason for Public Charity Status (All organizations must complete this part.) See Instructions.
04-3268662
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1 0 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 0 A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E.)
3 0 A hospital or a cooperative hospital service organization described in section 170 (b)(1)(A)(iii).
4
A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the hospital's name,
city, and state:
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
5
section 170 (b)(1)(A)(iv). (Complete Part II.)
6 0 A federal, state, or local government or governmental unit described in section 170 (b)(1)(A)(v).
7 QX An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in
section 170(b)(1)(A)(vi). (Complete Part II.)
8 El A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9 El An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from
activities related to its exempt functions • subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment
income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975.
See section 509(a)(2). (Complete Part III.)
10 O An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
11 O An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a )(3). Check the box that
describes the type of supporting organization and complete lines 11 a through 11 h.
a = Type I
b 0 Type II
c El Type III - Functionally integrated
d 0 Type III .Other
e El By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than
foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
I
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III
supporting organization, check this box
-0
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (i) and (iii) below,
Yes No
the governing body of the supported organization?
-11 i
(ii) A family member of a person described in () above?
11 ii
-(iii) A 35% controlled entity of a person described in (I) or (li) above?
h
Provide the following information about the supported organization(s).
(I) Name of supported
organization
(II) EIN
(ill) Type of
organization
(described on lines 1-9
above or IRC section
(see Instructions ))
(vi) Is the
iv) Is the organization (v) Did you notify the
in col
in col (1) listed in our organization in col. organization
(I) organized in the
y
() document
(1) of your support
governing
U.S ?
Yes
No
Yes
Total
LHA For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for
Form 990 or 990-EZ.
No
Yes
(vii) Amount of
support
No
Schedule A (Form 990 or 990 - EZ) 2009
932021 02-08-10
07571228
714793
6886
2009.04050
5
TAUNTON HIGH
SCHOOL FACULTY
6886
1
TAUNTON HIGH SCHOOL FACULTY AND
04-3268662
Schedule A (Form 990or990•E 2009 COMMUNITY SCHOLARSHIP FUND , INC.
Part 11
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170 (b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I.)
Section A. Public Support
Calendar year (or fiscal year beginning in
1 Gifts, grants, contributions, and
membership fees received. (Do not
(a) 2005
(b) 2006
include any 'unusual grants.")
(c) 2007
(cQ 2008
a 2009
Pa e2
Total
142,170.
71,517.
213,687.
142,170.
71,517.
213,687.
2 Tax revenues levied for the organization's benefit and either paid to
or expended on its behalf .
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge
4 Total. Add lines 1 through 3
5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included
on line 1 that exceeds 2% of the
amount shown on line 11,
column (f)
6
213
Public su pport . Subtract line 5 from line 4
,
687
.
Section B. Total Support
(e) 2009
2008
(c) 2007
Calendar year (or fiscal year beginning
(b) 2006
(a) 2005
71,517.
142,170.
7 Amounts from line4
8 Gross income from interest,
dividends, payments received on
securities loans , rents, royalties
7,724.
6,370.
and income from similar sources
9 Net income from unrelated business
activities, whether or not the
business is regularly carried on
10 Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part IV.)
11 Total support . Add lines 7 through 10
12
12 Gross receipts from related activities, etc. (see instructions)
section
year
as
a
second,
third,
fourth,
or
fifth
tax
501 (c)(3)
13 First five years . If the Form 990 is for the organization's first,
Total
213,687.
14,094.
227,781 .
organization check this box and stop here
Section C . Computation of Public Support Percentage
^
%
93.81
14
..
14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f))
9
5
.
7
1
%
15
.
.
14
15 Public support percentage from 2008 Schedule A, Part II, line
box
and
check
this
or
more,
is
33
1/3%
the
on
line
13,
and
line
14
box
16a 33 1 /3% support test - 2009 .If the organization did not check
^0
stop here. The organization qualifies as a publicly supported organization
b 33 1 /3% support test - 2008 .If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box
^
and stop here . The organization qualifies as a publicly supported organization
or
more,
line
14
is
10%
16b,
and
line
13,
16a,
or
17a 10% -facts- and-circumstances test - 2009 .If the organization did not check a box on
and if the organization meets the 'facts-and-circumstances' test, check this box and stop here . Explain in Part IV how the organization
^ fl
meets the "facts-and-circumstances' test. The organization qualifies as a publicly supported organization
b 10% -facts- and-circumstances test - 2008 .If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or
more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here . Explain in Part IV how the
^ fl
organization meets the 'fact s•and•circumstances' test. The organization qualifies as a publicly supported organization
^0
instructions
see
18 Private foundation . If the orcianization did not check a box online 13, 16a 16b 17a or 17b check this box and
Schedule A (Form 990 or 990-EZ) 2009
932022
02-08-10
n'7571 *) ') A
71 A7q'2
AARA
6
9009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
Schedule A Form 990 or 990•E 2009
Page 3
dart 1 11 Support Schedule for Organizations Described in Section 509 (a)(2) (Complete only if you checked the box on line 9 of Part I )
Section A. Public Support
Calendar year (or fiscal year beginning
1 Gifts, grants, contributions, and
membership fees received. (Do not
include any 'unusual grants.')
