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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