(a) 2005
(b) 2006
(c) 2007
(cQ 2008
(e) 2009
Total
a 2005
(b) 2006
c 2007
2008
a 2009
Total
2 Gross receipts from admissions,
merchandise sold or services performed, or facilities furnished in
any activity that is related to the
organization' s tax-exempt purpose
3 Gross receipts from activities that
are not an unrelated trade or business under section 513
4 Tax revenues levied for the organ.
ization's benefit and either paid to
or expended on its behalf
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge
6 Total. Add lines 1 through 5 .
7a Amounts included on lines 1, 2, and
3 received from disqualified persons
b Amounts included on lines 2 and 3 received
from other than disqualified persons that
exceed the greater of $5,000 or 1 % of the
amount on tine 13 for the year
c Add lines 7a and 7b
8
Public suort (Su b M
7c from line 6
Section B. Total Support
Calendar year (or fiscal year beginning in) O,
9 Amounts from line 6
10a Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar sources
b Unrelated business taxable income
(less section 511 taxes) from businesses
acquired after June 30, 1975
c Add lines 1 Oa and 1 Ob .
Net income from unrelated business
activities not included in line 1 Ob,
whether or not the business is
regularly carried on
. .
12 Other Income. Do not include gain
or loss from the sale of capital
assets (Explain in Part IV.)
13 Total support (Add lines 9, 10c. 11, and 12)
14 First five years . If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organization,
11
check this box and stop here
Section C . Computation of Public Suorort Percentage
^0
Section D. Computation of Investment Income Percentage
17
18
19a
b
20
17
%
Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f))
18
%
Investment income percentage from 2008 Schedule A, Part III, line 17
17
not
and
line
is
33 1 /3% support tests - 2009 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3%,
^
more than 33 1/3%, check this box andstop here . The organization qualifies as a publicly supported organization
331 /3% support tests - 2008 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and
^0
line 18 is not more than 33 1/3%, check this box andstop here . The organization qualifies as a publicly supported organization
^
Private foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instruc tions
Schedule A (Form 990 or 990-EZ) 2009
932023 02-08-10
7
n7'7172R 714791 6886
2009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
TAUNTON HIGH SCHOOL FACULTY AND COMMUNIT
FORM 990-EZ
OTHER EXPENSES
DESCRIPTION
STATEMENT
1
AMOUNT
OFFICE SUPPLIES
FILING FEES
SCHOLARSHIP EXPENSES
REGISTRATION FEES
TOTAL TO FORM 990-EZ,
FORM 990-EZ
04-3268662
126.
70.
2,202.
750.
3,148.
LINE 16
OTHER CHANGES IN NET ASSETS OR FUND BALANCES
STATEMENT
2
AMOUNT
DESCRIPTION
CHANGE IN UNREALIZED GAINS/LOSSES
<12,789.>
TOTAL TO FORM 990 - EZ,
<12,789.>
07571228 714793 6886
LINE 20
STATEMENT(S)
10
2009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
1,
2
1
TAUNTON HIGH SCHOOL FACULTY AND COMMUNIT
FORM 990-EZ
CASH GRANTS AND ALLOCATIONS
CLASS OF ACTIVITY /GRANTEE ' S NAME AND ADDRESS
SCHOLARSHIPS
SEE ATTACHED LIST
50 WILLIAMS STREET
TAUNTON, MA 02780
TOTAL INCLUDED ON FORM 990-EZ,
07571228 714793 6886
04-3268662
GRANTEE'S
RELATIONSHIP
NONE
LINE 10
STATEMENT
3
AMOUNT
69,845.
69,845.
11
STATEMENT(S) 3
2009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
1
Taunton High School Faculty and Community Scholarship Foundation, Inc
Form 990-EZ, Page 1, Line 10
FEIN 04-3268662
6/30/2010
Last Name
First
$ Amount
Date Written
Botelho
Richards
Chaves
Subtotal
Jaime
Andrew
Jesse
$
$
$
$
1,030 00
100 00
500 00
1,630.00
9/8/2009
9/10/2009
9/17/2009
Andrews
Subtotal
Gregory
$
$
2,000.00
2,000.00
12/8/2009
Arenz
Novick
Breen
Mulhern
Crawford
McLaughlin
Martin
Gallagher
Myette
Salloway
Greco
McCarthy
Gordon
Campbell
Subtotal
Rebecca
Jeremy
Michael
Aram
Casey
Lindsay
Alyssa
Megan
Ashley
Juliette
Jessica
Victoria
Brian
Michelle
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
450.00
1,500 00
800.00
400.00
600 00
500.00
750.00
1,050.00
250 00
1,495 00
1,000 00
300 00
400.00
2,000.00
11 , 495.00
1/6/2010
1/6/2010
1/7/2010
1/7/2010
1/19/2010
1/19/2010
1/19/2010
1/19/2010
1/20/2010
1/20/2010
1/21/2010
1/21/2010
1/22/2010
1/22/2010
Sullivan
Riendeau
Davis
Freitas
Bizinha
Stillman
Barry
Devlin
Leonard
Ruiz
Prado
Drummond
Subtotal
Marissa
Elizabweth
Treasure
Nicholas
Natalia
Jordan
Nicholas
Erin
Robert
Angelica
Michael
Jill
$
$
$
$
$
$
$
$
$
$
$
$
$
250.00
1,650.00
500.00
1,800.00
200.00
1,53000
400 00
600.00
750 00
500.00
500.00
500.00
9,180.00
2/1/2010
2/4/2010
2/23/2010
2/23/2010
2/25/2010
2/25/2010
2/25/2010
2/26/2010
2/26/2010
2/26/2010
2/26/2010
2/26/2010
Cataldo
Emond
Rogers
Laranjo
Noel
Mills
Martin
Lyons
Canty
DelSignore
Ashley
Danielle
Kathryn
Matthew
Matthew
Thomas
Drew
Nicholas
Elizabeth
Jordan
$
$
$
$
$
$
$
$
$
$
500 00
500 00
400 00
734 00
850.00
1,500 00
600.00
400 00
1,600.00
1,500.00
3/1/2010
3/1/2010
3/1/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
Henault
Buzzell
O'Brien
Devlin
Doherty
Mulhern
Pereira
Altman
Kerkoff
Brown
Hackett
Black
Dmitrick
Curran
Kolev
Corbera
Souza
Gray
LeClair
Nuttall
Melito
Bosworth
Bosworth
Touchette
Leal
Slater
Rodrigues
Allen
Peterson
Rodriguez
Reilly
Jassy
Subtotal
Alex
Paul
Shane
Brittany
Elyse
Amy
Jason
Jessica
Kyle
Jenneve
Sarah
William
Damien
Kenneth
Christine
Gabriela
Tyler
Cameron
Kara
Spencer
Anthony
Nicholas
Patrick
Kristen
Brent
Chelsea
David
Michael
Lindsey
Isaac
Michael
Annabella
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
850.00
950 00
1,250.00
1,48300
1,00000
400.00
400.00
900.00
2,248.00
300.00
1,000.00
1,250 00
1,600.00
750.00
1,000.00
600 00
300.00
1,65000
850.00
1,000.00
1,150.00
500 00
500.00
350.00
500 00
750.00
750 00
500.00
650.00
1,600 00
700.00
200.00
36,515.00
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/3/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/4/2010
3/8/2010
3/9/2010
3/10/2010
3/16/2010
3/17/2010
3/19/2010
3/23/2010
3/26/2010
3/29/2010
Viall
Fitzgerald
Minahan
Moitoza
Waldron
Melo
Subtotal
Tim
Ryan
Ashley
Jessica
Kendra
Alex
$
$
$
$
$
$
$
1,050.00
100.00
1,000 00
900 00
1,000 00
475.00
4,525.00
4/1/2010
4/13/2010
4/13/2010
4/14/2010
4/15/2010
4/28/2010
Girard
O'Connell
Cirelli
Bond
Emond
Subtotal
Leana
Kelsey
Apryl
Matthew
Michael
$
$
$
$
$
$
550.00
600.00
500.00
100 00
400.00
2,150.00
5/6/2010
5/10/2010
5/17/2010
5/24/2010
5/24/2010
Binns
McCone
Vibert
Subtotal
Kelly
Jasmyn
Walky
$
$
$
$
1,250.00
250 00
850 00
2,350.00
6/4/2010
6/4/2010
6/15/2010
$
69,845.00
Total
TAUNTON HIGH SCHOOL FACULTY AND COMMUNIT
990-EZ PG 2
04-3268662
STATEMENT
4
THE PURPOSE OF THE CORPORATION IS TO HELP QUALIFYING STUDENTS WITH
FINANACIAL ASSISTANCE AS THEY ENTER INTO POST-SECONDARY EDUCATION. THE
CORPORATION'S PRIMARY GOAL IS TO SOLICIT DONATIONS AND DISBURSE SCHOLARSHIPS
TO STUDENTS IN THE GRADUATING CLASS OF TAUNTON HIGH SCHOOL, LOCATED IN
TAUNTON, MASSACHUSETTS.
n-c71
R 714791 A PRA
STATEMENT(S) 4
12
1
7009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
Form 8868
(Rev. April 2009)
Application for Extension of Time To File an
Exempt Organization Return
Department of the Treasury
Internal Revenue Service
^ File a
OMB No. 1545.1709
for each return.
• 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 complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
att 1
^
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete
Part I only
^
All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time
to file income tax returns.
Electronic Filing (e-file). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file one of the returns
noted below (6 months for a corporation required to file Form 990-T). However, you cannot file Form 8868 electronically if (1) you want the additional
(not automatic) 3-month extension or (2) you file Forms 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 Form 8868. For more details on the electronic filing of this form, visit
Type or
print
Name of Exempt Organization
File by the
due date for
filing your
return. See
Instructions
Employer identification number
TAUNTON HIGH SCHOOL FACULTY AND
COMMUNITY SCHOLARSHIP FUND, INC.
Number, street , and room or suite no . If a P.O. box , see instructions.
50 WILLIAMS STREET
City, town or post office, state , and ZIP code. For a foreign address, see instructions.
02780
TAUNTON, MA
04-3268662
Check type of return to be filed (file a separate application for each return):
Form
Form
Form
Q Form
990
990-BL
990-EZ
990-PF
Form
Form
Form
0 Form
990-T (corporation )
990-T (sec. 401(a) or 408 (a) trust)
990-T (trust other than above)
1041 -A
Form 4720
0 Form 5227
El Form 6069
Form 8870
MICHAEL RAPOSA
• The books areinthecareof ^ 50 WILLIAMS
Telephone No. ^ . 508- 821-1163
STREET - TAUNTON,
FAX No. ^
MA 02780
• If the organization does not have an office or place of business in the United States , check this box
• If this is for a Group Return, enter the organization 's four digit Group Exemption Number (GEN)
^ El
. If this is for the whole group, check this
box ^ E . If it is for part of the group, check this box ^ 0 and attach a list with the names and EINs of all members the extension will cover.
1
I request an automatic 3-month (6-months for a corporation required to file Form 990 -1) extension of time until
FEBRUARY 15, 201 1
, to file the exempt organization return for the organization named above . The extension
is for the organization ' s return for:
^ 0 calendar year
or
^ 0 tax year beginning
JUL
1 ,
2009
, and ending
JUN
30 ,
2010
2
If this tax year is for less than 12 months , check reason :
3a
If this application is for Form 990-BL, 990-PF , 990-T , 4720 , or 6069 , enter the tentative tax, less any
nonrefundable credits . See instructions.
If this application is for Form 990- PF or 990 -T, enter any refundable credits and estimated
tax payments made. Include an y nor year over payment allowed as a credit.
Balance Due . Subtract line 3b from line 3a. Include your payment with this form , or, if required,
deposit with FTD coupon or , if required , by using EFTPS ( Electronic Federal Tax Payment System).
b
c
0 Initial return
See instructions.
0 Final return
E--]Change in accounting period
3a
$
3b
$
3c
N/A
Caution . If you are going to make an electronic fund withdrawal with this Form 8868 , see Form 8453-EO and Form 8879 - EO for payment instructions.
LHA
For Privacy Act and Paperwork Reduction Act Notice , see Instructions .
Form 8868 ( Rev 4-2009)
923831
05-26-09
0757172R
714791 6AR6
13
2009.04050 TAUNTON HIGH SCHOOL FACULTY 6886
1

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